Laserfiche WebLink
*1 <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1933 (ivl-19) <br />Santa Ana, CA92702 <br />(71 4) 6.17-sA00 <br />l,r/',tl,v, S 3 nta -a n a. Of o <br />Smoke & CO <br />Alarm ,Affidavit <br />INISP.O2 2013 CRC <br />This document moy be found at...httc://l'n,'l,,l.santa -a n a.orq/oba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address 10L 5-71 <br />Permit Number:Itot toB,-i 7o <br />Property Owner:C(Icr C), Seatt{E-x- <br />Contractor i'rt-icense *: <br />State of California requires that smoke and carbon monoxide (CO)alarms are installed in residential <br />bu ildings. <br />California ResidentialCode (CRC)Section R314.1and R31-5.2 states in part that existing drruellings be <br />"retrofitted r,vith smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required locations. <br />n Both boxes below must be check:d: <br />ilrionmonoxide atarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each levelof the dwelling. AIarms are required in bedrooms urith gas-fired <br />appliances (i.e. hot \ilater heater, cooktop, furnace) or a fireplace. <br />M^ot."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 (SFIVI). Battery life rnust 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 srnoke alarms and carbon monoxide alarms ha're been installed in compliance vrrith the governing <br />Codes and have been testeC to be functional. l, also, hereby certify that I will retest the alarms per the <br />ma n ufacturer's instructions <br />(check one)License d ntractor V Property Owner <br />ItjOTE: This self-certification is only used f or projects that aff ect the EXTERTOR of the structure. This <br />process is applicable Of'lLY to projects where access to the interior of the dwetting by a Santa Ana <br />lnspector is not required. <br />Signature:Date 3'2L 2o?o <br />Have this completed form and the job-card readily available on final inspection! <br />,4