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Home My WebLink About1932 ANAHEIM AVE - Building Permits • • ' CITY OF COSTA MESA BUILDING DIVISION ` 4" DEVELOPMENT SERVICES DEPARTMENT PER NUMBER • PERMIT %op...ToteE05-00325 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1932 ANAHEIM AV Status: ISSUED Suite No Applied: 04/14/2005 Vicinity: REAR OF PROPERTY Issued: 04/14/2005 Parcel Nunmber: 42214126 Applicant MELDONIAN, TONY ISSUED BY: Address: 1932 ANAHEIM AV Phone: 949-548-9991 COSTA MESA;CA Zip 92627 Owner: MELDONIAN, TONY Address 1932 ANAHEIM AV' Phone: 949-548-9991 COSTA MESA,CA Zip: 92627 • Contractor: OWNER-BUILDER Address: -Phone: Zip: License:000000 SCOPE OF PERMIT UPGRADE SERVICE PANEL UP TO 200 AMPS AND INSTALL AN ABOVE GROUND SPA IN REAR OF PROPERTY. ELECTRICAL TO INCLUDE: 1 SERVICE PANEL UP TO 200 AMPS, 1 EXTERIOR OUTLET, 1 MISC. CONDUIT, 1 MISC.CONDUCTOR AND 1 MISC.ELECTRICAL EQUIPMENT. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp•Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 _ - • Standing Section $0.00 0 New Res(1-2 units) $0.00 0 - Misc Electrical Equipment $18.20. 1 New Res(3+units) $0.00 0 ., Transformers up"to 1 kva/kw $0.00 - 0 Pool/Spa $0.00 _ 0 up to 10 kva/kw , $0.00 0 Lighting Fixts $0.00 0 - up to 50 kva/kw $0.00 0 Recept Outlets $1.10 1 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 ,0 Non Res Appl $0.00 . 0 ' Low Voltage Equipment $0.00 . 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $30.50, 1 Misc.Conduit $18.20 ,' 1 Service to 1000a - $0.00 0 Misc.Conductor $18.20 1 Service over 1000a $0.00 0 Circus(gen or ride). $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00-' 0 Motors to 10hp $0.00 0 , Christmas Tree Stand ' ' $0.00 0 Motors to 50hp $0.00 . 0 Fireworks Stantl $0.00 0 Motors to 100hp $0.00 0 Other Electrical Feel ' $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244608(&00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally of perjury one of the following declarations: - ❑ I have and will maintain a certificate of consent to sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work tar which this permit Is issued. ❑ I have end will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carder and policy number are: Carrier: Policy Number: (This sect/on need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,end agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THO LSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE.INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.A Class 4 Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant 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 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).): =1;.as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I.as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Cale:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). '❑—I am•ex`emp)luoder sec. Business and Professions Code for this reason: Signature: Lbt-n tWA ._ f Date: Wilt 0-3 -OwnerID venffaby drive cense. ❑Yes 0 No Des License No. res: �l 0! 7 l 07 Verification of Ownership by(type of document,i.e.-property tax bill or deed): �— / / / DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder. I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a2ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes LI No (Section 65850.2 of the California Government Code requires That the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE ' D AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. 1 e to comply with alll tate laws and city ordinances relating to building construction,and authorize representatives f thecity of Costa Mesa to enter upon the abov ascribed propertyfor ins.' ion purposes.I agree not to occupy or allow occupancy of any building authorized by this p It u finaFinspection. . I'—, fig' 91Y OS- Signature 01 Legal Owner(s) ` Date "t And/Or Authorized Applicant Date LODE 1 21SPECT1ON TYPE OATS IMITIAl6 CODE! INSPECTION TYPE PATE INTMAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical _ 1266 Pool Spa Final 208 Final Plumbing i 200 Final Re-Roof 210 Final Electrical ,Offer 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy r5( EssaBUIWt : 1932 ANAHEIM AV OMT: CITY OF COSTA MESA — BUILDING PERMIT . ERSNd11EIFpa*N: BRAD SACHS PERM NO: B 081118 m'REss: 7540 SUZI LN W.M. CA 92683 PERMIT NO: B 081118 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MARINO ADDRESS: CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT ARCHITECT ORENGINEER: UONO.: JOB DESCRIPTION : T/O & REROOF W/HOT MOP SQ FT: 3,000 ARCH.OR ENG.'S ADDRESS: WIT: . CLAIM VALUE: 3, 000 . 00 CALC—VALUE: 3,000. 00 GROUP OCC: R-3 /U-1 CONTRACTOR'S RAKE: RAY'S ROOFING (714 ) 559-9369 CaTRACTOR'SMNIm014571 HIGHCREST CI COMMENTS: TO INCLUDE DETACHED GARAGE ADDRESS, IRVINE CA LIC-NO.] 361042 *AE+t*ReRE****AEAEx*AERrIE***:EREAr+t****AE*AEx:E:rIE*Rr+EAE+E*+EAr RE:ERE***AE*xx:rAEREAE*:E********AE+E*+r****AEAE** 92714 WIT: ZONING REQUIREMENTS LI'•.SED CONTRACTORS DECLARATION:I hereby alum under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS ( . -lig with Section 7000)of Division 3 d the Business end Professions Code.and my license is in full force end effecu. sty .N'019427 LIG CLASS: C39 uc'.j'` 361 42 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING ate: I'-- O—' cpmred« FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN WN ' BUILDER DECLARATION:I hereby affirm under penally of pe' that I am exempt horn the Contractors License Law for the g reason(Section 7031.5 eusiss and Professions Code:Any city a county which requires a permit 10 construct.alter-imProve' PARKING REQ. PROV: PARCEL: 42214126 Z NE: REF NO: Nish.or repel any structure.prior to its issuance.also requires the applicant tar such permit to file a signed statement that he or she is v.need pursuant to the provisions of the Contractors License Law[Chapter 9(commendng with Section 7000)of Division 3 of the PLANNING NOTES>; r. Bu. .::and Professions Code]or'hat he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section 1 7031.5 by any applicant for a permit sulked.the applicantlo a civil penally of not more thantive hundred dollars 1$500]). *********************************************************************'********** ElI.asowner of the properly ormyemployees with wages estheir sole compensation,Will dothe work and the stroctureis not imendndD E V E L O P M E N T S E R V I C E S R E Q/Y U I R E M E N•;T S or offered ler sale(Section 7044,Business and Professions Code:The Contracture License Law does std apOt'/loan Owner d property M who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered fa sale.I.however,the building or improvement is sold within as year of completion,the ZONING APPROVED-B Y • DATE: owner-builder will have e burden of proving he or she did not build or improve for the purpose of sale). • ❑ I.as owner of the properly.am exdm.efy contracog with licensed contractors to construct the project(Section 7044,Business and ,.,-"?,/ Profesecce Code:The Contractors License Law does not appy wen of an ownerProgeny who builds or improves thereon and whoV BUILDING APPROED BY: DATE: -. •contracts for ectal projects with a radractods)[caned pursuant to the Contractors License Law). • ❑ Iamexernpunder Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: L fl *************dE*********************** *************************. . . . . *\ Date: LEGALIZATION:N F E E SUMMARY STRUCTURAL S 'GMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,Paw.,and 25530, for rany hnuobuikvpom theAwill/wanagemenlDnsndlocompiywihvddmapicatand5reemfrom these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 2534.fa that Irlana urs builwnhanthant ul/wit of t(Sole one)e i nee to Residential wndadionepcoceian t exempt requirements provisions PERMIT 74 . 75 . 50 Date: Applicant: - SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of IM following declarations: PLAN ❑ Ihave and will maintain acertificate of consent toself-insure for workers'compenion,asovdedforbySection3700dtheLabor ISSUE FEE Code,for thepedamanceoftheworkforwhichthisp«mhisissued. mprBUILDING—DIV—> PERMIT- ISSUE PLAN—CHECK TOTAL PAID DUE '] I have and wil maintain workers'canpensalion insurance,as required by Section 3700 of the Labor Code.fix the performance of the TOTALS----> 75 . 25 0 . 00 0 .00 75 . 25 75 . 25 - . 00 • work for which this permit is Sued.My workers'compensation insurance carrier and policy number are: Career. REVENUE DIVISION TOTALS--> COLLECTED: 75. 25 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK MS section need not be completed Ithe panel istaone hundred ddmrs($1001or s.) 74 . 75 v 50 I certify that in the peens d the work for which this permit is issued.I than not employ any person in any manner so as to beconw subject to the workers'canprneation laws d Cdlania and agree dm l I "'Ad became eubjed to the wabs' ****************.*************************************************************** aampematian provisions of Section 3700 of the Labor Code.I mnnw:m N with those provisions. I N D I V I D U A L F E E H A E A K D O W N Dat F °— / 7 ApptcanL — em/np:Failure maxureworters'compwuationcoverage Isunl ,end shall nsSpctanemployer tocdminelpenaMuand TYPE QTY D E S C R I P T I O N ' UNIT COST TOTAL COST vll Dns up to one hundred thousand dollars[5104000),In addition to the coat of compensation,damages as provided ler In Section 3705 of me Labor COW,Interest,mtletromsy's fess. SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1 10 e-- n .,b3,,000 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there u a construction lending agency lethe e END .OF: FEES • pedamance of the work for which this permit is issued(Section 3097.Co.C). • / re< ! 7"10.. LENDER'S NAME: LENDER'S ADDRESS: + . Iccendythat Ihave read lhisapplicator.and sale that the above information comply JAN 1 01997 c r c and state laws relating to building conehudion and hereby authorize representatives of thin city to enter upon the above-mentioned property c.f." fa inspection purposes. GRONAU.RAY OM OE COSTA MESA Print Meme / (��7 �Li - Date: ! /0—// Signature of Owner/Agent/Applcah 1]. each (5151'46,WP) Whin-Building&Safety;Green-Fl= • ary-Applicant;Pink-Revenue;Goldenrod-Assessor • . CONSTRUCTION AND PLANNING • - •- & sv,A _ - �� ' ' :Date Inspector.' ` . ' Date ' inspettor - APPROVALS Permit#.^ APPROVALS Permit #" - • 1. Temporary Electrical Service Or Pole • - 52. Pool & Equipment Location - ' 2. Soil•Pipe-Undrgrnd. W - _ 53. Steel Reinforcement -•� +Electrical ConduiI•tltiiity-Undrgrnd. 54., Formsc • .ur4?Efectrical Condlfitti3 brgrnd. 55. Electrical Bonding ii V `MCr, - 1 �a“5`•il$teel Reinforcempdi - 56. Rough Plumbing& Pressure Test . . r 'Electrical UFEf:,GFnd. 57. APPROVAL TO COVER-GUNITE r '-, 7,-7Fcy; _ is 58, Electrical Conduit-Undrgrnd. 8. Foundation ro tai - 59. Gas Pipe, 0 Undrgrnd.,Test •9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 Undrgrnd. , 10. Structural Floor System _ • 61. APPROVAL TO DECK • it,11. Property Sewer Line.& House Connection . ; 62. Backwash & Receptor-Final 12. Sewer Cap a. i 63. Heater & Vent•Final • " ` 13. Roof Drains _ . :64• Plumbing System - Final 14. Rough Plumbing- - t'1 ". . • ' 65. Electrical-Final • 15. Rough Elettrica JCoiiduit c - 66. Solar System-Final 16. Rough Electric yirirlg _ - 0 67.. Fencing & Access Approval . 17. Rough Wiring Sign o • - • 68. APPROVED FOR PLASTERING - 18. Rough Electrica,4TBar Ceiling - -69. POOL/SPA SYSTEMS FINAL 19. Rough Heatin ,& Air Conditioning .;•rr r., �^>. •- m- F'�"RE 2EPT. gEQUI %EMENT :l � r.- wry F m 20. ;, 0 > n •Rr'ou F2torl Ficep'lace i Sh: KC X r •Ji * •-: APP1' O4ee" P�r.�nit # 21. Ducts. In5trueturLr' I ^ •• * 7 -r 70.FUnderg`rouFd F- dro ,. I t� r" 'C.: 1 C,-. x CJ - t1»: . (- u is n� :-•a i is t 5 <* c 'N 22. Ducts Ventil ingv.; 0 x: o ag n r_ . 71. Produet Fining'Nas . Oil _ CO 23. Ges Ripe-Rough& Test i `4;-.S. rt ;,, r`,^ < 04 72. Underground PMs'fi�' F• 0 r-. r-4 :. , R•r nr a Cr -.a. • _ Y- .4. ?+ 24. Woof-7.Fr�ning" 9 • `r in * ^ O^ 1ti* , 73; Undergrnd.Stopdt,`Tjet'Lank�0Gas O'Dil 25. Root-Shea-thing 5+ C r •: { z_' d;Leverhead H dr`1 /-2,-R7 aW l� y r 26. Bai Ceiling (Stri4raU & M1�Cwocoat 44 0 >1 C;, 7cjiry Chemical F,p w .il L .. 7. 27. Eiame and Flashing r D'rtr a c. >' r•",- 76. Dry Star1B0peE-'C x 0 1•- -- - - 7'' - ,,.• tr;-: r: r r.,3 r, :28. LatMng &Siding p• ✓ U54; ,O ix i I I 7Z. FIXED TEI INAt:� 2 rr 29. Insulation • a; U = ; fr 7 FIRE PREV. FI,I\ L $ • >' S ^ ' 30. Drywall Railing ;,x -, i x F+ I 5 FiEALT9DEP '.'FiEnIRMMENT • 31. Plaster BowrrCoat <: 5 • ir-• x 4. I r r tr 79. FINAL LIlISPECIqON r '� 32. ! Iectricatfovver fyfer r'-final i * `t- I I m 815'11 FOOD CERTIP€€ATE I S.!JEQ, tg ,;33. finA Eletiric+ �l:c t:, a.:' x cis N6ies: - '11:17. is .1 0 os t^ -J 34. Finaya-leating Air.CgnditioriiS .n * I I E'.C- a�4 /2:Thrat aIr. 0Vf . /_ ,J�- 35. Final GaCPipe?est " _�' x hi 1 i YY ` ( . , pci 4 N(6.1i flci'-4 -42169 :136. Hood'or Canopy a ' "i e- .k n t'- 4 E ; - x <m :) S" u :1 , h n, u. r•. I -,is m*. XC r ;-r1 (n 4. 137. Emal.Factory Fireplace,x -.F: x I. x p� n .. r., Y 'F 1- "38. Finai'1'lumbing ' `u ' "' a I tt r - C tr az IF ✓3 m m r x 39. Water Service_Final £ x a; I k ; v' "40. Gas Service-F Tal <E ." - r5 g t? i I 1.„ pr., t:-i: k =41. Solar Domesti4•Fina4 :-.1.-- rl ••• "' L i E `"X 42. Backflow Preventer'<' CU ..151-i I I h' cO • i 7 < :J to-i-. > m _ MOP! '- .- fes.--•-"J't 43. Backflow Irrigation- y'S w, t r; J • v - 44. Landscape largation'Systemarr,0 r; x m 7 C: :.x c Cu tv :'J •>- cd o • t i. x ccs - x ` * 1. >: 0� m _. c a, .� Y 1 -%: !-'S. r r. z r' r, .-x. t" rt t• 41. .•.Cl. i• rr+ 45. Spund Attertoation . .. ,; p7 ,-.: E- C' r < • i-+7 x ;--r1 c: 46. -lanchcap•Regulations I' C T c, x •5 1-..7-..i 5 ;r. C �, 47. FiNA,L STRUCTURT & BUILDING Z-a3_7• 1 0/se. , c r 48. £iNALPLANNINGS -'- a: NI --�W t- C. 0 ;U S ., __ c• 49. Electric Releaie to Edison 1r' ^ I r 50. Gas Release to-Southern Califomia-Gas Co x I - --!; r -' o • ori •4: C • - . - t '� _* • 5 DO n. G O 61. CER9IFICATE OF OCCUPANCY w °- :no " - No _ Date �•'�