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HomeMy WebLinkAboutUntitled (2) r City of Arcadia, CA Permit NO SOLR-19-1664 at k i Development ServicesgDepartment I G3 /"�\ _}`''- ft-�(lc ,...1, .. - - Permit Type:Solar -., i �.41 240 West Huntin ton Drive,Post Office Box 60021 S( - :,_ ° ,1 Arcadia,CA 91066-6021 V; York Classification:Solar-Residential Dyer 10 KV s ..+,., (626)574-5416 `•.�. t. - - ,.. . _ ;_ Permit5tatus:lssued ARCADIAissue'Date 08/22/20191 Expiration: 02/18/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1827 Wilson AVE Arcadia,CA 5765023015 -.. .. .,... . -.... _ Contacts GAMEZ,CANDIDO AND LORI FTRS Contractor SEMPER SOLARIS CONSTRUCTION INC` Contractor GAMEZ FAMILY TRUST 1805 JOHN TOWERS AVE,EL CAJON,CA 1827 WILSON AVE (619)715-4054 978152 Description:ROOF MOUNTED SOLAR SYSTEM 33 MODULES 1 e Valuation: $ 0.00 Tenant INVERTER,2 TESLA POWERWALLS, 200 MAIN SERVICE . BREAKER. g. Total Sq Feet: 0.00 Plan Check U Plan U Fees Amount payments Amount Paid Battery Storage Device $106.00 Total Fees $430.72. Building Plan Check Fee Residential $50.00 Cash/Receipt U REC-02209-19 $430.72 Electrical Permit Issuance Fee $47.01 Fire Plan Check Fee Residential ' $50.00 Amount Due: $0.00 Inverters $77.78 Panels $82.45 Residential Services up to 400 amps $16.48 Solid Waste Management Fee 2 $1.00 Is COPLETLD Total: CALLS FOR INSPECTIONS E ^ a L u,IP • 1 1 _ 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. _ w August 22, 2019 Issued By: Date August 22,2019 Page 1 of 1 • A. "rfrinliNte •. li PERMIT/PLAN REVIEW APPLICATION r zit t*• Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,on Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm 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. 0 I have and will maintain a certificate of consent to self-insure for workers' I License Class CI-0 L. en e .T7i1 Exp. Date(b1311?D Signature of Contractor compensation, as provided for by Section 3700 of the Labor Code, for the compensation, performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My w rkers'compensation insurance�arrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carder S� COMP 0Al demolish,or repair any structure,prior to its issuance,also required the applicant -f C)0--Is p 7 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 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' ould become subject to the workers'compensation provisions of Sect n 370/m f the Labor Code,I shall ❑I, as owner of the property, forthwith compl with those provisions. or my employees with wages as their sole r/ `-St_ compensation,will do the work,and the structure is not intended or offered for ate g-�Z r Signa :002i. 4 tkH- sale(Section 7044,Business and Professions Code:The Contractors License gir 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 coverageis 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 finesup to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000);in addition to the cost of 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 furth �e (r finnformationn.. ./�,� L Name Ata—� 1�- PORE 'Title ALI nl,`1 PRINT NAME !!!��` certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter up/ the ;Is ove-mentioned property for inspection purposes. / 4111 Q' Signattre�.l/f �I �� — Date o 124'1 I r LORI & CANDIDO GAMEZ VIII" A�Ir�� ' p < _ i pyo wets 11 .880 kW (DC) /10.541 kW (AC) PHOTOVOLTAIC SYSTEM , i . I I _ i r- o; la 1827 WILSON AVENUE, ARCADIA, CA 91006 �' h$ °4J J ^ "F OCCUPANCY: R-3 / @� ' F. o ///��� CONSTRUCTION TYPE:VB T,y 8 \ UNSPRINKLERED � , / G $ gi s'., � rtc,` �,:' Qa& um /o///,/ 1 4 v Y <2 f ♦ i• �]�yt 1 1 J R� ` olfr at—c......s -4. v. t, sealto 1.;Alt,- . . C tfl _ NEW NEW PV CONDUIT TO BE ) SC111 E OF WORK: I. (33)SOLARIA RUN WITHIN ATTIC POWE(33)SOLARIA CONDUIT RUN TO BE �3 - SEII OT-360R•PARPANELS wSOLAR PANELS ��11111111113,. DETERMINED INSTAL . ANY 1 - SE11400H-US ERTER mp w ����le AT TIME OF INSTALL. ANY 3 - P400 OPTIMIZER a DO y EXPOSED CONDUIT IS TO BE 2 - TESLA POWERWALL 2 BATTERY BACKUP "P 0 "'g >w 0�®® PAINTED TO MATCH o ?� (E)PATIO COVER SB. EHOUSEG EXISTING SURFACE. �OOF TOPAND WALL MOUNTED ELECTRICAL EQUIPMENT g o h i od (E)PATIO COVER Mill �® Kouse (E)CHIMNEY 7EQUIRED PER CODE,AHJ&FIRE DEPARTMENT »s 2 9� © fONNECTTO225A/ 200AMAIN PANEL BREAKER - 0 e 0 INVERTER off-US(24oV) (TOTAL SYSTEM SIZE 11.880 kW(DC) p a5 ��a ■- O (E)PLUMBING ' ) VENT o INTEGRATED RAPID SHEET INDEX: i SHUTDOWN LISTED DC I1 - SITE PLAN w (E)ROOF VENT ' ®� DISCONNECT ARC FAULT 2 _ NOTES E7 - SINGLE LINES a III00{� 3 - PROPERTY PLAN 4 - NOT USED ES ELECT. NOTES (N)200A MAIN DISTRIBUTION `��y 2(N)TESLA AC 5 - ROOF PLAN E9 - SIGNAGE o N PANEL WITH(N) I El ' POWERWALL 2 ENERGY 6 - DFTAII S i \ u 200A MAIN BREAKER NCF. ' STORAGE SYSTEMS c °` THIS PANEL WILL HOUSE ALL VICINITY MAP LOADS FROM EXISTING MAIN tau � \ a w SERVICE PANEL LADDER ) _1 :. : N 200A METER �� /e ACCESS „ p DISCONNECT ®� N ) ° e ,:,,.„��„,,..:�p \� o "4 FEEDING THE NEW TBG. E� a ,\ ) ,1 iy „ s SITE PLAN ) mom• g s i i (N)TESLA BACKUP (N)200A GENERATION SCALE i/ib^-r-o^ ^^ ,,, °” ,,,,,,„ GATEWAY 200A ATS/ LOAD CENTER 240V "'""°"• a+ C l DISCONNECT NEMA-3R NOTE: ALL SCALES SET TO 11X17 SHEET SIZE _ �' DESIGN DATA 1. CODE: 2016 CALIFORNIA BUILDING CODE ASCE 7-10 2. MATERIAL STRENGTH, CONCRETE: Fd = 2,500 PSI @ 28 DAYS CONCRETE REBAR: ASTM A615 GRADE 40 Fy = 40,000 PSI STEEL: (AISC 360) 13 EDITION STRUCTURAL SHAPES: ASTM A36 Fy = 36 KSI TUBING: STM A500 GRADE B Fy = 46 KSI PIPE: ASTM A53 TYPE E GRADE B Fy.= 35 KSI WOOD: DOUGLAS FIR-LARCH ( 19% MAX. M.C. ) JOIST&RAFTER #2 GRADE Fb = 875 PSI Fv = 95 PSI E = 1.6 x 1,000,000 BEAM & HEADER(4X) #1 GRADE Fb = 1,000 PSI Fv = 95 PSI E = 1.7 x 1,000,000 (6X) #1 GRADE Fb = 1,000 PSI Fv = 85 PSI E = 1.7 x 1,000,000 POST (4X) #1 GRADE Fb = 1,000 PSI Fv = 95 PSI E = 1.6 x 1,000,000 (6X) #1 GRADE Fb = 1,000 PSI Fv = 85 PSI E =.1.7 x 1,000,000 STUD #2 GRADE Fb = 675 PSI Fv = 95 PSI E = 1.4 x 1,000,000 SELECT STRUCTURAL(6x, LARGE) Fb = 1,450PSI Fv = 95 PSI E = 1.9 x 1,000,000 MASONRY: CONCRETE BLOCK ASTM C90 Fm = 1500 PSI NO INSPECTION REQUIRED, 3. SOIL REPORT: 0nif'S= 1,500 PSF/ OR SEE SOILS REPORT ostSS OH 4) 4. LATERAL ANALYSIS: ,t 9 g y A. SEISMIC LOAD xp,35693 V=C5W SEE ATTACHED. * Ey'10 9 4 � B. WIND LOAD (SIMPLIFIED PROCEDURE) r•,4rr „, Ca�\E� (130 mph) EXP "C" f N ULTIMATE pr,_ . Material Weights Weight Of Materials-Roof and Rigid Insulation Approximate Weights of Floor Requirements Temlock (1"thick) 1.2 psi Trus Joist Products ,1_ Cork 0.7 psi TJI 35X Joist Series 2.8 to 4.0 IbsiL.F. ' 1 Refer to localbuilding code for live load Gold bond 1.5 psf design requirements. Styrofoam 0.2 psi TJI 55 Joist Series 4.5 to 63 !Intr. Foamglass 0.8 psi TJL,TAX Truss 3.75 to 4,25 ibs.lL.F. Rigid fiberglas 1.5 psi , TJW 4.5 to 5.25 IbsiL.F. e Composition Roofing TJ/60 Truss 4.75 to 5.75 IbsJL.F. 2.15 lb.and 1-90 lb. 1.7 psf TM Truss 8 to 9 Ws.1L.F. 3-15 and 1-90 lb. 2.2 psf poll or Batt Insulation TJH Truss 10 to 12 ms.1L.F. 3-ply and gravel 5.6 psf Rock wool (1"thick)0.2 psi 4-ply and gravel 6.0 psf Glass wool (1"thick) 0.1 psf 5-ply and gravel 6.5 psf ALPOL (1"thick)0.1 psi Fir Framing Members IRMA(Insulated Roof Nominal Joist Spacing . Membrane Assembly)2" 13.0 psf _ Size 12" 16" 24' Single-ply roofs(Insulation not Included) 2x4 1.4 psf 1.1 psi 0.7 psf Ballasted system 13.0 psf Floors _ 2x6 22 psi 1.7 psi 1-1 psi Mechanically fastened 2.0 psfHardwood(Nominal 1") 4.0 pet 2x6 2.9 psf 2.2 psi 13 psf Fully adhered 2.0 psf Concrete(1"thick): 2x10 3.7 psf 28 psi 1.9 psf Regular t2.0 psi 2x12 4.4 psf 3.3 psi 2.2 psf Lightweight 6.0 to 10.0 psf 3x6 2.4 plf Linoleum or soft tile • 1.5 psf Fir Sheathing3Y'ceramic or quarry tile 10.0 psf 4x6 5.0 plf (Based on 36 pcf) GYP-CRETE(%") 6.5 psf 4x6 6.6 plf 36"plywood 1.1 psf • 4x10 8.6 plf Si"plywood 1.5 psf W'plywood' 1.8 psf 4x12 10.4 plf 3i"plywood 2.3 psf Ceilings ' 1e plywood 3.4 psi Acoustical fiber tile 1.0 psf 1"sheathing 2.3 sf f Fz". Weight of Sprinkler Systems P gypsum board 2.2 psf scMdule40,Srd.Plpe Schedule 10,lhInwel 2"decking 4.3 psf %"gypsum board2.8 psf Pleaf 3"decking 7.0 psf Plaster(1"thick) 8.0 psf p Main wet OM (now MAW) 1 4"decking 9.3 psf Metal suspension system 1.7 2.1 (including tile) 1.8 psf 1t4"_ 2.3 3.0 Wood suspension system 1'h" 2.7 3.6 Miscellaneous Decking Materials (including tile)' 2.5 psf 2" 3.7 52 2337 a Poured gypsum (1"thick) 6.5 psf 21/2" 53 7.9 3.5 5.9 Vermiculite concrete (1"thick) 2.6 psf 3" 7.6 10.8 4.3 8.0 Corrugated galvanized steel 31/2" 9.2 13.5 5.0 112 16 ga. 2.9 psf 4" 10.9 10.4 5.6 145 20 ga. 1.8 pat _ 5" 14.8 215 7.9 20.0 22 ga. 1.5 psf 6" 192 31.7 8.3 202 24 ga. 1.3 psf Asphalt shingles 2.5 psf e" '2e.6 50.8 15.9 40.1 Wood shingles 2.0 psf 10 40.5 74.6 Clay tile 9.0 to 14.0 psf Note:When accumulating total dead load we strongly urge you to use a minimum of 1.5 psf for 'miscellaneous'with all dead loads. t . TRUSJOISTCORPORATION a division of TI International P.O.Box 60 Boise,Idaho 83707 208/375-4450 J \n r- L as BWU Consultants, Inc. I ttos63y 1168 N. San Gabriel Blvd., #N d Ewe-"3 a Rosemead, CA. 91770C rj4rf CPA‘\• Tel: (626) 288-0708 � Email: twengrs1168@gmail.com F ib 01 Date: (2016 CALIFORNIA BUILDING CODE) EXIST'G ROOF LOAD'G (AS BUILT) SOLAR PANEL D.L. SIZE: SHINGLE ROOF'G 2.2 psf 18.0 SQ.FT. 1/2" PLYWD SHT'G 1.5 2x4 @ 24 0.C. 0.7 RAFTER MISC 0.6 WEIGHT: D.L. = 5.0 psf WT = 2.9#/SQ.FT. L.L. = 20.0 psf (USE 3.0 #/SQ.FT.) T.L. = 28.0 psf L: T-0" MAX SPAN W: (5+3+20) x 24/12 = 56.0 pits M: 343 pf Sreq: . 2.34 in3 R: 196 lb Areq: 2.48 int 2x4 RAFTER CAN CARRY SOLAR PANELS SECTION 3403.3 68x 3 x 18 = 36721b (ROOF DL 5 + CL'G DL 5) x 3700 = 37000 lb 3672 / 37000 = 9.9% rt . QOFESSlyly/1i WIND LOAD `��Q` _VIP `y PER (CBC SECTION 1609) W% to.1- c MPH, fF OF � F O 130 EXP "C" r4 CP"‘ fIp N 6.5.15, Design Wind Load on Others Structures F= qz G Cr A, (6-27) qz= .00256 Kz Kn Ke WI (6-15) Ht.z at the centroid of area Af= 10 ft Exp= c Exposure coefficient Kz= 0.85 6.5.6.6,1-6-3 for MWFR Topography factor Kit= 1.00 6.5.7.2 Table Directionality factor Ku= 0.85 6-4 Wind Speed V= 130. mph Table Importance factor 1e= 1.00 6-1 qz= 31.26 psf Gust Effect factor G= 0.85 6.5.8 Force coeff G= 1.31 Figure 6-21 through 6-23 Design wind pressure, FM/ = 34.81 psf 11,14 / ti Ws � BWU Consultants, Inc. No.36-sy�� 1168 N. San Gabriel Blvd., #N i ta.3-"'Tcot Rosemead, CA. 91770 �,r�OF ca�‘o�+� Tel: (626) 288-0708 � L~ Email: twengrs1168@gmail.com L Date: IS LATERAL (2016 CALIFORNIA BUILDING CODE) WIND EXP "C", WIND SPEED: 130 mph (C.B.0 SECTION 1609) UPLIFT / WITHDRAWAL FORCE FOR SOLAR PANEL STANDOFF / FAST JACK Vup= 34.81 Ib/sq.ft NO. SOLAR SUPPORTS OF TILE UNIT FORCE PER PANELS UPLIFT FORCE HOOK/STANDOFF (5/1660) LAG SCREW 68 68 x 34.81 x 18 = 42607.44 It 136 313.3 lb/lag screw SEISMIC PER C.B.0 SECTION 3403.4 3672 lb / 37000 lb = 9.9% < 10.0% OK O.K. USE 5/16"Ø X 3 1/2" LONG STAINLESS STEEL LAG SCREW WITH MIN. 2 1/2" EMBED TO EXISTG ROOF MEMBER. CAN RESIST WIND UPLIFT FORCE. Van = 274x2.5 = 6851b > 313.31b OK r . NATIONAL DESIGN SPECIFICATION FOR WOOD CONSTRUCTION 77 ,i 4 Table 12.2A Lag Screw Reference Withdrawal Design Values,W1 nts Tabulated withdrawal design values(W)are in pounds per inch of thread penetration Into side grain of wood member. Len,th of thread penetration in main member shall not include the length of the tapered tip(see 12.2.1.1). be ' Specific ee Gravity, Lag Screw Diameter,D r0- Gt 114" 5/16" 3/8" 7/16" 1/2" 5/8" 3/4" 718" 1" 1-1/8" I 1-1/4" on 0.73 397 469 538 604 668 789 905 1016 1123 1226 1327 ic- 0.71 381 450 516 579 640 757 868 974 1077 1176 1273 i. 0.68 357 422 484 543 600 709 813 913 1009 1103 1193 - 0.67 349 413 473 531 587 694 796 893 987 1078 1167 0.58 281 332 381 428 473 559 641 719 795 869 940 r 0.55 260 307 352 395 437 516 592 664 734 802 868 — .; 0.51 232 274 314 353 390 461 528 593 656 716 775 µ 0.50 225 266 305 342 378 447. '513 576 636 695 -752 r_ 1 0.49 218 258 296 332 367 434 498 559 617 674 730 to 0.47 205 242 278 312 345 408 467 525 580 634 686 1, 0.46 199 235 269 302 334 395 453 508 562 613 664 n 0.44 186 220 252 283 312 369 423 475 525 574 621 ' i 0.43 179 212 243 273 302 357 409 459 508 554 600 , 0.42 173 205 235 264 291 344 395 443 490 535 579 I st 0.41 167 198 226 254 281 332 38.1 428 473 516 559 ' p •0.40 161 190 218 245 271 320 367 412 455 497 538 C l 0.39 • ' 155 183 210 236 261 308 353 397 438 479 518 m 0.38 149 176 202 227 251 296 340 381 422 461 498 -I t 0.37 143 169 194 218 241 285 326 367 405 443 479 'Io 0.36 137 163 186 209 231 273 313 352 389 425 460 M 0.35 132 156 179 200 222 262 300 337 373 407 441 N 0.31 110 130 149 167 185 218 250 281 311 339 367 "I L Tabulated withdrawal design valves,W,for lag screw connections shall be multiplied by all applicable adjustment factors(see Table 113.1). ` 2. Specific gravity,G,shall be detemdned in accordance with Table 1233k fel 03 U) 12.2.3.4 For calculation of the fastener reference 12.2.3.2 For calculation of the fastener reference withdrawal design value in pounds, the unit reference ` withdrawal design value in pounds, the unit reference withdrawal design value in lbs/in. of ring shank pene- withdrawal design value in lbs/in. of fastener penetra- tration from 12.2.3.3 shall be multiplied by the length tion from 12.2.3.1 shall be multiplied by the length of of ring shank penetration,p„into the wood member. I fastener penetration,p„into the wood member. 12.2.3.5 Nails and spikes shall not be loaded in 12.2.3.3 The reference withdrawal design value, in withdrawal from end grain of wood(Ces 0.0). lbs/in.of penetration,for a single post-frame ring shank 12.2.3.6 Nails,and spikes shall not be loaded in nail driven in the side grain of the main member, with withdrawal from end-grain of laminations in cross- ) the nail axis perpendicular to the wood fibers, shall be laminated timber(Cer).0). I determined from Table 12.2D or Equation 12.24,with- : in the range of specific gravities and nail diameters giv- en in Table 12.2D.Reference withdrawal design values, 12,2.4 Drift Bolts and Drift Pins e:,,,, W, multiby plied applicable adjustment tors (see Table 11.3.1) to obtain adustedwithd withdrawal Reference withdrawal design values, W, for con- Idesign values, W'. nections using drift bolt and drift pin connections shall i W = 1800 G2 D (12.2-4) be determined in accordance with 11.1.1.3. 1 AMERICAN WOOD COUNCIL erdrBA ,14 tra`0\i3.of`90". AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: ¶2-7 w r govt 4c'e 4e'rr dh / CA) Permit Number: Sots - ► 9._- 1€ EC Brief Job Description: So I eAr_ x�'S,�Yeh tier( 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 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.oov/Iicensinglistingsllicenselistino bml searchcotest.pho 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 foreg ing is true and correct, and that this declaration was executed on (Date) CA-AA + /�xo,,L2/g at Arcadia, California. Owner's Name (printed/typed): CA-A A»o 6.4ImE Signature of Owner: This affidavit must be returned to the City of Arcadia inspector prior to final inspection astWt ALAS AtiP cARB_ON_MONOXIDE lt@4RD11 LOCATIO Guest boom ,` twoHaon [{' I 5,- Storage \y+.Y 1( tr�0 TTTJt! 11 Garage FIRST FLOOR PLAN Ow w SMOKE ALARM B = CARBON MONOXIDE ALARM f 1. Msir ---iBath - AMaster Bedroom Dining Room Kitchen -Bath 11a11 Closet M Closet ,--- _' Closet Family Room - --. Bedroom Bedroom •- - SECOND FLOOR PLN' 0 a SMOKE ALARM 0 CARBON MONOXIDE ALARM