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*,,SANIA <br />NA <br />IL{I\;T{6 <br />tuDtic <br />rm0 <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />tNSP-02 2013 CRC <br />fhis document moy be found at...http://ww/. san ta-ana.orqi pbai <br />(Please use a black or blue ink ball-point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are anstalled 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 eotf, boxes below must be checked: <br />dC"rbon 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 />Elsmoke 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 pro.ject. 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 />ma n ufacturer's instructions. <br />(check onel Licensed Contractor Property Owner <br />NOTE: Ih,s serl-c ertificotion is only used lor projeds that aIlect the EXTERIOR ol the strudwe. This <br />prccess is dpplicable ONLY to projects where access to the interior of the dwelling by d Sonta Ano <br />lnspector is not required. <br />Project Address:a/d1 N u)csy'u:ooJ h'e.Santa4aa 4 %7/ <br />Permit Number:lo H41C3 <br />Property Owner:6dr, 6use- <br />,LirlnLf /(arfrr.- License #' (r6y'3/1Contractor: <br />\o\a"\\ \1Signotute:\5r.."--,Date: <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Box 1988 (M-'19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />www.santa-ana.orq <br />I <br />tr