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cn,fsNIA <br />NA,ffi <br />Plaffting & Bttilding Agency <br />2C Civ;c C6rt.i P!a:a Rcas An^ex <br />?.O. Box 1988 (u.l9) <br />Sanra Ana. CA 92702 <br />(71i.) 647-5a00 <br />Smoke & CO <br />Alarm Affidavit <br />fhis doct,nrnt moy be louad oi--. <br />(pleasz use e black or b.lue id( ball-polnt pen) <br />Project Ardrass:L UJ .'-,la f r ct ul <-r'l1-,.. f1r*L <br />Pe mit N r.rirber:lrJ i 13 A\l(1 - ;lO \ r, .3 .r.I3 <br />Propeny Owner:\.r Y A , Cravrd,rl\ <br />Co ntre ct )i:i\l vr+<!t4r Lic anse #: <br />l-)7r)1 <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 />f\ *,n oo..s b€tox, must be chectad: <br />El C"rbon nnon,cxide 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 />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />EIS.oi. aiarms: Are installed in each room used for sleeping, in each hallway outs;de of a sreeping <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). Banery tife 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 />{check oae)tr Licensed Contractor g P roperty Owner <br />!iOTE: fbrs sef-c er'.ificrtioa is oaly used lcr grojects that afi|c thz EXTr-nlp.R oI th.e st uctur?. rlnis <br />prccess is opglicable ONLY tc ptojccts whe..e ocrrss tc ,he intrior of th e dw elliaq by a Santa Aao <br />lnspecot is not requircd. <br />H.ave this compl€ted form and the iob-card readlly avallab{€ on final inspectionl <br />A-r..t)*--l o*l/t' :,/'7 <br />I <br />I <br />5;C,otur9tI I