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Planning & Bullding AgencY <br />20 Clvlc Conter Plaza Rosa Annax Smoke & CO <br />Alarm AffidavitP.O. Bor 1988 ( -'19) <br />Santa Ana, CA 92702 <br />(71.1) 6a7.5800 <br />wrxwsanla-ana.oro <br />This document moy be lound dt...htto:i /www.san -ana. <br />INSP42 2o13 cRc <br />obal <br />(Pt3E,* us4 a btack ot bhrc tnk ball-point 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\ *an boxes below must be checked; <br />fic.rton monoxide alarms: Are installed outside of each sleeping area in the immediate vi€inity of <br />beirooms and also on each level of the dwelling. Alarms are required in bedrooms with Bas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace' <br />Esmor" alanm: 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 cbntractor 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 Soverning <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 d Contractor Property Owner <br />NOTCT fhis setf-ceftifrcotion ts only used fur Proiects th,/t dlfect the EXTER/m/R of the strudure' Thls <br />procs b oppltable ONLY to Proie.ls where acc?Jss to the ifitertot d thc dwclling bl a funto A"o <br />tns,r,(fiot ls not tquhed. <br />Permlt Number: <br />Property Owner: <br />License #:1Contractor <br />7-e6Dote.&Stgaoture,. <br />Havethiscompletedfofmandtheiobcardr€adilyavallableonfinalinspactionl <br />.,,,,SA}ilA <br />ANAJitTu <br />Projbct Address: <br />vr-