Laserfiche WebLink
Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.orq <br />tNSP-02 2013 CRC <br />This document mdy be lound dt...htto://www. san ta-ana.orq/oba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:zq35 Nl. ptt)Ep-stD,s- Dg-, <br />Permit Number:\ot1b 8q,% <br />Property Owner:Dnr,-asJ i- dLw{ tbu,- <br />Contractor:LuUrt Fo>71.^lf1 License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <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 req uired locations. <br />A eoalr boxes below must be checked: <br />[C"rUon 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 />ASmof" 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 alarms per the <br />manufacturer's instructions. <br />lcheck onel Licensed Contractor Property ner <br />NOTE: Ihis serl-certiftcdtion is only used Iot projeds thot ofiect the EXTERIOR ol the structure. This <br />process is applicable ONLY to projeds where dccess to the interior of the dwelling by a Sontd Ano <br />lnspedor is not required. <br />Signoturc:1l 1,8tb <br />Have this completed form and the job-card readily available on final inspection! <br />-'-SANTA <br />ANA/r[]ffi <br />Dote: