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,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 <br />-_:E-..--.?,_.+*-.a,',