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Project Address:\L\)<\C-\u- <br />Permit Number:o <br />Property Owner: <br />License #:Contractor: <br />|NSP 02 2013 CRC <br />This document mqy be lound ot...h ttp://ww,r. san ta-ana. orq/pbai <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 />A eo,h boxes below must be checked: <br />p<arUon monoxide alarms: Are installed outside of each sleeping area in the jmmediate vicinity of <br />bedrooms and also on each level of the dwelling. AIarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />ELSmofe 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 />manufacturer's instructions. <br />(check onel Lic e sed Contractor Property Owner <br />NOTE: fhrs sef-certificotion is only used for prcjects thdt dffect the EXTERIOR oI the strudure. This <br />process is applicoble ONLY to projects where occess to the interior of the dwelling by o Sonta And <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />I I <br />Signoture:Dote: <br />,-,SANTA <br />NAq,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Anhex Smoke & CO <br />Alarm AffidavitP.O. Box '1988 (M-'19) <br />Santa Ana. CA 92702 <br />(714) 647.s800 <br />www. santa-ana.orq <br />I <br />I I <br />trtr