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*,SNTA <br />NA,ffi <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.oro <br />INSP.O2 2013 CRC <br />This document moy be found ot...http://www.santa-ana.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:*zol w &tt Sr * Z,= <br />Permit Number:lotq-1 <br />Property Owner:Ar..i,t Specovrus <br />Contractor:W'uhe-License #:rgqT 8 | <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu 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 required locations. <br />()"ornboxes betow must be checkeo: <br />f,Carbon monoxide alarms: Are lnstalled 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 />EISmoke 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. l, also, hereby certify that I will retest the alarms per the <br />man ufactu rer's instructions. <br />(check onel tr Licen ed Contractor E- Property Owner <br />NOTE: Ihrs sef-c ertification is only used lor projects thdt oflect the ErTERIOR ol the structure. This <br />process is applicoble ONLY to projects where access to the interior of the dwelling by a Sonta Ana <br />lnspector is not requited. <br />Signature:/L,r,-lU, Mtrnru,.Date:7-?y ^/ y <br />Have this completed form and the job-card readily available on final inspection! <br />Smoke & CO <br />Alarm Affidavit