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,.-SANTA <br />Ail'A <br />ILI\I\C <br />(lillJN(; <br />lct\cr <br />Planning & Building Agency <br />20 Civic Centgr Plala Ross Ann6x Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M.l9) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.orq <br />rNSP-02 2013 CRC <br />This document may be lound ot...http://ww!v. santa-ana.orq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:711 & 713 South Van Ness <br />Permit Number:101102450 <br />Property Owner:Walter R. Wirtz <br />Contractor:License #: z744oo <br />State oFCalifornia requires that smoke and carbon monoxide (CO) alarms are instalfed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and 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 />f\ro,n oo*"s 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 />E0 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 fo 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 pro.ject. lfurther 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 />manufacturer's instructions <br />lcheck onel L lce n se dCo actor tr Property Owner <br />NOTE: Ihis sef-certificdtion is only used lor projects thdt ollect the EXTERIOR ol the structute. This <br />process is opplicable ONLY to projects where access to the interior of the dwelling by o Sonta And <br />lnspector is not required. <br />Signdture:h Dote:o6t2912020 <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />I <br />I <br />I