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*-SANTA <br />NA-"ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92202 <br />(714\ 647-5800 <br />www.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />Project Address:-10 - Lo$t S} <br />Permit Number:oll o€7 <br />Property Owner:Je t \Aetf <br />Contractor:g M License #: {S6 <br />California Residential code (cRC) section R3l.4.L and R315.2 states in part that existing dwellings be"retrofitted with smoke alarms and carbon monoxide alarms. cRC section R31.4.3 and R314.3.3 definethe required locations. <br />{)*' <br />plarbon <br />This document may be found ot...http <br />tNSP-02 2013 CRC <br />nta-ana.oro lpbal <br />(Please use a black or btue ink ba ll-point pen) <br />State of Ca lifo rnia requires that smoke and carbon monoxide (co) ararms are instaled in residentiarbuildings, <br />h boxes below must be checked: <br />monoxi de alarms: Are installed outside of each sleeping area in the immediate vicini ty ofbedrooms and a lso on each level of the dwelling. Alarms are required i n bedrooms with gas-firedappliani.e. hot water heater, cooktop, furnace) or a fireplace. <br />moke alarms: Are instal ed in each room used for sleeping, in each hallway outside of a slee pingroom, and on each level of th e dwelling <br />(check onel tr ense ontract P rop o ner <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations areperformed combination smoke/co alarms must comply riith all applicable rt.na.railni be approvedbV 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 certifythat smoke alarms and carbon monoxide alarms have been installed in compliance with the governingCodes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per them a n ufacturer's instru ctions. <br />c <br />NorE: rhls sef- certificdtion is only used lor projects thdt dffect the ExrERtoR ol the structure, Thisprocess is applicoble oNLy to projects where dicess to the'interior of the dwe ing by a santo Anolnspector is not required. <br />Signotu Ddte:diD <br />HaVe this cnmnlefod f^rrn anrt tha iah_aa-.t ,^-.rir,, ^.,-:r^r-