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,,,-SANTA <br />NAJlill'* <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (t['19) <br />Santa Ana, CA927O2 <br />(714) 647-5800 <br />www. sanla-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />This document moy be lound ot... httg:lrww\"I. s.inL olgjlal <br />(please u* 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 R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define <br />the required locations. <br />Aaoat, boxes below must be checked: <br />d Cr.bon 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 recommended in bedrooms with gas-fired <br />apgliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />EI 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 tested to be functional. <br />lcheck onel tr L icense d Contractor ro rty Owner <br />NOTE: Ihis sef-certilicotion is only used for prcieds thot ofled the EXIERIOR of the structure. This <br />process is opplicoble ONLY to projeds where occess to the inte or of the dwelling by o Santd Ano <br />lnspedor is not required. <br />Proiect Address:) <br />Permit Number: <br />Property Owner:)q <br />) <br />(,Contractor:1I\1 License i9 <br />Signoture:4-_Dote ,/,/9 <br />Have this completed lorm and the job-card readily available on final inspection!