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tNSP,O2 2013 CRC <br />This document may be lound at...htt0 ://www. santa-ana pba/ <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"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required locations. <br />f\goth boxes below must be checked: <br />B crrbon monoxlde 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 />E 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 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 Licensed Contractor E Property owner <br />NOTE: This self-cenification is only used fot proiects thdt olfect the ExTERtoR of the structure. This <br />process is opplicoble ONLY to proiects where occess to the interior of the dwelting by o Santo Ano <br />lnspec:f,ot is not required. <br />on! <br />Project Address:'Ltl3 €;,s/;itc ilu.&,,i,\ Ar&t C /+ 'i?lc j- <br />1 LiL c)7 <br />Property owner:/-lr l-<_ <br />Contractor:License #: <br />Signoture Dote r/t ! <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-19) <br />Sanra Ana, CA 92702 <br />O14) 5il7.s80o <br />www.santa-ana.orq <br />-,-SANTA <br />NA,ili?* <br />Permit Number: <br />/-:-<-