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,^,'SANTA <br />/'ANA,:li[l\[ <br />Planning & Building Agency <br />20 Civic Cente. Plaza Ross Annex <br />P.O. Bor 1988 (M-i9) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />a.olo <br />/x38 S 2-ue-vProject Address: <br />Property Owner: <br />License #Contractor: <br />tNSP-02 2013 CRC <br />This document may be lound ot...httoJ/www.santa -a na.oro/oba/ <br />(Please use a black or blue ink ball'point pen) <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 />Aeottr boxes below must be checked: <br />n monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />drooms 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 />moke alarms: Are lnstalled in each room used for sleeping, in each hallway outside of a sleeping <br />n 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 L0 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 />(check onel nse Contractor pe rty ner <br />NOTE: Ihis self-c ertificdtion is only used for proiects thot oflect the EXTERIOR ol the strudure- This <br />process is opplicable ONLY to proiects where dccess to the interiot ol the dwelling bY o Sdntd And <br />tnspedot is not required, <br />P <br />Dote:Signdture <br />Have this completed form and the iob-card readily available on final inspection! <br />I <br />Smoke & CO <br />Alarm Affidavit <br />Permit Number: <br />ma n ufacturer's instructions. <br />tr