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*,,SANTA <br />NAqil# <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />NSP{2 2013 CRC <br />This document moy be lound ot...http://www. sa nta-a na.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:l7l1 t. pvEl>otEEN f> urit p-1 <br />Permit Number:loelzet j <br />Property Owner:LEud Y I g4A L. PltzoZzt <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <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 aoth boxes below must be checked: <br />tsCrrUon 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 />ESmot e 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 instructio <br />(check onel tr d Cont cto r K Property Ownercse <br />NOTE: fhis sef-c ertificotion is only used lor projects thdt dffed the EXTERIOR ol the strudure. This <br />process is applicable ONLY to projects where dccess to the interior oI the dwelling by o Sontd Ano <br />lnspector is not rcquired, <br />Dote:5_zo,-17 <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Box 1988 (M.19) <br />Santa Ana, CA92702 <br />(714)647-s800 <br />www.Santa-ana.orq <br />I <br />I <br />Signaturc: