Laserfiche WebLink
2C Civic Center Plaza Ross Annex <br />Planning & Builcling Agency Smoke & CO <br />Alarm Affidavit <br />NSP.0? 2113 Cea <br />This document mdy be found at httc./r,,,,,,'i,,;. santa-ana or I C3a <br />(Please use a black or blue ink ball-point pen) <br />Contractor:/rl,t^t-/aa-^.{rlc <br />Project Address:'1."f 'A/ W'r*^r- 7fi1a <br />Permit Number:0lqt06 /, 246 {f,{( I <br />Prope rty Owner:Ct t^&cL .Ar-*"t 014 <br />License #:IZ oe z- <br />a,L lt-t <br />State of California requires that smoke and carbon monoxide (CO) alarms are instatled in residential <br />b u ild ings. <br />California Residential Code (CRC) Sectjon 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 />f\ aotn boxes betow 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 />psmote alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />foom, and on each level of the dwelling. <br />Retrofitted detectors may be b attery-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 (5Flvl). 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 complance 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 />m a n ufacturer's instructio <br />Signature: <br />lcheck onel Licen sed Con t racto r tr P ro p erty Owner <br />NOTE: fhls self-certification is only used lor projects thot oJfect the EXTERIOR of the structure. This <br />process is opplicable oNLY to projects wherc occess to the interior of the dwelling by a Santo Ano <br />lnspector is not required. <br />te: <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Aox 1988 ([.4-19) <br />Santa Aoa, CA 92702 <br />(714) 647-5800 <br />'fl,tl, 31at 3-?a) at.J