Laserfiche WebLink
*-SANTA <br />NA'Iffi <br />Planning & Building Agency <br />25 Civic Center Plaza Rcss Ainex Smoke & CO <br />Alarm AffidavitP.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />r/Y/r,/.santa-ana.crq <br />t\sP-c2 2c13 iR: <br />fhis document mdy be found ot.-. <br />(Please use a black or blue ink ball-point pen) <br />Project Address:ist" <br />I Permit Number: <br />Property Owner: <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 eiisting 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 />Both boxes below must be checked: <br />Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />edrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />ap ances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />m, 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). Ba life must be 10 vears <br />I hereby certify that I <br />that smoke alarms an <br />Codes and have been <br />man ufacturer's instru <br />am the c ract or the property owner of the above project. I further certify <br />dca mon de alarms have been installed in compliance with the governing <br />s dtob nctional. l, also, hereby certify that I will retest the alarms per the <br />ns. <br />lcheck onel Licensed Contractor Property Owner <br />Contractor:-i'*.ta-License #:ff{tr/ <br />Signoture: I ,Y-/Dote <br />i <br />Have this completed form and the job-card readily available on final inspection! <br />?l>r L{ot4t <br />tr <br />NoTE: Ihis sef-certificdtion is only used fot projects thot dffect the EXTERIoR of the strudure. This <br />process is applicdble ONLY to projects where access to the interior ol the dwelling by o Santd Ano <br />lnspector is not required. <br />lv