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INSP.O2 2013 CRC <br />This document may be found at... httc:/iv'r,',",v.santa-ana,orqi Oba.' <br />(Please use a black or blue ink ball-point pen) <br />Project Address:q77c v IStvtc\t s+ <br />Permit Number:/oi\ o jqtz <br />Property Owner: <br />T <br />Contractor:%oLD"* fuTprJlicense# <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <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 R31-4.3.3 define <br />the required locations. <br />A Both boxes below must be checked: <br />E 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 />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />El 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 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 t0 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 />Signature fi 2o',tt 1t P uJ{t E-/Date i6- 7- z o <br />lcheck onel tr Licensed Contractor * Property Owner <br />NOTE: This self-certification is only used for projects that alfect the EXTERIOR of the structure. fhis <br />process is applicable ONLY to projects where dccess to the interior of the dwelling by o Sontd Ana <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />ilSNTA <br />.NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-5800 <br />w'na,v.slnta-3na.or! <br />Smoke & CO <br />Alarm Affidavit <br />t