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,,-SANTA <br />NA,',i[]ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-.19) <br />Santa Ana, CA 92702 <br />(7t4) 647-s800 <br />www.sanla.ana.orq <br />Smoke & CO <br />Alarm Aflidavit <br />fhis document moy be lound dt..,http://www.san ta-ana.oro/Dba/ <br />(please use a black or blue ink ball-point pen) <br />state of c <br />buildings. <br />alifornia requires that smoke and carbon monoxide (CO) alarms are installed in residentia <br />tne,) <br />California Residential Code (CRC) Section R3L4.1and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. cRc section R314.3 and R315-3 define <br />the requ ired locations. <br />$a"rnboxes betow must be checked: <br />El carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedroo-ms and also on each level of the dwelling. Alarms are recommended in bedrooms with gas-fired <br />app/bnces (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />[S-ot " 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. <br />(check onel tr Licensed Cont cto r F-Property Owner <br />NOTE: Ihis sef-certilicotion is only used for projects thot dIIect the EXTERIOR ol the structure. This <br />process is dpplicoble ONLY to projects where dccess to the interior of the dwetting by d Sontd Ana <br />lnspector is not required. <br />Have this completed lorm and the lob-card readily available on final inspection! <br />ll30 w.6ierra *. .4tnta ilrv, 0/ 4a <br />Permit Number:30Bq8q[,7 <br />Property Owner:-Ti... t '/Yh"r^ ]6,TVQV <br />Contractor:fr,ffP:dau^< v,u.afef be?3License #: <br />Signature:J-J \a./twr,t Dote q \ ..-t )? <br />Proiect Address: