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HomeMy WebLinkAboutX2017-3436 - Misc�EW�Rr CITY OF NEWPORT BEACH o� e /, COMMUNITY DEVELOPMENT DEPARTMENT ems„ BUILDING DIVISION cgt/roa�'NP 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: 473 �j/�jS/ p,r o v/, Permit Number: Property Owner. /tE2/ZP_ t T/Zu.S Licensed Contractor: Lic #: 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: l}� 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 ud - 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 an este to be functional in all the following locations: Date: //oXV NOT : This -certification is only used for projects to the exterior of the structure where access to the interior o the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. ForMSlSMakeDete torandCarbonMonorltleSel(Cert 08/12/18 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT u 1W BUILDING DIVISION cg 1POK NP 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newporibeachca.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: 7 Permit Number: Property Owner: Licensed Contractor: Lic #: 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. 0-1 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 9, 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 b nctio I in all the following locations: Signature: Date: NOTE: Thi self certification is only used for projects to the exterior of the structure where access to the interior of t dw fling by the City of Newport Beach Building Inspector is not achieved during the course of ForMSISMoke0eleotorandCarbonMonoMdeSel(Ced 08/72/18 o�a�WA°R e CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT .+„ BUILDING DIVISION o'traoaN�r 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: 17 Permit Number: Property Owner: Licensed Contractor: Lic #: 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. 90 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 AE 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 ted to be functional in all the following locations: „/ Signature: t . Date: 3-�.-1 NOTE This self- rtification 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. F-MSISmokenetwtorendCarbonMonoxldeSelfCe,t 08112116 PORr CITY OF NEWPORT BEACH COINIMUNITY DEVELOPNIENT DEPARTNIENT G > z BUILDING DIVISION cq�"'oQN�r 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: q80 �aaS,t�IP CoJP, Permit Number: Property Owner:�Ck�G� Licensed Contractor: Lic #: 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 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 andXte b fuuo nal in all the (following locations: Signature: � Date: �5_ /15" NOTE: This self -certification 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\SmokeOet torandCarbonMonosideSel(Carl 08/12/16 �a�WP�RT CITY OF NEWPORT BEACH 0 O COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION �a<rFoa�`'r 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: `72:r—Z F OV& ; Zy.. ,C'S. —Zc2�?oLJ Permit Number: Property Owner: Licensed Contractor: Lic #: 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. A:] 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 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 an ed to be func IvrraI n all the following locations: �o Signat re: B ` �t Date: NOT T ' self -certification is only moo' rojects to fhe exterior of the structure where access to the interior of the dwelling by fhe City of Newport Beach Building Jnspactor is nat achieved during the course of construction. FonglSmokeaetectofandCaroonMonoxIde8elf0ort 08112116 rEWP°Rr CITY OF NEWPORT BEACH o� CONINIUNITY DEVELOPNIENT DEPARTNIENT BUILDING DIVISION c9z FoRN%P 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: D/ S Licensed Contractor: Lic #: 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. LJ :i 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 ❑— 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 tes ed to be fun tional in all the following locations: Signature: c) ?,WC Date: NOTE: This self -certification 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. For sWmokeDetectorandCarbonMonoxideSeirCert 06/12/76 P a CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CqC/F00.N�P 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov1(949)644-3200 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification Is to be filled out by the permittee or homeowner) Project Address: `f )'✓S/ �} CC I✓� Permit Number: Property Owner: T7 Licensed Contractor: &T Lie #: 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. 97 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 J r ME 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: —Date: NOTE., This self-certiflcation 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. FOMBs SmokoDetwtomndCerbonMonoxideSelfCert Dail 2116 ` �EWFpRrs CITY OF NEWPORT BEACH COMMUNTTY DEVELOPMENT DEPARTMENT BUILDING DIVISION `cg4FonN�" 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: -0a rot -e— c.i,( ado Licensed Contractor: 091, Lic #: 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. AD 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 AEI 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 befunctionalin all the following locations: p Signature: _ ach (znrado Date: J/19&// o NOTE: This self -certification 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. 87 Form$ZmokeDeteolarendCarbonMonoYJdaeel(Cert 08112118 * ! / ;=4 -p°r�^1, MY OF NEWPORT BEACH J. y1 CO)I�IL:,NIT)' DE\l I..OP�IE\T' DEP,kRTNIL•'N I BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newporl Beach. CA 921558-8915 w' tiw.neV:portbeachca, ov 9 I (949) 644-7200 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certifibabon is tr be file. of out by the peiru'itee or hon7vo vner) Project Address: j!_�' Permit Number: 7 -----t ---� --_--- Property Owner: I.i::ensedContractor: LIC The State of California now r equire-s that smoke and carbon monoxide detectors must be installed in all residential buildings California Residential Code (CR-) Section R314.1, CRC 8315.2 slates in part that existing dwellings be "retrofittee with smoke detectors arid carbon monoxide detectors. CRC Section R314.3, CRC 8315.3 defines required locations. Both boxes below must be chocked: ua Carbon Monoxide Alarm: On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms or in each hallway outside of the rooms, and oLach level of the dwelling. Detectors are also required in bedrooms with gas fired appliances Smoke Alarms: Installed in each room used for sleeping purposes, outside each sleeping area. and on tnH) level of the dvvellinO unit. Retrofitted detectors may be batt$I"V operated for bui�dincs where no alterations are performed on the interior. Milliple-purpose alarms (carbon monoxide and smoke alai -ins) 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:_ — DzL):�1ezG / � ��.... NO) -E: This self.cerflficatlon is only L.,rd for projects to the axterier of fhe structure where access to the ,r,rvriar of the dsve-drny by the C!ty of;V�"Vport Beach F;ui!;Ifnu lnsf;ectoris rof a:i±ie:;ed Bunny the course of cama+'uctron. +„ �. ``amuxE'Caicc:on,,:,a:a•r;uLiNinau:•.Sml!11P OC.'e-: } 03/05/2018 14:03 9497593150 WILLIAM T WHITE 03/02/2018 17'48 FAH 714 434 1111 FINISTCRRA CORP + WTW CONGO ��' '�° CITY OF NEWPORT BEACH CO,MMVNXTX)DEVELOPMENdT DEPARTMENT r BUILDING DIVISION S��rFOap�r 100 Civic Center Drlvo I P.C. Box 1769 1 Newport eea0h, CA 82668,8910 %ww.nenoribeachos.gov I (349) 644-3200 SMOKE DETECTOR AND CARBON MONOXInE 3ELMERTIFICATION (this cor0call©n rs it be fi4ed out by the permfRee or homeowner) Project Address; 1 Permit Number: Property Owner; __� Lloensed Contraotor: PAGE 01/01 /2002/002 The State of California now requires that smoke and carbon monoxide detectors must be Installed in all residential buildings California Residential Coda (CRC) Section R314,1, CRC 8315,2 states in pan that existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors, CRG Sectlon 8314.3, CRC F1315.$ dell ries required locations. 8ofh bONBS 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 Smoke Alarms: Installed In each room used for sleeping purposes, outside each sleeping area, and on each level of the dwelling unit, -- --- , .,"rofillo"atactom-nay–be .baq,"y epomw for. buildings wheper-nn alterations are.. shall comply with all applicable standards and must be approved performed on the interior. Multiple -purpose alarms (carbon monoxide 9n smoke alarms) by the State Fire Marshall. The devices must be installed par Man ufacturoPs speciticatlons. 1, the undersigned, hereby certify that 1 am the permittee or homeowner of she proJect. I further certify that smoke alarms and carbon monoxide alarms are present and tested to b functional in all the following locations: 2cc�c Q i��a4 Signature; — �^ �� Clete: NOTE: This seff-cerflflcff0n fs only used for projects to the oxtett0y 00 the structura where access In the 6tt0riar Of the dwefiing by the City of Newport Heaah Butldtng Inspector is not achleved during the course of PQM%MokaOelnoumnarm mm,noxdng¢frcert 0811 MG p°R o CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT d BUILDING DIVISION CqC/F00.N�� 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: 9CCa—,­K- 0 Licensed Contractor: Lic #: 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. Botth, boxes below must be checked. i/7 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 IQ L 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. 1, the undersigned, hereby certify that I am the permittee or homeowner of the project. I further certify ot smoke alarms and carbon monoxide alarms are present an to to beyhctlpnal in all the following_ locations: Signature: =----.... Date: - NOTE: This self-celoation is only used for projects to the exterior of the structure where access to the interior of the dw N g by the City of Newport Beach Building Inspector is not achieved during the course of construction. FonnslemokeDe[ectorandCarbonMoraxlde8el(Cert 08112/16 aE�'P°Rr CITY OF NEWPORT BEACH o� m COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CgGROPN�P 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-6915 www.newportbeachoa.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: Licensed Contractor: V-0 Lic #: 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. Bothbpxes below must be checked. 71 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 �C 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 y that smoke alarms and carbon monoxide alarms are present and tes to beyf�unNltGGnal in all the following locations: qJW P.D�t51ye eve& Signature: U !/ Date: J? (0 . i NOTE: This self-cflcati Is only used for projects to the exterior of the structure where access to the interior of the dwelling y the City of Newport Beach Building Inspector is not achieved during the course of construction. Forms\SmokeDetectomndCerbonMonoxideSel(Cert 06112116 CITY OF NEWPORT BEACH o � COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION �qc oaN r 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: ✓ties Licensed Contractor: Lic #: 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 U` 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 l 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 al . he following locations: Signature: t/ i Date: qf2o I tai lf mac. S tt �4 t� NOTE: This elf -certification 1s on y use for projects to the exterior o t e struct a where access to the interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. FomistSmokeDateotDrandCarbonMonoxldeSelfCert 08112M e �wWP°Rr CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION Cgtf FpPNNP 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachea.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: 11F A64 011e 6' NPccl/�?il` Permit Number: 61 Property Owner: Licensed Contractor: vrz Lic #: 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. 7 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 E 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. 1, 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:Date: 0.,J7.. 691 NOTE: This self -certification is only usedfor 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. FonnMSMokeDatedorandCa rhonMonexldeSelfCert 08112110 CITY OF NEWPORT BEACH o e ' COMMUNITY DEVELOPMENT DEPARTMENT u y, BUILDING DIVISION ca<oaN r 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 certifications Is to be rifled out by the permittee or homeowner) Project Address: �© ✓ %�Gr V-2 01e 4�2V5 Permit Number: &444 M I(p(av Property Owner: D 1i"I S Fl^'-" 7 -,UJ JdW_ —�S P . Fri' F4,r ly Licensed Contractor: Lic #: 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 8315.3 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 UL 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: G"��� Date: L ig NOTE: This self -certification 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. Fortn918mokeDoWclmendCerbonMono%Ioe8e0Ced 08112/18 O4 �EVVP0 A CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT t BUILDING DIVISION Sq�iFoa�.r 100 Civic Center Drive I P.O. Box 1768 [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:/ai5' � � 46Air9 Permit Number: Property Owner: Licensed Contractor: Lic #: 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: l 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 `az. 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 te sted be fu tional In all the following locations: .Signature:Date: 07—-17e2 � NOTE: This self -certification 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. FonnslSmokoDetectomndCarbonMorroxldeSolfCed 88/12/18 CITY OF NEWPORT BEACH o; a COINITNIUNITY DEVELOPNIENT DEPARTMENT u = BUILDING DIVISION Cq<1FOA�xP 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: Licensed Contractor: Lic #: 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 box elow 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 thero ms, and each level of the dwelling. Detectors are also required in ba( e oms with gas fired appliances _ 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-teste funo'onal in all the following locations: Signature:( /a"/!/'2 !! Date: 5 -,�Z 62 / g NOTE: This self -certification 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. FormslSmokeDetecomndCarbonM000xldeSelFCed 08/12/16 �,E�rP°Rr CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT z BUILDING DIVISION <rFOPNxP 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 tilled out by the permittee or homeowner) Project Address: Permit Number: Property Owner: Licensed Contractor: Lic #: 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. aD 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 ®C 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 ce .fy that smoke alarms and carbon monoxide alarms are present and tested toKbelfunctional in all the following locations: Signattire. Date: NOTE: This self -certification 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. FormsVSmokeDetwwrandCarbonMonoxldeSeltCed 08/12/16 �EW7�°gT CITY OF NEWPORT BEACH ! COMMUNITY DEVELOPMENT DEPARTMENT tea. Z BUILDING DIVISION cq�rFQR��P 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachoe.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: *10 Permit Number: n, -VI Property Owner:. Licensed Contrac 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. VD 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 C 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: '}�A �,,� Date:3 ($ NOTE: This self -certification 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. FormstSmaker)etectomnaCat onManoddeSsirCen 08l1211B CITY OF NEWPORT BEACH CONINIUNITY DEVELOPNIENT DEPARTNIENT 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: 161ro IE Permit Number: x, 1Dk'1- os�.s Property Owner: N*.V&e5 'I]'uU%JtS Licensed Contractor: LiLr&as GO0yol--tC.Cle I 4mfLic #: 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 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: 1J Signature: . Date: 3 It bx NOTE: This tdwng fication is only used for projects to the exterior of the structure where access to the interior of the by theCity of Newport Beach Building Inspector is not achieved during the course of construction. Forma'SmokeDelectorandCarbonMonoxltleSellCart 08/12/18 Wp°Rr CITY OF NEWPORT BEACH pk 5 COMMUNITY DEVELOPMENT DEPARTMENT > BUILDING DIVISION �iaoaN�F 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 Permit Number: Property Owner: Licensed Contractor: Lie #: 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. El Ll 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 ❑❑ 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. 1, 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 teste, Jn all the following locations: Signature: �i�'" Date: 7 �� NOTE: This self. certification is only used for projects to the exterior of the structure where acpess to the Interior of the dwelling by the City of Newport Beach Building Inspector Is not achieved during the course of construction. FormslSMDkeDote orandcarbonMonWdeSel(Cert 08/12x18 �eWP°Rr CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT D 1 BUILDINGDIVISION �41xoFL r 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: (61( (3o.ysrule cove- Permit ovePermit Number: Property Owner: t c n75 T-na&X Licensed Contractor: Lic #: 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 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. 1, 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: V .4.,& Date: f Acw (n -12- 10 NOTE: This self -certification 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. FormslSmoRaDe!ec!o!and0atbonMonwideSelf0art 08!12116 �EW�r'Rr CITY OF NEWPORT BEACH 0� A ? .. COMMUNITY DEVELOPMENT DEPARTMENT iS > BUILDING DIVISION �c�FonNxr 100 Civic Center Drive I P.O. Box 1768 i Newport Beach, CA 92658-8915 www.newportbeachca.gov1(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: _ Licensed Contractor: Lic #: 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 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 a fu tion all the following locations: Signature: Date: I �� NOTE: This se/ certification Is my use a cts to the exterior of the structure where access to the interior of the dwe i' by the Cl of Newport Beach Building Inspector Is not achieved during the course of construction. FonnslSmoke0etwtomndCarbonMonoxldsSeiren 08/12/16 CITY OF NEWPORT BEACH o . o ' sCOMMUNITY DEVELOPMENT DEPARTNIENT veH`. BUILDING DIVISION C.14" NSP' 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: Permit Number: Property Owner: Licensed Contra �ku ee" 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. I 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 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. 1 furth f, certify that smoke alarms and carbon monoxide alarms are present and to be un Tonal i all th owing locations: Signature: Date: NOTE: This self -certification is only used for projects to the exterior of the structure where access to the nterior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. FormslSmokeOelectorandCekonMonoxfdeSel!Cert66/12/16 �EWP°R CITY OF NEWPORT BEACH o� m i CONITNIUNITY DEVELOPMENT DEPARTNIENT U > s BUILDING DIVISION C"OpovtH•V. 100 Civic Center Drive I P.O. Box 17681 Newport Beach,CA 92658-8915 www.newportbeachea.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: j 0 Z � &H 5 i l) � (coin E—P s l Permit Number: Property Owner: Licensed Contractor: f-- 6eue✓k,, - T, Lic #: 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 SLI 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 cern that -4 am the permittee or homeowner of the project. I fp Cher certify that bmoe alarms and carbon monoxide alarms are present and't7�ted to�.b LTctional in��ll toe following locations: � -� Signature: I J' _ J Date: —� T NOTE: This self -certification is only used for pro/ecfs 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. FDMBWMokeCetectorandCarbonMonoxideSelfCa,t 08112116 PR m CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT u BUILDINGDIVISION equFonN�P 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: // r Property Owner: U,&Z 4/f� A a Licensed Contractor: Lic #: 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 C 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 an s ed /benctio I in all the following locations: Signature: Date: `��/�NOTE. This self-certificatily used for projects to the exterior of the structure where access to the interior of the dwelling by tof Newport Beach Building Inspector is not achieved during the course of construction. Farms4SmokeOetectorandCarbonMonoxldeSel(Cert 08/12/10 CITY OF NEWPORT BEACH u COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION �trFOR��P 100 Civic Center Drive I P.O. Box 1768 I 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: Licensed Contractor: Lic #: 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: '®D 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 to C 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 edd to be functional in all the following locations: Signat . %�c�— Date:/ N Is self-cert/fication 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. FmmslSmokeOeteatorandCarbonMonoxldeSelfee,t 08f12116 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT C H°? BUILDING DIVISION o�G+FoaN`� 100 Civic Center Drive P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newporibeachea.gov 1(949) 6443200 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permittee or homeowner) Project Address: O034 545rsrbe J)A G,ve A*.Si Permit Number: Property Owner: Q Licensed Contractor: aar w1_ Lic #: OI 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. X3 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 L 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 t ted to be functional In all the following locations: epi Signature: v iC/� f/k4w Date:3—/f-2_0/t NOTE: This If -certification is only used for projects to the exterior of the structure where access to the interior of th dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. rormalSmokeOetectomndCarbenMonoxldeSe[fCed 88112/18