BLD-2023-1815_Smoke/COi
r SMOKE I CARBON MONOXIDE ALARMS
SELF -CERTIFICATION OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ttdp 10300 TORRE AVENUE • CUPERTINO, CA 9501�4-3255
Cu>I'ER7
(408) 777-3228 • bu11dl99ib2cuslert n r
PERMIT RILL NOT BE I+INALED UNTIL THIS CER`i'IFICATE IS:
COMPLETED, SIGNED. and &&Tt'RNED TO THE QU.ILDIN VI l0
This affidavit is a,i& ,trti�� - +=n for the installation cat all required Smoke and Carbon Monoxide Alarms for compliance
with 2022 California Residential Codes (CRC} Section R314 & R315, where ng interior access for inspections is required,
i ou may also grant the inspector access into the residence for on -site verification in lieu of completion of this affidavit.
Note: On site verification of smoke & Co alarms i5 required when inspection area is within the residence.
GE.N -MALI,_ INFORNIAT10N.,
Existing single-tanily 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: tltt a �tm.lire_c�i. ts�?�'r-�ii� ttit.+n5�fiLv
eneinc rini and imestil atiuns,builiirs� n�jteri__11� tine:'l�ml search buildirte mat�:rial� li�l%n :_ . Smoke alarms shall be
listed in accordance with UL 217. Combination smoke and carbon monoxide alarms shall be permitted to be used in lieu
of smoke alarms. Provided they are listed in accordance with UL 217 and UL 20_M. When the valuation of additions,
alterations, or repairs to existing dwelling units exceeds $1,0W.00, the CRC Section R314 & R315 requires that Smoke
Alarmis and or Carbon Monoxide Alarms be installed and functioning in the following locations:
AREA
SM-0
Co ALARhI
Al"
Within each sleeping room- NM. Smol a alarms shall be installed not less than 3 feet
hMroritatir from the d xlr or opetung of a bathroom that contains a haihtul, or shower, from the tip of the
X
blade of a ceiling -suspended 1paddle) fan, and horizontal path from the supply registers of a forced air
heatingor tooting s- vem and shall be installed outside of the direct airflow from those registers.
`For adItional requirements or clarification see NFP.A "2
On every level of a dwelling unit including basements and habitable attics
t
k
Outside each separate sleeping area in the immediate vicinity of the
Ibedroom(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 Supply; In existing dwelling units with no commercial electrical supplied to alarms, the smoke and Co alarm(s)
may be solely batter), operated. in existing dwelling units, alarms are permitted to be solely battery operated where
repairs or alterations do ljol 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 rnust be
connected to the building electrical system.
"As Orrnrer or owner's appointed agent of the listed property, I hereby certify that the alann(s) referenced above are
installed in accordance with the manufacturees instnictions and in compliance with the Calif iniia Residential Codes.
Permit #lvwnber n
BLD-2o23-1f315 11424 Charsan Ln
ENarne
+ nature Date
(
er gmaturs
a�i �f Date 09/07/2023
smoke ami CU lorm doc rev esed!P' o ;