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*-SNTA <br />NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />lNSP-02 2013 CRC <br />This document may be found at...h tt o://r,,1,,n v. santa-a n a.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:lZu N Ll/csr sa. <br />Permit Number:lot qat3b <br />Property Owner:E I c 6u-.1- <br />Contractor:l+D P-ooFr {r--License #: ?ogzZ e <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.L and 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 req uired locations. <br />f\ sottr boxes below must be checked: <br />fr<arionmonoxide alarms: Are installed outside of each sleeping area in the immediate vicinitr/ 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 />p 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 />manufacturer's instructions. <br />lcheck onel Licensed Contractor F Property owner <br />NOTE: Ihis sef- certificotion is only used for projects thot ollect the EXTERIOR ol the structure. This <br />process is opplicoble ONLY to projects where occess to the interior of the dwelling by o Sdntd Ano <br />lnspector is not required. <br />Signoture:Ddte:sl IVb <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Box '1988 ([il-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www. s a n ta-a n a. orq <br />r