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Planning & Building Agency <br />?0 Clvlc Conbr PLLzr Ror! Anner <br />P.O. 3or 1986 (r-18) <br />S.nt Am, CA 92702 <br />(71/i) C.7€800 <br />www.sa nta {na, oro <br />Smoke & CO <br />Alarm Affidavit <br />----) <br />-_5 <br />tNsP{2 2013 CRC <br />fhls document mot bc lound at- httD:i ,$,\M.santa-ana.oro/oba/ <br />(Pleese use a bleck ot blue ink ball-point pen) <br />Project Addr€3s:2lrc-$(<Cro+<\.r"o,,.^ {."-<- <br />Permit Number:t " \ i,SL{r} <br />Proporty Ownor:\touh A, H,t,rt otDld[ <br />Con tractor: ft sg4$,, o.r* t S€tsV,.eS &er License#: ffi@lq <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. cRc section R314.3 and R314.3.3 define <br />the required locations. <br />A *,n oor", below must b€ checked: <br />!(*^on ronorlde alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with Eas-fired <br />appliances (i.e. hot water heater, cooktop, fumace) or a fireplace. <br />(Smote atanm: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />room, and on each level ofthe dwelling. <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Comblnatlon Smoke/Co alarms mu$ comply with all appllcable 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 />manufacture/s instructions. <br />(check onel ed Contractor Prop Owner <br />NOIE: 7;his *lf-cenificotion is only used lor projstrls thot ottect the EXTERTOR ol the structute. fhis <br />process is opplicabte ONLY to prolects where access to the interiot ol the dwelling by o Santo Ano <br />tnspectot ls not requlrcd. <br />Signotwe:,ED--sC Dote )-,-//- /E <br />Have this completed form and the Job+ard readlly available on flnal inspectionl