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IT,.*SATITA <br />ANAJIilil$ <br />J <br />Planning & Building Agency <br />20 Clvlc Genter Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-5800 <br />www. santa-ana.oro <br />Smoke & CO <br />Alarm Affidavit <br />This document may be fuund at... http://www.santa-ana.org/pba/ <br />(please use a black or blue ink ball-point pen) <br />Project Address:4910 W 7TH ST., SANTA ANA, CA 92703 <br />Permit Number:101 103574 <br />Property Owner:LANH LE <br />Contractor License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define <br />the required locations. <br />Ago,L boxes below must be checked: <br />EI 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 recommended in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />E 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 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 tested to be L <br />lcheck onel Li nsed Contractor tr Property Owner <br />NOTE: This seff-certificotion is only used for projeds thot ofled the EXilENOR ol the structure. This <br />process is applicoble ONLY to projeds where occess to the interior of the dwelling by a Santa Ana <br />lnspedor is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Signature:I'Date: