HomeMy WebLinkAbout1936 MEYER PL - Building Permits .1 i
•
CITY OF COSTA MESA . . • '
t BUILDING DIVISION
f yn- -
).9e,
e AI� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
A. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B07-00993
PERMIT TYPE B_ROOF2 �� 2 �/ STATUS: ISSUED
, DATE ISSUED: 10/23/2007
ISSUED BY: BJK
JOB ADDRESS: 1936 MEYERSL:CM — .Suite/Unit
Vicinity: DUPLEX AND ATTACHED GARAGE - ' ,.f..
Squares: 3000 -, -, r • - Valuation `- $6,000.00
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SCOPE OF WORK: REROOFtDUPLEX WITH ATTACHED GARAGE(ADDRESS 1936-1935.MEYER PL) T/O EXISTING COMP SHINGLES,
REPAIR/REPLACE SHTG AS NEEDED,FELT PER MFGR'S SPECS,APPLY"COMP SHINGLES PITCH 2 12 LESS,
THAN 4:12 REQUIRES 2 LAYERSAOFFELT MINIMUM. 30 SQUARES
:� �. • .
OWNER: ALVARADO,MANUEL At--= ` Address: t• 1936 MEYER PL `_ Unit:
PHONE: (949)515-4824' ii ` r'--'7.±City/State/Zip: COSTA MESA,CA ._
APPLICANT: ALVARADO MANUEL V' J Address: 1936 MEYER PLr. '•''' Unit r .,
Cit /State/Zip: COSTA MESA, CA w t.I; y
PHONE: 951-515-6507 �� �. - y
CONTRACTOR: OWNER BUILDER" ' r • License No. 000000
Address: Unit: �` PHONE: _,;
City/State/Zip: - i - CELL I'
ARCHITECT: '' • • License No. 1 'PHONE• `rl
ENGINEER: • License Na • .. - PHONE:;f
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee: $12525' .. a,7,-
Reinspection Fee: $0 00 f :_, , 4).
TOTAL FEES $125.25 �'`, , " •
P
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 S. INSPECTION TYPE DATE INTITIALS . CODE S INSPECTION TYPE DATE .-INTnIALS
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 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition • 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver', ,e. es D No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No.
❑ 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.
•
• 0 I have and will maintain workers'compensation insurance,as required by
section 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: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantlingthereof,will be more than thirty-six
(Thisseabn need not be completed A the perm is valued at one hundred dollars($100)or less) (36)feet high. (Chap.3.2,Grp
2,Art 2,Sec.341,Tale 8,California Administrative Code).
Policy Number:
D As owner-builder, I will not employ anyone to do work which would
vi 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 Date
the Lbor Code,I{hall. -Lettforthwith comply with these provisions.
i' //a I I 76 _�.5, O —7 Division of Industrial Safety Permit Number:
-u
Applicant's Signature Date ! HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: 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 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia 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 Califomia 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).
0 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 Califomia 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? 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).
175 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? ❑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
0 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
a contractor(s)license pursuant to the Contractors License Laws.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
0 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
LA (� nt authorized by thi permit until final inspection:
L (-1. .—X va,e-do e. 14 -23- 07 k . itu aO Owner(s)
l ��e 07
Signature of Legal Owners Date
. Signature - Date
3057-46(3/07) And/or Authonzed Applicant Date
1 r 1 if s/ �/�fj/���/f //j/�Q�/� r/�� /�\J'',.. . ../�a
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1111
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OWNER—BUILDER
VERIFICATION �7
Address: /933 AQ7F4 le, Permit# � l: -,(:)0? .13
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice,and, as
a condition precedent to issuing a building permit, require the completion and require the return of, an owner-
builder verification.
Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. 1 personally plan to pr vi e the major labor and materials for construction of the proposed
property improvement. Yes ❑ No
2, ve not) signed an application for a building permit for
'posed work.
3, 1 have contracted with the following person (firm)to provide the proposed construction:
Name
Address City
Phone ( ) Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone( ) Contractor's Lic.No.
5. 1 will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
1042-46 (Rev.11/04)
t
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of
California Health and Safety Code and have completed the above information to the best of my personal
knowledge, in compliance with this State law.
Signed: 01\6-1—....k_tilln -(1\- o00-AC 112 Date: /0— �3—0
Name: �auk ue,( �A\U rctA.e) 2•
(Printed or Typed)
C.D.L. #
For more information call City of Costa Mesa Building.Division at (714)754-5273.
•
•
1042.46 (Rev.11/04)
' yttl
CITY OF COSTA fv1ESA
ci" BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT ERMIT NUMBER
•
�• PERMIT
gaM 86282-
a;mro ///
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COMNIEM103292626
MECHANICAL PERMIT
Job Address: 1936 MEYER PL Status: ISSUED
Suite No Applied: 07/13/2000
Issued: 07/13/2000
Vicinity:
ISSUED BY: :/
Parcel Number: 42214227
Applicant: DUFFIE, DONALD
Address: 6250 PARAMOUNT BL
Phone: (562)984-5511
LONG BEACH CA Zip: 90805
Owner: ALVARDO, MANUEL & MARIA L
Address: 1936 MEYER PL
Phone: (949)515-4824
•
COSTA MESA, CA Zip: 92627
Contractor: RELIABLE ENERGY MANAGEMEN
Address: 6250 PARAMOUNT BL
Phone: (562)984-5511
LONG BEACH CA Zip: 90805 •
License: 704414
Arch/-Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
• CHANGEOUT DUAL WALL HEATER.
1 WALL HEATER.
•
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0
Inst FAU<100 k BTU $0.00 0 Repair/Alt Refrigeration Unit $0.00 0
Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0
Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0
Inst/Rep. Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0
Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0
Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems
Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0
Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0
Hoodiw/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0
VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0
Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0
Appliance $0.00 0 Boilers
Fire Dampers $0.00 0 Up to 3 hp $0.00 0
Smoke Dampers $0.00 0 3 To 15 hp $0.00 0
Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0
Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0
Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0
Floor Furnace $0.00 0 Other Mechanical Fee
Floor or Suspend Heater $14.80 1 Investigation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
• TOTAL CALCULATED FEES $38.30
COMMENTS I SPECIAL CONDITIONS
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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
•
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.
FOR INSPECTIONS CALL: (714)754-5626
DECGCARacIONS fl f " c.
WORKERS'COMPENSATION DECLARATION:
hereby affirm under penalty of perjury one of the following declarations:
❑' I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
(Val I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carder and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars(3100)or less.)
❑ 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 workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr s. rJ
Cpplicant.Signature: 4.1il ./St L.6 \Date:` 7- /3 •- 10 0 0
WARNING:FAILnaURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO'CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND 001i ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# a Class#
.contras OYs ature: ;a.r /7 _tW.W Date 7— / ? 2t 0
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
•
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Cede)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars(5500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. _. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the Califomia 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 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 temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No
B (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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.
/paS f L �'IOw'ner(s)41 / Date
�//
Acd/Or-Au66rrttii��d.Applicaant 'Date 3
CODE I INSPECTION TYPE IS INTRIAII CODES INSPECTION TYPE Mal I au! ,�Q
1616 Fixed System Final Fire Prevention 206 Final MechanicalkJ
fIQY/�VI /�J
1266 Pool Spa Final 206 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall • 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final Building/Occupancy
2446-46
440 sa
Reliable Energy Management, Inc.
1 a
AUTHORIZATION
TO OBTAIN AND SIGN PERMITS FOR CONTRACTOR
I hereby authorize the following person(s) to act on my behalf in obtaining permits
for the Building and safety Department of which city we are working in and to sign said
permit applications for me. I am properly licensed as required by the State of California.
I assume full responsibility under the law for permits taken by the person(s) I have
authorized by this document to act on my behalf.
I understand that notarization is required and is herein-included.
This authorization shall continue in force until the Department of Building & Safety for
which city we are working in is notified in writing by me, that this authorization is
canceled. I also understand, that the cancellation should it be necessary requires
notarization also.
COMPANY
NAME: Reliable Energy Management, Inc.
(As licensed by the City Business License Division)
STATE CONTRACTORS LICENSE NUMBER: 704414 Expiration Date 03/31/2001
AUTHORIZED AGENTS:
Ron Garcia Cliff Ortiz
Elisa Gomez Cliff Wood
Robert Garcia Arthur Founier
Mike wren Donald Duffie
Tim Miller
/ • # OS- 2Z -57
G=•rge Ron arcia Date
Signature of Licensee
05/22/97
Permauth •
6250 Paramount Blvd.. Long Beach. CA 90805 Office (562) 984-5511 Fax (562) 984-5515