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Plannlng & Bulldlng AgencY <br />20 Clvlc Canta. Pltta Rort Arn'r <br />P.o. Box l0t! (H'19) <br />s.nlr An., CA e2702 <br />(71,a) 5a7st00 <br />wulv.aant!.ant.oro <br />Smoke & CO <br />Alarm Affidavit <br />IN 2O13 CRC <br />fhlt dod/m.nt moy be tound ot"' htto:i ww santa-ana orcy'oba/ <br />(Ploese use a bteck or blud tnk ba 'Polna Pen) <br />state of california requires that smoke and carbon monoxide (co) alarms are installed in residential <br />buildings. <br />California Residential Code (CRClSection R314 1and R315 2 states in part that existinS dwellings be <br />,retrofittedwithsmokealarmsandcarbonmonoxidea|arms.cRcsectionR314.3andR3l4.3.3define <br />the required locations <br />Asott bor., uelow must be ch'cl"d: <br />Et cerbon monoride alarms: Are installed outside of each sleepinS area in the immediate vicinity of <br />I"arooms ano also on each level of the dwelling. Alarms are required in bedrooms with 8as-fired <br />appliances (i.e. hot water heater, cooktop, furnace)or a fireplace' <br />EI Smote rlarms: Are installed in each room used for sleeping in each hallway outside of a sleeping <br />room, and on each level of lhe dwellins' <br />Retrofitteddetectorsmaybebanery-opelatedforbuildingswherenointerioralteration'are <br />o"i"r."J. i"rno,"ation 5moke/co alarm5 must comply with all applicable standards and be approved <br />by the Stale Fire Marshall (SFM). Battery life must b€ 10 years' <br />lherebycenifythallamthecontractororthepropertyowneroftheaboveproject.lfurthercertify <br />that smoke alarms and carbon monoxide alarms have been installed in complian€e with the governinS <br />ioa", <br />"nO <br />t "r" U"en tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />manufacture/s instructions <br />lchech oncl tr Licensed n or Property Owner <br />NOIE. fhis s.U-clr frcotion is onty used lot Ptol.ctt thot olfect the ExfERtOR ol th' sttu(turc' fhls <br />prccess l5 opPllcabl. ONLY to prciects whare occcss to the tnte ot o, ?he dwelllng by o Sonto Ano <br />lntpector Is not rcquhed. <br />fiobN S zTobean StProject Address: <br />,lot a)oP6rmlt Numbar: <br />h Yont-eLProperty Owner: <br />Llcenso #:Co2AIContractor: <br />Dote e20\r8I(\Signoturc <br />Scanned by CamScanner <br />I <br />t <br />ll.t\\lII <br />I <br />Have this completed form and the rob.card readlly available on final inspectionl