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I ,tL <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"s800 <br />ww.r/.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />tNSP-02 2013 CRC <br />This document moy be lound at.http://'MM/,/. sa nta-a na.orqi pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />State of California requires that smoke and ca <br />b u ild ings. <br />n monox O) alarms are installed in residential <br />California Residential Code (CRC) Section R314.1and R31.5.2 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 />A ao,h boxes below must be checked: <br />n <br />lPC"rUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />.6e\oms and also on each level of the dwelling. Alarms are required in bedrooms with gas fired <br />liances (i.e. hot water heater, cooktop, furnace) or a fireplacea <br />Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />o nd on each level of the dwelling <br />R et rofi tted 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 />ma nufacture <br />(check onel tr trLiontractor <br />NOTE: Ihrs sef-certification is only used for projects thot alfect the EXTERIoR ol the structure. This <br />process is dpplicable ONLY to projects where occess to the interior of the dwelling by a Santd Ano <br />lnspectot is not required, <br />Project Address:Qtg n AtoutTezy' yrqh) <7. lAp7a Atla.&42?oB <br />/ o)qAA?-B <br />Property Owner:bwtt ,LkL .f clzfr,t. <br />Contractor:I lll^li /A-4 \)f f t "(\License #: <br />Signature:\Ddte:0blzllt? <br />Have this completed form and the job-card readily available on final inspection! <br />*-SANTA <br />NATffi <br />Property Owner <br />Permit Number: