Laserfiche WebLink
*-sAll'[A <br />NA,ffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center PIaza Ross Annex <br />P.O. Box 1988 (M-,l9) <br />Santa Ana. CA 92702 <br />(714) 647.5800 <br />wwlr/ sant.l-ana.olq <br />rNSP-02 2,1,3 CRC <br />fhis document moy be found ot... h ttp./i 'M,v,ry. sa n ta-ana. orqi pbai <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address 3rr6 t4J PsrB€+r-=s D <br />Permit N umber:/o t1 4zzz <br />Property Owner /Cro*--Url <br />Contractor: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ing s. <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 required locations. <br />f\ gort boxes below must be checked: <br />z{ 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 />Asmoke 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 alarrns pe!'the <br />manufacturer's i ctions <br />Signature Dot - 26\ <br />lcheck on D Licensed Con tractor Property Owner <br />NOTE: Ihrs sef-c ertificdtion is only used lot projects thot alfect the EXTERIOR of the structure. This <br />process is applicable ONLY to projects where occess to the intetiot ol the dwelling by o Santa Ano <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />License #: