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Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />rNsP-02 2013 CRC <br />fhis document mdy be lound ot...http://www. santa-ana.o rqlobal <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:/4/o 1' .lon*R Dt <br />Permit Number:t0 t l7 37'^ <br />Property Owner:firsny ZaLtY <br />Contractor:License #: <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 requ ired locations. <br />f,leotir 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 />[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 tr Licensed tra a Property Owner <br />Signature:%rn Ddte I 7'/, <br />Have this completed form and the job-card readily available on final inspection! <br />.--SANTA <br />NA-'ll'ffii <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.oro <br />NofEz This self-certilicotion is only used lor projects thdt olfed the ErTERIoR ol the strudure. This <br />process is opplicable ONLY to projeds where occess to the interior of the dwelling by o Santo Ana <br />lnspector is not required,