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Project Address:56tZ U a\\\) <br />Permit Number:\OtQi66c ) <br />\ <br />Property Owner:i <br />\ U\ ovr <l /v/q ur.1€ \rA <br />Contractor:ha.^t \(, \:1Yt€t qs6r..t3 <br />This document moy be found at h ttp:iA,,l,,rr,,l. san ta-a na.or q/obai <br />fPlease use a black or blue ink balt-point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are instalied in residential <br />b u ild ings. <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 />(\ aotr', boxes below must be chee ked: <br />d c.rUon 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 />aTpliances (i. e. hot water heater, cooktop, furnace) or a fireplace. <br />d srot" 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 ba ttery-operated for bulldings 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 pro;ect. lfurther 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 lwill retest the alarms per the <br />ma n ufacturer's instructions. <br />(check onel Licensed Contractor W Property Owner <br />NOTE: fhis sef'c ertificdtion is only used for projects that aflect the EXTERI7R of the structute. This <br />process is dpplicable oNLY to ptoiects where occess to the interior of the dwelting by o sdnta And <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Signdture: <br />*,SNIA <br />NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O, Box 1988 (tuI.19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />Smoke & CO <br />Alarm Affidavit <br />13-an a.orq <br />I <br />I <br />rNSP,02 2013 CRC <br />I <br />I License #: <br />I <br />1o,t"'l f t7