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R2022-02�+q
CITY OF NEWPORT BEACH l%LA S bal f4DA+-
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: 45o4 so 44Ai ,AAP-�7_ Z$
Permit Number: o-A.7g
Property Owner: Pxrh.s Ja,l n
Licensed Contractor: 444 cf opA-�cf rM7Av,,z.4 L i c #: 7S61 o3
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:
20 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
E96 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 fun tional in all the following locations:
Signature: Jr- - 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.
Forms\SmokeDetectomndCarbonMonoxideSelfCert 08/12/16
PROJECT SUMMARY
Project Name: 1504 S Bay Front
Address: 1504 S Bay Front
City, State, Zip: Newport Beach, CA 92661
Building Department Newport Beach, City of
Permit Number. TBD
Building Energy Code: 2019 Standards
Scan to Validate
HERS VERIFIABLE
COMPLETE
31
MEASURES
ENERGY CODE
COMPLIANCE
COMPLETE
CERTIFICATE OF COMPLIANCE (CF1 R)
DATE DOCUMENT TITLE
REGISTRATION NUMBER
06/28/2022 CF1R-ALT-02-E Residential HVAC Alterations
422-A020098420A-000-000-0000000-0000
F06 changed from "8" to "9.5"
F10 changed from "14" to "16"
F06 changed from "6" to "10.2"
F10 changed from "14" to "16"
CERTIFICATE OF INSTALLATION
(CF2R)
DATE DOCUMENT TITLE
REGISTRATION NUMBER
06/28/2022 CF2R-MCH-01b-E HVAC, Ducts and Fans
422-A020098420A-000-001-M01010A-0000
Location 2
06/28/2022 CF2R-MCH-20a-H Duct Leakage
06/28/2022 CF2R-MCH-22a-H Fan Efficacy
06/2812022 CF2R-MCH-23a-H Airflow Rate
System 1
06128/2022 CF2R-MCH-25c-H Refrigerant Charge
System 2
06/28/2022 CF2R-MCH-25b-H Refrigerant Charge
continued on next page -
422-A020098420A-000-001-M20011A-0000
422-AO20098420A-000-001-M22013A-0000
422-A020098420A-000-001-M23012A-0000
422-A020098420A-000-001-M25016A-0000
422-A020098420A-000-001-M25017A-0000
STATUS
STATUS
is
�, =rtt NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using
0 � CHEERS information that has been uploaded to that registration platform by third parties that are not affiliated or related to
? / CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the page 1 Of 2
information contained in this certificate.
CERTIFICATE OF VERIFICATION
(CF3R)
DATE
DOCUMENT
TITLE
REGISTRATION NUMBER
Location 2
06/28/2022
CF3R-MCH-20a-H
Duct Leakage
422-A020098420A-000-001-M20011A-
M20A
06/28/2022
CF3R-MCH-22a-H
Fan Efficacy
422-A020098420A-000-001-M22013A-
M22A
06/28/2022
CF3R-MCH-23a-H
Airflow Rate
422-A020098420A-000-001-M23012A-
M23A
System 1
06/28/2022
CF3R-MCH-25c-H
Refrigerant Charge
422-A020098420A-000-001-M25016A-
M25A
System 2
06/28/2022
CF3R-MCH-25b-H
Refrigerant Charge
422-A020098420A-000-001-M25017A-
M25A
Scan to Validate
STATUS
rfv NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using
�� information that has been uploaded to that registration platform by third parties that are not affiliated or related to
4 CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the page 2 of 2
information contained in this certificate.