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*-SNTA <br />NA,tffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />1r'rSP,02 2Dr 3 CPCIThis document mqy be lound ot. <br />(Please use a black or blue ink ball-point pen) <br />http //www. sa n ta-ana.orq/o bai <br />Project Address i3l1 5, ,P"p/e.,-r At Srrbl <br />Permit Number: <br />Property Owner:-9-4)!/WLl- <br />C o ntra cto r )Co Lice n se #7 <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 so,t boxes below must be checked: <br />I Crrbon 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 />psmokgalarms: 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 llfe must be 10 years. <br />I hereby certify that I am the contractor or the property owner of the above project. 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 />(check onel r L,cen sed Co ntractor tr P rope rty wner <br />NOTE: Ihrs sef-c ertification is only used lor projects thdt ofied the EXTERIOR of the structure. This <br />process is applicable ONLY to projects where occess to the interior oI the dwelling by a Sdntd Ano <br />lnspector is not required. <br />LI.*4 <br />l^,L'Ddte:4 /s, /,< <br />Have this completed form and the job-card readily available on final inspectionl <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www. santa-ana.olq <br />I <br />I <br />f ? <br />Signoture: I <br />I <br />I