Laserfiche WebLink
*,SNTA <br />NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA927A2 <br />(714) 647-5800 <br />ww,v. santa-ana. oro <br />This document moy be lound at... <br />201 3 CRC <br />san <br />(Please use a black or blue ink bail-point pen) <br />state of california requires that smoke and carbon monoxide (co) <br />buildings. <br />california Residential code (cRC) section R314.1and R315.2 states in <br />"retrofitted with smoke alarms and carbon monoxide alarms. cRC <br />the required locations. <br />6\eoar, boxes betow must be checked: <br />A carbon monoxide atarms: Are instailed outside of each sleeping a <br />bedrooms and also on each level of the dweiling, Alarms are required <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />a in the immediate vicinity of <br />bedrooms with gas-fired <br />,fr.s-or" alarms: Are installed in each room used for sreeping, in ea hallway outside of a sleeping <br />room, and on each level of the dwelling. <br />Retrofitted detectors may be battery-operated for buildings where n <br />s are installed in residential <br />rt that existing dwellings be <br />n R314.3 and R314.3.3 define <br />interior alterations are <br />performed. combination smoke/co alarms must comply with all appl <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 <br />that smoke alarms and carbon monoxide alarms have been installed ir <br />e standards and be approved <br />bove project. I further certify <br />compliance with the governing <br />codes and have been tested to be functional. l, also, hereby certify I will retest the alarms per the <br />ma n ufactu rer's instructions <br />lcheck onel Contractor ner <br />NorE: This self-certification is only used for projects that offect the of the structure. This <br />process is applicable oNLY to projects where occess to the interior of <br />lnspector is not required. <br />dwelling by a Santa Ana <br />AI <br />oke & CO <br />rm Affidavit <br />Project Address:7rB fia,J*envr >=ef( <br />Permit Number:/O/ lo 3 /.,9 / <br />Property Owner:-l-+UContractor:Ttrsct R2yRDA License r ', lo(669 <br />Signature:z oatl: <br />=/z-n /-, <br />Have this completed form and the job-card readily avai on final inspection!