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*,SNTA <br />NA-hffi <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.s800 <br />www. sa nta.an a. orq <br />NSP.O2 2013 CRC <br />This document moy be found at...h ttp:r'ww.,v. sa nta-a na.orqi pba,' <br />/P/ease use a black or blue ink ball-point pen) <br />Project Address:zii E F v'vr.nZ €.,rt 1a{-{- <br />Permit Number:IotQ\q2D <br /><foc L-rcv'rv'^-'. <br />Contractor:&,r-q\ C"o *;t aoohrr,'l Li""nt" *' 8)839'/ <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ing s. <br />California Resldential 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 R31.4.3.3 define <br />the required locations. <br />fl aoth boxes below must be checked: <br />E Carbon monoxide alarms: Are installed outside of each sleeping area in the immedaate 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 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 lwill retest the alarms per the <br />ma n ufacturer's instructions. <br />lcheck onel Licensed Contractor Property Owner <br />NOTE: fhis sef-c ertificotion is only used for projects thot dffect the EXTERIOR of the strudure. This <br />prccess is opplicoble 2NLY to projects wherc occess to the intetiot oI the dwelling by a Sonto Ano <br />lnspectot is not required. <br />t01q-/7Dote:--7-r'4Signotute: <br />Have this Qompleted form and the job-card readily available on final inspection! <br />Smoke & CO r <br />Alarm Affidavit <br />i <br />Property Owner: <br />tr