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INSP.O2 2013 CRC <br />This document moy be found at...hftoJ/wlarw sa nta-ana.ora/pba/ <br />(Please use a black or blue ink ball-point pen) <br />state of California requires that smoke and carbon monoxide (Co) alarms are instalted 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 requ ired locations. <br />4\ eotl, 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 />appljances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />fismoke 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 functional. l, also, hereby certify that I will retest the alarms per the <br />ma n ufactu rer's instructions. <br />(check onel Licensed Contractor Property Owner <br />NoTE: Ihis sef-certilicdtion is only used for projects that dflect the EXTERtoR of the structure. This <br />process is applicoble ONLY to projects where dccess to the interior oI the dwetling by o Santd Ano <br />lnspector is not rcquired. <br />Have this completed form and the job-card readily available on final inspection! <br />Project Address: <br />Permit Number:tot I .-, --.? <br />Property Owner: <br />Contractor:License #:L(t (/ <br />Signature:4 //tq,'2(Date:t ' l3 2--2. i-.t: <br />*,,SANTA <br />NA-"ffi! <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana-oro <br />Smoke & CO <br />Alarm Affidavit <br />l)l-/, Ooutrtt lfinr <br />tr