l
<br />Plannlng & Bultdtno AaGncvN CV,t Cr,ra? ?1l'., nor-r Ario. -
<br />P.O. Aor ttt! {I-ri}
<br />Srrtr A,tr, Cl g;no2
<br />o t.t u7.sfi
<br />x\a/rt tiol}an, orq
<br />Smoke & CO
<br />Alarm Affidavit
<br />fhit doatlnent rnoy be ,oand ot-- htio :;.a.rrlt€Iul:ar_lagfg"ge4
<br />(P,@tc ute e bt.cla ot blu€ ln*b,,ll-polot pon)
<br />iPropctAddres!:
<br />State of Calitorn
<br />burldings.
<br />Contractor:License f:
<br />la tequirei that rmoke and carbon monoride lCOi alarni are r,.:jtelied j. .?sjCii: r
<br />Calilornia Seideotral Code (CRCI Scction R314 laodR3t5.2,tsle5rnpa.!tbiier.stt.gl-r;2,-g.,)*
<br />;""[St*flil""f abrf"s and c,bon monoxide ararms cRc sectroo n31l 3 and R-]1.r 3 J df,i..re
<br />flr*, *.. b.be mtst br crn kGd:
<br />&cer*., ,rrorroO* alrrms: Are insrelted outslde ol parh steeging are. in th9 rmmedlat" yrc:r:ry o,bedroomr and elso on each level o, the dw.lling. u,r._i lr" *ir,r?d in iredroom, w:t . z,.j.r:.eaappliance! {i.e. hot water healer, coottop, furnare} or a frreptace.
<br />E*rrroke etarms: Are instalted in each room used tcr :leeprng, ,n earh hallwry o.,rrsrde oi a steap -groom, and on each level ol the dwelhng.
<br />Retrofitted detedors may be battery.operated for burrdingt where no interior aiieratrons arEpedormed' combination smoke/co ara,ms must comply irth a, apptrcabre standards :nd bi: ap3rc,,edby the statr Fir" Marsh3u (Sf Ml. Batt.ry lifp must bu ioyea.r.
<br />I hereby certity that l am the contractor of the propefty ownQr or the above pro;ecr. I funher ce4,fythat tmoke alarms and carbon mono.xide alarrns have be€n tnslalled in [omplanae ,*,th tfie gcrerc,agCodet and have been tetted to be luncttonal. l, al9o, hereby (erttfy that I w!ll relest lhe ararft! 9c, tiemanuf acture/s instruclions,
<br />SlEnotuta:Oote:q-/7-
<br />E ens€d Contractor Prorerty O ^ne.
<br />NOIE Thit setraatrfrcotion is only uscd rot Fmj.cts ?ho, athcr rh. Exftnrae or be ',ructufe. rhisgr,..,t ls apptlfibh oflLr to plor.rts wher. dtc,-,ss co th. intcrior o! ahe *natLg 4 " sorri io-lnspedor It not rcgulr2d_
<br />Have lhl! comprored torm rnd the job-card rcadiry availabre on ,inar inspectionl
<br />,,,,,,5A\TA
<br />lll,,,,
<br />t,
<br />.Ltt
<br />lcheck oncl
|