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**SANTA <br />Al[AEffi <br />Pianning & Buildin.g Aget cy. <br />2C Cifc Ca.:ar 2rara Rass A.nar <br />?.O. Bor 1988 {U-10) <br />Santa A.,r., CA 92702 <br />(714) 647-5800 <br />Smoke & CO <br />Alarm Affldavit <br />fhis doct nert iroy be lound a:-.. <br />(glaase use a biacl or blue ink batt-Fint pen) <br />Proje ct Addrass:iL'?.1rt.c*-lcfb*l.^I <br />P a rmit N urnbe r:0t qJbTq (e) zorbl71q <br />Property Owner:?*rnr+/rrrS,tr-( <br />Co ntra ct rr:'JUG dot-*x Lic.ense #: ?l3lS-6 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <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 />A *rn oo.us belo.x must be chetled: <br />SC"rUon rnon,cride ala.ms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dwelling. AIarms are recommended in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />S Smok: alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />room, and on each level of the dwelling. <br />Retrofitted 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 proiect. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and nave been tested to be function <br />lche ck on Lic Con ractor pe Owner <br />NorE: rbij s€f-c efiifr<ation is oaly used lcr grolerrs that aflr., tha €xrtnloA of tlte t:.:zuctutc. Tals <br />prccess is applicable ON!.Y t, prcje ds whclr access tc lhe iatedot oI th? dw elliag by d l,f/nla Aaa <br />lntpe€tot is not rcquired. <br />H.rye this compl€tgd fcrm and the job-card roadjly avajlab{€ on final insp€ciioo: <br />CPr'j- <br />Dat?:?/ztfq <br />I <br />5;gnatrrz: