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,,,,SANTA <br />NA <br />ru\]nG <br />&mDlic <br />rm0' <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />rNSD.02 20'l CRC <br />fhis document moy be lound dt...http://\.fA.,^ .santa-ana.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />v9 s {1.1or) <br />/ollr?qqLl>Permit Number: <br />I '24 6itL <br />License #: <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 />4\ eo,h boxes below must be checked: <br />J-'p-€arbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />[edrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />pliances (i.e. hot water heater, cooktop, furnace) or a fireplace <br />Smoke & CO <br />Alarm Affidavit <br />a <br />Smoke alarms: Are installed in each room used for slee ping, in each hallway outside of a sleeping <br />om, an d 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. 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 lwill retest the alarms per the <br />manufacturer's instructions. <br />lcheck onel tr Licensed Contract P rty Owner <br />NOTE: Ihis sef-certilicotion is only used for projects thot ollect the EXTERIOR ol the strudure. This <br />process is applicdble ONLY to Nojects where occess to the interior oI the dwelling by o Santa Ano <br />lnspedot is not requited. <br />N <br />Date <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Box 1988 (M-l9) <br />santa ana, cA 92702 <br />(71,1) 647-5800 <br />wvnv.santa.ann orat <br />I Project Address: <br />I <br />Property Owner: <br />I <br />Signature: <br />I <br />Contractor: I <br />I