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rNsP-02 2013 CRC <br />fhis document may be lound ot...htto://www. sa n ta-ana.orq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:1at3 F.-al-rT <br />Permit Number:10/q )fi-73 <br />Y1 .,/ <br />Contractor:)-raS *t/ar/ u lt'cen se # <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <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 roan boxes below must be checked: <br />( CrrUon 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 />$ Smot<e 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 lam 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 />(check on Licensed Contractor X.P roperty Owner <br />NOTE: fhis se,/-certificdtion is only used for projects thdt dllect the EXTERTOR of the structure. This <br />process is applicable ONLY to projects where occess to the interior ol the dwelling by d Sonto And <br />lnspectot is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />S ignotu re:Oote:4/1v/2ot ? <br />*-SANIA <br />NA,Iffii <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />t <br />Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(71i1) M7-5800 <br />www.santa-ana.olq <br />I <br />I Property Owner: