The URL can be used to link to this page

Home My WebLink About2731 ALBATROSS DR - Building Permits�ooxEssaewiomc: 2�31 ALBATROSS DR uNT: OHNEIfSNAYE1FplOWN: HAAS, MICHAEL A FLOOD: AE-96 � eooxEss: z731 ALbATRU55 DR COSTA MESA,CA 92626 596-8970 AVtt. M/JIWG MDNE55: � IPCNRECT ON ENtlNFEN: .NCH ON FNO.'S ADDNESS: UC. N0: UNT: �a^""�T°"s""'� A PLUS SERVICES INC/A PLU ( 714 ) 775-1947 ca+m�croRs�uuxo 1123"1 SLATER AV "0°"�° FOUNTAIN VALLEY CA 1GN0o 675291 9270Q u"T: LICENSEO CONfNRCTONS DECLAF�TION: I hareby eflirm wMer penely d ' ry ihm 1 em IicemeE uMs prwieiom d Cheqr 9 (commenrirp wiih Section )OOU) ol Division 3 d �ha Buaimse enE Vmleatime oda, vM my IKanee is in lull lorce enE eMM. cmuc.No.:060847 uc.cuss: C 39 uc.xo 675��1 EX'': O1/98 o�< %-- �� 9 7 ca��« � �� OWNEN BUILUEfl DECLAPRTION: I heieby elfimi urder penely W pmj�ry thet 1 em axemq ham Ihe CoMrotlae Liceme lew la Ihe lolbwinp rae�n (Setlion 1031.5 Bueineae enE Pmfeeaiare Cade: R�ry cilY a��Y ��di �eVuiree e pafmil lo mn+M1ucl, Ma, imprava, bmdsh, a repai any aVuctun. pia lo G� ewerca, ebo repuiree tM eppliram t« auch pxmu lo fib e egrieE etelemant Net M a aM .e licensed W�+�t lo iM povisona d IM Conlrenore Licame Lew IChaqs 9(�memi�q �mh Seaion'lOW) tl Diveion 3 M Ihe Buaineas eM Prdeauna Cada� a ihet he w s�e b examp Ihaehom eM IM bavia lor Ihe elleped azamption. My videlion d Sepion ]031.5 by ary epplirent la e permn eubpcla �M epd� to a avA peruly d nal mas Ihan Me huedred ddlan �5500j). � I. av ovmer diM popeM a�m' empbyeae wh wepea m thai eab wmpeme�ion, will do ihe wak, end Ne eln�cWre u� inteMed «oflereE la seb 1�� IOM. BuaresseM Pmfessiona COEe: TM Caurmae lioeroa lawEom nd applyto en ovmerd piape1ry wM buJda«'vnproveaihereon,eM Ww doea such xoM himaeM« hanep a MrouBh he wharown amplayeee,pwidediha wcA impwnnerus ara nd in�vdad ar Werad ta seb. M, Mwever, �he buiNiip or inpwemem u edd xnhin aw yaer d mmpbtion, IM owr�er-0uiMer vnll heva Iha W rEen d provi�p M or she Ek'wl Wik a imqovs lar IM purywe d aeb�. � I. es awrrr d IM qW�Y. em extluvivelY oomrmiq xi�h 4nneed wnbecias �o conarud tha YMb (Swion'lW6. &uiroes enE Pralansione COEe: The Cantreaon Licenx Lew dwe ria eppy to en owror d prapeny who buitls a'unpovn tM'wi enE Ma mnirecb In arh prqxN v.nh e mmretla(sl licensed punuent to ihe COMredare Limree Lew). ❑ i� a:amp ��a« s�r �: e. a a.c., ro� m�. ,�: o�a: o..,b.: i ao n.�nr wnmr u� i� ew� a�e �B�a ina rec�� a c��omm �un �a sm«r coee see�. zssos. sss:u. ,�d 255�1, and Mei I ar eiry Mure buiWirp oaupenl xill / wil �(a�cY aw) need �o rompy wih eeN mma mdae ud iM ixryiremeMa br ove: Avd�+: WORKER'3 CONFENSATION DECIA(iATION: I hereEy elfi�m uMar penelly d pa�jury aw d �M bllowirp dedvmions: � IheveenExiOmeintenecenifretedwneenitoseM�ina�vebrMakerscompenaelion,nprovidedlabySepion3l00d�Mlabar riCdB.�IX1�1B VeliOfRiMCB 0�1�10 W01%�Of W�IIC�1�h19 p!lT119198UG4. j] I heve enE vnl maintem xnMen' mmpenamion ineureze. m re�ui�ed by SeUion alOU d ihe labor COEe. br IM pMamenoe d �M � work 1« whid� thia pe�mn ie inueE. My warkare' mmpenaelnn imurenea faerier vd pdiry numbar ue: �,,,;,,: CTLTF FT1N7� EXPIRES va�r,�mc�: ��ac_o�nnnn�nun 01/01/9N (This secfion neeC nIX be eanpbleE / tM pemil'u /w one huMieO tldlen /S�P01 w bm.l � I centy tMi m tM pmlmrerce d ihe work 1« xfich thia permn ia mua I aMll m� Iq�@^y pemn m ury manrer e o io bacome euM� ta tM worken' compemetion bwe d Celilanie. arM 0� ihet I Mwld�bew s eu ' tl to ihe cwnpe`n''u)lbn p(m'�v'isiom ol Sedion 9)OU d the Lebor Code, I ahell lo 'Ih mmpy ilh thoea 0 visi Due: / �]S � � Appl'ram: WeminO� Fa/lun ro �ecun wwlrsri roII1pMWtl0I1 COYIIiy! IIVIIbMTI( lllellYllll!(Kf III MlylOyM b MINIWOMII!/N IIM clvll fliros yv h ons hwdreC fhouuntl GW/en (lfOq000), In etltl/tlon ro fhs ewI ol compxuefbn, tlemep� u poHWtl br In Ssetlon 9]06 0l tlro LeborCodr, lntas�4 eM efromey� lsu. CONSTRUC110N LENDINO AOENCY: I Mroby elfiem uMar peneXy d perlNrv �� e u e mneliudian bntliip epenry br IM pMwmeMa ol lhe wmk M whidi Ihe pa'mi o'seuetl (Sepion �O9), C'v. C�. LENDEP'S NANE: LENUEfl'S AUDHE53: � eenM �nm � nm�e re.d �na eoMKmlm ene mm. �nm me ebwa Imammion o mena. � miee io eamWr �•;�n el� edr end mumvadiwwr end etae lews relatrp lo buildnB ��ion end hereby euMor¢a iepreaemeiivea ol ihie ary lo enlm upon Ihe ebwe�mantioneE piapmy ta impeaio urpwea. SEAN MALONE Pnni Nem �}.�/r� [j • —' Dme: / V �/�� Sipnmure a OwnedApen renVConiredn (St51J6.WP) WhAe-Build'uq 8 Sefety:Oreao-Fle: Cenery-App5cent; Rnk-Revenue; OoWenro�Avsmeor CITY OF COSTA MESA — bUILDING PERMIT PERM NO: B 083ti%.i PERMIT NO: B 083673 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOH DESCRIPTION : T/OFF RESHEATH W/ 7/16"OSB/ 40 YR ELK SQ FT: 7,592 CLAIM VALUE: 7,542.00 CALC—VP.LUE: 7,542.00 GROUP OCC: R-3 / COMMENTS: "RESIDENTIAL REROOF SMOKE DETECTORS PER 94 UBC �**�r**�**�#�r**��t**�#*#*****��tu*�*�*�#*****��#***x*******��t**#*��r**#��*��c�t*�c*�r*� Z O N I N G R E Q U I R E M E N T S S E T H A C R S ------ ---- MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 13947710 ZNE: REF NO: PLANNING NOTES> C. � iE 3k iE 1k jE if iF �)E iE �E'1E'?`.' * iE iE�1E'1E iE �k'k iE iE iE if iE if !E iF iE if iE iE # jf'Jh 9E iF iE *'� jE iE iE if iE if iE if �f if # 3E iE �IE �E �)E'1E �)E'7E iE iE if iE 9E jf i(� jE'1E iE?F if ii' if iE?E * iE jE fE D E V E'L O P M E N T S E R V I C E S R E Q U I R E M E N.2�S ZONING APF�ROVED BY . DATE: BUILDING APPRO,VED BY APPLZCATION ISSUED B *�r**atieitat�t*****�t*at*** LEGALIZATZON:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 137.25 PLAN � ISSUE FEE DATE: �--� ! ��F� ��D*��f�.�i��* STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING 75 SMIP/NON-RES BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 138.00 0.00 . 0.00 138.00 138.00 .00 REVENUE DIVZSION TOTALS--> COLLECTED: 138.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIPITOT GRADZNG PLAPd-CHECK 137.'l5 • .75 iE �lE 3F if iE ik iE �JF 1E if'1E jf �lE 3E If fE 1E 1E iE iE iE iE -Y.- iE iE jE if �lE iE iE �E iE jE if dE jf jE'1E'.E jE iF �E iF jh if iF 1F iE 3E -1E iE iE iE iE iE iE if jE9i'3E'7f jE jE 3E if iE iF if -1' �E'1E iF')E jE iE 3f 3E 3F # � I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E 5 C R I P T I O N ONIT COST TO'TAL COST SFR 7542 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 7,592.00 END OF FEES SiU10KE DFTECTOR �EQUIRED i B7-B8-1997/81:P1 DM/f138.88 PERMIT�eTgg� 39 � ` CONSYFtUCTION AND PLANNING POl SPA APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector t, Temporary E{ectrical Service or PoVe 52. Pool & Eq�ipment �ocation - 2. � Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electricai UFER Gmd. 57. APPROVAL TO CpVER�GUNITE ,, 7. Footings 58. E�ectrica� Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, i7 Undrgrnd. 10. Structural Floor Svstem � 67. APPROVAL TO DECK 11. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Finai • 13. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing , 65. Electrical-Final 15. Rou9h Electrical-Conduii 66. Solar SYstem-Final 76. Rough EleMric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68, APPROVED FOR P�ASTERING 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. RougN Hea2in9 & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace APPROVALS Permit # 21. DuMs; �n Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72, Underground fiush 24. Roof Fcaming 73. Undergrnd.StorageTank GGas OO�V 25. Roof Sheathing �/,� % 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemicai 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTcM FINAL � 29. Insulation 78. FIRE PflEV. FINAL 30. Oryev�� Nailing NEALTH OEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Einai S0. FOOD CERTIFICATE.ISSUED 33. Finai Electric Notes: // p � ��/ % cg�` /i/0/ � � G-Cd� 34. Final Heating & Air Conditioning � 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar Pomestic-Finai 42. Backflow Preventer 43. Backflow irrigation 44. Landscape IrriGation System 45. Sound Attenuation ;.- ;r 46. Handicap Regulations �" '� 4T. FINALSTRUCTURE&BU4LDtNG if 'l��y % �. O c� o: «. 48. FINAL PLANNING :�,; ,`�' 49. Electric Release to Edison ��:� � 4. 50. Gas Release to Southern California Gas Co �� J Y� .r .�l 51. CERTiFiCATE OF OCCUPANCY ..5:.. �• No. Date August 17, 1977 ( ��ffi'g��' of c5'ouEi:evz C'a�i:fo�cncta, J�,ic. P.O. BO% �7 . 3310 AICPORT wAY . LCNS FE�CH, Ch:IF. 90801 .(217� �26J355 . �P13� �676�Y)BA . �711) BIB-6431 BPA4Cv OFGICES: isia.D rvc.rM H..o.�50-..� . Han o.o.uc��.. r.�nnq . A.�.nne.CdBornl.o])Ol ^ •• }VSSA.do.doAn..P.Qle.0 �1H� 5)1-1W5 �/��'; I•�\ i� Lang BucF. Cd�I.0p9C1 I�U� 016QJl0 I`-' p�';` . exwMlNwYION: GUNITE COMPRESSION TESTS ON �¢7 ij{]�}2;�,'+Q"�, CYLINDERS Robert C. Bennett , 9130 Cedar ;k3 Sellflower, California 90706 rRo�ecT SWIM POOL S SPA �� ADDRE55 2731 Albatross Dr., Costa Mesa, California SAMPLEFROM 2-deep end wall/2-shallow end wall/2-floor /1RCNITCCT ' CONTRI�CTOR Edgewater Pools ENGINHER 9tlBCONTRMCTOR Bernard C. Adams -- Arco Gunite SPECIFIED MI7C (y.'1 t0 1 STRF.NGTH DATE CAST DATE TESTEP CYLINDER NO. COMPRESSION TOTAL LOAD. LBS. POUNDS PER SQ. IN COMPLIANCE 8�1��%% 8�1%�%% 1 7 days 62,000 2,135 SLUMP 8�1%�%i 2 7 days 59,000 2,085 7 day tes[s comply with specifications. rwwoe ev C�'LINDERS BUTCOIl omrw�aunow: Robert C. Bennett - 3 Costa Mesa Building Deot. OELIVEREO BY Bennett 77-4659 8�1%�%% 3 7 days 60,000 2,120 R6CEIVED ON 8�11�77 •u ws.ow.� w � ren we �wx cehnoaw�u� r. . �. � . ..� � ti .•ucwnow o� oew nvosr�.�/��r�c!�� I •w�C� f I A w[G�wpING tMGM Iy �1Cf61�VL0 ttI/OIw6COVA wili��¢N �1�/wOvwl /.{ A rwV1V�l �wOtCtf�ow �O CLICMt�. twt �Vl�IC �NO OJP1ClVEf. 110.12• Iw/%" . �' � �3�(?2 ��COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. BOX 977 C09TA MEHA, CALIFORNIA For Applieant fo Fill In Complefely TYPE OR PRINT BUILDIN6 ( ADDRE55 J' �OS �`�� • COSTA MESA. CALIFORNIA w�y� -^ -' 'r, n 1.JH �.. uiu ;.:i' �s.�i:ti 1�I MAR 9 i96� � p�!�+ �,� APP CATJDry FO ,�.�'P�RMR --- -BUt FoI ��ICB (%SB QA�y I RHCHIrT NO. I PERMIT NO. FIRE ZONH APPROVED �7 BY ZONH NO.OI PLANO LEOAL % _ NO. OP BLDOB. 6ETBACK LINE FROM �_ _� cENTER OF BTREE! REAR YARD �� SIDEYARD LEFT I RIGHT DESCRIPTION OF WORK NO. OR ROOMS SfOR WALL I ROOF COVERIN6 1LD1NG ANlJ WORK i0 BE PERFORMED ..� I � /��/ // � _ ��l �f �I HEREBY ACKNOWLEDOQ TH�1T 1 HAVE P= D TNIB APPLICATION ANO STATE THAT TH8 ABOVE IB COHHECT ANO AORE6 TO COM• PLY WITH ALL CITY OftD�ryANC88 ANO eTAT6 LAW6 RBOYLATINO BUILDINO CONeTPOCTION. ■ AUTHORIZED AGENT NOTE: NO EAVE OVER 90" TO SIDE 8 REAR F EAVES ALLOWED YARDSAPPROVED MAIN BUILDINO (FROM C/LSTREET>, o�sraNce ser MAIN BLOGB. VAR. SC Y88 OP NEW �� /, � 9UILD�NO r�1 • �Y (N Iil -7�, T,2_� a-�'; N6 StiA4L BE LESB iHAN (U.B.C.REQUIREMENT', YARDSAPPROVED ACCESSORV BUILDIN6 BET. MAIN ACCE55. E DATE N sQ. `rt. � THE AMOUNT BHOWN UN�ER VALUATION IS FOF THE f PIIRPOSE OR EBTABLIBHINO A PEPMIT FEE ONLY. � VALUATION � q�\ m N PERMIT FEE j ./�� S $ L EC a �Q �n//� —� �(r � E ✓ `� TOTAL FEE $" vrvivr.0 i .iN'1�',ti. HUNHLll i'' ""i� .S-`i-07 _ TOB ADDRESS 77Z� g�i, + ri,- � � BUILDING PF.F2MIT NO. ?�n� GENERAL � or Date woxx Pilasters Vai.UE $700.00 SUBCONTRACTOR F W L a � .N. F 44394 COSTA MESA BUILDING-SAFETY DEPARTMENT P.n. 0.nX 7200 COSTA MESA_ CALIFOHNIA 92626 PAiD 48.50 AUG-1-77cMSAOO 111� �*** APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIj(€D�Y DATE RECEIVED DATE ISSUED BUILDING 2�31 Albatross Costa Mesa �� AD�R ESS `��r/ � / � PE I OWNER FIaaS � /' A.P. NO. '� � MAIL � BUILDING � /L( �'�1/r/�`�IQ✓'�� ADDRESS Z�3 � A I batro55 nooaess �� TEL. TRACT � LOT BLOCK cirv �Sta Mesa N�� 54 .8470 CANSTRUCTION �ne . EW ADD ALTER P LENDER � BRANCH � • OWNER ADDRESS VALUE AqCHITECT B� C Adams rE�. 636-0294 5 � � �— OF ENGINEER � N . FIRE •T� ADDRESS ZONE VPE GROUP V ��\\'�'(�M ��+�gyQl�. APPROVEO CONTRACTOR E BV DATE � D� ADDRESS 1955 Whitman Dr TEL. � ZON NO.OF USE OF NEW CITY p � aCent i a N�� 996 8368 PL4^� BUILDINC#:�y1 STATE CITV YARDSAPPROVED VARDSAPPROVED LIC. NO. 3Z9O9I LIC. NO ,� MAIN BUILDING ACCESSORV BUILDING 512E NO.OFBLDGS. (FROMC STREET) OF LOT GO X I I O NOW ON LOT � FRONT FT. FT USE OF �/n- h EXISfING BLDG. �me SI T. �FT. c�( (� '� Separate permits are required for �, SIDE FT. 6 FT. O electric, plumbing and heating work. � �'� REAR FT. FT. USE OF BUIIDING AND WORK TO 8E PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. Bu i I d Sw imm i na Poo I c u�'P � APPROVED APPROVED ' �/� _ �% 2 13... � � I hereby acknowletlBe that I heve reatl this application and stete '� n that tha ebove information is correct antl agree to comply with � all tews repulating building consttuction, antl I shell not employ � any person in violation of the workman's eompensation lews of d the State of California. i I hereby cartlfy that I am properly licansatl as a contractor untler SQ. FT. w ihe State of Callfornia Business antl P�ofessions Code, Divlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, entl that such licenses are In full force and effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY: am ezempt from the provisions ot the State of Celltornia Business a antl Professions Cotle, DivlSion 3, Chepter 9. VALUATION PERMIT FEE $ a� O..O N m PLAN CHECK $ � ^� Slpnature o � 4 , /� � Permitte' � �7,(b��Q�,� • -_`7 $ � • � �� TAX S O � \ -/ ✓ ♦ U Authorized Aqent TOTAL PAID S � uwNtrt MR. & MRS. MICHAEL A. HAAS unit g-1-77 JOB ADDRESS 27��batross Drive BUILDING PERMIT N0. k4 94 '�ENERAL CONTRACTOR Wm. H Fd�inston � DESCRIPTION of WORK p�, Swii¢ pool w Spa PNo. lR4—u77-10 LOT TRACT FIRE ZONE VALUE$ 4.570.00 NSPECTI �ool Location . �orms ain Drain _ Steel Reinforce Elec. Bond _ Approval to Cover Underground Electric � Gas Piping Test Filtering SYstem Lines __ Backwash Lines and Recep. ' Electrical Final iQ C 9-�3- Heater and Vent Final � Filter System Final Backwash and Recep. Final Fencing Final Approval for Finish � SUBCONTRACTOR Electric Plumbing -t-37 I�e�a?_I / .. �ot'�i� � ! �`� � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 91] COHTA M6HA. CALIFORIVIA For Applican► fo Fill In Completely TYPE OR PRINT ADDRESs 2 1 Albatross Drive COSTA MESA. CALIFORNIA � MAIL 1833 E. 17th St., Santa Ana �C.TNO. ��73�H NO. SIZE 71x100 No.o�eLooe. O OF LOT � NOW on WT USE OF , EXISTING BLDti. 6ETBACK LIHe FI1 ' CENiE0. OF BTHE � RfiAR YARD �� .SIDEYARDI LEFT 6� I R16HT 7� DESCRIPTION OF WORK ' S Z'EOINg 2, 139 ROOM9 6 bTOR1E8p ' EXTERIOR WA�L'.�Idl_f1Q I ROOF rl$h_ake C% House 1 714 s. ft. Gara e 425 s.ft. Plan 41-CR I XEREBY ACKNOWLEo08 THAT 1 HAVE RGD TH�e APPLICAT�ON ANO BTATE TH�T THE �BOV6 19 CORp6CT AND AOREe TO COM� PLY WITH ALL CITY ORDINA C8B AND 9TATL LAWB ¢OULATING BUILDINO CONHTqUCT10N. SIGNATURE OR PERMITTE t AUTHORIZHD A 30N[ R� L60AL i �G RCt,tIVtU FINANC� ��'�j, CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only rtece�rT no. .� qepqyZ � tj`S OV OAT6 R[C[IVeD . DATEIB9U6O ZONING NO.Op UBEOFNEW SS PLANB' BYILOINO�.�/ a none OVfiRHANO 6HALL BE LES9 THAN YARDSAPPROVED MAIN BUIL�IN6 YAR. iF YARDSAPPROVED ACCESSORYBUILDING .ldi� .- 2 �7-C TH! AMOUNT SXOWN UNOEN VALUATION 16 FOR TH8 PUflP09E OF BBTABLIBMINO A PBRMIT FEE ONLY. VALUATION 6d — PERMITFEE $ Sa��6V � cHec .3 � TOTAL FEE $ �� CITY OF COSTA MESA - �JILDING SAFETY DEPARTMENT , Registered Deputy Building Inspector — Certificate of Compliance Date of this Certificate Building Address�Z �zL A`6�'Tss fi.e �sT/�/�SA -, � Permit No. �y3�f Date Issued i To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which 1 was employed to inspect, were inspected by me and comply with the provi- sions of the Building Code applicable thereto. [ ] Concrete [ ] Masonry ' [ ] Welding [ ] Reinforced Gypsum [ ) Special Cases Swimmin Pool Size D g ��'.�% [�]'C,unite [ ] Hand Pack Sacks of Cement �`% Tons of Sand 3� Approximate percent of water in aggregate This report covers work completed during week ending REMARKS: /fEfN�"O.PC/N6' ✓ BoN��%�G .S'�Cu.eEtr :.✓�L,r�e - O!/NiTd ,� sYo.Q.�iHifNv�'��O . �'.�Tj=•r�T>,Pr �Ei✓u::vG TsT �� Registered Deputy uilding I�ispector Nam�•�6F.27�G�. �JEN.UF%% Addressf'�36 /�E�,e .9T¢3 Laboratory /y��/�✓� "�yG l�E�r�� Telephone ��-3-Z �� CMF 0406-46 (BU 6)