Laserfiche WebLink
(oP (wo-<t- <br />Planning & Building Agency <br />20 Civic Center Plaza Rcss Annex Smoke & CO <br />Alarm Affidavit <br />NSP-02 20 ]] CRC <br />This document moy be found ot h )\/,,,/,,,/ Sa n ta -a.a Ofa,'3ba ' <br />(P/ease use a black or blue ink ball-point pen) <br />State of California requires that smoke and carb on monoxl de (CO) alarms are installed in residential <br />buildings. <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 eotf, boxes below must be checked: <br />rbon monoxide alarms: Are installed outside o AC sleeping are in the immediate vicinity of <br />be <br />ap <br />)s and also on each level of the dwelling. Aiarms are required in bedrooms with gas-fired <br />nces (i. e. hot water heater, cooktop, furnace) or a fireplace <br />5moke alarms: Ai'e insta lle oom used for slee tn allway outside ofa <br />oom, and on each level of the dwe lng <br />Retrofitted detectors may be ba tte ry-o pera ted for bu ildings where no interior alterations are <br />perform ed. Combination Smoke/ust com ply with all applicable standards and be approved <br />by the Strte Fire Marshail (SFM) <br />I hereby certify that lam the contractor or e p roperty ow ner of the above project. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in cornpliance with the governrng <br />Codes and have been tested to be functional. l, also, hereby certify that I wjll retest the alarms per the <br />ma nufactu rer's structions <br />(check onel icen sed Con r Pro perty Owner <br />NOTE: Ihrs sef-c eftificotion is only used for ptojects that affect the EXTERIOR of the svucture. This <br />process is applicoble ONLY to proiects where access to the interior of the dwelling by a Sontd Ana <br />lnspector is not tequired. <br />Project Address:lj'to I n+z w tft+a, t D-, L u,,Ih <br />Permit Number /2/?rz 7= <br />Property Owner: <br />Contractor: I 'rbQ.rz*A-rr0/d License #O7f7fC) <br />ln each rn eac <br />attery life must be 10 yeers <br />Signature:Date: <br />Have this completed form and the lob-card readily available on final inspection! <br />fi,,0'SNIA <br />NA,ffi <br />P.O. Box'1988 {M-19) <br />Santa Ana. CA 92702 <br />(714) 647.5800 <br />w na& s rrr!r-a,1:t ail