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fhis document moy be lound ot.-http:/i,l^/,/'^/ sa nta-ana.orqipbai <br />(Please use a black or blue ink ball-point pen) <br />*-SAN'[A <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 />(7r 4) 647.5800 <br />ww.]v sant3-ana.orl <br />Smoke & <br />Alarm Affi <br />co <br />davit <br />Project Address: L 21 <br />a <br />^JPermit N umber:0 u0G <br />Property Owner: <br />Contractor:License #: <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 loca tions. <br />f\ eorh boxes below must be checked: <br />Ir <br />fl Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dweiling. Alarms are required in bedrooms with gas-fired <br />appliances (i. e. hot water heater, cooktop, furnace) or a fireplace. <br />ff S.ot" alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping'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 Firs Marshall (SFM). Battery life rnust be 10 years. <br />I hereby certify that I am the contractor or the prooerty 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 instructions. <br />J".'J <br />u oote:i f,.t/- tZ7 <br />lcheck onel tr Licensed Con tractor P ro perty Owner <br />NOTE: fh,i sef-c ertificdtion is only used for projects that affect the EXTERIOR of the structurc. This <br />process is applicoble ONLY to projects where access to the intetior ol the dwelling by a Sdnto Ano <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Siqnature: