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,-,SANTA <br />NA <br />ltt\\nc <br />IBI]IING <br />lcno <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-s800 <br />www.santa-ana.orq <br />Smoke & CO <br />AIarm Affidavit <br />tNSP-02 2013 CRC <br />This document moy be found ot..,htt ://www.san n <br />(Please use a black or blue ink ball-point pen) <br />Project Address:ZZ3oS-C.^tcr sf <br />Permit Number:lDl?z'i98 <br />1-r- l,l;-Lu (?.r.. K"l, ) <br />Contractor:92 u: n<<'License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <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 />Aeo,ir boxes below 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. Alarms are required in bedrooms with gas-fired <br />applrances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />ESmoke 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 project. lfurther 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 Licensed Contractor 6P roperty o ner <br />NOTE: Ihrs sell-c ertificotion is only used lor projects thot allect the EXTERIOR ol the strudure. This <br />process is opplicoble ONLY to prciects where occess to the interiot ol the dwelling by o Sonta Ano <br />lnspector is not required. <br />Signoture:t Dote:L/r,/,t <br />Have this completed form and the job-card readily available on final inspection! <br />Property Owner: <br />I <br />v <br />tr