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**sAlflA <br />NAffi <br />Planning & Building Agency Smo <br />Alarm <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M.19) <br />Santa Ana. CA 92702 <br />(714) 647.s800 <br />ww\fr. santa-an a. orq <br />d a t <br />|NSP-o2 2013 CRC <br />fhis document moy be found ot...htt0./ilMM,,/sa n ta -ana. ore/'oba,' <br />(Please use a black or blue ink ball-point pen) <br />Property Owner: <br />7A <br />State of California requires that smoke and carbon monoxjde (CO) alarms are installed in residential <br />b u ild in gs. <br />California Residentjal 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 />f,\ eoth boxes below must be checked: <br />E Carbon 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 />E Smole 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 />ma n uf actu re r's inst ctions <br />Signdture: <br />lcheck onel Licen sed Contractor P roperty Owner <br />NOTE: fhis sef-c ertilicdtion is only used lor projects thot affect the EXTERIOR ol the structure. This <br />prccess is opplicable ONLY to prcjects where occess to the interiot ol the dwelling by o Sdntd Ana <br />lnspector is not required. <br />Project Address: <br />t-o r 5?Permit N umber:o <br />/?,/, <br />(-Dote:/-7 <br />\.4 <br />l <br />I <br />Contractor: /L "ilo,,- . ... /.2.u. License #: <br />/r,-t ' <br />tr <br />Have this completed form and the job-card readily available on final inspection!