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*-SNTA <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 />v/ww,santa-a n a.ore <br />tNsP-02 2013 CRC <br />This document mdy be lound at..http:/A,,rvlv.santa-ana.orq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:LfZz Ri.Ll..*d. Lu< <br />Permit Number:2ot-zo 7 { j <br />Property Owner:fr.u.tcto ().r7i(lp <br />cle-o.-All**[,v<r License #, /O 3*S te <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu 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 />6\ eoth boxes below must be checked: <br />(rC"rUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />/Sedrooms 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 />moke 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 applacable 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 />manufacturer's instructions. <br />check o Licensed Contrac tr Property Owner <br />NOfEi This seU-certilicdtion is only used for projects thot offed the EXTERTOR ol the strudure. This <br />process is opplicoble ONLY to projeds where occess to the interior oJ the dwelling by d Sdnta Ano <br />lnspedor is not required. <br />Siqndture:/Dote:4ra/zt <br />Have this completed form and the job-card readily available on final inspection! <br />Smoke & CO <br />Alarm Affidavit <br />Contractor: