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Planning & Building Agency <br />m Clvlc Conbr Plrzr Rolt Ann€x <br />P.O. Aox 1966 (I.19) <br />S.nb An., CA 92702 <br />ora) ca75Eo0 <br />wwr.!anta{nt.om <br />Smoke & CO <br />Alarm Affidavit <br />----> <br />rNsP42 2013 CRC <br />thls documcnt moy be lound ot- httD:/ ,v\,\,w.santa-ana.oro/Dba/ <br />(Please use a black or blue ink ball-polnt pen) <br />zbLo-E Se-a<.(1'6^1 ,4V,< <br />Permit Numben to \ 1{9 o} <br />Proporty Ownor:(\t/\ (a1 <br />Contractor: ft45655 ro*t u S€tsV r cgs & trrr.License#: q@lq <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and 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 *,n oor", below musr be checked: <br />!f**n monorlde alarms: Are insralled 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, fumace) or a fireplace. <br />(Smoke alarrs: Are installed in each room used for sleeping, in each hallway outside of a sleepint <br />room, and on each level of the dwellinB. <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Comblnatlon 5moke/Co alarms mun comply wlth all appllcable srandards 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 projea. 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 />manufacture/s instructions. <br />lcheck oael tr Licensed Contractor Property Owner <br />NOIE fhis elt<ettlfrcotion ls only used lor prciects tho]t oflect the EXTERIOR ol the structurc. This <br />process is opplicobte ONLY to prol.cts wherc occess to thc iaterlot ol the dwellinE by o Sonto Ano <br />lnspectot ls not rcqulred. <br />Have this completed lorm and the jobcard readlly available on final inspectionl <br />SiEnoture:1 1 <br />Date 'L/t2lr=7 <br />NAriiln} <br />Project Addrcrs: