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**SNTA <br />NAqHI <br />Planning & BLtilding Agency <br />20 Civrc Center Plaza Ros. A nnex <br />P.O. Bor 1988 (M.19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />\&"ll.,V. S a nt3-ana. crq <br />Smoke & CC <br />Alarm Affidavit <br />--t , <br />INSP.O2 201: CRC <br />This document moy be found at...h t'tp://!\ rlr'i. santa-ana.orqi pba,/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Add ress:7 su-<rn , <br />Property Owner: <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 R31.4.3 and R314.3.3 define <br />the required locations. <br />A eoth boxes below must be checked: <br />I Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity ot <br />bredrooms 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 />d S.ot e alarms: Are installed in each room used tor sleeping, in e6ch hallway outside ot a sleeptng <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. Combinatlon 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 />ma nufactu rer's instructions. <br />Signotute: <br />lcheck onel Licens d Contr P ro pe rty <br />NOTE: Ihis sef-certif,cation is only used lor projects thdt olfect the EXTERIOR of the structurc. This <br />process is applicable ONLY to projeds where occess to the interior ol the dwelling by o Sonto Ano <br />lnspector is not required. <br />Perm it N umber:tcl13 oLb <br />Mn'dV A r u/aa-ar- <br />Contractor:*D 0^or; -J- c License #: c[r,r$ Z 3? <br />Dote a lult+ <br />Have this completed form and the job-card readily available on final inspection! <br />tr