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rNSP-02 2013 CRC <br />This document may be lound at,,.http://wv,ryv. sa n ta-a na.o rqlobal <br />(Please use a black or blue ink ball-point pen) <br />aut-4b <br />Permit Number:ta llol bbT 7 <br />Property Owner: <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <br />California ResidentialCode (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 R314.3.3 define <br />the required locations. <br />4\ eoth boxes below must be checked: <br />,S,tarUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bpdrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />ap nces (i.e. hot water heater, cooktop, furnace) or a fireplace <br />moke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />m, 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. lfurther 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. l, also, hereby certify that lwill retest the alarms per the <br />manufacturer's instructions. <br />lcheck onel Licensed Contractor Property Owner <br />NOTE: Ihis serl-c ertificotion is only used lor projects thot oflect the EXTERTOR of the structurc. This <br />process is applicable ONLY to projects where occess to the interior ol the dwelling by o Sonto Ano <br />lnspedor is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Signature:C%stDza CZ Dote:1 so <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(7'14) 647-s800 <br />v/wY/.santa-ana oro <br />Smoke & CO <br />Alarm Affidavit*-SNTA <br />NA,'iffiI <br />Project Address:2z ac s <br />tr