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Box 1 68 DIVISIONNG ewo Beach, CA 92658-8915 wvvw.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 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. %leepCarbon Monoxide Alarm: On the ceiling or wall outside of each separate ing area in the immediate vicinity of bedrooms or in outside the rooms, and each level of the dwelling. Detectors ahallway bedrooms with gas fired appliances are alsorequired in 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 tobe functional 1in all the following locations: Signature: Date. inte This self -certification nluse, NOTE,. of the dwelling by the City of Newport Beach BuPrOjects ilding the ext ectr o sthe structure ructurachieved during the course of construction. FormslSmakeDetectorandCarbonMonoxldeSefnPn no)o­ ,,