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*,SANTA <br />NAqffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Aox 1988 (M-19) <br />Santa Ana. CA 92702 <br />(714) 647-5800 <br />v,/w.,v. s antt-a n a. oie <br />lNsP-02 2013 CRC <br />This document moy be lound at...htto://wwv/.sa n ta -ana.or olpbal <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:2qdl J. GatLY pt.. <br />Permit Number:l6lJ05116 <br />Property Owner:Azlitk bt ca PaE*7€ <br />Contractor:FrdEb"q ?oaW)l- i License #: ldzt614 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed an 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 R31.4.3 and R314.3.3 define <br />the required locations. <br />Aeoth boxes below must be checked: <br />E{ C"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 />E S-of. 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, hereb y certrf y that I will retest the alarms per the <br />manufactu rer's ins on5 <br />lcheck onel v Licen d Contractor Property Owner <br />NOTE: fhrs sef-certificdtion is only used Jor projeds that ofled the EXTERIOR ol the strudure, This <br />process is opplicable ONLY to projects where occess to the interior ol the dwelling by o Sonta Ano <br />lnspector is not rcquired. <br />Signature:t,,.'l/Dote:9-zt-zl <br />Have this completed form and the.iob-card readily available on final inspection! <br />I <br />{ <br />tr