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*,SNTA <br />NAJhffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Anner <br />P.O. Box'1988 (M-19) <br />Santa Ana. CA 92702 <br />(714) 647.5800 <br />www.santa-ana.oral <br />Smoke & CO <br />Alarm Affidavit <br />INSP.O2 2013 CRC <br />htto://wwr,v santa-ana.orqi oba/ <br />(P/ease 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 Sectlon R314.3 and R314.3.3 define <br />the req uired locations. <br />A eo,h boxes below must be checked: <br />F CarUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of'bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appJiances (r.e. hot water heater, cooktop, furnace) or a fireplace. <br />A Smot<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 pro.iect. lfurther 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 rce sed Contractor tr Property Owner <br />NOTE: Ih,s serl-c ertilicdtion is only used for projects thot alfect the ExTERIOR of the structure, This <br />process is oPplicable ONLY to projects where access to the interior of the dwelling by o Santa And <br />lnspector is not requircd. <br />..t #/g flu Ul/t <br />t 5ls )t!{wq t)a-- <br />Property Owner:t\^-^Y f ksi,t)- BhYar,f <br />Contractor:dgff Ctrtt f,.Al,jtart License #:l0o;7t7 <br />Signo ture:( - >>-la <br />Have this completed form and the job-card readily available on final inspection! <br />This document moy be found ot... <br />Project Address: <br />I <br />Permit Number: <br />I <br />Dote: