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-,,SANTA <br />NA <br />PLT\NC <br />&BULDI\C <br />lct\0 <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />tNSP-02 2013 CRC <br />This document mdy be lound ot...httplwlrvwSanta-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:a3Ln s. L_crclru;-Li M,- (a rte Aft q <br />Permit Number:to/roqqg,7 <br />Property Owner:lZni.l*,n.t \crq(o f- <br />Contractor:License #: <br />70y' <br />lcheck onel Licen se d Contractor Property Owner <br />NoTE: Ih,s sef-certilicotion is only used for projects thot ollect the EXTERIOR ol the strudure. This <br />process is opplicahle ONLY to projeds where access to the interior of the dwelling by a Sdnta Ano <br />lnspedor is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Signoture:l--r-Date to /aro/a.oaz <br />P.O. Box 1988 (M-l9) <br />Santa Ana, CA92702 <br />(7r4) 647-5800 <br />www.santa-ana.oro <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 />Aeoth 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 />ts 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 />ma nufacturer's instructions. <br />tr