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ProJect Addrees:5-C tHw@n *r/- A-t( r- gl.+1v <br />Permit Number: <br />Property Owner: <br />Contractor: ftgfdg5,ortt u 9€LV r.eS CA Urr.Llcense #: ffi@ g <br />rNsP{2 2oi 3 aRa <br />Thls document moy be lound ot.- httD:/ ,vww.santa-ana.oro/Dba/ <br />(Please use a black or blue lnk ball-polnt pen) <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 existinS 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 aott to*"s below must be checked: <br />!(Orbon .onoxlde alarmsr Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level ofthe dwelling. Alarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, fumace) 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. Combinatlon 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 />manufacture/s instrustions. <br />lcheck onel Li ntractor Property Owner <br />NorEr rhis sell<ertlficatlon ls only used tor prolecB thot alfect the ExrERtoR ol the s|.r.uctute. Thts <br />prxess ls oppllcoble oNLY to ptolccts wherc access to the lntertor ol thc dwelllng by o sf,nto Aao <br />lnspedor ls not requlred. <br />Have this complet€d lorm and the lob+ard readily available on final inspecfiont <br />Slgnoture Dote otl' 16 - r( <br />,SA <br />ANAJl,il <br />NTAm( <br />Plannlng & Bulldlng Agency <br />20 Clvlc Canbr Phzt Rort Anncx <br />P.O. Bor 198t (l{.19) <br />Santr Anr, CA 92702 <br />(r4) 6475800 <br />www.Sanli{na.orc <br />Smoke & CO <br />Alarm Affidavit