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*,,SAI{TA <br />NAffi <br />Plan ning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Ciric Center Plaz3 RJSs Annex <br />P O. Box 1988 (iU-19) <br />Santa Ana. CA 92702 <br />(7'14) 647-5a00 <br />,/'r.^^^/ ! 1.r3-r.I C.'l <br />INSP.O2 2O 1.] CRC <br />This document mqy be found at..,h ,'/1i ',,, slnii-er I orr, oca <br />(P/ease use a black or blue ink ball-point pen) <br />ProjectAddress: 7O5 N Be-*) <br />Permit N umber:rolqtq l <br />R-odev-,S <br />Contractor License #N/A <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <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 />A eotf, boxes below must be checked: <br />ACarbon monoxide alarms: Are rnsrarred outsrde ot e:ch steeping area rn tne rn''rrneorate vrcrnrty or <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*J <br />! S.ot . 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 lvlarshall (SFlVl). 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 governrng <br />Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />ma n ufactu re tructions <br />Ddte: <br />Lice n se d Co ntractor Property O wne <br />NOTE: Ihrs sef-c ertificdtion is only used lor projects thdt affect the EXTERIOR of the structure. This <br />process is applicable ONLY to projects where access to the interior ol the dwelling by a Santq Ano <br />lnspector is not required. <br />Propedy Owner: <br />Siqndture <br />Have this completed form and the.lob-card readily available on final inspection! <br />ri /r\ <br />(check onel