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HomeMy WebLinkAboutSOLR-20-1589 •. City of Arcadia, CA Permit NO.SOLR-20-1589 Development Services Department Permit Type:Solar 240 West Huntington Drive,Post Office Box 60021 Work Classification:Solar-Residential • Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 10/12/2020 Expiration: 10/12/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 16 E MAGNA VISTA AVE Arcadia,CA 91006-4001 5781004051 111111/111111111111111/11111111111116 Contacts PRABHUTENDOLKAR,AMIT AND ANUJA Owner BARNES SOLAR INC* Contractor 16 E MAGNA VISTA AVE PO BOX 1659,LAKE FOREST,CA 92609 (626)456-2351 (949)652-5445 943909 IDescription:ROOF MOUNTED SOLAR SYSTEM 26 MODULES 1 Valuation: $0.00 Tenant [ INVERTER Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Plan Check Fee Residential $100.00 Total Fees $324.72 Distribution Panel $16.48 Cash/Receipt#REC-05711-20 $324.72 Electrical Permit Issuance Fee $47.01 Inverters $77.78 Amount Due: $0.00 Panels $82.45 Solid Waste Management Fee 2 $1.00 Total: $324.72 fItcL v l 1 ` CALLS FOR INSPECTIONS AVI^`�' 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. 1---,ii- COMPLETED • October 12, 2020 Issued By: Date October 12,2020 Page 1 of 1 %t:A• 4 : PERMIT/PLAN REVIEW APPLICATION wikE Development Services Department,240 West Huntington Drive, Post Office Box 60021 00mOp�Ir^ 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 ❑ 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 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 Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the 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 ❑I, 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. 0 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 ANI)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 • • at • • PERMIT/PLAN REVIEW APPLICATION Development Services Department, 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 ONLINE PERMIT/PLAN REVIEW APPLICATION CITY OF ARCADIA Job Site Address: 16 E Magna Vista Ave. LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION OI hereby affirm under penalty of perjury that 1 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. E I have and will maintain a certificate of consent to self-insure for workers' License Class C10/C46B License No. lassos Exp. Date 02/28/2022 compensation, as provided for by Section 3700 of the Labor Code, for the lj,�/ performance of the work for which this permit is issued. Signature of Contractor /l �i EX I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION 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 01 hereby is issued. My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5, Business and Professions Code.Any city or county which requires a permit to construct, alter, improve, Carrier Ace American Insurance Co. demolish,or repair any structure,prior to its issuance.also required the applicant C66385929 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 ElI 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 10/13/2020 / B IB�i 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). IDI 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 Kook Cha _ Title Agent _ 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 theabove-mentioned for inspection purposes. Signature 169' Date 10/13/2020 _ b i -OZ H ¢ Z T W ! m 000 cc') m (n co c0 m Q p yy LL O FaF Y w O y X C c C g g g app a m c� m co .4 . .c .g Q U w OS ¢ N U =CO C7 N CJ) vwi f` cc; N N r' j cc Q N c g N 2 , 6 2 1 L T .. N " > E • j m7) N a 0 l0 y OU 1- ' cp Wa0 y N c ( 0) = OdQU U O . M 0 N O ONa C {p O ? 0 W co N Q ` ••_ c - `- D. LUU (n (n to o_ Z w ib- J m .,fn a WE � = c f- > > > • � � WIa o 5,. Ix d U 0 Nvp •p 'p 'pd' mN Qnp� J J UY 8 ¢ _ c f" JI a) U c Qj O a Q p p a 111111 4. m o L- > Q Z c U w .D 0 cCl D L LLI Q U L (D c0 � eO � // d 0000rfril ir�� ©® rnS 1 1 *6 ! ' 'H* o rn m cv c (�a v d ¢g t c V •: O S - JU ------- . o E - d U Q N E --- my a' o. L 2 c U Ni co . .� —____ 7.. Q gyp. • s • rn. % �Po - I Ol3M ¢• QP! Y, cr)V 0 6P� 1'M•SN:d m, E � lbl � — J l Jo�s/'� /Ptr� ket 11 i-i----- 81,E ; i " 3 .Sllt1M ONd�ooa - 2�TII , -% IA o HO1VW Ol 031NIVd 39 ll`dHS saloN ge,,oa�.;,j.,�/ F si4,:i3 ( z 5 1N3Wdif03ivoINVHO3W •aes• , '� �:d1's „iia- 1 �I r?a�eQ i o ONd 1IflaNOO a3SOdX3 lld L - • _ NfliTi}H 0 1 z N o N II II II II II II n. rnrno 0) CD ii ( ninF ¢ U n rn Z Naya -4.¢ Q NrV '--I st- I,. ..0 0, i cc Zo Z J zCC wZ<m w Alikam ° z fir v v co Z L µd „` Z ~j Cal to ARD. MMG Engineering 2518 Delaware Street. B Huntington Beach. California 92648 Calculations for: Prabhutendolkar Residence Barnes Solar, Inc. 16 E. Manga Vista Ave. Arcadia, CA 91006 9/1/2020 MMG: 01-0440 The following structural review was performed for general conformance to the project design concept.The hardware and connections shown in the plans conform to the structural calculations provided.The contractor is responsible for confirming and correcting all quantities, dimensions, processes, and techniques of construction, coordinating their work with all other trades, and performing their work in a safe and satisfactory manner.The structural integrity of the items shown in these drawings are the sole responsibility of the contractor, not MMG Engineering. etlitti41, N� EXP.9/30/2021 1Q' 9�F CIVIL '�� OF CA1� • 9/1/2020 U.S.Seismic Design Maps ISAl OSHPD E 01-0440 - Prabhutendolkar - USGS E Magna Vista Ave, Arcadia, CA 91006, USA Latitude, Longitude: 34.1275417, -118.0265389 Santa Anita ParkQ East Pasadena Temporarily closed ,� Huntington Dr Arcadia o ( Duarte a;t lily .�.� WY Huntington Or E ,. .y.w Duarte Rd E Duarte Rd Campus Dr Rd"I. ' !` ' W Duarte Rd ..r I 3 m East San W oarte Rd i, tss.:�� - t - ;7., o 11,4 Gabriel = l _i }� � cf., :1=E -4 - 11-4-, MINO*11/7 :, . Go gle a ' i ., . r = t Mayflower t ongden Ave ngden 4o-e E Longden Ave Village Map r o 0,f 0 Date 9/1/2020,5:36:00 PM Design Code Reference Document ASCE7-16 Risk Category II Site Class D-Default(See Section 11.4.3) Type Value Description Ss 1.913 MCER ground motion.(for 0.2 second period) Si 0.652 MCER ground motion.(for 1.0s period) Skis 2.295 Site-modified spectral acceleration value SM1 null-See Section 11.4.8 Site-modified spectral acceleration value SDS 1.53 Numeric seismic design value at 0.2 second SA SD1 null-See Section 11.4.8 Numeric seismic design value at 1.0 second SA J Type Value Description SDC null-See Section 11.4.8 Seismic design category Fa 1.2 Site amplification factor at 0.2 second F, null-See Section 11.4.8 Site amplification factor at 1.0 second PGA 0.82 MCEG peak ground acceleration FPGA 1.2 Site amplification factor at PGA PGAM 0.985 Site modified peak ground acceleration Ti. 8 Long-period transition period in seconds SsRT 1.913 Probabilistic risk-targeted ground motion.(0.2 second) SsUH 2.138 Factored uniform-hazard(2%probability of exceedance in 50 years)spectral acceleration SsD 2.037 Factored deterministic acceleration value.(0.2 second) S1RT 0.71 Probabilistic risk-targeted ground motion.(1.0 second) Si UH 0.794 Factored uniform-hazard(2%probability of exceedance in 50 years)spectral acceleration. S1 D 0.652 Factored deterministic acceleration value.(1.0 second) PGAd 0.82 Factored deterministic acceleration value.(Peak Ground Acceleration) CRS 0.895 Mapped value of the risk coefficient at short periods https://seismicmaps.org 1/3 MMG Engineering CEBC Sections 502.4 and 502.5 -Additions Check of PV Array Additions at Building(s)-2019 California Existing Building Code Gravity Design Loads: Roof System: Composite Shingle over 1/2"plywood over 2x6 @ 24"o.c.over 5/8"gypsum board with insulation and miscellaneous loading. Live Load(roof): 20 psf Calculations: Dead Load(roof): Dead Load with Array(roof): 16.5 psf Material: 5.5 psf Dead Load w/o Array(roof): 13.50 psf Sheathing: 1.5 psf Framing Members(roof): 1 psf Total Load with Array(roof): 36.5 psf Drywall: 2 psf Total Load w/o Array(roof): 33.50 psf Insulation: 1 psf Other/Misc: 2.5 psf Lateral Checks: Solar Array&Racking: 3 psf Area of Array Addition: 477 sqft Total Affected Area(roof,floor*): 2500 sqft Live Load(floor)*: psf Dead Load(floor)*: Dead Load Inc.(full roof,floor'): 0.57 psf Material(floor): psf Dead Load Inc.Percentage: 4.24% Per 2019 CEBC 502.5-Proposed Sheathing: psf Solar Array is Acceptable Framing Member(floor): psf Gravity Checks: Drywall psf Area of Array Addition: 477 sqft Insulation: psf Area of Affected Roof: 1230 sqft Other/Misc: psf Total Load Inc.@ Affected Roof: 1.16 psf Total Dead Load(floor): 0 psf Total Dead Load Inc.Percentage: 3.47% Per 2019 CEBC 502.4-Proposed Total Dead Load(floor and roof)*: 13.5 psf Solar Array is Acceptable *Indicates"If Applicable" MMG Engineering Roof Mounted Solar Panes - Wind Analysis Components and Cladding-Wind Load Design per ASCE 7,30.3-H<60ft Gravity Design Loads: Array Properties: Array Weight: 3 PSF (Provided per Array Designer) Array Area: 477 Ft' Anchor Properties: Values per NDS Table 1064 Ib/mnt Provide:(1)5/16"Lag screw with minimum 2.5" (Anchor Per Solar Array Designer) 12.2A and 12K 230 lb/mnt embedment using racking system by Array Designer Calculation Parameters: Design Wind Velocity(3s Gust);V(mph): 130 Wind Exposure Category: C Mean Panel Height(ft): 12 Total effective Array Area(Ft2): 477 Panel area to each support(Ft2): 16.25 Angel of panels(degrees): 26.5 "a"per ASCE(3 ft.min.): 3 Wind Force Calculations: qh=0.6*(0.00256K,K„KdKKV2l)(psf)' 18.98 GC,(Zone 1): 0.20 -1.10 Fig.30.3-2A thru 30.3-6 Table 26.10-1,pg 268 K,: 0.86 GCP(Zone 2): 0.20 -1.20 Fig.30.3-2A thru 30.3-6 Figure 26.8-1,Pg 267 K,,: 1.00 GC(Zone 3): 0.20 -1.20 No Panels in Zone 3 Table 26.6-1,Pg 266 Kd: 0.85 (+)P=qh(GCP Gcp,)(psf): 10.0 -26.2 Worst Case-Min 10 psf Table 26.9-1,Pg 268 Ke: 1.00 Lateral load at ea.mount: 73 -190 lb Ip 1.00 Comp/uplift at ea.Mount: 145 -381 lb Calculation Summary:Attachment capacity loads are higher than wind demand loads therefore, the design is structurally acceptable. Hold down recommendations: Solar array system, per Array Designer, must be attached to aligned roof members with (1) 5/16”Lag Screw with minimum 2.5"embedment. MMG Engineering Roof Mounted Solar Panes - Seismic Analysis Seismic Design per ASCE 7-Section 13.6(Mechanical/Electrical Components) Gravity Design Loads: Array Properties: Array Weight: 3 PSF (Provided per Array Designer) Array Area: 477 Ftp Anchor Properties:Values per NDS Table 1064 lb/mnt T.,i„„ Provide:(1)5/16"Lag screw with minumum 2.5" (Anchor Per Solar Array Designer) 11.2A and 11K 230 lb/mnt Va„,,, embedment using racking system by Array Designer Calculation Parameters: Seismic Design Force(Strength Level)-ASCE 7-16 Sect.13.3.1 Latitude,degrees: 34.1275417 Fp=(0.4arSoslp)(1+2z/h)/(Rp/Ip): 0.923 Eq 13.3-1 Longitude,degrees: -118.02654 Fp max=1.6Soslp: 2.041 Eq 13.3-2 Site Class: D ASCE 7-16 Sec.11.4.3 FP min=0.3Soslp: 0.383 Eq 13.3-3 S,: 1.913 USGS CBC/IBC ASD Load Combination-Section 1605A.3.2,Eq 16-21&16-22 S1: 0.652 USGS Sr=Fp/1.4: 0.659 Horiz.Seismic Force ASCE 7-16,Eq 12.4-3 Site Coefficient,Fa: 1.00 Table 11.4-1 S,,=0.250s/1.4: 0.182 Vert.Seismic Force ASCE 7-16,Eq 12.4-4a Site Coefficient,Fv: 1.50 Table 11.4-2 Seismic Anchor Requirements-Tension&Shear Sos=2/3Fa'S: 1.275 ASCE 7-16 Eq 11.4-3 Veq=Sf'ArrayWeight'ArrayArea: 944 lb,Total Lateral Load on Anchor SD1=2/3F„'S1 0.652 ASCE 7-16 Eq 11.4-4 Teq=Sfv'ArrayWeight*ArrayArea: 261 lb,Total Verticle Load on Anchor Importance Factor,1p: 1 ASCE 7-16 Tbl 1.5-2 #of Anchors=Veq/Vallow: 4.1 #of Required Lateral Anchors Height of equipment,z: 12 Ft #of Anchors=Teq/Tallow: 0.2 #of Required Verticle Anchors Height of roof,h: 14 Ft #of Required Anchors: 5 Min Anchors Required ap: 1.00 ASCE 7-16 Tbl 13.6-1 #of Anchors Provided by Standoff Mounts with(1) 32 Rp: 1.50 ASCE 7-16 Tbl 13.6-1 Installer: 5/16"Lag Screw MMG Engineering MMG Engineering Calculation Reasoning: Given the above parameters for the residence,we note that the solar array system dead load will take the place of any expected future live load. This assumption is plausible due to the fact that the solar array system takes up any space that could be used for live load purposes and the panels themselves cannot carry any extra live load. So, when we compare the distributed live load to the distributed dead load from the solar array, we see that the array distributed dead load is less than the initial live load design parameters. Conclusion: The existing truss/rafter system will work with the addition of the new solar system since the 3psf dead load will replace and be less than the 16-20psf designed live load capacity. RAFTER WITH TWO SOLAR ARRAYS STANDARD RAFTER (2 BAYS) I. Q F, ' ' F ' R 4W.: 111 1. , 11 . . . , 1. 1 . i:III UU1W,,, 11 1 W� A CA 0 R., RS: R' R. L= 10ft Width=2ft WDL=20psf WLL= 16psf Q=1.5ft R=1.5ft P=48.75 Given: F1=3.25ft F2=3.25ft T=0.5ft Case 1: R1S=(width*L*1/2)*(1.2WDL+1.6WLL)= 496 lb R2S=(width*L*1/2)*(1.2WDL+1.6WLL)= 496 lb Case 2: R2= {[width*Q2*1.6WLL*1/2]+P*Q+P(Q+F1)+ [width*1.6WLL*R*(Q+FI+T+F2+1/2*R)]+[width*L2*1/2* 433.8 lb 1.2WDI]+P(Q+FI+T)+P(Q+Fi+T+F2)} (1/L)= R1=(1.6WLL*width*Q)+4*P+(1.6WLL*width*R)+ (width*1.2WDL*L)-R2= 433.8 lb Since Rsi is greater than R1 and RS2 is greater than R2 then that proves that the addition of the solar system does not exceed the initial design capacities that the roof system was designed for. ari Z U N a. \ 0 Wcc JUa Ii a OC v o 23 o N := O c N < 2 2, 8 oao g 5 `A o ch rn 4 c 4 �' Q U w us m N U 2 f7 chi m `N 3 E m m c (/) 7 T m fm0 o ci m 0 .4 a J o _ a Qa) oa co J v - O a N 4a D 'O EzU a n c N E, mzm W a T a o 2 p -Q = W S o Q - U D A o 0 . U T > #ia1OomvoEE (n in Cn a z win- J 1- m = Q a no S z w a E T .92 ai m 6 m 6 N H al N0rNJ T OI U c Q) O 61) Qp L Q _1 111 z c U w -B �Zg 5 LLI U fl (D Q (^� T LL lett4we , eeee0ee® ,1 ,0 . , .... . 4* ** 1. ,411V- -.4, . , , . , ,,, , , I., ,-.., i,,, ,s, ,rnl a> Al Iv; N _d I *1 r. \ • iIN V in m U , U f i �� t0+J E V) U ' 0) Ti. m 'b t— r- ' -i`--- --'----ilk Fo a> a I mE!SiP - , a - p W i CO 1-I —_ -" --- _._ _ 013M ¢ O LL 01 Q; G6 • N iy I lileM-SMd ON J0 ._ - anz a -- a - ti0WNaBcc -- .. t � - Su3 0 S11tM ONV 002i -�; L , . 5nuueld ay� - aa3•_-_I - Q o HO1dW 0.1 031NIdd 3911VHS saioN aoa .tc - aaS ; —�- /;1j y1F0 � J: s Yy,.• � Atwo f,I.O! r 4,&IttD11y oS AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: l C i'. tA -som `,/ i Aw 1 ` C4 Permit Number: sou - 20 Brief Job Description: AGAR. sisTem Number of smoke alarms installed: 4- Number of carbon monoxide alarms installed: I 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 2.016 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.gov/licensinglistings/licenselisting 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) «� �G'N.C?=u�_.-� �'% . . at Arcadia, California. Owner's Name (printed/typed): �- I`1 ��► 11AtAi,� Signature of Owner: }C>���� 1 his affidavit must be returned to the City of Arcadia inspector prior to final inspection -- Guest Guest Room T _ ��atitrou I ■ Storage Family Room tom II 11 alil Garage . ....... ... FIRST FLOOR PLAN SMOKE ALARM li = CARBON MONOXIDE ALARM —J 0 Mstr Bath Pi Master Bedroom Dining Room Kitchen r „, — Bath ..Dativ.>" ..i...va, Cioset ----f1 Cioset Closei Family Room C: C Bedroom Bedroom SECOND FLOOR PLAN SMOKE ALARM r e CARBON MONOXIDE ALARM