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NomU09 0 O aw$wd 0NGW Z00Yc '-�� Zm 8-751 EF0 Zc=y0 = 3Eo`m°O3 nm 0E mE V,0awm 4iO^c Mm 0`a0Y.o `6 �pm.3 =Ro o0o>:0Lowoow o 0 co >mO ZW M n 04 U) Wo c1 0M m c ui Z a c c $o W e 3n0Nw n2 wo o n mi U ° vcm°-aamEoo C1.w2o pm ) oEoo E 0c5000DzoEoWm a HEW.M 6, dsw °c cZn� 2a ooc OJ 0r n2JoUUz "c dcw 0 d E y3y pm`gKci0 o�0c2o ` m NOc W Q" `O yUW°16 N N No O E�NWTc ma<�Z m o _.—nC30 U Nu 6N nO 0 Z �q'UUU � __.N avzola-og 15 S;ngleFree Tk CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 SOLAR CONTRACTOR DECLARATION Keep with Inspection card. This form is for the Inspector to take at time of final inspection PART I To be completed BEFORE PERMIT ISSUANCE JOBSITE ADDRESS: CONTRACTOR NAME: I CONTRACTOR STATE LICENSE #:`. I . `) L- /-1 Z7ig �D I ID `t - PANEL MAKE #: PANEL MODEL #: 5 C. -3 Z15 _ PART 2: To be completed PRIOR TO INSPECTION REQUEST and placed with jobsite inspection card DECLARATION: I, iT BLU` -900vvc AQ declare that the PV module make and model (PR TNAM ) number, quantity, and location are installed as per the approved plans. Module manufacturer, make, model and number, fire classifications of modules, and I brackets match the approved plans for the project located at the above referenced address within the City of Newport Beach. (SIGNA E) i -/19 (DATE) 155inglc frce Dr CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permittee or homeowner) Project Address: 115 Permit Number: 9 V 2i.� l cl —c 2--)— Property Z Property Owner: A -A U AA P 0 i),L) Licensed Contractor: TE6UPr Lic #: e c2e / The State of California now requires that smoke and carbon monoxide detectors must be installed in all residential buildings California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors. CRC Section R314.3, CRC R315.3 defines required locations. Both boxes below must be checked. ® Carbon Monoxide Alarm: On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms or in each hallway outside of the rooms, and each level of the dwelling. Detectors are also required in bedrooms with gas fired appliances RD Smoke Alarms: Installed in each room used for sleeping purposes, outside each sleeping area, and on each level of the dwelling unit. Retrofitted detectors may be battery operated for buildings where no alterations are performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms) shall comply with all applicable standards and must be approved by the State Fire Marshall. The devices must be installed per manufacturer's specifications. I, the undersigned, hereby certify that I am the permittee or homeowner of the project. I further certify that smoke alarms and carbon monoxide alarms are present and tested to be functional in,all the following locations: Signature: DateA `5/1 a NOTE: This see lfication is only used for projects to the exterior of the structure where access to the interior of the ling by the City of Newport Beach Building Inspector is not achieved during the course of construction. Forms\SmokeDetectorandCarbonMonoxideSelfCert 09/11/14