BLD-2024-0414_SMOKE/CO�r 15_ 2H24 at 1 a
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4e:5e P►rn
Lucia Rd
CUPERTINO
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SMOKE / CARBON MONOYwCE ALARMS CE
SELF -CERTIFICATION OF L IMPLIA COMMUNITY DEVELOPMENT DEPARTMEN A BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 9` )1¢3255
(408) 777-3228 • buildin ]acupertino.or
17W 7
PERMIT WILL NOT BE FINALED UNTIL;
S CERTIFICATE IS:
E BUILDING DIVISION
COMPLETED, SIGNED, ands EDT�,.-
PURPOSE:
installation of all required Smol:e and Carbon Monoxidlarmsfis compliance
This affidavit is a self -certification for the na interior access forinspections
with 2022 California Residential Codes (CRC} Section ce for
& R315, err f j c ti
You may also ant the inspector access into the residence for on -site verification in hwutlun�ttreresidence.�s affidavit.
Y area is
Note: On site verification of smoke & Co alarms is required when inspect' .
GENERAL INFORMATION. 11 and Carbon Monoxide alarms.
Existing single-family and multi -family dwellings shall be provided with Smoke&arms
Alarms must be models approved and listed by the State Fire Marshal, found at: '/osfm fire ca.gov/divisions/fire-
en ineerin -and-investi ations uildin -materials-listin nrl-search-buildin-inatei .Is-listin Smoke alarms shall be
listed in accordance with UL 227. Combination smoke and carbon monoxide alarms shell be permitted to be used in lieu
of smoke alarms. Provided they are listed in accordance with UL 217 and UL 2034. Whe, + the valuation of additions,
alterations, or repairs to existing dwelling units exceeds $1,000.00, the CRC Section R314 & R315 requires that Smoke
Alarms and/or Carbon Monoxide Alarms be installed and functioning in the following local ions:
��- AREA S OKE Co ALARM
Ai-1,,RM
it1lin each sleeping room- NOTE: Smoke alarms shall be installed not less than 3 feet:
horizontallyfrom the door or opening of a bathroom that contains a bathtub or shower, from the tip of the X
bladeofa ceiling -suspended (paddle) 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.
*Foradditional requirements or clarification see NFPA 72.
On every level of a dwelling unit including basements and habitable attics X X
Outside each separate sleeping area in the immediate vicinity of the
bedroom(s). X X
NOTE: Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage.
Power S_ u_pply In existing dwelling units with no commercial electrical supplied to alarms, the smoke and Co alarm(s)
May be solely battery operated. In existing dwelling units, alarnis are permitted to be solely battery operated where
repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,
basement, or crawl space. Refer to CRC Section R314 & R315. An electrical permit is required for alarms which must be
connected to the building electrical system.
"As Owner or Owner's appointed agent of the listed �
installed in accordance with the manufacturer's instruction, tyn. I hereby certify that the alarm(s) referenced above are
d in
Perm;-- t_fRV_umber: compliance with the California Residential Codes."
Cu eruno Proondy address:
BLD-2024-0414 10663 Santa Lucia Rd
Prope— tm! owner
Name.
Ucerlsed C ..... Signature ..............
...........
............
..........
Date:
Name ..��,,,,
Signature \�
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Smoke irYr r'r,, for t1. • ��sti cl 11' la,. tr ' __T"
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