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SA\IA <br />ANA <br />Planning & Bu ding Ageocy <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Aor l!tr8 (I-19) <br />S.ntr Ane, CA 92702 <br />or4)647.560O <br />v.rvw.santa-ana,oro <br />fhis document moy be ,ound ot...httD:/ Nww.santa-ana.orq/obai <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 />buildings. <br />California ResidentialCode (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 R315.3 define <br />the required locrtions <br />A eoth bor", uelow must be checked: <br />EICarbon ronoride .larms: 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 />dS*f. <br />"Un"or <br />Are installed in each room used tor sleepin& in each hallway outsid€ of a sleeping <br />room, and on each level of the dwelling. <br />Retrofitted detectors may be battery-operdted for buildings where no interior alterations are <br />performed. Combination Smoke/ust com ply with all applicable standards and be approved <br />by the State Fire Marshall (5FM <br />I hereby certify that I am th e contractor or orooertv owner o!....:-'....-f the above project. I further certify <br />that smoke alarms and carbon monoxide alarml have been installed in compliance with the governing <br />Codes and have been tested to bc {unctihal. <br />/o o/7 <br />lcheck onel Licensed ractor P erty er <br />NOTE: fhis sett-ccttificotion is dlly used lot pmjects thdt afrecl the EXrERIOR of the structwe. fhis <br />ptoccss ls aqpli@ble ONLY to pniectt uhete a(l;css to the intc or of the dwelling by d 9nto Ano <br />lnspedot ls not required, <br />2620 <br />Permit Number; <br />7w.,tu2b 54 <br />Property Owner:iloo64 <br />Contractor:License #: <br />tery life must be 10 yea <br />Signotute A4,r,/.CWl Dote: <br />Have this completed ,orm and the Job-card readily avallable on final lnspection! <br />Project Address: