Laserfiche WebLink
*,SNTA <br />NAffi <br />Plan ning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />NSP-02 2013 CRC <br />fhis document moy be found ot htto:/,' <br />^,.//santa-ana.orq, oba, <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address <br />/ t2 /"/2.76 / <br />Property Owner: <br />Contractor License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild in gs. <br />California Residential Code (CRC) Section R314.1and R315.2 states in part that exisring dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required loca tions. <br />f\ so,i, boxes below must be checked: <br />EICarbon 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 />VS^oXealarms: 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. Combinatjon Smoke/CO alarms must comply with all applicable standards and be approved <br />by the State Flre Marshall (SFM). Battery life must be 10 years. <br />I hereby certify that I am the contractor or the property owner of the above pro.ject. 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 />ma n ufacturer's instructions. <br />Signdture:Dote: <br />lcheck one)License on tractor P roperty Owner <br />NoTE: fhis set-certificdtion is only used for projects that alfect the EXTERIOR ol the structure. This <br />process is applicable ONLY to projects where access to the intetior ol the dwelling by o Sdntd And <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspectionl <br />I <br />f <br />P.O. Box 1988 (M.19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />w.rn,r, santi-ana.or9 <br />L <br />Permit N umber: <br />i\-J--' <br />tr