Laserfiche WebLink
-,'$ANTA <br />NA <br />ILT\lTiG <br />&[ritDl\c <br />$NI <br />Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annox <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www.santa-ana.oro <br />rNsP{2 2013 CRC <br />fhis document mdy be found ot...h ttp ://www. sa nta-a na. orq/pba/ <br />(Please use a btack ot blue ink ball-point pen) <br />Project Address:Jzty'SfuouovL < / <br />Permit Number:I O/ QY <7r3 <br />Property Owner:Bg)$r\-er)8rz- <br />Contractor:Seftpct %tltvr. lLlcense#: qb?n1\ <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke a,arms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required locations. <br />f,l*,n boxes below must be checked: <br />p C"rUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />6elrooms 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 />pS."f" 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 alterataons 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. lfurther 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 />manufacture/s instructions. <br />lcheck onel Licen ontractor tr Property Owner <br />NOTE: fhis serl-ceftificotion is only used lor projects thot dflect the EXTER,oR ol the strudurc. This <br />process is opplicoble ONLY to projects where occess to the inte ot oI the dwelling by o Sdntd Ana <br />lnspector is not required. <br />Dote lr,-so-V(tu 4andSignoturc: <br />%ave this completed form and the job-card readily available on final inspection ,Y <br />Planning & Building Agency