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rNSP-02 2013 CRC <br />This document moy be t'ound at...a n ta-ana.o rqloba/h tto./A,rn,rr,,r. s <br />(Please use a black or blue ink ball-point pen) <br />Project Address:\5 w Ciur t1 Dr <br />Property Owner: <br />-Sr ( <br />Co ntractor:( er+,1,i R r,rl',vt4 License #, c156q43 <br />t0 q't5 <br />'jPe ( rql <br />State of California requires tha't smoke <br />,s\ s <br />and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <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 sotr boxes below must be cheeked: <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 Smoke 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 lam the contractor or the property owner of the above pro,ject. 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 lwill retest the alarms per the <br />manufacturer's instructions. <br />lcheck ono)Licensed Contractor tr Property Owner <br />NorE: rh,j sef-c ertilicotion is only used for projects that alfect the EXTERI7R of the structure. This <br />process is applicable oNLY to ptojects where access to the interior of the dwetting by a sdnto And <br />lnspector is not required. <br />Have this completed form and the job-card re. rilable on final inspection! <br />Sig n dt ure:--R l/.;l Ddte <br />*,SNIA <br />NA.ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (tu1.19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />! Qrl <br />Smoke & CO <br />Alarm Affidavit <br />Permit Number: <br />I <br />tr