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rNsP-02 20r3 cRC <br />This document moy be lound at... htto://www.santa-ana.oro/oba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:LU ttl w |\6lrvc.rp\ 31 3c.r,,.tr" f+"-ct <br />Permit Number:to \q Lb? <br />Property Owner:XloNGPao a,-\ kr.yir'13 VL;. <br />Contractor:Sre*o. R oof \r.,c License #: c1 G1n7l <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residentlal <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 required locations. <br />fl *an oor"s below must be checked: <br />$LCarbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with Bas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />F.Srnot " alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />loom, and on each level of the dwelling. <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved <br />by the State Fire Marshall (SFM). Battery life must be 10 years. <br />I hereby certify that I am the contractor or the property owner of the above pro.iect. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />manufacture/s i ructions. <br />(check onel sed Contractor tr Prope 0wner <br />NOTE: Ihis serr-certificotion is only used lor projects th.,a dtled the EXTERIOR ol the strudure. This <br />process is opplicable ONLY to projects where dccess to the inte ot of the dwelling by o Sdntd Ano <br />lnspedot is nat required. <br />t! <br />K,,Yave this completed form and the job-card readily available on final inspection <br />Signdture:Date ttlG,t tV. <br />*,,$ANTA <br />ANNqffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />cn 4) 647-5800 <br />wvw.santa€na.orq <br />Smoke & CO <br />Alarm Affidavit