Laserfiche WebLink
,.*S/I\TA <br />A,\J,ffi <br />PlanninE & ts uilding Ag2ncy <br />?0 Cj\/;c Ce/:ter Plara Rcss A.nex <br />P.O. Box 1988 (u-19) <br />Santa AJra. CA 92702 <br />(714) 647.5600 <br />Smoke & CO <br />Alarm Affidavit <br />Projecl Add,rass:sE 11 <br />Permit Number:l\\5 BD <br />Property Owner:[L-\.l L:v..r6.tMu t\- <br />Co ntra ctcr: <br />fkis docu,neot moy b.e lauad at... <br />(ple.asz use e bl.a,ck or b.l e ink bafi-poirlt perl) <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.L and R315.2 states in part that axisting dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define <br />the raqu ired locations. <br />Ae"tl boxes belo"iu rn ust be cfiscksd: <br />WCrtAon rnon'oxide alarms: Are installed outside of each sleeping area in the immediate vicinity ol <br />bedrooms and also on each levei of the dwelling. Alarms are recommended in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />LJ Smok: alarms: Are insta ed 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. <br />{check one)Licensed Contractor tr P roperty Owner <br />NorS: rhls se.f-c efiirertioa is only used for pftiec'ts that dff?ct thz €xri-Rto? ol th,e structute. This <br />prccessisapplicable1NLVtoprojectiwfi{reqccesJtorheite,]orofthedw.attiaEbyasanraAna <br />lnspector is not rcquked. <br />Have this compieted form and the job-card read.iry avair.abre on final inspectio,nl <br />Signatw?:.t <br />,t tJt D ,'\,v^*-Datz:)a2f-< <br />2\f\ Po in,