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SANIA <br />ANA. <br />Planning & Building Agency <br />m Clvlc Conb. Phzr Rotr Anncx <br />P.O. Bor l98t (f,.19) <br />Srntr Am, CA 92702 <br />frra] c47{800 <br />wYfi.tanlt{na.om <br />Smoke & CO <br />Alarm Affidavit <br />6 <br />rNsP{2 2013 CRC <br />fhts document mol be tound at- htto:/,t,vw.santa-ana.oro/Dba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:)-l)-- A (e lzrJ*1.o,z\ Av-<- <br />Permit Number \ o\ nSLE z- <br />Property Owner:L <br />Conhactor: ft45455,0rU t S611 1c.95 &Nf;License#: ffio9.|d1l <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 eristing 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 aotl, to.", below must be checked: <br />!(**on monorlde alarms: Are installed outside of each sleepint area in the immediate vicinity of <br />beCrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, fumace) or a fireplace. <br />(Smoke alarrrs: Are installed in each room used for sleeping, in each hallway outside of a sleepint <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 wlth all appltceble 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 ceAify <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 />manufacture/s instructions. <br />lcheck onel ens Contractor er <br />NOTET This *lf<eftificdtlon is only used lor prcjff,s thot oflect the EXIER,OR ol the structurc. fhis <br />ptoc65.s is oppticoble ONLY to grolects wherc occess to thc intedot ol thc dwelling by o Sonto Ano <br />tnspedor ls not requlred, <br />SiEnoture 4 A_Date ) / /L/ tt <br />Have this complotod form and the job-card readlly available on final inspectionl <br />1