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*-SNTA <br />ff-rlrN <br />ilut!06 <br />Planning & Building Agency <br />20 Clvic Center Pla:a Ross Annex <br />P.O. Box 19&l (M-19) <br />Sirnta Ana. CA 92702 <br />(714r6d7.5in0 <br />,/,/,5tr:t-l.l or <br />rftsP-02 2c13 cRc <br />This document may be lound at. <br />(Please use a btac* or blue ink ball-point pn) <br />Project Ad d res s: <br />Permit Number:l0il 030_1L <br />Property Owner:Laura- <br />Laurr<J a I <br />fcrtwi v< <br />Contractor:I lzmts C License #: [a06 ll I <br />St,rt: of Cal,iorni3 req u ire j th: t sntoke and c a rbon mono rid e (CO) al.rrr-ns are rr ttall.. j rn re jidanlrJi <br />b u ild in gs. <br />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 <br />the required location s. <br />'f\ sort' boxes below must be checked: <br />flcaruon monoxide alarms: Are installed outside of each sleeping area in the immed jate vicinity of <br />bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-flred <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />moke alarms: Are installed ifl each room used for sleeping in each hallway outside of a sleepin <br />room, and on each level of the dvrelling <br />Retrofltted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Combinatjon 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 propeiiy owne{ of the above project. I funher cenify <br />that smoke alarms and carbon monoxide alarms have beeo installed in compJiance with the governrng <br />Codes and have been tested to be functional. I also. hereby certjfy that I will retest the alarms per the <br />man u factu rer 5 instructions. <br />Signature Dote:I 6, ,un LI <br />heckc onel tl Licensed Contra ctor P <br />NofE: This self-ceftificotion is only used lot projects thot olfect the EXTERI1R ol the structurc. This <br />process is applicable ONLY to proiects where occess to the intetior ol the dwelting by o Sontd Ana <br />lnspector is not requircd. <br />rop erty Owner <br />Have this completed form and the job-card readily available on final inspection! <br />Smoke & CO <br />Alarm Affidavit