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<br />Plannlng & Butldlng Agancy Smoke & CO
<br />Alarm Affidavit
<br />20 Clvic Cantar Pta, Rqra Annar
<br />P.O. Bor 'l!r0l {lr-tg}
<br />S|ota An!, tA 9?702
<br />{7111U7-$00
<br />faad tirt -ant arq
<br />f hit dot trn"na moy bc louad ot,.. l!lp.::rl.C4-!?::-\a:?_t -y-r!a. ::2:
<br />(Ph,,* u* e bl** w bt,E lnt brtt-fr,int 8',d)
<br />, Prqpcl Addrcs:€ -:.: Permlt llumber:'_dtat f2-yls
<br />I Ptoperty Orrrner,
<br />Conlraclor:,Qrticen ?3_1.'_^62.94t _
<br />Stete of Califotnra requiteJ thrt smoke and rarbon mororrde iCOi ailrmr ara r.si3iiid .- :t:.ia": ;
<br />buildings.
<br />California B€5identral Code {CRC) S?rtion R3l:t l and R3l5 , states rn pait l,:3! e! s:,.g, ,.r' . ?--. a.
<br />"tetrofirt.d wrth smoL rL..ins and crrbor monorrde alarmr. cgc seairo, n3i4 -: end lli,r i I dci .€
<br />the required locationJ.
<br />A**.,bcbwmurrb.chlcLd;
<br />Erat6oa, ,lrorrorid! aLrfis: Are in6talled outsrde of ?ach sleeping a.ei rn the rrnrned,ate ,,c.F.i/ o,
<br />b€droomt and also on each level ol the dwellint. Alarms are requrred rn bedroorrs ^ii! gar....e^
<br />appliances {i.e hot water heater, (ooktop, {urnace} or a frreplace
<br />d'srnote etarns: Are inrtalled in each.oom used lo/ Jleeping, rn each harlsay ollrrde oi a rle??.^{
<br />room, and on earh level ol the dwelLflg.
<br />Retaofitted dete(lors may be battery-operaled for burldlngs where no rnterior alteratronl are
<br />performed, Cotnbination Smoke/Co alarmr must comply w,th all apD|cable sranCards,nd oe apiro,rrt
<br />by the State f ir" Ma6hall {SFM). gattery li(e must be lO years.
<br />I hereby ertify that I am the contractor or the prop€fty own€r oF the above p.o,e(t I further (e4,iJ
<br />lhat smole alarmg and carbon monoride alarrns have been rnttalled in (omp!ian(e slt,! th€ gore.n.qg
<br />Codes and have been tested to be functtonrl l, alro, hgreby.€rttf/ that twrii relett the ararllrs per :re
<br />manufacturer's ns.
<br />! Signoturc: ,t1
<br />lchec* oml Lr(eflsed C0nl(a(tor P.ope(r 0nne.
<br />OfE: fhis sctt-rrrtifrcotidt is orrty used lu Fro.i"cts tho, orre., the Erfrnron ol he srtucture. fhis
<br />pror;ets it appfr(,/blc OlltY ro Froicds t/hcte dtcess to thc intedot ol the dyelling by o Sonto ana
<br />lot,€€tol, ls noa '.qulrcd.
<br />Have this completed form snd the jokard readily available on linat inspectioni
<br />,=,,SAITA
<br />.{l\A'1tr
<br />Ar;-
<br />Doter
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