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Planning 6 8u,1. 're lency <br />20 Civic Center Plaza R. s ex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-1! <br />Santa Ana, CA 92102 <br />(7r4) 647-5800 <br />www.santa-ana.orq <br />rNSP-02 2013 CRC <br />fhis document moy be lound ot-..http://www.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />State of California requires that smoke and ca on monoxide (CO) alarms are installed in residential <br />b u ild ings. <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 requ ired locations. <br />f)r*n boxes below must be checked: <br />d C^rionmonoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedroom nd also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appli s (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />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-Qroperty qwner-of the above project. lfurther 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 Licensed Contractor trP erty ner <br />NOTE: This serr-certification is only used lor projeas thot allect the EXTERIoR of the strudure. This <br />process is applicabte ONLY to projeds where occess to the inte ot ol the dwelling by d Sonto And <br />lnspedor is not requircd. <br />Project Address: <br />Permit Number:t ol I o z- <br />Property Owner: <br />Contractor: <br />Signoture:Dote 4/a( <br />Have this completed form and the job-card readily available on final inspection! <br />,^-SANTA <br />NA-',il,ilil <br />tr <br />) q tq Lo,^xn f{ <br />.[r,,,.,k 7?.,J: f,- lr-it"n""*,ffrt 5l / <br />Fa,/?