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Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box'1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />w'rl^a/ santa-ana otq <br />Smoke & CO <br />Alarm Affidavit <br />INSP.O2 20 I3 CRC <br />This document mdy be lound at...http:/iy /\ &. santa-a na.orq/pba,/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:2115 t^J. *NA*rBsT PL . Sovla, Anat Cl .0J-, <br />Permit Number: <br />I <br />lDtctSs-.4q <br />Property Owner:Pl*'* - M,, -f I'h, <br />Contractor:4 ti""n." *, <br />0r <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ild ings. <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 requ ired locations. <br />A eoth boxes below must be checked: <br />El 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 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. l, also, hereby certify that I will retest the alarms per the <br />manufactu re r's instructions. <br />lcheck onel Licensed Contractor E. <br />NOTE: fhis sef-c ertilicdtion is only used lor projects thdt atfect the EXTERIOR of the structure. This <br />process is opplicoble ONLY to projects where occess to the interior of the dwelling by o Santo Ana <br />lnspector is not required. <br />Signature:Dote tJo( a8 ,Aot? <br />Have this completed form and the job-card readily available on final inspection! <br />*-SANTA <br />NA,'rffi! <br />tr Property Owner