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*-SANTA <br />NA <br />ll"l\\Nc <br />tB0.0nG <br />$n$ <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www. sa n la-a n a -o rq <br />fhis document moy be found ot.--http ://www. sant a- ana.oel pb al <br />(please use a black or blue ink ba -point pen) <br />Proiect Address:PD(.// <br />Permit Number:/D,/" ,?/ ?L <br />Property Owner:Ehp G*,acz- <br />Contractor:License #: <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 R315.3 define <br />the requ ired locations. <br />A aoai, boxes 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 recommended in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />ilsmoiealarms: 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 pro.lect. 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. <br />(check onel Licensed Contractor Property er <br />NOTE: Ihr's serr-certificotion is only used for prcjeds thdt ollect the AfiERIOR oI the structurc. This <br />process is opplicoble ONLY to projeds where access to the inteiot of the dwelling by o Sonto Ano <br />lnspedor is not rcquircd. <br />Have this completed lorm and the job-card readily available on linal inspection! <br />Signoture:'4-Dote o,/ly,/r> <br />Planning & Building Agency <br />20 Civic Cenler Plaza Ross Annex Smoke & CO <br />Alarm Affidavit