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Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 6i17.5800 <br />www santa-ana ofq <br />rNsP{2 2013 CRC <br />This document moy be lound ot...htto.//www sant a-ana.orQ,Oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:L6lq t. Fo,trv;ut Sl <br />Permit Number:1p 1a1'Qz-z-O <br />Property Owner:G"tar".h r V(-^,N <br />C^+-,4.- t, Co", I li""n"" *, t-t q+i t1Contractor: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <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 requ ired locations. <br />f\ gott bores below must be checked: <br />{rC"rUon 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 />RSmofe alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />rooin, 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 project. lfurther certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the Boverning <br />Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />manufacturer's instructions <br />lcheck onel tr Licensed Contractor F Property owner <br />NOTE: Ihrs sell-certificotion is only used for projects thot dlled the EXTERTOR ol the strudure. This <br />process is opplicoble ONLY to projeds where dccess to the interior of the dwelling by o Sonto Ana <br />lnspectot is not rcquircd. <br />Signoture:Dote:5- /-2-n <br />Have this completed form and the job-card readily available on final inspection!