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Planning & Bulldtngj Agoncy
<br />20 CMc Crrtr P&.rr noi-, A;lcr '
<br />P.O. Bor tSa {ll.r9)Sstr An., CA gl7ol
<br />rr.) ea7.5co0
<br />Smoke & CO
<br />Alarm Affidavit
<br />pen)
<br />rProFctAddroslr ,,B-Permh Xumbe.:*zat ?A5/gPropoity Ouvncn
<br />'Contractor:
<br />Licen
<br />State oI Caliiot
<br />burldings.
<br />n,e requirPs lhat Jmoke and rarbon mono[de {COi alarryt-) are,cata,i*C ji. .2r,Cr.-.. a
<br />Calitornia Reiid€otta I Code {CRC) Section n3lO. 1 and R 3lS. 2 states rn pa.l thi l px ,i,:g C r., .,. Z-, i)r"/etrotittad with s.mol8 alarrns and carbon monoxrde alarms. CRC Sathe fequrred locat,ojr.- -- - " -"- r''r.,o" 'nonox'o8 a'atms. LRC 5ectEn Rl14 3 and R.31,J 3 3 de'::'e
<br />fl*r, *-r bdfl rl rst t€ ch.rhd:
<br />Alt* t-rddc elermc: Are insralted outsde ol .a€h steeping arer rn rhe ,mmpd,a!? yr.,o.i./ o,b€droomr and also on each leyel of the dw?lling. o,r.-i ar" .-uir,r?d in oedroomi,.r:t . ear.rt,eiapplianceg {i.e. hot water heater, cooktop, furnace} or a fireplace.
<br />ELrr*r alerms, Are inrtalted in each ,oom ured Io, s,
<br />room, and on each level of the dwelhng.
<br />eeprn& in eath hallway o,,,t5rde oi e sle*p..e
<br />RetrofittGd det".tors mey be battery"operated for burrdings where no ,nterior arterat,ons arepedornrcd' combinatioo srnoke/co ararmg must aorpr, irtir",r
<br />"poucabre
<br />5tand.rd,nd be agero.,edby the Statr Firr Ma6ha (SfMr_ Bartery tile must be ioyears.
<br />I heraby .ertify
<br />that smote alar
<br />Coder and have
<br />manufacture/s
<br />that I am the contractor or the prop€rty owner of the :bove prorect. I further ce4,iYms and carbon monoride alarrns have been Inslrlled in com plance with th€ goirrn:|1g
<br />been tested to be functtonal. l, alro, hereby (ertrfy that I w!ll relest the ararni per !ire
<br />5.
<br />Slgnatura:
<br />(check onct)il d Contractor
<br />NO,E: fhb sell<erdffcolion is oaly uscd lot pm.iccts tho, oJ!.a rhc Exft,roa or the srructure- fhisp'*cst It opptlcoue oNLf ro pfilctts whcrc d.ccss to thc iotcriot o1 rhe dreliag ty , i"rr'n r'I n s ,€ctar l t, ot tcqutrcd.
<br />Havo rhl' complersd form and the job-card readiry availabre on tinrr inspecrion!
<br />,SAITA
<br />rll
<br />frrh docrrrnera mot bt louad ot-. hto ,.,nj!r#Ullta-:ai}lrrg Dt?g
<br />Dote:L
<br />Oaner.
<br />I
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