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HomeMy WebLinkAbout606 THAMES WAY - Building PermitsPH0.IECTAO�flE55: 6OG THAMES wY owaen�s xame: PASCO MANAGEMENT CO AOOPESS: P O,BOX 2968 COSTA MESA, CA 92628 RNCM/ENGINEEfl: 6 4 1—� 5 9 3 RDUHESS: HEG.NO.: UNIT: UNIT: PEflMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727 ADONESS: 'L8 OAKCLIFF DR LAGUNA NIGUEL CA..92677 LICENSED LONTBACTON DECLAMTION: I hereby a�firm Ihal I am IicenSeG un0er pmvisions ot Chapter 9(commencing wit� Sec�ian 7W0� ol Division 3 0l ihe Business antl Professions Code. anA my license is in lull torce an0 efieq. ciTr uc.: O 1 O STRTE LIC.: 4 S S 4 cuss: B Date: Signature: WONREBS' COMPE! SFTION OECLABATION: I �er¢�y flir 1 I have a certifica�e onsen� �o self - e or a ceriificate of Workers' COmp¢n5aiion Insurance. or a Cehilietl copy Ihereol ( ion 38110, Lab. C�. roucrxo.: p46-93UNIT03554 EXP.DATE: OSIOS�9�i comraxv: STATE FUNI� � Cetlilie0 copy is hereby lumishetl. Lx Cetli�ietl copY /is lileytl with ihe ciry BuilOing �i7vision. Date: '� Npplicam'. /�-'�s'��-� '� ~'�/L E%EMPTION FflOM WO REPS' COMVENSATION DECIABRTION: is section neetl not be c�DIe�eA if the pp rty rs �or one hunAreA (5100) or less). I cehity Ihai in the DeAormance ol �he work for whic� Ihis Oermi� is issued. I shall not employ any peh6n in any manner so as lo Decome su�lec� Io Ihe Workers' Compensalion Laws o� Cali�omia. Oate: Signature: NOTICE: II, aRer making �his tleclaration. you 5�ou10 become sublec� 1a �he Workers' Compensation provisions o� �he La�or Code. you mus� foMwith complV w��h such pmvisions or ��is permi� shall be Oeemed revoketl. CONSTBIICTION IENDINC FGENCY: I hereby aifirm thal there is a consimction lending agency for the pedormance of the work for '�. w�ich this permi� is issuetl (Sec�ion 3097. Civ. C�. LENUEX: ROUNESS: OWNEP BWL�Efl OELUIHATION: I here0y a��irm Ihat I am exempt fmm Ihe Contrac�ors' State License Law for �he following reason (Seclion 7031.5 Business antl Pm�essional CoOe', Fny Ciry ol county w�ich requires a permi� �o cons�mc�, al�et, improve, demolish, or re0air any simclure. prior to i�s issuance. also reQuires the applicani for sucA permi� �o file a signetl s�a�emen� thai Aelshe is licensetl pursuant to ihe pmvisions ol the Contrac�ors' Siate License Law (C�apter 9(commencing wiih Section 7000) of �ivision 3 o� �he Business antl Professions Cotle) or �hal he/she is exempt therelrom and the basis �ot��e allegetl exemp�ion. Any viola�ion o� Sec�ion 7031.5 by any aODlitanl lor a permil 5ubjett5 Ihe aOPlitani �0 a tivil penalry ol n0� more (han five huntlred aollars (E500). I, as owner of Ihe pmperty or my employees wilh wages as �Aeir sole compensa�ion, will do �he wofk, antl t�e ❑ simclure is not intenaed or oilered for ule (Section 7044, Business anA Pmfeuional CoOe: The Cantracturs' State License Law tloes noi apDly �o an owner o� a pmperty who bui105 ar improves iherean, ana who Ooes such work himsel�/herselt or I�rougA �is or Aer own empioyees, Drovidetl ihat such impmvemenis are not imenJeO or oHereO for sale. If, however the huilding ar impmvement is so10 wi��in one year of completion. Ihe owner will have I�e 6urden ot pmving he/she tlitl no� �ui10 or impmve �or I�e purpose of sale�. I, as owner of I�e pmpeny. am excNsively coniracting wilh IicenseU conVacmrs �o cons�mc� the pmject (Section 7614, Business ❑ anU Pra�¢55ion5 COtle: The Contratiofs' Siale Litense Law does nol apDty t0 an owner a� pmperty who hm105 or imD�ov¢5 IhereOn an0 w�o conlracis lor suc� pmle��s with a contrac�oqs) license Dursuant b t�e Con[racrors' Staie License Law). I am aware �haf D�001 Oi I�eir WOrker's Compensation insurante ShONE be pmvideA �o me. � I am eKempi unAer Sec�ion: B. 8 P. C. IOt Ihis reasun: Oaie: Ownec I Oo here�y cenity Ihal I am aware o� and under5�an0lhe reQuiremenis oi Calilomia Health and Safery Code Sec�ions 25505. 25533. and 25534 antl ��a� I or any IUWre builJing occuDani will/will nol (circle one) neea �o comply wiih sai0 s�ate cotles antl �he reQuirements for a Oermi� br consimclion or moaifica�ion imm Ihe Fir Ouality Managemen� �istric�. flesitlential conslmction apPlications are exemp� �mm Ihese pmvisions. Date: ApDlicanl: I �ereby cetlify Ihal I have reatl I�is apPlica�ion antl sta�e ��al ��e above inlormation is correcL I agree Ia comply with all ci�y antl couniy oramances and s�aie laws rela�ing ta �uiltling con5imc�ion anU Ch�ereby authorize represen�alives of �his city to enter upan the abave-mentione0 praperiy br inspec�ion purposes. �/' _ _ '� �-'--�`riL oaie: ? �� 3 Signamre: / ���Lv`.�'r �nver'S License or Social Securily 16aL46 White—Builaing�, Green—Code Enlorcemenl'. Canary—Apollcant: Pink—Revenue'. Goltlenmd—Assesmr CITY OF COSTA MESA — 9UILDING PERMIT PERMIT NO: B 063796 PLAN CHECR NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR JOB DESCRIPTION ; REPLACE SIDING NER#224 UNITS 606 CLAIM VALUE: 600.00 CALC—VALUE: 600.00 PERM NO: B 06379 GOVT; N SUPP; N PURPOSE: REP SQ FT; 600 GRO[IP OCC: R—i / COMMENTS• � **�t*�t�r��e�e�r****�r**�r���� �***x �r**��r�*x��r*�**x��r�r�r�******�r***�r��r�r�r��r*�r**x � x *� *�***x *� Z O N I N G R E Q U I R E M E N T 5 S E T B A C K S ------------ MAIN BUILDZNG ---------- --------- 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 PARRING REQ • PROV; PARCEL: 93405152 ZNE; REF NO: PLANNING NtSTES> � " if iE iE if if if if iE if k �k iE if iE IE if if iE iE iE if it ik iE if if if if 3E iF 3f iE �ElE jE iE iF iE if iFif if if iE if if iE iE �f if iE iE iF iE iE iF iE �Flf iE if iF iFlE iE �E if.iEiF,�ElE 3! iE iE iE if iE if iF 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,,,;T—• S Y ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATEc Jf` APPLICATION ISSUED BY: �1 , m, DATE; .!� L� iEifif3FiFifiFififiEiEif3E1Eif3fjFif�lEkifiE�3FiF3F3fiFiFif i���f��3f��if������f�if��if�1ElEiEiE3fikjFiE1E� iElE �lE lE 1E if 1F i! ik iflf if 1f �k if iE �f if if if 1f 1E if iF iE iE iE iF !f !E 1E 1E iE if iE �f #iE if IE �E if 3F iE IE If iE IF iFif 1E 1f 1E 1f �k �lf iE iElElE 1f 7E iflE 1F i! 1E.i!-lE IFlE �IE iE iE 1E if iE 3F iF IF iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 17.00 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 17.50 0,00 0,00 17,50 17,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 17.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 17.00 .50 3E if 1F iF if iE k if iE if k M it if ff k if iFif iE if i! k iE if 1E iF iF iE 1F if �E if if �f-IF iE �E 1f 1E iE iE 1F 1E iE iE iE ikiE iF iF if ik iE iE 3k iE if if IE ik ik iE k iE iF i6 ik �1(� iE iF 3E iEiE iF jE jE iE 1t I N D I V I D U A L F E E B R E A K D O W N TYPE �y�l:1 QTY D E S C R I P T I O N 600 ALTER BY VALUE RESIDENTIAL N020NE END OF FEES UNIT COST TOTAL COST 1,00 600,00 O1 Q01463�5-00146307 T�7 T 17.50 DqTE: 09!03/93 iT!9E: 09:11 CONSTRUCTION AND PLANNING - P��� 'PA APPROVAL$ Permit # Date Inspector pppROVALS Pennit # Oate Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location . . 2. Soil Pipe-U�drgrnd. , 53. Stea4 fieinforcement 3. Electrical Gonduit UtilitY-Undrgrnd'. � 54. Forms 4. Electrical Conduit-Undrgrnd. � � 55. Electricai Bonding � 5. Steel Reinforceme�t 56. Rough Plumbing & Pressure Test � 6; Electrical UFER Gmd. 57. APPROVAI TO COVER-GUNITE 7. Footing: 58. Electrical Conduit•Undrgrnd. '8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd. 70. Structural Floor System . 61. APPROVALTO DECK i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12_ SQ`�ve' CaP 63. Heater & VenrFinat 13. Roof Drains 64. Plum6ing System - final 14. Rough Piumbing � 65. Electricai�Final . 15. Rough Electricai-Conduit � 66. Solar System-Pinal i6. Rough EleCtric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOfl PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � t" .. � . 20. Rough Factory Fireplace i . , �r � . �, LL � • T .. iqPPROVA�LS�� ��rPermit # � � .� r� r � ��� : a� - .1 ��. . . i � �r • . - . �.. • , _�r x .o . � 27. �4ut�fs, irL$tr'uc�ture. „ .. . �, ��,; > � ]0. Undergrourid Hydro - � 22. Ducti, Ventilating� i �.�� - � v* 71, Product Ptpiri� OG5� I�OiI 23.'�Gas'PiPe�Rou �h &'Test ' • ". �_ � i ��, . . �' � �� •, -. 9, � ��+ r,• r,a„ �2. UndergrountliFiuSF,�, , � . 24.�Roof Framing: . �� i � � , • � i � �.� - 73. �Undergmd.StorageTank OGas OOii' i 25. Roof'SheaChing � � " - ' ' '. � ` `74.' Overhead Hydro ��. '1 26.�T-BanCeiling IStructural) & Monocoat �+ � 75. �Dry Chemical = 27. •Frame and Flashing , . ` ' 76. Dry' StandpiPe • = ' ' ,28. `LatHing& Siding . ��, , �, � �� � 77,•. PIXED SYSTEM FINAL �,. 29. Insulation � � � 78, FIRE PREV. FINqL - � �. 30. Dryevall Neiling i �- � M€ALTH DEPT. flEQUIREMENT '37. Plaster BroWn Coat � �_ . . � �' 79.'-FINAL INSP�CTION ' ' � ,32. Elect�ical�Power MeterFinal i .� i �� ��80. FOOD CERTIFICATE ISSUED 33. F.inal Electric' " � ', �'�' � � '�Notes: ; � - � , 34. Final Heating•& Air.Conditioi�ing � � , � ' � ,� , � � 35.�Final Gas PiPe•Test � ' � � � � • •, 36. Hood or �'anoP4 � „ �# . � ' ., � 37. Final Factorv Fireplace ' � ' ' . +. � . - 38. Final Plumbing . '" � . �. .39. Water Ser,vice�Final � � .� - � �. , 40. Gas Service�Final . . � i. . 41. Solar pomestio-Final • �� . � i. 42. 8ackflow Preventer ,� f, � - 43. Backflow Irrigation � . � � - �44. Landscape Irripatiop SYstem " , _ - , � � . . , 45. Sound Attenuation � � � • -� .- ' r 46. Handicap Requlations ' � , � 1_ 47,. PINALSTRUCTURE&BUIIDING y/L�QP �_ � �� ! 48. FINAL PLANNING ( I �� 49. Electric Release to Edison ' � � � • 50. Gas Release to Southern California Gas Co � � " I - 51. CEftTIFICATE OF OCCUPANCY , , No. Date Apolicant to fill in all soaces ezceot CITY OF coSTn MESn CONSTRUCTION PERMIT ProjectAddress LL��U �(1:K�� �}7� 1 ' > � ApplicanYs Mailing Address ' `�/��F1C> �bC`�-��0 �'1 ' Owner's Name �K ��MD IYGQ:t1SLS\� Phone Address � n��— \ ^d�� �7 Arch/Eng. Licenu No.' Address � Contracror's Name �• nc,�,,P, one 'S, 3 Address (mailing) � 1��� � �bK�*r C ` � City ,License No. 3 ai�Q3 IICENSED CONTRACTOR DECLARATION ' PM1ereby�atfi�m that I,am licensetl untler provisions of Charte� 9(commencing ' with section 7000) ot Division 3 of the Business antl Professions Cotle, antl my license is in full orce antl effecY. ' (� �. - ���-��Q LicenSe Qass � � �� � iceqs@ No `+ � oace\t-L - h�4 � c�o�a. .a n ...1�17 LCD.[� K� �— WORKERS' COMPENSATION DECLARATION I hereby alfirm tbat I have a certificate of consent to self-insure or a certiticate �ot Workers' Compensation -InsurSnce, or a certified-co_`py thereof (Section 3800, Lab. G �O�T /�1`�•elln Policy Nowcb �rnga�� Company� �Certifietl copy is hereby fumishetl. � � M Certifietl copy is filetl with the city B�tlinp�Dir' �ef\ C �pate � APplicant D EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl it the permit is tor one huntlretl ($300) or less): � - ' • I certify:that'in the performance of the work for which thi5 permH is�issuetl, I sM1all not employ any person in any manner so as to become subject to the Workers' Compensation Laws ot Califomia. - � . Oate Signature ' NOTICE: It, after making this tleciaration, you snould become subject to the . Workers' Compenwtion pravisions of the Labor Code, you must torthwith comply with su[h -provisions.o� this pe�mit shall be tleemetl revoketl. � CONSTRUCTION IENDING �AGENCV � - ' - • � I hereby aftirm ihat there is a construction lentlinq agency for the pertormance of the work for which, this permit is issuetl—(Section_3097 Civ. CJ ' Lentler's Name � Lentler's Atltlress ' OWNER BUILDER DECLARATION ' I he�eby atfiirri that I am exempt trom the Contractor's License Law for the following reason (Section �031.5 Business antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair any structure, prior to its i55uance, also requires the applicant for such peimit •to file a signetl statement that�he/she is licensetl pursuant to the provisions of the Contractor's License Law (Chapter 9(commencin9 with Section ]000) of DiviSion 3 of the Business antl Professwns Cotle) or that he/she is exempt �;{herefrom antl the basis for the allegetl exemption. Any violation ot Section '-031.5 by any applicant fo� a permit subjects the'applicanY�to a civil ;��`jenalty ot not more than five huntlretl tlollars'($500)., ' ,. ❑ I, as owner of the property or my employees witM1 wages as their sole '-compensation, will tlo the work, and the structure is-not intentletl or ofteretl for sale (SeStion �044, Business antl P,rofessional Cotle: The Contractor's � License l.aw tloes not apply to an owner of a property who builtls or improves thereon, antl who does such work himself/herselt or through his or her own � employees, provitletl that 5uch improvements are not intentletl or ofteretl for '� sale. 1�, M1oweveq the builtling or improvement is soltl witbin one year of com- ' pletion„the owner will nave the bu�tlen ot proving he/she tlitl not builtl or im- ��ove for the purpose ot sale). I, as owner of the property, am extlusively contracting with licensed con- tractors to construct the project (Section ]044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner of property who � builas or improves thereon, antl who contracts for such projects with a con- tractor(sl license pursuant to tM1e Contractor's License Law). I am aware that proof of thei� Worker's Compensation insu�ance shoultl be provided to me. ❑'I am exempt under Section � B. & P. C. for this reason Date o� I hereby certify that I have information is correcL I agre� antl stat aw relating�to bu Sentativ f nis ciry to e in5pettion se� � Signature Q�LJ•\J � Drivers' License or 55 # ation antl state that the above i all city antl county ortlinances on, antl hereby authoriie repre- above-mentionetl property for Z� heavy bortler lines antl sign all approD��ate aeclarations. 9 TYPE OF CONS7RUCTION LJ NEW� ADo LJ ALTERATION LJ REPAIR � ❑ CONVERSION ❑ DEMOLISH OTHER q,p, # �DESCRIPTION,OF WORK/USE OF BLDG. ' . • . • S Main Buildi - E TVPEOFPERMIT ❑ GRAOING� �❑ FOUNDATION ❑ STRVCTURAL ., T Front ❑ TENANT �E�ECTRICAL ❑ PLUMBING ❑ MECHANICAL B R¢d� ❑ �OTHER � ' A PROJECT DESCRIPTION 54. FT.' oCCUPANCY C Right K Left CONSTRUCTIONTVPE VALUATION$ $ ' ZONE GRADING CU. VDS. ACRES Ping. Ref. # aemarks: , . . Planning Notes: Bar Sink Backflow Preventer eackflow Irrigation Bathtubs • � Clarifiers Dishwasher Drinking Fountains � Floor Drains ' Floor Sfnks , Gas Service Outlets� Kitchen Sink Lavamries � � P—Trep Roof Drains ' Reinspection Fee , $15 Bailer Duct- UnderGround , � Duct - Strucmral , Duct-Ventilatin9 - Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ 0.100,000 BTU O t 00,000 BT Reinspection Fee I �$15� CMF 0865-46, rev.4/84 White - Builtling; - Attounting; Goltlenrotl - Assessor PLUMBING $hOW2I5 ' Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Water Closet � Water Heater - Water Service FEES ' Issue Fea $ 3 1ANICAL FEE Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,000 BTU ❑100,000 BTU System Repair/Alteration - Issue Fee � $ 3 1930 II/OB/B4 Building: Parking ReqJProvided ELECTRICAL Automatic Washer �, - Transformer ❑ 75-50 KW ' Construction Pole Sub. � 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over100amps Dryers �Gas ❑Electric ' Sub Panel Fan , � Motors �0-1 HP �1 %- 8 F.A.U. � Inc.Solar �9-75 HP �16-15+ Fixtures - - Microwave - Device Boxes Pole Light � Outlets Range Switches Sign . Garbage Disposal 'Standing Sections Generetor �0-5 KW �5-15 KW Trash Compactor . -- is�0� � TL Zane Fee �$15 � � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building Approved By _ .. . . _ i�.J FEES $ 3 2 O N I N G R E Q M 5. SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ 'PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ MICROFILM $ p � MECHANICAL $ TOTALFEE � $ hQ� PLAN CHECK 25% $ � e � CONSTRUCTION AND PLANNING - ' . POOL .PA , APPROVALS Permit # � Da4e Inspector p�ppROVALS Permit # Date Inspector 1. Temporar.y Electrical Service or Pole �� . 52. Pool & Equipment Location 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.'ElectricalUFER.Grnd.�� � � 57.,APPROVAL-TOCOVER-GUNITE J.;Foolings � -_ - :� � • 58. Electrical Conduit-Undrgrnd. ,- 8. Foundation , � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd.� .' �� � _ � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System �' 61. APPROVAL TO DECK' � 11. P,roperty Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap '� ' � 63. Heater & Vent-Final .� 13. Roof Drains � . 64. Plumbing System - Final _ 14. Rough�Plumbing , � �• 65. Electrical-Final � 15. Rough Electrical-Conduit ; - ' 66. Solar System-Final 16. Rough Electric Wiring ; � ' 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# ' 27. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating �_ 71. Product Piping O Gas. ❑ Oil 23. Gas.Pipe-Rough & Test ' . 72. Underground Flush � � 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil � 25. �Roof Sheaihing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical ' 27. Frame and Flashing �76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. DrYWall Nailing ' HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33.�Final Electric . otes: 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-Final , . 42. Backflow Preventer � - 43. Backflow Jrrigation .-, _ ._. , _. . � � � � 44, ,Landscape Irrigation System - � . 45. Sound Attenuation , 46. Handicap RHgulations ? � 47. FINALSTRUCTURE&BUILDING � 48. Special ReqUirements Completed � � r 49. Electrie Release to Edison ' ' - 50. Gas Release to Southern California Gas Co "� 51. CERTIFICqTEOFOCCUPANCY , No. Date �