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Project Address:2t(\,Ll \r s/. <br />Permit Number:ZYI 'lo <br />Property Owner: <br />License #: <br />tNSP,02 2013 CRC <br />This document moy be found ot...htto /iwww.santa-an a.orcl obal <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 />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 />6lsott 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. Atarms are required in bedrooms with gas-fired <br />app/ances (i,e. hot water heater, cooktop, furnace) or a fireplace. <br />EI 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 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. I, also, hereby certify that I will retest the alarms per the <br />ma n ufacturer's instructions. <br />(check onel Licensed Contractor Pro perty Ow er <br />NOTE: Ihts sef-c ertilicdtion is only used for projects thdt offect the EXTERIOR ol the structurc. This <br />process is applicoble oNLY to projects where dccess to the interior of the dwelling by a sonto Ano <br />lnspector is not rcquired. <br />Have this completed form and the job-card readily available on final inspection! <br />Signoture:rl).r5\i <br />*-SNTA <br />NA,IffiI <br />?!!fifs & Buitdins Asencyl <br />20 Clvic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-19) <br />Santa Ana. CA 92702 <br />(714) 647-5800 <br />ta-ana.orq <br />I <br />I <br />I <br />II <br />t- <br />Contractor: <br />I <br />Dote: <br />I <br />I <br />tr tr