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20 Civ'c C..::':,ar losr <br />P.O. 3ox '1988 i,n-19) <br />SaD]a Aia, CA 92702 <br />(714) 3d7.5a0C <br />Snok: & CO <br />Alarrn Aiiidavlt <br />f!'tis dcc:;:ea; no'1 be iound o:... <br />(,r,r-.as.a !s.3 a black oi bluz ink ball-,ooin! pa:) <br />Fio' e c'i AC Crsss:3orq S kzr4yq ga <br />BLD to |ob oL& Pzl * 1qly1 c L€ zot+ Lts3 PNL loot\ <br />eur2AL70 DAtOr/ <br />Co n:;ac:c::€,rt,r,on l4o.reo t .t icansa *: lozq(rrt1 <br />State of California requires that smok-. and carbon monoxide (CO) alarms ai'e installed in residential <br />buildings. <br />California R3sidential Code (CRC) Section R314.1and R115.2 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 req uired locations. <br />f,\ ao::, boxas below must b,e check3d: <br />*Grion nonorid,: 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, cookto p, furnace) or a fireplace <br />S,':'r,ol<: ala;ms: Are installed in each room used for sleeping, in each hallway outside ol a sleeping <br />room, and on each level of the dwelling. <br />Retrofitted detecto15 may be battery-operated for buildings where no ioterior alterations are <br />performed. Combination SmokalCO 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 be functional. <br />lche;k on,z)tr icensed C on tractor E. P roperty Owner <br />riOTE: rir seJ,-c eftiiLetion is ooly use,l lor proj,ccis that afi?d rlr.. ,XIERIOA oi L\e sltuclur?. This <br />2rocess is zp.olicablz ONIY tc frojzds wheft cct?ss lo ti1.e interior of thz dN zlliog b, a Santd Atla <br />lds? ?cict is oo'! t?quircd. <br />Sign.a tf nf a4+Dat z: <br />Havg rlls compleisd iorrn and the job-carC readily avallaicta on final ins-cectiool <br />I <br />I <br />I <br />I <br />l <br />Parmii iiumber': <br />Prop,e;y O'un:r: