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< <br />Planning & Building Agency Smoke & CO <br />AIarm Affidavit <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. ord <br />tNSP-02 2013 CRC <br />This document may be found at.,,htto //wvwv. sa nta-a n a. o r a I ob a I <br />(Please use a black or blue ink balt-point pen) <br />Project Address:lt5z W. P"rk (o^t <br />Permit Number:ltrqc 1s6 <br />Property Owner:g"Lcr {6at(,,a <br />Contractor:.r 94 a <br />^!- <br />z License #:?S08f z,- C- st <br />I hereby certify that I <br />that smoke ala rms an <br />Codes and have been <br />am the contractor or the property owner of the above project. I further certify <br />d carbon monoxide alarms have been installed in compliance with the governing <br />tested to be functional. r, also, hereby certify that r will retest the alarms per the <br />ctions.manufacturer's inst <br />lcheck onel Licensed Contractor EP roperty Owner <br />NoTE: This sef- certification is only used for projects that dflect the EXTERi1R of the structure. Thisprocess is opplicoble 1NLY to proiects where dccess to the interior ol the dwe1ing by a sdnta Anolnspector is not required. <br />Signdture:;*),Dote:r <br />Have fhiC Cnmrrlafa.l fnrrn :rnet +ha i^a. ^-.,.t e^^ritr, -..-:r-Lr- -- !:--r <br />*-SANTA <br />NA-"ffi <br />tr <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild in gs. <br />California Residential Code (CRC) section R314.1 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 required locations. <br />fl gottr boxes betow must be checked: <br />X C.rbon 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 />flXmoke 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 b attery-operated for buildings where no interior alterations areperformed. 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.