Laserfiche WebLink
*,,SANTA <br />NA <br />Itr\$c <br />&tut t$ <br />lctn <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.otq <br />Smoke & CO <br />Alarm Affidavit <br />INSP.O2 20I3 CRC <br />This document moy be lound dt...http://www. santa-ana.orq/pba/ <br />(Prease use a black or blue ink ball-point pen) <br />Project Address:lill + t3e /J. Fnz,,to, <br />Permit Number:bnfzz* '* 1 <br />Property Owner:1,C-.J lt <br />Contractor:License #: <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 R314.3.3 define <br />the required locations. <br />A eo,h boxes below must be checked: <br />p CarUon 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 Srof" 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 />ma n ufacturer's instruc ns <br />(check onel tr Licensed Contractor P o perty Owner <br />NOTE: Ihis sef-c ertification is only used for projeds thot afied the EXTERIOR of the stucture. This <br />process is applicdble ONLY to projeds where dccess to the interiot of the dwelling by o Sonto Ana <br />lnspector is not required, <br />Signoture:r /--2.....Date (,x <br />Have this completed form and the job-card readily available on final inspection!