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cl"n0rsNTA <br />NA <br />tL{\1\C <br />&8ut"0t\c <br />lct\-cI <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />lNsP-02 2013 CRC <br />fhis document mdy be lound ot.http://nrywv. sa n ta-a na.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:1t,/ S Et-Ltrrr PL. Slo,lte Otta. Ca ?Zzal <br />/0 il 02f25 <br />Property Owner:Hntsarih,/2,?,i / t,/a/arro <br />Contractor:License #: <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 />Aeoth boxes below must be checked: <br />[!ICarbon 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 />llfsmoke 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 Boverning <br />Codes and have been tested to be functional. l, also, hereby certify that lwill retest the alarms per the <br />manufacturer's instructions. <br />lcheck onel tr Lice n sed actor Property Owner <br />NOTE: Ihrs sef-c ertificdtion is only used for prcjects thot affec't the EXTERIOR of the structute. This <br />prccess is opplicoble ONLY to projects wherc occess to the interior of the dwelling by a Sonto And <br />lnspectot is not required. <br />Signoture:Oote:ol"2/- 22zo <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www,santa-ana.orq <br />Permit Number: