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Planning & Building Agency <br />m Cklc Conbr Pt:, Rolt Anncr Smoke & CO <br />Alarm AffidavitP.O. 8or l9t6 (rr.l9) <br />S.nt Am, CA 02702 <br />ola) ca7{E00 <br />ffi.santr{na.om <br />rNsP42 2013 CRC <br />fhit documcnt moy be hund ot- http:/ ,vww.santa-ana.orcy'Oba/ <br />(Please use a black ot blue ink ball-polnt pan) <br />Project Address:JTJo o C (,'l{Slr,r,^ A <br />Permit Numben ollt L <br />Property Ownor: <br />Contractor: ftgg655,0..t " <br />SAd,.gS &,,-t.License#: ffi@g <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <br />California Residential Code (CRC) Seaion 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 />f\ aotn bores below must be checked: <br />!(**n monorlde alarms: Are installed outside of each sleepint 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, 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. comblnatlon Smoke/co alarms must comply wlth all appltcable standards and be approved <br />by the State Fire Marshall (SFM). Battery life must be lO 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 />lcheck tr Licensed Contractor P Owner <br />NOTE': This *tf<eftifrcotlon is only uscd fot ptojcf,ts thot offect the EXrERiOR of the structurc. This <br />ptocfss is opplicoble ONLY to prclecb whete occess to the intedot ol the dwetling by o Sonto Ana <br />lnspectot is not rcqulrcd. <br />SiEnoturc:I,4,{*"-Dote t{ <br />Have this completod form and tho Job{ard readlly available on flnal inspectiont <br />Itr\\l\(; <br />tr,t\0