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*-SANTA <br />ANAJIil}$ <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />4lq I 'f2t .t *VE ruProject Address: <br />Permit Number:o 5ls <br />'J:IPProperty Owner:&^illTk€AtY tBYnrT <br />lS ft Co,/tt 7-ryu1l,nn)License #:lao57d7Contractor: <br />tNSP-02 2013 CRC <br />This document mdy be found ot.--h ttp :/iwww. Sa n t a:ala.ojlpbal <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 R31.4.3 and R314.3.3 define <br />the required locations. <br />Aro,n boxes below must be checked: <br />FCarUon 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 />app,)iances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />ESmot 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 lwill retest the alarms per the <br />lcheck onel t--rce sed Contractor Property Owner <br />NOTE: Ihis sef-certificdtion is only used fot Wojects thot dllect the EXTERIOR oI the strudure. This <br />process is applicoble ONLY to projeds where occess to the interior of the dwelling by o Sontd Ano <br />lnspectot is not required. <br />Dote:(- >>-'r,Signdture: <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 />(71!r) 647-s800 <br />www.santa-ana.orq <br />tr <br />ma n ufacturer's instructions. <br />I