Laserfiche WebLink
,--SANTA <br />NA,Iffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <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 />AIarm Affidavit <br />rNSP-02 2013 CRC <br />fhis document moy be lound ot...http./iww/. santa-a na.orqi pbai <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:Lltttl 'vt/ S&,-stv+pf A;'+- <br />Permit Number:/d lq4d Eo <br />I <br />Property Owner:€a0 <br />Contractor:ItL V, *lX'rvv,.nffivq License #t |tl Et6, <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu 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 />A aoah 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 (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 L0 years. <br />I hereby certify that I am the contractor or the property owner of the above project. I further certify <br />thatsmokealarmsandcarbonmonoxidealarmshave <br />Codes and have been tested to be functional. l, also, hereby certify that lwill retest the alarms per the <br />manufacturer's instructions. <br />Signoture:W kY^){',.,,*Dote:ll -*o 4\ <br />lcheck onel I Licensed Contractor Property Owner <br />NOTE: Ih,s ierf-c ertificotion is only used for projects thot aflect the EXTERIOR ol the strudure. This <br />process is opplicoble ONLY to projects where access to the interior of the dwelling by o Santo And <br />lnspedot is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />tr <br />I