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9/9/2019 <br />NA <br />It\W <br />l[[nN <br />ff\d <br />-,-SANTA <br />Plsnning & Bullding AgencY <br />20 Civlc Cc.tor Plara Ro.3 ann.r Smoke & CO <br />Alarm AffidavitP.O. Bor i9$(u-rs) <br />S.ntr Ana, CA 92702 <br />(?1a) 647-5100 <br />tw-3.nlr.in..o.o <br />MCFA DDE N AIIE . SAMTA 'T&A . 127.41 <br />-{ <br />(PLase use a black ot blue lnk ball'polnt pen) <br />EA""tAdd'""-]E {4, <br />I eermlt Number: | * \o\qqtrr8ffi <br />lOre "Pt\ PcoG^ <br />trLt <br />lrrg I License #: 1O245.1 <br />State of california require5 that smoke and carbon monoxide {CO) alarms are installed in residentlal <br />buildihes. <br />California Residentiat Code {CRC} Section R314.1and R315.2 state! in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon mono)(ide alarms. CRC Section R314-3 and R314.3.3 define <br />the requared locations- <br />f\aoth bor", b"lo* must be checked: <br />Efcarbon monoxide alarms: are rnstalled outside of each 5leeping area an the immediate vicinityof <br />bedrooms and also on each level of the dwelling. Alarms are requked in bedrooms wlth gasjired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />lElsmote alarms: Are installed in eech room used for sleeping, in each hallway outside ofa sleeping <br />room, and on each levelofthe dwelling. <br />Retrofitted detectors may be bEttery-operated for buildings where no int€rior elterations ere <br />performed. Combination Smoke/CO alarms murt comply with all applicable standards and be approv€d <br />by the State tire Ma.shall (StM). 8attery life must be 10 years. <br />lhereby certifythat lam the contractor orthe property owner of the above project. lfurther certlfy <br />that5moke alarms and carbon monoxide alarm! have been installed in compliance with the governlng <br />codes and hav€ been tested to be functional. t, atso, hereby certifythat twillretest the al.rms per the <br />m3nulacture/s instfitctlons- <br />E Wl.he.k oncl <br />II <br />NOfEt lhii s.lt<ertficoaton b odty uscd to. Noleas thot afrc.t th.R ol th. sttuctuta. Thk <br />T,,rxss b opl,ll@bla oNLf ao p,ol.tls wh..e oc.t s ao thc lm'.trlor o, <br />t,EFcl,r b not nqulrcd. <br />.dwe lng by o Sonto Aaa <br />Havg thlr complotsd form and th€ job_c..d readily availablo on finrl inrpacflonl r <br />201 S090S_1 2s428001.jp9 <br />thts.lo.'tmznamaybcloa.!ot... htto://www.santia-ana.orc/oba/ <br />Contractor: <br />Datc:q/r /n