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-,-SANTA <br />NA <br />Itr\\\(, <br />iilm[[ <br />.t(;nfi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Sanla Ana, CA 92702 <br />(7r4) 647-5800 <br />www. sa nta -a n a. o rq <br />tNSP-02 2013 CRC <br />fhis document may be lound at,,,http://www.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:-loa S br"r,tn <br />Permit Number: <br />Property Owner:Y\qnr, <br />Contractor:R\\ ilsvi,.o. \...,-License #: [0O I bq S <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 />Aso,h boxes below must be checked: <br />E 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 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 I will retest the alarms per the <br />manufacturer's instructions. <br />lcheck onel Li nsed Contractor tr Property Owner <br />NOTE: Irfu sef-certificotion is only used for projeds thot dffect the EXTERIOR ol the structure. This <br />process is opplicable ONLY to prcieds where occess to the intedor of the dwelling by o Sonto Ano <br />lnspedor is not required. <br />Signoture: <br />[^p'^ nU.f,c <br />Ddte:03 /30 /aoat <br />Have this comDleted form and the iob-card readilv available on final inspection! <br />I <br />l <br />Smoke & CO <br />Alarm Affidavit <br />I