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Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />tNSP-02 2013 CRC <br />This document moy be lound ot... htto://l n^nv.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:VAG u\t 5t. kiu:xn.6 * <br />Permit N umber: <br />JU6Nrr0 \t. Mhf.lt lvtPA <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ildings. <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 required locations. <br />4\ sott, 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 />Esmoke 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 lwill retest the alarms per the <br />ma n ufactu rer's instructions <br />ll-'P'n <br />lcheck onel tr Licensed Contractor roperty Owner <br />NOTE: Ihis sef-c ertilicotion is only used lot projects that dlled the EXTER//OR ol the sttucture. This <br />process is opplicoble ONLY to projects where occess to the inteior ol the dwelling by o Sontd Ana <br />lnspector is not required, <br />Signotute:Dote:fuf*+^Yt >. <br />Have this completed form and the job-card readily available on final inspection! <br />*-SNTA <br />NA-'ffi <br />P.O. Box 1988 (M"19) <br />Santa Ana, CA 92702 <br />(7141 647.5800 <br />v/ww.santa-a n a.oto <br />Property Owner: