15327 (SFD)J X- -
.52-350 Avenida obreg®n P.O. BOX 1504
Building 78-495 CALLE TAMPICO
.Address LA QUINTA, CALIFORNIA, 92253
Owner
Ren Stenme.r
Mailing
Address 77-745 Delaware
Pty ala Desert zip 92211 Tel. 772'-:0046"
Ken Stemmer
Address
Same as above
el.:
State Lia City
8 Classif. 559937 Lic. # 2119
Arch.,'Engr.,
Designer
Address Tel.
City jZip State
LW /''^ Lic. #
1am'icensed under provisions of Chapter 9 (commening with Section
,tl)'e Business and Professionss,Code, and my license iscm full force and
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License law for the following
reason: (Sec. 7031.5,Busfness and Professions Code: Any city or county which requires a
permit to construct, after. Improve, demolish, or repair any structure, prior to its issuance also
requires the applLt for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the -Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division :3 of the Business and Professions Code, or that. he. is exempt therefrom, and the basis
for. the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 1: as owner of the property, or my employees with wages as their sole compensation, will
do the work; and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or frnproves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's License Law
does not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) pcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. 8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I here affirm that I have a certificate of consent to self -insure, or a certificate of
Worker'spompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Pol ic)o. Company
O opy is.filed with the city, O Certified copy is hereby' furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. N, after making this Certificate of Exemption you should become
subject -to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
No. 15327.
BUILDING: TYPE CONST. V'MW OCC. GRP. R3
A.P. Number 773-255-005
Legal Description Block 12 Lot 5
Project Description
SFD
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side.Street-Setback from Center Line
SHALL 906JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE '
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, l� / A \ $Iris St.. .7r9m Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.-,,
Sq. Ft. 1600
Size
No. No'. Dw.
Stories Units
New= Add ❑
Alter ❑ Repair ❑
Demojition ❑
by'_
I agree to comply with all ,city�and county ordinances and state laws relating to'building
construction, and hereby a`uthbrize,-representatives -of this city to enter -the -above.
mentioned property for inspectlon purposes.
Valid3tt�0'Dy:
"
�'��/
Signature of applicant N. Date
1—
Mailing, Address `•' - ..`
Validation:'?
_
City, State, Zip
L
Estimated Valuation
9,
$91,308.00
r
PERMIT
AMOUNT
Plan Chk. Dep.
0 • ou
Plan Chk..Bal:
Const.
30
.5U
Mech.
62T
D
Electrical
•
Plumbing
-.
S.M.I.
Sp
!P . I.3
Grading
td'. Vo
Driveway Enc.
Infrastructure.
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side.Street-Setback from Center Line
SHALL 906JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE '
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, l� / A \ $Iris St.. .7r9m Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.-,,
n
FINAL �D TE.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration It work thereunaeris,suspended for.180 days. . . , . ' .
J
. I certify that I have read this -application and state that the above information is correcf:'
Issued
by'_
I agree to comply with all ,city�and county ordinances and state laws relating to'building
construction, and hereby a`uthbrize,-representatives -of this city to enter -the -above.
mentioned property for inspectlon purposes.
Valid3tt�0'Dy:
"
�'��/
Signature of applicant N. Date
1—
Mailing, Address `•' - ..`
Validation:'?
_
City, State, Zip
L
/ 11 II ��I�I INSPECTOR_
��.• r 19"r' D I1 1 Pel
it
_'a
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIWy.'PZES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE �/j
ROUGH PLUMB.
'BONDING
YARD SPKLR SYSTEM
�
2ND FL. SQ. FT.
FORMS
SEWE RC T, ✓
I
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH) �/1/� /f
%%%% Y
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE �� S
DRAINAGE PIPING
CAR P. SQ. FT.
GROUT {
WATER HEATER
WALL SQ. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. ®
WATER.SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
,
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP. _
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE y DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT ( CFM
FIRE ZONE ROOFING
KITCHEN SINK
ABSORPTION SYSTEM ` B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM I FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
LATHING V ��
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
(
SQ.FT.GAR ® 3/4C
HOUSE SEWER
J
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
1
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
• STRUCTURE l - PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK g
GROUND PL�`
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �/j
ROUGH PLUMB.
'BONDING
HEATING (ROUGH)
STORAGE .TANK
FORMS
SEWE RC T, ✓
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF. /, ��
!!/
GAS (ROUGH) �/1/� /f
%%%% Y
METER LOOP
HEATING (FINAL)
OTHER APPIEQUIP.
REINF. STEEL .�'/f
GAS (FINAL)
TEMP. POLE �� S
GROUT {
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER.SYSTEM
GRADING
cu. , d
y
$ plus x$
,
_$
LUMBER GR.
FINAL INSP. _
n
FRAMING Y' �S~
FINAL INSP.
ROOFING
`
Q/L TJ ��L�i
�
REMARKS:
VENTILATION I
FIRE ZONE ROOFING
l
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
I
LATHING V ��
MESH
INSULATIONISOUND �/ 9
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SI(iNATURESIINITIALS
GARDEN WALL FINAL
n _TAt Y/
P.O. Box 1504 1�A�PPLICANON.ONLY
Building 7&105 CALLE
Address /p(fV'CC)TIJLA QUINTA, CALIFORNIA 92253 e
.
Address
,Git Zip Tel.
calm T)5 -;s eAr I wiz 0 ( Z 7Z--0046
Address
Zip
State Lic. Uty �� r
& Classif. �j G'j � 377 Lic. #
Arch:, Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
`�/L4CEWSED CONTRACTOR'S DECLARATION
I hereby affirp t,l pm li4nsed AdeV;ovisl0ns"�Tapter 9 (commencing with Section
7000) of ivi�� 3 of a B,- usinesnto ass'ons'Code, and my license is in full force and
effect
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for, such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I] I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner or property who
builds or improves thereon and who does such work himself or through his own employees,
Provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of -completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
F] I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044,- Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
- such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
1-1 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
F3 Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
Subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING DIVISION
BUILDING: TYPE CONST: OCC. GRP.
A.P. Number.
Legal Description
Project Description
Sq. Ft. % Q�No. No. Dw.
Size l -C Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. U �d
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
:n, U I
SIU III
TOTAL - HA A V 1 1000
REMARKS1 v
' iV
ZONE: 134
Minimum Setback Distances:
Front.Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validati
FA
CONSTRUCTION E$TIMA', E
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ _ --_ $
2ND FL. SO. F
POR W. FT @
GAR. SO. FT. @
CAR P. � SD. FT. @
WALL SO. FT. @
_ SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
IMOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
. GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11A c
SEWAGE DISPOSAL
SO.FT.GAR @ ?Ac
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE MECH.FEE
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
. GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
IN@iPCUI UK WUNA 1 UMCWINI I IHW
GARDEN WALL FINAL
•> rr.
..,ins✓-�. ``•..f;�.t>�
DESERT SANDS UNIFIED SCHOOL DISTRICT
82 -879 -Highway 111
NOTICE: Indio, CA 92,201
Document Cannot Be',Duplicated 619-775-3500`
Date 6/15/95
No. 13497
Type of Permit La Quinta
Permit #
Log
Owner Name Ken'`Sfemmer° ,
No..52=35Q Street Ave. Obergon"
' Zip.•: 92253 Study Area
City La` &nta112
APN # Tract,#' `-Lot # 0 Square Footage 1600
Type of Development Single Family .Resid&hi -e f =No. of units
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages /carports, covered-,patios/walkways, residential additions under 500 square feet;
detached accessory structures. or replacement.mobile,homes. It`has-been determined
the above-named: ;owner, is. exemptfrom paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school; facility -fees imposed pursuant to Government Code 53080..
in the amount of 1.72 X 1'600 or $ 2,752:00 have. been paid to D.S.U.S.D. for
the property listed above and -that building permitsand/-or,,Certificates of Occupancy for
this square footage in this proposed project'may riow be issued.
Fees Paid By . Ken Stemmer. '' Telephoxte,;-772-0046
•Name on the check.:
By Dolores A. Ballesteros`
Superintendent
Fee collected /exempted by MarVLouLo eZ
Payment R`ecei`�Pd -
Signature7
Check No. 414
Collector: Attach a c ' of county or,city planc,a .application form to district .copy for all waivers.
Embossed Original- Building Dept. /Applicant Copy -'Applicant/Receipt Copy -Accounting
FI-DELI'TY PD'
M
TEL Rug 03'95
RECORpnlO ftOUESTM BY
QUI -REPUBLIC TITLE
�C9YPANY
allD WMEh gfGOftpF0 wait TMS MO Mo UM.FSS OT.rtt W -'f
SPOO" BELOW. MAA frac 5WFugtir rO
Now* Mar,C Le$lanC
NNW April LeBI=c
73730 Highway 111
Palm Desert, Ca 92260
z
r*k o•d.., ,,.. 80473-.1.3_ .. F.,.:�w .3.. 958021RW'.
P A• 10
00c. TrarWw Tax
FRANKX. JON SON
Rh-. Co. Roowder
W
23:05 No . 025 P.05
U
1314M
RECENtD FOR RECORD
AT 200 01CU=
APR 26 1995
ft.=Aasuwm�
to ftinosevm coma
FiraB
T 3$5 logfr (2 44)
SPACE ABOVE TMS LME FOR RECMM'S USS
_
Grant Ted
THE UNDER31G2111:0 GRANTOR(,? DFCLARl-.ra?
RWUMENTARY TRAN_RFF,R 'SAX )f5 S
xMPW* t?ft full valur of lnrere+t,tW Pr VvR*# mmeyed. tv I
ctwrn"o) c•n full value Ira. %mile iv( Meth .>, ctnumhranie. rernae'j?ng at time of .atc. anJ
FOR A VALUABLE CONSIDERATION. receipt cif which r. hereby aclno%lCdFC 1.
MICHAEL IAYENDITTI-and ROSEMARY IAVENDITTI, Husband and Wife
herein GRANT(S) to
WC LE BLAi1C and APRIL LE' NANC Husband and Wife as Joint Tenants I
the follem ing described teal pnver y in the City Of LaQu i n to
cuuMy .,r
Riverside ..tate of Ciltf'"ta:
Lot 5 in Block 12, SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 1, aS per neap
recorded in Book 18 of Maps. page 46, in.the office of the Recorder of said County.
SITUS. Vacant Land. Avenida Obregon, La Quint&, Ga
ALA
Med January�t , 995
sTATE OF WlWAAJ OREGON
COUNTY OF AAk—va"
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VALUES, AND, EXEmpTioNs
LAND .15 918 *NET* 15,918
ADDITIONAL,.PRO PROPERTY INFORMATION.***
TAX CODE: 000 USE CODE: YY VESTING JT PUI CODE: P:07 ACREAGE:
STA
-MlP AMOUNT 7. 7 0 :F
---------------------------------------------- ------------------------------------
**END OF REPORT"
5-- /�O3�
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F4 TY Tt* --�,23':�03� N,b R .'0 2
--D'EIL
030 FIDELITY NATIONAL TITLE.; TNSURZaVCE,, Co..
T- E. L E TAX
ILGO
-----------------------------
-
RIVERSIDE 1994 95 'T IAX, ROLL: 08:33:211;
06/.18/5 S
----------------------------
----
PAYMENTS AS OF 05/28/95
kPN: 773-304-006-4'
CUSTOMER: SERVICE REQUEST ONLY�'.
TRA: 020017 - CITY OF LA
QUENTA DATE OF ACQ; 05'/91 DOC
#: 0180371-'
LEGAL' LOT 18 -nLK 141 MB
0'18/'092 SANTA. CARMEL T TA VALE LA QUINTA UNIT
15
SITUS:
MAIL: 2230 LAKE PARK DR.
NO 213 SA -NL JACINTO 'CA 92583'
ASSESSED OWNER(S) ---------------------------
----- IST HALF ----
2ND HALF,
FINE SARA G
STATUS **'PAID
PAID.
FINE THOMAS W
PAYMENT DATE 11/23/94
01/31/95
TOTAL TAX
399,56'
rr-
J.AX, INSTALL 199. 78.
199.178
PENALTY. 19.98
29.98,
BALANCE'DUE .00
-00
***-TOTAL TAXESDUE
.00"'
BILL- 000578674
SPECIAL -ASSESSMENTS
INCLUDED IN. TAX, AMOUNTS
Fb-ND TYPE
AMOUNT DESCRIPTION
68-238-1 11915 BOND
170.00 LA-QUINTA.AD 91-1
68-5859 MISC ASSMT
30.00 CWT) AVLBLTY'CHG IMP 55
68-,2373 LNDSCP/LTG
11.56 'LA QUINTA LD'SCP'& LTG
68-4882 MTSC ASSMT
10.00 CVW-E) STANDBY Cl-LA-RGES
.2221,56-, TOTAL, OF SPECIAL ASSESSMENTS
VALUES, AND, EXEmpTioNs
LAND .15 918 *NET* 15,918
ADDITIONAL,.PRO PROPERTY INFORMATION.***
TAX CODE: 000 USE CODE: YY VESTING JT PUI CODE: P:07 ACREAGE:
STA
-MlP AMOUNT 7. 7 0 :F
---------------------------------------------- ------------------------------------
**END OF REPORT"
5-- /�O3�