Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
*,SAI\r[A <br />NAffi <br />Planning & Building Agency <br />20 Ci/ic Center Plara Ross Annex <br />P.O Bor l98A (l,l-19) <br />Sanra Ana. CA 92702 <br />(711) 5J7-5800 <br />Smoke & CO <br />Alarm Affidavit <br />This document mdy be lound ot <br />(please use a black or blue ink ball-point pen) <br />lp-i".,e-aa*"{Iti 5 ATE <br />Permit Number ot151'll <br />Property Owner:5o,rl N, <br />htif, :/'vr,r,w. santa-ana OrC/ OCa, <br />S <br />^r, <br />4tl"t.A.- C <br />t)e <br />Contractor <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild ings. <br />California Residential Code {CRC) Section R314.1and R 315.2 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 />l)rornboxes berow must be checked: <br />E[Carbon monoxide alarms: Are installed outside of each sleeping area in the irnmediate 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 />E[Smot<e alarms: Are installed in each room used f or sleeping, in each hallwa 7 outside of a sleeping <br />room, and on each level of the dwelling. <br />Retrofitted detectors may be b a tte ry -operated for bu ild ings 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 (SFNI). gattery 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 col.npliance with the governrng <br />Codes and have been tested to be functional. <br />Signoture Dote:lod -t7-zdtu <br />(check onel Licensed Contractor tr Property Owner <br />NOTE: rh6 se/r-ce ftificotion is only used for projects that offect the EXTERIOR of the strudure, This <br />process is opplicoble ONLY to projects where access to the interior of lhe dwelling bY a Sonto Ana <br />lnspector is not rcquired. <br />NP Ehth,t.License # <br />Have this completed form and the job-card readily available on final inspection!