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CITY OF NEWPORT BEACH 52613ar rf-orL� S
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
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
Project Address:
Permit Number:
Property Owner: 5
t iZ _4_-V
t'E7Y S
Licensed Contractor:
D�-;Pa_d j Wz9 j1tic #:
Gi''iS J Il
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:
U❑ 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
UK- 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 f nstional in all the following locations: / Q
Signature: - Date: z/-2 �(- /
NOTE: This self-certificaon is only used for projects to the exterior of the structure where access to the
interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of
construction.
Forms\SmokeDetectorandCarbonMonoxideSelfCert 08/12/16
V,700.0-18,0
526 Boy �ronlr S
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
SUBSTANTIAL IMPROVEMENT COST DETERMINATION
PROPERTY ADDRESS:
5:;�(g 15. 3ilY FZvn'T DATE: 3-1( - /1
APPLICANTS NAME: 5t 1n✓ AXAU?LGO7ancT'✓L t` -
CONTACT NUMBER:
6"q4l -5-104 LICENSE #:
CONSTRUCTION COST DETERMINATION
Primary Description of Work Under the Proposed Permit: Valuation
?�"i+•loG� a S /n 644-ZdrsZoi -WaaRs gyt-D (A1)$ 30� I.bO
LG- l
G41 i4 -i Z
Open Permit #
Description of Work Valuation
2.
(A3)$
3.
(A4)$
4.
(A5)$
(AI+A2+A3+A4+A5=A6) Combined Valuation: (A6)$ 3 V1 0,00
MARKET VALUE DETERMINATIONB
1Excellenf
�Conditionn
-Glinood
C=Avera a
//
Copditton
Con3iton ,
0-3 Yrs = 3%0t
0-5 Yrs = 3%
0-5 Yrs = 5%
1. Value of Structure:
$ b I �� bq
7-V
5-10 Yrs = 7%
5-10 Yrs = 9%
2. Percent Depreciation:
%
10-15 Yrs = 11%
10-15 Yrs = 13%
15-20 Yrs = 14%
15-20 Yrs = 18%
3. Depreciation Amount:
$
20-25 Yrs = 17%
20-25 Yrs = 23%
1
25 + yrs = 20%
25-30 Yrs = 27%
4. (A7)Total Value:
$ q 15,r75 5
30 + Yrs = 30%
DETERMINATION (For Staff Use Only)
(A6) Combined Valuations
>_ or <_ 50%
Maintenance / Repair
(A7)Total Value
e Health &Safety
(A6) 3000 =
9 v/
BNot Substantial Improvement
(A7),lo0J
(�
Substantial improvement
Approved
Date: W!/ ,' t y"`
Farms:Su°slantiallmprovementOostOeterminatlon 3-13
X,20rg-0799()
576 13Gy Fron f S
Project
Permit
Inspection Type is):_ �»X.a ��i S A a i f l fleZAt,rLl
Inspection Date (s): ( ) Periodic �) Contlnuous
v
To the but of my lawMedge, tate wodt Yapated rms In acwrdance whh the so" DM ton appt'Dund design drawings,
BPWMCWDM andappanble worMwnahip proviolm Woe U.a.C.Owei t as noted above.
SlWahmpeeitonttepasO.24.15