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*-SANTA <br />NAJll,?ffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Boss Annex <br />This document moy be lound ot...h n n <br />(please use a black or blue ink ba -point pen) <br />Project Address:\8\8 E . Cnxnmn trnre - <br />Permit Number:\b\q 2881 <br />Property Owner:boerr-,- fv\rrcz5 <br />Contractor:bcrUlnCnr* Vrr$License #, blFCT*\ <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California ResidentialCode (cRc) Section R314.1and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide aiarms. CRC Section R314.3 and R315.3 define <br />the required locations. <br />f)roan boxes below must be checked: <br />{CrrAonmonoxide 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 recommended in bedrooms with gas-fired <br />applyces (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />[VSmoke 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. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and have been d to be functional <br />lcheck onel Property Owner <br />NoTE: Irris serl-certificotion is only used lor projects thot olfed the EXTERIOR ol the strudure. This <br />process is applicoble ONLY to prcjects where occess to the interior of the dwetling by o Sonto And <br />lnspedot is not requircd. <br />Dote clnfrlSignoture: <br />Have this completed lorm and the job-card readily available on linal inspection! <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(7r4) 547-5800 <br />www.santa'ana.oro <br />tr Licensed Contract6y'