Laserfiche WebLink
*,SNTA <br />NA.ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />INSP-o2 2C1J CR' <br />fhis document moy be found ot..h ttp://y/t&,/v. sa n ta-a na.or q/ Pba, <br />(P/ease use a black or blue ink ball-point pen) <br />ProjectAddress: 25t3 s. bOUGLnS SI <br />Permit N umber:totl3q60 <br />Property Owner: RicHApb bURnN <br />Contractor: <br />State of California requires that smoke and carbon monoxide (CO)alarms are installed in residential <br />bu 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 R31.4.3.3 define <br />the required locations, <br />A eo,h boxes below must be checked: <br />Et-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 firepiace. <br />Elfmoke 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 1C yeais, <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 />manuf acturer's instructions. <br />Signdture: dL I l__Dote) Oa. 2e. 2Ot-7 <br />lcheck one)tr Licensed Con tractor V Property owner <br />NOTE: Ihls sef-c ertificdtion is only used for projects thot alfect the EXTERIOR ol the structure. This <br />process is applicable ONLY to projects where occess to the intetior of the dwelling by o Sonta Ano <br />lnspector is not rcquired. <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />P.O. Box 1988 (M-19) <br />Santa Ana. CA 92702 <br />(714) 647.s800 <br />varaa/ santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />REXWFy eoOtriNG License #: 6SScBb