Laserfiche WebLink
Planning & Building Agency Smoke & CO <br />Alarm Affidavit <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 o19 <br />tNSP 02 2013 CRC <br />fhis document mqy be lound ot...h ttp:/lMM/v. sa nta-ana.o roloba,' <br />(Please use a black or blue ink ball-point pen) <br />Project Address:M <br />Permit Number:k t 66(,1 I <br />Property Owner:Nonc $o..n \,{r. <br />Contractor:License #: <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 R314.1. and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the requ ired locations. <br />A ao,h boxes below must be checked: <br />E Carbon 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 />S Smot e 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 />bV 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 complaance 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 />man ufacture r's instructions. <br />(check onel Licensed Contractor 8. Prope y Owner <br />NOTE: fh6 se/r-c ertificdtion is only used for projects thdt dffect the EXTERIOR of the sttucture. This <br />process is applicdble ONLY to projects where dccess to the interior of the dwelling by a Sontd And <br />lnspector is not required. <br />0,1a x)l*,^,tn -Dote s.l u/rs <br />Have this completed form and the job-card readily available on final inspection! <br />,"-SANTA <br />NA-Tffi <br />Signature: