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This document mdy be tound ot...htt //www.san balno <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:?3 \5 N.P.i'rersidp- Son+aAno,a NQzzot <br />lo \ qt, tqs <br />Property Owner:Thonrqs Propro€sKV <br />Contractor:P.rc. So\qr License #:(oot"clz= <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California Residential Code (CRC) Section R3l-4.1and 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 req uired locations. <br />/}sott boxes below must be checked: <br />fl CarOon 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 />applances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />/Srnot " 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 tested to be functional. I, also, hereby certify that lwill retest the alarms per the <br />ma n ufacturer's instructions. <br />lcheck onel tr Lice nsed Contractor tr Property Owner <br />NOTE: Ihis sef-c ertificotion is only used for projects thdt allect the EXTERIOR of the structure. This <br />process is opplicable ONLY to projects where access to the interior ol the dwelling by o Sonto Ana <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Signdture:?4 Date:z/=r/tE <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 />www.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit*,,SNIA <br />NA,ffi <br />INSP.O2 2013 CRC <br />Permit Number: