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B-2016-2987
9 IQ fit at, sc 1 / SMOKE/CARBON MONOXIDE ALARMS '..*1/4. OWNER.CERTIFICATE OF COMPLIANCE . �-,.r;s• COMMUNITY'DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 85014-3255 C�1PER�'INQ (408)777.3228•FAX/408)777-3333•buildinaC5)cUDerdno orq 4.. C" ✓tQ PermitNo13;)014 ` Address v tv 4fl I'^ b�" ('pr #of Alarms Smoke: Carboa llitonoxide: , e PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERi1HiCATE HAS BEEN BIGN£D AND RR;TURNED TO Y'Hk;BUILD DIG DIVISION : 7. PURPOSE affidavit is a self-certification fox the'nstallation of alt�recjuired Smoke and" Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907:2.11.2 r where o interior access for inspections are required. GENERAL INFORMATION Bxisti•rig single family and multifamily dwellings shall be.provided with ; oke Alarms and Carbon Monoxide alarms. when valuation additions,alterations,or"repairs • existing dwellingunits,exceeds $1000.00,CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require at Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: • ARTA SM'KS ALARM CO ALARM Outside of each separate'sleen ng area in the immediate vicinity of the" X X bedrooms) On every level of a dwellingunit indudingbasements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not con r.. fuel-boring appliances and that do not have an attached garage. Carbon monoxide alarms combined with s• oke alarms shall comply with :r CBC Section 420;6 and.shall be approved by the Office of the State Fire Mars Power Supply:In dwelling units with no commercial power supply,alarm(s i maybe solely battery operated. In existing dwelling units,alarms are pemntted to be solely battery operate• where repairs or alterations do • not result in the removal of wall and ceiling finishes or there'is no access by . arts of attic,basement or crawl space.Refer to CRC Section R314 and CBC•Sections 907.2.11.4 and 420:62.• electricali3ennit:is required for 131p which must be connected to the building wiring. As owner of the above-referenced property,i hereby certify that the alarm(s referenced'above has/have been installed in accordance with the manufacturer's instructions and in.comp'• ce with the'California Building and('aiifomia Residential Codes.The alarms have been tested and are op tional,as o€the date signed below. 1 have read and agree tG poplply with the terms and conditio sof this statement Ye)Name: / /t LrsOwn (or Owner , t i Date / �_:LiMGy ' ; Contractor Name Signature '* Date: Smoke and CO form.doe revised 03118/14 _ .1 ttc-- 1 . .1c--.. 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