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Planning & Building Agency <br />20 Clvtc Conbr Phza Rolt Annex <br />P.O. Bor 1988 ( -13) <br />S.ntl Am, CA 92702 <br />p14) 6.7{800 <br />wwwsenta{na,om <br />Smoke & CO <br />Alarm Affidavit <br />------E, <br />rNsP-o2 2013 CRC <br />fhis documcnt moy be lound at.. htto:/Amiuiv.santa-ana.oro/oba/ <br />(Pleaso usa e black or blue ink ball-point pen) <br />Project Addrrss:Lalu- L J-rz3.zrrs\ro,.t'. 4\1"( <br />Permit Numben ID\n5LB)-. <br />Property Owner:00", D",Ao* <br />Contractor: ft.sf{gs,o.tt r %d,.g..S & u-.License#: q@gl <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 wath smoke alarms and carbon monoxide alarms. CRC Sectron R314.3 and R314.3.3 define <br />the required locations. <br />A *rn oor", below must be checked: <br />!(**on monorlde alarms: Are installed outside of each sleepint area in the immediate vicinity of <br />bedrooms and also on each levelofthe dwelling. Alarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, fumace) or a fireplace. <br />(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 wlth all appllcable standards and be approved <br />by the State Fire Marshall (SFM). Battery life must be 10 years. <br />I hereby certlfo 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 />lcheck onel Licensed Co Pro rty Owner( <br />NOTET This pt<ertificotion ls only used for prciecB thot olted the ErTER'oR of the itructufe. This <br />process is opplicoble ONLY to proJects wherc dccess to the interlot ol the dwelling by o Sonta Ano <br />tnspectot is not rcqulrcd. <br />Have this completed form and the iob.card readily available on final inspectionl <br />SiEnoturc:Date 1)t2l L'L <br />?t t\\I\G <br />rfi\(l <br />IP,tu