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Planning & Building Agency <br />2C Cl rlc Canta, Plarl ica! Aanar <br />?.0. Sor l98a (lll.19) <br />Slnla Ar.1 CA 9270? <br />(711) tlT.laco <br />,{'r it'il I'l : : <br />Smoke & CO <br />Alarm Affidavit <br />p Ll.fi?1tqe--mProjocl Add/ass; <br />Pormll llumb3r: <br />t0[ZpT'DF. 6-or.. rZ A Le7--Prop€.ty O'r/n a ri <br />Con1laclcr:\0t clu' LLC <br />EW.,I <br />fhls d2.!mcot moy bz lound o""-':: ,,...,.. iI t._t i - :--.! <br />(.olazsa usa a bl.ack or blug lnk balbpolnl pan) <br />State of California requkes thaf smoke and carbon monoxide (CO) alarms are installed ln residential <br />bulldingr. <br />Calllofnia Residential Code (CRC) Section R314.1 and R315.2 stales in part thal existing dwellingr be <br />'retrofittsd wlth tmoke alarms and carbon monoxide alarmi. cRc sect,on R314.1 and R315 3 define <br />the required locations. <br />fi goth uo,r:s beloY, mufl be chrck3d: <br />dcarbon mono;rid: alarms:Ara in5talled outslde of each sleepinS a13l in the imnediate vicinity of <br />bedfoomr and also on each te,rel of the dwelling. Alarms ara recommended in bedrooms with gas'fired <br />appliances (i.e. hot v/3ter heater, cooktop, furnace) or a fireplace. <br />6Smot: atatmi: Are lnstalled ln each room u;ed lor sleeping, in erch hallway outride of a sleeping <br />room, and on each leveloI the dwelling, <br />Retrofilted detectort may be battery€perated lor building; where no intarior alt3rations are <br />performed. Comblnation Smoke/CO alarms must comply lvith all applicable st3ndards and be aPproved <br />by the Slate Fire Marshall (5FM). 8attery life mutl be 10 years. <br />I hereby certify that I am the contractor or lhe propertv owner of the above project. I further certify <br />that srnok3 alarms and carbon monoxide alarmS have been lnsElled in compliance with the governing <br />Codes and have been tested to be functional. <br />lcheck oazl .t Propert,/ olvner <br />tiof! Thl: se$<entficolloa ls oaly used lot ptoizcls thq:. art.rr lh', EXT,'R|?R ol the tlruc.ut.. Thls <br />proctss is a22licablz OIILY lo ptolzcts Yth.rc access tr lh. lnlz orol lh. hvelllng b'/ a sanla Ana <br />lNp2cv ls not rcqulrcd. <br />llavs this complat3d iorrn and tha job"card raadily avaiiable on final insp€ctionl <br />^lvtztSignalutz <br />Llcanso#: lt)lq1 \1 j <br />O Licensed Contractor