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*,,SNIA <br />NA.ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O.8or 1988 (M-19) <br />Santa Ana, CA 92702 <br />(71.1)647-s800 <br />w.i|^, sanl3-an1.crq <br />rNsP{2 2013 CRC <br />This document mqy be found at... h ttc://\,,t,,L,/. San ta-ana.orO/oba' <br />(Please use a black or blue ink ball-point pen) <br />Project Address:trol 5. Gr;4e) ? twb,1artD- Ana. C* 4z1o+ <br />Permit N urnbe r: <br />Property Owner:Tha^ Chen <br />Contractor:A,a6"l B.[w Joei,bt"License #:qf6D v <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residentiat <br />buildings. <br />California Residential Code (CRC) Section R314.1 and 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 />f\ aoth boxes below must be checked: <br />Efcarbon 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 />fi Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />room, and on each level of the dwelllng. <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 tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />manufacturer's instructions. <br />lcheck onel tr Licensed Contractor .EI Pro perty ovrner <br />NoTE: fhrs sef-c e rtification is only used for projects thdt olfect the EXTER|2R ol the structure. This <br />process is applicoble oNLY to ptojects where occess to the interior of the dwelling by a sdnta Ano <br />lnspectot is not required. <br />Have this completed form and the,iob-card readily available on final inspection! <br />Signatute:Oate:7<// ? <br />Smoke & CO <br />Alarm Affidavit <br />I <br />I <br />I <br />I