HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (5) •
•
CITY OF COSTA MESA
tz Fs, BUILDING DIVISION
F i �I . •
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BX11-00343.
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 93865188 DATE ISSUED: 11/03/2011
Zoning: , ISSUED BY:
JOB ADDRESS: 2330 K101 VANGUARD WY CM Suite/Unit: K101
Vicinity: Primary Occ: 1 Const Type :7?
SQ. FT: 0 Valuation: $2,475.00
SCOPE OF WORK:
REMOVE AND REPLACE WATER PROOFING SYSTEM AT STAIRS AND MID ENTRY LANDINGS. REPLACE ANY DAMAGED
PLYWOOD .
SUBFLOOR AS NEEDED. REMOVE SIDING AND RESET AS NEEDED FOR ANY SHEET METAL REPLACEMENTS. WORK IS
LIKE-FOR
LIKE. NO STRUCTURAL CHANGES AUTHORIZED BY THIS PERMIT. • - -
OWNER: NEWPORT LANDING/TOTAL PROPERTY MANAGEMENT Address:: 2
CORPORATE PARK,#2 Unit -- — -- ------.----�
City/State: IRVINE, CA Zip Code: 92606
Phone: 949-261-8282 # • ,
APPLICANT: EHLERS, JACK Address: _ ti Unit:
City/State: Zip Code:
Phone: 949-635-6767
CONTRACTOR: PROFESSIONAL SERVICES CONSTRUCTION INC License No. 590919
Address: 23146 ARROYO VISTA Unit:
City/State: RANCHO SANTA MARGARITA, CA
Zip Code: 92688 Phone 949-635-6767 Cell:
ARCHITECT: License No.
Phone
-'1''A` ':
ENGINEER: License No. 7•1 ,.Rt.
Phone
FEE SUMMARY
Building Plan Check: $0.00 ,;,;,
Building Permit: $83.25
Electrical Permit: $0.00SMIP Residential $0.50
SMIP Commercial $0.00
Bldg Std Admin Fund $1.00 l:n::
TOTAL FEES $84.75
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279
• Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal Holidays:
New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE X. INSPECTION TYPE DATE INTITIALS CODE# INSPECTION TYPE GATE ':INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical •
..
201 Final Block/Retaining Wall 212 Final Fire Prevention -. -
202 Final Factory Fire Place 220 iFinal Planning Approval
203 Final Sign 222 Final Site (; '1
204 Final Demolition 250 Final Building/Occupancy X q 1— �/
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive)a license. 0 Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are:z1 person is required to descend,will be made in connection with work authorized
..---- �/ by this permit,and that no building structure,scaffolding.falsework,Cr demolition
Carrier: J/ feFSS __Le_ T. [ 'D or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(rnrssectoneed! not be completed Athe permit es valued at one hundred dollars($100)or less.)
2.Art 2Sec.341 Title B,California Administrative Code).
Policy Number: 3- °0008jO24. — ///
0 As owner-builder. I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued. I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicants Signature Dale
theLabor Code, I shall rthwith om ly with these provisions. ♦♦/ l
CLQ'
A /> it / Division of Industrial Safety Permit Number:
pPhcanfs Signature `'Date/ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WA NG: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full forceand effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lit.It rd— > Class# I (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
7i ' ,�/�"// 4/ 3' <l each business which at any one time has on hand a quantity of acutely
Contractor's tgnature Dat: 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
C.C 0 TRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If'yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of Control officer),
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
El I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Cede:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
CI
I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes.I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
itgaalure pl Legal r±rty Date
Signature Date Lj/�•�! CC,� //)
]pA-a6(3/e]) gAnd/or Authorized Applicant /p to
CITY OF COSTA MESA
•
A�,051p"SES,p BUILDING DIVISION
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
I 7 FOR INSPECTIONS CALL:(714)754-5626 ------ - • - - -- -)
St. '
New Years Day,Memorial Day, Independence Dal-intent NtitDOtird Chtotgy 08
1)0346 :..w..._.•._ -f.
PERMIT TYPE B_MISC STATUS: ISSUED --
APN: TPN00142 DATE ISSUED: 11/03/2011
Zoning: , ISSUED BY:
JOB ADDRESS: 2330 K VANGUARD WY CM Suite/Unit: K
Vicinity: Primary Occ: Const Type :??
SQ. FT: 0 Valuation: $1,741.00
SCOPE OF WORK:
REMOVE AND REPLACE WATER PROOFING SYSTEM AT STAIRS AND MID ENTRY LANDINGS. REPLACE ANY DAMAGED
PLYWOOD •
SUBFLOOR AS NEEDED. REMOVE SIDING AND RESET AS NEEDED FOR ANY SHEET METAL REPLACEMENTS. WORK IS
LIKE-FOR
LIKE. NO STRUCTURAL CHANGES AUTHORIZED BY THIS PERMIT.
BUILDING K-UNITS K102, K103, K202,AND K203
OWNER: NEWPORT LANDING/TOTAL PROPERTY MANAGEMENT Address:: 2
CORPORATE PARK,#2 Unit -
City/State: IRVINE, CA Zip Code: 92606
•
Phone: 949-261-8282
•• .
APPLICANT: EHLERS,JACK Address: Unit: .. I
City/State: Zip Code:
Phone: 949-635-6767
CONTRACTOR: PROFESSIONAL SERVICES CONSTRUCTION INC License No. 590919
Address: 23146 ARROYO VISTA Unit:
City/State: RANCHO SANTA MARGARITA, CA
Zip Code: 92688 Phone 949-635-6767 Cell:
ARCHITECT: License No.
Phone
i •L"-.! : l
ENGINEER: License No.
Phone
•
FEE SUMMARY
Building Plan Check: $0.00
Building Permit: $63.15 -
,, Electrical Permit: $0.00
SMIP Residential $0.50 ="
SMIP Commercial $0.00 I
Bldg Std Admin Fund $1.00 •
TOTAL FEES $64.65
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm.Prohibited all hours-Sundays and the following Federal Holidays:
'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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
600E S. INSPECTION TYPE DATE INTITIALS CODES INSPECTION TYPE DATE " ANIMALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final BIocMRetaining Wall 212 Final Fire Prevention • •
202 Final Factory Fire Place 220 Final Planning Approval
-203 Final Sign 222 Final Buil
: ; 101;204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver s license. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations:' Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by
ection 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: // !1 person is required to descend,will be made in connection with work authorized
C t`� r 1��i�•5 �-- , A� by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: rfie / or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sectonn not be completeda the derma is va&edar one hundred cl3ars(Stea)Cr less l 2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: : dc' —/��
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above.unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature pate
the abor Code,I shall fo with comp
wit these provisions.
3 G Division of Industrial Safety Permit Number:
Applicant's Signa c Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
ANG: FAILURE TO SECURE WORKERS'COMP SATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
I• LAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# Class# (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
Contractors Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Duality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I. as owner of the property,am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). Certify under penalty of perjury that I have read this application and state that
0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature Legacr// / -Signature Date /17
3/93057-46(3/07) Aodbr Authonzed Aed¢aml to
_ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESAf PERMIT NO. TRACT NO. LOT NO. BLDG. NO.. •
CONSTRUCTION PERMIT 6' - /03 3 cP- 11481 ) ' • I01 I 17;a (F_/l_
Applicant's Mailing AddressF-n-PAX 10843, Bev. Hi11S.90113 TYPE OF CONSTRUCTION ® NEW U ADD U ALTERATION REPAIR - •
Project Address 2330 Vanguard Way -101 - ❑ CONVERSION ElDEMOLISH ❑ OTHER ,. ,
Owner's Name Newport TAnal ngf .T,td Phone274-095:l DESCRIPTION OF WORK
ZONING REGULATIONS
Cne • SIarA / Thane B. rte/
Address p 7 new 1004'1, RPvarly Al 11 c, C A 90213 TYPE OF PERMIT 1i GRADING F FOUNDATION L411 STRUCTURAL A.P.#ii A- I I DLO ZONE P13 •
Arch/Eng.Clark & HPririrk Tnr• License No. r-2570 '❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL PLNG. REF.9L re -g3- IID -T-g3� - �—
Address 1_1969 Sar Vir•Prrtp B1. #20, T• A 90049 -❑,OTHER - TO BUILDING 1 1 )1 r rn CT I
Contractor's NamP Phone PROJECT DESCRIPTION SQ. FT. 1170 •
OCCUPANCY R-1 PROPERTY LINE {I Q of bhp YARD (TO P/L)
61,500 • LEFT SIDE YARD 341 col bl�t ee SIDE YARD `.L4) C, �1��
Address(Mailing) CONSTRUCTION TYPE V - 1 • VALUATION$ jV( `hJ
' ZONg R-3 GRADING CU.YDS. Site ACRES PKG.SPACE REQ. '1 G PROVIDED 'l G •
License No. } _ !Y J oC �J
LICENSED CONTRACTOR DECLARATION Remarks: Building N — Unit 101/Type B STREET WIDTH �, PARK FEE$ set .31
I hereby affirm that I am licensed under provisions of Charter 9(commencing RP
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS:
my license is In full force and effect. ' •
License Class License No. PLUMBING li1t1D FOR SPECIAL REQU1REIriEtt/E l
Date ' Signature Bar Sink Sewer Cap ELECTRICAL ,
1RKERS'COMPENSATION DECLARATION - - - -
reby affirm that I have a certificate of consent to self-Insure or a certificate Automatic Washer Meter Clover 100 amps_ •
.Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer' Sewer Connection
3800, Lab. C.) Backflow Irrigation Solar_Collectors Construction Pole Sub Panel
' Policy No. - Company - Cooking Unit Sub Pole
8 Certified copy is hereby furnished. , Bathtubs I Solar Piping . _
Certified copy is flied with the cityBuilding Division. Dishwasher Motors 00-1 HP 011S-8 •
Date - Applicant _Clarifiers Solar Tank '
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - - Dryers ❑Gas ❑Electric Inc.Solar ❑9-15 HP ❑16-15+
•
(This section need not be completed if the permit is for.one hundred($100) or Dishwasher - Swimming Poql w/Spa
less). DrinkingFountains Urinal Fan Microwave '
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 F.A.U. 'Pole'Light '
Workers' Compensation Laws of California. I Floor Drains' Water Closet
' Date - Signature 'Ran e. '
NOTICE:If,after making this declaration,you should become-subject to the Floor Sinks 'Water er • ' Fixtures g
Workers' Compensation provisions of the Labor Code, you.must forthwith Device Boxes '
comply with such provisions or this. permit shall be deemed revoked. Gas Service Outlets ate a ce Sign ,
CONSTRUCTION LENDING AGENCY - Outlets '
I hereby affirm that there is a construction lending agency for the performance ' . Interceptors l Standing Sections ,
of the work for which, this permit Is issued (Section 3097 Civ. C.), sst;;; Switches Trash Compactor Lener' Name Kitchen Sink P
Lender's Address - Lavatories; C ' Garbage Disposal •
' OWNER'BUILDER DECLARATION ?'�'k ^' 1
I hereby affirm that I am exempt from the Contractor's License Law for the - +_ WC Generator 00-5 KW ❑S-15 KW
' following reason.(Section 7031.5 Business and Professional•Code: Any city or . P-Trap - $ / •
county which requires a permit to construct,alter,improve,demolish orrepair - _ - (�.y - Transformer ❑15-50 KW
'any structure, prior to Its:issuance„also requires the applicant for such permit Roof Drains
to file a signed statement that he/she is licensed pursuant to the provisions of - - - 350+KW ReibspectiOn Feb $15
•
Contractor's'License Law(Chapter 9(commencing with•Section 7000)of •
,.inion 3 of the Business and Professions Code) or that he/she.Is exempt Shouters - `L Reinspection Fee $15 .
efrom-and the basis for the alleged exemption.'Any violation of'Section S�'—. Meter ❑up to 100 amps • 'Issue Fee '$ 3 •
31.5 by any applicant for.apermit-subjects the applicant to a. civil r� \\ _
mnalty of not more than five hundred dollars($500). .- . Service Sink - Q r` I • Issue Fee,,( $ 3 Zoning Approved By •• •. l` 'DateSte_ '
LJ I,'as owner of the property or'my employees with wages as their sole ' i / g
' compensation will-do the work,and the structure is not intended or offered • ' ' I ' _ MECHANICAL ' Application Approved By • e L, 6• . - 'Date i i- 7
-F
for sale•(Section 7044, Business and Professional Code: The Contractor's I - I
' License Law does not apply to an owner of a property who builds or improves Boiler Refrigeration System Application Issued By - Data -
thereon, and who does.such work himself/herself or through his or her own
-
, employees, provided that such improvements are;not Intended or offered for ' • Duct-Under Ground ❑0.100,000 BTU ❑100,000 BTU i
sale. If, however,the building or Improvement Is sold within one year of com- ; • ' SUMMARY OF FEES ,
pietion, the ownerlwlll have the burden of proving he/she did not build or Im- I , ,
e for the purpose of sale). Duct-Structural i , System Repair/Alteration BUILDING PERMIT $ •�/9. 00 SMIP • $ 4—•31E
�(((1174>Ldd I, as owner of the property,am exclusively contracting'with licensed con- i
ctors to construct the project (Section 7044,Business and Professions Code: • I Duct-Ventilating PLAN CHECK $ PERMIT
'The Contractor's License Law does not apply to an owner of property who ' , . - ' ISSUANCE ' , $
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple El. - - r PLUMBING $
tractor(s) license pursuant to the Contractors License Law). GRADING - ' $ 1
❑ 1 am exempt under Section B.& P.C.f•r this reason Fir'epl/Fact.Blt. ICBG# I I PLAN CHECK $
RMS. Owner'-d rni � TT1 -ELECTRICAL $
Date - ���r�_ . • Heating System&Ducting - MICROFILM $ ,
I hereby ertify-that 'I have•rea.'this-application and'state t at the'above t -- 00-100,000 BTU 0100,00013TC - - - - - - PLAN CHECK $ ,
information is correct. I agree to comply with all city and county ordinances ( 1 : • ' TOTAL FEE ' $ i
and state laws relating.to building construction,-and hereby authorize repre- , MECHANICAL $ . -
sentatives of this city,to enter upon the bo e-mentioned pop rty ,for Hoed Or Type I ❑ ; Reinspection Fee, $15 LESS :
Inspection re pur. ,.-.. f _�tt R Canopy Type II ❑ ,
PLAN CHECK $ ADVANCED PC l $
•
Signature - I_ ��.iLis.. nate—[-�sw,
•
Drivers' License or SS# •/ Registers I Issue Fee $ 3 I FINAL FEE $ s
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
ro ;?�CONSTRUCTION`AND,PLANNING- ca ,---- ?• - irr e .)-.:P001. PA _ - ,;
i• FAPPROVALS ; Permit# " • C : e Datei « ,I nspettor gAPPROVALS : '-Permit'# ' Date Inspector, -
R 1. Temporary Electrical Service or_Pole n' - r' ' i'52.5 Pool & Equipment,Location'. _ 'ii- i.'*. - - _
F 2, Soil Pipe-Undrgrndr - ,; _ - 53'Steel Reinfoicement
3' Electrical Conduit Utility-Undrgrnd: - ' 54,1 Forms a : : - , -
.' 4: Electrical Conduit-Undrgrnd: r , a 4' i -.'i. :-55-Electrical Bonding.
5 Steel Reinforcement) ; - 'ir r S 5 i :56 Rough Pl`Ombing& Pressure Test • - t
6: 'Electrical LIFER Grrid. ,'. -' ' 1 ' 2 ', t"` '' ; 57'APPROVAL:TO"COVE R:GUNITE:, - • - • '
7, Footings ; 1 ' c = „ ' I 58' ElectricaLConduifUndrarnri - r ^ .
B. Foundation ' 1 _: ' 59. Gas Pipe, 0 Undrgrnd„Test - ;` '
9. Water Pipe-Undrgrnd. I ! , S , ' ''60. Backwash;Lines, P-Trap,:0 Undrgrnd.- •• .
10. Structural Floor System r ,` -`- ' `61. APPROVAL-TODECK - ' - - _ _ --
11. PrOpeftV'Sewer Line•& House Connection = .. t ,62. Backwash.&Receptor Final ' - -
12. Sewer Cap •
0. _ _ i-83. Heater &Vent-Final "- ..
13, Roof Drains v ; c. - ' 64, Plumbing_Systein -'Final--.
14. Rough Plumbing --' ` ' 65. Electrical=Final -- - - , -
'- - -..
' 6 15. Rough-Electeical-Conduit I --f- - f-- - -----.-- 66. Solar System-Final' ; , -
n .1016, RoughtElectr-ic Wiring- ,, I i I! ' ? c T Ea 1 ;h.; i _-'-' ' ;,- I-7'67.4 Fencing&rAccess%Approval i - -
'17. Rough Wiring Sign r: - ' I '• i I I.- = I I •- I ' - - . 68.•APPROVED FOR PLASTERING- _ -
'F ,-- .. , T �. .- -, • .-
•
4 1B. Rough Electrical-T,Bar Ceiling' it i .. I I ` I n l ' ! 69.' POOL/SPA SYSTEMS FINAL - ,
Il, 19. Rough`Heating & Air Conditioning " ' ' i ' =_ I FIiRE-D.EPT, REQUIREMENT • _ , ' •
o>;
t 20: Rough Factory Fireplace) ' I 'i 1 I • APPROVALS Permit-4 ' -i
21. Ducts,.in Structure• a it • I I i ; I i X70., UndergroundHydro't mfr . .
1122. Ducts, Ventilating - I ' :71. ProductPiping 0Gas/00iI '
I 23. Gas Pipe-Rough & Test ;- ; I I I 72*Underground Flush/,/ Ir:' '
,r24. Roof Flaming- i c 1 ' ' i r_ c - I I •73n lUndergrnd.Storag,Tank 0 Gas 0 Oily
4 25. Roof Sheathing ' a :./". Ii ., .. I ' I '- "741;6(4verhead
' 26. S�Bar Ceiling (Structural),& Monocoatzi I i ; I j 75.,DrrefYiChemicahff - + '
,, i 27. Frame and Flashing -; I i II. ;� : I •' ; ''96.-I:.Dry Standpipe ' ..
,c
' I' 28, Lathing & Siding' act •• ' I i/ i. 77.1r'FIXED SYSTEM.FINAL '
I, 29. ,insulation - ''• , ' • I' , i , �17888f' FIRE PR EV, FINAL - -
30. IDrVwall Nailing ' r` I i i •' ,tLtes: ; /r 1 _ 1 I ,
31.=Plaster Brovvn Coat : • I I
' 'I 32: Electrical Power Meter-Final I I 1 1 ' I ' . •
I t
., f 33 Final Electric ' � �' • '
34. Final Heating &;Air Conditioning - • i I I - -
35. Final GailPipeTest ' I = , i' i . i c.. 1",,-, ' : ; - ` :• -• -
36. Hood or Canopy - ' 1, ` . : -
-I - -: 'ii - . . I ' , -
37, Final Factory Fireplace' ' ` - V 1 . _ J - _ •-
38. Final Plumbing i � -i �. • 1 - ,_ -
39. Water Service-Final' ,
I I I
40. Gas Service-Final , t I ' i •
,
41. Solar Doinestic-Final I • _ __ __ _ I _ 1 __'.
.. 2. ,
42, Backflpw Preventers 'n1 i I I 1 l ,_ _ _I ' •
,.+• -,., •
43. Backflow Irrigation, _.I " _ _ _ ? a , i i '
4.
44. Landscape Irrigation_System I i - 1-. _ .,1. • l 'I. , I - ~`l j - - • .-
45, Sound1 Attenuation . !', i ' i !, 1 J t I I_ Ica ' 1 , , • � - _ " '
46. Handicap)Regulations , ; • • s I I, `'s
47. FINAL STRUCTURE& dui LDING" 1 ' r tif. � .-,i i , I ! I
48. Special Requirements Completed• I I i • , I. I 1 I ' i
49. Electric Release,to Edison! .1 I d -_ 1-_I .jr , __1_ ;_J _-.r _. _ -_1 ,s -, ,
50. Gas Release to Southern California Gas Co I i i I , I I i I. , - + . .
51. CERTIIFICATE'OF.000UPANCY '
w. g I I 1 I • ," t- '�- --t--1-= -i- I-{ -- -'- ' - 2- •-' ," I '
No, Date ' - i
T r
•
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 001588
Building Safety Division
P.O.Box 1200
Costa Mesa,California
The Building located at 2330 Vanrnlam&Wax/ K-101
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group la-7 Occupancy.
Use of Building Condominium
Legal Description 419-151-06
(See reverse side for Metes and Bounds)
Building Permit No G16878 Electrical Permit Nog16878 Plumbing Permit NoG16878
Mechanical Permit No. x16878 Number of apartments and/or guest rooms
ISSUED TO: Building ici L�
Newport Landing Limited
P O Box 10843 by
Beverly Hills, CA 90213 / /1 f6
Date .-1 Y
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 le) U.B.C.
CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink -Bldg.Permit File
' '% Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY,k, TA MESA PERMIT NO. , ��TRACT��� LOT �` /2„19 2, - 5721 1 �j/8;; i 1 V•'1
- CONS-I . TION PERMIT • Cog f / (/
Projecteaddress e• • U s 1 1"Cpl ' t' i - • TYPE OF CONSTRUCTION Ipl NEW U ADD U ALTERATION U REPAIR
O.
Applicant's Mailing Address, 2OX 10 3.iJJL. •H �S ❑ CONVERSION ❑ DEMO' I H D OTHER _, QwGC A.P.# (7(/9 - /5/ - QG Zone '_ 3
' 13 / DESCRIPTION OF WORK ca0C0 6 &4 •
Owner's Name . Ii J i'L t i ' • • 'h ner • SP S Main Building: Accessory Building: Z
Address P.O. MOX 10$43. r�tUERIy HILLS- CAC �101,� T TThC/aED 0,
C-58 4
TYPE OF PERMIT GRADING `I� FOUNDATION a� STRUCTURAL Front A N
Arch/Eng. CLARK - HEDRICK License No. J INRear J/ .T „,A,I-.r c,7p . N
� El ELECTRICAL IPS PLUMBING ® MECHANICAL B � I
V , Address I19G9 SRN UICFA)TE -el-- L. 9M 9 ❑ OTHER A
(37 Contractor's Name PAUL Trmi CK Ph e'&0-6702) PROJECT DESCRIPTION SQ. FT. 1338 OCCUPANCY- R-11/�M❑-1 C Right ,j�j �� �PH�ST ST k/ G
TT__ Address(mailing) 11,85e, LAL GI?MJGe d4VE., L.A.:900;V CONSTRUCTION TYPE V"N VALUATIONS !6150a S Left �iT�c�Ar vS7-57/4.-�' - E '
,,,,1(1 City License No. .�3tyr (O ZONE GRADING CU.Y""“D S���. ACRES Ping. Ref.# -gy-6� Park.Fees $./ 7�' g -T O
\ LICENSED CONTRACTOR DECLARATION Remarks: --�C So/ $:-��// Parking Req./Provided z- z� U
1.hereby affirm that I am licensed under provisions of Charter 9(commencing c� ` _ - / - R
with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: C1t.Z -E
my license is In ful orc• and'effect. '
Ucens Class ' �- .., % • .A PLUMBING • FEES Planning Notes: 7�J M
E
Date Signature %»fi(. �f�r0.� - HOW) Fn” Snrrrkt
WORKERS'COMPENSATION DECLARATION / Bar Sink Showers t?��il*Pr nI N
TS _
hereby affirm that I have a certificate of consent to self-insure or a certificate , S
of Workers' Compensation" insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - S
3800, Lab. C '-.6)„,n - ' Backflow Irrigation Sewer Cap d' ELECTRICAL _ '• FEES..''
Policy No. 6Z L-S-8 7 Comveny STATE. COMP TTa lthil n .• - 11 _
Certified copy is hereby furnished. - O�Bathtubs Sewer Connection ' , 9 -o '' Automatic Washer Transformer 0 15-50 KW 'I CO
Certified copXis filetl with the city ng O
ate 11— 19- 2L Applicant Clarifiers - Solar Collectors J' Construction Pole Sub. i 0 50+KW �, ,
EXEMPTION FRO WORKERS'COMPENSATION DECLARATI Dishwasher -completed permit adios'G.co ) i P5 00 .
less). x - -
I certify that in the performance of the viork for which this permit is Issued I. Drinking Fountains Solar Tank : I. Dishwasher - - Meter Clover 100 amps 1 Ct
shall not employ any person in any manner so as to become subject to the - - -
Workers' Compensation Laws of California. Floor Drains Swimming Poofw/Spa / ./ Dryers ItGas ❑Electric ( Sub Panel . 1 •
CD
Date Signature OD
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks _. Urinal /l Fan' rrl I Motors y7 0-1 HP ❑1Ya r B _ 3.Z
Workers' Compensation provisions of the Labor Code, you must forthwith - , //
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets; Water Closet '
CONSTRUCTION LENDING AGENCY / �-+` Qy /f F.A.U. Ino.Solar 09-15 HP 016-15+ "I r00
I hereby affirm that there is a construction lending agency for the performance . Interceptors _ Water Heater +' 2 Fixtures
of the work for hien th1,s,pe mit is iss❑ey L�e5pop 3097 rv. C.) . / . Z-d �J • Microwave Z{P�
Lender's Name' u14: VK Hftt-USF12 DILA mnicaF C:O. / Kitchen Sink - . / Water Service y Device Boxes Pole Light
Lender's Address 4 why
1 'Mr SL.-h1 e11U1114-16E$�� r Ste. SOI •
Lavatories -
OWNER BUILDER DECLARATION AC• / Ai/y,C# p/,#/^/e' (per) ZS-Outlets Range 5 c0
I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap o
following reason (Section 7031.5 Business and Professional Code: Any city or - // Switches' Sign t CZ.0
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 Roof Drains ( Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of _ - I
the Contractor's License Law(Chapter 9(commencing with Section 7000)of •
I Division 3 of the Business and Professions Code) or that he/she is exempt _ •• / Generator 00-5 KW 05-15 KW Trash Compactor
therefrom and the basis for the alleged exemption. Any violation of Section • n - `
7031.5 by any applicant for a permit subjects the applicant to a civil Reins coon Fee I $ 3 v QS7�4-t- TTS ✓Z— 2 co
penalty of not more than five hundred dollars($500)., Pe $25 Issue Fee
LJ I, as owner of. the property or my employees with wages as their sole Reinspection Fee • $25 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offeredMECHANICAL FEES (
for sale (Section 7044, Business and Professional Cotle: The Contractor's PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or Improves Boiler - Hood or Type I ❑ • _ // II 11`
thereon, and who does such work himself/herself or through his or her own Zoning Approved ByW / 61/45
employees, provided that such Improvements are not Intended or offered for Canopy Type II ❑ ••• -gl PP • L .' Date
sale. If, however, the buildingor improvement is sold within oneyear of com- Duct-Under Ground ���e
P Application,APProved By Date
pletlon, the owner will have the burden of proving he/she did not build or im-
er,ove
�ove for the purpose of sale). Duct-Structurals • Refrigeration System - .. '. Application Issued By 1119L14 Dat: ar
LJ I, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044,Business and Professions Code: ,_ Duct-Ventilating 00-100,000 BTU 0100,000 BTU (. r.y'5 SU MARY OF FEES
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ CO - SMIP $ 5. 3
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ o, O PERMIT
❑ I am exempt under Section B.& P.C.for this reason I Firepl/Fact.Bit. ICBG#1-JDI (-I-l:.b PLUMBING' $ 30.00 ISSUANCE $
Date ownerHeating System&Ducting / PLAN CHECK $ (n,7 S ENERGY P.C. $
I hereby certify that I have read this application and state that the above I Io-100,000 BTU 0100,000 BT - • ims�
information Is correct. I agree to comply with all city and county ordinances --vy
ELECTRICAL $ v t''40 GRADING $
and state laws rel ting to building construction,and hereby authorize repro- PLAN CHECK $ (.5.70 MICROFILM $
sentatives of t city to ter u on the bove-mentioned property for
insp es. // v MECHANICAL $ I /�- 'O� TOTAL FEE $ I 0'Ql'
Signature .L� Date
Drivers' License or SS* 8:51- Reinspection Fee $25 Issue Fee $ 3 • PLAN CHECK $ - 3•nO
CMF 0865-46 rev. 7/83 ' White-Building;Canary-Applicant;Plnk-Accounting;Goldenrod-Assessor - - - - - -
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit#
Date Inspector
1. temporary Electrical Service or Pole 52. Pool & Equipment Location
. Soil Pipe-Undrgrnd. "2//3/,3'" 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. Electrical UF ER Grnd. // 57. APPROVAL TO COVER-GUNITE
7. Footings 4 sr,p L_ a,/% • ��ad 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. "!' 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System . e 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 44 ,Q/�arO y& 62. Backv3ash & Receptor-Final
12. Sewer Cap • - (. . %��[[�� 63. Heater & Vent-Final
13. Roof Drains • - "r' 64. Plumbing System - Final
14. Rough Plumbing :,#*.e 't-, c 65. Electrical-Final -
1
15. Rough Electrical-Conduit 66. Solar System-Final -
•
16. Rough Electric Wiring 7 67. Fencing & Access Approval - .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe;Rough & Test 72. Underground Flush
24. Roof Fiaming 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 7/ag/b5a jam, 74. Overhead Hydro
26. T-BariCeiling (Structural) & Monocoat Ng-
p7 75. Dry Chemical
me27. Fraand Flashing (j..-/- 76. Dry Standpipe
28. Latliirig"& Siding 77. FIXED SYSTEM FINAL
29. Insolation VI* 78. FIRE PREV. FINAL
30. Drywall Nailing WIiC HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat !/ 79. FINAL INSPECTION
32. Electrical Power Meter-Final i /- /%n/ 80. FOOD CERTIFICATE ISSUED , /
33. Final Electric "v Notes: "ban--DD -�L WA-�-7/
34. Final Heating& Air Conditioning /�.y?/K /e D/jC p/ 0 '* C z�
35. Final Gas Pipe-Test 944 , 4/l?jC � �DdG K '/.r
36. Hood or Canopy _ n ,/AO pd� d`(a"Y �5/I %�/,r
37. Final Factory Fireplace 6. �l /„rc �S/� v"`-"'7 " /
38- Final Plumbing y�
39. Water Service-Final
40. Gas Service-Final ,
41. Solar Domestic-Final
42. Backflow Preventer r
z
43. Backflow Irrigation
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING Z.-/J?/Y& v0_
48. Special Requirements Completed /1 2.A1_
49. Electric Release to Edison ����CC��
50. Gas Release toSouthern California Gas Co pp pp// Gv,, '`p�. --
Noo. CERTIFICATE
OF O DateN f:Xµ' ,/! O b ✓C.. / („`' �-'
4