Laserfiche WebLink
20 Civic Center Plaza Ross Annex <br />Pla nning & Building Agency Smoke & CO <br />Alarm AffidavitP.O. Box 19AB ([4-19) <br />San ta Ana, CA 92702 <br />(7 14) 647 -5300 <br />,fl, . .Saale-zn? OIA <br />[.]sP-02 2013 CRC <br />This document may be lound dt... htij /i'/rr',y.S3nt?-an3.or x,toca.' <br />(Please use a black or blue ink ball.point pen) <br />Project Address:q5 <br />Permit Number:\q5 ql <br />G,r\,!red 0ort <br />^h\g <br />at)cl <br />Contractor:License #: C156 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild in gs. <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 requ ired locations, <br />fl\ so,t boxes betow must be checked: <br />! C.rUon 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 \,,/ater heater, cooktop, furnace) or a fireplace. <br />XSmot<e alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping'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 instru ct io n s /3anrvo r <br />Prope rty Owner:tLQE e u1A I <br />Signoture:7 Da te:,Hpntt /9 /n <br />(check onel tr Licensed Con tractor --tr Property Owner <br />NoTE: Ihis self'certification is only used lor projects that offect the ErTER|OR of the structure. This <br />process is applicable ONLY to projects where occess to the interior ol the dwelting by a Sonta And <br />lnspector is not required- <br />Have this completed form and the job-card readily available on final inspection! <br />R.,, <br />I I <br />) <br />'\rLl