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CITY OF NEWPORT BEACH x218 1$'�"6and d%r
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: 12/9 Hl i:'� /-L A i&4 /) I'c' f V E_
Permit Number: V2®19 25f (n
Property Owner: ALSjyC44-AJS 14 f /,j E
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.
LTJ❑ 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
U11- 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 cprtIfy that smoke alarms and carbon monoxide alarms are
present and tested r
be functional in all the following locations:
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.
Forms\SmokeDetectomndCarbonMonoxideSelfCert 08/12/16
City of Newport Beach Special Inspector Manual
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newportbeachca.ctov (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: 1218 Highland Drive Newport Beach, CA 92660
Permit Number: x2019-2516
Inspection Type (s): Welding inspection
Inspection Date (s): 10/17/2019 ( ) Periodic (0) Continuous
Describe Inspection, Including:Location(s):
Arrivedon site as requested by client to ------------------------------------------------------------------------- .......... ......... _..111.1__._ ... ........ ........... 1...1.....11 ..............
to (4)4x4x1/2" HSS beams welded with 1/4' flare bevel groove weld all around of the join as stated on approved and signed
...._._. .....................................................111.....1 --.1-1.1-1.........._. 1 .1.......1 1 ...1...1.11. ......... ................ ........_...............
Structural plans detail 4/S.1, additionally welding connection of (3) 4x4x1/4 beams to (2) 4x4x1/2 HSS beams
............. ........._1111 .. ........ .......... ......_................_..._... .......... ........... 1.1........1..1
Approved and signed structural plans welds were verified for size, location , length and unless noted free from discontinuities
1 ........11 1 1 1.........1 1 . .......... ............._..... ....... ................ .......... ...I .... .......................
Certified Welder: Hak In Kim Granted by Jae Y dim /CWI
List Tests Made:
N/A
List All Items Requiring Correction (Include Previously Listed Uncorrected items): .
Comments:
To the best of mi knowledge, the work Aspected was in accordance with the Building Division approved design drawings,
specifications an applicable workman provisions of the U.B.C. except as noted above.
Spe 'al Inspector Sign ure:
Date:
(
10/17/2019
Print Full Name:
Newport Beach Registration No.:
Edwin Jimenez
Inspection No. NB -0731
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