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CITE' OF NEWPORT BEACH
�� &y CONUHU ITY DEVELOP1'IENT DEPART1111E�'T
u BUILDING DWISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
rr.rrot<^'' www.newportbeachca_gov 1(949) 644-3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee)
Project Address: l 10 cj 1 Ne.vur-� Ln lA?Lj C t, q110(00
Permit Number: C,o MPS \Q - 011-)
Property Owner: 0- h2 r r.\ 12>c-47-_
Licensed Contractor: Lic #:
The State of Califomia now requires that smoke and carbon monoxide detectors must be
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC 8315.2 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 idtonoxide Alarm: On the ceiling or will 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
`'S 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.
f, the undersfg a reby certify that f am the permittee of the project. f further
certify that s o e r and carbon monoxide alarms are present and tested to
be functional a th flowing locations:
Signature: Date: 8-9—N
NOTE, This a rtlh fan is only used for projects to the exterior of the structure where access to the
interior of th veAing the City of Newport Beach Building Inspector is not achieved dunng the course of
DOC100perm1t_Document_CNB.rpt I version 06.24.2015