HomeMy WebLinkAboutXR2023-3003 - Miscr ® r
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive j P.O. Box 17681 Newport Beach, CA 926588915
www, newpoitbp-aohQe,aov ( (949) 644-3209
The punTose of this certificate is to insure that the structure is located properly on site per the approved
drawings, This certificate also verifies the top of slab/floor elevation noted on the approved drawings.
After the top of slab/floor elevation is verified to match the elevation specified on the approved
drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to
verify that it is equal or less than the dimension shown on building sections and elevations,,
This form must be filled out by a registered survoyor or civil engineer: authorized to perform surveys,
The survey must be dome after the concrete forms are in place or preferable after the concrete slab is
poured or raised floor is built, but prior to starting wall framing,
E ngincer/Surveyor's Name I �`` pi f�"°�" � / .�''License # 4e ,,7
lanngizneexlSttrvcyor's Address
Job Address211
Setbacks; Sketch a site plan and specify
/surveyed setbacks (use back page).
'r Top of slab/floor elevation f /
if slab/floor elevation varies, sketch a plan or section through slab on the bade page and specify the
elevations, Use same datum used in the survey of record.
Z eei-*that be setbacks are Fkl, are not Q> e 1 - lea e o ns
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X cortify'that top of slab/floor elevation(s) is T is not �, per City approved ci�rawtzngs, Describe
any deviations from plans.
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Date
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PREPARED BY OR UNDER THE SUPERVISION OF,,
THEODORE M. KRULL, L. S 8 _ &' DATE
SURVEY NOTE
PROPERTY LINES SHOWN ARE BASED ON
RECORD DATA AND A PRELIMINARY BOUNDARY
SURVEY, TIED TO EXISTING MONUMENTATION
AND NOT A FINAL BOUNDARY SURVEY AND THE
PLACEMENT OF PERMANENT MONUMENTS.
PLACEMENT OF PERMANENT MONUMENTSWILL
REQUIRE A COMPLETED BOUNDARY SURVEY AND
THE PREPARATION OF A FINAL MAP, IN
ACCORDANCE WITH THE STATE LAW,
OASIS OF BEARINGS:
THE CENTERLINE Or 48TH STREET SHOWN ON
PARCEL MAP 144 43144, BEING N 52' 42' 43- E.
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