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*,'$ANTA <br />NAJ[ffi <br />Planning & Building Agency , <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Bor 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.orq <br />rNsP42 20'3 CRC <br />fhis document moy be lound ot..htto://www.santa-ana.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:701 E Santa Clara Ave. Santa Ana, CA <br />Permit Number:1 0'l 100986 <br />Property Owner: <br />Contractor:Sierra Roof lnc License #: 967971 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <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 />f\*an oo*"s below must be checked: <br />E[ Carbon 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 />! Smote 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 .omply with all applicable standards and be approved <br />by the State Fire Marshall (SFM). Battery lire must be 10 years. <br />I hereby certify that I am the contractor or the property owner of the above proiect. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the Soverning <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 />(check onel X en se d Contractor tr Property Owner <br />NOTE: This sefrettqicotion is only used lot prciects that olled the EXrER/oR ol the structwe. fhis <br />process is opplicoble ONLY to projects where occess to the intertor ol the dwelling by o So,ntd Ano <br />lnspector is not required. <br />Dote:08t21t19dSigndturc: <br />%ave this completed form and the job-card readily available on final inspection 'Y <br />Veronica Herrera <br />I