Laserfiche WebLink
*,'SNTA <br />NA,tffit <br />\ <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1 988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www.santa-ana,orq <br />Smoke & CO <br />Alarm Affidavit <br />This document moy be Iound dt..http ://www.santa-ana.orq/pba/ <br />(please use a black or blue ink ball-point pen) <br />Project Address: 'i,7c t t Le^|or t,y <br />Permit Number:\O\ \e j9$1 <br />Property Owner: <br />Contractor:5*u- N5 ?o"License #: <br />[v\clt 1(2,2t- <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild in gs. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314,3 and R315.3 define <br />the requ ired locations. <br />Agott boxes below must be checked: <br />J <br />J{Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dweiling. Alarms are recommended in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a flreplace. <br />ASmoke 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. <br />5 x\,tr lr/ 9 n,-* \ s a.r 4-Date:2rLl <br />lcheck onel tr Property Owner <br />NOTE: Ihrs sef- certificotion is only used for projects thot affect the EXIERIOR of the structure. This <br />process is opplicable ONLY to projects where occess to the interior of the dwelling by o Sonto Ano <br />lnspector is not required, <br />Have this completed form and the iob-card readily available on linal inspection! <br />Signoture: <br />I <br />1, <br />Licensed Contractor