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*-SNTA <br />NA,"'ffi <br />Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Box'1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-s800 <br />www.santa-ana.orq <br />rNsP-02 2013 CRC <br />This document may be lound at..,htto://, <br />^v\,/. <br />santa-a na.o rq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1and 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 />f\ sott boxes below must be checked: <br />EI 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 />El'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 foi buildings where no interior alterations are <br />performed. Combination Smoke/CO alarms must compli, 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 />m a n ufacturer's instruction <br />lcheck onel Licensed Contractor Property Owner <br />Project Address:615 S 6^e[icl 1^,r', t-+ K I <br />Permit Number:l"l ?o <br />Property Owner:I ,{er"^',tlkuvaw\4 <br />Contractor:-P l.oo(^,-, f-.@4 s1'{l tsLicense #: <br />Signdture:Ddte:?/rt/e <br />Have this completed form and the job-card readily available on final inspection! <br />Planning & Building Agency <br />tr <br />NorE: rh,s serf-ce rtification is only used for prcjects thdt oflect the ExrERtoR of the structure. This <br />process is opplicoble ONLY to projects where occess to the interior of the dwelling by o Sontd Ano <br />lnspector is not required.