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*,,SNTA <br />NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M.19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa.ana.orq <br />Smoke & CO <br />AIarm Affidavit <br />INSP{2 2013 CRC <br />fhis document mdy be lound ot...http //vn nv.santa-ana.orq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:- Eon-k--e"4 <br />D(l *<-75-L fPermit Number: <br />Property Owner:&u r ,..1 lart tt+q <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California ResidentialCode (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 />4\aoti, boxes below must be checked: <br />El 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 I am the contractor or the property owner of the above proiect. lfurther certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and have al. I , also, hereby certify that lwill retest the rms per the <br />manufac <br />el L rce n se d Contractor trP e er <br />rns tru <br />5 Dote:'6- <br />NOTE: Ihis sef-certificotion is only used for projects thot olfed the ErTERIOR ol the strudure. This <br />process is opplicable ONLY to projects where occess to the inteiot of the dwelling by o Sonto Ano <br />lnspectot is not requhed, <br />Have this completed form and the job-card readily available on final inspection!