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*-SNTA <br />NA,ffi <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.santa-ana.oro <br />Smoke & CO <br />Alarm Affidavit <br />Permit Number: <br />INSP-02 2013 CRC <br />This document moy be found dt...http ://wwr,.r. sa nta-a na. o r qlobal <br />(Please use a black or blue ink ball-point pen) <br />Project Address:25t?> 3 PEse De_ <br />to r qs taz <br />Propedy Owner:L€O^S€L VAEGU€.I <br />Contractor:Jose Vqz<lugL License #:qsb?*3 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u 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 req u ired locations, <br />A eo,h boxes below must be checked: <br />El'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 />El-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 I will retest the alarms per the <br />man ufacturer's instructio <br />lcheck onel n ractor E}- Property owner <br />NOTE: This self'certificdtion is only used for projects thdt dffect the EXTERIOR ol the structure. This <br />process is applicable ONLY to projects where occess to the interior of the dwelling by o sdnta Ano <br />lnspector is not required. <br />Signdture:Ddte:oS -oZ-(g <br />Have this comDleted form and the iob-card readilv available on final insnection! <br />I <br />I