Laserfiche WebLink
Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />rNSP-02 2013 CRC <br />This document mdy be found ot..http://www. sa nta-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address: <br />Permit Number:(ol (,96t <br />Property Owner::l^ <br />Contractor: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 required locations. <br />A eoair boxes below must be checked: <br />I <br />! CarUon 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 />'Jfr Smoke 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 tr Licensed Contractor tr P roperty Owner <br />NOTE: fhis serr-c ertificdtion is only used for projeas thot olled the EXTERIOR oI the strudure. This <br />process is applicoble ONLY to projeds where occess to the interior of the dwelling by o Sonto And <br />lnspector is not required. <br />Signdture:y cl /-1 Date: <br />,,-SANTA <br />NA""r'ilfi <br />P.O. Box 1988 (M-19) <br />Santa Ana, CAS2702 <br />(714) 647-5800 <br />www.santa"ana.orq <br />Have this completed form and the job-card readily available on final inspection!