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*-SANTA <br />NA-"ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(7 1 4J 647 -5800 <br />www, s a n ta.an a- oral <br />INSP-02 2013 CRC <br />This document may be found at,,,htt <br />(Please use a black or blue ink ba .point pen <br />anta-ana.o bal <br />) <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 req u ired iocations. <br />f,l eo*h boxes below must be checked:L! <br />IXI carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dweiling. Alarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />$J- <br />)A{ <br />smotl alarms: Are installed in each room used for sleeping, in each hallway outside of a sleepingroom, and on each level of the dwelling. <br />Retrofitted detectors may be b attery-operated for buildings where no interior alteratjons areperformed' combination Smoke/co alarms must comply,iith all applicable 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 ofthe above project. I further certifythat smoke alarms and carbon monoxide alarms have been installed in compliance with the governingcodes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />m a n ufacturer's instructions. <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild in gs. <br />(check onel Licensed Contra ctor Property Owner <br />NorE: rhis sef- certificotion is only used for proiects that offect the ExrERtoR of the structure. Thisprocess is applicable oNLy to projects where oicess to the interior of the dwefiing by a sonta Analnspector is not required, <br />Project Address:.//(5,L <br />Permit Number;/a/76 a1 <br />Property Owner: <br />Contractor:a/l."z License *, 458qJ <br />Signoture:Date:212.t{