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Planning & Buildins Aoencv <br />20 Clvlc Ccnt.r plaza Roi ln-nex ' <br />P.O. Box l9B8 (i[tg) <br />Sante An!, CA S2702 <br />(714) 647-5800 <br />Wur$r.aante-ana. Orq <br />Smoke & CO <br />Alarm Affidavit <br />Thls doatmeat mo,y b. lound cL,. httD://vlivw.santa-ana.oRr/oba/ <br />(Please use a black or btua lnk ba -potnt rE,n) <br />State of Californla <br />buildings. <br />rti L <br />requires that smoke and carbon m onoxide (CO) alarms are installed in residential <br />Glifornia Residentiar code (cRC) section R314.1 and R315.2 st tes in part that existing dweflings be"retrofitted wrth smoke ararms and carbon monoxide ar.-r. inc s""tion R314.3 and R314.3.3 definethe required locations, <br />f)*,n o*"s below must be checked: <br />E[c"tbon monoxide ararms: are instafied outside of each sreeping area in the ,,mediate vicinity ofbedrooms and arso on each rever of the dwerins. lLarmi ar" ,;ired in bedrooms with gas-firedapplyces (i.e. hot water heatel cooktop, furn"..t ol. <br />" <br />n."pf.J". <br />Etmoke ararmsi Are instared in each room used for sreepin& rn each ha[way outsrde of a sreeprngroom, and on each level of the dwelllng. <br />Retrofitted detectors may be battery-operated for buildings where no Interior alterations areperformed. combination smoke/co ararms must.orpry ii*r lrr rpptcabre standards and be approvedby the State Fire Marshail (SFM). Battery tife must Ue iO'yeaii. <br />I hereby certify that I am the contractor or th e property oMler of the above project. I further certifythat smoke alarms and carbon monoxide ala rms have been installed in comp llance with the BovemlngCodes and have to be functional, l, also, hereby certify that I will retest the alarms per themanufacture/s instru <br />lch*k onel tr Licensed Contractor tr <br />ts <br />Ow ner <br />fro$t(tq $Ia$qqqtr-' <br />NorEt Thls sef'certtfiqtton ls only used lor proie.ts that altect the EXTERI1R of the structut., Thts <br />lrocess ls opplicabre oNLy to ptolects where oicess to the'iiirtor ol the dwefitng by a sontc Anolnspector ls not requlred. <br />Proiect Address:d!-^/ os !-e <br />Permlt Number: <br />Property Owner: <br />Contr""torr --Z- <br />"1 (-,L ce nse #:G <br />Slgnature <br />I <br />Have thrs compreted form and the Job-card readily avalrabre on final lnspecflont <br />Dctet <br />I