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HomeMy WebLinkAbout1979 ANAHEIM AVE - Building Permits OWNER BLACK, M. G. DATE 8-1-72 JOB ADDRESS 1979 Anaheim Avenue BUILDING PERMIT N0. 34942 r- 'ERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Conv.Ex.Gar.to Workshop/Add Ga .40.115-322-07 LOT TRACT FIRE ZONE VALUE $ 2,000.00 INSPECTIONS Signature Date GROUP J TYPE V ZONE R-2 SOIL PERMITS 155 ED GAS SUBCONTRACTOR Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVIC R POLE UNDERGROUND POWER ❑ 4r%%.fl_,7 7-7)----- ROUGH -?)—ROUGH WIRING ,./I f it 7 Heating and Vent TRENCHES 0 FORMS ❑ STEEL REINF. it77R1 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING -/a �3/"' 7 y FRAME AND FLASHING //_ 1 7-7y rn LATHING — IN n OUT / .#1441�c'A.,--./1- ft -7 4 F 'ER, BROWN COAT /Z- i7 '. ,LL73 SI.,oCTURAL, FINAL 4 t ' /� HEATING, VENT., REFRIG. AND A.C., FINAL (I_ Ari1zieraKr (I i wc1T PLUMBING, FINAL AND GAS TEST nnI ELECTRIC, FINAL id /y Z1 W .✓ 9? OWNER BLACK, MURRAY G. - - DATE JUN 4 1964 _ VALUE $ 19, JOB ADDRESS 1979 Anaheim Ave. BUILDING PERMIT NO. . . 22151 GENERAL CONTRACTOR Owner-Builder No.115-322-0'7 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Res. & At. Gar. IPy;+ CTIONS Si nature DAT GROUP I&J TYPE V ZONE R2 \7p` Sta- of-,-t PERMITS ISSUED ` Gas / �%�- SUBCONTRACTOR DATE NUMBER Water / —W:2W Rough Corn. Refrig. 0 Air Cond. 0 /T!_ Rough Heating / Rough Plumbing li /07, h'-e✓>.2.4.1- 4ti-Wv• - - Se- : •3 cc•\-'_ t opSwr. Lirri- � _ "y ..Al Prop. Swr. Lide�Q'fiau a Con.�❑�3t�Swr. (fi t( o�,z.�_i ��3�(,� r{/ �/�7 ,�,aw Sprinkling System r Construction Pole _ Underground ❑ Powere,r4 '/"' _/z -y-(mac _Rough Wiring _��� / / •tirMeit/ 4.,./3_ay SS_ F27 •✓- Trenches Jr Forms ' Steel Reinf. 0 Y. Floor System / ,_ t o .3' 7 7_G iz: Bond Beam ❑ Steel Reinforce 0 / - Sheathing t , — �( Frame and Flas ' g - /� I /,- !� �[�' Lathing — In, Out • ac� Ai v (�j�. Plaster, brown coat Pm ills /,/7 I917h4. 0 Air Con. 0 Final h'2av'ing, Final Plumbing Fixtures, Final nl fS 323-GS- Final Gas Test n-/ c q q- Electric Fixtures, Final -7/ � j- _ Building, Final /1,VS 3'43-0" OCCUPANCY :1 Form BU4--5M-3-63—s-B P no,Cl FEE RECEIVED ?2 i 51 d1AY 1 51964 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 • CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For OHlce Use Only ADDRESADORHSSS /977 iirlhelrn A✓. RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA ,;/j/ /� /,r Mack REM BY p 7R[C[I byDATE ISSUED OWNER / iernZy P. L7/ack f Y// 5 J 1 - j/ ILDIN MAIL /97_,/ ,�// 0 ADDRES ADDRESS / P PY ADDR CM (T/' ,1/ �,p FIRE 1 OS 7; I E°3-41 N.Sza--4//U ZONE TYP .-OU APPROVED �/y�� ....;e/ AR ARCHITECT i' VYs TEL '�� BY' ( / ` DAT T �i / �NINO / / ADDRESS 2�11� 1:21::: O.OI USE OP NEW j , )/� /l/.- PLAN/ y I BUILDING I �I CONTRACTOR Ow YI e r IJt LEGAL ,T� L f � l l ADDRESS - OEECRImONI?'v O 1 CITY �"�-� A.P.NO. / / _3YL O (� / NOTE: NO RAVE OVERHANG SHALL BE LESS THAN STATE TEL . Zr TO SIDE S REAR p.L LIC.NO. NO, //p.,�/ p''�/[/ EAVES OF LOT Vi.,‘g O (_1 OPJPII./ ,0 I NOW ON LOT O ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OP ,I� MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. fan (FROM C/ EET) SETBACK LINE FROM / / ' V CENTER OP STREETJO REAR YAR4.c,9 FRONT PT. Fr. rI SIDE YARD I LEPT X-0 I RIGHT //.•LCc R.MDR 1/, PT. DESCRIPTION�/ OF WORK L SIDE rjt/PT. PT. NEW /X ALTERATION ADDITION REAR y() Cf PT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLOCS. BUILDINy .N / 6 ANO.or 7 VAR.# DATE SIZE De,F7,/,LS1.Q• -4y/ ROOMS STORIEa / C.U.P.# ' /// APPROVEDE ./ COVERING/RIOR W�1�Oo, I ROOF COVERING `OM I J�1/IO�f APPROVED r / /A// / „ E cid �(( USE OF BY LUTING AND WORK,TO SE PERFOr O 6•I IV (1//L�-_�T/JQT / J 6. ane frig In ./Iii ?Ouse T� O cfl z" ✓ 4wilV3SelSV.PT. 0i : 1 I HEREBY ACKNOWLEDGE TNAT.I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER V 1451 ON IS FOR THE O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A - MIT PE[ ONLY. PLY WITH ALL CITY ORD1 AND STATE LAWS REGULATING VALUATION BUILDING CONSTIUCTIO /�2 SIGNATURE OF • / PERMIT FEE $ '439 CO PERMITTEE / I .." _CC::////...� 1 31 �9 oda PLAN CHECK $ 5 14 AUTHORIZED AGENT % /' •CI l TOTAL PEE $ 97 -41 -� a ", 34942 1r- RT-00 737N. *ttr*10.11a COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fillilin Completely BUILDING ,-7ADDRESS /y Anil ` RECEIy By / OA„I.E� --7 .5' /DAT gED 71 OWNER / '/i C'i Zre•ek. - A.P.NO. ,Il -.7�`a_O�y /I Pal; Rf/9N�"7 , BUILDING I-Iri -1 PNA r' Elim Ru� MAILD779k /JL f` ADDRESS l Z ADDRESS � /Y G y LrJ / W W TEL. Ste(/�/pc - F"I TRA TT F' POT .23 BLOCK I-Z CITY �rJ }`/2 �0)4' NO. G Y /o Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH I- O LENDER Alt r �, CL m • x J D BRANCH /' J N OWNER M. G. LAG1L- mJ ADDRESS p �V�A�,LLUrE //I/�/i)i' J ID ARCHITECT TEL. USE UEW aARAc1E JTO'.t S {.{rC%✓ Q OR ENGINEER NO. Z Q FIRE W Q ADDRESS ZONEy^�}� TYPE GROUP LU Z APPR t/L � � / .-/�77 W Z CONTRACTOR Y V BY o /BY ( may. �-/_ 11 ATE L� J Q ADDRESS ./y, 9 41 g .e i to 1& d tUW � TEL. ZONES^/ NO.OF USE OF NEW.p� ,„h � ''""el° ZI- CITY C G , n �/C NO. 6n O '` PLANS BUILDING .`-r. N""�"s'G�• N W O STATE CITY n YARDS APPROVED YARDS APPROVED / to m LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7O SIZE �/ G CC NO.OF BLDGS (FROM C/L STREET) /'� 1 OF LOT 7 O ,k /‘ Ar 9" NOW ON LOT � _RONT FT. 3 -I FT. 1>CLAW‘ USE OF EXISTING BLDG. G €,.1e R SIrIF FT. I FT. I- SIZE OF NO.OF ++ Z NEW BLDG. t2 / X,? ROOMS . / STORIES / L.SIDE FT. r L5 FT. F V COVEERIING AL�j2 e•-•y- COVVERING C7O4-{q S1r.< REAR FT. . FT. J USE OF BUILDING AND WORK TO BE PERFORMED C" DISTANCE BET. BET.MAIN& ^ I d MAIN BLDGS. ACCESS BLOCS. of a Q J ^ nr. VAR.n DATE O . y+Z Y�`yi`e'7'�(jt�" Lick./ C.U.P.nob \ APPROVED rS IA �/1-, (J �:�c �C�if / rlJ -X-4-4i APPROVED 1 A 1L.�) DATE 7/ I ZI -)1---- Z '7i Z LLLC.�1 /// /v _0 I- L.) I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with _ 11-1 1'1 CC all laws regulating building construction, and I shall not employ af FOR SPEC, I- any person in violation of the workmen's compensation laws of ts�l.� CO the State of California. V co ? I hereby certify that I am properly licensed as a contractor under SO. FT. TAX o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATI e • FOR s Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Iif l: am exempt from the provisions of the State of California Business VALUATION and Professions Code. Divisio Chapter 9. N PERMIT FEE $ or D Signature of. / A OQ m Permittee sr l . $ 2000 PLAN CHECK $ /// '— E 0 `- u. Authorized Agent TOTAL FEE $ I. ,: •3/47•4/701-•••-• - - • rC�6uS7 �Oj.1:\ rad COSTA MESA BUILDING-SAFETY DEPARTMENT I �L � P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 d� { APPLICATION FOR BUILDING DING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE( SSUEgO • BUILDING / �J )• , A T �`�/ 7 ADDRESS Al / 9��.G/Iil?�(/ O / .�I .�/Y/fj� _P-E s OWNER A.P.NO. • — / MAIL ADDRESS BUILDING ! / /J�� ..*019' ADDRESS 7 7(1{' Z LUIS( TEL. l-Z CITY NO. TRACT LOT • BLOCK r Z< CONSTRUCTION NEW I ADD ALTER 1 REPAIR (MOVING DEMOLISH LENDER 0m I J Q) BRANCH JW OWNER 47;1.I __g z - < Lum J ADDRESS VALUE -COARCHITECTTEL. USE $ ~el Q OR ENGINEER NO. - / U N FIRE •�� WQ ZONE TYPE t/ GROUP ✓ ADDRESS .ice 0_Ly APPROVED • J Z CONTRACTOR ori-ne,J-gide/. BY DATE CO Z J cc ADDRESS W Lu TEL. ZONE ,INO.OF USE OF NEW Zr CITY TE PLANS BUILDING F w0 STATE CITY YARDS APPROVED YARDS APPROVED to X LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING Z (FROM C/L STREET) 512E INO.OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. _R.SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. ta.1 EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& fl MAIN BLDGS. ACCESS BLDGS. '4'0 (n (//yam f� Q it &LO - VAR.. DATE O C.V.P.# APPROVED APPROVED y •8" �� _ BY DATE Z O 1i VI hereby acknowledge that I have read this application and state 7 that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of N m the State of California. b ? I hereby certify that I am properly licensed as a contractor under SO. FT. 0 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: u CC am exempt from the provisions of the State of California Business and Professions Code, Division 3,Chapter 9. VALUATION /f pt PERMIT FEE $ !7)oz 0.Q N 3 Signature of m Permittee $ Q PLAN CHECK $ E _ `o /� Authorized Agent if O.(/.�� u TOTAL FEE $ ffff////1111 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. —- � CITY OF COSTA MESA PE MIT NO. q TRACT NO. LOT NO. BLDG.NO. - 62-3 10/31/E:•. -170!:'.:•----.--- Applicant /o� `/ CONSTRUCTION PERMIT • I p — 93 0. n•t —J Project Address, A-�(n•s�`a • , I TYPE OF CONSTRUCTION U NEW LJ ADD U ALTERATION LI REPAI R _ Applicant's Mailing Address �d �� ❑ CONVERSION ❑ DEMOLISH''0 OTHER ^ A.P.# ' • [Zone . Owner's Name Phone DESCRIPTION.OF WORK IN11./1'�-L X 47L 1 {j S Main Building: AccessoryBuilding: Z Address - s->.-- r _ O TYPE OF PERMIT ❑ GRADING�D-I❑I�FOUNDATION LJ STRUCTURAL T Front N Arch/Eng. • License No. ❑ TENANT ❑ ELECTRICAL L'SPLUMBING ❑ MECHANICAL B - - I A Rear N Address �/f J ❑ OTHER - !`z 1 -ei`-v70 Phone$3 R-9579 PROJECT DESCRIPTION SQ. FT- OCCUP4 CY - �K Right _ _ GR \`�I(` Contractor's Namp t� l 1 V Address(Mailing) aob� Cwl �.l< �ceS 17e• CONSTRUCTION TYPE VALUATION 3 J0 VV S Lett qq v� E kio City License No. 0 tT / ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q U I LICENSED CONTRACTOR DECLARATION Remarks: • Parking Req./Provided I hereby affirm that I am licensed Under provisions of Charter 9(commencing �r J q q do with section 7000) of Division 3 of the Business and Professions Code,and P t_" / / /- 8-3_,.s Use of Building: r E my license is in full ce an f ect. •O( License Cla Li< se No ,k7 V r�o ? PLUMBING I FEES Planning Notes: E -0 Date Signature ��/C / �t�/�f`�'` N I WORKER 'COMPENSATION DECLA O / Bar Sink Showers T • hereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S ' f Workers' Compensation Insurance, or a certified cop .thereof (Section - ri 3800, Lab. C ^ -T //� �� �I� Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. �Q C Q 40-/4/..51 Ake NA / "�'•^`„^`--_ - j] Certified copy is ereby furnished. - Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW jB Cert'fie py fl with the city B +•n- aiv 0 50+KW Date - Applicant As .� -4 Clarifiers •3 Solar Collectors 7 — Construction Pole Sub. _ EXE PT ON F OM WORKERS'C6 P: e• ,.N ViCLARATION Dishwasher / Solar Piping T4 Cooking'Unit • Meter ❑up to 100 amps • (This sect on n ed not be completed if the permit Is f•r one hundred ($100)or less). I certify that In the performance of the work for which this permit is Issued, I Drinking Fountains / Solar Tank 3 '-- Dishwasher Meter Clover 100 amps shall not employ any person in any manner so as to become subject to the , Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature — -, NOTICE:If,after making this declaration,you should become subject to the Floor Sinks Urinal • Fan Motors 00-1 HP ❑1'/s-8 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 AGICNCY F.A.U. Inc.Solar0945 HP 016-15+ I hereby affirm that there is a construction lending agency for the performance Interceptors • Water Heater - . Fixtures i Microwave of the work for which this permit is issued (Section 3097 Civ. C.) ' Lender's Name - Kitchen Sink Water Service Device Boxes Pole Light I Lender's Address Lavatories • • OWNER BUILDER DECLARATION Outlets Range 1 ' I hereby affirm that I am exempt from the Cdntractor's License Law for the p-Trap following reason (Section 7031.5 Business and Professional Code: Any city or ' p - - , Switches Sign 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 - _ the contractor's License Law(Chapter 9 (commencing with Section 7000)of - • Generator ❑05 KW 05-15 KW Trash Compactor :vision 3 of the Business and Professions Code) or that he/she Is exempt • erefrom and the basis for the alleged exemption. Any violation of Section '. ' 031.5 by any-applicant for a bermit subjects the applicant to a civil Reinspection Fee I $25 Issue Fee - $ 3 penalty of not more than five hundred dollars($500). - UI, as owner of the property Or my employees with wages as their soleReinspection Fee $25 Issue Fee $ 3 compensation, will do the work, and the structure Is not intended or offered - MECHANICAL FEES , for sale' (Section 7044, Business and. Professional Code: 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 ❑ • • thereon, and who does such work himself/herself or through his or her ownZoning Approved By - • Date employees, provided that such improvements are not Intended or offered for Canopy Type I I' El • sale- If, however,the building or Improvement is'sold within one year of com- - Duct- Under Ground Application Approved By n Date melon, the owner will have the burden of proving he/she did not build or Im- V 1 rove for the purpose of sale). Duct-Structural Refrigeration System ( Application Issued By N//g' Date/0/3443 I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project(Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ SMIP $ i builds or improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple❑ System Repair/Alteration • tractor(s)• license pursuant to the Contractor's License Law). PLAN CHECK • $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ / 7. 0 O ISSUANCE $ Date Owner , Heating System& Ducting - PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL ELECTRICAL GRADING $ information is correct. I agree to comply with all city and county ordinances - - $ and-state laws relating to building construction,and hereby authorize repre- PLAN CHECK $ MICROFILM $ sentatives of this city to enter upon the above-mentloned prop: ty .f•r ^7 /,, inspection Pu oses. i - •MECHANICAL $ ' TOTAL FEE $ /• 0`� Signature �i_ � A •� - Date - .Sr ' Drivers' cense or SS - ' �,` Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-'Accounting;Goldenrod -Assessor - - CONSTRUCTION AND PLANNING ' - POC .SPA Y APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement X 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms . -'4. Electrical Conduit-Undrgrnd. . 55. Electrical.Bonaing 5. Steel Reinforcement56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 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 - •61. APPROVAL TO;DECK 11. Property 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# i 21. Ducts, in Structure '70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 4.3. Gas Pipe-Rough &Test . • 72. Underground Flush 24. Roof Framing , 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' . . 25. Roof Sheathing 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. Insulation78. 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 Notes: frier 49iTLrlPY .2cteeT CL,YA'i/-/!4,J a- 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 Domestic-Final fil-8iee 42. Backflow Preventer •e 43. Backflow Irrigation . . . 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE &BUILDING 48. Special Requirements Completed . i 49. Electric Release to Edison I. 50.'Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY . - - " No. • ' Date