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CITY OF NEWPORT BEACH 101 q � P pba tIV4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive 1 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: t O 9 1 f� a4 L � R) J
Permit Number:
' Property Owner:
Licensed Contractor: K0a a. J.oA_ Ar-ir Lic#: TS 4�
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 low must be checked:
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 rpoms, and each level of the dwelling. Detectors are also required in
rooms with gas Fred appliances
❑ ❑ 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 to be fugptionail in all a following locations:
Signature: Date: e Z 9 L Z—
NOTE. This sel - /cation 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\SmokeDetntomndCarbonMonoxideSelfCert 08/12/16
Scan to Validate
PROJECT SUMMARY
Project Name:
1014 E Balboa Blvd HERS VERIFIABLE COMPLETE
70
Address:
1014 E Balboa Blvd MEASURES
City, State, Zip:
Newport Beach, CA 92661
Building Department:
Newport Beach, City of ENERGY CODE
COMPLETE
Permit Number.
H2022-0269 COMPLIANCE
Building Energy Code:
2019 Standards
CERTIFICATE OF
COMPLIANCE (CF1R)
DATE DOCUMENT
TITLE REGISTRATION NUMBER
STATUS
05/24/2022 CF1R-ALT-02-E
Residential HVAC Alterations 422-AO20076608A-000-000-0000000-0000
CERTIFICATE OF
INSTALLATION (CF2R)
DATE DOCUMENT
TITLE REGISTRATION NUMBER
STATUS
06/08/2022 CF2R-MCH-01b-E
HVAC, Ducts and Fans 422-A020076608A-000-001-M01001A-0000
Location 1
06/08/2022 CF2R-MCH-20d-H
Duct Leakage 422-A020076608A-000-001-M20002A-0000
CERTIFICATE OF
VERIFICATION (CF3R)
DATE DOCUMENT
TITLE REGISTRATION NUMBER
STATUS
Location 1
06/08/2022 CF3R-MCH-20d-H
Duct Leakage 422-A020076608A-000-001-M20002A-
M20A
� v/! NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using
information that has been uploaded to that registration platform by third parties that are not affiliated or related to
C I'� E S CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the Page 1 of 1
information contained in this certificate.