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INSP-02 2013 CRC <br />This document mdy be lound ot...http://www.sa nta-ana.orqi oba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:4sto u LJ*TVtt8 uA{ SAr,r-* &rure& q <br />Permit Number:lo\qt 'zGProperty Owner:A.r.=-\i- (, qr.*r-o. <br />Contractor:^4 License #:r/+ <br />z?01 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <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 />A sott boxes below must be checked: <br />EI 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 />El 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. 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 O Licensed Contractor Property Owner <br />NOTE: Ihis sef-certificotion is only used |or prcjects thot dfiect the EXTERIOR of the structure. This <br />process is applicdble ONLY to ptojeds where occess to the interior ol the dwelling by a Sonto Ano <br />lnspector is not required. <br />Signotute:(.Ddte:s <br />.,.-SANTA <br />NA,ti,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714)647.5800 <br />www,santa-ana,orq <br />Smoke & CO <br />Alarm Affidavit <br />Have this completed form and the job-card readily available on final inspection!