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*-SNTA <br />NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. aox 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 6117.5800 <br />!v r'a.v.sanla-ana ori <br />Smoke & CO <br />Alarm Affidavit <br />rNsP-02 2013 CRC <br />This document moy be lound ot...http:/4.:vr,,r. santa-ana.orq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:20tn N AloBaz fird <br />Permit Number:40/Z-t31 r <br />Property Owner:Lkul{zc'zvc € <br />Contractor:License #: <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 />6\ eotl, boxes below must be checked: <br />[Zl.Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity ofI- <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 />Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />roo , 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 b functional. l, also, hereby certify that lwill retest the alarms per the <br />manufactu rer's in c\rons <br />lcheck onel tr rce n se d Contractor Property OwnerL <br />NOTE: Ihir serl-r ertificotion is only used lor prcjeds thot ofled the EXTER//OR ol the sttudurc. This <br />process is opplicoble ONLY to projeds where occess to the inteior ol the dwelling by o Sonta Ano <br />lnspedor is not requircd. <br />Signotute:Dote:zl ill 7u <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />rfut-,--,.-w