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*,,SANTA <br />NAJIffi <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-s800 <br />w,I^r/.santa-ana-ofq <br />Smoke & CO <br />Alarm Affidavit <br />rNSP{2 2013 CRC <br />This document moy be lound ot...h tto://urvlv santa-a na.orq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:tALtF q2:707 <br />Permit N umber:l0tq4Lbt <br />Property Owner:O^IAD' <br />Contractor:License #: <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 />f,\ aotir boxes below must be checked: <br />Etr Carbon 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 />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />El 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 pro.iect. 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 lwill retest the alarms per the <br />manufacturer's instructions. <br />(check onel tr cen sed ContractorL Property Owner <br />NOTE: Ihis sef-certiftcotion is only used lor projects that dflect the EXTERIaR of the structure. This <br />process is opplicdble ONLY to projects where occess to the interior of the dwetling by o Sontd Ana <br />tnspector is not requircd. <br />Signature:al Ddte:tl- ot- 1.0t1 <br />Have this completed form and the job-card readily available on final inspection!