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ft//1/_ <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www.santa-ana,otq <br />INSP-02 2013 CRC <br />fhis document mdy be lound dt...http ://www. santa-a na.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:/ 511 L,, I lrh <1- 56nb Brq Cn 4*zus <br />Permit Number:I otql a73 <br />Property Owner:4C, uu Pr4./ru,, <br />License #: <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 R314.1and 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 />A so,tr boxes below must be checked:,-> E.rrp""*,a*': Are installed outside o eeping 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 />--> frSmoke alarms:e rn talled in ach m used for sleeping, i each hallwa{outside of a sleeping <br />room, and on each level of the dwel rng <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 />manufacturer's instructions. <br />lcheck onel Licen sed Cont or v Property Owner <br />*,,SANTA <br />NA <br />llrsil\G <br />iltlr"DD0 <br />lfli0 <br />each <br />Signoture:(t Dote 9-attt <br />Have this completed form and the job-card readily available on final inspection! <br />/ (., <br />/1)H <br />Smoke & CO <br />Alarm Affidavit <br />/" >- <br />tr <br />NOTE: fhis serl-certificotion is only used for projects thot oflect the EXTER,OR oI the structure. This <br />process is opplicoble ONLY to projeds where occess to the interior of the dwelling by o Sonto Ano <br />lnspector is not rcquired. <br />Contractor: <br />I