Laserfiche WebLink
*-SNTA <br />NAffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />lhis document moy be found at..http://www.santa-ana.or qlpbal <br />(Please use a black or blue ink ball-point pen) <br />rNsP-02 2013 CRC <br />E/fc-itzic License #: 9€ 7572 C /t)Contractor:D <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 R314.1and 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 uired location s. <br />Ago,t boxes below must be checked: <br />(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 />(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 L0 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 D Licensed Contracto r Pro perty O wner <br />NOTE: Ihrs sef- certificotion is only used for projects thot dlfect the EXTERTOR of the structure. This <br />process is opplicdble ONLY to projects where occess to the interior of the dwetting by d Sonto Ana <br />lnspector is not required. <br />Project Address:2 2 tln <br />Permit Number:2 0/6 33? z 2c/6 334 l0t o)3/6; <br />Property Owner:L -//ti Thn /.cao{L(.{ <br />Dote:O6 o6 <br />Have this completed form and the job-card readily available on final inspection! <br />20 CiYic Center Plaza Ross Annex <br />P.O. Box'1988 (Ml9) <br />Santa Ana. CA 92702 <br />(714) 647-s800 <br />w'rw.santa-an a.orq <br />I <br />,, Signoture: <br />tr <br />Yl