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SAIIA <br />1\l;l ;,11 <br />Pltnnlng & Butldlng Agoncy Smoke & CO <br />Alarm Affidavit <br />20 Clvlc Cmtrr Pl.zr Roaa Annrr <br />P.O. Eor r'tt (f,lt) <br />S.nlr An , CA t2701 <br />rr14l c47-tt00 <br />wuw.aantr{m,ot! <br />fhl. documant moy bc lound ot.,, htto:/,ntu1v.f.nta-an8.oro/pbs/ <br />(PIN. ur.. bltck or bluo lni balh0olfit pf,'') <br />ProJcct Addrcrl: <br />Pormlt Number:rol <br />Strtc of C.llfornl. requlrot thtt rmoko and mrbon monoxidc (CO) rlrrms rrc instrllpd in rerldcntisl <br />bulldln3r, <br />Crllfornlr Rrcldontlrl Codr (CRCI Srstlon R314.1 rnd R315.2 rt.t.s ln p.rt thrt.xirting dwcllintr bc <br />"rrtroflttrd wlth rmokr rlrrmt rnd 6rbon monoxldc lltrml. CRC Srctlon R314.3 and R314.3.3 deflne <br />tha r.qulr.d locrtlonr. <br />fl*rn !ox, D.row murt Da cn.ct o: <br />AC.rfon monorldt rhnnl Arc lnstallod outride of rrch rlccpinl rr.. in ths immodirm vicinity of <br />/bodroomr rnd rlso on orch hvcl of tho dwcllinl, Ahrml rrc rtquir.d in bcdrooms with gm-flred <br />rpplhncrs (1.o. hot wrtcr horter, cooktop, furnacr) or r fircphce. <br />![gmolo rhrmr! Aro lnrtrllod ln sach room ured for rloopln3, in crch hrllway outrido of a rleeping <br />foom, nd on oach loval of the dwelling. <br />Rotroflncd dctactors may bo brttery-opcretod for buildin3r whcrc no lntarior alterrtionc ara <br />pcrformod. Comblnrtion Smokr/CO .l.rms murt comply wlth .ll rpplicablo rtandrrds and bc approved <br />by thG StrtB Fire Mrrrhrll (SfM). Bltt!ry life must be 10 ycrrs, <br />I hcrcby ccrtffy thrt I am the contrlctor or the propGrty owncr of the rbovc projsct. lfurther cartify <br />thrt rmokc rhrmr rnd carbon monorida ahrmr hrvc bmn inrttllad in complianca with th€ govoinint <br />Codcs rnd hrvo boon tortcd to bc functlonrl. l, rlro, haraby ccrtlfy th.t I wlll rctort th6 altrms pcr thc <br />mrnufacture/s inst ctio n s. <br />Slgnature: <br />(chcck oncl en5 o ntr or Prope Own I <br />NOTE: Tihir saf+cftWatlon ls only utcd tor p,olecls that oll.Ct th. EXTEA/o0 oI th. tmclutc, fhlt <br />pr*cs ls appllcabla ONLV to ptotccl, whcrc accst to th.lntadot ol thc dytcllln, by o Sonto Arlo <br />lntwcaot It not rcquhad, <br />o <br />Proporty Owner:dzl-1 <br />Yb Llcenrc t:Contr.ctoi: <br />OOI <br />Hrvr l{rh eomnl.r.tl larrn rnr{ thr lnh-r:rn{ rredllv evrlhhle nn llnrl lnrnrallaal <br />I <br />U <br />Dotc: