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tNSP-02 2013 CRC <br />This document mdy be lound at... htto:/A, Uw.santa-ana.orqlgbal <br />(Please use a black or blue ink ball-point pen) <br />Project Address:1131 trl, lYltrt-caLLtn <br />t0( lc)30t3 <br />Property Owner:6una>e-z- <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <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 />6\ sotr, boxes betow must be checked: <br />t <br />fl(Crrbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />%"aho.t and also on each level of the dwelling, Alarms are required in bedrooms with gas-fired <br />ap liances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />Smoke alarms: Are installed in each room used for slee ping, in each hallway outside of a sleeping <br />oom 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 />manufacturer's ructions. <br />lcheck onel Property Owner <br />NOTE: Ihis sef-c ertilicotion is only used lor projects thdt alfect the EXTERTOR of the structurc. This <br />process is opplicdble ONLY to proieds where occess to the inte or ol the dwelling by d Sonto Ano <br />lnspedor is not requircd. <br />Have this completed form and the job-card readily available on final inspection! <br />Signoture:Dote:'s/ar/zrz., <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 />v/w,,santa-an a.olq <br />Smoke & CO <br />Alarm Affidavit*-SNTA <br />NA,'ffi <br />Permit N umber: <br />Licensed Contractor tr