HomeMy WebLinkAbout231 DEL MAR AVE - Building PermitsCITY OF COSTA MESA �
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�` "'F BUILDING DIVISION
% � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c s
�• FOR INSPECTIONS CALL: (714) 754-5626
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� � �ERMIT NUMBE . BC07-00231
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: RES_RRIP DATE ISSUED: 09/04/2007
ISSUED BY: ??
�oe nD�Ress: 231 DEL MAR AV CM�� � ��: 'Suite/Unit:,�`�-.
� ._.
APN: 43918135 ._ -� ZOning -� - ; %"
Vicinity: KITCHEN Primary Occ '+
�:
Const Type: V-N SQ:;FT: ����� � � 0 - �'�Valuation; $5,000.00 �
r= -
SCOPE OF WORK: REMODELFEXISTING.KITCHEN. DRYWALL PATCHING, ELEC, MECH AND PLUMB WORK INCLUDED.
OWNER: BECKMAN, DAVID J TR� -" Address: 231 DEL MAR AVE �� . - . Unit:
Phone: -:- a � , � �� City/Stale/Zip: ;. COSTA.MESA, CA � ' :
,
� . : �. ... . .... � �.. :: : .
APPLICANT: PERRY SALVATO iAddress: 2981 E LA PALMA��AVE .. -, Unit: :
Phone: 714-630-2220 , , , ��City/State/zZip: ANAHEIM,CA �
CONTRACTOR: REBORN,CABINETS -� ,. � �, _ � - � -� License No. 443682 , _ �
Phone: 714-630-2220 - - � � Address: - 2981�E LA PALMA'AVEUnit:' '� ��-
Cell: . � - -, City/State: ANAHEIM, CA '- � - - . _ ZipCode 92806
ARCHITECT: - . . ��-ticense No �-� -- - � � � PHONE �:-;
ENGINEER: _ , , License No. -- _ � � . �, PHONE::,
_ _ , ,.
. ,. _ . : .. ,..
COMBINTATION PERMIT FEE SUMMARY `
Building Plan Check: $0.00 ,
Building Fees: " - � � $111.25���:
Electrical Fees: � � � $49.•15 - . � �
Mechanical Fees: , ' $34.15 . °'
Plumbing Fees: �- . $4925; �� �' „. �"'� '. ��
SMIP Residential: � � � ,$0.50�' ' . ��.- � � " , '
SMIP Commercial: - � � .$0.00.?� � _ - • �
TOTAL FEES: ' $244.30 .
"Refer to fee receipts for all fees paid for project � - - . '
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 lhe expiration of this permit.
CODEr. INSPELl10NTYPE �pTE INTITULS GOOE/ INSPEC110NTYPE DnATE INTITULS
1616 Fiaed System Final Fire Prevention 206 Final Mechanical �zp'O �
1266 Pool Spa Final 208 Final Plumbing �� ' -� �
200 Final Re-Roof 210 Final ElecUical U_� �I �J.{
'(1L .� Jv�—
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site 'q
204 , FinalDemolition 250 FinalBuilding/Occupancy ��`W'�� �
�NQRKERS' COMPENSATION DECLARATION: . .
I hereby aKrm under penalry ot perjury one o( the lWlow"mg declaralions: --
❑ I have and will maintain a certificate of consent to self-Insure�for�workers'
cornpensation, as provided for by section 3700 of the Labor Code. for the
peRormance of the vrork for which this permit is issued.
r❑ I�have and will maintain v.orkers' compensation insurance, as required by
Lseetiori 3700 of the Labor CoUe, for the peAortnance of the vrork for which this
peRnit is issuetl. My workers' compensation rance carrier'�and policy
number are: �— L
LCarrier. - �Mf% ID��P�S i�`'.._-
(TMsetlunnpetlrrofbemmplel dlhepeim4�t�va1NeOatonehuntlmdWllars(Et00)wlessJ
Policy Number: � W C' i7Ci �/ ��� ^ � G
1
❑ I certify that in the peAormante of the work for which lhis permit is
issued, I II t ploy any person in any manner so as to become subject
to the w rkers' ompensa � n laws of Calitornia, and agree hat 'f I should
beCom subje to the s' compensation provisions of ect' n 3700 of
Ihe La r C hall /o mply with these pmvision .
4 � 0
LAp �onCSSi9riaWre._..,r=•-` —�
WARNING FAIIUR O SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SEC710N 3706 OF 7HE BOfp� R CODE, INiERESJ, ANC�
ATTORNEY'S FEES. �� n �;�"'— - �
Il.. V il�r �
LICENSED CONTRACTORS DECLARATION: ����
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Pro(ession Code, and
my litense i, " f rce and effect. 1/�l /
L� C� la�`�1-� � _ 7�'
ontrattw Si •� � .� a �_,.r— ��� �� `�
. V /
CONS U TI LENDING AGENCV:
❑ I affrtn that ihere is a wnstructbn lending agency for the
peHormance of the v.ork for vfiich this permit is issued. (Sea 3097, Civil Code).
Lender's Name:
Lender's Atltlress:
OWNER-BUILDER DECLARATIONS:
I hereby affrm that under penalty of perjury that I am EXEMPT FROM THE
C6NTRACTORS LICENSE LAW !or the following reason (Sec. 7031.5,
Business and Professions Code: Any cily or county which requi�es a pe�mit to
conswct. alter, improve. tlemolish, or repair any sWcture, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensetl pursuant to the provisions of the Cont2ctors
License Law (Chapter 9(wmmencing with Section 7000) ot Division 3 of the
Business and Professio�s Code) or that he or she is exempt therefmm antl
ih@ basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicaN to a civil penalry of not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILI DO 7HE WORK, and the structure is nol intended or
oflered (or sale (Sec. 7044, Business antl Professions Code: The Contractors
LiCense Law does not apply to an ovmer of property who builds or improves
lhCreon, and who tloes such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If. Aowever, the builtling or improvement is sold within one year of
completion, the owner-builder will have the burden of proving ihat he or she
ditl not build or improve for purpose of sale.). ,
� I, as owner ot the property, am EICCLUSIVELY CONTRAC7ING WITH
LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and
Professbns CoOe: The contractas License Law dces not apply to an owner of
prbperty who builds or improves,thereon, antl who wnt2cts for such project with
a Cmt2cta(s) license pursuaN to the Contractors License Laws.).
❑ I am exempt under sec. �
Business and Professions Cotle for ihis reason:
Owner ID verifietl by tlriver'a ,e. ❑ Yes ❑ No
Dnver's License No. Expires:
Verifcation o( Ownership by (type of document, i.e. - property tax bill or deetl):
DIVISION OF INOUS7RIAL SAFETY PERM17 CERTIFICATION: "�
f �,. I hereby ceA'rfy [fiat no excavation Me (5) or more feet in depth into wfiich a
�, person is required to descend, will be made in connection vrith work authorizetl
by this permit, and that no building struc[ure, scaffdding, falsework, a demolition
or dismantling ihereof, will be more than thirty-six (36) feel high. (Chap. 32, Grp
2, firt 2, Sec. 317, rtfe 8, Cali(omia Administ2tive Code}.
❑ As owner-builder, I vrill not employ anyone to do work which vrould
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a pertnit to do such work from the division.
Applitan(5 Signalore
Division o( Industrial Safety Pertni[ Number: _
�HAZARDOUS MATERIALS AND EMISSIONS CER7IFICATION:
7. Will the appliwnt or present or fuWre building occupant need to file and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safety Code requires, with some
exceplions, that a Business Plan be filetl with the Costa Mesa Fire
�epartment by every business which has al any one time dunng a reportetl
year a quantity ot hazartlous materials equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature antl pressure).
2. Does or will the applicant or present or fWure building occupant need to fle
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health antl Safety Code, vrith some
exceptions, requires registration vrith the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazartlous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, Or 200 cubic feet o( compressed gas at standartl
temperature and pressure).
3. Does or will the applicant or presenl or fuWre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for aculely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safery Cotle provides that the
Costa Mesa Fire Department may require the preparation, certifwtion antl
fling with Ihe Fire Department of an RMPP Dy businesses which are requiretl
to register acutely hazardous matenals with the Fire Oepartment.
4. If an RMPP is presently requiretl, has Section 25534 of the California
Health antl Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or presen[ or future building occupant require for
[he work which is the subject of this appliwtion a permit for such constmction
or modi�cation from the South Coast Air Quality Management Distnct or (rom
any other air pollution control distnct or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Code requires that Ihe requestetl
infortnation be fumished m applications !a non-residential building pertnits�.
6. Will any part of the Facili[y to be constructetl untler lhis pertnil be wilhin
7000 feet (rom the outer boundaries of a school? ❑ Yes ❑ No
Q('yes", the facili[y must meet Ihe requirement o( Sections 25534 and 42303
of the California Healt� and Safery Cotle).
7. If a permit from the South Coast Air Quality Management District or other
air polWtion contml district or agency is required for the work which is ihe
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance from the appropriate air pollution
conh0l officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the
intormation qiven above is wrrect I aqree to comply vrith all state laws and
city ordinances regarding Hazardous Materials and Emissions. .
SgnaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalt of perjury Ihat I have read this application and state that
the informatio rve is correct I agree to comply with all state laws and city
ordinances lating building construction, and authorize representatives of
the City Costa esa to enter upon the above-described property for
inspectio purpos . I a not to occupy or allow occupancy of any builtling
authori d by lh� pe it until fnal iryspection.
ignaWreofL alOvm s) �al
SiBnaWre Daie �� ��
3059-46 (3I0)) — `�—' — ' ---
�Any�\utbonzetlApPl¢am " � _ /i_.:- a�e�_�'�_
F� �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.lob Address: 231 DEL MAR AV
Suite:
Viciniry: ROOF
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 43918135 Zoning:
Status: ISSUED
Applied: O6/14/2005
Issued: O6/14/2005
npplicant: RICK HURLEY ". �SSUED BY:
Address: 23251 PERALTA DR , -�� � -� � _ � - -
r��.��,..- _ _ � '__ "`� "_
UNIT R " � - � . Phone: ' 714.951-BZ24�.. �-_ "
�' ��'�i��,t"`--- -
LAGUNA HILLS;",.' . - . �' � l �, ' �. ' Zip: . 92653 �� _ -
�` � " ' "' � ✓. . -
,'�:� � ... , � , , ,
Owner. BECKMAN, DAVID J'TR � - - `
Address � 231-DELMARAVE � L ' r-. =�=-- -
�
� %- ' V �ti; �._,.'�'- � Phone -.' ' ,>�, �� �
Jt � ��" � � /,:,• � � --' � � `. ��. . . ,
i � � rCOSTA MESA; CA!'�;;-'' � Zip. 92627 � � , , - �
� :!":
CoMractor. HURLEY ENTERPRISES � '� � \ �
�.Address t 23251 PERALTA DR �� � ,
�,
/ • - ' r UNIT R' %� �� Phone: 714.951-6724 . ,
` ��; ;' , . ' - ' _
-�i �� � �� LAGUNA HILLS - , � � � � -•
� ,i . , - _ .. -
�`'1 � ���� ,�1�%�� /� �-=1:� ��License:.�314183 `, , - _ ., , , .
' -'fArch, : � , `i ', " y � ; A / . � �.:.� � . Eng:, ` � ' . '. � . � •
�
�.�Address: .�1�� ; � ��,' \ ", - -- --�� ..Address:'� � . . . .
, . . i �; ,, - -Phone: � _ _.,� (' � ..Phone: .
' � -`:I/' , . .
i�� .\ /� ,� � �,��"�
� '.�Zip: ��� ,� v License: A � License: �
. _ � . _ _ .. .. �� ' .
, ; /n;'; '-J .,'', SCOP.E'OFPERMIT,' �,�;�-��' -�
'. TEAR OFF EXISTING ROOF. INSTALL 2�LAYERS�OF 15#��FELT, GAF=TIMBERLINEj 30�YEAR�COMPOSITION SHINGLES,�AND;REPAIRlREPLACE
�-, SHEATHING AS�NEEDED. 26 SQUARES OF PITCH AND 2 SQUARE50F FCAT INCLUDES ATTACHED GARAGE. --
i
� � ; t,l
� � ' � �� FEE SUMMARY -'� ' �.
•Plan Check ` , $0.00 , � - _ �- - Calc Valuation � S�,sso.00
Permit:'. '. $153.25 � ,� , Claim Valuation ����; S7,sso.00
' ���SMIP�Res `� j �$0.77 � �,�_ v • /�j'i` ,` ,.'
SMIP� Com � � �$0.00 � -_ - .. ' j ��� , � .
�, ��� Other � � �$0 00 � ,,,_ Y� :,. �, •�! �' �
�Inspechon.� $0�.00 �, '� �� � L.t � �� ��� � � �
� � ��AV�.� `'"f, ��, `� ' v� � ,- ' f! �' i , �.
` I�7 ��� , m.�`` , ,r � u� �ir' �� ���
.
\�Total: ' . �$154.02�� _ , � i ; � ,�. s � .,,:.. . ,�i � ,
� 1-i '^��d.s'�,., i ��'"�.: ' �-v�� �, ' �
:�� /) �A� � �a 5't . . . /i /�'��
ii� � ' " i� / /,-
�.A <,/� i;' � � � � PLANNING & ZONING �i� ��.,�/ ; /,�",,
���� ... �i \ � �� - ,-- . �i./ i/�.� il�
SETBACKS��V '�/.�,�-> �� �`��..,� � _ ' �.` � �'r ,�1�A.�j ��,� ,/
MAINSTRUCTURE�Front 0 0>� / � ���Rear 0 0=- .�Left 0�0�-� Righl� '0-0 �.:
�`� � 'f, ��� -.� _ . _�.�,�` \ ti- .,.7,
ACCESSORY Front� 0-0�., �` R,ear - 0,0; -� -. Left � 0 OG =A S � RigFit r,0 0�%�
�\��JA ��' � � I f . ' ' ( � =. t � ,'��`���
1
PARKING Existinp. o'� '�Required `o= / \��,.Proposed "o �; !� �
� ;v- �
�-. -_ . _.�= ' _ .
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlona and final approval must be obtainad. Failure to obtain inspections and final approval will result in the expiratlon of this permit.
FOR INSPECTIONS CALL: (714) 7545626
'ea6-aa Isroo)
WORKERS' COMPENSATION DECLARATION: � - �
I hereby effirtn under penalry of perjury one oi tha following tleclerations:
❑ I have end wlll malntaln a ceniilcate ot wnsent to setl-Insure for workers' compensetion, es provided tor by sedion 3700 ot ihe Lebor Code, for the peAormance of Ihe
work for which Ihis parmit is issued.
� 1 have and vrill maintain woAcere' compensaGon insurance, es required by section 3700 of Na Lahor Code, for the peAortnance of Ne work for which this pertnit is issuad.
__My w� s' co penuUon Insurance carrier antl pollcy numDer are: I�� g� ,^ O� y
'Certiei:� �� PdicyNumEer. / S
,(Thls secfl'on need no� be completed i! the permit is velued et one hundied dWlars ($100) or less.) '-
❑ I certiy that in the pedortnanc9q the work for which1 Ihis permit is issued, I shall not employ eny person in any manner so as to be�ome sublect to the workers'
compensatlon lews of CalpeFnia,'�nC egree that i� I sl oultl become subJect to Ihe workere' compensation provisions of Seqtion 37(p of the Labor Code, I shall fort�with
compty with these provi '6ns. � / � � / / � {�'
�Appllcenf5lgnatiire^.��—� - �Dete� � � 7 6 �
WApNIAlO•rFAIIUHE 70 SECURE ' COMPENSATION E IS UNLAW R1L AND SHAl1 SU6IECT AN EM1�LOVEH TO CRIMINAL PENALTIES M!D CML FlNES UP TO ONE NUNDRED
TKKISAND �OIJ.ARE (E100,000), IN ADDfTION TO THE CQST OF NSATION, DAMAGES AS PROVIDED FOR IN SECTION 3108 OF THE LA90R �OE, IMEREST, AND ATTOHNEV'S FEES.
LICENSED COMRACTORS DECLARATON:
I hereby aflirtn Nat I em Ilcensed u r rohsions of Chapter 9(commencing with Section 7000) of Division 3.oi.Ne-Business and Prolessions ncJ fny license is in full
,ro� e�a ae�. u�. a--� l k 9 �.-' 1 a� n C': 3 5. � I�i�� �
CONSTAUCTION LENDING AGENCY: U
❑ I hereby affirm that there is e construction lending agency for the pedormance of the work for which [his pertnil is issued. (Sec. 3W7, Civil Code).
Lentlers Nama:
Sipnature: _
OWNER-BUILDER DECLAFiAT10NS:
LentleYs Atltlress:
Date:
I hereby aHirtn Ihat under penalry of perjury Ihat I am EXEMPT FfiOM THE CONTHACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons
Cotle: My dry or counry which requlres e pertnit to wnstruct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, elso requires the epplicent for such pertnit
to Nle a signed stetement that he or she I5 IlcenSeE pursuant to [he prarisions of ihe Contrectors LJcense Law (Chapter 9(cammendng with SecUon 7000) af Division 3 ot �he
Business and Professlons Cotle) or ihet he or she is ezempt therefrom and the basis for the allegetl e:emption. Any violation of SeMion 7031.5 by eny epplicent for e pertnit
subjects ihe apDlicent to e cMl penalry af not more than tive hundred dollers ($500).):
❑ I, as owner ot t�e property, or my employees with weges as their sole compensation, WILL DO 7HE WORK, and Ihe structure Is not intended or olferetl for sale (Sec.
7044, Business antl Professions CoCe: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and who tloes such wark
himself or herselt or Ihroug� his or her own employees, provided that such improvements ere not Intentled or otlered tor sele. If, howevar, the builtling or improvament is
sold wit�in one yeer oi completion, the owner-builder will have iha burden oi proving ihat he or she did not Duiltl or impmva br purpose af saleJ. �
❑ I, as owner ot Ihe D�aPeny. am E%CLUSIVELV COHTRACTNG WfTH LICENSED CON7RAC70RS to consiruct the project (SecJ044, Business and Professions
Code: The wnirectors License Lew does not eppty to en or.ner af properry who builtls or Improves thereon, entl who conirecis for such project with e contractor(s)
license pursuent to ihe Contractore License Lews.).
❑ 1 em axempt undar sec.
Signature:
Owner ID veritied by tlrivers license. ❑ Yes ❑ No
Business antl Protessions Cotle for ihis reason:
Verification ot Ownership by (type of documenL i.e. - properry ta�c bill or tleetl):
DIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTFICATION:
Drivers License No.
Date:
Expires:
❑ 1 hereby certlly Ihat no excavation fiva (5) or more feet in dapth into which e person is requlretl �o tlescend, wlll be made in connection with work euthorized by this
permit, and t�at no 6uilding structure, scattolding, talsework, or demolition or dismantling theraof, will be more Ihen thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Calilamia Administretive Gode).
❑ As owner-builtler, I will not employ enyone to do wark which wauld require a pertnit irom the Division ot Intlusinel SeFery, es nated ebove, unless such person hes e
permit lo do such wark irom Ihe tliNslon.
Signature: Date:
DlNsbn ot Intlusirial Selery Pertnit Number.
CEHTIFlCATE OF COMPIJANCE AND AUTHORVJITON OF EMRY: I certity under penalty oi perjury that I have read ihis epplicalion end state that ihe information given is
correct I agree ro comply with all stete lews end ciry ordinances relating to building construction, end authodze representatives of the Giry of Costa Mese to enter upon the
ebove-descnbetl property tor inspection purpa5es. 1 egree not to occupy or allow occupancy of eny building authorized by this permit until final inspection.
Legal
COUE �. INSPECTIONTYVE �
1618 Fixed System Final Fire Prevention
1268 Pool Spe Finel
200 Final Re-Roof
201 final BIocWReteining Well
202 Final Factory Fira Place
203 Final SIBn
204 Final Demolitlan
�( MSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevenlion
220 Final Planning Approval
222 Final Sita
250 Finel Bulltling�Occupancy
PAg lt�lLB
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 231 DEL MAR AV
Suite:
Vicinity: REAR SFD
Parcel Number: 43918135
npp�icant BECKMAN, CATHERINE
Address: 231 DEL MAR AV „.
COSTA MESA; CA;' � '
Owner. BECKMAN, DAVID J TR
Address -231 DECMAR AV ` � ' -
% ,�i" �
. - � BOSTA MESA, CA-' -- ;� �
Coniractor: `OWNER-6UILD�ER
'Address: � ��
Zoning:
Phone: 949-645-8977
Status: ISSUED
Applied: OS/10/2004
issued: 05/10/2004
ISSUED BY:
Zip: 92627 ' .� � , ` � �
`-Phone:
Zip: 92627
Phone:
. - Zip: � � ' License:� 000000
Arch : � , � , . , � � Eng:
Address: � � - . �. � . _ Address:
� ` , � ; � Phone: �
. Zip: � ' ' ' License:
,. � SCOPE OF
LEGALIZE 15'11 �L X 13'9" W X 8' H PATIO COVER AT THEREAR OF�AN E
`,�Plan Check: � � $63.21
Permit: , $97.25
SMIP Res: $0.50
FEE SUMMARY
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. , Phone: . ..
License:
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SINGLE-STORY-SFD.
C,alc Valuation: � '- g3,sio.se
— = Claim Valuation: ' $o.00
` SMIP Com: '. $0.00
Other:. � „� $0.00 � . _ ���, . �
�Inspection: � , �� $OAO � �
: :.` ,
� � ,��'`'� � a. �
� T,otal: , $160.96 - `'� �
�-:: - '
� ` � � PLANNING &20NING � �
SETBACKSj� , � � � � ; � .
MAIN STRUCTURE� Front 0- 0� . � Rear -.0 0' " i'"Lefl� �-0- 0- �_ , Right 0 0:, ,
-` ,, . _ . " . -. � , ' . , , . �
ACCESSORY �Front' 0=0� � - ' Rear, 0-0 � - � Left�- 0-�0� � _ Right � 0-0 �
�. .._ . . � . -- ,:,/'�
PARKING Existing:. 0. � Requlred: - 0 � rPro bsetl:• � 0�-.' , '
NOTES: � � � �
9
,:
9
�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statuies and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetions 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) 7545626
2446-0fi (6/00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby attirtn under penalTy ot perjury one of the follovnng declarations:
❑ I hava and will maintain e certificate af consent to self-Insure tor workers' crompensation, as provided for by section 3700 of ihe Lebor Code, for the pertormence of the
work for whiCh lhis pertnit is issued.
❑ I hava antl vrill manWin workers' compensation insurance, as requiretl by section 3700 of the La�or Code, for Ihe pertortnance of Ne work for which this pertnit is issuad.
My workers' compensation Insuranca carner end policy number ere:
Carrier. Polity Number.
(This section neeO nof be wmp/etetl i/ the permit is valued et one hundred dollars (5f 00J or less.)
❑ I certih/ Ihat in ihe peAortnance o1 lhe work for which this pertnit is issued, I shall not employ any person in eny manner so as to 6ecome subject to the workars'
compensation laws oi Calitomia, en0 agree that if I should bewme subject to Iha workers' compensatlon provisions ot Section 3700 ot t�e Wbor Code, I shell tort�wiih
campty wi�h �hese provisions. -
Applicant Signeture: Date:
WARNING: FAILURE TO SECURE WORKERS' WMPENSATION COVEFiAGE IS UNLAWR/L ANO SMALL SUBIECT AN EMPLOVER TO CRIMINAL PENALilES AND GNL FlNES UP TOONE HUNDRED
TFIOUSAND OOILARE (5100,000), IN NDDITION TO THE COST OF COMPENSATION, �AMAGES PS PROVIDEO WR IN SECTIIXJ 3'1O60F THE LABOR CODE, INiEREST, AND ATTORNEI^S FEES.
LICENSED CONTAACTORS DECLARATION:
I hereby attirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Protessions Code, antl my license is In tull
torce and eflect. Lic. x Class M
Contractor's Signature: Date:
CONS7RUCTION LENDING AGENCY:
❑ I hereby aKrm that there is a construction lending agency for the peAortnance of ihe work tor which ihis permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lentlefs Adtlress:
Siqnature: Date:
OWNER-BUILDER DECLARATONS:
I hereby aflirm �hat under penalry ot perjury ihat I am EXEMPT FFOM 7HE CON7RAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Protessions
Code: Any city or couny which requires a permit to construcL alter, improve, demolish, or repair any sirucNre, pdor to its issuance, also requires ihe applicant for such pertnit
to file e siqneC statement that he or she Is IlcenseO Dursuant to the provisions oi tha Contrectors License Law (Chapter 9(commencing wit� Sectlon 7000) oi DiWsion 3 of ihe
Busineu end Pmfessions Gode) or that he or she is exempt thereirom and tha basis tor the alleged exemption. Any violation of Section 7W 1.5 by eny applicant for e pertnit
sub�ects the applicant to e civil penalry of not more ihan tive hundred dollars (5500).):
� I, as owner of the properry, or my employees with wages as their sole compensation, WILL 00 THE WORK, and Ihe siructure is not intendetl or oflerad tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner oi property who builds or improvas thereon, antl who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or oflered tor sale. tl, however, Ihe building or improvement is
soltl within one year ot completion, the owner-builder will have the burden ot proving that he or she ditl not build or improve tor purpose of sale.). '
❑ I, as owner of lhe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Profession5
Code: 7Te comreciors Lice tloes not appry to an owner of propeny who builds or improves thereon, and who coniracis lor such project wii� e coniractor(s)
license par3uant t ontractore License Laws.).
❑ I am e err�t � e se _
Signature:
Owner ID venfietl by tlnvefs license.
Venfication of Ownership by (typa ot
Business and Professions Code tor this reason:
Ye5 ❑ No
i.e. - properry tax bill or deed):
OIVISION OF INDUS7FIAL SAFETV PERMIT CER7IFICA710N:
Drivefs License No.
Eapires:
❑ I hereby certify Ihat no excavation tive (5) or more feet in depth into which a person is required to descend, will be made in connection with work euthonzed by t�is
permi�, and that no building structure, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Ar12, Sec.
341, Ttle B, Califomia Adminisira�ive Code).
❑ As owner-builder, I will not employ anyone to do work which would requira a pertnit from fhe Division oi Industrial Sefety, as noted ebrne, unless such person hes e
pertnit to do such work irom Ihe divisian.
Signature: Date:
Division of Indusirial Satery Parmit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTFiV: I cetlify under penalty of perjury ihat I heve read ihis epplication and state that the information given is
correct agr to comply with all state la .and'E(y ortlinances relating to builtling consWction, antl authonze representetives of ihe City ot Costa Mesa to entar upon ihe
abov desc' ed pr Of-IR! wn purp�s. I e o to c u or all^^ � w occupancy of any building authorized by this permit u til finel in'sJpection. �/
!i � Lui�_—_ r � ` 'D 7
Signature Oi Legal Owner(s) Date
And/Or Authonzed Applicant Date
COQE �• INSPECTIONTYYE
1616 Fixetl Syslem Final Fire Prevention
1266 Pool Spe Final
200 Final Re-Root
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
PflI&
�
RIAL �� INSPEGTIONTYPE
206 Final Mechanicel
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel6uilding/Occupency
QSIE V�9L5
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SUBJECT TO
INSPECTOR'S REVtEW
AND APPROVAL ON SITE
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PLANNING DIVISIOI
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BY THE
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C057A MESA,CA
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ARCNITECT OX FNtlNHX:
ANCN.OP EINi.'SAUURE55:
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llt. NO.:
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YEkMIT Nv: F G8�877 FLAN CHECA NG: N
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Jiib LES�kIPTI013 : u35HwI+.�AEk CHAI3GE ui7T
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COMMICTON'SNAYE: NO�..K PLUMHING � (714)895-124b
camucroxswuuxc 11b12 KNVii 5T
wd�Fss:GP.7(LEiv GRVVn CF1 uC.No:. %V77%S
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LJCENSED COHfNACTOFS OECLAflATION: I Mraby eRim uMx penely d peejury ihet I em licereed uMm pwiaau oi Cheqer 9
(cpnmemrq Milh Saclion 1000) d Oirnion � d �M Busimm eM Proleceione Cade. erd mY license b in hll taw md eNed.
cmu o.:u5'3be uc.cuss: L_�b uc.No.: ��\� giiF: u[i3b
e: � � co�vea«: ,�
BUIIDER DECIAN�TION: I Mnby eifirm uMx penely d perN�Y �� I em a�cemq /mm IM CaNredae Licenee Lew la Ihe
IWbwinB �s^^ (��^^ )031.5 Buemees aM Profesaona Coda: AnY ceY a�ntY �ich reQuirea e parmil �o ewreVUCI. eller. imprme.
Eemolwh, w repei eiry aVuclure, pior �o ila uauence, eko requirm �!n epplirent lor euch permn to file e agnad eletamant the� M a eM
ie licensed Wreuenl to iM proviaione d tM Conve 1oro License Law �Cheplar 9(comme�rp wnh Sapon ]000) d Div'sion 3 of the
\Busineas end Rdessians Coda� or thel M or ehe is uemq iherelmm enE Ihe buia lw iha elleged exemqion. Rny vbletbn M Sedion
'l031.5 by eny eppliranl lar e permN wbjede IM epplican� �o e avil penelry d nd mare ihen Me hundred dollva �f500�).
� I,eao�merdlhepoperlyormyempbyamwYhwepmss�Miedecampemmion,willdoMewuM,enEtMeVuc1uieo�atinleMed
or Mered fa eeb (�� 101i. Bueinma eM Pmlassiona Code: TM Comrapwe Limnea law doee mt appF� ioen owr�x d propaM
wlw buidv or inOmvm Iherem, aM vAa Eoee auch wwk limedl w Mne� a MrouBh �b a her oxn andoY�, V�� Ihe� wch
imqwemenn ere nd iMeMed a Weeed lor aeb. II. howa.er. ihe buiHi�p a inpwemeN o eoltl wilhin meYw W eomplelian. Ma
�nar�euin« �;n na.. me ewden a wv+nq na «� aid na wia «�maas ia me wm�e d wal.
�� 1. m oxner d tha MOV�Y. em udNrvay mntretlM xilh IicenseE coMrecton lo mWrW Me pM� (Seabn ]ON. Bwinma end
�. Prole�iona COEe: TM Coniredas Lcrose Lew Eoas nal appy lo en owner d peopMy x1a Wilda a'unpovo ihereon aM wlw
eontreeb M axA WM�s wnh e eadretla(s) lir<emed Wnueni �o Iha Conlredan L'xsnse Lew).
� I em exempt uMar $eclion: B. d P.C., la iho reewn:
oala: Ow�er:
I da hereby cerliy Ihet I em ewers d end uMaretend ihe reQuiramenle d CelLomu Hael�h end Selaty Code SeUnna 25505, 25533, eM
Y5534, end the� I a eny tuture Wikinp oaupem will / wdl rwi (orcb ma) need ro mmpty wilh eeid etete cadm eM iM rey�iremenb tor
apertnnlaconsVuc�imamadifiutimhwntM�i ue�y aapemenlDietntl.RaeidamidconslrutlioneppiratbmenevamptlromNasa
plOV191019.
Deia: AppliceM� .
WOPKEF'S CONPENS�TION DECIAN�TON: I hereby elfiim uMa penMy d pajuy are d tM Idbwiip detivuiom:
❑ � n.re a,d wi� meimein. cen�rr�. a��mni �o sen,�m,re m..w�d: canw�emion. o voNaw �o, M s.aion a�ao d m. �.mr
coea. r« in� wn�a a m..on� ia wn�n m�. ro�n o�.�e. ,
2] i nave e�e �;� �m�.an�.• �woemun ��,renoe. m rea���.a M sea:� a�ao d me im« c«i.. ror me roa«m�,oe d me
7S wak fa whicM1 tM1re permit ia iaeueE. MY wvkera' cwnpenW ion imurar�ce t�artie� eM pdiry number ve:
c�a.: EAGLE EXPIRES
- vakv N�me�,: NwC. — �. G 9/ G i/ 9 8
/mr: sen;on naee na �» comWerad y rne ro�a s ro. one nunerue ew�enls�ool w �e..J
� I cenN ihet in IM peNameMe o/ iM vrork Iw whoh t�ia pertnA ie ieeuaE. I e1Wl iwl empby enY Oe�n in enY menner eo as to
ane .u4� �o m. v.vAen• cwnw�smion �ews m celibmu. am .yrea uw a �.na,N nxom. vubjec �o ine wonws•
mpanve�ion 'eiona SeGion 3]00 d �M Lebor Coda. I ehell /Mhxilh campy wilh t1y`�\ povieions.
me: MP�icenl: ��� I�-i�l
mbp: F�I/un ro acun wortwi rompxwtlon covxq� h unNwN( �nE sIWI ubJ1ct �n Mnploryr ro eNM�ul pavltls� �nC
c/v/l llnu up ro oris �uMrstl tlp✓und tlo/Yn lSfOq000A In M�llbn ro fhs ewl o/ eo�osiuetbrt d+�p� as provMetl br In
SxHon 3)P6 oI1M Labor Cotls, Infxs�q mtl afromeys /w.
CONSTtiUCT10N LENDINO ROENCY: I hereby effirm uMer penelry d peryry Ihel IMre u e mnqrvqion bMi�p ape�wy for the
�, peirorme�e d �na woM �« wnkn ina pem�� b Am,ad (smo� aw�. crv. c�.
� LENUER'SNAME: ' .
LENDEP'S AODNESS:
I ceniy �hel I heva reed thia epd�� enE slele Ihal �he ebova iMormetion ia wrtae. I epree to compty xilh ell tlry eM oounry oMireMee
end eleta lexs rNmmp to builEnB ����aian erd Mreby authorae �epeeenteiivee N thu oryto en�er upon ihe abwe-meMioned papaM
�IX It19�IByYNI pllfpp9Be.
AON NOCri
�Pn Name
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s' wuredo�.i � aoof�anuConve �
(5151-OB WP) WhnsBuildiip 8 Sef&y; GrmmFle: Canary-Applrent: Rnk-Revenue; Ooldenrad-bsma
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CLAZM VALi7E: . CALC-VALiIE; GkOUP GCC: R-3 i
CuMMENTS: NV UrHER WGRK ASSVCIASEL WIIH THIS PEkMIT
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Z u!3 I N G k E Q � I R E M fi N 7 S
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.,�SNT: Fr IN hEAFt: Fr I13. . FANI: F7 iN kE.�t; FI IN
LEFI: FI iN AGHr: Fr Itv LEFI; rr IN RGH7: FT IN
PACtHING AEy: PRivV : PARGEL e 4 3"v 18 i 35 ZNE s REF NC7 a
FLANNING N�iES>
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F'ERI'iIT:085877
� CONSTRUCTION AND PIANNING - P��� $ SP'�` -
APPROVALS Permit # ' -� Date Inspector ' pppROVALS Permit # Oate Inspector
t. Temporary Electrical Service � Poie ' S2. Pooi & Equipment Location .
2. Soif Pipe•Undrgrnd. _--• � _ 53. Steel Reinforcement � �
, � �. �
�i'.i3�'�lectrical Conduix:7�')�iity-Un{�gr.ad.. ,- 54. Forms � '-
�� r ,�.
� :g4'i EQectrica� Conduiiai�rtdrgrnd. . ,55. Electrical Bonding - ;S � '
��?5?�teel Re�nforceri�e�� ` . 56. Rough Ptumbing & Pressure1fest !' �
��7 � lectrical UFE � c�. � 57. APPROVAL TO COVER-GUNITE �
' ';>7. �Pootings S �T% � ' 58. Electrical Con �iP'�Undrgrnd_ ' ��
� �tiE'!2 i7�r. w _
�
�$,� Foundation �� �_ V 59. Gas Pipe, O U�,Egrnd., Test � . � '��-•�:
9. Water Pipe�Undrgrnd. �� - " � � �60. Backwash Unes ,WTrap, O Undrgmd. � �
i
10. Structural Floor System ��l" , `_ 67. APPROVAI T��ECK i.�
,..
; 11. ,Eroperty Sewer Line-& Housa.Connection � 62. Backwash & ReEe�Stor-F'rnah� �
12. �3�wer Cap ��� 3 63. Heater & Vent-Final � j. - �
f
13. Roof Drains ^ - �64. Plumbing System � Final �
14. Rough Plumbin�;' � !Y 1� 65: Electrica6Finai , � =
` i
15. Rough Electrira�ConfJuit .. � , - � ; 66. Solar�SYstem-F,iC�3F � � `' .
1 r
16. Rough ElecTric Wiririg'-' '� + 67. Fencing & Acce",�'sApProval - ��
� � r���,. �n '
17. Rough Wiring Sign ;� � � 68: APPROVED F�WPLASTERI�JG
L
� 78. Rough Electriwl�T Bar Ceiling i 69. POOVSPA SYSI�MS FINA��� ��
19. �Pough H�eai�ng�& Ai�Conditi4n{Pg, �r�r t i� :a �1 k' �T fifrRE.BEPT:�iEQUIf}EMENT �T
20. �Rou Fax[or� Fi�piace i ;Sj - . . �'; hro;a�� i� �t ;� �7
i r i��� '.i� :S �-+ �T'k � APPR17VA6S'��-' Pb?mit #.' :�
n r .t i..1� r� � i-� �7 ��'Y. :i S'�'7 IT7 =k I'7
'q ci�s�, . � in r: r.. .. �-�,5 :t . � t� �� i c
2L i u ir� trU�tUf�.K ,SFi ,k . �� �� i�:�. � 70.i-Undergrpuattl dro :f
22.:�uci2;Vcnitilatingv�c �K'7 � CJ ��'F 71. Produ � i�in9:�as �Oii .�
23. Gaspy e'- ou & �`t ' '�, '"' �� �% 'S ��.k � �7 i �+ r. i�
pP i� �.STY i!:"Ir �}� q �z �- S.t � 72. UndergrpVOd r-Jus'� 'r ,N
�� •�
24. Fioo Framing .� .n �R n�:� ��t • 7�1 Undergrrid.Sto�� TanI��GGas OOiI
25.:�oo�he�thin �"'.k �t ��.P i7 7 N�t �� � t .
9;T.'K :-1 :R'7 I*] �7Y 74. Overhead HYdr :r :�
26. ; BaF.Ceilin9 (StruCtpral) & - oH�oat :t �� :N '?.► 7� Dry Cheitlical ��t7 t � � �-� . �
� �ti � i
27. �Frarir� ar4� Flashi t i�x�X s�r :r » s � m H'lJ;� 'k ;r
� t.- i i-, ��k �-il*1:J ��' � ;>.:'r 76. Ory $ta�PLPe.x�,., . ; �7 !V ;3
. 28. Lattiing �Siding t�c�x itir�i; j * z' � �r 777 FIXED�9YSTE'?d'�-R'INA��-' �� '�
�
29. Insulatio:� v.� S � K 5 � I � 7�,yfIRE;fjREV. F.�{�L :#'� ��r
30. Drywa�l Ftgiling �� x» i 'B ;� I'. �R St�r� ��N-LfiALLH DEPt. REQUIREMENT
j 37. Plaster &.qw � a.� y�S i�-;i� :k I y' 79.� FINAL'�,, ECTjQN k;� H
� • ��:t �� _ i .� u � �� �
�= 32. �Ca�ectricai�'o�'ar N�ter�Fioal i 'k s 8ET] FOOD CERTIFSCATE IS�SIJED+
'� .k �il I 'V' �'t t �7 '-Jh7 :t'7 O ITl
33. �Fina I �Jric�9 ';:r �z ; �..r+ � 'v �s; K No,�,ies: .4 tT7i� �<. S
. � � � : � .. a � � �
= 34. � ina eaging; FL}c�oijd tioni8 ' t'! �k t> k!� r+ HQ :s
< z• ,1
� 35. �F�inal Ga3-Pipe�Test ;k -" �• K !-+ K ; 'x>> �J�+ t �r
�.. - 'i �k IT1 • ••�1 :k M
36. ;�loot�or CaPOPY ;L:e :� I f;•�^ .=. .r. � � i � �
H.K �i I�FIr7 �,i 'a t IT] 7C�� r 1'1 IT7
.� �
y 37. Finai'FactorY Firep,��c '- ' c^;'' ; ` t = .r ro
. R � ^ 1 . •'O :l' �ti ' c �.. M :�
T' i
� 38. FinalTflumbing �.K i�f i �.: e�J � � ' � �t �
V 39. Water Service-Fina++ � i . � i :� + ; - �� -+ �~
��v ;� c i I-�w • :1:IT1
� 40. Gas Service-Final � .� �"' �I�i� =, �K �� � f t� • r�E .r �S
-� 41. $olar pomeStio-Final� �J I*� �i ' � r m �-]rv ^ �t ;r ;.,
c i-, m K :-i ���• .t �5
� 42. Backflow Preventer .K 'v ` i K � r" �
t✓ I �U .�.�i�-t '.F H i �: (Tj�� .1 � �-�
43. Backflow Ir�igation �K :N' '~ f'z �F ' �� ' :Z •
:ti � -i^ �x �f i ��s t�� r� t..
1 n +'� t iDfs7�v �7', :%i� �] .i. � �� . �
�A. �l�andscape Irrigation�System ��..��.�
F � +.... 'Ti .k 'Z '_ `3�i C i � �E �J i Yit 'I � I-1
' .J i
" 45. Sound Attenuation �r_ 'y � .. :k jT, in +r, k i �r �^ �S ` r-� �t
,._ - �7 r in .. e ! ,tit� ^�..i !�
'46. Handicap'Regulation� '� �" � � ' ';; ; t
�,S :S � C � i � �7
4�. FIN�i STRUCTURE & BUILDING F�-+ •- +' �: �-
r r n m �t �� :� y : ,"�
48. E�NQ�. PLANNING � i��;~ ic •t' �. �'s i :� �v S c �
� .
�39. �filectne Refease to Edison i x e � } •s, ••� �� .~
. �� �'r •� � : .J".L.' ! �"7 �A
50. Gas R�lease to Sout 'em Calitot''a.rt'ias Co �' � � '' � "" � ' - �
��. �V. �'.� s t s '��� � �'� v. , s ��
51. CERTIFICATE OF CCUPANCY - "
No. Date