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*-SANTA <br />NA,'iffii <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.s800 <br />wv/v/,santa.an a.o aq <br />Smoke & CO <br />Alarm Affidavit <br />|NSP-o2 2013 CRC <br />fhis document moy be lound ot...http:i/vn,ryv.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:.L a,/ ln"^ <br />Permit Number:3z l,+a- n7 <br />Property Owner:T2a = x>20 <br />-Contractor: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 R314.1 and 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\ soah boxes below must be checked: <br />A. <br />l|\rbon 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 />moke alarms: Are installed in each room used for slee ping, in each hallway outside of a sleeping <br />om, 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. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and hav <br />manufacturer' <br />een tes to be functional. l, also, hereby certify that I will retest the alarms per the <br />ructi n <br />lcheck onel Iicensed Contractor Pr rty O er <br />NOTET This sef-certificotion is only used for projeas thot olled the EXTERIOR ol the strucaurc. This <br />process is opplicdble ONLY to prcieds whete occess to the interiot oI the dwelling by o Sonto Ano <br />tnspedor is not requircd. <br />Signoture:\ <br />I Date <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />tr