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*,JANTA <br />NA#ffi <br />Planning & Building Agency <br />20 Civic Cenle. Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box 1gEB (M-19) <br />Santa An3, CA 92702 <br />(714) 647-5800 <br />w,/vw.santa.ana oro <br />rNSP,02 2013 CqC <br />This document moy be found dt... htto:/l,,f,,Av Santa-:na o rc.toba! <br />(Please use a black or blue ink balt.point pen) <br />Project Address: <br />Permit Number t0196902 <br />Property Owner: <br />Contractor; <br />State of California requires that smoke and carbon monoxide (CO) alarm5 are installed in residential <br />buildings. <br />california Residentialcode (cRc)section R314.1 and R315.2 rtates in part that existing dwelings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required locations. <br />fl| aoth bor"r t"tow must be checked: <br />I Grbon monoxide alar'rs: Are installed outside of each sleeping area in the immediate vicinity of <br />bedroom5 and also on each levelofthe dwelling. Alarm5 are required in bedrooms with grs_fired <br />appliances (i.e. hot water heater, cooktop, furnace)or a fireplace. <br />I Smoke alarms: ere installed in each room used for sleeping, in each hallway outside of a sleeping <br />room, and on each level of the dwelltne. <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 standard5 and be approved <br />bV the State Fire Marshall (SFM). Battery life must be L0 years. <br />I hereby ceftiry that I am the contractor or the property owner ofthe above proiect. I funher 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 I will retest the alarms per the <br />manufacturer's instructioos. <br />Signoture: <br />lcheck onel tr Licen s ontractor Property Owner <br />NOTE: This tef-cedificdtion i5 only used fot ptujects thot ollect the EXIERIOR ol the structure. Thts <br />process is dpplicoble ONLY to Nojects wherc dccess to the iote or of the dwelling by o S./nto Ano <br />lnsledor it oot requircd. <br />Have lhis completed form and the job-card readily available on final inspection! <br />2221 ftaaze Avetrlre SaBts ADa CA <br />Eou6ton llauageaeDt Co. <br />License #: E-ct9 9E8189CobatuctlonRoof <br />Dote 7-/-R