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;,,SANTA <br />NA"Liu* <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www.santa-ana.oro <br />INSP-02 2013 CRC <br />This document mdy be lound ot...http://www.sant a-ana.orql obal <br />(Please use a black or blue ink ball-point pen) <br />Itrl v) L,,nn [^ <br />Permit Number:lototo 3 t 4 <br />Property Owner:Ct rl14, <br />Contractor:h^.,,-,..1,License *: <311 Z ?\ <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ildings. <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 goatr 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 />appliances (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 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 te edtob nctional. l, also, hereby certify that I will retest the alarms per the <br />ma nufactu rer's instructi ns <br />(check onel d Contractor P rope rty er <br />NOTE: Ihis sell-certificotion is only used for projects that alfed the EXTERIOR oI the strudure. This <br />process is applicoble ONLY to projeds where access to the interiot oI the dwelling by d Sontd Ano <br />lnspector is not required. <br />Signdture:U I 7 Dote 1l <br />Have this completed form and the job-card readily available on final inspe <br />Project Address: