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*-SNTA <br />NArlffir <br />Planning & Building Agency <br />20 Civic Cente. Plaza Ross Annex <br />P.O. Box 1988 (M.19) <br />Santa Ana, CA92702 <br />(714) 647.5800 <br />www.santa-ana.otQ <br />Smoke & CO <br />Alarm Affidavit <br />rNSP-02 20 r3 CRC <br />Ih This document moy be lound ot..http.//www. santa-a na.orq/oba/ <br />! (Pbase use a black or blue ink batt-point pen) <br />Project Address:2322 W Codest P/aa. tsah{q nna A0 ?27q <br />Permit Number:rclqzo87 <br />Property Owner:L uz B. Aman{c- <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ing s. <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 />A eo,h 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 required in bedrooms with gas-fired <br />appliances (i.e, hot water heater, cooktop, furnace) or a fireplace. <br />dS^oi"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 10 years. <br />I hereby certify that I am the contractor or the property owner of the above pro.iect. 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 certjfy that I will retest the alarms per the <br />manufacturer's instructions. <br />(check onel tr Licensed Contractor Property wner <br />NOTE: fhrs sef-c ertification is only used lor projects that dflect the IOR of the structure. This <br />process is applicoble ONLY to prcjects where access to the interiot of the dwelling by o Sdnto Ana <br />lnspectot is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />^^D\ <br />N <br />\ <br />\ <br />\ <br />l'F <br />Ddte:ol-tz-ZDl7 <br />I <br />I <br />I <br />Signoture: