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,-*S,tl\TA <br />A,\J.HH <br />P!.anninE & tsulldi.ng Agency <br />20 Cir/ic Cer:ter Pla.ra Ross Annex <br />?.O. Box 1988 {u-i9) <br />Sa.rh Ana. CA 92702 <br />(714) 647.5800 <br />fhis doo,t.nent moy b.z lound at... <br />fJrle.as,s use a DJa,ck or btue ink ball-point pen) <br />Proje.cl Add,rass:2ll L Ocv s+ <br />Pe rmii N umber:20t7 oriZ <br />14 1_ <br />Co ntra ct c;:U."."f $ohr Lic,anse #, CSI-?7Sz ,to <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California Residential Code (CRC) Section R314.1and R315.2 itates in part that axisting dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. cRc section R314.3 and R315.3 define <br />the requ ired locations. <br />Retroiitted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Combination Smoke/CO alarms must comgly with alt applicable standards and be approved <br />by the State Fire Marshall (SFM). Battery life must be 1.0 years. <br />I hereby certify that I am the contractor or the property owner of the above project. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and have been tested to be functional. <br />Signdt.ut?:Dot?:| /tSlznto <br />{check oae)tr Licensed Contractor ts P roperty Owfler <br />Nor!; rhrs saf-c er'tificrtioa ls oaly used lor gtojects that af!?ct tha ixrEnto? ol ir,e srrucrsre. This <br />prccess is opplicable )NLY to projects where a.ccess tc lh9 inteior of the dw elling by a santa Ana <br />lnspecto( is not tequiftd- <br />H.ave this completgd form an.d the job-c,ard read;ly availab.le on firal insp€€tio,nl <br />Smoke & CO <br />Alarm Affidavit <br />Property Ovrner: <br />{)rorroor es Deio,rs mun oe check3d: <br />ilC^rbon rnon'cxide alarms: A.e installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dlvelling. AIarms are recommended in bedrooms with gas-fired <br />applytces (i.e. hot water heater, cooktop, furnace) ora fireplace. <br />[!l Smoke a]arms: Are installed in each room used for s'eeping, in each hallway outside of a sleeping <br />room, and on each level of the dwelling. <br />rt j