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1 <br />Plannlng t Buildlng Agency <br />20 Clvic C.nta. Pl.r, Ro3s Annrl <br />P.O. Bor lS8 (X-19) <br />S.nt Arq CA 9?02 <br />rl4) 47.5800 <br />!.r,IJ.S2nt6-lna.orn <br />Smoke & CO <br />Alarm Affidavit <br />Project Address:Z6/6,5.Fw,,w> 5A qa7a7 <br />Permit Numben <br />Property Owner:{osezrl C. llt{DuaoiH <br />Dr^'o. Q,*S,,.. L License #: (..,39<{r-r Ll <br />thtt doalmcnt /4lrdy be lound ot- http:/lwlyfl.santa-ana.oio'J5a/ <br />(please use a black or blue lnk ball-point pen) <br />icqlr nn. <br />smoke <br />.T e, <br />I hereby certify that I am the contractor <br />that smoke alarms and carbon monoxid <br />State of California requires that and carbon monoxide (CO) alarms are installed in residential <br />bulldlngs. <br />California Residential Code (CRC) Section R314.1and R315.2 states ln part that existing dwellings be <br />"retrofrtted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 deRne <br />the required locations. <br />A ** ooro b€brx must be drecked: <br />dor*n ,o-rlde 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 recommended in bedrooms with gas-fired <br />appliances (1.e. hot water heater, cooktop, furnacelor a fireplace. <br />dSr*U" "t r^*Are installed in each room used for sleeging in each hallway outsid€ of a sleePing <br />room, and on each level ofthe dwelling. <br />Retrofitted detectors maV be battery-operated for bulldings where no interior alterations are <br />performed, Combination Smoke ply with all applicable standards and be approved <br />by the Slate Fire Marshafl <br />or e property owner of the above project. I further certify <br />e alarms have be en installed in complaance with the toverning <br />Codes and have been tested to be fun€tbna[ <br />q o/7 <br />lcheck onel Ucensed ertyP r <br />gOTe mb '€rf-c,atfcqtton <br />E only wed fur prolecls ,at atlect ?he E(I:ERIOR d th€ stn cturc. lus <br />process is appliable ONLY to ptticcls ul'd';tc s6c.3s to t rc intctfrrr ol thc dwelling by a ff/nto Ana <br />tnspector ls not requlred. <br />ttery life must be 1 yea <br />Dote:Signoture ek-,f,CV/l <br />Have thls compl€ted form and the Job-card roadlly avallable on flnal inspectionl <br />-,,'SANTA <br />NA,',limi <br />Contractor: