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Pla nning & Builcling Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 19a8 ([4-19) <br />Santa Ana, CA 92702 <br />i'714) 647.sA00 <br />\H' ' 5anl?-4na.OtI <br />[./sP-02 2013 CRC <br />This document moy be lound at... htto /l/,^ri',,/.S?nta-ana.or q,/oca.l <br />(Please use a black or blue ink ball-point pen) <br />Project Address: <br />Permit Number: <br />?lr 7 AJ olrv<- L"*--- <br />lot q{Aq / <br />Prope rty Owner: <br />Contractor: <br />I Lts k t/v\,S <br />S"V.n n License #:Qo ..> <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residentjal <br />b u ild ings. <br />California Residential Code {CRC) Section R314.1 and 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 req u ired locations. <br />{Xaornboxes betow must be checked: <br />E[ Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dwellin g. Alarms are required in bedrooms with gas-fired <br />applia es (i. e. hot !vater heater, cooktop, furnace) or a fireplace <br />moke 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 I will retest the alarms per the <br />manufactur n5 <br />Signoture: <br />(check on tr Licen se d Contractor Pro perty o ner <br />NoTE: Ihls seff'certiJication is only used lor projects that offect the ExTERtoR ol the structure. This <br />process is applicable oNLY to projects where occess to the inte or oJ the dwelling by o Santo Ana <br />lnspector is not requ ired. <br />'5 i ructi <br />Dote:4 t__---:) <br />Have this completed form and the job-card readily available on final inspection! <br />Smoke & CO <br />Alarm Affidavit <br />rt