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*-SANTA <br />NA'1ffi <br />Planning & Building Agency <br />20 Cavic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-19) <br />santa Ana, cA 92702 <br />(714) 647-5800 <br />w\^^, santt-ana orq <br />INSP-02 2013 CRC <br />This document moy be lound ot...http //wy/w. sa nta-an a.or ol obal <br />(Please use a black or blue ink ball-point pen) <br />Permit Number:D\oqbq3 <br />Property Owner: <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. 1 a nd 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 requ ired locations. <br />f)6o,h boxes below must be checked: <br />d 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 />appli a e s (i.e. hot water heater, cooktop, furnace) or a fireplace <br />Smoke 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 Marshall (SFM), Battery life must be 10 years. <br />I hereby certify that I am the contractor or the property owner of the above proiect. lfurther 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 />manufacturer's instructions. <br />lcheck onel ns d Contractor rope o wner <br />NoTE: Ih,s serf-c ertilicdtion is only used lor prcjects that dffect the EXTERIOR ol the structure. This <br />prccess is opplicoble ONLY to projects where dccess to the interior oI the dwelling by d Santa Ano <br />lnspedot is not requited. <br />ProjectAddress: I lJ,A Nl lfo 1.1 <br />Contractor: <br />Signature:Ddte: <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />i I <br />tr <br />Ar t rz ..t r/ i License *t I + ? 7<-/- I