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J <br />Planning & Building Agency <br />P.O. Box 1988 (M-'19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />www santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit;--SNIA <br />NA.ffi <br />NSP.O2 201J CRC <br />This document moy be found ot.. <br />(P/ease use a black or blue ink ball-point pen) <br />h ttp:/,,,,^rw. sa n ta-ana. or q/ Oba,' <br />Project Address: I )tzN --rU-'on -i <br />Permit N umber:rO rq 55'b <br />Property Owner: ,hi"J.(\f-oq,cz <br />Contractor:gg (Qe6 rcrffi te.2s62-5 <br />State of California requires that smoke and carbon monoxide {CO) alarms are installed in residential <br />bu ild ings. <br />California Residential Code (CRC) Section R314.1. and 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 ao,i, boxes below must be checked: <br />4 Carbon monoxide atarms: 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 />d S^ot <br />"alarms: <br />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. 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 I will retest the alarms per the <br />manuf acturer's instructions. <br />Signdture:Dote:let'zrla <br />lcheck onel Lrcen sed Conti-actor tr P ro perty Owner <br />NOTE: Ih,5 sef-c ertificdtion is only used for ptojects that c,ffect the EXTERIOR of the structurc. This <br />prcce$ is opplicoble ONLY to projects where access to the intetior ol the dwelling by a Sonto Ano <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspectionl <br />20 Clvic Center Plaza Ross Annex