Laserfiche WebLink
,.,iSANTA <br />,tNAJl[]ffi <br />a <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box '1988 (Mn9) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.oro <br />Smoke & CO <br />Alarm Affidavit <br />Project Address: <br />Permit Nurnber: <br />Property Owner: <br />License #:Contractor: <br />tNSP-02 2013 CRC <br />This document moy be found at.httD://www. santa -ana.oro/oba/ <br />(Please use a black or blue ink ball-point pen) <br />State of California requires that smok d carbon monoxide (CO) alarms are installed an residentialn <br />buildings. <br />California ResidentialCode (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 />f\ soth boxes below must be checked: <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 />manufacturer's instructions. <br />lcheck onel cen se d Contractor Pro Ow <br />NOTE This self-certification is only used for projects thot offect the EXTERIOR ol the sttucturc. This <br />process is applicable ONLY to projects where access to the interior oI the dwelling by a Sdnta Ano <br />lnspector is not required, <br />Dote:Signoture: <br />Have this completed form and the job-card readily available on final inspection! <br />6kAmonoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bddroort and also on each level of the dwelling. Alarms are required in bedrooms with gasJired <br />ay\nces (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />y'E S["oUe alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />ffil(