Laserfiche WebLink
*,,SNTA <br />AI'IA,ffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />2C Civic Center Plaza Ross Annex <br />P.O. Box 1988 {M.19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />'n/ ,! .! 5Inr;l-laa.'rrq <br />This document moy be lound at <br />(please use a black or blue ink ball-point pen) <br />Contractor:C 2,1 License #: t?r 7i4 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California Residentjal Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon rnonoxide alarms. CRC Section R314.3 and R315,3 define <br />the req uired locations. <br />6\ eottl boxes below must be checked: <br />p carbon monoxide atarms: 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 />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />I Smote 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 Fri'e Marshall (5FM). Battery'life must be 1C 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. <br />(check one\&icense d Co ntracto r tr Property Owner <br />NOTE: This self-ceftification ;s only used for projecE that affed the EXTERIOR ol the structure. This <br />process is opplicable ONLY to projeds where access to the intetiot of the dwelling by o Santa Ana <br />lnspector is not required. <br />Project Address:N- <br />Permit Number:/o//0zg ta <br />Property Owner:fr.., 6 )z/2 <br />Signdture:Dor. e 2- /y.?2'4^"/ <br />Have this completed form and the job-card readily available on final inspection! <br />I <br />I <br />I