Laserfiche WebLink
Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic C6ntor Plaza Ross Annex <br />P.O. Box 1988 (M.19) <br />Santa Ana, C492702 <br />(714) 647-s800 <br />www.santa-a na.orq <br />rNSP-02 2013 CRC <br />This document moy be found at.,.http://www.santa-ana.orq/pba/ <br />(Please use a black or blue ink ball-point pen) <br />Project Address:llO.f r..l €,rlo^ "f et *^r,. <br />Permit Number:tottDT 29{ <br />Property Owner:Tu(A +{O <br />Contractor:License #: <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"o,n boxes below must be checked: <br />El Carbon monoxide 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 heater, cooktop, furnace) or a fireplace. <br />El 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 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 />ma nufactu rer's inst u ctio n <br />lcheck onel Licensed Contractor Property Owner <br />NoTE: Ihis se/f-cenificotion is only used for projeds thot olfed the ExTERtoR of the strudure. This <br />process is applicoble ONLY to ptoieds where access to the inteiot ol the dwelling by a Sdnta Ano <br />lnspectot is not required. <br />Signoture .h oslnlzt <br />Have this completed form and the job-card readily available on final inspectionl <br />t <br />Pl r\\l\t, <br />\tt\(\ <br />Date: