Laserfiche WebLink
*,,SNIA <br />NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box'1988 (M.19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.sa nta-a na. otq <br />Smoke & CO <br />Alarm Affidavit <br />Project Address:nao s l hn C+ <br />Permit Number:bs bL{ q.r <br />Property Owner:h o <br />Contractor:Solrr Sur--rlonu License #, q,g/("lb <br />tNSP-02 2013 CRC <br />This document mdy be lound at... http:/AM,\,^r.SaDta-a na.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />State of Californla requires that smoke and carbon monoxide (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 requ ired locations. <br />4\ eoth boxes below must be checked: <br />E 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 bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />E 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 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 />(check onel Licensed Contractor P roperty Owner <br />Signature:I ^l,r*c <br />Oate:0h?r* (y <br />Have this completed form and the job-card readily available on final inspection! <br />NOTE: Ihls sef-c ertilicotion is only used for projects thot aflect the EXTERIOR of the structure. This <br />process is applicoble ONLY to projects where occess to the interior of the dwelling by d Sonto Ano <br />lnspectot is not required.