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HomeMy WebLinkAbout2520 POPLAR LN - Building Permits... ,� e � > _ r Jq "i��°apq'au d�° CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714)754-5273 • Fax(714)754-4856 JobAddress: 2520 POPLAR LN Suite: Vicinity�. PATIO AREA Parcel Number: 43917264 Applicant: FRANK ODDO Address: i f' i i r ���7 Owner. CALLEN„c71MOTHY K Address 25201POPLAR'LN, �'J Address: �' 1412 S C /N� �.�G � � �i�� �/_ ANAHE@ �� � t i i �i��: ,t %*' Zi : 92802' • i c P � //,/� I �', j (FArch .: \ '' /��� irAddress:�l ,����-"� � Y�� . , � 1��i.,_,- 1 i +�,'r' � _ / � ', � � 1 }.. � � �}�l z�P: f„� rt' ,\ t `: Y �� � f'f � CONSTR \, / I� �, Plan Check: , ti�� t � P-e`rmd � *� SMIP Res �; ���SMIPCom `� � � ` Other � 1�?�Inspection., lv��. �V A�\ ���� Totaly BUILDING PERMIT Zoning: .��.:Phone:'- "� s�-�"� '��� - • .-...Zi � ._. r.��C r```�.. .. P: 'l ",^��.'^ � FENCE AVE #A PERMIT NUMBER; 699-01402 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/02/1999 Issued�. �9la211999 ISSUED BV: ��/ � / . �� , �� � �i � ���_ ,,� E, ��� � � ' � �, J // � ^��i `�.��. � ���\ ��Fhonei, �,�--Y.r, `�J � � /'`�� / � � � - '`Zip: 92627`'� � � � ����.���� � /� �.�� ��:� � 1� �./ � ������ ,� � Phone: (714)991-7773 ���\\1 ' �CA /' `l\� r � i � ����� / `,� License:- 506245 � �C � � s' - - - ��'��\ . � r � . . .'-. ,�:. E�g � � � . Y^�� �' !�. P..`R - / ,,� , ..'Address: ' r t +q " - x7. i 1 � �Phone: . . _"_ -'"r��;n�� � i �' �J ( ��� � - �� _ }���� \.�"��:-- License: -"1`� `� \ r r \ \/ i cnnee no 000���r \ V UCT 32 LF OF �.��; , . .. . _. , � �4�n $1924 •\ s , $29.60 ��� � '� �� �-; + ,; $0.00 _ - !4 �,� $0.00 �.� .. _ _ � $0.00 ` - \�, T� �� J >4� LOCATION. '�'� �' r FEE SUMMARY ,� ___- � 1 ;�',' ;- --� '�j � p� Calc Valuation � s5ao.00 ,,,,,,������ i , -. -/����f��ClzimValuation �, �� � ��$o;ooj � �,i �i,r� � i;+�j �,i � � � '��" r //�!i i �-� y�/ . _,�� . . � i /x�� r.�. ,..,� �� � ' 4 ' �,i:!� ;"' �� ; �d, � + i � ' � �i � �� �� " ,', � �' - 1� ' f�/ :tf// '•� ��� . � ��,���� ` � PLANNING & ZONING � . �.;:j�'� , ; �� . . , • ��� ' ' � �t 'k' , s-.. kr .�4 / i� . . : , SETBACKS. �' � `� i > �'r� �- � i „� � ;"�'; � � //�� ��V � _b � � i _,i/ ���// A ;i./ MAW STRUCTURE Front't -0-'0 , �� Rear . 0 0-"� Le8 0,Os�= �Right 0'0��� ��%� "�� �. , _ , �. �. �: ��,i, t`\`� !i � ,, . . ` . � � ' � � � - \��i / � �Ji ACCESSORY Piont 0 0 Rear 0-0 � `-Ceft 0-0 �� � Right- , Oi 0� / . � \. � ` : . , ,�� - . , . ` ' �i PARKWG Exishn 0� -�Re Wred: � 0- ,. Proposed��-"0'�� � " � �_ . . . . • , . - �: � ij /// - % NOTES: '- . A'-- , - - ii ;�- ... - .. y ��, i.-;� -,c"-'''�� � � � 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 mus� comply with all applicable codes, and all required Inapeetione 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 WORKERS' COMPENSATION DECLARATION: I j�ereby effirtn untler penelry o1 perjury one oi the following declaratlons: � I have antl wlll maintain a certiticate ot consent to self-Insure for workers' compensation, as providetl for by section 3700 oi the Labor Code, for the pertormance oi the work for w�ich Ihis peimit is issuetl. � I have an0 will maintain workers' compensation insu2nce, as required by section 3700 of the Labor Code, tor the peAortnanca of the work for which this permit Is issuetl. My workers' compensation Insurance cartiar and policy number are: Cartier: Policy Numbec (Th/s sectlon neetl not be comp/ete0 i/ the permit is velued et ane huntlred Uallers ($100) or less.) ❑ I certify thet In the pertormance of the work tor which this pertnit is issueQ I shall not employ eny person in eny manner so as to become subject to the workers' compensation laws f Califomia, end agree th ii I should become sub�ect to the workers' compensation provisions of Section 3700 oi ihe Labor Code, I shall fonhwith comply with Ihese r ns. n I� � A iy �l � �i'�f Applicent Signeture: 7 Date: WARNING: FAILURE TO SECUPE WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED iHOUSAND DOLLARE ($100,000), IN ADDRION TO THE CQST OF COMPENSATION, DAMNGES AS PROVIUED FOR IN SECTION 3�06 OF THE L400R CODE, IMEREST, AN� ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby atFirm that I am licensetl under rovisi� forca antl eHect Lic. N_-�F��� Coniracto�s SignaWra: of Chapter 9(commencing with Section 7000) oi Division 3 of ihe E Class p . � oate: _ CONSTRUCTION LENDING AGENCY: ❑ I hereby aXirtn Ihat thare is a construction lending agency for Ihe peAormance of the work for which this permit is issued. (Sec. 3097, Civil Cotla). Lender's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: antl my licensa is in full I hereby eflirm ihat untler penalry oi perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to consWct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires the appliwnt for such pertnit to lile a signed stetemeM ihat ha or she is Iicense0 pursuant to the pmvisions of the Comractors License Lew (Chapter 9(commencing with Sec[ion 7000) oF Didslon 3 ot the Business antl Professions Gotle) or that he or she is exempt thereirom and the basis for the alleged exemption. Any violation oi Sedion 7031.5 by eny eppliwnt for a permit sub�acts ihe applicant to e civll penalry ot not more then five hundretl tlollars ($500).): ❑ I, es owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the sttuclure is not intentletl or offered tor sale (Sec. 7044, Business and Prolessions Code: The Comractors license Law tloes not apply to en owner of property who builds or improves theraoq and who does such work himself or hersetl or through his or her own employees, provided that such improvements are not intended or oHered tor sale. If, however, the builtling or improvement is soltl within one year ot completion, the owner-builder will have Ihe burtlen of proving ihat he or she ditl not build or improva for purpwe of sale.). ❑ I, as owner oi the properry, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business and Professions Code: The conirectors License Law does not apply to an owner of property who builds or improves ihereon, end who contrects for such pmject with a contrector(s) licen5e DurSuant to �he ContraCtow LiCense Laws.). ❑ I am exempt under sec. Business and Profeuions Code for Ihis reason: Signawre: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Dnvefs License No. Ezpires: Verification ot Ownership by (type of tlocumeni, i.e. � property tan bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIPICATION: ❑ I hereby certify Ihat no excavation five (5) or more teet in tlepth into which a person is required to descend, will be matle in connection with work authonzed by this permit, entl Ihat no builtling slrucNre, scattoldinq, falsework, or demolition or dismantling thereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttla 8, Califomie Administrative Code). ❑ As owner�bullder, I will not employ anyone to do work which would require a permit from �he Division of Intlustriel Safery, as noted above, unless such person has a permit to da such work from ihe division. Signeture: Date: Division of Industrial Safety Permil Number: CERTFICATE OF COMPLIANCE AND AUTHORVATON OF ENTRY: I certify under penalty ot perjury ihat I have raad ihis application and state that the information given is correct I agree to comply with all state laws and city ordinances relating to building constmction, and authorize representatives of t�a Ciry ot Gosta Mesa to enter upon iha abova-tlescnbed property for inspection purposes. I agree not to occupy or allow occupancy of any huilding authonzetl by this pertnit until final inspection. � I�����:-R-� _,,. . , , i♦ .. , - - -- .., �ODE I, INSPECTIONTYPE 161fi Fixed System Finel Fire PrevenNon 1268 Pool Spa Final 200 Final Ra-Roof 201 Final BIocWRetaining Wall 202 Final Fettory Fire Place 203 Final Sign 204 Final Demolition 2d4&d6 p�jE �NTITIRLS �G�i/ l / /J�L� CODE II INSPECTION TYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Electncal 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DRTE . ., � L � N OF BU►LDING ITY-OF-COSTKIuIE; APPROVED ---�Dae ( ' 2° iT be kept on Ilus'jub at �q tines � d is i wlMu wr8n � ham Ihe Uirision 0 . � ���'� t � S' c�` cd� �i � „� �+�g amis plan arid spe� �IALL N0T be he10 to af t�e v'a0tiar af xry D�o�an af �n C' -- � ab be � r m a cosm.�.�,d� �mo� ��aw. — Th� ��7nd Permd shall e�ire by tirrofZion and becoma nuM a�0 vdd M tlro bui ' or N 0 T E •ork is not �cortmmced r.M meiqeiKy �py� �i �.� (d) wAhin�iG1 dBye d' II� DD TIONS, DELETIONS, OR CORRECTIONS SHALL Gr nnnnn„�,. .... _.._ _. � �t YYSQF_i(j�$i� �RLGNAJp11I� f.. � The Slte 21A 20An 28 27 26 25 22A� 19 Bo Dn D An q 1 _ __,_. ' "s+"�^"i . . 2JD �B C� M�fJ1E VIS1A r—� �1� ti:' ?"____" . � _ / : ._. . .. �. • y` .��' � �_:�.:: ; � ' (714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDING p1Y1S10N DEVELOPMENT SERVICES DEPARTMENT, PERMIT BUILDING PERMIT Job Address: 2520 POPLAR LN Suite: Vicinity: BUILDING 6- UNITS 2520 & 2522 POPLAR LN Parcel Number: 43917264 Applicant: COOTER, LYLE Address: 23015 DEL LAGO LAGUNA HILLS CA Owner: LAUREL POINTE HOA Address 2520 POPLAR LN NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Zoning: ISSUED BY: Phone: (714)583-1858 Zip: 92653 ' � Phone: (714)583-1858 ,.� COSTA MESA, CA Zip: 92627 Contractor: PRO-TECH WEATHERPROOFING Address: 23015 DEL LAGO Arch : Address: Phone: (714)583-1858 LAGUNA HILLS CA Zip: 92653 , License: 620476 Eng: Address: Status: ISSUED Applied: 03/29/2000 Issued: 03/29/2000 Phone: - Phone: - 2ip: �- License: Cicense: SCOPE OF PERMIT , - REROOF EXISTING�2-UNIT CONDOMINIUM BUILDING (BLDG. 6). TEAR OFF EXISTING SHAKE, INSTALL 1 LAYER OF 30# FELT UNDERLAYMENT, & REROOF WITH GAF "GRAND SEQUOIA" 25 YEAR COMPOSITION SHINGLES (24 SQ). • Plan Check: $0.00 _ Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0-0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 PropoSed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $3,400.00 $3,400.00 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 7 BO days, or if work is suspended or abandoned � for a period of 180 deys. ' INSPECTIONS: In order for �he work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ', 1 �' WORKERS'COMPENSAnON DECLARAnON: — I hereby aHirm under penalry of perjury one of the following declarations: ❑ I hava antl will maintain e certificate oi consent to self-Insure for workers' compensation, es provided for by section 3700 of the Labor Code, for the peAormance ot the __w9rk for which this pertni� is issued. ❑ lihave end will maintain workers' compensation insuranca, as required by section 3700 ot tha Labor Code, for the performance of the work for which this permit is issued. �My.!workers' compensation Insurence carrier and policy numbar ara: . . Carrier.! ��1� . Po�liFyNu���� W �" 3ad ���33 �(Thls section need nof be comp/efed i! the permif is valued af one huntlretl dollars ($100J or less.) ❑ I cenily ihat in the performance oi the work for which this permit is issue0, I shell not employ any person in any manner so es to become subject to Ihe workers' compensation laws of Califomia, end egree that if I should become subject m the workers' compensation provisions of Section 3700 of the Labor Cotla, I shall fonhwith comply with these provisions. n �J Z� 'Oe 'AppllcantSiqneture�- ��— Dele: // .WAflNING:.FNLURETOSECUREWORKERS'COMPENSATIONCAVERAGEISUNL4WFULANDSHFLLSUBJECTANEMPLOYERTOCRIMINALP NALTIESANDqVILFWESUPTOONEHUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 31O60F THE LABOR fADE, IMEREST, ANO ATTORNEV'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby attirm thatl�am�licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ohihe'Business antl Professions Code, and my license is in full Iorceantlettem�Lic.p � l-2,a�1'� C> Class#� L' �Cl CONSTRUCTION LENOING AGENCY: ❑ I hereby aFfirm ihat Ihere is a constmction lentling agency for the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). lentler's Name: Lender's Address: Siqnature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm Ihei untler penalty of perjury ihat I am EXEMPT FROM TliE CONTRACTORS LICENSE LAW for iha tollowing reason (Sec. 7031.5, Business antl Professions CoCe: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair eny sWciura, prior m its issuance, also requires ihe applicant for such permit to file a signed stetemeni 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 end Professions Code) or ihat he or she is exempi therefrom and the basis for ihe allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit sub�ects the applicant to e civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner o� Ihe property, or my employeas with wages as their sole compensetion, WILL DO TME WORK, antl the simcture is not intended or atteretl for sale (Sec. 7044, Business and Professions Cotle: The Contrectors License Ww dces not apply to an owner of property who builds or improves thereon, antl who tloes such work himseN or herselt or Ihrough his or her own employees, provided that such improvements are not in�ended or offered for sale. If, however, tha building or improvement is sold within one year ot comp�etion, ihe owner-builder wiil have Ihe burden ot proving ihat he or she ditl not build or improve for purpose of sale.). ❑ I, as owner oi the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business and Professions Code: The contractors License Lew does not appty m an owner of property who builds or improvas ihereon, and who coniracis for such prolect with a contrector(s) license pursuant to ihe Contractors License Laws.). ❑ I am axempt under sac. Signeture: Owner ID veritied by dnver's license. ❑ Yes ❑ No Business antl Professions Code br this reason: Verification of Ownership 6y (type of document, i.e. - property �ax bill or deed): Dnver's License No. Date: Expires: DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATION: ❑ I hereby certiy ihat no excavation five (5) or more feet in dep�h into which a person is requiretl to descend, will be made in connection with work authonzetl by ihis permit, and that no 6uiltling stmcture, scafloiding, talsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Atlminisirative Code). ❑ As owner-builtler, I will not employ anyone to do work which woultl require a permit from ihe Division of Industrial Safety, as notetl above, unless such person has a permit to do such work irom the division. SignaWre: Date: Division ot Intlustrial Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF EMRY: 1 certity under penalry of perjury that I have reatl Ihis application antl state that the information given is correct I agrae to comply with all state laws antl ciry ordinances relating to building coretmction, antl authorize representatives of ihe Ciry oi Costa Mesa to anter upon Ihe above-tlescribetl property fot inspection purposes. I agree not to occupy or allow occupancy oi eny building authonzed by this permit until iinal inspection. COOE �, INSPECTIONTYPE 1616 Fi:etl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Finel8locWfletaining Well 202 Finel Factory Fira Place 203 Final Sign 204 Final Demolition OATE NTRIA OEM INSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250� FinalBuilding/Occupancy Date D�lj€ TITIA 2d4Gd6 /_ F � � La7 6. a � y T F G F Q q .i < > � .� x w c. 0 a a. z W x 3 l � Q� ��� COSTA MESA BUILDiNG-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUI�DING.�� _ . � �.�� � /jAn / w_ .� OWNER CITV A7o�vnnrt Raarh N0.7:]2- BRANCH ARCHITECT _ _ _ , _ TF„I{��}5- � CONTRACTOR �, ADDRESS TEI. CITV NO. STATE CITV LI0. NO. LIC. NO. SIZE' NO.OF BLDGS. OF LOT � - I NOW ON LOT USE OF EXISTING BLOG. . Separate permits are required for " electric, plumbing and heating work. USE OF BUILDING ANO WORK TO E PERFOFMED New Townhomes �Pro.iect od- aS �--- ATION acr_.Fivcn av 1 hereby acknowled8e that I have �eatl this applicaiion antl state ihat the above information is corract and agree to comply wlth all laws reBulating builtling consttuction, antl I shall not employ any person in violatlon ot the workman's compensation laws of the State of California. I heraby cartify that I am properly Iicensetl as a conttactor untler the State of Celifor ' Business antl Protessions Cotla, Division 3, Chapra� 9, ar cn xcenses ere in /ull force and etfeet, ar I am exem t r prov' ons of t S of California Businass antl Profe s d D' i [er 9. ' Signatura o , . Permlttee Authorizetl ABant � BUILDING ADDFE55 IRE ONE ED 7807 'l0%27%78 ZONE NO.OF � PLANS � VAqDS APPqOVED OISfANCE eET 7 0�17 � J.L1.96 TU. I'I'I'�.96CKTD ...... I p-- . USE OF NE � �f BUILDING (a YAROSAPPROVED ACCESSORV BUILDING BEf. MAIN & . ACCESS. BLDGS. DATE A�Ro�Eo iz _2 7. �.__ /O-a7-'� n � i : Z �Q. FT. m - N THE AMOUNTSHOWN UNDER VAlUAT10N IS fOR m� THE PURPC6E OF ESTABLISHING A PERMff FEE ONIV: � VALUATION � pERMIT FEE $ a � m PLAN CHEGK $ m /y//�/ 0 S�� �V V TAX ' $ • LL Y% ! / � `-0 TOTALPAID $ F � W a Q y h _ F C I� a � .� Q 7 i' .a a w a 0 ai 0. z Lil 3 ... :� COSTA M�SA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CAIIFORNIA 92626 For Applicant to Fill in Completely� Use Ink Only OWNE MAIL CITV CAN5TRUCTION BRANCH ADDFESS ADDRESS CONTRACTOR ADDRESS CITY STA7E U0. NO. SIZE OF LOT USE OF EXISTING BLDG. TEL. NO. L. TEL. NO. CITY LIC. NO. INO. O BF L�D(a5. NOW ON LOT Separate permits are required for electric, plumbing and heating work. USE OF BUIL�ING AND WORK TO BE PERFORA I hereby acknOwledge thai I have �ead this application and state thet the above information is corract antl agree to comply with ell laws regulat��g building construction, and I shall not emplay any pe�son in �iolatian af the workman's compensation lews of the Staie of California. I he�eby certify that I am prope�ly Iicansed as a contracior untler the SWte of Californta eusiness and Professions Cotle, Division 3, Chepter 9, and thet such Ilcanses are In full force end e£fect, Or I am exempt trom the provisions ot the Stat¢ of California Business antl Professions Cotle, Dlvision 3, Chapter 9. Stgnature of Permittee Authorizetl ABent APPLICATION FC RECEIVEDBV DA A.P. NO. BUI�DING Ioi3ai7e 2-Ig:op- -T� �0�L30Y78 215.00CKF6 g��`�i.k���T ... �A ._ __ TRACT I LOT I BLOCK FIRE / ZONE APPROVED DATE ZONE �NO.OF � USE OF NEW YAR YARDS APPROVE DISTANCE BET. ' BET. MAIN & MAIN BLDGu. ACCESS. BLDi VAR.# DATE C.U.P.�W APPROVED APPROVED N n m i : SQ. FT. N THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: b VALUATION PERMIT FEE $ N m PLAN CHECK S m 0 $ TAX 5 LL � TOTALPAID $ � � �� pp, 10097 Il'1P NO. 12 CITY OF CQSPA RDQ[JEST I•UR OCQJPANCY p��s 2520 Poplar Lane, Costa Mesa, CA 92627 I�TE: November 28, 1979 7he developer of the above entitled tract desires to sell the above set forth lot prior to the tune that the tract has been �nQleted and its streets accepted tr� the City of Costa Nesa. By executing this agre��ent, the undersigned arJcnaaledges that he/she/they was/were advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa Mesa as having conplied with the conditions of approval which were inQosed h� the City at the t ur� the Final Tract Map was approved. The City assimies no liability for the enforcetrent of the conditions necessary for approval other than those conditions protected 1� surety bond The undersigned agrees to ind�nnify and hold the City harmless from any claim resulting in dam3ge or personal .injuxy to the undersigned th+ reason of the aforementioned unconQleted condition(s). ��0. �d` R�CEI_vt��cn CIT�, rr , -.� �vi..Jl'� �: � L � ?, 1979 p� AM g Y� 11lu; e t`�E3i4i5i6 '� i$► � r � 4 authorized representative IER SAV� S AND LOAI�/ASS CIATION .�i � �7`-� (Signature of Le r) ASSISTANT VICE PRESIDENT �'�.'M:•:.� ..��'s�:.. ��SU �� CITY OF CCSPA REQIJFST FOR OCQJPANCI' TRACT NO. II.7P NO. ��S 2522 POPLAR L�ANE COSTA MESA CA 92627 I I�• -' '� 1 •:1 �e developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been conpleted and its streets accepted b�+ the City of Costa Mesa. By execvting this agree�ient, the undersigned ackrxz�ledges that he/she/they was/were advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa hfesa as having conplied with the conditions of approval which Mere inp�ed b� the City at the time the Final Tract Map was approved. The City assimies no liability for the enforcen�ent of the conditions necessary for approval other ttian th�e conditions protected b� surety bond. The undersigned agrees to inde�nnify and hold the City harmless from any claim resulting in dam3ge or personal injury to the undersigned lx reason of the afor�nentioned unconQleted condition(s). ����r/ �?��cl�lE� ciTv ^:� c���a :s��t�. r� � ,�,., . ': , . authorized rep msentative J�PI 1 r�. 1�A0 P� cau,�oRrr FIDERAL SApII•7GS & IAAN ASSOCIATION AM � 7ig�9�iUiliiuiiia�o��i5i6 � 1 (Signature of Le Richard A-. Gaunt, Assistant Vice Presiden � ������i 4/79