Laserfiche WebLink
,-*sA[[A <br />A]\J,,"ffi <br />Pia,. r,:r: i & ts L ildin.g A ga -t:7 <br />20 Civ;c C e,^'.!.. Plala lcss Ann6x Smoke & CO <br />Alarm AffidavitP.O. Box ,988 {M-'19) <br />Santa A[a, CA 92702 <br />(714i 647-5800 <br />tkis dotuinent ma,/ be lourld at... <br />(p/e ase use a bla,ck or blue ink ball-point pen) <br />Project Addrass:zt3 B a E DAtl-tr\\-L?Ag <br />Property Owner:F l\ o t\€ 4- <br />Co ntra ctri:l-icanse #: <br />State oF California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <br />California Residential Code (CRC) Section R314.1and R315.2 states in part thar axisting dwellings be <br />"retrotitted with smoke alarms and carbon monoxide alarms. cRC section R31.4.3 and R315.3 define <br />the required locations. <br />A eotl bo,(es below ffiusr be checked: <br />@"(Jionrnon'axid'e aiarmr: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dwelling. Alarms are recommended in bedrooms with gas-fired <br />applia s (i.e. hot water heater, cooktop, furnace) or a fireplace <br />Smoke aJarms: 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). Banery life must be 10 years. <br />I hereby certify that I am the conti"actor or the propefty 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 functionai. <br />{check one)tr ensed Contractor Property Owner <br />or9; ri:is sef-c erl.ificrtiaa is only used lor grojects that sffzct tha €xIERloR ol flhe sf/ucrure. riris <br />procass is opplicable jNLYto projects wkere accesstc,he iat?iot of th?dwe iagby d santaAfra <br />lnspettor is not tgquired- <br />ooalL- ,/ - ZC <br />Have this completed fcrm an.d the job-card readily avail.ab,l.e on final insp€ctionl <br />Fermlt Number: <br />Signat.urz: <br />I .\-.