Laserfiche WebLink
,--SANTA <br />NA <br />[Nn-C <br />&ttut\c <br />1m0 <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.orq <br />Smoke & CO <br />Alarm Affidavit <br />INSP-02 2013 CRC <br />fhis document mdy be lound at..http://www.santa-ana.o rqlpbal <br />(Please use a black or blue ink ball-point pen) <br />Project Address:1 11 , . .1on16tuL bl <br />IOIsrT2,? <br />Property Owner:Tnxr rc€ C:=RLLA.RDC <br />Contractor:License #: <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 />A eoth boxes below must be checked: <br />[CarUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />6edrooms 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 />trLS.of" alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping/room, <br />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 pro.iect. 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 I will retest the alarms per the <br />manufacturer's instructions. <br />lcheck onel tr Licensed Contractor Property Owner <br />NOTE: Ir,is serl-ceftilicotion is only used for projeds thot ofied the EXTERIOR of the strudure. This <br />process is opplicable ONLY to projeds where dccess to the interior of the dwetling by a Sdnto Ana <br />lnspectot is not rcquted, <br />Have this completed form and the job-card readily available on final inspection! <br />t) I,r<,.<Signoture:Dote:Dil/l&rl tz <br />I Permit Number: <br />I <br />I <br />I I <br />I <br />I <br />I <br />I <br />al