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INSP,O2 2013 CRC <br />This document moy be lound ot...http://www. santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:lors t . e^^\o- Clcxr^n O.rre ,Sqn{u ffr.(c <br />Permit Number:\ <br />\Dr qLq}} <br />Property Owner:Fo-n t Prx.\crrle <br />Contractor: <br />Qaro6 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <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 requ ired locations. <br />f| eoth boxes below must be checked: <br />{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 required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />.Ef,smoke 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). 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 I will retest the alarms per the <br />manufacture/s instructions. <br />(check onel Licensed Contractor Property Owner <br />NOTE: Ihis sef-certilicdtion is only used lor projeas thot ollect the EXfERIOR of the strudure. This <br />process is applicoble ONLY to proieds wherc access to the inte or of the dwelling by o Sonto Ana <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Signdture:\on* t\ ?oo\oHrr Dote:tg/,ol <br />.^-SANTA <br />NA <br />PI,NNC <br />&BUIJNG <br />IGt\CI <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) 647-5800 <br />www.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />License #: