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SANTA <br />ANA. <br />t\l\c <br />NlV <br />Planning & Building Agency <br />20 Clvlc Csnbr Plr:r Roar Arnor <br />P.O. Box 1988 ( -18) <br />S.nt An., CA 02702 <br />or4) ca7{800 <br />wwv.renblna.om <br />Smoke & CO <br />Alarm Affidavit <br />Y <br />rNsP-o2 2013 CRC <br />Thls docum.nt moy be lound at- httD:i^,vww.santa-ana. oroiDba/ <br />(Please use a bleck or blue ink ball-point pen) <br />Project Address:z%oo - D lJtn<-si,c;,z-1 <br />Permit Numben <br />Property Owner:(€- <br />Contractor: fr45455,0.rt t gav,.eC & t s.License#: ffi@lq <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofifted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required locations. <br />A *,n oor", below must be checked: <br />!(**on monoxlde alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level ofthe dwelling. Alarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, fumace) or a fireplace. <br />(Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleepang <br />room, and on each level of the dwelling. <br />Retrofitted detectors may be batteryrperated for buildings where no interior alterations are <br />performed. Comblnatlon smoke/CO alarms mu$ comply wlth all appllcible 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 <br />manufacturer's instructions. <br />to nctional. l, also, hereby certify that I will retest the alarms per the <br />lcheck onel Licen Contrdctor Property Owner <br />NOTE: ,;his *lf-cenificotlon is only used lot ptoirts thot oltect the EXTERIOR ol the structure. This <br />process is opflicobte ONLY to Nolects wherc occess to the interiot ol the dwetlinl by o Sonto Ano <br />lnspectot ls not rcqulred. <br />Have thls completed fom and the job{ard readlly available on flnal inspectlonl <br />I ItSignotwe /y-lLt,.tt Dote:l-xv I E <br />0n <br />Itt\0