HomeMy WebLinkAbout10194351 - Permit.--SANTA
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Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana. CA 92702
(714) 647-5800
www.santa-ana.orq
Smoke & CO
Alarm Affidavit
This document mdy be lound dt...http://www. santa-ana.orq/pba/
(Please use a black or blue ink ball-point pen)
Project Address:Zzzs W 5+ lWe 0l
Permit Number:ionq35l
Property Owner:
Contractor:Poroqr, (url License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
bu ild ings.
California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
1 {|ro,n boxes berow musr be cnecked:
lCrruon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity ofz bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
[*on" alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alteratlons are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
ma n ufacturer's instructions.
(check onel Licensed ont cto r Property Owner
NOTE: fhis sef-certificotion is only used for projects thot offect the EXTERIOR ol the structure. This
process is opplicoble ONLY to proiects where occess to the inte or ol the dwelling by d Sonto Ano
lnspector is not rcquired.
Have this completed form and the job-card readily available on final inspection!
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tNSP-02 2013 CRC