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-SA\TA <br />,{}{Aqffi <br />TI <br />Planning & Building Agency <br />20 Civ;c Cac:ar Plaza Ross.Arnex <br />P.O. Box '1988 (M.19) <br />Santa Ara, CA 92702 <br />(714) 647.5800 <br />Smoke & CO <br />Alarm Affidavit <br />fitis docynent moy be lound dt... <br />(p/ease use a black or blue ink ball-point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1and 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 requ ired locations. <br />fr\ ao:r, boxes below must be checked: <br />FCarUon rnonoxjda alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms 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 />S&-oi= 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 project. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and have been tested to e nctiona l. <br />lcheck oael Li nse d Con C Property Ownerr <br />NOTE: Ihis set/-c ertificotioa is oaly used lor projeas thdt olftct the EXIERIOR ol the stluctute. fhis <br />process is opplicoble ONLY to prcjeds wherc occess to the intefior of the dwelling by a Safita Ano <br />lnspector is not rcquired. <br />Have this completed form and the job-card readily available on final insp€.ctjonl <br />Project Address:\NCAL <br />Permit Number: <br />Property Owner:f w\O^3t...^,,c-^ <br />Contra,otcr:Licanse #: <br />Signatute:7l <br />(.I-.{- <br />-4 Date: