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Home My WebLink AboutROOF-19-1026 4 City of Arcadia, CA ..4)-47,42 ;� , - �� PermrtNo ROOF 49 1026 Development Services Department - 1.. 7,°�"4''''w=�i ,.r Permit Type:Roof Arc West Huntington Drive,Post Office Box 60021 'r'.zt r; gg work Classification. Reroof Residential. Arcadia,CA 91066-6021 :� �-((�� r _. i i (626)574-5416 - -{ _ Permit:Stp irs:Issued ARCADIA Issue+Date 05/31/2019,) Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip 53 Christina ST Arcadia,CA Contacts DAMON SCHINDLER Owner Andre Asharian Contractor 1605 E Elizabeth ST#1009,Pasadena,CA 91104 (626)734-2928 1007386 Description: REROOF MULTI FAMILY WITH COMP OWENS Valuation: $45,000.00 Tenant CORNING TRUE DEFINITION DURATION BROWNWOOD CLASS A 100 SQ(JH) Total Sq Feet: 0.00 Plan Check# Plan if Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $796.01 Building Permit Fees $742.75 Cash/Receipt#REC-01383-19 $796.01 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $796.01 7 6-4-19 erpes_Regecir bki&pecrioxt 4y4 I COIUPLETD 6-2-6-17 CALLS FOR INSPECTIONS fir.14-1- Y" Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. / May 31,2019 Issued By: Date May 31,2019 Page 1 of 1 -.3FOgyN , !. PERMIT/PLAN REVIEW APPLICATION 40 "`,$sl_ E01,' Development Services Department,240 West Huntington Drive,Post Office Box 60021 m=ei.>or.. Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of . Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 4 I hereby affirm under penalty of perjury that I am licensed under provisions of I herebyaffirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class i 5q ice eNo. Ia73r6(0 Exp. Date AU- lel compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION jEt I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, 1 CarrierS-111i Yvt,t-b demolish,or repair any structure,prior to its issuance,also required the applicant 1 Policy Number '?1 H)9 G 6 o2 Ieg. for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 37 0 of the Labor Code,I shall ❑ as owner of the property, forthwith comply with those provisions. I, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date 5131 I I Signature sale(Section 7044,Business and Professions Code:The Contractors License 11 Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own - - employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to thecostof compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of.the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed - - contractors to construct the project(Section 7044,Business and Professions • Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY ' who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for further information. \Name 147-A --bA lic L14# \Title PRINT NAME I certify that I have read t is application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with 1 City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter port a above-mentioned property for inspection purposes. Signature \Date c/Jri/1 Ci CCiliPtY • • vmbya„s c 1 AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS .. Property Address: • G 5 A (�i S .� vt(1 S t A r c J ca, C C A• g t 0 O b Permit Number: Brief Job Description: New Rb a C9.U'e1' Number of smoke alarms installed: • € i4 Nurnber of carbon monoxide alarms installed: When alterations, repairs or additions requiring a permit occur;or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basementsand habitable attics as required by Section R314 of the 2016 California Residential Code (CRC)and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each ,separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as requiredivSection R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinolistingsllicenselistinq bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the,manufacturer's instructions and in compliance with the code sections referenced above. l declare under penalty of perjury that the foregoinA is true and correct, and that this declaration was executed on (Date)• _oz. -9/. "7- at Arcadia, California. Owner's Name (printe'I ped): /(=10/ecits Signature of Owner: This affidavit must be returned to the City of Arcadia inspector prior to final inspection ;.ND al 'OiOt ! . _.i Ail • ; 01.,_ Goesl Roo7- Bathreu Storage Family Room s Garage .. 7 FIRST FLOOR PLAN .=SMOKE ALARM = CARBON MONOXIDE ALARM 17—nit C11 Mstr �I-, Bath 1 . Master Bedroom • Dining Room Kitchen . - 13attl :11 • _ - . Closet l�laU — _ -r Closet Closet Family Room. {r ' . Bedroom-: I3edrooto SECOND FLOOR PLAN 41)e SMOKE ALARM I = CARBON MONOXIDE ALARM cfrOF .F I t - _ AFFIDAVIT SELF-CERTIFICATION • FOR COMPLIANCE OF SMOKE ALARMS AND CARSON MONOXIDE ALARMS - Property Address: 41-7 C k ri S-L vi.c&. Sk , A r c c.,k\& , CA el\ 0 U b Permit Number: 90a r ( 9 10 •Brief Job Description: `^� r" ire cdgaeC Number of smoke alarms installed: 5 - - Number of carbon monoxide alarms installed: Q When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required ;by Section R315 of the of the 2016 California Residential Code (CRC). , Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licerisingiistirigs/licenselistinq bml searchcofest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been,installed in accordance with the_manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of•perjury tha t e foregoing.is true and correct, and that this • declaration was executed on (Date) vine- 05, c). 0 I # - at Arcadia, California. t Owner's Name (printed/typed): `-n l i 0 6 tit,. Signature of O , This affidavit must be returned to the City of Arcadia inspector prior to final inspection w A'tOL 11,1,O , ; ' z II • • - Guest Itoom I'Bathroun IStorage Or �..� r Family Room Iron ' . 11 o✓ ri Garage , _ . - , , FIRST FLOOR PLAN ' S= SMOKE ALARM' I, • CARBON MONOXIDE ALARM - . , Mstr • 1 L Bath A A , Master Bedroom - - • ' 'Dining Room Kitchen . BnUt . • -1 Ia11 .i: Closet ^— e _ ClosetCloset Family Room • -. 0 c Bedroom - - Bedroom . ,. SECOND FLOOR PLAN. 40=SMOKE ALARM Ili = CARBON MONOXIDE ALARM 4,rp 1.IMt I P d; A ryA�'on4i aro f 1 AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS . Property Address: if 11 l Ck0-15v\t S4 , RecaM0, ( Pat gkooJ Permit Number:__Vail__9_1 9 l aUto ' Brief Job Description: New Ro ' C R-e- cu 'C ' Number of smoke alarms installed: (4 -I Number of carbon monoxide alarms installed: a When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section 8315 of the of the 2016 California Residential Code (CRC). . Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing arid approval by the Office of the State Fire Marshal. http://osfm.fire.ca.oov/licensinolistingsilicenselistino bml searchcotest.ohp As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed on (Date), 6 y/ _I,./ q at Arcadia, California. Owner's Name (printed/typed):: 6 � / J • Signature of Owner: _ — This affidavit must be returned to the City of Arcadia inspector prior to final inspection SMOKE ALARM AND C ROOM MONOXIDE ALARM LOC,ATIQRS Guest Room ieiattrroon. I 1I • Storage Family Roome is ma ` Garage FIRST FLOOR PLAN CISMOKE ALARM I = CARBON MONOXIDE ALARM ' ' c M5tY Bath A .Master Bedroom Dining Ronin Kitchen ., - _ — Bath :. se • Wall L Clos t r • Closet 1 Closet Family Roam Bedroom- . 13edroom - SECOND FLOOR PLAN . @=SMOKE ALARM N 2 CARBON MONOXIDE ALARM wik ON .A i C #\ .i 1:A.. _ C.. 4, pi �bt' 105{oS4�� AFFIDAVIT SELF-CERTIFICATION . FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: 5 ( C h ri. s t, Ink S - / Ar c k k'A CA °Il D o Permit Number: Qoo� — ( 9 - j(aZ.(7, Brief Job Description: Wt'-'-' g b o. R e c o ✓`° Number of smoke alarms installed: Number of carbon monoxide alarms installed: When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrqoms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensindlistincs/licenselistino bail searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the foregoinytis true and correct, and that this declaration was executed on (Date) t..flt /4 c ./7) 9 at Arcadia, California. Owner's Name (printed/typpe""ed`):� -/.Piv% /4922'5 Gr7" Signature of Owner: '_ VO----l--62<werr" This affidavit must be returned to the City of Arcadia inspector prior to final inspection SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS Guest Room a 3°Batbroun Storage O _ - Family Room •• IGarage FIRST T FLOOR PLAN e= SMOKE ALARM I = CARBON MONOXIDE ALARM I Ibit A9str 1 Bath Master Bedroom Dining Room Kitchen • Bath T•lall Closet Closet Closet Family Room Bedroom Bedroom SECOND FLOOR PLAN 110=SMOKE ALARM I = CARBON MONOXIDE ALARM i 4:} mi.ugT, q J AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS . AND CARBON MONOXIDE ALARMS _ , , Property Address: ��JJ 53 Lkr'S ` lulu S4', ACCoo(kic ( Pc O i.0 04? Permit Number j — ( 9 - loZ4 Brief Job Description: Me W f u T re. Co J&( Number of smoke alarms installed: .b Number of carbon monoxide alarms installed: When alterations, repairs or additions requiring a permit occur, or sleeping looms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each. additional story of the dwelling, including basements as required:,by Section R315 of the of the 2016 California Residential Code (CRC). , • . Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the:Office of the State Fire Marshal. htto://osfm.fire.ca.aov/licensinolistinas/licenselistine bml searchcotest.oho As owner of the above referenced property,. I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the Code sections referenced above. ' I declare under penalty of perjury that the foregoing is true and correct, and that'this declaration was executed on (Date). b -3'. \ °1 v, at Arcadia, California. Owner's Name (printed/typed): 3 CAL - Sc i-ci401\e Signature of Owner: This affidavit must be returned to the City of Arcadia inspector prior to final inspection S IA - .: -=' • ' %` I A $®1 100 ' i:.'_A1 •bj •:.I,'.. —• 1. ---ii Guest # 4,,Al Storage Family Room . . n ... . _ _ _ . . .... Its Garage FIRST FLOOR PLAN - lit'- SMOKE ALARM I _CARSOW MONOXIDE ALARM • ®, .P Maatlti III . at Master Bedroom Dining Room • Kitchen.. Bath Closet , Hall . _-- Closet . Closet • • Family Room C 0 -- — Bedroom Bedroom SECOND FLOOR PLAN 0=SMOKE ALARM i r. CARBON MONOXIDE ALARM F r ysmuatf,Atto. . AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS •- PropertyAddress: bO Ckr'i5t: i4k ,S- tAr-'l14t / CA 4(Ub,6 Permit Number: ODk — 1 9 - 1p2(o - ' Brief Job Description: Neu.) l ou c c 2. co v 3 Number of smoke alarms installed: 6 Number of carbon monoxide alarms installed: When alterations, repairs or additions requiring &permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleepingunits containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed 4 outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required,by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinglistings/licenselistino bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the_fore ing° is true and correct, and that this declaration was executed on (Date) -b( I Iv/q at Arcadia, California. Owner's Name (printed/typed): \Inh dttl :('b&\ - Signature of Owner: 1-- - This affidavit must be returned to the City of Arcadia inspector prior to final inspection SLED..E_ L-,r "F ' Ni _A-Bel. ii®kQ • :< 11.11_. • I . Guest Rooni i'BUthrau I P Storage =; Family Room 11 re . . Caragc - ♦ r _ • _ r is ♦ r r .. � : .. _ • FIRS-' FLOOR PLAN ,.,, :: : _ . ,. ,. S=SMOKE ALARftrtr,, = CARBON'MONOXIDE ALARM = - Msir . L—Cat , Dally • _ . •. • . I - - ., r .••,-•, , ;', . p, Masier.Bedroom_ • 7.* - ..Dining Room ' - Kitchell )0 . - -- , . -._ . . . , Bnth . . -. - • • : r = Closet ..'11811 , .: - `C [$ - - Closet j ' Closet' - - Family Room tj ' Redraws - 13cdroom 6— - — - -- .-- . . . SEGOPIO.FLOOR PLS - ••-SMOKE ALARM il r CARBON MONOXIDE ALARM C rkk ')"Cr) • AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS —7 AND CARBON MONOXIDE ALARMS • Property Address: Cl . / r(54 v.& 5-1 I Aeco-M&. ,CA ° tuob Permit Number_face_ Brief Job Description: New (011+ re cu✓ t( - • Number of smoke alarms installed: 6 Number of carbon monoxide alarms installed: When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shalt be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall }be installed 'outside' each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required;by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinglistings/Iicenselistinq bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been,installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of.perjury that the foregoing is true and correct, and that this declaration was executed on (Date).. I 1 V��p� atArcadia, California. Owner's Name (printed/typed): ( �U . � � Signature of Owner: This affidavit must be'returned to the City of Arcadia inspector prior to final inspection r i. • i: 1010 ► _: . Ail • •''; . . . . Guest Room Battil'cc . - 4 I Storage ' Room' !__Farnul) mis ter-.. FIRST FLOOR *=SMOKE ALARM I " ='CARBON'MONOXIDE ALARM . - ' " Fritc : Mstr -i. , , Master Bedroom ; Dining Roan .Kitchen `""' - Bnth . y Closet . , Closet • --PI •Closet Family Room. = . _ C? C;) - — ... ; . - - ® Bedroom -... ' Bedroom.,,,, . - . _ - i.„-_. , • - . SECOND FLOOR PLAN _ : 0=SMOKE ALARM ® o CARBON MONOXIDE ALARM ., 6,.. "1"11:17A '' f , %aa4Y`a4Ile AFFIDAVIT SELF-CERTIFICATION . FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: -7 Cns- u kti S i- / J4 \Cu i c. C I %I) 0 6 Permit Number: Vpo� — ( 9 lti)�( - , I Brief Job Description: N et) go() 4 c{ eJ✓-c( Number of smoke alarms installed: 6 r ' Number of carbon monoxide alarms installed: When alterations, repairs or additions requiring a permit occur; or sleepingroomsare created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing arid approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinolistincis/licenselistino brill searchcotest.oho As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed on (Date) 06l°3/ 13 _ at Arcadia, California. Owner's Name (printed/typed): i CH/f-MQ kc4ivq . ' Signature of Owner: Aavi#i _ Cz Seti This affidavit must be returned to the City of Arcadia inspector prior to final inspection SMOKE ALARM ANP CARBON MOROXIDEALARM LOCATIONA, A Guest Room I --it--.„ , —is LI ; uaterou Storage 1 . II Family Room l ----. "a la am III III ,,, Garage - . I .. , .. , . , FIRST FLOOR PLAN II= SMOKE ALARM II = CAFtRON MONOXIDE ALARM R, arlstr •a--....„,,„-.-. Bath ' - Master Bedroom - Dining Room Kitchell . 10 Bath ' - 1 .„., Closet Hall 0• [14 Closet — ------ Closet ,2_,_:— _. , • Family Room _ — - 0 0 _ Bedroom ' Bedroom . , ---7 ._- •Thi. --........ . _.e. — • SECOND FLOOR RAN . , 0=SMOKE ALARM LCARSON MONOXIDE ALARM 1 .-.t a' Ili_flita" ' 'bon)r,'nb , AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS , Property Address: • b i C � r I S L I r S+ f r4 r c u Ai I (A 611006 6 Permit Number Q;21 — 1 9 - i()Lc Brief Job Description: /U 2� Roo e cu Number of smoke alarms installed: • 2 , Number of carbon monoxide alarms installed: • When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, . Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or•sleeping.units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed 'outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required. by Section R315of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and'approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinolistings/licenselistinq bmf searchcotest.php As owner of the above referenced property, t hereby certify that the smoke alarms and carbon monoxide alarms have beeninstalled in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed on (Date) h 13 k C ct at Arcadia, California. Owner's Name (printed/typed): S;niO.1 l aci ' Signature of Owner: APA-44-4------'‘ This affidavit must be returned to the City of Arcadia inspector prior to final inspection its , = -.-.n ,•N ' At t Ok ley • T . '. :4. 1J '• rl '__ Guest tioont 'Battu•oun ( • Storage ' t • �, ��" Family Room MK a . _ MI , , , ±111 FIRST FLOOR PLAN - *mSfiffOKE ALARM. . = CARBON MONOXIDE ALARM • • I rid Mgt Hath - I' . ,i . Master Bedroom ' Kitchen • "-�.'�""'�� Dining Room • , ca,...ctiy.7 ..r=c ' Hancloset • Closet Closet Fancily Roomn — - ( ' Ca Bedroom Bedroom SECOND FLOOR PLAN O.SMOKE ALARM N m CARBON MONOXIDE ALARM •r""--9-74N-6 ti. c1 - AFFIDAVIT SELF-CERTIFICATION - FOR COMPLIANCE OF'SMOKE ALARMS' -- ' . AND CARBON MONOXIDE ALARMS'; Property Address:$3 Chris-h no St�:.ArCCAdt Cl GI gioc ( '. ' Permit'Number: fin� — • ' Brief Job Description: J-e ,J (Cud . t C.O LA. Number of smoke alarms installed: 3 • - . Number-of carbon monoxide'elarms•installed 2 When alterations, repairs or additions requiring apermit occur, or sleeping-rooms are created, " • Smoke alarms shall be installed in each sleeping room; and outside,each' separate . • sleeping area in the,immediate vicinity of the bedrooms, and on each additional`story of the , ' , dwelling, including basements and habitable;attics as required by Section R314 of the 2016 .. . California Residential Code (CRC)and California Health and Safety Code Section 13113.7. ' For dwellings or sleeping units containing fuel burning.appliances or having,attached garages, carbon monoxide alarms shall'be installed outside' each separate sleeping_ • area in the immediate vicinity of the bedrooms, and on each'.additional story of,the'' dwelling, including basements as required by-Section R315 of th• e of the 2016 California Residential Code (CRC). ' Multi-purpose alarms(combination carbon monoxide and smoke:alarms) may be used. , " All alarms shall comply with.requirements for listing and approval by the Office of.the State Fire- • Marshal, http://osfm.fire.ca.qovilicensingiistingsfiicenselistinq:,bml `searchcotest.nhp` ' As owner of,the above referenced property, I hereby certify that the smoke alarms and carbon - , monoxide.alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above:• • ` - I declare under penalty of perjury that'the f9regoina is true and correct,and that this• - ; , declaration was executed.on'(Date), 6/3'/ 1 .'at Arcadia, California' :- ' Owner's Name (printed/typed):: t/CcVtd -: LI ii r Signature of Owner. �\ ` This affidavit must be returned to the City of Arcadia inspector prior to rinal inspection ,