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,,,-SANTA <br />NA-',il,ffii <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Atarm AffidavitP.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.orq <br />INSP.O2 2013 CRC <br />This document mdy be found dt..htto://www. sa nta-a na.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />State of California requires that smoke and car on monoxt de (CO) alarms are installed in residential <br />buildings. <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 />A eotlr boxes below must be checked: <br />M 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 />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. 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 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 lwill retest the alarms per the <br />manufacturer's instructions. <br />lcheck onel censed Con actor El Property Owner <br />NOTE: Ihis sef-certificotion is only used Ior projeds thot offed the ErTERIOR ofthe strudure. This <br />process is opplicdble ONLY to projects wherc dccess to the interior oI the dwelling by o Sdnta Ano <br />lnspector is not required. <br />Project Address:LS ?5 S. S.r"... 5*SO'I 4n,,, aA y'u7d,r <br />Permit Number:t0 lgq ,11r I <br />Property Owner:h16r,1u Gavc\u- <br />Contractor:)n€>L P..-uC, ^ ^ <br />License *, C3? h lC ?U 2.[S <br />Signoture:/ lnl Dote:lo-tt't7 <br />Have this completed form and the job-card readily available on final inspection! <br />I