HomeMy WebLinkAbout3000 ELMIRA BAY - Building PermitsI 1 �
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PflOJECTADONE$S: 3000 ELMIRA BAY
owNen•senme:pENTRIDGE COVE 1 HOA
nooness:3009 DAIMLER ST
SANTA ANA
CA 92705
APCMIENGINEEP:
AOOflESS:
HEG.NO.:
UNIT:
UNIT:
PE"m'nEE: pENTRIDGE COVE 1 HOA ( 800 ) 6K0-8099
aooaess: 3009 DAZMLER ST
SANTA ANA CA 92705
� LICENSEO CONTFlACTON UECl�1flATI0N: I hereGy a��irm I�a� I am licensetl under pmvisions ol Chapter 9(commencing wilh Seclion
� 7000) ot Division 3 al ��e Business an0 Pm�essions Coae, an0 my license is in full force an0 el�ec�.
CITY LIC.: STqTE LIC.: CLASS:
Dale: ' SignaW�e:
WONREHS' COMPENSATION OECLANATION: I �ereEyalfirm I�at I have a cetlilicate ot con5eni to self-insure or a ceriilicale of Workers'
ComDensauon Insurance. or a ceriified copY �hereol (Section 3800, la�. C�.
PO�ICY NO.: E%P. UATE:
COMPANY:
❑ Certilied copy is here0y Iumi5�e0. ❑ Certilied coOY is �ileG vni� the city BuilOing Diviswn.
�a1e: Npolicani:
EEEMPTIONFBOMWOPKENS'COMPENSFTIONOECfANATION: �TNsseclionneetlirotCecompleteOilthepermitisforanehunGreG�5700�orless).
I cenify tha� in ihe pedormance oi the work br w�ich Ihis permit is issuetl. I shall not employ any Derson in any manner so as to become
subleq to Ihe WorkeR' ComDensation Laws ot Califomia.
�a�e: Signalure:
NOTICE: II. aller making �his aeclaration, you 51iou10 become su�ject to t�e Workers' ComOensation pmvisions ot Ihe La6or
Catle. you mu9 �atl�wit� comply with such provisions or Iks permit s�all Oe Oeemetl revoketl.
CONSTFULTION LENUING RGENLY: I �ereDy alfirm ��a� I�ere is a consimclion IenOing agency for ��e pehormance ol �he work �or
which I�fs permn is i5luea �Seciion 3097, Civ. C�.
LENOEN:
ROOHESS:
OWNEP BUIWEB OECLAflRTION: I �ere�y aflirm Ihai I am eaemp� UOm I�e Conlraciors' State License Law for Ihe follawing reason
�SeClion 7031.5 BUsiness antl Pm�e55ional Coae: Any Ciiy oi [ouniy whit� r¢pUires a permii l0 tonSVUCt. al�er. improve, tlemolish, Or
re0air any slmclure, prior Io ils issuance. also reQuireS i�e applican� lor suc� Oermil Ia file a signetl 5�aiement Ihai helshe is licensetl
pursuam lo Ihe O�ovisions o� �he Coniraqors' State License Law (Chapter 9(commencinp vni� Seclion 70W) oi Oivision 3 0� t�e Business
ana Pmfessions Code) oi I�at �e/she is exemD� Ihe�elwm anG ��e Ga5i5 far ihe all¢getl ¢xempiwn. Any viola�ion of S¢c�ion 7091.5 by
any ap0licani br a Oe�mit SUGle��S �ne aD0licant to a civil penally of not mare than live huntlred Oollars �5500).
I. as owner ol the pmDeny or my emyIoyees uni� wages as t�eir sole compensaiion, will tlo �he wark, antl ihe
❑ slmclure is no� inlenaea ar ollereU lor sale (Senion 70ad, Business anE Pmlessionai Cade: The Connacmrs' S�a�e License Law
aoes nol apply lo an owner al a properlV w�o Euilas ar impwves l�ereon, anG wtro tloes suc� work �imselllAerSel� or IhmuBh
his or �er own emploVees. pmvi0e0 t�al suc� imD�ovements are not in�enaeE or oHe�ed lor sale. Ii, howev¢r Ihe building o�
imOwvement is sola wiinin one year of completion. Ihe owner will haue t�e burden ol Omving he/she tli0 not Euiltl or impmve
br Ihe purpose ol sale).
I, as owner ol ��e pmperty. am evclusively contraciing wi�� licensea comraciors lo cons�mc� ihe pmlect (Section 7044, Business
�Q ano Pmtessions Code: T�e Conlracmrs' Siale License Law Ooes no� apply Io an awner ol DroDe�Y who �uilds Or impmve5 ihereon
f antl w�o canlracis lar such O�oleds wit� a ronlracioqs�license OurSuani�o �he Conlraciors' Sta�e License Law),I am aware
Ihat pmol oi iheir Worker'S Compensa�ion insurance 5hou10 6e pmvidetl �o me.
� I am exempl under Section�. B. 8 P. C.
lor�-e'a�sonA:, �%
oate: v �/ I ( % Owner �G
I Ao here�y cenify Ihat I am aware ol and untlerstand ��e reQuiremenis ol alii nia Heal�h I ode ections 25505. 255 , and
2553a and Ihal I or any iWure OuilAing occuoam wilVvnll nm (circle one) neeA t compty vn� sai � ate co0e5 anA Ihe reQuirem�s lor a
permil lor constmction or modificalion immt�e Air Ouabty Management DiSi ci. ReSiAen1 I nstmclion applica�ions are ex pt irom
f�e5e pwvisi0ns.
Date: AOP�icant _
I here�y certilythai I Oave reaU TAis applicaiion an0 slatelh;
orOmances antl slaie laws relaling lo butlding conslmclion antl
pmpeitY i inspec�ion purP es,
/
Dale' Signamre: _
Driver's License o� Sociai Securiiy a: ��-
1fi41-a6 wnite—Builainq; Green—Coee Emorcemem:
on is correq. I gree to comply wi7{i21(C1i y antl
sentativeso� i5G � ��Cf11 �Ihe IIOv¢�me
�
Pmk—Revenue: Goltlenrotl—Awessor �
CZTY OF COSTA MESA — BUIiDING PERM,Ii PERM NO: S 061625
PERMIT NO: B 061825 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
JOB UESCRIPiZON ; RcPAIR DEFLECTING FLOOR SYSTEM SQ FT: 6,000
CLAIM VALUE: 6,000.00 CALC—VALUE: 6,000.00 GROUP OCC; R-1 /
COMMENTS• TBIS REPAIR PERMIT INCLUDES 3002 ELMIRA BAY ALSO ,n�����(,��
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Z O N i N G R E Q U I R E M E N T SvIV��+' ` �ry
S�T�A�KS �EQU�RED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT iN REAR; FT iN FRNT: FT IN REAR: FT IN
L£FT: FT IN RGHT: FT iN LEFT; FT IN RGHT: FT IN
PARRING REO• PROV; ?ARCEL: 93768U37 ZNE; REF NO:
PLANNSNG Nt5'I'ES>
S
i 3FkiFiE-)E?EiE�1FiEif�Eifif3EiEiEiEiF##iEiEiEifiF#iEiE#ifit#iFiFi�iEif3EifaEiEiE?EifitiE##iFrtiEifiEiit7(�iE#if±t##rt#iPiEiFiEiEil�FiElE?kiEiE#iE?EiE
' U E V E L O P M E N T S E R V i C E S R E Q U I R E M E N T S
I20NZNG APPROVED BY . DATE:
FtUILDING APPROVED BY :_
APPLICATION 35SUED BY; G
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iE iE it if if if if iE iE iE 3f if �lE if iF 1E �)f iE if iE if iE iE if i4 iE # if 1E # if if iE 1F �1f iF if ?E iE iE
LEGALIZATION:N F E E S U
BLDG PMT PLUMHING ELECTRIC
DATE:
� DATE• ���
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if ii�kitikififiEX�#�1E#i(•#iFiE3E#�1f##�E�fif###ih#ih#i6iE#±'riE?e
M A R Y STRUCTURAL SEGMENT:Y
MECHANIC FZRE SMIP/RES GRADING
PERMIT 81.00 .60
SMIP/NON—RES
PLAN
ISSiJE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 81,60 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
81.�a
TOTAL PAID DUE
81,60 81.60 .00
81.60 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECR
.60
)f 1E iE if i(�?f if iF if iF 1E 1E 1E i(� 1E iE IE �lFlf iE �lE iE # 1F 1E 1E #!E!E 1E-1f 1Ele 1E # iE iE iF iE iE 1E 1f if'lE iF ## if !E 1E iF 1f 1k if # iElE iF iE ## iF iE �lE-k ## 1(� # iF iE 1E # i4 f6 iF ii� #f �1E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T? O N UN2T COST TOTAL COST
SFR 6000 ALTER HY VALUE RESIDrNTIAL NOZONE 1,00 6,000,00
� END OF�FEES
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EXPIR�`E��D
V te ��..+'.....ti��
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U1 0013759�—ODf37`96 T d T 31.60
DATE: 04/21/93 TINE: 16:06
,
F_� _ '-_
Noa� �.Pn
CONSTRUCTIOR� AN� PLAUNWG i '
Date Inspector ;� ozte ��nspector
APPROVALS Permit i,-_ Af'PROVAIS Permit ;r
1. Temporary EleCtrical Serv�Ce or Yo:e 52. Pooi 3� Equ;Vment l.ucsNcn ��
� i �
2. So�i Pipe�Undrgrnd. 53. Steel Reinfarceme:rt � ' �
- -- ----'---- -�-- - -- I- ---�
�� 3. Electncal Condu�,t Uci�!y�Urd�g: �•,d_� 54. Fnrm, - --- '- -- �: _
� --
4. Electrical Contlwt�Und�g��d. I I 55. Elecl�icai Bonding i �
-i-------� � --*--- --�
5. St�c' Reinfo�c^ment _ I � � 5E. Rou�ii Plumbing & Prossure 1�st _ � _
--*-- -r-- -
� 6. Fi_ctr�cai UFFA 3.nd '- --i- ' � -t57. !\PPFlOVAt. TO CC)\�EN';1 . .- � -r--- ,
---- -� '- - --- -�---
--t-- +'------- -- ---
7. Faotings . ---�------- 5B. cir.cb�wl Cor�dwt.L'.�J,..,, a i ,
8. Fou^daUan --- --- � - --!I 59. Gas P,p^ L� Urdin- �d., ..,- - - � --- -� - -- - �
-}- :
�3. 6Vater Pipe�Undry.rd I 80. Bac!��wsh I.''.nec. F�Tra�. � �.,��.. - -� ------ � - -- ---
-*--- - - � - - - --
70. Structural Floor System __ _ I_ � 61. AFPROVAL TO DCCK_ __ _ � y_ `� '�,
11. Pr�Per:y Sev,er Lin.+ F, rin�.;,' �'�nr.�rt.on -i_ �-'�--�- _� , .
i � G2. HaCaiv�Sh !i Rac�p(or�P�ne� �
72. Se•::er Cap - --�- 63. Heate� & Vent•Finai ---- -- --f -----� �--- --'
13. Roo4 Ora�n=_ _---_---- � -- $4. Plumb�ng SYstem-F -' - '-- _��- _- j -_- _--�
14. Rougn PiumS��a , 65. �!ectrical F��i' �- -' --.
- - --- ----- - - -� �- - --- --�
15. Aough Electriwt�Cona�rt 66. Sol;r Sys:en�i'tna' � !
76. Roue�h Electnc 4Viring 67. Fer,r.iny & Access i�pn�uval � 1
�- -- --
77. Rougn!':5ri�g S�gn 68. APPNOVED FOR PLASTCRI�JG �- j -
- ----- � � - ---"
18. Rough Elect�ical-T Bar Ced��; 69. POOLiSPR. SYSTEf�1S FIiJA;. � i ,
-- - -- - -- - - --�r----
79. ftough Heatln3 & A�r Cardi; om��g FIRE D'ePT. REQUI�E':'E':T } _
i
2Q. Rough Facm�y F(reU�ace APPFlOVRLS Pera�it':__ � �
21. Du�s, in SV�ctur_ I 70. Und^rground Hy �o �-� �
-- -*�----�
22. Dutts, VenYlnhrtg � 71. Pruciuc! Pininq ri G�•� ' 7i; � I
_�_.-i -__ -. _ '- .-_-�_-:___-?_-_ _
23.Gas?�prRo��h&T�, � i2 Underqroun�iFl�: � �
-------- --- �--- -� -- ---- --- - - -- ;------ r- -- - - �
24. Roa- d^i^g--___ _ ____--� I - %3. Cndcrgrnd.Sin-,., ..�,c-� :�n.._ :7�� _ __ _ - _ _ _- _
_t-_ -
�� 75. Rao' S�.-tih•�g I 74 .7ve;1-e�d N�,c.�,: ; .
� 26. T�9u Ce�ling (S�.�ictwc�� E. �.'o��ncn,._ '__ ___1 -_ _ - I5. C�Y :hcm�,c, � � _ . _ _ _ -_ _ __ _ I _ _ _, M _ _
�- - ------ -+ ---�------ - --- -- --- -� -' .r.�
I 27, hramc a�d FI. Si�iino � 7G. Dry $La'v�piur I � �
_i.-_____i__ -.._."______-.. 'L_ _. ___. r- -
r26. Li!.i�.ng,u5;l,n� ------ --- --- I 77. FI:EDSVS�G?' i.'MAL I -�
- -- - - --�- - - - - � ' , - - -
29. Insulation _ � j + � 7B. FIRE PREV_Flr:<�,l _ . � _ - i f �
- ---� ------ - ' .
30. D��;�.:r ���,a Iirg � i I nF.F�L' H DL-PT. REGUIF�;.;� :� i '� �
I'-
- - - -- -- - �---=-•- - -- - - i -� -
rai. �.,t� a���� c I �s i�nt.i^� �c r.> �. ..
--- - - '
- -- - . ,t '_ �.._ 30. �OODCEN .f Ir.',• ic���ir_�i _ _. _,Y.' i_.� _
32 Eiect�ica P � �- . -n.- -- ., - _� - _ , �
"t ' -1- ---
.
� ----'-- --�---�- -- - - - --�- - - - - - - -- - -, -
---- - -
� � NecV�c ; rtotcs: •
3.,. Fm.,l ^
--�---- -- ---'--�---- - ' � - - �
-----' - --- ---- - -� � -- ----
34. Fin�l Heating &,Ci Co�..:.t o�.'n � I
- -- -- --� -----!--- = - � ---- -- - - - - - - - L
35. Fina� Gae PiCe� le;t � �
36. Hoe� or C;,copy
37. F.�al Fscio'y F.-e�'.ac:
3$. Final Piumb�rg
39. CJater Service�Finai
40. Gas Scr�•�ce�F�,na!
41. 5�:.;� Domc,2 c��rx�
---�-r�-- �-- ----- ------ _-------- ---- -- - - .
�
� �
42. Backf!�•.� Pre�er:e�
43. Ba[kflovr Irnoation
44. v.ndscsPe '�nQ;tic� cvst �rr --_-_ -'
45. Sound Atten�atior�
46. Hnndicap Reyuiauo-,
47. FIR'ALSTRUCTL'R�LrQUIIDILG
48. F;fd,�L PLF,NiiIVG
49. Elec�ic Ralease to Ed �on
50. Gas Rclease to Southem G,liforn�a Gas Co
Date
- -- -------i
-------- -----�
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COSTA MESA BU1� �ING-SAPETY DE�ART�EN7 APPL' r'ION F9�t�'#'RI�LfU�LPERMIT�2�.97 TI
P.O. BOX 1200 f 4 MESA, CALIFORNIA 92626 �
For Applicant to Fill in Completely — Use Ink Only R ev P��gi7� Nc `���
IS
ADDRE55 G�Z A' . NO. L�"I�O� I�q O� I"� �Z IZ) Z
BUILDING Ie ��M;ra 8
OWNER OR ADDRE55 Uj
TENANT M.D. Janes CO. Ii1C. VNITOR ��
MAILING SPACE NO.
aooaess 2950 Airwa Ave. D-9
TR.�Oo / � / LOT BLK.
CITY Costa Mesa No��979-3376 ���f'
. . NEW ADD LTER REPAIR MOVING DEMOLISH
BRANCN
ARLHITECT _ .. TEL.
CONTRACTOR OWRer
ADDRESS e
TE�. �
CITV � NO.
STATE CITV
LIC. NO. e �IC. NO. e
SI2E NO.OF B�DGS.
OF LOT 55� � X 334 � NOW ON LOT
USE OF
EXISTING BLDG N/A
Separate perrttits are required for
electric, plumbing and heating work.
USE�OFBU�CDING AND WORK TO BE PERFORMED
I hereby aeknowledBe thet I have reatl this epplication antl state
that ihe abova information iz correct antl aprae to comply with
all laws rep�le[inp b�ilding construccion, antl 1 shall not employ
any parson in violation ot the workman's compensation laws of
[he Stata of Celifornia.
I hereby cartify 2hat I am properly licensatl as e conbector untler
the State of Lalitornia Businass antl Professions Cotla, Divisian 3,
CM1apter 9, antl tM1ac such licanws are In fvll forca entl eflecx, o: I
am exempt from th' provisions of the $tate of California Busineu
antl Protessions C� , Divjaion 3, Chepter 9.
Sip^a[ura of � —'
Permittee • �
ar �
AvffiorizetlAg _�.Date R��%�%Q
OWNER
VALUE
USE S
V
APPqOVED
APPqOVE�SETBACKS
(FROM C/L STREET)
PLANNING ACTION
DATE
� � —O� APPROVED �—�
.m .,w. � i / _ i
�'� 7 �
� �
�
: �
� �
m
5�. FT. w �
THE AMOUNTSNOWN UNDER VALUATION IS FOF m
THE PURP06E OF ESTABLISFIING A PERMR FEE ONLV: � j��
? TL
VALUATION PERMIT FEE 5 ,�
GLANCHECK S �'�/ .7f� o
s�Sf3 "'�crD,O� rnx a �, f L-'��
U
TOTALPAID 5�;��n�
��! '�/!,';,•. I[�:;.i:�. li.
� COSTA MESA Bl ING-SAFETY DEPARTME � 2 APPL. _nTION FOR STRUCTURAL PERM[T
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,.V•`v^•'VV `..J'^'•'L�^•y^` V^'Y•^"V'v RECENEDBV PERMIT �
For Applicant to Fill in Completely — Use Ink Only
BUILDING�� �J q,p_NO.
ADDRESS G+
BUILDING
OWNER OR '' ADDRE55
TENANT
MAILIN UNIT OR
ADDRE SPACE NO.
TR.NO. LOT BLK.
TEL.
CITV NO.
CONST QN NEW ADD LTER REPAIR MOVING DEMOLISH
LENDE
BRANCM
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE E
OR ENGINEER N
ADDRESS ZON TVPE GROUP
APP � ^/� �
CONTRACTOR BV DATE
ADDRESS
TEI.
CITV NO.
STATE CITV APFROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW pN LOT R M FT.
VSE OF
E%ISTING BLDG. I F .
Separate permits are requiced foc �. sio� FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PEFFORMED P�p.NNING ACTION
DATE
APPROVED
APPROVED
I hereby ecknowlatlpa thet I hava reatl Shis application antl rtata °i
�
t�at the ebova Informa2ion is correct a�d agree to tomply wIN
all laws repufatinB builtlinp construction, antl 1 shall noi employ
anY person in vlolation oi Ma workman's compensation laws of °
Mo State of Calitornia.
m
I hereby certify that I am Oroperty licensetl as a contractor under SQ. FT. �`+
tne State of Calitor la B�siness antl Professions Cotle, Oivision 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR UI
C�apter 9, antl th such licenses are in full force and effect, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV: �
am axampt irom e provi O�s of the State of Calitornia Buziness p
VALUATION PERMIT FEE S 6•DD
antl Professions ' ' n 3, Chapter 9. � �n
m
Signat�re o PLAN CHECK S m
0
Permittae y LL
or � TAX E f
Authorizetl nt Date V
TOTALPAID $/b �
4
�
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�DOPESSOFBUILqH�: 3000 ELMIRA BAY uxT:
wmensruueiv�aavn: pENTRIDGE COVE HOME FLOOD: X 97
mopEu: OWNEAS' ASSOCIATION
3009 DAIMLER
iANTA ANA, CA 92705 (714)660-0777X239
MPL. M/JUNO dUDRE59:
urcxREsoa�rowan: KRAMER b ASSOC
,1PCN.OflFNO.'f�DDPE59: 3OOZ DOW ALLENNE
S.A.
corirnAerar� wu�:
COHIPACTORBYANNO , ,
�ooaEss:
ue.ra.: 52309
uNr: 13 6
CA 92705
uc xo:.
UNT:
4CEN4ED COMPACTOP9 DECL�H�TION: I h�nby ellim und�r p�nMy oi p�r�ury ihtl I un IlwnwE unMr prwlYom of Cluqv D
(mmmar�dnp wllh Banbn ]000) W Ohtltbn � o11h� Buuna end Pmlp,Ion� Coda, uk my Ilanw b In full lac� ub eM�d.
cm uc. No.: uc. cuss: uc. no.: E}CP :
Dtls: CoMredor:
OWNEF BUILUEP DECLAHATION: I heroW ellirm undar psnMy d pnlury Ihtl I un enmpt Irom tM Conlnaon Llcams Lew lor th�
lollow'xi0 ���p� (�ion ]OJ1.6 Bu�Nne uM Pmimeione Cad�: Any eYy a munty xfikh nqulrn � permN to eon�Vuel.'INr. ImD��.
Gmolsh. a npe'r eny nructun, qin lo il�'sw�na, ebo rapuire� �M �pplimm lor wch p�imE �o fib � Ypn�E �w�m�m tMl M m�M
� Ikaneed Wm+�� �o IM poNNm� d IM Caniradon Limm� Lew �CMqa Y(oomm�neip wNh BWbn )0001 d D'vbbn 3 d ths
luaineq enE PrWmiaw Cod�� a Ihel M a eha h�emq iherNmm enA iM besb Ior Iha dlpW uemqbn. My viaW bn d Sadion
10'l1.5 by eny appliunt lar e parmH �ubjetls iM apWceM �o e wil qnally d iat mon �Mn INa huMnE Edl�n �5500]).
� I, es owner d Iha properly or my empbysee wnh wapea n �ha'v eds mmpenaetion, WII do �he�work, aM Ih� �I'ucturo e nd InteeMed
or ollarad la We �Saclpn l0ea. Buuron end Proleaaona CaM: The Conveaas Umroa lewEm nol eppym en wmerd popeny
wlw Wide w in0�a'e� �haraon. end xfio does auch wvrk Nmwtl m Misef or Nrauph he a her own amplv�m�, pmMW Ihet wch
imprv.amew ve iw ImenEeE a aMaed la seM. tl. however. �he buildi'q or inpwemaN u�dd wi1Nn me Ymr d mmdmion. Ne
o..��u.� wi n� m. wm«� a w��ro n. « m� eu m w�a «�mww. ia ine wm�• d.d.).
� I. m ovmer d IM poperry. em utlumely conirediq xith Iran»tl oonireclon lo caM�utl Ne prqetl (Seaion ]O11. Businma eM
Prolesaiom Coda: The Comrwaa licenae Lew Eoea m� eppry to en ox+wr W pnpe�Y'� �iWe a impv.•m �Ae�aon eM wfio
mmrern la wM pqetla will� e wnirma�e) IcenseE Wnuem io �ha Conireaae Limma lewl.
Oti�X�emquMsS�1t�:BP��4 e.av.e../«m���9o�:OWNER BUILDER
yDeta� /"�• / J i /� Owiror.
1 do Mrtby ceNty Uut I em ewere d enE uMentaN tM requirem Wa M Gellmiie Meedh eM Sefey Cotle Sepiwu 25505. 255}�. ark
255J0, vM tAet I a eny INun Wiki�q oaupanl will / wal �(rircb me) need to canply wYh eeN cws oodea eM ihe �uiremenu M
e patmil lamnsVuclion ormaEifwelbn homiM Rr�ly . arapemem Dislriq. ReeiEeMiel conprutlion epplW ioneue exampt Imm ihesa
a�roti.
Dme: Apd�N:
WORKEN'S COMPENS�TION DECLARATION: I Mreby alfrtn uMar penelly d peijury me d tM blbxiip Eetlereliona:
� I have anJ xil meinien e cenAiceie d mnaeni �o sett�inaure M vroMers wmpenwun, ea poviEeE lor by Seabn 9]00 0l ihe Lebor
coao, ro, ina �ono.ma,�o oi ino ..on ie..n��n m�a re�a re �se�ea.
� I heve arM xil meimem woilwre' mmpenselion inwrence. m requireE by Seaim 3]00 d the Lebor Coda, M tM peilormenca d Iha
wpk Iw whiM �hie po�mn ie ivued. My wvkere' seinn ivurance cerrier eM pdicy number are:
ce„a,: S1�ATE FARM
Policy Number: �
is sanion neeC irot be canplefed � �he peim! is la oire hunCreE dWlers /SI00) a less.)
❑ I cenM Ihet in ihe pa�iwmence d Ihe wmk Ior wtikh inis pa�mA is imued. I shell � employ eny paeon in e�ry menner eo m io
becoma eubjatl b iha Mwkerd canpen�etbn lews d Celilana. ard eprw thet E I elauM bacane abpn io tM waM1ers
r cro++.�. d s.a oo d ina �n« cme. i.n.0 rann.un �dr •an i� p��,..
oa, i`�'uv r3�r9�'�' A��
�Inp: F�llun ro sxun worken'romporu+tlon covsn0s b unleMu( entl sN/l �uE/�cf an �mp/oYx ro cr/Mrul p�naltlu end
clvll nrns w ro om ninerod rnouuM GolNn lsrpqa00A �n eeeltlon ro M. cwt ol rompxwWn ✓+�W •, proNdee ror In
Sxtlon 9)OS ol rtis laEor Latls, /nfauL and ettamsy'a lsu. �
CONSTtiUC110N LENDIN6 IIGENCY: I hereby dfrm uMer peretry d parjury �Mt iMn u e m�virwon bMinp yprcy br Na
pertormenm d tM wh M whirJi Ih6 pmmi b eweC (�� ��. C'v. GI.
LENDEF'S NM1E: .�f
LENDEH'S�DDNE55:3O02 3009,3006 .10�8 301�
i�a�nr in� i n� n.a mn aod�� eEg ami����7 �«�d%i 9��8 s3�3 �,��i�y.�e �mv o.a��.
arM steta bxa ielmiq w Euildiq eonAeueion eid a�nhor¢e rapreaeiv d �hv to anier upan �M ebo.e�meninneA pmperry
����'�'"��°� HOB RICE
Pnnl Nemo
�,G ,�.�w' oa,: ��v /3
. s�a����e d o»ne���vnoo`ce�ucom�mw
(5i51<e.WP) WM1nsBuildiqBSefoly:Oreeo-file:Cenery-Appfirant:Pink-Rerenue;GoltlenroC-Aeeemw
CITY OF COSTA MESA — BUILDING PERMIT
A,wERM NO: B 075126
PERMIT NO: 8 075126 PLAN CHECK NO: 09402-95 L GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : REPAIR SHEARWALL NAILING SQ FT: 22,625
CLAIM VALUE: 22,625.00 CALC—VALUE: 22,625.00 GROUP OCC: R-3 /
*�**�*��u�**��4**�%*�*±�*+9r*�*�*�*�*�+Br��ft***f�***!�**�k+8r**(r****�+Er�***��eB+Ar**sr�***+�**
' Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFTi FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ• PROV; PARCELs 93768019 ZNE: R3 REE NO:
PLANNING NOTES> AEPAIR INTERIOR DRYWALL FOR AN EXISTING RESIDENTIAL CONDO.
� .
1f iF iF iE 1E 1f 1h 1! 1kiE Ik1k 1k 1k 1f iE 1(� iE iE'IE if IE ikif 1! 1f 1F IF141E 1F1f� 7f 1E1kiF if 11�'If 1EikiE If 1�f 1E 1F #'lE iE 1k1f iE IEfE1f iE 1EiE 1f 1f 1E 1E iF�IE 1k 1f iE1E'If' iE 1k 1E 1f iE 1f IE ik Ik iE
D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S
ZON�NG APPROVED BY �C�'� � DATE; "]�'�;
HUILDING APPROV�D BY : �/}"^ DATE; ,���[� 7// I/ Y� 1
APPLICATION ISSCJED BY: �" �/YL( DATE: � � �
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES , GRADING
PERMIT 234.00 2,26
PLAN 152.10 SMIP/NON—RES
ISSUE FEE
BUILDING—DIV.—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 236.26 0,00 152.10 388.36 388.36 .00
REVENUE DIVISION TOTALS--> COLLECTED: 236,26 OVER/SHORT: '.00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
234.00 2.26
1k if if iF iE lkif 1F 1f 1f 1flf 1E #%iE 1f iElE iFiE Ik 1F ik 1F if 1ElE 1E iElE 1E iEiEiFlk ## 1E 1E M iF 1E1k if fE# 1Eif iEfF 1l1E f!!E 1F1E iE 1f 1f it 1f 1f 1f 1F 1E 1Elf 1EiE IF �lf 1E 1f ik 1E if ff iF
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T Z O N UNIT COST TOTAL COST
SFR 22625 ALTEA BY VALUE RESIDENTIAL NOZONE 1.00 22,625,00
END OF FEES
41 ODI94244—d0194245 To]'�" 23b.26
UATEa 11/23/9g TIflEj 08:53
emiwnc: 3000 ELMIRA BAY uxr:
�F�'" PENTRIDGE COVE HOME FLOOD: X 47
woxess: OWNERS' ASSOCIATION
3009 DAIMLER
ANA, CA 92705 (714)660-0777X239
woness:
,�wcxrtecTon�ax�n: KRAMER & ASSOC
ANCX.OXENO.'SLDDXE35: 3OOZ DOW ALLENNE
S.A.
CONfiIACTON'SNAME: '
caxrn�croxswuuxo
ADDIIE53:
uc.wo.: 52309
uNT: 1 3 6
CA 92705
ua no:
uxr:
LICENSEU CONTpACTON3 DECLAPATION: I heroby ertem uMm penetly q pmjury Ihn I am Ikenwd uMu prwisiom of Cheqx B
(mmmenceq wilh Seelion ]000) d Oiviaion a d ihe &mireq aM Pmfeaeima CoEa, erd my lieerus b In lull Iwa� eM aMatl.
cmuc.No.: uc.cuss: uc.xo.: EXP:
ove: ccmmav:
OW NEN BUILOEN DECIARATION: I Mnby elF�m uMm peneEy d perNry thei l em exemp Imm IM Coniredae Licenae Lew la iM
Idbxiiq reeeon (Setlion )031.5 Buaiima eM Prdex�iona Cade: Any c4y a oounry which nquiiee e pe�mn to mmUuct. eller. improva.
damd'eh. or repv eny el�unuro, 0� �o na eweMa, dao requiem ihe epplimnt la weh pxmil 10 fib e egME eWamam the� M a aM
'v IioansaE W�a�enl to Ihe provisiona d Me Coniredon lioenae lew jChe�qx 9(��endip vrilh Satlion ]Oro) a�+iion 3 d Ihs
r'uaineae eM Rdesaons Code� w ihel he a ahe ia memq �harehom arM �Fy yede fa IM elbpad azemq'vn. My violetun d Setlion
mi s M�y eoW��� �«. �,mu wq«+o me wW�m �o e aa w�r m na mcre �nen iwe nunerea eai,�. �swop.
❑ I.esawiuoitMP�GeMamYmmDbY�wY�weBasesRwiwbmmPa�ian.WlEOMewaA.arMtMatrvnureerwinteMad
«Mxed Im sab (Sectbn )oab. Busre�vd PrdesaionaCoda: The ComreGaalicema lewdoea rot wNY lo en ownma qopeity
wM WiM or'vnpeovea tMreon. vM Mp Eaes aueli wwk NmseM m herseC a Mepqh h'n a Mr oxn empbyeea. povked ihet weh
impovemems ara rot inierded « Wered irn sale. tl. Mwerer. tM buiNing or inqwemenl c sdd wilhin me yeer d mmpbtion, tln
wmrbuilder xill hava the WNen d proviiq M a sha dk ml WiW a impove la tM purpoae d eeb).
❑ I. es owrer d iM MWaM. am exdua„dy mnireen9 xiN licemed wnVaclors m wnsmwt iha MM� (Seaun 100J. &ninsa md
P.or�wo coee: rne comaeas �a�» �. a�, „a zoWr w� o�nar a wwanr wno a,�m « �mwa� �nere� .m ..i,o
conl�ec�s lar aw� Prqetla wM a caM�aGot�s) litensed W9�1 lo �M CoMreqps Lice�ue lew).
�y� p��ears«to�:gp��q e.avc..i«m��:OWNER BUZLDER
��a NOC/- /� � !9 0�„«: . � •
do na.eM cdrN � i� aware a e�w weers�ene ma rea��reme�us a c�e�ve'tienn e�d s��v coae seaore uws. zssaa. e�w
2553e. eM Ne� I or enY �ure Wikiiq aov�pent will / wil ipl (arcb «n) neeE to mmply win saE slete oodea eM the ieyiriremeiue br �
eCa�millaconslruclion«modifim�ionhaniMAr a�y aru9a��iDistiia.Fuidentialmnm�ueunePO�u�iwmerae�emMlranlhese
wm;s;oru. �. , . ; _ ,
De�e: Apqicant� . ' •
WOflKEP'S COMPENSRTION DECLAFATON:�1 hereby afiim uMer per�eXy W pnjuy wy d Ne blbwiiq Eetle�etiwp:
❑ in��aw��me:,a�na�.dw��o��osarc;�,�m.�,�;�ro�,m�.,,ww�a,ar«nys�,a�aoam.i.n«
coda, r« m, rono�eMa a me ..m� ra �m m� o�a a ���e. �
❑ 1 hew eM vril meimen xoMen' wmDanse�ion insurarca. ea myubeE M Smim 3100 d Me Labor CaEe. M the P�«mence W tM
wak lar whidi thie Permn b'ssuea. MY wakers' cwnG�setion inaurerwe tirrix eM OdwY number ars: � ^
' c�a: - STATE 'FARM. ' '
• Pdicy Number: '
: se tion neeC nIX 6e compbfeE / tlre paiml is /a are huiNred EMlers /$10J) w ba )
LJ I cenly tlw m �ne pMoimerce d iM w«k for xfich ihia peimA a isweE. I slWl m� mmpby vry peixn in e�ry menewr m es io
e«�e s�aaa'�o ma �n�• �re��� �.. a cda«�. �e m� mm a i snwb n«oma �dm �o ma won�� �
�twnpa pn qoviaom d SeUbn 3]OD of.the lebor Cotle. I shall lonhxi�h mmpfy wnh IMsa prariaions.
o� �v i�,r9qS' a�� ..
lrp: Fellun ro ax�n wohxi ror yeimtlon merape I� un/awful, ena shNl uC�ecf en employsr fo cAMmlOenelf/s� ane
nv�� nne. „y ro ons nunarw mounna daan lsfu0.onnl, M�f�non ro.me co,t ar rnmpsn,.tmn, am.w+ u v�vmsa ro. �n
SxXon 3)OS o/ Ih� I.ICor Codr, /nfassf, aiM ettomsy i Iw. • , �
CONSTqUC710N LENDINO AGENCY: 1 hsaby effiim ueMm peneM1y d perlNrv thm �Mn ia e evnr�ud'pn kMinp egercy Iw tM1e
parlormarra oi �M �wrk la whidi tho pe�mi is ssueE (�1an 3091. Cv. GI� ' . �
� LENDEfl'3 N�ME: r � � . '
LENDEA'SADDFE55:3OOZ, 30�04, 3006"� 3008, 3010 ' � `
i camy mm i n� reed mm eaoi=m�e� am�f1�{y�°�u7 �°'"�'� �"�' �,,,f� �vpy w�h�ii6y �e �oumr «ai��.
arMs�a�elewareWirqbWild'vpmnsVu�'ronaMhe7eWeu1lwrrzefepreaeneRvee IMs6tyloamerLponl eboro-mentionedpapeM
(orinspadiwi pnposes., - �
BQB "RIC� � i%' , . .
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 075126 PLAN CHECK NO: 04402-95 L
CONSTRUCTION TYPE: PERMIT TYPE: STR
PERM NO: B 075126
GOVT: N SUPP: N
PORPOSE: REP
JOB DESCRIPTION : REPAIR SHEARWALL NAILING SQ FT: 22,625
CLAIM VALUE: 22,625.00 CALC—VALUE: 22,625.00 GROUP OCC: R-3 /
���*��**�**$$f�**�k***�***4��*��*8�800�80*�80*�80*�808�r8*�*��c+�t*******B�****�t*****
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: ET IN RGHT: FT IN
PARKING REQ • PROV: PARCEL: 93768019 ZNE: R3 REF NO:
PLANNING NbTES> REPAIR INTERIOR DRYWALL FOR AN EXZSTING RESIDENTIAL CONDO.
i
iElE i6 iE 1f it it iE #k if iF 1Elf iE iE iE i[� iF if 1F ff iE iE 1E iE iE fE iE iE iE iE it it ik if iE 1E iE iE iE iE 1E iE �)E fE 1E iE �E iE 1f iF iE iE 3E iE iE iE iE iE it if if iElE 1f iE iE if 3E f41E 1f 1t iE aE aE �E iE �E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY �C.I � � DATE:
� �- y��� `�
BUILDING APPROVED BY : 6'/%`� DATE: �
APPLICATION ISSUED BY: DATE:
***�****���*��**�**+�** �**�**rt**����*�
LEGALIZATION:N F E E S U M M A R.Y , STRUCTURAL SEGMENT:Y
r .r � � . . � , � , �� - , -,
�� BLDG PMT PLUMBZNG ELECTRIC— MECHANIG' � FIRE SMIPJRES.� •GRADING
PERMIT 234.00 •. '' ' � ' 2.26" �—
„ ' ' ` SMIP./NON'-RES
PLAN 152.10 - �. (:, • . , ., , j .- "
ISSUE FEE �
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK � ,TOTAL" PAID DUE
.TOTALS----> 236.26 0.00 . . 152,1'0 � � � "388,.3,6' ' 388•.,36, V' ' . :0.0
. . •
REVENUE DIVISION TOTALS--> COLLEC�ED: ' 236.26 OVER%SHORT: •' ' 00
BLDG PMT PLUMBING ELECTRIC MECHANIC .FIRE SMIP/TOT.-GRADING �PLAN—CHECK
� 234.00 . . 2.26 � / , , ,
iE 1E iE'IE iE'IE'IE'lE if'IE iE iE if 1E'IE iE iE iE fE if if if iE'1F iE iE iE iE iE 1E iE -0E 1f iE iE f4'If 1E if if !E 1f 1E �1E 1E i4 ih'IE iE iE"if if IE if iF 1E')E'1F�iE iE if if 1F1f if # i4 ik'�E iF�ik 1E if 1f it if iE 1E'lE
, I N D I V I D U A- L ��F E E , B,RJE.A„K D�O W N .
TYPE =,QTY D E S C R I P T I O N' _ �� � �UNIT COST !' TOTAL ;COST
SFR' ,22625 ALTER BY VALUE RESIDENTIAL N020NE _, :1.00�, ' 22;625.00
. � END OF FEES , - i "
. . . ' " � �� , �
, ' � . . ,
• . . � ": , `
. , , „ , .
, ,
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t / .. � �
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'�.G VB.f^%'�� N,�, ; , �` //�d�v ,
oam: /v /� . i
SpnelureMOxnen�VApp6rahUCamrepor ' . . . �' .
_ - - s�
(515tdfi WP) Whne-Buildip d Salety; Graeo-Fle: Canary-Appliranl; Pink-Revenue; GokenroE-Assavn
` � � .,`� ,
,� �. . . ' , - . +.. . .
l
. i--
.aSTRUGTtON AND PLANNING - POOL 'A • � � )
� ;
Date Inspector � AppROVALS Permit # '� Date Inspector
-.PPRQVALS Permit #
L TemporerY Electriral Service or Pole F2 I'�+LnYF yw �� oc�ti� �
,.f 7-
2. Soil Pipe-Undrgrnd. .7�JStF`�.'�iein�� ! � �Cgt _L �
3. Electricai Conduit Uulity�Undrgrnd. Q/� •12����p 7 '-' �Gv�� O��-
t�-�
.4. Electricai Conduit-Undrgrnd.' �: �=��al ��3� �� � i
5. Steei Reintorcement � '�iG �c.�q�,'Iu���YP,r�ssu �' t � �`G - �"A�y�� .
6. Electrical UFER Grnd. � `(�f=Z'�'�;���L'���"Vt�����''� �'`w- ' ' Q1�- �`G�`
7. faotin9s ' Q?' ='cq�c.f �!t-';n�•�-n�- /, �G/�
�Y_s-11`' w�� o �/,�y
8. Fourtdation' � �':.aql�p, ��mmdrn[It, Tes�- S'�,e{/�- � �"�/-
9. 4Nater Pipe-Undrgrnd. B�=q'�p-L �,�� ✓, O'�c�. p��-,.._ ��b
�'�".
10. Structura� Floor SVstem �'iL((,�P-B�(�jVAt.�j�iEC(,Ff���t/ � " �.��.�'
11. Property Sewer Line & House Connection � _��� �; r&Zn%LptoiJ+Csi_�� � /� �
! �fK.�9°�� �
12. Sewer CaP • � al
�L�s���er �V��2D � - Lvc m-� -��
13. Roof Drair,s %� JO �y m �a �/ /�' ��
� �l '<Zl_`4r '��lQ' �/� iI G " �f'�w'�' 9V S��E'e✓ O� -c/``1D`
54. Rou9hPtumbing 2; �,c,.: �/ ��Q��- -lb,%'L��� -
`�(�_ _ ' ��d� ( R.r� i �tr
15. Rough Electrical-Conduit f c. . .� �� � -�
16. Rough Electric LViring Z��(��7i.:- R�i�Bss �i�J.lg;�- `��� � �Q��
77. Rough Wiring Sign Z.-�,-;�jj��;Eu �OR FG!jSTEAc��L!/. �� �� �M�
78. Rough Elecirical-T Bar Cailing L=l� (�%L/Srl'��YMEjg(}I�.c7_�.td-'�'�e'' l� �L�i
19. Rough Heating & Air Conditioning 2�-1�,�3;���s���L/�UIR�(JIEI�:� D d�--i�.�p- �j�,�j� �
20. Rough factory Fireplace . , .21�g'�Y Zc it #._(_� ,r / I
'`_I � 3�� �E�,- �!-.e.e� a� '_
21. Duccs, in �Structure � � 70. ,Under9round Hydro � �'t¢�
22. Durs,Vantilating. - '�s(�;�t��i20�j/�t�'l�O�Q4./.f('.lcC�y- �y��-
23. Gas Pipe-Rough & Test - • 72. Underground F�ush � �
24. Rcof Framing ; ' �� � - , , ' 73. Undergrnd. Storage�]"ank•� Gas ❑ Oil ,
25. Roof Sheathing • � • 74. Overhead Hydro
20. T�Bar�Ceiliny {Str�ctural) & Mon'ocoat ' � - . 75. Dry Chemical . -. ,
27. Frame ard Flashing � � - ' 76. Dry Standpipe ' '
28. �athing & Siding .. - � ' 7y: FIXED SYSTEM PINAL _
29. 3nsuiation • • '� 78r FIRE PREV. FINAI. ''
30. Drywail Nailing - HEAITH DEPT. REQUIR6MENT
31. Piester Biown Coai �- � 79.� FINAL INSPECTION �
32. Electrical�power Meter�Final � � 80'..FOOD CERTIF'ICATE IS��S(cY�
33. Fina! Eiectric • i� p /
. Notes; �����6' � �DB " C_Re�S�LL��s. �k` �
. 34. Fina6 He2ting & Air Conditioning '�� � _ /`!/pG � -��j � �
� � Z 7 -�_T � s,�� ' i�� � � �
35. Pina7 Gas Pipe,Test , - - � �" ��
����+�O✓7 �8B�n B � a� � �/�`��..
36. Hood or Canopy _- ' '�. �: 2`�p -7E_l 8�-,/� � SLt/ f Si1'r.�<i.:_e (_�!�' �
37. Fina! factory FirePlace � - , `�i/„lr6� Ty_ �� s B` `�`�,� -�
�
38. Finai Piumbing � �`�,f�G 776 �� �L� Fr .y a.� --�y/�
39. EVa2er Service-Finai . � � - ':� (,;.. f `�� � y� `�`(
`v �tG Z-7G '= Q_GIi� o�. �_
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41. Solar pomestic•Final - '-7_Z3_ Q6 7 e9 /-/�.L.� Efifti��fyZ. ' 7"'vur-��f
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45. Sound Attenuation .. ' . ^��_� � j?a � �G� � � _� ��
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46. Handicap Regulations � � -� Z� _-��..D� �_ w d�
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47. FiNAL STRUCTURE & BUILDING ��uj..-q'7 �w� 7 �p.,qG _7� / G/��4 � . /[_ ,�� y ��^.
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48. FINAL PLANNING �� >_3�-�� 3ea� _�, �•--��i�"��6+�`�
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49. Electric Release to Edison . -- . Q'�� � � "] '„�D�, % /. _ /���,
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50. Gas Release to Southem California Gas Co -"-�- ��`Q-�j �'7a6� _�(�'� Ga� f,���re A����
51. CERTIFICATE OF OCCUPANCY - �
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