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*,,$AI{TA NA,ffi Planning & Building Agency 20 Civic Center Plaza Ross Annex Smoke & CO Alarm Affidavit NSP-02 2013 CRC This document may be found ot..h ttc:/i,,v,,v,,v. s a n ta -a na. o rq,/pba.' (Please use a black or blue ink ball-point pen) /,2O tt \i\i e-s Larir . A r)" Permit Number:loi9 P,^z-8'i Property Owner:d c-r-l-- Contractor:License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential bu ildings. California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define the req u ired locations. f,l ro,n boxes below must be checked: EI Carbon 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 appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. Z Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be b atte ry-operated for buildings where no interior alterations are performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the man ufacturer's instructions. (check onel tr Lice nsed Contractor Pro perty Owner NOTE: fhis sef-certification is only used for projects thot dflect the EXTERIOR of the structure. This process is applicoble ONLY to ptojects where access to the interior oJ the dwelling by o Santa Ana lnspector is not required, Signoture:)/tl /rqlrRDote: Have this completed form and the job-card readily available on final inspection! P.O.8ox 1988 (M-19) Santa Ana, CA92702 (714) 647-s800 ,rr''r'l,I/. s a n ta-an a.ora] Project Address: I