Laserfiche WebLink
I <br />Planning & Building Agency <br />20 Clvlc Contlr Phz! Rolt Ann?r <br />P.O. Bor 1988 (r-10) <br />S.nt An., CA 02702 <br />Pr.) c.76800 <br />wwr.!antl { na.ora <br />Smoke & CO <br />Alarm Affidavit <br />--+ <br />rNsP{2 2013 CRC <br />thls document moy bc hu at* htto:/ ,vww.santa-ana.orc/Dba/ <br />(Pteaso use a black or blua ink ball-point pen) <br />Project Addrs3s:ZSoo ^ L S 11 6e- Ss aa ,{ <br />Permit Number:,.to\l! ({1 <br />Proporty Owner:\P5 <br />Contractor: ftsg655,r.rt" 9epV rdS &t s License#: ffi@g <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 />!fa*n monoxlde 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 heeter, cooktop, fumace) or a fireplace. <br />(Smoke 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 mun comply wfth all appllcable 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 contGctor or the property owner of the above project. I further certify <br />that smoke alarms and monoxide alarms have been installed in compliance with the governing <br />Codes and have been te be al. l, also, hereby certify that I will retest the alarms per the <br />manufacture/s ruct <br />lcheck onel Licensed Contractor Pro er <br />NOTE. fhis sett<ertificqtton ls only used for proiec$ thot oltect the EXTERIOR of the structurc. This <br />process is oppliabte ONLY to prclects where acc6J to thc intedot ol the dwettlng by o Sonto Ano <br />lnspedot is not rcquhed. <br />T-\Dote ilSignoturc L <br />Have this completsd form and the job+ard readlly available on final inspectionl <br />?tr\\\[ <br />r{,i\tl <br />()ru