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Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www.santa-ana.orq <br />Smoke & CO <br />AIarm Affidavit*-SANTA <br />NA-"ffi! <br />rNSP-02 2013 CRC <br />This document may be found at...h tto. //,r,lar,,l. s anta-ana.o ro/obai <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 requ ired locations. <br />f,l eott boxes betow must be checked: <br />-$ C"rUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />b'edrooms 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 />p Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />foom, 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 />manufacturer's instructions. <br />lcheck onel tr Licensed nt ra or Property Owner <br />NOTE: Ihis sef- certilicotion is only used for projects that afiect the EXTERTOR ol the structurc, This <br />process is opplicoble ONLY to projects where access to the interior ol the dwelling by o Sontd Ano <br />lnspector is not required. <br />Project Address:6IS S F,eIi/ l,rvrr Y+k4 <br />Permit Number: <br />IYY NqUY€N <br />tlQ D <br />Property Owner: <br />Contractor:o(|".^ob License *, 5711tS <br />Signoture:lur- fu -t 7- tg <br />Have this completed form and the job-card readily available on final inspection! <br />7 <br />Dote: