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*,SANTA <br />NA,'}ffii <br />Planning & Building Agency <br />P.O. 8ox 1988 (M-'19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />|NSP-o2 20r 3 CRC <br />This document moy be lound ot.http://ww/v. sa nta-a na.orqi pbai <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:33VO /-/- (\ra"rl Ay'tn,t 4// unit <br />Permit Number:lt q zas.r ,/,tt /yq /g <br />Property Owner:Bnrui.- ' D;rvL <br />Contractor:License # <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ild ings. <br />California Residential Code (CRC) Section R3L4.1and R315.2 states in part that existing dwellinBs be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the requ ired locations. <br />A so,t boxes below must be checked: <br />$,.6rto" monoxide 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 required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace, <br />Ef Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />room, 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. 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. l, also, hereby certify that I will retest the alarms per the <br />manufacturer's lnstructions. <br />lcheck onel tr Licensed Contractor <br />NOTE: Ih,s serl-c ertificotion is only used for projects thdt oflect the EXTERIOR of the strudurc. This <br />process is applicable ONLY to prciects where occess to the interiot of the dwelling by d Santo Ano <br />lnspedot is not rcquited. <br />Have this completed form and the job-card readily available on final inspection! <br />td/td /t -tSignature: <br />20 Cavic Center Plaza Ross Annex <br />I <br />l <br />Dote: <br />I