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Planning & Building Agency <br />20 Civlc C6nter Plaza Rols Ann6x <br />P.O. 8ox l9E8 ( -19) <br />Santa Anr, CA 92702 <br />(7la) 647-5800 <br />www.snnta-ana nto <br />Smoke & CO <br />Alarm Affidavit <br />rNSP{2 2013 CRC <br />This document mdy be tound ot... http://wr',r,v.santa-ana.oro/oba/ <br />(Please use a black or blue ink ball-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 />6\ aoth bores below must be checked: <br />lrA Carbon 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 />E Smoke 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 lam 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 governing <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 />(check onel tr Licensed ctor P ro perty ner <br />NOTE. This scf-ccrtificotlon ls only used for proleds thot alled the Or,ERIOR ol the stru.,]urc. Thls <br />proccss ls opplicoblc ONLY to ptojects whctc occess to th. intcdot oI the dwelling by o Sonto Ano <br />lntpertot is not rcqulrcd. <br />ProJect Address: <br />+,o <br />lrc r..l elr S <br />Permlt Number: <br />Property Owner:NA,,rn v..r-c /L\oi,"er o y.,"yl+ <br />License #: f33qq t7Contractor:\a.,! r"a-JEf,rt <br />Signatute i Date o>J o9l <br />Have this completed form and the iob-card readily available on final inspectlon! <br />*-SANTA <br />NA-,'iffi <br />1t