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*-SNTA <br />NA-'ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (lvl-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana orcl <br />]NSP.O2 2013 CRC <br />(P/ease use a black or blue ink ball-point pe n) <br />Project Address:( <br />ck c' <br />state of california requires that smoke and carbon monoxide (Co) alarms are installed in residentjal <br />b u ildings. <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 R3i"4.3 and R314,3.3 define <br />the requ ired loca tions. <br />fl eoth boxes below must be checked: <br />ScarOon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />dedrooms 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 />$ Smot<e alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />room, and on each level of the dwelljng. <br />Retrofitted detectors may be battery-operated for buildings where no interior alteratjons 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 certjfy <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. l, also, hereby certify that lwill retest the alarms per the <br />ma n ufacturer's instructions. <br />Signdture: <br />lcheck onel Licensed ontractor Property Owner <br />NOTE: rh,s sef-c ertification is only used for projects thdt aflect the ErTERT2R of the structure. This <br />process is dpplicable )NLY to projects where dccess to the interior ol the dwe ing by a sontd Ana <br />lnspector is not required. <br />Property Owner: <br />Contractor:License #: QASI <br />Dote://,/za /tb <br />Have this completed form and the i6b-card readily available on final inspection! <br />fhis document moy be found at... http:/iu,ll v. san ta-a na.orq/pba/ <br />Permit Number: