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*,,SANTA <br />NA <br />llt\ll\C <br />$illJNG <br />lcfro <br />A a <br />Ptanning & Buildins' \gency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714)647-5800 <br />wlvw.santa-ana.orq <br />, Smoke & CO <br />Alarm Affidavit <br />rNSP{2 2013 CRC <br />This document moy be lound ot...htto://www.san -ana-oro/oba/ <br />(Please use a black or btue ink ball-point pen) <br />Project Address:.\.1.) I s ?ar <br />Permit Number lot ') <br />)t1I ll <br />Property Owner:'r <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 />Aeoth boxes below must be checked: <br />p 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 />p Smofe 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. lfurther 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 />lcheck el tr Licensed Contractor X Property Owner <br />NOTE: Ihis sef-certificdtion is only used for projects thdt oflect the EXTERIOR oI the structure. This <br />Wocess is opplicoble ONLY to proiects where occess to the interior oI the dwelling by a Santo Ano <br />tnspedot is not required. <br />Dote:1o /7Signature: <br />Have this completed form and the job-card readily available on final inspection! <br />fri(t <br />-1.