Laserfiche WebLink
*,sAll'[A <br />NA4ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Anner <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 />fhis document mdy be found ot...h tt o:/i,irr,v,lr sa n ta-a na.oror'oba,' <br />(P/ease use a black or blue ink ball-point pen) <br />a 6Project Address: <br />Permit N umber:t(t <br />, Property Owner:L t8 n <br />Contractor:Lice nse #: <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 R3L4.1and R315.2 states in part that exlsting dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required loca tions. <br />f\ eoth boxes below must be checked: <br />ELCarbon monoxide atarms: Are rnstalled outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dweiling. Alarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />El 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. Combinatjon Smoke/CO alarms must comply with all applicable standards and be approved <br />by the Stat-. Fire Marshall {SFM). Battery life roust 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 />manufacturer's i titt ct io n s <br />Signature: v Dot e:U L8 <br />(check onel tr Licensed Contractor e. Property Owner <br />NOTE: Ihis sef-c ertificdtion is only used lor projects thot aflect the EXTERIOR ol the structure, This <br />process is applicoble ONLY to projects where access to the intetiot of the dwelling by d Santd Ana <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />I