HomeMy WebLinkAboutXR2023-0821 - MiscrEWP°kT CITY OF NEWPORT BEACH
o�
m
n COMMUNITY DEVELOPMENT DEPARTMENT
i3 r BUILDING DIVISION
"vrora+•r 100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beact,
CA 92658-8915
www.newportbeachca.gov 1 (949) 6443
00
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee
rhomeowner)
Project Address:�Ly
Permit Number:
Property Owner:
Licensed ContractodIrz!\C UVA-A
lo3�c�t'�
The State of California now requires that smoke and carbon onoxide 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;
WCarbon 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 fo sleeping purposes, outside
each sleeping area, and on each level of the dwelling 4nit.
Retrofitted detectors may be battery operated for byildin where no alterations are
performed on the interior. Multiple -purpose alarms (carbon n onoxide and smoke alarms)
shall comply with all applicable standards and must; be pproved by the State Fire
Marshall. The devices must be installed per manufacturer's s ecifications.
I, the undersigned, hereby certify that I am the permitee or homeowner of the
project. I further certify that smoke alarms and carl ion monoxide alarms are
present and tested to be functional in all the following to ations:
_
Signata� ��y8�ggj-&-CZ7&TQ? Afl ate: t B a r�
c-
NOTE : This self -certification is only used for projects to the exterior of
interior of the dwelling by the City of Newport Beach Building Inspectoris
construction.
Fonnsl ..keoetectamndCar onMono,ddeSelfCed 08/12/16
structure where access to the
`achieved during the course of
CITY OF NEWPORT BEACH
�t COMMUNITY DEVELOPMENT DEPAI LTMENT
u rb BUILDING DIVISION
C9��OPN�Pi 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1(949) 644-32C 0
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee �r homeowner)
Project Address: q-t 3� V i k V-, yV
FOMMU'M Mn
Property Owner: n
Licensed Contractor: Lic
The State of California now requires that smoke and carbon
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC
existing dwellings be "retrofitted with smoke detectors and
CRC Section R314.3, CRC R315.3 defines required location:
Both boxes below must be checked.
oc Carbon Monoxide Alarm: On the ceiling or v
sleeping area in the immediate vicinity of bedrooms
the rooms, and each level of the dwelling. De
bedrooms with gas fired appliances
MK Smoke Alarms: Installed in each room used f
each sleeping area, and on each level of the dwelling
detectors must be
5.2 states in part that
on monoxide detectors.
outside of each separate
in each hallway outside of
:ors are also required in
sleeping purposes, outside
lit.
Retrofitted detectors may be battery operated for building 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 s ecifications.
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 Io ations:
Signature: '� 'Y// cam` ate: f O
NOTE: This sell -certification is only used for projects to the exterior of
interior of the dwelling by the City of Newport Beach Building Inspector is
construction.
Forms\SmokeDelectorandCarbonMonorideSeItCen 08117li6
structure where access to the
'achieved during the course of
ot:w- CITY OF NEWPORT BEACH
COMMUNITV DEVELOPAILNT DEPAW11MENT
BUILDLNGDIVISIONrA1U7 {.i4k {..E1116i QrtV4 I P O. ap. v7(I8 I NmrprW beach, M t!`d'1`_8 Et915
r1Yw.'M'�¢8/7J3A'Yvr'ro.pav 140{01644.3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(tK*8' conl6car1cx't * b tee 4901 Out by rhojpwm,tw a, h+x^�rar,•s rJ
Protect Atk!irow u+ f
Petrmel Number:
Pmpr,'rtY Owner:
Lrtensrd Contractor �LJ31'S Pi" Lic q: In_ _TAR i.LT -
The State Of Catr'omia now requires that vrIrke and cartann monoxide deteelors must Ire:
insinliod in all residential br:i1n;rv.Is
California Rcisidontxal Crsie (CRC) Sewn R314 t_ CRC R315.2 Stale,. in part that
exi;:ling dimAli ags be 'te!trofitted vnth srnck4 dolrrors and carbon monnxidi.- detectors.
CRC Ser-Lon R314.3, CRC R315.3 &-fines required locations.
Both boxes below must be chocked:
A: i Carbon frscxroxidr. Alarm: On the ceiling or wall outside of each qep,tiataj
sk-epinq art.'.a vt thL! irnmrrtiate t^tinity of bedrooms or in oaeh halhhay cutsidee at
the rooms, and each level of t" dwelling, 0eleeo^s are also requirt;d in
h@dw.buirr.'; w.th g-as fired:�pi.itr^:t a
�;. Srr.,Ae Alarms: Mst8:k-:! n1 eacJ'i ruuin used for sleeping purposes. Outsidu
ea=h slleep'-g area. and on eacti le -,el or' ti-e dwelling unit.
Reirortled cietednrs may be bat'ery operated far buildings WiUiu no a;lerations are
Iwo>4orrned on the inferior. h4u liple-purpose alarms (carbon mottott:de and snr oke alarms)
chpll comply with all applicable siandartfs and must be approved by the State Fire
Mia: _4m1. The do es mull be InstaEsek1 tier nttlruiudurer'S Sped catio,:s
1, the undersigned, hereby certify that t am the permitter or homeowner of the
projorl, I further certify, that smoke alarms and Carbon monoxide alarms are
present and tested to his functional In all the fallowing locations:
NOTE Tt.'; 3c,Ytt+,'.ftidt,�:;: u 00f ,:.S,ti7 .'W N"',4W9 04 rf.•n QrIP.,w Of IR9 &S't.VAWO wA_:rt 63 to ft
-I!,: ^,r off" dwo,"Ip by rM, G-IYOr+14wWI (0x? [ A-,k' krg rnipecivis rid WN15,60 fM Wtlse Of
CITY OF NEWPORT BEACH
lj
C'ONt--UNITY DEVELOPMENT DEPART-w-N'T
BUILDING DID ISIOiN
100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 92658-6915
www.newportbeachca-gov 1 (949) 544-3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(tins certification is to be filled out by the permittee or homeowner)
�1:-, V I
Project Address: _ �•i- v T- yr i ; I n r, -. ,.�-f' r"� _ •L z �.�:;� :'�'{' _ 7 cr C, i
Permit Number: Y' gd-c�a 01�5-2)1
Property Owner' JC . {1'h c: ti i ; _ .,kc !c
Licensed Contractor: (�L+kp� Lic
The State of California now requires that smoke and carbon monoxide detectors must be
installed in all residential buildings
Califomia 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 defiles required locations.
Both boxes below must be checked.
lJ Carbon Monoxide Alarm: On the coiling 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 aas 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 ail applicable standards and must be approved by the State Fire
Marshall. The devices must be installed per manufacturers 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 -
Date: I If, Zu 2NOTE: This selr-certlficabon is only used for projects to the exterior of &w structure wwoom access to the
interior of the dwaJting by the Cty or Newport Beach Building inspector is not achieved dwing the cmrse of
construcbbr..
r�:ismmm�:n:ron��,rn.bo�rs�xsarc�n aerlufa
CITY OF NEWPORT BEA
COMMUNITY DEVELOPMENT DEPARTMI'Jil_ IV 2 0
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200 cy
SMOKE DETECTOR AND CARBON MONOXIDE'___
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
Project Address: 1-
Permit Number:
Property Owner:
Licensed Contractor: C
k
Lie #: iL" <1_t -"Y( )
)_6 (4a
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
On 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 1 am the permittee or homeowner of the
Project. I further certify that smoke alarms and carbon monoxide alarms are
present and tested to be functiopal In all the following locations:
C /\
Signature: 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.
F-TM-ISM.kaDot,CtorandCa,bon MonoAd.SelfC.tt 08/12H0
CITY OF NEWPORT
c� Rr
COMMUNITY DEVELOPMENT T
X. BUILDING DIVISION
a�',r 100 Civic Center Drive I P.O. Box 1768 1 Newport
Fo
www.newportbeachca.gov 1(949) i
SMOKE DETECTOR AND CAF
SELF-CERTIFICA
(this certification is to be filled out by the )
Project Address:
Permit Number:
Property Owner: /� ltl' i ftt/e�/cc�1i i
Licensed Contractors,,, ^vt I t )Lsig/ nA,,y& rC, Lic
The State of California now requires that smoke and carbon
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC
existing dwellings be "retrofitted with smoke detectors and
CRC Section R314.3, CRC R315.3 defines required location
Both boxes below must be checked:
Carbon Monoxide Alarm: On the ceiling or v
sleeping area in the immediate vicinity of bedrooms
the rooms, and each level of the dwelling. De
bedrooms with gas fired appliances
Smoke Alarms: Installed in each room used f
each sleeping area, and on each level of the dwelling
92658-8915
NOXIDE
homeowner)
detectors must be
5.2 states in part that
:)n monoxide detectors.
outside of each separate
in each hallway outside of
tors are also required in
sleeping purposes, outside
tit.
Retrofitted detectors may be battery operated for buildin where no alterations are
performed on the interior. Multiple -purpose alarms (carbon n onoxide and smoke alarms)
shall comply with all applicable standards and must be ipproved by the State Fire
Marshall. The devices must be installed per manufacturer's oecifications.
I, the undersigned, hereby certify that I am the perms tee or homeowner of the
project. I 'further cert�Y that smoke alarms and car on monoxide alarms are
present and tested to bh functional in all the following to ations:
Signature: \1 c�\� ate: 'n I ,� ' ��
NOTE: This self -certification is only used for projects to the exterior of he structure where access to the
interior of the dwelling by the City of Newport Beach Building Inspectors not achieved during the course of
construction.
Fon SISmokeOetectomndCaN.nMonoxideSel(Ced 08/12/16