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b���Fo�9'��� ��' �� �� . �:� Y,o�..� � ��. . ��a�.,=:;�, , ��� - 6, �''�ee�a,�4�.+e°`� e��QDi�@4B� �ELF�CE�TSFICATo�R� ��� ��t�dPL.I�NB(�E.OE SfliIOiCE �e��EIS i�D.C��Oi� IV60NOXODE Al.:/4f21!!i� . _ . . . . Property Addre�s: �a3 . ?�a.�3oA _ �,�� �c���� �A � ! oo�. - Perrin_it fVumber: : . �o�r - Z Z = l� �.� 0 �rief Job:De�cription: : �� ►zo o r.: � _ Number of smoke alarrr�s installed: � , . . . Number.of carbon monouide alarms installed: Z : : . - _ . . VVhen alterations, repairs or additions requiring a:permit occur; or�leeping`rooms are created, , Smoke alarms.stiall be insfalled in each sleeping. room, and outside each separate -. sleeping ar.ea in_the immetliafe vicinity of the bedrooms; and on each additional_ story:of the . . . . . � dwelling, including basernents and habitable attics as required.by Sectiqn R314 of the.2Q16. CalBfo�nia Residential Code.(C.RC) and California He.alth and:Safety Code Sectioh 13113.7.: � . F.or dwelling� or.s.leeping units.contairiing fuel :burneng appliances or having attached garages,.ca�bon morioxide alarrras shall be insfalled outside each .separate sleeping . . _ area: in the immediate vicinity of the .betlrooPns, antl�.on each addifiorial sto�i of the . . . . . . dwelli.ng, .including..basements as. .required by Section R31�5 of fihe of the-.2016 California . Residentia6 Code..(CRC): . . . . Multi-purpo�e alarms.(cornbination.carbon monoxide:and.smoke ala�ms) may be used, . , ., . All alarr�r�s"shall:connply vvith requi�einents:for listing and:approval 6y:the.O.ffice of:the State Fire � MarshaL http•//osfm fire ca aov/licensinqlistin.cas%licenselistinq bml :searchcotest.php , . . . . „ . . � As ovvner.of tfie above.i-eferenced prope�ty, l hereby certify that the srv�oke alarms and carbon rnonoxitle alarms h.ave been install.ed in accordance with_the rnanufacturer's instruction�.and in compliance with the code sections.referenced above. , I d���a�e �e�c�er ��raaltgo.�f��rJur.�.t���the foP�g�i�� a� true ��d co�rect; a�d t@��t.th�� ..� , . . _ . . de���r�tq�n r�as ���c�ted o Da�e lo � � �2��2 . : � at�r�adia9 C�I�f���ia. . . �. . ) .�.� Ovw��a°'� �a�e rint��/� d : � ti A,Iv�a.. . �. � �� , _ � � �egna4�re o��w���: � _ _ . . : _ �Tha� affidavit must be returned.to fihe. cadia inspector prior to:.final in�pection , � : t