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Alarm Affidavit <br />SmokePlanning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />rNsP-02 2013 CRC <br />This document moy be found at...http://www.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:ll ?-O. LN, kAR'V;A&O. clil strrrr.Nr.ru <br />Permit Number:l.,\qgt6\ <br />Property Owner:,\'E.suS i<\=vr=3 <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <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 requ ired locations. <br />f,\ gottr boxes below must be checked: <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 />appllances (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 project. 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 I will retest the alarms per the <br />ma n ufactu rer's instructi ns. <br />(check onel Licensed C ontractor A Property Owner <br />NOTE: Ihis serf-certification is only used Iot projeds thot offect the EXTERIOR ol the strudure. This <br />process is opplicoble ONLY to projects wherc occess to the interior of the dwelling by o Sonta Ana <br />lnspector is not required, <br />5-lq -(aSignotute:I <br />Have this completed form and the job-card readily available on final inspection! <br />Itt$NC <br />$r1t-0Nc <br />$n0 <br />a <br />NA <br />*-SANTA <br />P.O. Box 1988 (M-19) <br />Santa Ana. CA 92702 <br />(714) 647-5800 <br />www.santa-an a,orq <br />I <br />I <br />I Dote: <br />tr