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Smoke & GO <br />Alarm Affidavit <br />Ptanning & Building AgancY <br />20 Clvlc Crnter Plza Ro.s Annex <br />P.O. Box 1988 ( -19) <br />Santa Ana, CA 9?02 <br />(7t,r) 647-5800 <br />wwrsanta-ana.oro <br />ProBa Address: <br />License #:1 <br />Permlt l{umber: <br />Property Owner: <br />Coaltacloti ('^,2 , <br />iNsP{z 2o1 3 cRc <br />This doc!,ment moy be lound at... httoJ/www.santa-ana.orq/oba/ <br />(Please rise a black or btue tnk b.tl-po,nt pen) <br />State of Glifornia requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residentiat 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* *ro below must be checked: <br />b(O*" monoxide alarms: Are installed outside of each sleeping area in the imm€diate 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 />dsmofe a6rms: 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 />manufacture/s instructions. <br />lcheck onel tr Contractor Property Owner <br />NOTET thls seff-cettification ls onty used lot Froiects thot affcct the ErTER1/oR ol the struaure. fhls <br />proeslsapptiableoNLYtogrciectswhereaeesstothetntedorolthedwet'lngbyofuntdAna <br />lnspctor ls not rcquird. <br />Dote ?--ac-1t_.4Sign('ture: <br />Hane this completod form and the job-card readily available on final inspectionl <br />,-*SAl'iTA <br />ANA'qilH