Laserfiche WebLink
*-SAI\rlA <br />NA,Iffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-'19) <br />Santa Ana, CA92702 <br />(714) 647-5800 <br />w'&w.santa-ana.orq <br />NSP 02 2013 CRC <br />This document may be lound at...h ttO:/A,,li l.,v. santa-an a.orqlobal <br />(P/ease use a black or blue ink ball-point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with srnoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the req u ired I o tio n s. <br />oth boxes below must be checked: <br />Carbon rnonoxide alarms: Are installed outside of each sleeping area in the imitediate vicinity of <br />bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appli ces (i.e. hot water heater, cooktop, furnace) or a fireplace <br />Smoke 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-o pe rated 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 (5FM). 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 />Ddte: <br />(check onel Licensed Contracto r P rope rty Owner <br />NOTE: Ihis sef- certilication is only used for projects thot aflect the EXTERIOR of t e structure, This <br />process is applicoble ONLY to projects where occess to the interior of the dwelli by o sonto Ano <br />lnspector is not required. <br />4il-1n <br />Project Address:\l- <br />1 qt0l <br />qr <br />Property Owner:Adu EgcoAto\[ <br />Contractor:Grr\,lro"\ U*\o*License #:qs5g q3 <br />Signature:0l'%itzv '7- z{- t8. <br />Have this completed form and the job-card readily available on final inspection! <br />I Permit Number:I <br />tr