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*-SNTA <br />ANA,"'ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />INSP-02 2013 CRC <br />This document mdy be found ot..,http:/A,rvnv.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarmS are installed in residential <br />bu ildings. <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\eoth 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 />Ezsmoke 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 />manuf acturer's instructions. <br />lcheck onel Licensed Contractor tr Property owner <br />NOTE: Ihis serl-certificotion is only used lot prcjects thot offect the EXTERIOR of the structure. Thit <br />process is dpplicoble ONLY to projects whete dccess to the interior oJ the dwelling by o Sonto And <br />lnspector is not requircd, <br />Project Address: <br />Permit Number:0 <br />Property Owner: <br />#:ce senContractor: <br />aSigndtwe: <br />..1 ) /-.-/Dote:r)et t <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Box 1988 (M-i9) <br />Santa Ana, CA 92702 <br />(71.r) 647.5800 <br />\,.nv.I/.santa -a n a.ora <br />I