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Smoke & CO <br />rm a,.*SAIffA <br />NJdffi <br />P!.anninE & Building Agency <br />20 Civ'c Certe, Plaza Ross Annsx <br />P.O. Box 1988 {M.19) <br />Sa.lta Ara, CA 92702 <br />(71a) 647.5800 <br />This document moy be lound at... <br />fpJe.es.e use i bJa€ k or b,lue ini< balt-point pen) <br />Project Addrass:o f uJ <br />Permlt N umber:Z)0tq t '2oto D <br />Property Owner: <br />Contractor':Vtvtyr So(-,(Lic,ense #:fl T?fG <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define <br />the required locations. <br />f\ eoti, boxes betow murt b€ cherkcd: <br />{ C.rOon mon,cxid,e alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bddrooms and also on each level of the dwelling. Alarms are recommended in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />(Smoie alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />rodm, and on each level of the dwelling. <br />Retrofifted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved <br />by the State Fire Marshall (SFM). Battery life must be 10 years. <br />I hereby certify that I am the contractor or the property owner of the above project. I fufther certify <br />that smoke alarms and carbon monoxrde alarms have been installed in compliance with the governing <br />Codes and have been tested to be functional. <br />l.che ck onel censed contractor tr Property owner <br />ftorE: rhrs sej/-cEftific,tioa is only used for grojeas thct qlllect the ExTERtoR ol .ih.e suucture. This <br />grocess is opplicable ONLY lo projeits wfi€le qccess to ti, e inteior of the dwelliag by a Sofira Ada <br />lnspectar is not tequied. <br />Have this completed form and the job-card readiily a.vaitr.ab{e on final inspectjo,nl <br />Signature:Oat?: