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,--SANTA <br />NA-',r,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />tNsP-02 2013 CRC <br />This document moy be found ot...http //www.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:2224 E. Fraozen Avenue Santa Ana. CA <br />Permit Number:1019543 7 <br />Property Owner:HoustoE Ilanage&ent Co. <br />Contractor:Royar Roof lng coo"t.u.tt#icense #: 96915,9 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellin8s be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R31.4.3.3 define <br />the required locations. <br />Aaottr boxes below must be checked: <br />E 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 />E 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. lfurther 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 instructions. <br />lcheck onel tr Licensed Co ra cto tr Property Owner <br />NoTE: Ihis sef-certificotion is only used for prcjects thot olled the EXTERIoR of the strudure. This <br />process is opplicoble ONLY to projeds whete occess to the interiot of the dwelling by d santa And <br />lnspectot is not rcquircd. <br />t Dote:J-r 5'tfSignoturc: <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www,santa-ana.olq <br />I <br />Have this completed form and the job-card readily available on final inspection!