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rNsP{2 2013 CRC <br />fhit documcnt moy b€ hund oa-, httD:/ ,ww.santa-ana.oroipba/ <br />(Plese use a Dlack ot blue ink belbpolnt pen) <br />Project Addr€.s:l?-Q>oo-5 1u1<,iJ.1'-,cq <br />Permit Number:to\"1sl\1 <br />Property Ownor:Pe5e ut,: <br />Contractor: ftggg.j5,o.,tt %.v,.as &tsr License#: ffiqg <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 eotL bo*es below must be checked: <br />!(*aon .onodde 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, fumace) or a fireplace. <br />(Smoke ahrms: Are installed in each room used for sleeping, in each hallway outside of a sleepinB <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 wnh aI app[cable nandards 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 proiect. 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 onel Licensed Contractor Property Owner <br />NOfe This elf<eft,ficotion is onty used tor prciecB thot dffect the EXTERIOR ol the structure. This <br />ptoc€5s is opgticoble ONLY to prclecb wheJe occess to the inte ot ol the dwetling by o Sonto Ano <br />lnspector ls not requlrcd. <br />Have this completod form and the job+ard readlly availablo on final inspectionl <br />Signotwe Date / -222//t <br />Planning & Building Agancy <br />20 Clvtc Conbr Plrzr Rort Anncr <br />P.O. Box l90E (,,-19) <br />S.nb Am, CA 92702 <br />Ol,l) Car{too <br />wwrt,stnte{na,om <br />Smoke & CO <br />Alarm Affidavit?l r\\l\0 <br />I