Laserfiche WebLink
*,SANIA <br />NA,ffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annet <br />P.O. 8or 1988 (M.19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />wwr/. s rntS-an a. orq <br />Smoke & CO <br />Alarm Affidavit <br />tNsP-02 2013 CRC <br />This document moy be found ot...h ttp://vr,vw. san ta-ana.o rqlobai <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:Crs <br />Permit Number:lot q rlBl') <br />Property Owner:6tcB d? llluT€lv <br />Contractor:5-P Gnh*io c s,'Gr License *, (?{.-l q t3 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ildings. <br />California ResidentialCode (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 />f\ eo,h boxes below must be checked: <br />Ecarbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrooms and also on each level of the dwelling. Alahs are required in bedrooms with gas-fired <br />appliances (i.e. hotwater heater, cooktop, furnace) or a fireplace. <br />(Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleepang <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 alarmi must comply with all applicable standards and be approved <br />by the State Fire Marshall (SFM). 8attery life must be 10 years. <br />I hereby certify that I am the contractor orlhe property owner of the above pro.ject. 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 instructions. <br />(check onel Li sed Contractor Property Owner <br />NOTE: Ihrs sef-certificotion is only used lor projeas that ofJect the EXTERTOR ol the structurc. This <br />process is opplicable ONLY to projeds where access to the inte ot oJ the dwellinq by a Sontd Ano <br />lnspector is not required, <br />Signature:!Dote: <br />12- ?- t-7 <br />Have this completed form and the job-card readily available on final inspection! <br />.) <br />--