HomeMy WebLinkAboutXR2022-2756 - Misc (2)I?T!p
NCR
CITY OF NEWPORT BEA
COMMUNITY DEVELOPMENT DEPART
u'•. T' BUILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 9N58-8915
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:
1dp 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
4v 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:
� Sign aturek h, aDate: 0,-AO oZ3
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\SmokeDeteclomndCarbonMonoxldeSel(Cart 08/12/16
I
CITY OF NEWPORT LEACH
-.
tP
C OMNI LAITY DEN ELOPIIENT DEPARTAIENT
131 rLDING M% i IoN
-
Cer'ar Criva I p 2 Eos'7,3 6eacl CA 5 33-99?5
a�.t^ur.evroo�oeachca go,; (949E4432�G
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
- =9/i�/A;%rf:✓'!S.'OOE FI>3'1^,r;-'.l the Ue:;911tiP.G 'P f!"3J:!),�„
actor ttflly� Lio M l0?$LF?I[i
a of -aII rcia ^ow .e o, Ire, "at �m_n
n. a'l side-Itial b i hr^s ° cx:de detectors must be
(CRC) SeC nr r s,a-ta
retr^fitted with s -s In oari hat
on R?. _ C o ; i : i .vnoxlda detectors.
es belowmrist be checked:
Ca,cor G1rn_:xiJe Alarm Cn the cEli , cr vrall outsida or each sepa ate
s ees ng area in t"e :.mediate vicinity of bed, ocr-..s or in each hallway outside of
e recros ._. d P;,:h level of the dwelling, Detectors are also required ir;
_cdro",,s ;a; `r.,d appliances
U'ed in each -oom used fez sle=_oino pul-Poses: outsida
0'1 cacti level C° the T.:'9111n1 unit.
ce battery ocerated for buildings Where no alterations are
hilt^'e-p pose alarms lcal,bon monoxde and stroke alarms)
q o)f I h;e star dards ac' -lust b_ app-ared c•y the State Fire
^.as rT u t ) Instal;ed per 7a :fFC%rer S specifications.
the and ;signed. hereby certify that 1 am the permittee or homeowner of the
f!, ther a ti; that smoke alarms and carbon monoxide alarms are
T and tested e f nctional in all the follovving locations:
v- ---- — Date: 20 M��/ 2023
CITY OF NE�YPORT BEACH
CObIfiiDNTP1' DEVEI.OPMENT DEPARTMENT
dw
I Re.8 NOeINow"n
f` l tea ClNc Cenlsrmr. p.D.aos Dasi Newts) 44actl. CA9x6ah&)Ifi
rnrx nsvganeoscM1ca.gorllatsy e44.3aW
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
fW& ccvlMor Wn to to be NMd out by fire timmdeo or aalleoewer)
Project Address: �/A da17 61 N; 1? A)OW
permit Numb":
Property Owner: y�
Licensed Convector. .af Lie N: if
The Stuta of CallfomW now roxi lros that emace and carbon monoxide delec1ora must be
Installed In all fesidenfial buildings
California Reeldentlal Code (CRC) Section 111314A. CRC R315.2 states In part that
existing dwellings be'Wrolifled with make detectore and carbon mcr aWds detect=
CRC Section R314.3, CRC R315.3 defines required locations.
aorhbelow metal be checked:
Carbon Monoxide Alarm: On the coMlo or well outside of each separate
sleeping area in the Immedlets vicinity of bedrooms or in each halfway outside of
the moms, and each level of the doe". Detectors are else regwed in
rooms with gas fired appliances
Smoke Alarms: Insisted In each roan used for sleeping purposes, outside
each steeping area, and on aoch kwal of the doe" unit.
Rakodbutl defectors may be battery operated for buildings where no alieratlons ere
performed on rite interior. Multiple -purpose a4 mis (carbon monoxide and snwke alarms)
shell campy with all applicable standards and most be approved by the Stele Fve
Marshall. The devices must be Installed per manufacturers speciflcellum.
1, The undersigned, hereby certify that I am the parmlttee or homeowner of the
project. I furtl r certify that smoke alemts and carbon monoxide alarms am
present end to efunctionalI 1l lire following locations:
Slgnatura: o _Date: yC.�/S/. e03
NdiL' This wecedlixefbe h only lead tw n avls le It» a#adnr or ftw tNMum xFhm,.�neowcs b It.
inhfpl of aYl GGYmt'.tj by Ire CAy offiaenwr INII,0 aulbrng N.1,p.farh /wI Mh'Wxe1 f.WN ft CU Of
cofu .wn.
MAY 2.2. 2023
�wW�RT CITY OF NEWPORT BEACH
p�
COMMUNITY DEVELOPMENT DEPARTMENT
a
T BUILDING DIVISION
�trFoaN�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:
Licensed Contractor:CZ,cnyq__ nrC1� _ 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.
11 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
9D 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, hereb certify that am the permittee or homeowner of the
project. I further c that s larms and carbon monoxide alarms are
present and test -Co be fun io 1 all the following locations:
Signature: Date: S�
NOTE: This selfcertif' tion 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.
FomsGmkeDete mndCad MawmdeSe ft OW1]n6
� °T 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
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
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 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 1 am the permittee or homeowner of the
project. 1 further certify that smoke alarms and carbon monoxide alarms are
present and test to be unctional in all the following locations:
Signature: D J}i/%atV Date: s-Zlf
NOTE: This self-certificatron 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.
Famas SinokeDHeaorandCarbmMonoxldeSellCerR
, Sak 9lllf�i®
fvrpmDelenora 4Cad=Monopd,SelI e
CITY DE NEWPORT BlEACfi
COMMUNtl1Y QEYY,IAPMENT DEPARTMri.wT
Ia6CMt [�� ChM •P 4 hnurLDI�t}ed IVIIpOV
I hM�VaM P.+rA. EA Wd'A bit.
"ww ti wmllb&md> 'a Wv I t1).W eu aaob
SUM DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
,'� ra�Irtoaebnaloeaaledahfsyllatlarhhaslesway.�,�,.»rl
Pf"d Adftm
Imo" x..I.._: ----
W tea --L4-ltL"- >
The Site ar califarrte now nrquirei *W MOM snd corpora mrrhaoar 00� m Ua to
tnwWw in an Fftdvyw buiktrnps
C'rff nia "iil C-CdG {CRQ SWIM R:�14 1. CRC R315 2 slat" in pan fat
ng 0*044*V bs 'iy4rofimed With oncks d am tia, a mahomdt deWws
GRC Ss R314 a. CRC 1U16 ad*M%e ragshirad iKebor».
Both bck*s Wow mlrsf ba chmko 1,
y Cart4n Monox4o Alarm On dw a" or wail OwUid@ of aodti fepertb
f s18a ar" in UIS MrAWWa viorry of WdM"* Or in each K*"y eats" g+
Its nxam, and eadl W4M d the dwOrq. Deleekwu an aim +erauirad n
bed=rrhs wnh gas fired app wew*s
$matt AlwTw*: Instated in rich rmm hpysrl for Wgepno puraoins. outs+]@
each zWepuV snits, and on mach lanai of IM darirq udt
FtotrofRled Mmo vs n y be Mary oWnho kr b Wrap wdwre rap atterawrm Wra
mdcnT" at' u* intefY. mitoWpu rtb" $16mv (carbon ffwwxodd♦ and imaks Warms)
VW W71M wt4h all apl+s4ai4IC ilOndstds and m6W be spp med by the State Fue
Marshal. The devica4 must led parrlfaaunra spmffjCits
1, Ifsa unftnii Aids IwretMF
tllrt ! artnam (hi parrnRbn of bwnsow"K of the
proj"t. I furthar certlfrwka alarms wW carbon ut o,y itafni4 are
V*rsrl! and Irayd to bo ftqpmq WV41 the following locatbans:
owm a o* end Arrpegada w Nu tA*w d M aeuhhrs wftm aoasj* hu ow
by ft ch of t mk" awh ' Al me ndwrpad dung pa voirw Cr
�Ew P°qr CITY OF NEWPORT BEACH
0,7; ;; e
C.
, " n COMMUNITY DEVELOPMENT DEPARTMENT
J u^= BUILDINGDIVL4ION
^
C IQVoar100 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: �LI)
Permit Number: �nap
Property Owner:-TAi2�er �4 S21-4-11Jr-) 11A
Licensed Contractor: Qf(16�_ 1 )k Q F c) 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.
Botthboxes below must be checked:
la's 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 further certify that smoke alarms and carbon monoxide alarms are
present and leSfPd to be functional in all the following locations:
Signature: - Date: S 2
NOTE: Thi elf -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.
Form$kSMokeDetaCWmndCarbanMonosideSel(Cart 08/12/16