Laserfiche WebLink
rNSP-o2 2013 CRC <br />lhis document moy be found dt.http://vrv,rv. santa-a na.orq/pba/ <br />(P/ease use a black or blue ink ball-point pen) <br />Project Address:lozl g1 no-9 5 <br />101-l te 5'79?Permit Number: <br />Property Owner: <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />bu ildings. <br />California Residential Code (CRC) Section R314,1 and R31.5.2 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\soill boxes below must be checked: <br />F{"rUon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of <br />bedrboms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appJiances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />EilSmote alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />rdbh, and on each level of the dwelting. <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 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 />manufacturer's instructions. <br />lcheck onel tr Licensed Contractor Prope Owner <br />NOfE: This self-certilicotion is only used for projects that oIIect the ExTERIOR ol the studure. This <br />process is opplicable ONLY to projects where occess to the interior ol the dwelling by a Sonta Ano <br />lnspectot is not requited. <br />Have this completed form and the job-card readily available on final inspectionl <br />Signoture:/Dote:vu 1,1 <br />*,,SNTA <br />NA <br />[rwt0 <br />tulnN6 <br />lG[o <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714)647-5800 <br />:l -c n l or <br />Smoke & CO <br />Alarm Affidavit <br />I <br />I <br />I