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*,,SNTA <br />NA.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 />(714) 6,17.5800 <br />'&,1A St.l',t-:taa.ari <br />Smoke & CO <br />Alarm Affidavit <br />Project Address:Drl-.,^l A,r".zrzL <br />Permit Number:/a//o2-1tB <br />This document mqy be found at. <br />(p/ease use a black or blue ink ball-point pen) <br />sanil-an3.orc <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon rnonoxide alarms. CRC Section R314.3 and R315.3 define <br />the req u ired locations. <br />/A(, tl Both 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 recommended in bedrooms with gasJired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace, <br />6 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). Batteri 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 />Licensed Co n tractor Pro perty Owner <br />NOTE: Thb sef-ceitifietion is only used for prcject thot off ed the EXTERIOR of the strudure. This <br />process is opplicable ONLY tc Nojeds where access to the interior of the dwelling by o Santa Ana <br />lnspectot is not required. <br />z/tz/za <br />Have this completed form and the job-card readily available on final inspection! <br />Property Owner: /4rV, rtr',(o <br />] Contractor: i Ct!, ^ ?" , (, - I ,r. i ti""n.. #i /Da..,s7 /. <br />sisndture:) //Ar'C___- <br />lcheckoY'tr