HomeMy WebLinkAboutUntitled Cit`, Arcadia, �of CA `,�;�r Permit NO.SOLR=20-0999'_
S
City
a*r ; Development Services Department Permit,Type.Solar`
t 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification Solar"-Residential Over 10 KV
,, ; (626)574-5416 Permit°Status:Issued
A RC,3tt IA Issue Date•07/07/2020 I Expiration: 07/07/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1118 S FOURTH AVE Arcadia,CA 91006-4220 5780004019
Contacts
YANG,JIANGZHOU AND BAI,WEN Owner SOLARMAX RENEWABLE ENERGY Contractor
1118 S FIRST AVE PROVIDER INC*
3080 E 12th,Riverside,CA 92507
(951)300-0788 972048
-azzzlourarAumuz, I.,. , ^maw. =„a sem: w-cea.arx., air -. •ayst�
Description:ROOF MOUNTED SOLAR SYSTEM 32 MODULES 32 Valuation: $ 0.00 Tenant
OPTIMIZERS 1 INVERTER
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Plan Check Fee Residential $50.00 Total Fees $308.24
Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-04903-20 $308.24
Fire Plan Check Fee Residential $50.00
Amount Due: $0.00
Inverters $77.78
Panels $82.45
Solid Waste Management Fee 2 $1.00
Total: $308.24 Ci% Flefi��
7-2 o-2a
D
CALLS FOR INSPECTIONS
ft A L- er<
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
r i, Arcadia building inspector for a period of 180 consecutive days.
July 07, 2020
Issued By: Date
July 07,2020 Page 1 of 1
U~4 oF ARC
1F Rvi,94o -
. PERMIT/PLAN REVIEW APPLICATION
o j� Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,
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. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date 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 IDI 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 workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
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 should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
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 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
further information.
Name Title
PRINT NAME
I 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.
I 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 upon the above-mentioned property for inspection purposes.
Signature Date
ar
SOLAR NIAX RENEWABLE
jy' ENERGY PROVIDER INC
_`� 3093 12TH STREET.
RIVERSIDE CA 02502
TEL:(051)393L]33•
FA%(OSt)2t3=
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J (N)SOLAR ARRAY " L.)-,:,
LIC..1E
OWATIAOLIP NC.MR 9V11.
.. � . yrs acmuTnL o®1■
Cr It Il6FECTIVE SMARM
011.0 MOIL IIMOJT DE IMRE
'"�` fmaeo DoMM i SUMS
DRIVEWAY A .f.4apowa rY'r.
DAVID BINGNEN HSU
UC.HOLDER'S SIG.- .. ..
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' Fronl'Of ReciAence '� .r � - � "
1118 S.4TH AVENUE' `+i
:`
o S 11om54aa
Op:, � Le=o
1®®® Z w
"lW c�ovia
DRIVEWAY / 0�] • .� N€ cNo rl s
�_.. NEW KRALOY JBOX
(N)SOLAR ARRAY
o �a
. (E)400A SPLIT BUS MAIN PANEL. ' `1 t7.
EXISTING 200/200A WAIN U) J
PV MODULES' r:: 5
' -T; SERVICE PANEL'240V 1PH TOP FED.&UTILITY'METER'AZIMUTHS 180 NEW 60A UNFUSED AC O 'DISCONNEC
T 240V"NEMA_3R
a
1MATEIALROLLED COMP.
m
NEE7600HUS:IVERTERSTORY 2 STORY
N, 2/16P020
INVERTER SE7600H-US 575SS01019
`NVER1 tit QTY 1 ; .. .. m^o Nr 2 STORY
w5ue LG550Rovs
PROJECT NOTES Bw
.. .. - NAROw FAST
Aar 6.
P SITE PLAN
scnlE:I/16^=r-o^ ACGOIA
•
CALCULATIONS FOR SOLAR PHOTOVOLTAIC PANELS:
Owner: Wen Bai .
- Address: 1118 S 4thAvenue,Arcadia, CA 91006
INDEX TO CALCULATIONS
Sheet Item
1-2 Wind parameters
3-4 Seismic-parameters and:determination of FP
5-6 design loads, roofmember check, wind uplift check,.deflection
7 attachment check, rail span check
8 lateral check
Engineering Calculations Performed.By:
Doug Engineering
20271 Lighthouse Lane, Huntington Beach, CA 92646
949-285-5104
Engineering Calculations For:.
Solar Max Renewable Energy Provider, Inc. •
3080 12th Street, Riverside, CA 92507
(951) 300-0788
Project Number SMX-6757
Date: 3/16/2020
�Qp�OFESS/p
Qsc NOM*4C7*e.
.. yam
BASIS FOR DESIGN c7 4:. C N Z
69163.
CODE: • 2019 California Building Code �o
EXP,06-30-2020 . . .
ASCE:7-16
LIVE LOADS CtVII. -�
ROOF • 20.0 psf
SNOW O.O psf
ASCE 7-16
FLUSH MOUNTED SOLAR.PANELS
Type of Roof Hip
Roof Slope--0=Angle ofplane of roof from horizontal; in-degrees.
0= 10 deg .
Mean Roof Height-Eave height will be used for 0:.<= 10deg ..
h.=.. 22 ft •
Building:dimensions s1.= 30 ft
s2= . 40 ft
a= 10%of least horizontal dimension or 0.4h,whichever is smaller,:but not less than 4%of the least .
horizontal direction or 3 ft
a= 3 ft
B= Horizontal dimension of building normal to wind direction; in ft. •
B 30 ft Horizontal dimension of building
Attachment Spacing
`
Effective Area A= 7 ft2
P := gh(GCP)(YE)(Ya) 29.4-7
FIGURE 30.3-2E Components &Cladding h<=60 ft: External Pressure Coefficients, (GCp),for.
Enclosed and Partially Enclosed Buildings -Hip roofs 7<=20deg(Roof)
FIGURE 30.3-2F Components& Cladding h<=60 ft:External Pressure Coefficients, (GCp),for
Enclosed and Partially Enclosed Buildings-Hip roofs 7<=20deg(Overhang)
ROOF OVERHANG Velocity pressure Exposure Coefficients
(GCp)down = 0:7 . 0:7 ._ Kzt =
(GCp)upzl _ -1;69 -2:19 : Kd = . 0.85 . •
(GCp)upz2r -2:27 -2.9 Ki
0.85
GC 2e = -2:56 • -2:92
( P)uzP Ke-7 1
(GCp)upz3 -2.56 -3::52 : YE 1.5 .
Ya = 0.86
V 110. mph:
qh = . 0.00256KiKztKdKeV2
qh = 22.4psf
p = 28.896 *(GCp)
1
ASCE 7-16
•
Diagrams
_ la
3 0
i p , I/
k_
I ` v � I
QI Q 'I hful .I h
I
.. . � .D .� .I l
I ELEVATION .. .
0
la,l PLAN
Notation
Wind Pressures
Wind Down-All Zones 20:2 psf 10 psf, MIN
ROOF OVERHANG
Zone 1 48.83psf. -63.28 psf
Zone 2r 65.59 psf -83.8 psf
Zone 2c -73:97 psf -84.38 psf
Zone 3 -73.97 psf -101.71 psf
All panels are in Zones 1 and 2e
ROOF OVERHANG
Use -65.59 psf -84.38 psf
0.6*W -39:4 psf ' -50:6 psf
2
•
ASCE 7-16 .
Soil Site Class = D
Seismic Use Group =
SS = 2:568 Mapped Spectral.Response acceleration in short periods
S1 = 0:979 Mapped Spectral Response,acceleration at one second periods
Table 1613.2.3(1)
Values of Site Coefficient Fa.
SITE CLASS ,SS<0.25. SS=0.5 : SS=0.75 SS= 1:0 . SS>1:25 SS>1.5
A 0:8 :. 0.8 0.8 0.8 0.8 : 0.8.
B :0.9 : 0.9. 0:9 0.9 : 1.0 . 1.0
C . 1.3 1.3 :. 1.2: . 1.2 1.2 1.2
D 1:6. 1.4 1:2 1.1 1:0 1.0
E 2.4. 1.7 1:3.
F - - -
Fa= 1.000 (interpolated) SMS= Fa*SS= 2.568
Table 1613.2:3(2)
Values of Site Coefficient Fv
SITE CLASS . S1<0.1 ,. S1=0.2 S1=0.3 S1= 0.4 S1>0.5 S1>0.6
A . _ 0:8' . 0.8. 0.8 0.8 0.8 0.8
B 0.8 0.8 0.8 0.8 0.8 0.8
C 1:5' : 1.5 1:5 1:5 1.5 : 1.4.
D 2:4 2.2 2.0 1.6 1.5 1.7
E 4.2 -
F - - -
Fv= 1.700 (interpolated) SM1 = Fv*S1 = 1.664
SDS.=2/3*SMS= 1.712 SD1 =2/3*SM1 = 1.110
SDS RISK CATEGORY SD1 RISK CATEGORY
> I;ll I III IV > 1, 11 I . III I . . IV.
0 A AA OA A . A.
0:167 B B C 0.067 B. BC
0.33' C C D 0.133 C C. . . . D
0.5 . .D . D
D 02 .D : D .D.
Seismic Design Category= E
3
•
ASCE 7-16
Seismic Use Group = I
Seismic Design Category E
= 1
SS = 2.568
S1 = 0.979
SMS = 2.568
SM1 = 1.664
R = 6.5
Height = 11.375
T= 0.035*hn^.75 = 0.21679
r(Reliability/Redundancy Factor) = 1
SDS = 1.712
SD1 = 1.110
(ASCE 7-16 12.8-2) CS= SDS/(R/I) = 0.2634 W
(ASCE 7-16 12.8-3) CS<= SD1/[(R/I)T] = 0.787 W
(ASCE 7-16 12.8-5) CS>_ .01 = 0.01 W
If S1>0.6g
(ASCE 7-16 12.8-5) Cs>= 0.5*S1/[R/I] = 0.075 W
V(controls) = 0.2634 W
Determine Fpfor seismic loading on attachments
Seismic Load on Nonstructural Components
Spacing of attachments 4 ft
Tributary width of attachments= 1/2 Panel length= 33.2 in.
Ap= 11.1 ft`
PV unit weight including racking= 3 psf
Wp= 33.2 Ib
Other mechanical/electrical components
ap= 1 • Fp=0.4apSDS*Wp/(Rp/Ip)(1+2z/h) 45.47 lb 13.3-1
Rp= 1.5
1p= 1 Fp<= 1.6SDS*IPWp 90.94 lb 13.3-2
SDS = 1.712
Wp= 33.2 lb Fp>=0.3SDS*IPWp 17.05 lb 13.3-3
z= 22ft :
h= 22 ft
4
PROJECT: PV Panels for Wen Bal SHEET: 5 OF 8
CLIENT: Solar Max.Renewable Energy Provider,li DATE: 3/16/2020
BY: Doug Engineering DE JOB NO.: SMX-6757
DESIGN LOADS
Dead Loads Uplift
Roof 0.6WL
ROLLED COMP 4.0 psf 0.6WL Zone1 and 2c -39.4 psf,MIN 10 PSF
5/8" Ply shtg 1.9 Overhang -50.6 psf
Rf Frm'g 2.8 :PWLdown= 20.2 psf 12.1 psf, MIN 10 PSF
Misc. 1.5 Uplift. 0.6DL+0.6WL
(N) PV System 3:0 Zone 1 0.6*3=39.4 -37.6 psf
Zone 2 0.6*3-50.6 -48.8 psf
Total DL 13.2 psf.. . Downward . DL+0.6WL
LL 20:0 psf PDL+WL= 15.1 psf
SNOW 0.0 - psf
Rafter Check
Existing 2x12 RAFTERS @ 16"o.c
Spacing 1.33 ft Trib panel width= 4 ft
E: 1500000 psi Fb= 900*1*1.15 . 1035 psi
178.0 in^4 Manowwind= 4366 ft-lb
Span1 21.00 ft MallowLL= 3411 ft-lb
Span2 0.00 ft See below for Wind Uplift loads
Span3 0.00 ft due to concentated loads at attachments
Span4 0.00 ft
(Distance Wind `Mmax Wind P=
to Att. Load Trib W Uplift wind(ft- Down PVDL P=DL+WL
Pts) a b R1 (Ib) R2(lb (psf) (ft) (Ib) Ib) (Ib) . (lb) (lb)
2:50
1 . 3.00 3.00 18.00 225.1 37.5 39.4 4.0 262.7 675. 80.67 20.0 100.7
2 5.33 5.33 15.67 196.0. 66.7 39.4 4.0 262.7 1045 80.67 20.0 100.7
3 6:33 6.33 14.67 183.4 79.2 39.4 4.0 262.7 .1162 80.67 20.0 100.7
4 8.67 ' 8.67 . 12.33 154.3 108.4 39.4 4.0 262.7. 1337 80.67. 20.0. 100.7
9.17
Span 1 Uniform DL 21.00 85.7 85.7 6.1 psf 1.3 8.2 plf . 449.8
Reactions at Span1 844.5 377.5 Negative values are uplift reactions
Mmaxwindup= 3005 ft-lb<4366 ft-lb OK
Mmaxwinddown= 2105 ft-lb<4366 ft-lb OK
For DL+LL including the PV system weight point loads w= 40.3 plf P= 20.0 lb
Morax= 2459 ft-lb<3411 ft-lb OK
Deflection Check
DDS=5wL4/(384EI) (5*13.2*21^4)*1728 = 0.288 in • = L/ 873.6 OK
384*1.5E6*178
•
PROJECT: PV Panels for Wen Bai SHEET 6 _ OF 8
CLIENT: Solar Max Renewable Energy Provider;Ii DATE: 3/16/2020
BY: Doug Engineering DE JOB NO.: SMX-6757
DESIGN LOADS
Dead Loads Uplift
Roof 0.6WL.
CONC. FLAT TILE 9.0 psf 0.6WL Zone1 and 2c -39.4 psf, MIN 10 PSF
5/8" Ply shtg 1.9 Overhang - -50.6 psf
Rf Frm'g 2.8 PwLdown= 20.2 psf 12.1 psf, MIN 10 PSF
Misc. . . 1.5 Uplift 0.6DL+0.6WL
(N) PV System 3.0. Zone 1 0.6*3=39.4 -37.6 psf
Zone 2 0.6*3-50.6 -48.8 psf
Total DL 18.2 . 'psf. Downward DL+0.6WL
LL 20:0 psf : PDL+WL_ 15.1 psf
SNOW 0.0' psf
Rafter Check
Existing 2x8 RAFTERS
@ 16"o.c
Spacing 1.33 ftTrib panel width= 6 ft
E - 1500000 psi Fb= 900*1.2*1.15 . 1242 psi
47.6.in^4 Ma1iowwind= 2176 ft-lb
Span1 9.25 ft MaliowLL= 1700 ft-lb
Span2 0.00 ft See below for Wind Uplift loads
Span3 0:00 ft due to concentated loads at attachments
Span4 0.00 ft
(Distance Wind Mmax Wind P=
to Att. Load Trib W Uplift wind(ft- Down PVDL P=DL+WL
Pts) a . b R1 (Ib) R2(lb (psf) (ft) (Ib) Ib) . (Ib) (Ib) (lb)
-t50
1 -0.50 -0.50 9.75 885:4 -45.4 50.6 6.0 840:0. -420 200.9 49.8 250.7
2 3.03 3.03: 622 439.6 214.5 39.4 6.0 654.0 . 1333 200.9 49.8 250.7
4.03
Span 1 Uniform DL 9.25 56.2 56.2 9.1 psf 1.3 12.2 plf 130.1
Reactions at Span1 1381.2 225.3 Negative values are uplift reactions
Mmaxwindup= 837 ft-lb<2176 ft-lb OK
• Mmaxwinddown= 612 ft-lb<2176 ft-lb OK
For DL+LL including the PV system weight point loads w= 46.9 plf P= 49.8 lb
Mmax=. 567 ft-lb< 1700 ft-lb OK
Deflection Check
DDL=5wL4/(384EI) (5*18.2*9.25^4)*1728 = 0.056 in = L/ 1984.0 OK
384.*1.5E6*47.6
PROJECT: PV Panels for:Wen Bai .. - SHEET: 7 : OF. 8 :
CLIENT: Solar Max Renewable Energy Provider,Inc.: DATE: 3/16/2020 -
BY: Doug.Engineering DE JOB NO.: SMX-6757 -
CHECK SCREW.ATTACHMENTS FOR WIND UPLIFT ' .
Pwi,pu t= 262:7 lb 5/16"Lag with min 2.5". penetration for:each attachment
Table 12.2A.=NDS-Lag Screw Withdrawal Values
For 5/16 Lag into.5G wood • 266 lb_
Allowablewind load= 1.6.2.5`266 1064 lb >: . - 262:7 lb OK
CHECK SCREW ATTACHMENTS FOR SHEAR DUE TO SEISMIC Fp
Fp=
45,47 Ib ,.
Roof slope/module tilt . 10 deg
Shear= Fp*cos( 10 )= • 44.8 lb :Fp sin(ang)
Tension= Fp`sin(. - 10 )= 7.9:lb
Fp cos(ang)
Table 11K-NDS Z= 190 lb -
Cp= 1.6
Z= Z'CD= 304 Ib> 44.78 lb OK Withdrawal capacity W' 1064 lb
Interaction Equation ft/Fi+f)F„ 0.254 + 0:147= 0.401 < 1 OK
RAIL SPAN CHECK
Everest Railing Check-Gable/Hip Roof
Load for half a panel=2:T
W= 57.78 plf
Per the Everest Engineering for 110 mph,0 psi:.snow,and 10.deg roof slope,the max span
for Crossrail48-X is 77":forArray.Interior Panels and 64"for Array Array:Edge panels
Use Crossrail48=X PV Rails with a spacing'of 72".o.c.:Max.for attachment points,typ.
Maximum Rail Spans(Inches) Everest Solar 484 flush-Mount Dual Rail,Enclosed Hip/Gable Roof 30-60ft,72 Ceil(P)Rail Only
Ground Exposure Wind Speed-> : : 110 mph .
Snow Load 'Cate or g y Panel Angle Roof Zone-> 1'
; 1 . . 2e 2r 2n 3e 3r
0 to 7 Array.Interior 90 82. 73 73 73 62 62 : :.
Array Edge 89 70 ' . 60 . 60 60 50 50
.. 7 to 20 Array Interior 77 : 77 77 64 64 64 : 58
•
•Array:Edee 64 64. 64 52 52 52 47 :
0 psf C 20 to 27
Array Interior 85 85 85 71 71 71 68
Array;Edge. 73 73 : .73 57 57 57 55.
27 to 45 Array Interior 79 79 : 79 79 76 70 76
• . - Array Edge 68 68 68 68: 64 . 57 64
45 to:90
Array Interior 90 90 86 86 86 86 86
Array Edge. . 80 . 60' 74 74 74 74 74
PROJECT: PV Panels for Wen Bai SHEET: 8 OF 8 -
CLIENT:Solar Max Renewable Energy Provider, Inc. DATE: 3/16/2020r. .
BY: Doug Engineering DE JOB NO.: SMX-6757
LATERAL ANALYSIS
DETERMINE ADDITIONAL LOAD COMPARED TO EXISTING FOR LATERAL LOADING
Aroofexisting= = 6096 sf Wpanel= 37.7 lb
Wroofexisting= 10.2*6096 = 62179 lb 32 *Wpanel = 1206.4 lb
Wwaliexisting= 15*80*4 = 4800 lb Wrestofarray= 560 lb
Wexisting= 66979 lb Warray= 1766.4 lb
V= 0.263W
Vraofexisting= 17616 lb Existing Total Lateral Force
Vroofwpanels= 18080 lb New Total Later Force
% increase= 18080 *100%-100% = 3% increase which results in less than a 10% increase in the
17616 stress of existing lateral resisting elements OK
ev Rte.
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AFFIDAVIT SELF-CE TIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON MA NOXIDE ALARMS
Property Address: ll/ i Fe 'P- -/ 4-✓`&
Permit Number: . :3,1_,e.- 20-fi t
Brief Job Description: -c.`YJY fl oa/--rte 4-2-
Number of smoke alarms installed: 7
Number of carbon monoxide alarms installed: "2-
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/licensinglistings/licenselistinq bml searchcotest.php
As owner of the above referenced property, I hereby certify thatthe 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) ?JZ?/2o222 at Arcadia, Calif<i rnia.
Own is Name (printed/typed): (�v-' gA l
. Signature of Owner: (J\A A-.
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
Sig' 0,KE ALAR';'. a CAR: 0 , 0 ,OXID LA-NI i •cATIOI\I
Guest Room g
0 Bathroom
U Storage
Family Room
Garage
—...7_
FIRST FLOOR PLAN
410= SMOKE ALARM 111 = CARBON MONOXIDE ALARfVf. ' [ 1 .
RO Mstr.. ..
Bath
_ A Master Bedroom
Dining Room Kitchen
---- Bath
Hail
Closet
_ Closet
Closet
Fancily Room
BedroomC) 0
r- Bedroom
SECOND FLOOR PLAN
r
O=Si 3 BSE AL •\'-',,;': / o C : t �0N ',;,ONOXIDE \ \,j