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**SNIA <br />Al\tAJffi <br />Planning & Building Agency <br />20 Civic Center Pla:a Ross Anner <br />P.O. Box 1948 (M-i9) <br />Santa Ana, CA 92702 <br />(7r4) 647.s800 <br />Smoke & CO <br />Alarm Affidavit <br />:t trl <br />fhis document moy be lound at-.. h:to <br />rNSP{2 2013 CRC <br />?".,'/'i'l. sa nla-an3.oro ,'cba, <br />(P/ease use a black or blue ink balt-point pen) <br />state of california requires that smoke and carbon monoxide (co) alarms are installed in residentialbuildings. <br />california Residential code (cRC) section R314.1and R315.2 states in part that existing dwellings be"retrofitted with smoke alarms and carbon monoxide alarms. CRC section R314.3 and R314.3.3 definethe required locations. <br />4\ ao,h boxes betow must be checked: <br />W€]aon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity ofbedrooms and also on each rever of the dweling. Ararms are required in bedrooms with grr-f;;;i' - ' <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />Els:nr-ok" alarms: Are installed in each robm used for sleeping, in each hallway outside of a sleepingroom, and on each level of the dwelling. <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations areperformed combination Smoke/Co alarms must comply wltn att applicable standards and be approvedby the State Fire Marshalt (SFM). Battery life must be lO years. <br />I hereby certify that r am the contractor or the property owner of the above project. r further certifythat smoke alarms and carbon monoxide alarms have been installed in compliance with the governingcodes and have been tested to be functional. l, also, hereby certify that twill retest the alarris per themanufacturer's instructions. <br />lcheck onel Licen sed Contractor tr Property Owner <br />NorE: rhrs sef-c ertificdtion is only used for proieas thdt oflect the ExrERtoR ol the structure. Thisprocess is oppricable oNLy to ptoiects where access to the ;nte or of the dwefiing by o 50nta Anolnspector is not requircd. <br />Project Address: <br />Permit Number: <br />Property Owner:o a <br />Contractor:A o6&License #:o <br />Signatwe:i/.t <br />Have this completed form and the job-card readiry avairabre on finar inspection! <br />I <br />I ootetI