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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.orq <br />Smoke & CO <br />AIarm Affidavit <br />rNSP-02 2013 CRC <br />This document moy be lound dt...http ://www.santa-ana.o rqlpbal <br />(Please use a black or blue ink ball-point pen) <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 requ ired locations. <br />Asott 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 required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />Efsmot e 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 />manufacturer's instructions. <br />lcheck onel Licensed Contractor Property Owner <br />NOTE: Ihis serl-certilicdtion is only used Ior prcjects that ollect the EXTERIOR ol the strudure. This <br />process is opplicable ONLY to projects where occess to the interior oI the dwelling by d Santa Ana <br />lnspector is not rcquired. <br />Have this completed form and the job-card readily available on final inspection! <br />Project Address:'5t22 g,clIAuc <br />Property Owner:9zrrr P/ta-or <br />Contractor:License #: <br />Signoture:,L-"r^/r^-Dote:2 <br />,--SANTA <br />NA-"ffi' <br />T <br />tr <br />Permit Number: