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Home My WebLink About2250 CANYON DR - Building Permits<�t 'I _ - Applitant to fill in all spaces except lhose witbin heavy DorEe� lines anE sign all appropriate tlecla�atians. G.f�Y�OF COSTA MESA � I.ONSTRUCTION PERMIT � � PEftMLT NO. . .�� 'TRACT NO. '� LOT NO. �" UN1T N6_ . � Project Address -Applicant's Mailing Address � �� , Owner's Nayme. ��T� �` Phon�b Address �7Q�+Z //�� /�kJ ��Ui.l ji (�UE� Arch/Eng. �� License No: Address ^ � Contractor's Nama � ' Phone Address (mailing) �� City License No. LICENSED CONTRACTOR DECLARATION - I hereby affirm that I am licensetl untler provisions ot Charte� 9(commencing � with section J000) af Division 3 ot tne Business antl Professions Cotle, anE my license is in (W I force antl ei(ecL - License Class � License No. �Date ' ,Signature � � WORKERS'COMPENSATION DECLAt3AT10N ' � ' I hereby aitirm that I have a certiticate of consent lo self-insure or a certiticate `Workers' Compensation Insurance, or a certified copy tnereof'(Section ' 70. Lab. CJ '_ ..._ _. _. . olicy No. � � � � Company , 8 Certifietl copy is he�eby fumishetl. . ' ' Cer[itietl copy is tlleG with the city Builtling Divi5lan. Date Applicant � � EXEMPTION FROM WORKERS',COMPENSATION �ECLARATION (Thissec[ion neetl not be completetl if the permit is fo� one'huntlred ($300) or ' less). ` I certily that in tlie periormance oi the w Ic for which thls perm�t is issuetl, I shall not employ any person in any m n r so' a beco Subject ta�[he � Worker;' o n ation Laws of Califor ' ' Date _L`'� Si9nature 'NOTIC : If, iter making this tleclarat , you i oultl become subject to the Workers; Compensation provi5ion5 he Labo� Cotle, you mu5t forthavl[h �' comply with such provisions or is permit' snall .be tleemetl revoketl. CONSTRUCTION LENOWG .AGENCV ' ' • � � '' 1 M1e�eby affirm that there is a construction I¢ntling a9enty for the pe�Po�mance of the work tor which this permit is. Issuetl (Sectian' 3097 Civ. �CJ Lentler's Name �entler's Atltlress _ � OWNERBUILDER �ECLARATION ' ' - � � I M1ereby affirm that 1 am exempc irom the Contractor's Li<ense Law for the . followin9 reason (Section 7031.5 Business antl Protessional Cotle: Any_cily or county which requires a permit to construct, alter, improve, tlemolish or repair any st�ucture, ptio� lo its issuance, also requites the applicant for SUGh,pe�mit ' to file a siqnetl Statement that he/She is licensetl pursuant to th¢ provisions of the Contractor's License Law (Chapler 9(commencing with Section ]000) of Divizion 3 ot lhe Bu5Ine55 antl Prote55ions Cotle) or ihat he/she i5 exempt 'he�ef�om-antl lhe ba5is fot the alle9etl exemption. Any violation of Section � 131.5 by. any applicant for a permil subjects the applicant to a civil nalty of,not more than tive huntlred tlollars (5500). ' I, as owner of tne properry � '�-'^ ^��- will tlo the work, ana the structure is not intentletl or otieretl tor sale (Sec[ion ]044, Busine55 ana Professional Cotle: The Contractor's - License'L.2w does not appty to an owner of a properry who builds or improves thereon, antl wno tloes sucn work himself/herself or through his or her own employees, provitled tbat such� improvements are not inten0etl or offere0 tor sale. It, however, the builtlinq o� improvement is soltl within one yea� ot com- pletion, the owner will have the burtlen ot proving he/she tlltl not builtl o� Im- prOve tor [he purpose of sale). . ❑ I, as owner of the property, am exclusively contracting with licensetl con- tractors [o consV uct the D�oiect (Section 7044, Business and Professions Code: The ConlractoCs License L. w tloes not apply to an owner of �pro0erty who builtls o� improves the�eon, antl who conVacts to� Such projects with a con- tractor(s1 ficense Oursuant-to the ContractoiR License Law). I am aware that proof of thei� Worke�'s ComPensatlon insurance shoultl be providetl [o me. ❑ 1 am exempt untler Section B. & P. C. for this reason � Date owner ' I hereb' ce ity that I liave rea I' application antl state that the above-� informatlon is <o��ecL I agree t Oly with all city antl county Ottlinances antl ztate laws reiating to buil constructlon, antl hereby authorize reore- ' sentatives of tl}'�s city to enter upon the above-mentionetl property.for , TYPE OFCONSTRUCTION� ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR' � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � Ap # DESCRIPTION OF WORK/USE OF BLDG. -� � . S Main Buildin9: TYPEOPPERMIT GRAOING FOUNDATIOfJ STRUCTURAL T Front � �. ❑ TENANT' I�I ELECTRICAL -❑ PLUM8ING �❑ MECHANICAL ` B Rear ❑ �OTHER ' ' A PROJECT DESCRIPTION 5q. FT. oCCUaANCv C Right K Left CONSTRUCTIONTVPE -.VALUATION$ $ ' 20NE "�� GRADING CU.YDS. ACRES - p�ng. Ref. # Remarks: �/�./� ./rHlwTlw./ T%J 7iii7 %i/PiI/ � �.✓ PlanningNotes: Bar Sink Backflow�PreJenter Backflow IrrigatiOn Bathtubs Clarifiers , Drinking Fountains ' Floor Drains FloorSinks� . ' Gas�Service � Outlets Interceptors�. .• Kitchen Sink . Lavatories ; �- P-Trap Roof Drains - - Reinsoac[ion'Fee . Sewer Cap Sewer Connection _Solar Collecmrs :. . Solar PiPinq Solar Tank ' ' . Swimming Pool w/Spa Water Clout � � � Water Neater � � WaterService� Auto-Wash - Laundry Trays 1 $15 • Isue Fee Duct - Under Ground . Duct-Structural . Duct,- Ventilating - ' Exhaust System ❑ Multiple ❑ FirepVFact.�Blt. IC80 # Heating System & Ducting ' ❑ 0.100,000 BTU O 100,000 BT �yneiwe Drivers'�Li nse or 5� �/ _ Reinspection Fea GMF OB65-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor ��s �� Hood or Typel, ❑ � . Canopy Type I I ❑ Refiigeration System • � ❑0-100,OOOBTU�O100,OOOBTU --. System Repair/Alteration I Fire Dampers , � Registers - � Automatic Washer - Construc[ion Pole Si Cooking Unit - Dishwasher -- -. Fan F.A.U. Fixtures Device Boxes , Outlets ' Switches- . Garbage Disposal Generator �0-51C,� — 7582 6/'167E Accessory Building: Parkin9 Req;/Provid ELECTRICAL T 1 r____ FEES 0- 15-50 KW � ; - —' ❑50+KW , - Meter �9up to 100 amps . --- �� - Meter �over100amps�-- • :cric Sub Panel � Motors �0-1 HP �1 % �8 Inc.Solar 09-15 HP �16-15+ Microwave ' Pole Light � • ; Range � I I', Standing Sections 5 fFW' � TraSh Compactor � Rainspectidn Fee � , $15 Issue FEES DEVELOPMEN75ERVICESREQUIREMENTS: 2oning Appraved By . Building Approved By __.� � $15 , ' , Issue Fee � I � ' u $ 3 Z O N I N G R E Q M T S �, .SUMMARV OF FEES � � � � BUILDING PERMIT ' § SMIP . $ ' PLAN CHECK � $ � 'PERMIT ' PLUMBING ' $ � � ISSUANCE $ PLANCHECK 25% $ ' ENERGV�P.C., $ � � ELECTRICAL � $ � GRADING , $ � ' ' PLAN CHECK 50%1 $ ' � . ,MICROF6LM $ MECHANICAL' 3 � � .TOTALFEE ; $ � � PLAN CHECK 25% $ � _ . — � ,�CONSTRUCTION AND PLANNING POOL A APPROVALS Permit # -- Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test � fi. �Electrical UFER Gmd. 57. APPROVAlTO COVER-GUNITE � 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewe� Line & House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrica{-Conduit 66. Solar System-Final � 76. Rough Electric Wiring ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � � APPROVALS Permit # . 27. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil � 23. Gas Pipe-Rough & Test � ' 72. Underground Flush ' � 24. Roof Framing , 73. Undergrnd. Storage Tank O Gas ❑ 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 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal 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 � i � 38. Final Plumbing . . . 39. Water Service-Final - • � . � 40. Gas Service-Final . 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Land cape Irrigation System 45. Sound Attenuation r 46. Handicap Regulations 47.�FINALSTRUCTURE & BUILDING . 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co � 51. CERT`FICATE OF OCCUPANCY . No. Date � -� PFOJECTFDOflESS: Z2j0 CANYON DR OWNEfl'SNAME:BEARD, JERRY MICHAEL TR �� p00NE55: 2f3OGZ RIDGEVIEW DR �� LAGUNA NIGUEL.CA 92677 995-9028 qflCN/ENGINEEP: nooness: flEG.NO.: UNIT: uxiT: PEflMiTTEE: FAIRWEATHER ROOFING ( 714 ) 997-9449 aooness: 3845 E CASSELLE AVE ORANGE CA 92669 IICENSEO CONTBRCTON OELLABATION: I �ereEy af�irm I�ai I am IicenseC unGer Omvisions ol Chapter 9(commencinp wi�� $eciion 7000) of Div�sion 3 of I�e Business antl Professions Cotle. ana my license is in tull lorce antl effect. cirruc.:Qq g"]��• STpTE1IC.:515125 `� 39 EXP; 06/95 e: �, 9 Signature: NENS' COMPENSRTION UECIABRTION: I AereUy allirm Ihat 1 nave a cenilicate al consent to selbinsure or a cenificate al WaAers' 'Comoensa�ion Insurance. or a cenilieU copy tnereof (5ection 3800. LaD. C�. POLICY NO.: E%P. ORTE: COMPIINY: � ❑ Ce�ilied topy is �ere�y lumis�etl. � Certilied copy is IileA wi�h I�e city Buildin0 Oivision. Jaie: AOVliwni: EXEMPTIONFNOMWOBNEflS'COM7ENSRTIONOELIAB�TION: (T�i55ecuannttOnOlCewmple�eEi�I�epermitiSfOronehuMreE�5100)wless�. I tertily Ihal in I�e p¢rlormante oi �h¢ work �or whit� I�is p¢rmii i5 i55ueC, I Stull noi emD- lay any De�son in any manner Sa a5 io OetOme � sub�ect to t� Wa er5' fAmpensation Laws ol Calilamia. � L te: % SS Sipnamre: � I "' ' NOTILE: II, alter makinq ihis aeclaration, you 5houlA 6ecame sublec� io tAe Workers' Compen5ation prmisians o� �he Labor Coae. you must �onnwim campN wi�h sucn pmvisions ar ttus permit shan Ee tleeme0 revokea. CONSTBUCTION LENUING RGENLY: I hereby atli�m t�at tAere is a wnsimction IenOinq a0en�y lor t�e pedormance of ihe wark lor w�ic� Ihis permil is iSsueE �Seciion 9097, Civ. C�. LENOEfl: AOONESS: OWNEP BUILOEB OECLAflRTION: I hereby a�iirm �hai I am exempl �mm �hE CAnlratiafs' State License Law for ihe followinp reason �Setlion 7031.5 Business antl Pra�essi0nal Code: Any city of tounry whic� repuires a permit m wnslmc�. al�er, impmve. Eemalish, ar reoair any siNclure, o�iot to ils issuance. also tepuires ine applicant lor sucn oermit to Iile a siqnea statemenl rtWt h¢/she is licensed pursuant to t�e Orovisions oi ihe Camracmrs' State license Law �C�apter 9(commencin9 �� clion 7000) of Oivision 3 0l tAe Business an0 Pro�essions Code) or Ihat helshe is eKempl t�erefrom an0 Ihe basis lor I�e alleAed exemp�ion Any viola�ion of Seciion 7031.5 by any applican� for a permi� 5u0jec�s �he aD�licanl Io a civil Oenalty o� noi mare Ihan IivO hunEad dollafs (5500). 1. as owner of t�e Dmperty or my employees wit� wapes as tAeir mle compenu�ian, will tla the work, antl the ❑ simcmre is not imenUeA or ofleree for sale �Section 70A4, Business anA Pmfessional CoGe: T�e Canirac�ors Slaie license Law does not appry to an owner ol a D�ooeny who ouiltls or improves ihereon, antl who Ooes such work himsell/herself or ihrouph his or her own emoloyees, pmviUeO Nat suc� improvemen�s are n01 int¢naeA ar aflered lorsale. II. Aowever Ihe builtlinq or impmvement is sol0 within one year of comptetion, ihe owner vnll nave ine hur0en of Dmvinp he/sne aid not builtl ar improve lor Ine purpose ol sale). 1. as owner oi t�e pmpeny, am exclusively contractinq with licenred coniraciors m constmct ihe pwject (Section 7094, Business ❑ and Prolessions Cotle�. tAe Comracmrs' State License Law does not aDPN �o an ovmer oi O�oDert9 who buAUs or impmves thereon an0 wha cantrac�s lo� such pwle��s wilh a wnUador�s) li[¢n5e Dursuani lo ��e Canlraciors' Sta�e License Law�. I am aware ihat pmol af Iheir Worker's Compensation insurance s�ould be piovitle0 lo me. � I am e�empl untler Sec�ion: 8. 8 P. C. tor Inis reason: Oate: Owner. i Do �ereby cerlily t�at I am aware ol ana untlersianA the repuirements ol Califomia Healt� antl Salety Code Sections 25505. 25533, antl 2553A and Ihat I or any �ulure �uiltling occupanl wilVwill nol (circle one) neetl IO comD�Y wi�h saitl slale cotles ana Ihe repuiremenls �or a permil tor conslNc�ion or modilica�ion Irom �he Air Ouabty Managemeni �isVict. FesiOen�ial cons�Nclion applications are exemp� Imm I�ese pmvisians. Daie: Applicant: I h¢reby cer�ily Ihai I have reatl Ihis aDPlitali0n an0 51aie �hal Ine a6ove iniormali0n is corfeti. I agree lo mmpty wiih all ci�y an0 toUnry ordinances and sla�elawsrelatingio builtlinA conslruction antl hereby aWhoriterepresen�atives of�his ci�yto en�eruDon�he a6ove-men�ioneU �rty lo in. eciian pur0ases. n �^ /� I � /i7�1 /J Oal ' 3 5 S SignaWre: l`�i/ I/V t V�"��- �river's L¢ense or Social Security 16<Y46 WOne—Builtling; Green—Catle EnbrcemenC Canary—Applicanl: Pink—Ravenue; GolOanroC—Assessor CITY OF COSTA MESA — BUZLDING PERMIT EP.M NO; B 070999 PERMIT NO; B 070994 PLAN CFiECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE; V—D7 PEF,MIT TYPE; STR PURPOSE; ALT JOB DESCRIPTION : T/OFF REROOF W/BUA SQ FT; 2,950 CLAIM VALUE: 2,950.00 CALC—VALUE: 2,950.00 GROUP OCC; R-1 / COMMENTS: SMOKE DETECTOR AEQUIRED PRIOR TO FINAL it�t*+��tw**�at*r+�*�**«*v******�er****«�tx+e*�**rr**r�r«r*r*+r�r�tr**+r+r+r**+r**ri�*****-M*r*�*�r Z O N I N G R E Q U I R E M E DJ T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT ZN REAR; FT IN FRD1T; FT ZN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT ZN RGHT; FT IN PARKING P.EQ; PAOV; PARCEL: 92207201 ZNE; REF NO: PLANNING PIOTES> > . iE iF if if iE 1f if if 1f if iflf if'IE ifiE 1! if jf'lf'IF'lE k'If'Ifif M if'k'k1! 1f if if if iFif if 1f #f 1f 1f 1f M if 1f ik 1f if 1f 1E ifif if if')f 1f 1f if 1FiEif'IE 11�1Fif �FaF Y 1! iM if if if iF if'1F'!F iF U E V E L O P M E N T S E R V 2 C E S R E Q U I R,E M E N'T S 20NIPdG APPROVED BY DATE; ' BUILDING APPROC'ED BY ; DATE: "' APPLICATION ISSUED HY: �� DATE: `� �S � � �e**��r*��r*�*�t*�**r�r,r�e*�riF+�'ir�*�iF�iF�i�iF�* + � ��r�+r,�r*+�*ic*�*** r * * �c i�it�tiFifu4iflfififkififiFififietf�fifiEilitiEaEiEifiEiEiEitifjfMitiliFif?flfVif 1ti�ifififMlc{EifriFlEiFiflFkiFiFiFsl4MiF+frifitififit ifi4{fif 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 54.00 ,50 SMIP/NON—RES PLAri ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----> 54,50 0.00 Q,00 54,50 54,50 .00 REVENUE DIC�ISION TOTALS--> COLLECTED; 54,50 OVER/SHORT; ,00 HLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECN; sa.00 .so 3f if jf if if if i4 ±f M�)f if iE�141f iE iEiR +F if if if % 3f if if iflf ifif iFifit 1f if if�if if if if iE ic if�il�ic i4'kif�lf Mif % iFiFif iR if iM1 ifif if iF if if Af i�-M if % if M Y if if if iF Y+E�Y if 2 N D I V I D U A L F E E H R E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2950 REROOF bY L'ALUE RESIDENTIAL NOZONE 1,00 2,950,00 END OF FEES . � � � _ _ .: y�;� c,: � � - s i_ J �w v 01 OOtid119-00176120 "i��T 54.SQ DATE: Q2;03/q=: TIqE: 14:14 1' C�VSTRUCTION AND PLANNWG POOL a„PA � � APPROVAL5 Permit #T- Date Inspector qppROVALS Permit �k Date Inspector 1. Temporary Electricai Service or Poie 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcerr�ent 3. Elettrical CUndui{ Utility�Undrgmd. 54. Forms 4. Electrical COnduit-Undrgmd. 55. Electrical Bonding � 5. Steai Reinforcemenc 56. Rough Plum6ing & Pressure 7zst � 6. Electncai UFER Gmd. 57. APPROVAL TO COVER-GUNITE 7. Footings . 58. E4ecvicai Condu;t-Undtgrnd. 8. Foundation 59. Gas Pipe, O UnGrgrnd., Test � i 9. Water Pipe-Undrgrnd. 60. Backwash l.ines, P�Trap, �J Undrymd. �' 10. Structural Floor System �� 61. APPROVAL TO DECK � t t. Property Sewer �ine & House Connection 62. Backwash & Recepior�Final , 12. Sewer Cap . , 63. Neater & Vent-Fina4 73. Roof Drains � ' 64. Piumbing System � Final � 74. Rouah P�umbfng 65. Electrica6Fina1 15. Rough Electrical-Conduit . 66. Solar SYstem�Final 16. Rnugh Eiec.ric Winng 67. Fenciny & Access Approval � 17. Rough Wiring Sign 68. APPROVEO FQR P�ASTERING tE. fiou9h Electricai�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � i9. Rough Hearing & Air Conditioning FIRE DEPT. REQUIREMENT i 20. Rough Factory Fi�eplace ' '' APPROVALS. Permit # � 2L Ducts, in Structure �_ �- 70. Undergro�nd Hyciro ' 22. Ducts, Vent�lating ' . . 71 . Product Piping G Gas ❑ Oi1 23. Gas Pipe�Rough & Test � � . - 72. Underground Flush 24. Roo# Freming ' 73. Undergrnd. Storage Tank � Gas ❑ Oil - r� 3 25. Roof.Sheatning . .�6�� 74. �Overhead Hydro ,l i � 26. T�Bar Ceiling (Structurall & Monocoat , 75. Dry Chemical -. x.�� i r 27. Frame and Flashing � � � • 76. Ory StandD�Pe • _� Ji S - � 28. Lathing & Sidin9 ' 77. FIXED SYSTERI FINAL 29. Insulztion � - � 78. FIAE PREV. FINAL � . 30. Dry:vall Naiifng � HEALTH OEPT. REQUIREMENT � 31. Plaster Brown Coat . . J&. FINAL INSPECTION � � 32. Eizctrical Pawer Meter�Fina! ' '' , � 80. �FOOD CERTIFICATE ISSUED 33. Finai Electr;c . � . Notes. � � 3-0. Finai Heating & A'v Conditioning � a a�� ,� ✓� 1_` -Tv 35. Fina� Gas PiPe-Test , � - 'O . � • �� L.L L 3 36. Hood or Canopy � ' ' 37. Fina� FactorV Fireplace � : , _ ' -� 38. final Plumbing . . � � . � �o 'J!{. _p�-G4�c�"-�-�--��i .�'� 39. Water Service-Final �� 90. Gas Service-Final � '� � 41. Solar pomesticFinal " - , .. - � i 42. Backfiow Preventer ' � � 43. Backflow Ir:�gatioo li 44. Landscape i�riyation Syst2m � � � 45. Sound Attenuation . . . - ,I 46. Nandicap Re4ulations '. � . � � � 4J. FINAL STRUCTURE & BUILOING fQ_1(p f_� � �'� � � v� 4$. FINRLPLANNWG - 49. Electric Release to Edison ' ' � ' , ' 50, Gas Release to Southern California Gas Co ' i 5L CERT�FICRTE OF OCCUPANCY ' i No._ _ Dace