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*-SNTA <br />NAJffi <br />PlanrinE & ts u!1dia.g Ageec.y <br />?0 Civic Ceriar'Plara lcss Annex <br />P.O. Bor 1988 {M.19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />Smoke & CO <br />Alarm Affldavit <br />This doc nefit moy b.e lound at... <br />(pJease use a bla,ck or blue ink balt-paint pen) <br />Pro.;ect Addrass:U.\& N. (ar,tc*4 tn <br />Pe rrrit N umb€ r:/ot172.1i <br />Propeny Owner:'fhaa-P.{+ c*APsr{4t}.) <br />vr\rr^Jr t6*<Ljcanse *: 77T UZ <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <br />California Rasidential Code (CRC) Section R314.1and 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 requ ired locations. <br />f\ eoti,r boxas below rnust be cherked: <br />[E C.tbon mo,loxide a]arms: 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 />@ Smok: alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <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 c-'rtify that I am the contractor or the property owner of the above project. I fufther 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 />Signaturz: <br />{check one)ntract0r tr P ro pe rty Owner <br />liorE: rhls sei/-c eltificdrion is oaly used lor grojects thc,t allzct thz €xTZRtoR oI the rrrrcture. Th,s <br />p(acess is opplicable ONLY to ptojects wherc dc*ss tc the idtetio( of the dwelling by o Sonta dr:,q <br />lnspec!ol it not requiftd. <br />H.ave this completed fcr."n and the job-card readily avajlable on final insp€ctionl <br />lt <br />Dot?: <br />I <br />I <br />I <br />Co ntra ct ),':