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**sAL{lA <br />NA,ffi <br />Pian,:ing & ts cildli: g Aget:y <br />2t Civtc Ce.:e.- Pra:3 Rtss A.net <br />P.O. 8ox 1988 {u-19) <br />Sanla A,1a, CA 92702 <br />(7t4) 647.5A0O <br />Smoke & CO <br />Alarm Affidavit <br />fhis docu.nent moy be lound at... <br />1p,/e.asr use a bl*ck ar blue ink ball-point p€n) <br />Project Addrass:/114 N. fthnuR.r tn <br />Permii N Lrrib€ r B l0t zotr"{6 0 <br />Propeny Own:r:t A qrr'rDoR \Uf kn-l <br />Co ntractli:Vturui-- (r2t.lnr Ljcanse #: 1111 {6 <br />State of California requires that smoke and carbon rnonoxide (CO) alarms are installed in residential <br />bu ildings. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define <br />the required locations. <br />f\ eoti, uo,..s betow muer be checksd: <br />'JlA Catton r,roncxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dwelling. Alarms are recommended in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />ff Smoke alarms: Are installed in each room used for sleeping, in each hallway outs;de of a steeping <br />room, and on each level of the dwelling. <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved <br />by the State Fire Marshall (sFM). Battery life must be 10 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 />{check onel Licen-sfd o iactor tr Prope Owner <br />ItrorE: rhrs sef-c eftificrtioa ls oaly used lcr projects thct olrrct tha EXfiRtoR of he strlcture. This <br />prccess is opplicable ONLY t2 projects wherz ac*ss tc the inteiot ol the i*eltiag by o lf,ntd And <br />lnspecor ii not rcquited. <br />Signatur z:Dal?:,k,1, <br />Have this comploted fcrrn anC the job-card readity availab{e on final insp€ctio,n: <br />o <br />a--I