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HomeMy WebLinkAbout1816 PENINSULA PL - Building Permits' APPLICANT: DO NOT FILL IN SHADED AREAS: CITY OF COSTA /MESA CONSTRUCTION Project Add" 4216 �iV Tel ii`i Unlc PERMIT NO. UNIT MODEL A.P. M - - Zone hjD E Main Building Accessory Building Z PURPOSE: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑ DEMOLITION ❑ OTHER �s-�F IJGOC M/iA�>L / / DESCRIPTION OF WORKIUSE OF BLDG. « //.zL oval P�T/P-J.t!//tlG �ffGL t N Garter's Nm}e: AG '/ f Address / -- / �r OO A L8„ / C Right N G AmbJEegl! nr. g G/ flag. Na: /7-593 Addna: .nP Unit: /e G F V SL Zoe K S Rear O R Ping. Ref. N Parking Req./Provided E Permittee ST arra As< ceci�� Planning Notes: �5 L/ D M ii4�i E A-S �WNf� TYPE OF PERMIT: ❑ GRADING ❑ FIRE ❑ STRUCTURAL ❑ SIGN ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ REINSPECTION JOB DESCRIPTION: ElSO. FT. OCCUPANCY GROUP g0 CONSTRUCTION TYPE VALUATION $ �n� GRADING CU. YOS. _ CATEGORY: ❑ MINOR CONSTRUCTION ❑ MAJOR CONSTRUCTION (Under 200,000 sq.N.) ❑ MAIOR/HIGH RISE (Over 2110,000 sq. ft.) Remark: SS Address: 60 07 Qm T S UCENSEDCONTRACIDRDECLARATION: Ihereby affirm that l am licensed under provisions of Chapter 9(Commencinp with Section 7000) of Divis�ionn 33 of the Business antl Professions Code, and my license is in full force and effect. CITY UC.:Q//C.8i7 STATE LIC.: 33447^.`) yClAS3: .i- Date: 2-Z8—QD Signature: �T • ��..L-+ WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a Certificate of consent to self-insure or a certificate of Workers Compensation Insurance, at a certified copy thereof (Section 3800, Lab. C). LICY No.: WGDo/G03L77T7T7g EXP. DATE: 3-% �O i 11� PUNY. ��'y%�2iRil� lel? 'e �:Certified copy is hereby furnished. �_Qrified Copy b filed with the City Building Division. Date: z-Z'8-90 Applicant:cIP14ir „/ /J a (This sermon need not hi completed if the permit h FROM WORKERS' COMPENSATION that is for onein th perfoTION:rmance e for one hundred (t1o0) or less). I certiTy that in the pertormance of the work for which this permit s issued, I Chad not employ any person in any maturity so az to became subject to eN Workars'Compemaaon taws of California. Dale: Signature: NOTICE: If, after making INS acclimate, you shads became subject to the Workers' Compensation provF sons d the LzbeT Coda you must townsmen conMy with such pmvkinm or ft permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pertor- mance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: ��M� RS ' ��ti�- ? OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License taw for the following reason (Section 70315 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appli- cant for such permit to file a signed statement that he/she is licensedpursuant to the provisions of the Contrac- tors' State License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or that hershe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of net more than five hundred dollars (5500). ❑ I, az owner of the property or my employees with wages as their sale compensation, will do tee work, and the swdura is not intended o offered for sale (Section of a p Business and Professional Code: The Con- tractors' State License Law does not appy to an saner of a property who builds or Improves thereon, and m her own employees, e pmdtle0 that such improvements who does such work offered Merse.l m however the are not intended or offered far sale. IL however Ire budding or improvement is sold within one year of Com pence, the owner will have the burden of proving oefshe did not build or improve for the purpose of sale). L] I, az owner of the property, am exclusively contactingg with licensed Comractms to construct the project (Section 7044, Business and Professions Code: The Contactors State License Law does nm apply to an owner at propeproperty who builds at Improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors State License Law). 1 am aware that proof of their Worker's Compensa- don insurance should be provided to me. ❑ I am exempt under Section: E 8 P. C. for this reason: . ELECTRICAL FEES Automatic Washer Motor L1 41 HP El 1.10 HP Christmas Tree Lot ❑ 7450 HP 11 54100 HP Construction Pole ❑ over 100 Sub Pole Outlet Cooking Unit Pole Light Dishwasher Sign Outlet p p Dryer ❑Gas ❑Electric Square Footage Fee PLUMBING FEES F.A.U. Standing Section 9 Backflow Prevention Repine Fireworks Stand Sub Panel - Baekilow Irrigation Roof Drain Fixture Swimming PooVSpa Bar Sink Service Sink Garbage Disposal Switch Bathtub Sewer Cap Generator: Size Temporary Work With'„' Clarifier Sewer Connection - Meter ❑ up to 200 amps Transformer Meter ❑ over 200 amps Size Dishwasher Shower prinking. Fountain Solar Collector Microwave Trash Compactor Floor Drain Solar Piping Floor Sink Solar Tank Retrospection Fee S30 Issue Fee $15 Gas Service Swimming Pool w/Spa Gas System Outlet Toilet DEVELOPMENT SERVICES REQUIREMENTS: Zoning g Approved By Date Building Approved B 9 PP Y Dele J Application Issued By �� Date 2 ` O Interceptor Urinal Kitchen Sink Wash Basin Laundry Tray Washing Machine P Trap Water Heater Water Service SUMMARY OF FEES BUILDING PERMIT $ � MECHANICAL $ PLAN CHECK $ 24-4, PIAN CHECK 25%'$, $ SMIP $ PLAN CHECK 25% $ GRADING $ ELECTRICAL $ PLAN CHECK 50% $ TOTAL FEE $ v Reinspection Fee P $30 Issue Fee $ 3 MECHANICAL - FEES Date: owner: 1 do hereby cef ify that I am aware of and understand the requirements of California Health and Safety Cade Sec tions 25505, 25533, and 25534 and that I or any future building occupant willaulLoot (circle one) need to comply with said state codes and the requirements far a permit for construction or modificatlen from the Air Quality Manage- ment DISVICI. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby CattilyCattilythat I here read applicationon arta state that the above information d perfect. I agree to Comply Cattily with all city and County ordinanceses and state laws relating to building construction ad hereby authors apaun Waives of this city to enter upon the above-mentioned property for rIInspection purposes.. Date ��ZB-9D Signature: �.✓h�T /"/• �y/f— Driver's License on Social Sernmr, M: Boiler Heating System•8 Ducting ❑ 41oo,000 BTU + ❑ 10o,0oo BTU + Duct-Underground Duct-StructuralPLUMBING Hood or Type 1 ❑ Canopy Type 11 ❑ Duct-Ventilating Exhaust System ❑ Multiple ❑ Refrigeration System El 4100,000 BTU + ❑ 100000 BTU + Fan Fire Damper System Repair/Alteration Fireplace/Fact. Bit. IC80 p 'DUPLICATE RECEIPT* -01 00055057-00055069 T ICE T DATE • 02/28/90 TIME: 11.52 17.94 aReln.n Fee s3o Issue Fee $15 0865-48 re, 10188 White - Building; Green - Code Enforcement; Canary, - Applicant; Pink - Revenue: Goldenrod - Assessor V" �114 . "KI CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector PC & SPA APPROVALS P6rm it # Date Inspector 1. Tem'pd rarj Electrical Service or Pole 52. Pool & Equipment Location 2; Spil Pipq-Undrgrn'cl. 53. Steel Reinforcement 1Ejdctr-lc6I Condu,i? Utility `rJn'd'rgrncI 54. Forms 4: Et4cirlic!iI Con'd6it-Undrgrnd. 55. Electrical Bonding 5r•'SteeCRejrtforcement 56. Rough Plumbing & Pressure Test 6. Efeitric'al LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7_, Fo ,lc-- oOl -58. Electrical Conduit-Undrgrnd, 8.,Fo,Aatio6F 59. Gas Pipe, 0 Undrgrnd., Test 9:;Water Pipe-Undrj?nd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10.* StrO.ctural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & H6 6se Conn,ection 162. Backwash & Ieceptor-Final 12. Sewer Ca p 7 63. Heater & Vent -Final 13. Roof Draiers 64. Plumbing System - Final 14. Rough Plu , mbing 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 tjl 69. POO L/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 20. RFactory: ,�ugh Fireplace 21. Ducts, in Strutture 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping El Gas 0 Oil 23. Gas Pipe -Rough & Test t. 72. Underground Flush 24. Roof Franiing, 1 73. Undergrnd. Storage Tank E]Gas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar;Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Framg'and Flashing 76. Dry Standpipe 28. Lathijjg &'Siding 77. FIXED SYSTEM FINAL 29. Insulation-., 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster, Br6wn Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 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 42.. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date IWA IWEERS 17390 Brookhurst Street, Suite 100 Fountain Volley, California 92708 (714) 968-1221 • FAX (714) 968-9286 March 21, 1990 City of Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca. 92628 Attn: Mr. Victor Clift Subject: Fine Grade Certification M J.N. 207-03 I hereby certify that the fine grading for lots 2,4 6,7,8,9,10,50,51,52,53,54,55,56,57 and 58 of Tract 13224 were graded as shown on the approved precise grading plans for - said project. Llewellyn D. Incledon R.C.E. 17593 Exp. 6-30-93 Low 5 IIP6- 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA-CnONSTRUCTION PERMIT TRA T No LOT o Project Address I kI/o YE/�11N�'t.)L�i 'Pr%ia>f - Applicant' smailing Address 180 N RTVERVT D DR Owner's Name KAIIEMAN AND BROAD Phone Address SAME AS ABOVE Arch/Eng. MIKE. WOODT.EY License No. 015730 Address SAME AS ABOVE Contractor's Name 'E''• �A�"�E Phone Address (mailing) City License No. 46894 LICENSED CONTRACTOR DECLARATION I he•eby affirm that I am licensed under provisions of Charter 9 (commencing action 7000) of Division 3 of the Business and Professions Code, and is in fullfogiandeffect. 334495 1 ss Lc se S'9 t �sez/J -?S' COMPENSATION DEC RATION ifi firm that I have a certificate of consent to self -Insure or a certificate nrs' Compensation Insurance, or a certified copy thereof (Section - No. C•) - 4189-1090trans.trans. ins. Ified Copy is hereby furnish ertified py i til d with the ci Build g Divi Date Applicant EXEMPTI N F OM WORKERS' COMP SATION DECLARATION (This section need not be completed if the permit i5 for one hundred ($100) or less). 1 certify that in the performance n the work for which this permit is t to t t snarl not employ any person in any manner so as to become subject to the Workers' Compensation Laws a California. Dale Signature NOTICE: C after making this ions roti the you Should become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be tleem<tl revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there i5 a construction lending agency for the performance of the work for which this permit i5 issued (Section 3097 Civ. C.) Lender's Name -^R8 Lender's Address OWNER BUILDER RATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Cotle: 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/she is licensed pursuant to the provisions of Contractor's License law (Chapter 9 (commencing with Section 7000) of Yion 3 of the Business and Professions Code) or that he/she is exempt efrom and the basis for the alleged exemption. Any violation of Section . -31.5 by any applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500). ❑ 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 (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves 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 Sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will'have the burden of proving he/She did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Code: 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 can - tractors) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner _ 1 hereby certify that I have read this information i5 correct- I acres to tomo antl state law Sentdtive Lh15 Inspectio pose Signature Drivers' License r 0865-46, rev. 5/88 n and State that the above city and county ordinances and hereby authorize repre- C UNIT NO. ii>4 q 14 G - � / TZ 13224 BUILDING PERMIT - _ A.P.# /f- Zone �-M $ Main Building: Acc 55ory Building: TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION 1:1 DEMOLISH El OTHER DESCRIPTION OF WORK/USE OF BLDG SED PLAN 3'$R E T Front 1 I B A Rear C RightK 5 TYPE OF PERMIT Li GRADING IXI FOUNDATION STRUCTURAL 1-1TEN A�TX❑ ELECTRICALX❑ PLUM BING X❑ MECHANICAL ❑OTHERs\\i1T1—T_2371 GAR GR 463 DECK - 76 PROJECT DESC TION SO. FT. R .. Ate— OCCUPANCY R / M / CON STRVCTIaN TYPE VN VALUATION § /bQ� N/7. ZONE NA GRADINGCU.YDS.A_ $ Left Ping. Ref. # -/1/(� Parking Req./Provided 5 Planning Notes: Am. FOR SRUAt REQUMMENTS ELECTRICAL Remarks; -- ELECTRICAL FEES PC234-89-1 PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. El50+KW - Bar Sink Showers MECHANICAL Backflow Preventer - Service Sink TOTAL FEE Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap 25% $ Dishwasher " Meter El over 100 amps . 'Z Bathtubs Sewer Connection • Dryers ❑Gas ❑Electric Sub Panel Clarifiers Solar Collectors Fan Motors 00-1 HP❑lh-8; Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP,❑16.15+ Drinking Fountains 1 Solar Tank Fixtures •� Microwave Floor Drains Swimming Pool w/Spa Device Boxes I Pole Light Floor Sinks Urinal Outlets Range Gas Service Outlets Water Closet Switches Sign Interceptors J Water Heater a 0 Garbage Disposal Standing Sections I Kitchen Sink Water Service Generator ❑05 KW 05-15 KW Trash Compactor f Lavatories Auto -Wash 0 r 5 % P -Trap Laundry Trays S Roof Drains Reinspection Fee $15 Issue Fee $r9- DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date % Reinspection Fee $15 Issue Fee S 3 MECHANICAL I FEES Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICB0413567 Heatj System & Ducting &D-100,000 BTU ❑ 100,000 ST � r I Reinspection Fee I $15 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type 11 ❑ lefrig ration System WSd1F100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee I N G R E Q M T S. DATE: ,,^r crs4 TIiiE: 1` SUMMARY OF FEES BUILDING PERMIT $ ?9-4( .50 SMIP ���// $ ��L_ PLAN CHECK $ �FI37 PERMIT PLUMBING $ yq 00 ISSUANCE $ PLAN CHECK 25°°,6$ ENEP.C. $ ELECTRICAL _ C� GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ 5/b. SD TOTAL FEE $ PLAN CHECK 25% $ /OA>7.94 DATE: ,,^r crs4 TIiiE: 1` CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PO' 4 SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. q.j(jg�/ (� 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 TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd, 8.' Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9 Water Pipe-Undrgrnd. L 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural FIoor 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 �./Q-9'p oro 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 1.8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning I-10-,d Lim FIRE DEPT. REQUIREMENT APPROVALS Permit # .20. Rough Factory Fireplace -1044 L.&0 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas OOil 23. 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. Insulation 78. FIRE PREV. FINAL�aP) 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 9. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ote-s: yd 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing of/gd 39. Water Service-Final 40. Gas Service-Final `- 41-. Solar Domestic-Final=-' - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations- 47. FINAL STRUCTURE & BUILDING t%o%-90 " 48. Special Requirements Completed{l� 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ft IWA l..GINEERS 17390 Bruokhumt Sheet, Suite 100 Fountain Valley. California 92708 (714) 968-1221 - FAX (714) 968-9286 March 21, 1990 J.N. 207-03 City of Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca. 92628 Attn: Mr. Victor Clift Subject.: Fine Grade Certification I hereby certify that the fine grading for lots 2,4,5,6,7,8,9,10,50,51,52,53,54,/55 ' 56,57 and 58 of Tract 13224 were graded as shown on the approvd precise grading plans for - said project. Llewellyn D. Incledon R.C.E. 17593 Exp. 6-30-93 LGT ✓ y / (/ Z /�rhrti-5 e, L - 11 BN FORM 116 CALIFCRNIA SEA3REEZE ?1ASc 1 BIA FORM 1A86 INSULATION tERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative (ode, Title 25, State of (alifornia') and approved plans, insulation has been installed in the building located at: Costa Mesa 1816 Stu . Re. (If Aw].W.) ROOFS Peninsula Place sb Orange C.01 5 Lal Mumbr DESCRIPTION OF INSTALLATION 13224 . T.0 I/.. Type of Material Manufacturer Thickness R Value**— EXTERIOR WALLS OWENS CORNING Type of Material FIBERGLAS BATTS Manufacturer FIBERGLAS Thickness 32fr R Value" 11 (or Tna. N.m.) CEILINGS OWENS CORNING 6141r 19 BATTS: FIBERGLAS BATTS Type of Material____ Manufacturer FIBERGLAS 9"1 Thickness__ It Value' 30 (ser Trv& Sq. FL Covered BLOWN: Type of Matarial Manufacturer Thickne« No. Bags_ (far Td. N...) WL/Bag_ Sq. FL Covered R Value"_ FLOORS Type of Material Manufacturer Thicknes< R Value**— (Of Tnd. N. 4 SLAP! ON GRADE Type of Material Manufacturer Thickness_ R Value (or Tn& N...) Width of Insulation Inches FOUNDATION WALLS (if required) Type of Material Manufacturer_ (or TI.b N..I<) REMARKS (if desired) General Contractor filuilderl Kaufhlan & Broad SuDContrxtor (LW.tla. Yue, Accent Insulati (sur -SAME- a .... . as License Thickness It Value License Humber 274283 March 2, 1990 ('W:1..... 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INC- 3055 Orezrkl Ave, lm ArgAes, Calif. 90034--(21M 870.;871 Forel+ 1486-a BUILDING INCUSTAT ASSOCUT!D!4 Of C/11ECANIA, INC, 157L B!YK!y Blvd, Lx Anpe!es, Calif. MS_1iln sz55171