14030160 - MISCAddress
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SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT
10300 TO•BUILDING DIVISION
RRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingacuaenino or
# of Alarms S Permit No /` 7 O-3 ���10
pE moke: 5 C
RMIT CANNOT BE FINALED AND CO arbon Monoxide: 2
�S SEEN, AND MPLETED UNTIL THIS CERTIFICATE
TO THE BUILDING DIVISION
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke
and Carbon Monoxide Alarms forcompliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no in
inspections are required.
terior access for
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwellingunits
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarmand/or
xceeds
Monoxide Alarms be installed in the following locations:Carbon
AREA SMOKE ALARM
Outside of each separate AREA
area in the immediate vicinity of the CO ALARM
bedroom(s) X X
On ever level of a dwellingunit includingbasements
Within each sleeping room X X
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined withsmoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply,alarm(s) may be solely batter
y operated.
In existing dwelling units, alarms 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 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms 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 compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
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Smoke and CO form.doc revised 03/18/14