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.^,SANTA <br />NA <br />Pl..r\\NC <br />&iUIJIIC <br />tct\0 <br />trtl <br />Planning & Buil <br />20 Civic Center Plaza Ross Annex <br />P.O. Box '1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />tNSP-02 2013 CRC <br />This document moy be lound dt...htto://www san ta-ana. orq/pba/ <br />(Please use 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 />bu ildings. <br />California Residential Code (CRC) Section R314.L and 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 eorh boxes below must be checked: <br />,WCarAon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of' bedrooms and also on each level of the dwelling. AlenlsZie-rgquir€ffiEdfooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />p smoke alarms: Are installed <br />' room, and on each level of the d <br />in each room used for slee ping, in each hallway outside of a sleeping <br />we ling <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Combination Smoke/CO must all a pplicable standards and be approved <br />by the State Fire Marshall (SF Battery mus t be 10 years <br />I hereby certify that I am th e con rty owner o f the above project. I further certifye <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 />manufacturer's instructions. <br />(check onel Licensed Contractor P Property Owner <br />NOTE: Ihis sef-certification is only used for prcjeds that alfect the EXTER,OR ol the strudurc. This <br />process is opplicable ONLY to projeds wherc occess to the interior of the dwelling by d Sdnto Ano <br />tnspectot is not rcquired. <br />Project Address:Q ]t o (,\ v er- (qq+, A (A 117aj4 L,t <br />Permit Number: <br />Property Owner:)qcovl S."v.tv\er- <br />License #: <br />Signoture:- Dote:\-rq- l8 <br />Have this completed form and the job-card readily available on final inspection! <br />lContractor: I horf. r rpao(,\C <br />I <br />tr