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*-SNTA <br />NAffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. 8ox '1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www,santa-ana.orq <br />INSP,O2 2O] 3 CRC <br />This document moy be lound ot...htto ://wv/w.sa nta -ana.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:25OO N, PARK BLVD. <br />Permit Number: <br />Property Owner:MARIA DEL VAL <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California ResidentialCode (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 />f\ aoth boxes below must be checked: <br />E 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 />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />M Smoke 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.,ect. lfurther certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and have been test to be functional. l, also, hereby certify that I will retest the alarms per the <br />man ufactu rer's in structio s <br />lcheck onel Licen sed Contractor Property ner <br />NOTE: Ih,s serr-c ertilicotion is only used for projects thdt oflect the EXTERIOR ol the structure. fhis <br />process is applicoble oNLY to projects where access to the interior ol the dwelling by o Santa Ano <br />lnspector is not rcquired. <br />Signoture:t[d,t Date:) lz/ <br />Have this completed form and the job-card readily available on final inspectionl <br />I