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CNOI SANTA <br />ANA <br />il.lT[\[ <br />tu0Nc <br />lfflr$ <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Clvic Center Plaza Ross Ann6x <br />P.O. Box 1988 (M-19) <br />Santa Ans, CA 92702 <br />(711) 647-5800 <br />www.sanla-ana.olq <br />rNsP-02 2013 CRC <br />fhis document moy be lound dt-..http://www. sa nta-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />'1910 S Wood St <br />Permit Number:10196805 <br />Property Owner:Timmy Pham <br />Contractor:Southwest Sun Solar License #: <br />State of California reguires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <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 R314.3.3 define <br />the required locations. <br />fl ro,n boxes betow must be checked: <br />d C.rbon <br />^onoxide <br />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 required in bedrooms with gas-fired <br />appfances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />psmoke 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 buildinSs 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 (StM). 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 Soverning <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 Lic nse d Contiactor.--'-P roperty wner <br />NOTE: fhls sell-certiflcdtion is onty used lor prciects thdt dllect the EXTERIOR ol the structure. Thit <br />prccess is dpplicdble ONLY to Wojects wherc access to the lnterior of the dwelling by a Santo Ano <br />lnspectot ls not rcquircd. <br />,lJ /4"r*C1/tt-Ddte lv <br />Have this completed form and the job-card readily available on final inspection! <br />Project Address: <br />tr <br />! <br />Signdture:ftl