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Plannlng & Bullding AgencY <br />20 Clvlc Conter Pl4a Ro3a Annox <br />P.O. Box tsEE (M-19) <br />Santa Ana, CA 92702 <br />(7ra) 047-s800 <br />wu{.santa-ana.oro <br />Smoke & CO <br />Alarm Affidavit <br />htPropct Address: <br />Licenso #:1 <br />Permit Number: <br />Propefi Orner: <br />Conttadot: ('^r2, <br />rNsP-02 2013 CRC <br />This document may be tound ot... httoJ/www.santa-ana.orq/obal <br />(Pl€6,sb use a btack or blue lnk bell-polnt pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1and 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|* *ro b€low must be checked: <br />fiC.rton monoxide 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 gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />dsmofe 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 with all applicable 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 pro.iect. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the goveming <br />Codes and have been tested to be functional. l, also, hereby certify that lwill retest the alarms per the <br />manufacture/s instructions. <br />lcheck onel tr Contractor Property Owner <br />NOtrEt Thts set-4,rtlfrcation ls oaty used lor proiects thdt dfrect che EXTERIOR of the structure. This <br />prwss b oppliable aNLY to ptoJecls wherc occcst to the tntefior ol the dwelltng by o sonto Ana <br />lnspator ls mt requlrcd. <br />Haw this completed form and the iob-card readily available on final inspection! <br />Z-26 -t(/DoteSlgnoture:(-/? <br />.--SANTA <br />Al'{Ailtili <br />.F