Laserfiche WebLink
*-SNTA <br />NA,'ffi <br />20 Civic Center Plaza Ross An <br />Planning & Building v Smoke & CO <br />Alarm Affidavit <br />This document may be fouhd at...hLtB://v,rvr,nr.l santa-a na. o rqlpba/ <br />(Please use a black or blue ink ball.point pen) <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />b u ild in gs. <br />California Residential Code (CRC) Section R314.1 and R315.2 itates in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon mcnoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the req u ired locations. <br />f,\ so,t boxes betow must be checked: <br />B(arbon monoxide alarms: Are installed o <br />bedrooms and also on each level of the dwel <br />appliances (i.e. hot water heater, cooktop, fu <br />6Sq,ot" 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 />by the State Fire Marshall (SFM). Battery life must be 10 years. <br />I hereby certify that I am the contr or or the property owner of the above project. I further certify <br />that smoke alarms and carbo xide alarms have been installed in compliance with the governing <br />? sLh. <br />utside of each sle6fliighrea in the immediate vicinity of <br />ling. Alarms a:e required in bedrooms with gas-firecj <br />rn ace) or a fireplace. <br />INSP.O2 2013 CRC <br />t <br />o <br />Codes and have been tested t functional. l, also, hereby certify that I will retest the alarms per the <br />manufacturer's instruct ns <br />(check onel d Contractor tr operty Owner <br />b <br />P <br />NOTE: fhrs sef- certilication is only used for projects thot dt'fect the EXTERIOR ol the structure. This <br />process is applicoble ONLY to projects where access to the interior of the dwelling by a Santo Ano <br />lnspector is not required. <br />Have this completed form and the job-card readily available on final inspection! <br />Project Address: <br />Permit Number: <br />o <br />Property Owner:'?l=o '3.LL <br />Contractor:c0 0 +;\t -License #: f <br />Signature:/_(Dote:7lz5 - /E <br />tcen <br />- <br />P.O. Box '1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.orq <br />t <br />. t, i r,,\ n14 <br />to tfr 1c8h <br />t- ll lk