Laserfiche WebLink
Plannlng & Butldlng Agancy <br />20 CMc Crrrl.r Plrsr Fot. Ann.r <br />P.O. Bor t9al (tr-lt) <br />Saola Anr. CA 0?702 <br />311) A7.la$o <br />'*'t'* iant .tnr cro <br />lhit dotsra.ot moy bc looad oc... rt p::$.!&!-B:::?:trt:iL23i;-ltrL <br />(Plca* u*a a bt*tt w bh0 tn* b.t,-rx,iat tx,a) <br />Prqpct Addrcss:A*,2-*))-'-8 <br />_kt <br />*//!!/tr * -- <br />Licen t_ <br />State ol Californra requireJ that ,moke and carbon monolde iCOj alarr'.,1 afe ,.slai::c .- ,e; i .: . <br />buildrng:. <br />Cahrornra Re,,rdeotral Code(CRC)SertionR314.1andR3t5.2rtate3rnpa:!th3iers:,.gcrr..g-,24 <br />"retrofitted w,th srnola alarms and c:rbon moroxide alarms. CiC Secko, n3t4.J aoi n-}lt i .] dei ne <br />the required lo..tionJ. <br />fl* **. b.bfl must b. ctu.t d: <br />Efattor, *rid: ebrms: Are instJlled outrde of ?ach sleeping are, rn the rmmediate y,c.n.:,, cf <br />b€drooms and algo on each ,evel ofthe dwelhng. Alarms ara reqsrred rn bedrodms <br />^,:t. tri.,.,gd <br />applianaer (i.e hot water heater, aooktop, furnacei or a t;r€place <br />6mote tbrm:: Are installed in ea(h room uJed lor Jleeping, ,n each hartyiJy o,Jii,de oi e rle...^l <br />room, and on each level of the dwellng. <br />Retrofitt3d dete[tors may be battery-aperaled for burldlngg wh€re no rntellorult?ratrons are <br />pedorrned. combinallon smoke/co atarms must compty w!th all applicabte rtandard! rnd 6" ap9!o!ed <br />by the Statc tire Ma6hall (sfMl. Batt.ry life rriust b€ tO years. <br />I hereby cefiify that Lm tie contractor or the prop€rty owner of the above pro,ect I tunher (e4,fy <br />that smote alatmt and catbon monoxide alarms haw been installed in cornpliande wrth the govers-ng <br />Codos aod have been tetted to be tunctronal l, alto, hereby certrf/ that l$rrii retest the alarr:5 p*r itr <br />manuf atture/s ingtruclions. <br />Dote: <br />lchetk oml Lrc ed Contr:rtor PropertT O.rner <br />NOIEj This sett-certtfitoaiot ir orrly used lN pmi.cts tho, ollac, ,hc f.XtEntO* ol tht srtucrurc- rh;, <br />geess ls oppllc,bla ANLY to prokats vhcte occcss to th? inlcdor ol the dwetting bt o Sonta Ana <br />tnsgccto/, It not.cquked- <br />Have lhis compleled form and the job-card roadily available on tlnal rnspecriool <br />,*,,SAITA <br />A]\.{'{,s' <br />Smoke & CO <br />Alarm Affidavit <br />I Pcrmlt Number: : <br />I Property Orrmer: : <br />d-zat <br />)loa <br />Contraclor: <br />Signatura: