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Plannlng & Bulldlng Agency <br />20 Clvlc C.nbr Phz. Rort Ann.r <br />P.O. Bor l98E (ttl-19) <br />S.ntr An , CA 02702 <br />Pra) ca7{800 <br />!0ryrilElntrgIc <br />Smoke & CO <br />Alarm Affidavit <br />tNsP{2 2013 cRc <br />fhlt document moy b. lound ot.- htto:/Arvww.santa-ana.orcr/oba/ <br />(Please use e black or blue ink ball-polnt pen) <br />Project Address:LO@ -L <br />Permit Number: <br />T <br />Property Owner: <br />Contractor: ft5gg;55,odtr %pt t.sS & t{fi.License#: qqYl <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 />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required locations. <br />A eoth uo*"s below must be checked: <br />XOrbon.onoxlde 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, coohop, furnace) or a fireplace. <br />(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 t ntractor or the property owner of the above pro,ect. I further certify <br />that smoke alarms and carb alarms have been installed in compliance with the governingn <br />Codes and have been <br />manufacture/s in ct <br />lcheck onel Li <br />fu al. l, also, hereby certify that I will retest the alarm per the <br />Cont Own <br />NOTE: rhls sef<eftificatlon ts only used fot ptoiecB thdt ollcct the ExrERtoR of the struaure, Thts <br />process is oppllcable oNLY to prolecB wherc occess to the tntedot of the dwelltng by o Sonto Ano <br />tngoectot ls not rcouired. <br />Slgnoture:ZI\IazL <br />Have thir comploted form and the lob+ard r€adily availablo on final lnspocflont <br />fl,$lllc <br />tr <br />Dote: