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*-SNTA <br />NATffi <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) 547-5800 <br />www. sa nta-ana.orq <br />INSP-02 2013 CRC <br />fhis document mqy be found at.httO://,arr.urv. santa-a na.or q/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Permit Number: <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 requ ired locations. <br />A aoth boxes below must be checked: <br />E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrodms 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 />E 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. Combinatjon 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. l, also, hereby certify that I will retest the alarms per the <br />ma n ufactu rer's instructions. <br />lcheck onel tr en sed Contractor O P ro perty ow ner <br />NOTE: Ihrs sef-c ertificdtion is only used lor proiects that affect the EXTERIOR ol the structure. This <br />prccess is applicoble ONLY to proiects where access to the interior ol the dwelling by a Sontd Ana <br />lnspector is not tequircd, <br />Project Address Zo S\-.,.F.."A _aL <br />0 01 <br />Property Owner:E fih.io v- PnLAt,o <br />Contractor:O1U (,^rlrn,t,on License #, /CC S7C 7 <br />Signoture:I Dote 7'Q- 17 <br />Have this completed form and the job-card readily available on final inspection! <br />Smoke & CO <br />Alarm Affidavit