HomeMy WebLinkAbout145 WOODLAKE_
firoject Add(oss CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
-� _ �-t!r - c/"�= _ �{,•_.
Applicant to fill in all spaces except those within heaTi border lines and sign all appropriate declagations
Assessor's Parcol Np. _--
:✓^ne•'s Name, u�r 1 r sip m PERM T N TRACT NO. LOT Pill. UNIT NO. t/
:.7dreu 1`..I`.�. ,Y'Jt1L:3,1ti.-t= ----- -- -- -- ---- -- _
Arch Fhy. __ .-- ------.----••,�ersrNo. - _ TYPE OFIXTNSTRIICTfON "' NEW ;- ADD �LTERATt r .�_' REFAiR
(' CONYERSfO►i - CEMOUSH )THEIR ! A.P. t Zone
d3drtss ---- - ---- - - ---- - ---- DEcCR'.PiiONOFSYORKrU5E0F9-LDf
Con:ractor•<Narne _-__-----_-_---_Phone- - E iNain Building: --_-�Accessory 3uiidirg;
A,adress lmtrhn3)_ _ _ -____- _ TYPE OF PERMIT :i GRADING FOUhtAT:ON- '.'T'a RUCTURA1 T Front _ G.
- TENANT ELECTRICAL PLU118ING :- MECHANICAL El' - -{- j N
C:y L�rense No. _ _ -- __ --- Rear —I
;,rCEtiSEO CONTRACTOR DECLARATION r---- '- _
r `reby affirm that I am i,censea un7rr plc. s�'.s.:'Cnar r 9(carr.menunq PROJECT DESCRIPTION `'__—Occupanq _- "-Y-� - K Right
—`_-_ - ,— i G
r;:n secnbn 7000) or Orvs, f the Bus,^.ess anc fessiors Cotle,am Construction tip[ 1.ne Rues Left -`
:., ',eerie is in fun force a ect. ? - _ S r R
License Class _ _--- ------ a :ro_-_---. yiaatlen j ! - PC" - - Ping. Ref.
:a a-.. -- _ grature -- ____-- -- --- A Parke:,g t�eQ,,Proy_i[1Pd �y :b
WORKERS'COMPE ATION OE ARATIO Remarks �.' ��/ - —_ Planning A01¢S J-- - --- _ 't {
-T-- � _-c_�T3i1�Z23'12-.� 1M
aeleby atnrm tna: Ave a certift to of con nt ceisdnsure o•a certificate
ST VWrkUi' Com sation Insu nce, os cert,f•ea copy ;hereof (Section T.L
r
3500, Lab. C.) _
P94Cy No. -_ -_ piny
Ce,ti},Ca tc,py i lem urnishe --_-- - ------ -_
Cerid,ed copy is fl vote,the ty Mn,; D:v,sr
Otte -_..-------- AtaA ar ___. ----- ---- -- -_
EXEMPTION FROM W RW§�t$' OMPENSATIO^ ECLAP.ATION -
' -S tCGt,On need not be c/ryh p' ea,f the rrr,r•,. .or one I-Inarru(S103)ur
't:s c). R
c.rtr'y that ,n the per ),mAnc f the.Port • _ p[r,n ,s Issued,I
z-a I n t enlptu)' an cr:on ,n any as co Dec a subject io the ~ PLUN,BING FEES ELECTRICAL _FEES MECHANICAL FEES /�T x -G11A01NGl'iEs
•^errs' Compensa•on taws(it California. '?---- f`- -
'.a•eStynato•e ___. _________ Alter, R�air Generator"JO.5KW El 5.15KW I Boiler --___L^__•.
- __cu yards
NOT:CF.:n,at' making tmt declaration.y•,^s^-.., - . rime subject ,o the Auto Wish Construction Pole Sub.__ - Duct•Under Gi t lend _-
:o ter'' Cn ensat„ln arnrsinns nt tnc ru r,u•t re,:r[Tw.tn - ' - f --� I Fill _ra.yards
-cry w,• such prrv:vnns or :n,s pe,m : sr.l- ,•nt tleen•ed revoked. id Backflow Preventer - Cookin�Unit Duct-Structural
CONSTP. TION LENDING AGENCY - - -- - 346. Nan Ch[ckfee$
erect' fftrrl the t t`crc K a cant'rutt nn tens g a;tntr tn,trio [:rorma'1 1 Backflow Irrigation _ , Pole Light I Fdn •Ventilating ___ _
L_-9 _-- -- --�---
th wo•k lot whrCn I',,$ permit K ,tLur' iSeci,an 3097 Clv. C.) - - 3225 P!',ill Fee 5
Clarifiers I pryers❑Gas JElectric _f— Exhaust S sy tens ----
Len :'s Name .-- ---------._---...�__ _ - -'- - - I -- ) Total Fm $
-
I ae, s Aamess - - - - -- -- -I}�Dishwas ier _- -- �I Flan_ -- - - - i Evaporative Cen er
F.A. --- ---- I -----
WNER BUILLIER(AiCLARATION I fixture Traps ea. ! I .U. ' I Heating System ti Ducting i
I hereby.itr,,.,l that t a,,l^_aCa,pt from the C-:':,aC:,'r'S License Law for the I
mason (Section 703).5 Business a^d p,:,'^ss• oat Coat- Any city or Flour Drains I FIxiUr¢S --� Cr ❑0 100 000 BTU L1100 OSO BTU
1 Gr.uo*v .'itch ,entities a pencil Ic construct.atte,.,mb,ove,aemal,tn or It"" - -'- �----+-_-_J-•_. Sammartof P[rmit Ftes
any ,irw.lioe,prior to its issuance. also reawrts:,a applicant fnr sec: permit Floor Sinks Outlets —I Hood or Canopy ( �
file a sl:red Statement tn.it he she li license]cots,,ant :r tt,e or„visions of -� _-_-- - i - +
(cc,mmerG�nc with Seth:ln 7000 I Gas Service Dull¢ts I Switches T P. 1 n T e I, . 00
•r.tG,rtractor• of _ _ Yp---l�.-_ 3121 9.'•d�a S -r�-------
S L,Ctnsc Law(CIL1D ICr ) t- i S
iJiv-s.,, 3 of the Business ana Profess.uns C.ce) ,;r that ne,s^c is exempt Interceptors --i Meter E up to Z00 am s Refri eration S st!m
fncrefrfm an,i the nas,s :or the a,teged exemn:::.r Any v,r,ta:r:,n of Section -1— t - p ----- I 9 Y 1 ',ill n sR,bml S
7u3).s by any Applicant for a perm,l slit, s :rlc applican: :o a civil P•Trap I _ Meter D Over 200 amps _ L10.10.0 000 B_TU_'"?100 000 BTU
�r ley or not more n,an ttv;:hundred d„oats :a_ oi. - -- - - -- - --- - - = 321-- tlectr.Cal S ez ^
�, , as ,lsoer of :he Prnt• , r m emo,cytes w-in was;,; as their sole Roof Drains St,;t panel _- Fire I/Fact,Bit.ICBO T
r -1-- - -----1 - - - - — ystem Re---- --- - - {--_ 32i? a4chamUl S _ -
_ ,nDensaSr:! in 0 the .� .aria tnt strut.u•o ,; n;dt intent cd nr offered 1 Trailer Sewer C 15.50KW System Repair/Alit ration _I
f'S• L.jIC (Se^inn 76•i4, Bu;mess aria Profess,n..a• -ode: f^c C^rile,ice rir'S ---�--- Transformer ---'-'-` $
I_�cenf Law does rim apnl•• :^an nsmtr of a Lrov:ty :::....:o„ds nr,mpro vet _ Sewer Cap __ -_�_._ __ ❑ 5tlt•KW I Fire Dampeirs 3114 f%e'rnDOn r
^.•[:,n, and who (Lies Lu'.Il w„rk h,:nsf•.tmcrs , �r thrr,ugn rl,s r,r her ov,n - -------- - - -- - - ---_. ___.—.___
pfnvided that Such improvements sit intended -it -,Iferea ref jljl Sewer Connection•Bldg. _ MOIOrs 1 1 0-1 HP !1%•8 -� _Registers 1301 SMIP Rt: $
is e. tt. I+nwevrr,tot bu talon nr nprn.cm!n. s s-)fJ V itlm u,le Ye,,,nr coin.
cti„n, It+c owner will have the burnen of m,: ,he;snc d,a n t bsl,a nr rm- rlar Collectors---+ - Inc. Solar C19.15 HP L116.15+ Incinerator -- 2302 S44IF Coo. $
1 presve for thy purport of taut)• -}Solar Pi In -�- -- - I.-- ---is •caner tit u.r pr, oeriy,am exU•: ,vcl, r'ruact•%O r.in licensed con. __-Piping -_ __ Sing/Faro. Res. - — E -- - -Misc. -- - _ - 3225 � ':Sher S
utors to cansj,ut.l Ills p,oiect f 7J4d,a.,s. css aria Prn,ess,ons Code: Solar Tank - - - -^
Inc Contractor's L•cense L.lw ':nas not Aowv to an owner o+ o•oaerty who _� MUI I Fam. Res. --f- SymmafyolPlinChech
BL 13s or lrnnr,lvet the,^-,r,,anti who rt,.,tfar:t ' r s..ch p, jccls with a con. Cw'mmin Pool/Spa Swimmin Pool/Spa —_ f--_--. -�------��_---_-. _ 3401 I Symina�
7,actnr(S) license pursuan• to tot r:mltrattl,t'S L cense Law). I art' a.sert that '-{ - -�---`- -- H
---.< _ _ ._ S --1--•---- -
1 —__ -
Grnuf nl 11011 VJor leer's Co,nptnfa biro ,rlSura`ce ShoWd Le plc nde,7 to me. Walt r Heater - ISSUC _ - ---_ Plo^t,;OQ $ -__ _•,___
_i ___ -
am exempt under cie Ctron �{).L 1'.C.for th Cason a1 Service - - --- -- ---- - - -_.-- ill _,_--
qq /% Water- -- - firer I S _-
Die %�1 riCr wnr, �xS _ t=.�✓ Sepric�stem _.� - Mrhamtal $
I herthy comfy that I have read nos appl•Cat 'In And State Trial thu ably[ �1jsc -- —_ DEVELOPMENT SERVICES REQUIREMENTS- q $
3403 Utnrt _
,n•n•mation is correct. f aq,ec t„rnrnply with all city u+.:ruurry nratnanens loningApprowdtfT_-
.- -Date
anti Stale laws relating to hwl q cnnstruc:,nn a nerrhv authorize repro. -- 3412Planning 3
99 --- - �-
sentai,ves or this,tilt' to grtio up the .I e-mentionen property for �IiINngApptflsol lTp -
,sPeGtmn pug rf ii. /, •�- ) fIcit10t11ffWde --- 1 .�
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gnature J �Y. ." ^" _ ` Tate _- -: ISSUC AGp / .. ..----_--_OaG ._CT. 2= /.
If�M1h�j '^ w
')rivers'Lice se or 15 71' _ _...-._..-. ' - ----- ----
7fhde Building.CanaryTempuari Fll!.,bpy, m testa. d e,I ppacaot mom
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CITY OF yiES $ Z ' B ZNORL
BUILDING DEPARTMENT
FEE RECI11PT
_ VI AN CHECK # =< l 0
NAME:
JOB ADDRESS:
(3224) 100-3224-000
Plan Retention � --
412 100-3412-000 Planning Division Revit-�w 10%
(3401) 100-340.E-000
Budding Plan Check
Grading Plan Check $
(3403) 100-3403-000 $
(3403)
100-3403-000 Overtime: Plan Check
�
(3225)
100-3225-000 Special Inspection -
�
(3220) 100-3220-000 Reinspeztion B
(3222) 100-3222-000
Reinspection E
(3223) 100-3223-000
Rainspr:ction M
$
(322i) I00--3221-000 Re'insp(Bction P
Park Capital Improvement
(3821) 221-3821-000
(
3811) 211-•3811-000 Storm Drain Capital Improveme�:t`s �
(3801) 201-3801-000 Street: Capital Improvements $
(3440) 100-3440-000
Sale ()f Maps and Copy Fees
(3461) 100-3461-000 Admin. Fee. (including Lot Book)
(3831) 231-3831-000 Library Mitigation Miscellaneous $
TOTAL
8-4-89
CITY OF lAn ELSINORE
Egli iliG DIVISION
OWNER - g U I D D F' R
V E R Z g I C P O N
give notice pursuant tc
which ia< required to � condition precs=?nt
A city or county, and,
ais a ire the return
Section 19830, shall attach to suchotiaecompletion and requ
to issuing a building Permit, require
of an owner-builder verification,
Owr►e»: ,� .1al.ne
Attention Property lied for in your
An "over-buildez" building B
rmit has e hiE iomd Untuttils
: our �iQn-tune. H
and bearing Y
veri icatio i—s e v and
•plan to provide the al��provemsn�eri�als
1. T personally osed property
for construction of the Prop
_L 'fie` No application for a
,�,,,e signed an
2. I (have 'have not) ro os�a work•
building Permit for the P P (firm) to '
��+_dcted with the following parson
3• I have construction:
provide the Proposed
--
Name
Address Contractors
Phone ( ) the
ortior.� of the °.cork, but I hav a the
4. I plan to provide p and provide
following person to coordiMate; $zzpervise,
r,ajor work:
Name
Address Cow czaat I.ic• _----p--
phone (714)
� I contracted
ork but ewor at�w�ll Provide some of thewvide th
(hired) the following ersors to pro �$� �R-b2M
(If additional space s requ red attach eubcontractor•aE
have rec:aived a► copy of the information Sf codE
that Ith •
n
hereby affirmtheCalifornia the best of my personal
forth in Section 19830 abovetainformationo to rn a e
and have compl e•.e State I+a+w•
knowledge, in cc�mPlfanca with th �
Data: 1
Signed: 17
Name: —,•�'�1���/��
(printed or Typed)
Drivers Lic. # or Soo. Sao. #
J
t
CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
to Wl in all ca except them within hoary-border Iinr c and sia::it appropriate declarations
�y,rojr/N,ruTdr.a Applicant �
4-s w'c Parcel -- ERM tl 7t1ACT PiO. LOT V0. UNIT NO.
nor s Non" Korb o+rc�--. " t
f Y.cl Et rig IL. Og y�tiPTitirl � f0
TEATC WAIR Zone
UKCfOOt `AN .9 twff L
-- Lcor e ❑ CAiCfR0! ❑ DE1i0U5? C CiHEJt
PC. #
Aclxor Building:
l � E
Addr:a Of Aivilsi M _0 Main Builrhw O
hone
Crfntractor•,Nw"---. --P T Front N
MEWPIEFAIT O GRMNG ❑ FQJM�DON TRllCTURAIIt
Mclre s(enailinyl. - [] 1thANi Q ELEORICAI L rLUKIII(G 0 VEDiMOI A Rorer N
fate License NO. ❑ CLIER C Right G
LICENSED C7NTRA+TOR DECLARATION PROJECTDESMIPTO: —�°�� � �-- K Last R i
t n.r.ny af117nt that I am hcentiad under pr Ov!fiOns Of CI-.a 9(rorrtm•ttdn9 —. I0 ti � S l t
"it" section 7000) of DiviU f the Busineu and ,mittens cod•,and C rcboe ` Pea Pt Rot.# Partl
1 nay license is In lull Toro a Oct. VateaSoef '''"�JJJ��✓JJ - ---- T f,Gi'1 t:1r3•�-L:.t�-r�'}Q 1
t uce No.-.Y -
rJCense Chess �ttn� Planning NOtei - t�Rf7Pt-Bi
D+1•__-- hate• -- Retnitrks i _1,
AM: ( ). IJE � Il
WORKERS'COiaFE ATIO_l DE --- 1
1 nw*ty nftirm that avll a C1211 le Of tarn t to s+rcopy r•Or a f (Se do of Workers' Com s%tion Inca nu, c r C�tlfad Copy tl,aroof ($•ctfon
3000, L.L. C.J
Policy NO --
❑ Caut.ad copy) rQj*1/},-••!IsM -- — --�-
[,1 Certirtea copY%rs t with trM tv ding Orvisio .
all
Dale—`.-. App -a — —
EXScMPTION FROM WORK S OMPE SATtO ECL.ArtATfON �� 1
(Trill,section need not be C ipt ed'If tits P mil i Of one nundra6(>jt00)or •-- _ _ FEES i�7�VH_ /�N1CAh FEES T.O q�IIISFEES S
rmanc lno veer permit Is Issued I PLUM SING FEES ELECT€iICAL
ir�c•itrty that .n the per as to ter subloct to the —�-- - -- _cu.pMs
malt not employ an I,arscn Ir any rtta t Ucngralor 00-5KW 0 5-15KW B011e: �
workers' compen on uws of Calik"csla. Alter Re if iJuet•Urder Glound -_ce rants
Dar• signature _ Auto Wesh Construction Pole Sub. Fin:
NOTICE:It,ai making this declaration-you snout a, yu msubject
st forthw th �prykin Unit _ Outt•Struetu�_ 3401 PlanChecAFeei -.----
Workers' Co nsaaots prorislons of trw Fats •Vantilatino
comoly w. . turn Provisions or this Permit shalt w dpmad revoked. Bltcktlow�reventltr P-oAllLight - 3225 Permit fee 3 ----
CONSTR 7ION LEhOING AGENCv Backll."W Irri tion Exhaust System
t hareb than!hat there is a construction len.'fin9 a9encv rOr the O•rformane. t D LYf GGas OEleetrlC total Ftts Z !
of t work a vtitcn this permit Is tnlued (S CIIon 3097 C1v. c.i ClaritlBrf Fan Evaporative C00181__
Len is Name Dishwasher Heating System... Dactiilg ;
det•s Addrea _ FixtureTra sea. F•AwtJ.-- Ci0I00,000 BTU 0109000 BTU
.NNER BUILDER DECLARATION Floor D^Sa7nS FUrtr_rrs! i - Lr olPtrtltdFers
.1onoebygaffirm
f arson Section 7031.5 lBus,ss and Protas one Coda: Any city o B s Hood or Canopy � Ov
Floor Sinhu 7 .,utlets _ I
COu.ty which requires a permit t0 construe:,attar Imvrove,d•mnttsn or repair Svrilthes T pe 1 ❑ TVPe Il 0 s22O r xtdmt 2 !
any tlruClUrl,P'iOr to Its issuance,also requires the appUCant for such permit Gas$eNICe Outlets ---- 3221 Fhtmlbnt 3
to /n•a signed ilatemsnt that he/she is licensed Pursuant to the pro 000rls of _ I�8 L u t0 2GG am S Retrigeretion System =�
rivet Contractor's License Law(ChaPter 9(Commencing Wit
5•/shetion 70001 of Interco tars —. ❑D 100 Ot{0 BTL!Muir liOG BTU 3222 Electrical i
tillDiv Con 3 of the Business and Professions Cod'.) or If halion it oxamyc _ MCtNr ('VEt 200 amps _ c--
trerafrom and the basis for'he alleged•xemp:ion. AnY sioticante of a cion — Fire {/Fact.Bit.ICBO # 3223 Yecharntsl 3
7031.5 by any applicant for a pt'mit subject$ I116 aPsslltant to i Clvlt P-T:p —�Sub ellel
ally of not more than five hundred dollars($500). ram+_ sole Root Drains - System Repair,A!torsi ton 3221 Retention S �r, 5 I
TI; as owner of the property Of my amployres with wagers as Trailer Sewer 0 T5.50KT/ - T
tompensatior.,wu! do the work,and the structure it,not inl! red Or rdfered Transformer 0 5D+KW Fire Dam rs 2301 SUIP Res S ° y
for sale (Section 7044, Business and Profcssf0nal r;.ia: The CoMrsctor'L —�—_
Lrcenm taw does not apply to an owner of a prnbirly who builds or improves Sotarer Clip Motors❑0-1 HP L71 •B Re liters 23112 SMIP Clxli. $ ._
thereon, and who does such work himtatr/,$ re or intended
ntends tough his pt her own Sam Inc. Solar Cl9.15 HP C?5.15+ Incinerator I
or a,o�.en war provided
that)suc-Ompro vim+ni i stela w thin one yelp sot comf S connection
n Bldg - _____-- -�----- 3225 Otter $ ---- - 1
post. trio lM owner will have I to burden Of proving he/she did not built:Or Im- _ SintiTFerm.RpS. -- Mist. _
Solar Piping _ Sswelaq of Pea+'----E�
prom for the Purpose of sale). Multi-Fam_Res. _ - —' !
0 I as owner of 1:10 prOPefly,am axctus.veiy contracting with licensed con- 3101 Dwbto� S -j-
tracfots to construct the Protect (Section 704e,Busines:.red PrOlrsions code: Solaf Tank �Wlr(in11R Paul%$pd _ — 1
The Contractor's L:rensa law uws oat aPPIY to an O,,inar Of P:OPe+t'/w.1u Issue Numbing S
The0t or Improves traraon,and woo contracts for such profect•t with a con• SWlmmin P0a11. a —
erador(r.% ilunN pursuant to the Contractor's LttAn$11 Law) I am awe ._ coat :!'xtrxal E --
11 Water Heater
p_roOf o then Worket't Compensation in $t.ou.-t be Provided to on Wat CervIG4
�7�fl.a P.C.for t (eaten —
1J 1 am exempt under Section .. r ,
r�-Tt,., -- „ ) . fZ`T_ —,, _�_ 4cMEL"EMTSMKF3 KIRWREY11111W. Oy a. , 3+T03 OlMr s
oath - whop - - _1
bob% V wet i1h�`'�-, 3112 Planntry f ��--
t hereby cefll/Y that I haw read t1 Cos
his &pphcalioo and Mat* that it' , d1a �..r•
to/Or matlOn it COrreGI. I ag=ere In COmPW with all CITY and County riteOldi t pm.
and state laws relating to building(anttftu�IanO nl!OryiaOup Urp.a:lY pfor e�.a..Yr ,ppR� r
$.ntatives of this-city t/o,�at/ upor _ .�►+"^" ttthliNeDlte b
nW*cllonpurpps•s. ( �,r i• Vale
Orlverif Llcanf•or 9S t! `
' CJNSTRc'CTION AND PLANNING POOL&SPA i
APPROVALS e tnspeetor I APPROVALS Date lnspeotori
Temporary Electrical Service or Pole Pool&Equipment Location
Soil Pipe•Undrgrnd. _Steel Reinforcement
�— Property Sewer Line&House Connection 4 Forms
Electrical Conduit•Undrgrnd. _ _ , Eldctricai Ccnrfing_
Steel Reinforcement Rough Plumbing&Pressure Teat
Grout APPROVAL TO COVER•GUNITE
Footings t f Electrical Conduit•Undrgrnd. r
Slab Gass Pipe. El UUndrgrnd.,Test
Water Pipe•Undrgrnd. Backwash Lines P•Trap, 0 Undrgrnd.
DO NOT PLACE CONCRETE UNTIL ABOVE IS SIGNED APPROVAL TO DECK
Floo:Joists ! Backwash &Ruceptor•Finsl
Roc` Drains Heater&Vent • Final
Roush Plumbing Plumbing System_Final
Rough Electrical-Ccnduit Electrical • Final --
Rough Electric Wiring _ Solar System• Final
Rough Electrical.T Bar Ceiling _Fencing&Access Approval
Rough Heating&Air Conditioning APPROVED FOR PLASTERING
Ducts.Ventilating - POOL/SPA SYSTEMS FINAL
Gas Pipe. Rough&Test _^ r FIRE DEPT. R770UIREMENT —I—l—
Floor Sheathing
_Roof Framing— Underground Hydro
Raof SheathinD Overh,ad Hydro
T•Bar Ceiling _ r Dry ChemiMal
Frame and I lashing __— , L. Dry Standpipe —�
lathing&Siding FIXED SYSTEM FINAL
Insulation I _ ��}} OCC. FINAL
1 Drywall Nailing ��`�%yo HEALTH DEPT. REQUIREMENT
t— DO NGT PLASTER UNTIL THE ,ABOVE IS SIGNED Septic Sys._
Electrical Power Meter-Final --r —FINAL IN1111PEC�TIO�rN,.
Final Electric ,ZG �/ , cCI(� zl J T'r/
Find Heating& Air Conditioning ( r
Final Gas Pipe-Test
Hood or Canopy
Final Plumbing
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Water Servix•Final
Gas Service-Final I
Solar Domestic-Final
i
Backf low Prpver:ter
Backflow Lrr tior ^—
Landscape Irrigation System
SUB-LIST FINAL _
- FINAL STRUCTURE & BUILDING
PLANNING FINAL _
F--
Electric Release to Edison
Gas Release to Southern California Gas _
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