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tNSP-02 2013 CRC <br />fhis document moy be lound ot.-.h ttp./rr,vr,,l,v. san ta-ana.orq,'pba <br />(Prease use a black or blue ink ball-point pen) <br />Project Address:2L0q < sltc-ltrz a1 54,r trXr,A \ (.(\cl)1()7 <br />Permit Number:L Llz(17 <br />Property Owner <br />Contractor: <br />&.utv v^ N TA NJ 6 <br />?^ t t'Vtnz. Z License #: <br />State of California requires that smoke and carbon monoxide {CO) alarms are installed in residential <br />buildings. <br />California Residential Code (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 />A eoth boxes below must be checked: <br />$ CarUon monoxide alarms: Are lnstalled 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 />F Srnofe 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 lwill retest the alarms per the <br />manufacturer's instructions. <br />sis NC't u f e 4t^-Oote:rfizl 11 <br />lcheck onel Licensed Contractor P Property Owner <br />NOTE: fhrs sef-certification is only used lor prcjects thdt dflect the EXTERIOR oI the strudure. This <br />process is opplicoble ONLY to projects where occess to the inte or of the dwelling by o Sdnto Ano <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />**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 92702 <br />(714)647-s800 <br />w']l.t! sanla-lna crq <br />Smoke & CO <br />Alarm Affidavit <br />I <br />I <br />I <br />tr