Laserfiche WebLink
ffi$ANTA <br />.,Al{Affi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box '1 938 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />t! ,v /, sln tf,-aaa.or:l <br />Project Address:c^Y. <br />n <br />License #l'r-..>bLZ-0 <br />I.JSP-02 2C13 CeC <br />Thisdocumentmaybelound at... hti::/,,v.,',i,i.sanla-ana.cr0./cb?' <br />(Please use a black or blue ink ball-point pen) <br />Permlt N umber: <br />Property Owner: <br />State of California requires that smoke and carbon monoxlde (CO) alarms are installed in residential <br />b u ild ings. <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 u ired Iocations. <br />A eotl, boxes below must be checked: <br />A Carbon 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 bedroonrs with gas-firecl <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />p 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-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 ha,re been installed in compliance with the governrng <br />Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />ma n ufactu rer's instructions. <br />{ <br />lcheck onel Licensed Co ntractor Pro perty Own <br />NOTE: fh,s sef-c ertificotion is only used for projects thot dffect the EXTERIOR of the structure. This <br />process is applicable ONLY to projects where occess to the interior of the dwelling by a Santd Ana <br />lnspector is not required. <br />Sig natur e:Date 1^nt B,e-/ <br />Have thrs completed form and the job-card readily available on final inspectionl <br />Smoke & CO <br />Alarm AffidavitI <br />Co ntra ctor: