Laserfiche WebLink
Project Address:laLq Siool\^r^\ <br />Permit Number:-) <br />Property Owner:Joh ", Woo\s1o n <br />Contractor:C,"1f ,,..LsL Ro,3\q(td/,License #: <br />rNsP-02 2013 CRC <br />This document moy be lound ot...htto ://www. gan La-ana-orq/pba/ <br />(Please use a black or blue ink ba -point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and 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 eo,h boxes below must be checked: <br />,flCarUon 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 />J4f 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 I will retest the alarms per the <br />manufacturer's instructions. <br />(check onel tr Licensed Contractor Property Owner <br />NOTE: This sell-ceftificotion is only used lor projeas thot olfed the ErTERIOR ol the strudurc. This <br />process is opplicoble ONLY to projeds where occess to the interior oI the dwelling by o Sont(, Ano <br />lnspedor is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Signoture:H." fa Dote:/^ t- / g <br />,,-SANTA <br />NAJ|illfi <br />Planning & Building Agency <br />20 Civic Cenler Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 5,{7-5800 <br />www.santa.ana,orq <br />Smoke & CO <br />Alarm Affidavit <br />I <br />J <br />lz-aa&t- <br />I