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*-SNTA <br />NA.\'ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke <br />Alarm A <br />co <br />idavitP.O. Box 1988 (M- t9) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />www santa-an,orq <br />fhis document moy be lound dt,.,htto://santa-ana.orqlobai <br />fPlease use a black ot blue ink ball-point pen) <br />Project Address: <br />iatl4 <br />Contractor:G?License #:**" -t' <br />rNsP42 2013 CRC <br />ting dwellings be <br />nd R]14.3.3 define <br />15t <br />l{€\l <br />t c <br />i(rlt <br />[^,"- <br />L( <br />r.State of Catif <br />-.',!oitarngt <br />.' '.]$J.fo rn ra Residential Code (CRC) Section R314.1and R315.2 states in partthat ex' "rrtrofitted with smoke ararms and carbon rnonoxide ararms. cRC secti6n A:r+.r <br />the reured locations <br />ornia requires that smoke and carbon monoxide (CO) alarms are inst led in residen tia I <br />s <br />O** <br />Vc*bon <br />h boxes below mu st be checked: <br />morpxidC alarms: Ar-. inste lled outside of each sleep,ng area in the i mediate vicin ity of <br />bedroom s and,also bn each level of the dw'elling. Aiarrrs are required in bedroom with gas-fired <br />aOoliance{e !6t water heater, cocktop, furnace) or a ltreplace <br />[IKS*itutlr.s: Are instalted in eai:h roonn used for sleeping, in each hallway o <br />room, ,n'd on each level of the dwelling. <br />tside of a sleeping <br />Retrofitted detectors may be battery-cperated fcr buildings where no interior art rations are <br />performed. Combinatjon Smoke/CO alarms must compiy with all applicable stand <br />by the Statnf ire Marshall (SFM). Battery life must be 10 years. <br />I hereby certify that I am the contractor or the prooerty owner. of the above proje <br />that smoke alarms and carbon monoxide alarms have been installed in complianc <br />rds and be approved <br />I fu rther certify <br />with the Boverning <br />the alarms per theCodes and have been tested to be functional. l, also, hereby cer.tify that lwill rete <br />man ufactu rer's instructions. <br />Signoture: <br />(check one)Licensed Con t torc Propert Owner <br />NOTE: Ihrs sef-c ertilicotion is only used for projects that dflect the EXTERIOR ol <br />process is applicoble ONLY to ptojects where occess to the interior ol the dwe in <br />lnspectot is not required. <br />e structute. This <br />by o Santo Ana <br />Dote <br />Have this completed form and the job-card readily available on final spection! <br />i <br />I <br />I Permit Number:I /nt <br />Property Owner: <br />IL <br />tr <br />I <br />I