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I <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714)|647-s800 <br />w',vw.santa.ana.oro <br />Smoke & CO <br />AIarm Affidavit <br />*-SNTA <br />NA-"ffi <br />tNSP-02 2013 CRC <br />This document mdy be found at,,,htt //www. santa-a na. oro/oba/ <br />(P/ease use a black or btue ink balt-point pen) <br />State of California requires that smol<e and carbon monoxide (CO) alarms are installed in residential <br />b u 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 />()"*rDoxes Derow must be checked: <br />$ Carbon 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 />annliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />psmote 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 b attery-ope rated for buildings where no interior alterations areperformed. 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 prope rty owner of the above project. I further certify <br />that smoke ala rms and carbon monoxide alarms have been i nstalled 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 />m a n ufacturer's i ructio ns. <br />(check onel Licensed Contractor P ro p erty Owner <br />NorE: rhls sef- certificdtion is only used for projects thot offect the EXTER11R of the structure. Thisprocess is applicable 0NLY to proiects where access to the interior of the dwelting by d Sontd Anolnspector is not required. <br />Project Address:7)\S ,5el P ) <br />Permit Number: <br />Property Owner:ctf U <br />Contractor:License #: <br />Signoture:5-7q-K <br />HaVe fhic cnmnlafa.l fnrrn rnat lha iat. ^-,,.t -^^,rir., ^r.-:r-r-t- <br />l0l4t =3b <br />0i;1")Rarlir, qDPt;(tl;6k B+i <br />tr <br />dryv*--Date: