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-SATIA <br />,$}il <br />Planning & Buildino Aoenc"t <br />20 Civ'c Ceits, ptara Roi f,in", ' <br />P.O.8ox 1988 (U-j9) <br />Saota Ar., CA 9270i(7la) 647.5S00 <br />Smoke & CO <br />AIarm Affidavit <br />Project Addrass: <br />Permit Number:/ o// <br />Property Owner:ttul1^,/ContractD,.:Licanse #:q <br />fhis docum€nt moy b.e found at.., <br />(pleas.? use a bla,ck ar blue i,nk ball-poin! pen) <br />(check one)nse d Contractor <br />state of california requires that smoke and carbon monoxide (Co) alarms are installed in residentialbuildings. <br />california Residentiar code (cRc) section R314.1and R315.2 stares in parr that existing dwelings be"retrofitted with smoke ararms and carbon monoxide al"rno. cnc se.tion R314.3 and R315.3 definethe requ ired locations. <br />f\ *rn oo".s below mu$ be cheskad: <br />fi <br />",aonrnon'oxid': <br />ararms: Are hstalred outside of each sleeping area in the immediate vicinity ofbedrooms and arso on each rever of the dwering. nrrrrr lr" ,..o-mended in bedrooms with gas-firedappliances (i.e. hot water heater, cooktop, fr.nJ..t o. <br />" <br />nr. i"o. <br />p srnote atarms: Are instared,in each room used for sreeping, in each harway outside of a sieepingroom, and on each levelof the dweiling. <br />Retrofitted detectors may be battery-operated for buirdings where no interior arterations areperformed. combination Smoke/Co atarms,r;ri;;r;ilai appticaute standards and be approvedby the State Fire Marshall (SFM). Battery life murt Ue iO'yea.s.- <br />I hereby certify that r am the contractor or the property owner of the above pro.iect. r fu,ther certifythat smoke alarms and carbon monoxide ararms have u"an inrt.tt"a in compriance with the governingCodes and have been tested to be functional. <br />tr rty Owner <br />NOT!: rlr/s sei/-c ertifqsrion is oaly used rot groJec'rs that alecl the fxrEn1oR or th.e ,tructure. fhis <br />lrocess b ocprkobl€ o*ry to ptojects *a"r" oirr* ti tiint-erior or the dwelliag by a ,,nta Adalnspecto? is not reguired. <br />Hrve this cofipreted form and the job-card readry avairable on ,ina, inspec.tioni <br />Siqnoture: <br />Ddte: <br />:l