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*,TNTA <br />NA,ffi <br />0*rf *Oo <br />Smoke & CO <br />Alarm AffidavitP.O. Box 1988 {M-l9) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.sant?-ana.orq <br />t4 S g\,rc,yv Lxr .3at"{o.- qraa. OF <br />l0t\o1300 <br />Property Owner:ba* <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 />f\ eott, boxes below must be checked: <br />ECrrbon 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 />{srrot "alarms: <br />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 />ma nufacture s instructions <br />(check one)tr Licensed Contractor P perty ner <br />NOTE: Ihrs sef-c ertification is only used for projects thdt dfJect the EXTERIoR of the structure. This <br />process is applicable ONLY to projects where occess to the interior of the dwelling hy a Santa Ana <br />lnspector is not required, <br />Project Address: <br />Permit Number: <br />?eo Po r^rfa. I License #: 1E37Ob <br />sisnoture: i,lfilq_Dote: <br />Have this completed form and the job-card readily available on final inspection! <br />lNSP-02 2013 CRC <br />This document may be found at... http:i/ulww.santa-ana.orq/pba/ <br />(Please use a black or hlue ink ball-point pen) <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />lContractor: