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*-S/I\TA <br />A,\l#,ffi <br />Planning & tsuilding AEz n.y <br />20 Ci\/ic Ceri..2lara Ross Ar6€x <br />P.O. Box 1988 {U.19) <br />Santa Ara, CA 92702 <br />(714) 647.5E00 <br />Smoke & CO <br />Alarm Affidavit <br />fi'tis doa.r,zent moy be lound a1... <br />(please use a bt*k ot blue ink bafi-fE.in! pen) <br />Project Aldrass:z t\\I <br />Pe rrnit N u,:nbe i:BD <br />Propeny Owner:il ) <br />Licans.a #:Co ntra ct fi: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />Califomia Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be"retrof[ted with smoke alarms and carbon monoxide alarms. CRC section R314.3 and R315.3 define <br />the required locations. <br />A*r boxes below mun be ci:eclsd: <br />WC.*nrnonoxjde alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedroom5 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 />kJ Srrok: alarms: Are installed in each room used for steeping, in e:ch hallway outs;de ol a sleeprng <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 csrtify 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 goveming <br />Codes and have been tested to be functional. <br />( <br />[check one)Licensed Con tractor tr Property Owner <br />NorS; rhis sei/-c efiificrtioa is only used lcr grcjects that aff?c thz ixriRla? ol tJre rrTuciurc. Th,s <br />proczss is opplicoble 1NLY to projec'rs whefe dccess t, the i^tztio( of the dweltiag by a sonta Ano <br />lntpeCo( is not requfued. <br />Signoture:,l <br />H.ave this completed fcrm and the job-card raadily avallab.le on final inss€ctionl <br />I oota: <br />I