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Dote:71 <br />,-*sA[rIA <br />NAW <br />Planning 4 Butldng Agency <br />20 Crvic Center plazn RoEs Anne, <br />P O,8or 1Ca8 irr-rq) <br />sanra lna, cA 92702 <br />17'14)6{7-5800vr!a!.sn.lu -an J cro <br />Smoke <br />Alarm A <br />& <br />rri <br />i <br />vit <br />fhit do.ument hdy be Jound at... <br />(Please use a black or blue lnk <br />2013 CRC <br />santa fia.ot <br />balLpoinl pen) <br />Project Address:Anahurst pf. <br />Permit Number: <br />Properly Ownor:Pred llu ggler <br />Contraclor:License #;11c!y-aI E'.,6fang. - <br />State of California requires that smoke and carbon monoxide (CO) alarms are ins( <br />buildings.T <br />,rlg <br />resadential <br />Caljfornia ResidentiatCode (CRCI Seation R314.1ancilt31S 2 nates in part thal exi5 wellings be"retrofitted with smoke alarms and c;rLon monoxlde alarm5, CEC Sec tion R31.4.3 14.1.1 dclinethe reqr"rired location5 <br />te vicinitv of <br />gas-fired <br />ot a sleepin6 <br />d be approved <br />he. cenify <br />he Boverning <br />nrms per the <br />lcheck ooel o L]censed Conlractor El Property <br />NOrE: This self-certificotion i5 only uted Ior project, thtlt ollect the EX1ER1OR of .h e. This <br />cess is opplicoble ONLy to proJecb whete acccss to the inte ot ol the dwe llins <br />spectof is not rcquited- <br />Have tlris completed form and llre iob,card readily available on linal i <br />t' <br />ion! <br />6nH perj d0[:OL Bl gO desZdZIOT ZiZ OqL <br />I <br />I <br />I <br />I il <br />f\ aott oo*", u"tow must be checked: <br />room, and on each level of the dwelling. <br />Rctrofitled detectors .nay be baitery-operated for hu <br />bV the State fire Marshal (SFM). Battery life musl be 10 years. <br />Signoturc: <br />I lr <br />I <br />l ti <br />I <br />rl <br />it <br />I <br />I <br />I <br />I <br />I