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rNsP-02 20rJ CRC <br />This document may be lound ot...h ttC./,,1/.r,r.s a n ta-a na.ore/Oba,' <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:0 <br />Permit N umber: <br />Property Owner: <br />I <br />Siqnoturc: <br />,.-,) <br />L <br />>C, <br />Contractor:License # <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residentjal 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 eoth boxes below must be checked: <br />fi Carbon monoxide alarms: Are installed outside of each sleeping area in the irnmediate vicinity of <br />bedrooms and also on each level of the dweiling. Alarms are required in bedrooms with gas-fired <br />appliances (a.e. hot water heater, cooktop, furnace) or a fireplace. <br />lA 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 project. 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 />ma n ufactu rer's instructions. <br />.r- /\'-\ I Dote:7*tq <br />lcheck onel tr Llcen se d Con tractor P roperty Owner <br />NOTE: fhis sef-c ertilicdtion is only used for prcjects that affect the EXTERIOR of the structurc. This <br />process is applicable ONLY to projects where access to the intedor of the dwelling by a Sonta Ano <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspectionl <br />*"SNTA <br />NA.ffi <br />20 Civic Center Plaz. Ross Annex <br />P.O. Box 1988 (M.19) <br />Santa Ana. CA 92702 <br />(7r!) 647.5800 <br />wvw santa-ana,orl <br />Smoke & <br />Alarm Affi <br />co <br />davit <br />I <br />t <br />Planning & Building Agency