Laserfiche WebLink
Smoke & CO <br />Alarm Affidavit <br />2b\8 N. ;oorSe, iF <br />roRt8tBr Lot bS?1| r3ortl I (,a, 4ol 311 t,gPermit Number: <br />Property Owner:]s..o+t { rAxnatsn y(.5.,.--zL\ <br />AP\6 G,'{rc^c},,.License *, 55t$jContractor: <br />IJSP.Oz 2013 CRC <br />h tto ://',wv',v. sa n ta -a n a. o rq,/oba.' <br />(Please use a black or blue ink ball-point pen) <br />Project Address: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ildings, <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 req uired locatio n s. <br />f\ aotl, boxes betow must be checked: <br />( Crrfon 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 />,(Srof e 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-op erated 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 Iife 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 lwill retest the alarms per the <br />m an u factu rer's instructions <br />sig n rb <br />(che Licens Contr tr Prop erty Owner <br />NOTE: fhts self-certificotion is only used for projects thot at'fect the EXTERTOR of the structure. This <br />process is opplicoble ONLY to projects where occess to the inte ot of the dwelling by o Sonto Ano <br />lnspectot is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />u re:Da te:to\ <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 />,rrir'l. s a n ta-an a. oro <br />This document moy be found at... <br />i