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Planning & Building Agency <br />20 Ctvic CGntcr Pl.ra Ro$ Anner Smoke & CO <br />Alarm Affidavit*^*SNIA <br />NA <br />tlr\\$ <br />lmn06 <br />IGTICI <br />INSP{2 2013 CRC <br />rhis document moy bc lound ot,..htto:/Aww;.santa-ana.o rolo 5al <br />(Prease use a black or blue ink ba -point pen) <br />Project Address:9\D IAJ (v Zrs Arrz - <br />Permit Number:3ot4lk\1 <br />Property Owner:CQrg< <br />Contractor:License #: <br />State of Californra requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R3l.4.1and R315.2 states in pan 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 />f\ go,h boxes below must be checked: <br />L. <br />lA[ Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity ofI\ <br />&edrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appliances (4.e. hot water heater, cooktop, furnace) or a fireplace. <br />Al.ofe alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />loom, 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 cenify 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 />manuf actu rer's instructions. <br />lcheck onel tr Licensed Contractor Property Owner <br />NOTE: This sell-certificotion is only used lot projects thot oflect the EXTERIOR ol the strudurc. lhis <br />Proc"ss is opplicoble ONLY to projects wherc occess ao the intcriot ol the dwclling by a Santo Ano <br />tnspcclot ls not requlred. <br />Dote:2 5 2o <br />Have this completod form and the job-card readily available on final inspection! <br />P.O. Box 1988 (M-19) <br />sent Ana, cA92702 <br />(711) 6a7-5800 <br />wwlv.santa.ani.oro <br />Signoturc: