Laserfiche WebLink
*,,SA}IIA <br />NA <br />[r\lnG <br />&tulJN <br />.{flrfi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Anner <br />P.O. Box t988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.snnta-ana orq <br />Smoke & CO <br />Alarm Affidavit <br />INSP.O2 2013 CRC <br />This document moy be lound ot..http://rm.,vr.sa nta-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <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 />6\ eoth boxes below must be checked: <br />Vcafton 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 />E6moke 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 lwill retest the alarms per the <br />manufacturer's instructaons. <br />Dote:0t-0( 242/ <br />lcheck onel tr Licensed Contractor El-- Property owner <br />NOTE: Ihis sef-certification is only used for projects thot dflect the EXTERIOR of the strudure. This <br />process is opplicoble ONLY to projeds where occess to the interior of the dwelling by o Sonto Ano <br />lnspector is not required. <br />Project Address: <br />Permit Number: <br />iqO( N Sacresl s A 121011,J <br />Property Owner:[\a.,a- Q\,'vareS C:\r4 <br />Contractor:{?rK,.^.,r {-ooh/Yr License #:-75'l0a I <br />Have this completed form and the job-card readily available on final inspection! <br />Signoture: <br />I I <br />I