914 S KENMORE ST (2)\��V
BUILDING DIVISION
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
CODE
200 S. Anaheim Blvd., Suite 145 CYCLE
Anaheim, CA 92805 01/001/201/20177
EFFECTIVEDATE
714 765-5153
www.anaheim.net/building
SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION
* Final inspection aooroval will reauire this completed form to be on site alona with the iol
Permit Number:: d Date:
Project address:
Property Owner:
The undersigned does hereby certify that I am the property owner of the above referenced
property. I further certify that smoke alarms and carbon monoxide alarms are present and
functional in all the following locations. All boxes must be checked below
,p Smoke Alarms and Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
sleeping area in the immediate vicinity of bedroom/s or in each hallway outside of the rooms.
!O� Smoke Alarms: In each room used for sleeping purposes.
C %Soke Alarm and Carbon Monoxide Alarm: In each story, including any habitable basement;
(Note: in dwellings or dwelling units with split levels and without an intervening door between
the adjacent levels, a smoke alarm and a carbon monoxide detector installed on the upper level
shall suffice for the adjacent lower level provided that the lower level is less than one full story
below the upper level.)
All dwelling units with attached garages require carbon monoxide detectors. Z
Signature: Oft LJ Date: %, ZK /
California Residential Code (CRC) Section R314.6.2,CRC R315.2 states in part that existing dwellings be
"retrofitted with smoke detectors and carbon monoxide detectors when a building permit is issued for work on or
in a building that is valued at $1,000 or more." CRC Section R314.3, CRC R315.2 defines required locations as
indicted above.
NOTE: This certification is only used when normal access to the interior of the dwelling by the City of Anaheim
Inspector is not achieved during the course of project construction. It is normally used for exterior projects such
as re -roofing, re -siding, patio covers, solar photovoltaic installations, and similar exterior construction work.
200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax FEB 2018
www.anaheim.net/building B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
ko 1 6
Bath Bedroom
Kitchen
Living Room
E/ -7 -
Figure I
Family Room Bedroom
Dining
Figure 2
/ Attic \
Bedroom Hall Bedroom
Living Room Hall Kitchen
&@b
Basement
Figure 3
1 REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
-I ,.
Ceiling
Acceptable 4�
Here Never
Here
Top of Detector
Accep4
table Here
Garage
wall
Figure 4
Living Room
Kitchen
Bedroom
Bedroom
Figure 2
/ Attic \
Bedroom Hall Bedroom
Living Room Hall Kitchen
&@b
Basement
Figure 3
1 REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
-I ,.
Ceiling
Acceptable 4�
Here Never
Here
Top of Detector
Accep4
table Here
Garage
wall
Figure 4