Laserfiche WebLink
SANTA <br />ANA, <br />Planning E Building Agency <br />20 CMc Conltr Pbzr RoI Anner <br />P.O. Bor 1966 (X-19) <br />Srntr An., CA C2702 <br />or4) ca7680o <br />wwwsanta{na,om <br />Smoke & CO <br />Alarm Affidavit <br />*- <br />rNsP{2 2013 CRC <br />fhls documcnt moy be lound o,- http:/ ,vww.santa-ana.orolDba/ <br />(Pl*se use a black or blue ink balhpolnt pen) <br />Project Addrers:?t}z-o-B ( e3ew S lro\ Ar!-c <br />Permit Number:l.o\1'{to} <br />Property Ownor: <br />-t <br />(1, J. - J l/./ < A - y -.- < <br />Contractor:ft6gg-g5roN*L SelV tcAS &nd Licenso#: ffiO-Clcl <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 alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the required locations. <br />A *,n oor", below must be checked: <br />!(*rbon lnonorlde alarms: Are installed outside of each sleepint 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 heeter, cooktop, fumace) or a fireplace. <br />(Smoke ahrms: 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 buildinSs where no interior alterations are <br />performed. Combination Smoke/Co alarms must comply wlth all appllcable standards and be approved <br />by the State Fire Marshall (SFM). Battery life must be 10 years. <br />I hereby certiry 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 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 tr Licensed or Property Owner <br />NOIet This elt<ettlficotlon is only used lor grol*B thot olled the EXrERIOR ol the sttucture. This <br />process is opplicoble ONLY to prolccts whcte oc.css to aha interior oI the dwetllng by o Sonta Ano <br />tnspectot ls not rcqulred. <br />Have this completed form and the job{ard readlly availabls on flnal inspectionl <br />Date:t <br />$t\0 <br />-*---rt t