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lNsP-02 2013 CRC <br />fhis document moy be lound dt... <br />(Ptease use a black or blue ink ba -point pen) <br />Project Address:?A'Lo "C ,e.aie^jlra"^" A\/ <br />Permit Number:to i 1''f lal <br />Property Owner: <br />Contractor:?e$r*t*l Strvr<r l,'^s[License#, ygo,\tl <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 required locations. <br />A aoth boxes below must be checked: <br />(CarUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bediooms 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 />{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 />manufacturer's inst s <br />(check onel Licensed Contractor P p erty er <br />NOTE: Ihis sef-c ertification is only used lot prciects thdt ollect the EffERrcR ol the structute. This <br />process is opplicoble ONLY to p,roiects where occess to the interior ol the dwelling by o Sdnto Ano <br />lnspedor is not required. <br />Have this completed form and the job-card readily available on final inspectiont <br />Signature:d <br />,-,SANTA <br />NAJffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(7r4) 647.5800 <br />www sJ rrla -a11a o1"..; <br />Smoke & CO <br />Alarm Affidavit <br />I <br />I <br />I <br />tr <br />Dote: