Laserfiche WebLink
*,,SNTA <br />NA,\ilff <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-l9) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www santa-ana.orq <br />INSP-02 2013 CRC <br />fhis document moy be found dt...http ://M&\irl. sa n ta-ana.orq/oba/ <br />(Please use a black or blue ink ball-point n) <br />Permit Number: <br />1zL 8/1.$ <br />Contractor: <br />State of California requires that smoke and carbon 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 R31.4.3.3 define <br />the requ ired locations. <br />A aoth 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 1i.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 sleeprng <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 />ma nufacturer's instr ronS <br />lcheck onel tr L rcense d Contractor Prop yO ner <br />NOTE: Ihis sef-c erlificotion is only used for projects thdt offect the EXTERIOR ol the structure. This <br />process is opplicable ONLY to prcjeds wherc occessto the inteiot ol the dwelling by o Sontd And <br />lnspectot is not requircd. <br />Project Address:(Z?a( <br />4 aor b <br />Property Owner: <br />ZtQot e-6\License #:4 <br />Signoture:Date:/1 tb/ <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />I I <br />.r <br />IC <br />v