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*,,SANTA <br />NAJi.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-s800 <br />www. santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />]NSP-o2 2013 CRC <br />This document may be lound ot...h ttp:/iww. san ta-a na.orq/pbai <br />(Please use a black or blue ink ball-point n) <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 />Asottr boxes below must be checked: <br />,l{Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />-bddrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appli ces (i.e. hot water heater, cooktop, furnace) or a fireplace <br />Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />m, 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 ufacturer's instructions /o'lr-t7 .-- <br />(check onel Licensed Co ractor B Pro perty Owner <br />NOTE: fhrs sef-c ertificotion is only used for projects thot oflect the EXTERIOR ol the structure, This <br />process is applicoble ONLY to projects where occess to the intetior of the dwelling by o Santo Ana <br />lnspectot is not rcquired, <br />Project Address:/7// ilLtby'ncf- <br />Permit Number:./D/ q 3f5 / <br />Property Owner:Bi t'Z 2-1r,,'r <br />Contractor:6tVur"rfu-,J-7ArcvLicense #:I <br />Dote:Signoture: <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />I