Laserfiche WebLink
*-SNTA <br />NA,tffi <br />Planning & Building Agency <br />20 Civic Center Plaza Ross Annex Smoke & CO <br />Alarm Affidavit <br />rNsP{2 2013 CRC <br />Ihis document moy be found at...http://vr,',vr.santa-a na.orq/pba/ <br />(Please use a black or blue ink ball-poinl pen) <br />Project Address:t+1t) w $.n.b-eson PL <br />20 t -l Z'7 -7 -'7Permit Number: <br />Property Owner:{\ a..,I L<- <br />Contractor:ng €LP-'lP, c License #:7+89q6 <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1and 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 />6\ aoth boxes below must be checked: <br />dC"rUon monoxide alarms: Are installed outside of each steeping 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 heater, cooktop, furnace) or a fireplace. <br />9smoke 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 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 icensed Contractor Pro erty Owner <br />NOTE: Ihis sef-certification is only used for projects thot allect the EXTERIOR ol the structurc. This <br />prccess is opplicoble ONLY to prcieds wherc occess to the interior ol the dwelling by o Santo Ano <br />tnspedot is not rcquired, <br />Dote ,)LI,^W" *\..," h Le-Signature: <br />Have this completed form and the job-card readily available on final inspection! <br />P.O. Box 1988 (M.19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />v/ ra.,/. s i nt:!.i n a. ofe <br />I <br />-7t