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INSP-02 2013 CRC <br />This document may be Jound at...http:/, !,,^l/,,/. sant a-ana.ol qi pba.l <br />(Please use a black or bl ink ball-point pen) <br />4., <br />noxide (CO) alarms are installed in residential <br />California Residential Code (CRC) Section R31.4.1 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 requ ired locations. <br />f,l ro,r, boxes below must be checked: <br />\arbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedlooms 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 />Q Smote 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 buildlngs 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 lwill retest the alarms per the <br />m an ufactu rer's instructions <br />lcheck onel sed Contracto r Property Owner <br />NoTE: rhis serl-certilicotion is only used lor projects thot alfect the EXTERIOR ol the structure. This <br />process is applicoble oNLY to projects where occess to the interior ol the dwelling by o sonta Ano <br />lnspector is not rcquhed. <br />Have this completed form and the job-card readily available on final inspection! <br />Permit Number: <br />Property Owner: <br />Contractor:os-q 3 7License #: <br />Signature:tv Ddte:7-G-?o <br />Planning & Building Agency <br />20 CiYic Center Plaza Ross Annex <br />P.O. Box 1988 (M.',9) <br />Santa Ana, CA92702 <br />(714) 647.5800 <br />wY/'r'r' santa-ana.orcl <br />Smoke & CO <br />Alarm Affidavit*,,SANTA <br />NAJIffi <br />Project Address:fU. <br />State of California requires that smoke and carbon <br />bu ild ings. <br />tr <br />A-",.)fi,