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Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Pla2a Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(7r4) 647-5800 <br />www.santa-ana orq <br />tNsP-02 2013 CRC <br />fhis document moy be found ot.,.httD:i/www santa-a na. orQ/oba/ <br />(Please use a black or blue ink ball-point pen) <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 requ ired locations. <br />A sottr 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 />E(Smoke alarms: Are installed in each room used tor 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 />manufacturer's instructions. <br />lcheck onel tr Licensed Contractor Property Owner <br />NOTE: fhis serl-certificotion is only used for projects thdt offect the EXTERTOR of the structure. This <br />process is opplicoble ONLY to projects where access to the interior oI the dwelling by d Sonto Ano <br />lnspedor is not required, <br />Project Address:tgL3 S. Ross S+ , Oan}z_ fuw CE 12Jo7 <br />Permit Number:to lqfi 83 <br />Property Owner:l(rn+ Lc>cri AtP".k <br />Contractor:Con5*1rr" b-rrtic"s I" utr-rcense *: qost54 <br />Signoture:Dote t o -/-/8 <br />Have this completed form and the job-card readily available on final inspection! <br />,,,-SANTA <br />NA,Hd <br />(