,SAIIA
<br />[\],or;
<br />Plannlag & Bultdtno Aaencv
<br />20 CMc Cr.rtsr Plrr.r r"ir eri., '
<br />P.O 8or r9alt lX-r9)S.'ir An . CA E?02
<br />t7t4,;a7.5t00w\r tanla-rrt o.q
<br />Smoke & CO
<br />Alarm Affidavit
<br />fhit doar,rrtna moy be lwad st-. nfio ;,.c el ta-:AlyLcla glra
<br />lPleasc usa a btac* ot btua tnh balt-pint p€,n)
<br />State of Glitot
<br />buildlngs.
<br />n,a tequires that smole and carbon fionorrde {COi atarmr ale r!:!lei!?C ,n .e5.dr.: j
<br />Calrlsrnl3 Reldentrat Code (CRC) Sectron R314 l aad RJl5 2 rtater,4 pa.t thrt e{]i,^g e r.? ." g., 2;.'/etroritted with imoLa alarms and c:rbon monox,de alarms. CRC Sectroo n,li 3 a,,d R31,r.3 f d"rr..
<br />fl* *r* bebs mrlet be chartcd:
<br />A..'*' "'-'"'"r ebnns: Are instared outsrde of aach sleepidg area rn th8 ,mmedrat? vtc,ariv otbedrooms and alro on each l€vet of the dw"lling. o,"rn,,i u." ,-"i.,r?; ,";o;.;;. .,;.;.r;.;, *
<br />applitncer {i.e. hot water heater, cooktop, turnace} or a f,replai. -
<br />Et{nple rtarms, Are inrtalted in erch ,oom u5ed lor ,teepug. ;n ea(h bafiwly orlride oi a r,ter3.-rroom, and on each levelof the dweltung.
<br />Retrofined dete{tors may be battery"oparated for burrdings where no !nrerior arteratrons arepedorrned" combination Smoke/co arr,m! must corp,, inn
<br />"tr "*trcab,e srJndard, a.,d be !perovedby the Stata Firr Marshalt (SFMI. Battery lite must be ioyea.s.
<br />I hereby certity that I am the contractor or the prope.ty owner ol the above prore€l I funh?r ce4,fythat smote alarms and carbon monoxde alarr'ls have been installed in comphan(e lrlth the govfrn,igCodes and have been to be functronal. l, algo, hereby ceatlfy lhit I wlll relest the ifarrnj pe, !t?marufacturer's s.
<br />Oote:
<br />lcheck cl Licensed Contractor -K nei
<br />NOTE: frtb scll'cenificotion it oary used ro, pmj.rts tho, art.ct th. Exft*fie or the stru<t,rrc. rhis9r*.o rt apilrcobte o|rr ro pfti.tts whe* occcss to hc ioterior ol the dtcrting ty o o,nto aro-lntrctot It not rcqulrcd-
<br />Slgnaturc
<br />Have thlr compr'trd rorrn and the job-card rcad y avai,.bre on rinar inspecrionl
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