Laserfiche WebLink
*,SNTA <br />NA <br />PLI\\\C <br />Ituutt\c <br />$n0 <br />Planning & Building Agency <br />P.O. Box 1988 (M-19) <br />Santa Ana. CA 92702 <br />(714) 647.5800 <br />www.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />lNsP-02 2013 CRC <br />fhis document moy be found ot...http://www. sa nt a-ana.orolpbal <br />(Prease use a black or blue ink ball-point pen) <br />ttn) /t' <br />State of California requares 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 />A eoth boxes below must be checked: <br />{Crrbonmonoxide alarms: Are installed outside of each sleeping area in the immedaate 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/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 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 lwill retest the alarms per the <br />ma nufactu rer's instructions. <br />(check one tr Licen sed Contractor Fr€p€IlLotdoer m4nan9"/- <br />NOTE: fhis sef-certilicotion is only used for proiects thdt offect the EXTERIOR of the strudure, This <br />process is applicoble ONLY to projects where dccess to the inteior of the dwelling by a Santa Ano <br />lnspectot is not required, <br />Project Address:a <br />1'Lb'11 !LPermit Number: <br />Property Owner:Br.,rLxz r*h/a-rzL <br />License #: <br />Dote:to / rtt /r -zhb)rl. {lazz-,t",e- <br />Have this completed form and the job-card readily available on final inspection! <br />20 Civic Center Plaza Ross Annex <br />I <br />I <br />Contractor: <br />Signature: