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.--SANTA <br />NA <br />l[,]']IT{G <br />&[tfl,Dtilc <br />,tct\cl <br />Planning & Building Agency <br />20 Civlc Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box '1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647.s800 <br />www.santa.ana.oro <br />10 Lo+\t eI <br />Permit Number:0rl o5a- <br />Property Owner:-f <br />QC (qetf <br />Contractor:3 License #: {SW <br />California Residential Code (CRC) Section R314.L and 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 definethe required locations.{>, <br />Warbon <br />This document may be found at.,,http:// <br />tNSP-02 2013 CRC <br />www. sa nta-a na.oro/Dba/ <br />(Please use a black or b!ue ink ball-point pen) <br />State of Califo rnia requires that smoke and carbon monoxide (co) alarms are installed in residential <br />bu ild ings, <br />h boxes below must be checked: <br />m ono xide alarms: Are installed outside of each sreeping area in the immediate vicinit yof <br />bedrooms and al so on each level of the dwelling. Alarms are required in bedrooms with gas-firedappliani.e. h ot water heater, cooktop, furnace) or a fireplace <br />moke alarms: Are installed in each room used for slee ping, in each hallway outside of a sleepingroom, and on each level of the dwelling. <br />(check onel tr L C ontra Prop o er <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations areperformed. combination smoke/co ararms must compry viith ail appricabre,t.;i;;;;.; be approvedby 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 certifythat smoke alarms and carbon monoxide alarms have been installed 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 them an ufacturer's instruction s. <br />NorE: rhis sef- certificdtion is onty used lor projects thdt dffect the EXTER11R of the structure, Thisprocess is applicable aNLY to proiects where occess to the'interior of the dwetting by a santa Analnspector is not required. <br />Signotu Ddte a \ro <br />Have this c.rrnnlafcd fnrr'i:net rlra ial. ^^,r,^-..:r., <br />I <br />I Project Address: <br />D