BLD-2023-2612_SMOKECUPERTINO
SMOKE 1 CARBON MONOXIDE ALARMS
SELF =CERTIFICATION OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • buWin4C�cuperfino.ol
PERMIT WILL NOT BE FINALED "TIL THIS CERTIFICATE IS:
COMPLETED SIGNED and RETURNED TO THE BUII,DING DIVISION
PU_
This affidavit is aself-certification for the installation of all re uired Sm
oke and Carbon Monoxide Alarms for compliance
with 2022 California Residential Codes CRC Section R314 & R315, where no interior access for inspections is required*
You may also rant the inspector ( the residence for on -site verification in lieu of completion of this affidavit.
gaccess into
Note: On site verification of smoke & Co alarms is reed When inspection area is within the residence,
GENERAL INFORMATION:
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms,
Alarms must be models approved and listed by the State Fire Marshal, found at: httt2s•//osfm.fire.ca.�ov./divisions fire-
-and-investi ations uildin -materials-listin ml-search-buildin -materials-listin Smoke alarmds lieu
all e
engineering /y in
listed in accordance with UL 217. Combination smoke and carbon monoxide alarms shall be permitted to be use
of smoke alarms. Provided they are listed in accordance with UL 217 and UL 2034. When the valuation of additions,
alterations, or repairs to existing dwelling units exceeds $11000.00 the CRC Section R314 & R315 requires that Smoke
Alarms and/or Carbon Monoxide Alarms be installed and functioning in the following locations:
AREA SMOKE Co ALARM
A T A 121%4
sleeping room- NOTE: Smoke alarms shall be installed not less than 3 feet:
within each X
horizontally from the door or opening of a bathroom that contains a bathtub or shower, from the tip of the
blade of a ceiling -suspended (p
addle) fan, and horizontal path from the supply registers of a forced air
heating or cooling system and shall be installed outside of the direct airflow from those registers.
*For additional requirements or clarification see NFP X X
On eve level of a dwelling unit including basements and habitable attics
area in the immediate vicinity of the
Outside each separate sleeping X X
bedroom(s)•
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
NOTE: Car
do not have an attached garag dwelling units with no commercial electrical supplied to alarms, the smoke and Co alarm(s)
1 : In existing d�" In existing dwelling units, alarms are permitted to be solely battery operated where
Power Su erated
may be solely battery Op t result in the removal of wall and ceiling finishes or there is no access by means of attic,
Y g
repairs or alterations d Refer to CRC Section R314 & R315. An electrical permit is required for alarms which must be
basement, or crawl sp electrical system.
connected to the building
wner,s appointed agent of the listed property, I hereby certify that the alarm(s) referenced above are
"As Owner or ce with the manufacturer's instructions and in compliance with the California Residential Codes."
uistalled in accord10 cu ertinoPro ell
address:
10350 Menhart Ln Cupertino
Permit #Number: BL®.2023_2612
X_
Prope_ rtY Owner
M
oofing,
.:............
Bill
Hamilton
!,.. •
-�—
Name
......................
.............................................................................................................. Date:...................
Smoke and COform.doc revised 0210212023
9