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Planning & Building Agency <br />2! Civic Center Plaza Rcss Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />{714) 647-5800 <br />,!.xa.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />rNSP-42 2C13',i?l <br />This document mdy be found ot... <br />(P/ease use a black or blue ink ball-point n) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <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 />Aso,t, 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 />E 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 propefty 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 hav tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />man ufactur s instru <br />(check onel Licensed Contractor tr Property Owner <br />NOTE: Ihis selr-certilicotion is only used for projeds thot dlfect the EXTERIOR ol the structure. This <br />process is applicable ONLY to prcjeds where occess to the interior oI the dwelling by a Sontd Ana <br />lnspector is not required, <br />Project Address:ZiH)'q & h <br />Permit Number:hltoro034 <br />Property Owner aiib ci.. <br />Contractor:License #, Ftrf/&l-wl^- <br />Signoture:r Dote: I l0* <br />Have this completed form and the job-eard readily available on final inspection! <br />*-SNTA <br />NAJhffi