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,*,,SANTA <br />ANAJliilfi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M.19) <br />Santa Ana, CA 92702 <br />(7r4) 647-5800 <br />ww\,t sanla-ana orq <br />rNSP-02 2013 CRC <br />fhis document moy be lound ot...httD://www santa-ana oro oba, <br />(Please use a black or blue ink ball-point pen) <br />Contractor: <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 />f\ eo,h boxes below must be checked: <br />--*l Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bddrooms and also on each level of the dwelling. Alarms are required in bedrooms with gasjired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />-S Smote 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 lwill retest the alarms per the <br />manufacturer's instructions <br />lcheck onel Licen se d Contractor P Property Owner <br />NOTE: Ihis sefi-certification is only used for projects thdt offect the EXTERIOR of the slucturc. This <br />process is applicoble ONLY to ptojeds where occess to the interior of the dwelling by o Sonto Ano <br />lnspedor is not required. <br />Project Address:Z6ot 9 {lir,rc,, sr <br />Permit Number:I otlcL(? <br />Property Owner:G-t.t^;, +- K,^l- <br />C"".1 ,TC"q?License #: <br />Dote * l-22\ <br />Have this completed form and the job-card readily available on final inspection! <br />Signoture: <br />I <br />tr