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X,2015 - 0//I/
CITY of NEWPORT BEACH W1
CONUdLW Y I EVELAV 41ENT DEPARTAIE.NT
BUYLDWG DIVISION
100 Calc Center Onve I P.O. Box 17651 Nevapwt Beach. CA 8265&8916
vmw_rewParMewhcn.8ov 1(940) 844.3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certr'beadw is to be fixed ca by the des or hameawner)
Pro(eet 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
Caiifomla Residential Code (CRC) Section 8314.1, CRC 8315.2 slates in part that
existing dwellings be 'retrofitted with smoke detectors and ew on monoxide detectors,
CRC Section R314.3, CRC R315;3 defines required locations,
BoM boxes below must be checked.-
Carbon
hecked.
Carbon Monoxide Alarm: On the ceiling or well outside of each separate sleeping
area in the immediate vicinity of bedrooms or in each halfway outside of the rooms,
and each level of the dwelling. Detectors are also required in bedrooms with gas
tired appliances
C4 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. Multipla-purpose alarms (carbon monoxide and smoke alarms)
shall comply with all appfiaable standards and must be approved by the State Fire
Marshall, The devices must be lmtaFled per manufacturer's specifications,
1, 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 t — be functional in all the following locations:
Signature: Date: I l z& l?ta
NOTE. This stuff WrGD=tW is c* usod Far pmjcds to tho exteda' ar the srn&um where accrass to Me
Werbr of the ftet rp by the CQy of Nrrnpa r Beach &nlWrkg t vp@cWis not errhWod dw ing Erna t+rum m of
cond udion,
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