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CITY OF NEWPORT BEACH 10011A/ QaY Ave
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: J&) i tv a -Y
Permit Number: i "W I,CI. — 3W'?
Property Owner: AAr,,,,,;Lv« ✓ ii „�
Licensed Contractor: % p��AA 0�r_YA,4 /1— Lic#: yU`1LS j
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.
L3 1[1-/ 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
❑[0 / 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 testegAG-be-fuKtional in all the following locations:
Signature: Date: / Y/ 3/ 44
NOTE:his If-cert�ation is only used for projects to the exterior of the structure ere access to the
interior of t dwelling by the City of Newport Beach Building Inspector is not achieved during the course of
Forms\SmokeDetectomndCarbonMonoxideSelfCert 02/25/16
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
SUBSTANTIAL IMPROVEMENT COST DETERMINATION
PROPERTY ADDRESS:
/00/ [n/ & Ly 14-V& DATE: /0,/T /
APPLICANTS NAME:
fi/c, , /�'
CONTACTNUMBER:rOW)
22'3 4450 LICENSEM /JLPZ569
CONSTRUCTION COST DETERMINATION
Primary Description of Work Under the Proposed Permit: Valuation
lrl.} •fes .. fi
�F 'Tcmy., )fie a.✓t.> r� // �l (A1)$ Fxs-Y�
Open Permit #
Description of Work Valuation
1. Zol 1260
Jz/� D002 (A2)$ r,800
2.
(A3)$
3.
(A4)$
4.
(A5)$
®�
(Ai+A2+A3+A4+A5=A6) Combined Valuation: (A6)$_23/
MARKET VALUE DETERMINATION
1 A . e t
-@''ii
� "
6 L� / O 0
�aCo t�
Coa�
&,gn ti
0-3 Yrs = 3%
0-5 Yrs = 3%
0-5 Yrs =• 5%u
1. Value of Structure:
$ /
20
5-10 Yrs = 7%
5-10 Yrs = 9%
2. Percent Depreciation:
%
10-15 Yrs = 11 %
10-15 Yrs = 13%
Z5 ®®
15-20 Yrs = 14%
15-20 Yrs = 18%
3. Depreciation Amount:
$ % / o
20-25 Yrs = 17%q
20-25 Yrs = 23%
1
�O�i Z 8 0
25 + Yrs = 20%
25-30 Yrs = 27%
+
4. (A7)Total Value:
$
30 Yrs = 30%
DETERMINATION (For Staff Use Only)
(A6) Combined Valuations Z or15 50%
Maintenance / Repair
(A7)Total Value
Health &Safety
(A6) 314600
= �. �i '1cof
Substantial Improvement
(A7)
0 3
P PAiubstant' props i. r r.
i
o¢
•
c. "-P d e• t P -'e
*Approved �3y:o `.
Date:
Forms:SubetentlallmpmvementGostO¢termination 3-13 P- p e e e o C. G
C, o e c m o m
0 o Pc o e o o u
0 0 0 o c
P[a iIUO 9 P BC Poe Pi1P
CARA ENG
SRT ' Permlt Speciallst II
@m cnnginnewportbeachcagov
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U r T 949-694-32511949-023-3551 rex
Crt4Fp0.N�e
CITY OF NEWPORT -REACH 9MMT BEACH
100 Civic Center Drive Newport Beach. Cali ernin 9266G
newparme"h`a9pv e DEVELOPMENT DEPARTMENT
Co.. AI
BUILDING DIVISION
Ive I P.O. Box 1768 I Newport Beach, CA 92858-8915
F .newportbeachca.gov 1(949) 644-3200
ACKNOWLEDGMENT OF NO CONSTRUCTION -RELATED NOISE
ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS
On June 11, 2019, the City Council adopted an ordinance restricting
construction -related noise on Saturday in High Density Areas effective
August 12, 2019.
I acknowledge that any construction -related noise, (including, but not limited
to operating power equipment or machinery in a manner that produces noise)
is not allowed on Saturday or Sunday in High Density Areas in accordance
with Newport Beach Municipal Code 10.28.040. As the owner of the
property, I am responsible to ensure all persons working on the property
comply with this provision of the Newport Beach Municipal Code.
Project Address: U& kz /3 , �VC
Owner's Name: c hetu/)'
Owner's Signature:
Contractor's Signature:
Date: WA
Fa,mzNcknowleEgnl¢nl No SaWrtley ConsWction HIg11�osllfdea5
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