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NTA <br />NA'ffi <br />flII <br />1 Planning & Building AQ ency <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647.s800 <br />wl/t/^r.s ant3-ina oro <br />Smoke & CO <br />Alarm Affidavit <br />X <br />rNSP{2 2013 CRC <br />fhis document moy be lound ot...http://rrrrrr,v. san t a-ana.orql obal <br />(P/ease use a black or blue ink ball-point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ild ings, <br />California Residential Code (CRC) Section R314.1 and 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 />4\ *,n boxes betow must be checked: <br />El 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. Alalms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />p 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 comply with all applicable standards and be approved <br />by the State Fire Marshall (sFM). Battery life must be t0 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 />manufacturer's instructions. <br />lcheck onel enSe ontractor Property Owner <br />NOTE: fhrs sef-certification is only used for projects thot offect the EXTERIOR of the sttucture. This <br />process is applicable ONLY to projects where occess to the inte or ol the dwelling by o Sc,nta And <br />lnspedot is not requhed.. <br />w <br />Project Address:CtS .S f-^-".\i.I <l- F ,tt- :- <br />torq32 ?? <br />I.t \ <br />Contractor:,P fh".tTr&rr'fi ri""n'" #: ,S<lLlc((Z <br />Signdture:)f*--a< d, t, I <br />Daty -"., t/7 <br />Have this completed form and the job-card readily available on final inspection! <br />20 Civic Center Plaza Ross Annex <br />I Permit Number: <br />I <br />Property Owner: <br />I <br />I <br />I <br />tr