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INSP-02 2013 CRC <br />This document mdy be lound dt...h tto:/A,m,ryv santa-ana.oro/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:Z'72t 9. See ZraTF <br />Permit Number: <br />Property Owner:lfok^ D'^.{ak[ <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <br />California ResidentialCode (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 />4\ aoth 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 />appllances (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 sleeprng <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. 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 lwill retest the alarms per the <br />ma n ufacture r's instructions. <br />lcheck onel tr Licensed Contractor Property Owner <br />NOTE: Ihrs sef-certilicotion is only used lor projects thot ollect the EXTERTOR ol the structurc. This <br />process is opplicoble ONLY to projects where occess to the interior oI the dwelling by a Sontd Ano <br />lnspector is not requircd. <br />Have this completed form and the job-card readily available on final inspection! <br />Signatute:J"Dote:a 'a <br />*,SNTA <br />NA <br />IL{$[iG <br />&nnDfic <br />rctifi <br />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 />wYa/v.san ta-an a.otO <br />Smoke & CO <br />Alarm Affidavit