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11541 (SFD)Building Address Owner Mailing Address City Lig C Contractor T t 4.4. 4hf Q44a, P.O. BOX 1504 i A o. 78-105 CALLE ESTADO 51'-250 Ave Ramirez LA QUINTA, CALIFORNIA 92253 c Sterling Homes P.O. Box 450 Zip City Zip Tel.' La nurnta 92253 (619)564-1866 State Lia City & Classif.s 538535 Lic. # 859 Arch., Engr., Designer Urbina Aasoc . Address Tel. 6370 Anvil Lake Ave 6191463--3168 City f` Zip State San Diad a 92°11L9 sic: #'4-43 ail LICENSED CONTRACTOR'S DECLARATION- / I hereby affirm that I am licenied under/provisions of Chapter 9,(commencing with Section' 7000) of Division 3; of: thefBusiness'and Professions`Code,,,,, iy license is in full force and effect. 'r /!/; _ - /, J ./ 1:pl ////r2'/,!. J /s/s///>e OWNER -BUILDER DECLARATION/ r I hereby affirm that I am exempt from the Contractor'VLicense 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, of 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). O 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 of 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.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business anis 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 pals.., t to the Contractor's License Law.) ❑ 1 am exempt under Sec.---- ec. f , 8 P.C. for this reason ;e;T d Date Owner A WORKERS' COMPENSATION DECLARATION I hereby affirm that I have fa 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 O 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 Ing 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 sof this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip 11541 BUILDING: TYPE CONST. OCC: GRP.: A.P. Number 773-062"-011 Legal Description_Lot 12 B41Ock, 72 Project Description SFri 1'0-t-lil-11i 4'�?!.rtfk ..3 .. `._ic. t -r Oki , ZONE: BY: 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 Validated by: Validation: Permit Sq. Ft. Size 1535 No. No. Dw. Stories i Units 1 New�O Add ❑ Alter ❑ Repair ❑ Demolition ❑ por.ng f- dung not include block yiallsa or 0001. Estimated Valuation $90,923.60 PERMIT AMOUNT Plan Chk. Dep. 450.00 Plan Chk. Bal. 258.25 Const. 599.00 Mech.. 49.06 Electrical 126.82 Plumbing 144.00 S.M.I. 10 . 00 Grading 20.00 Driveway Enc. Infrastructure 2,007-53 TOTAL 3,464.60 3,.21460 REMARKS 1'0-t-lil-11i 4'�?!.rtfk ..3 .. `._ic. t -r Oki , ZONE: BY: 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 Validated by: Validation: Permit CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS 2ND FL. SO. FT. COLL. AREA YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® FORMS DRAINAGE PIPING WALL SO. FT. LOUGH WIRING. DRINKING FOUNTAIN. SO FT ® DUCT WORK URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES OTHER APPJEOUIP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GROUT LAUNDRYTRAY AIR HANDLING UNIT CFM SERVICE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB FINAL INSP. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL G� SO.FT.GAR ® 3/4c HOUSE SEWER REMARKS: 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 l UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEPTIC TANK / LOUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. L GAS (ROUGH) ! METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE all "Y/ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INSP. FRAMING �a(�{� YY FINAL INSP. Cj LL. ROOFING NU (�% . /� G� h GX0-y REMARKS: VENTILATION e FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL G 442& MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address Owner Mailing Address City 1A ti Contrac or _lA Address Po City State Li . & Classif. Arch., Engr., Designer Address P.O. BOX 1504 APPLICATION ONLY ► l ?, 5 0 4 f/ 6. 5 CCALIFORNIA 92253 Zip Tel. N 7A 'AD E L VE.n/rvaes ll Box 45o Zi TeL -WrA l City en Lic. # C 0 G 610 Te d7f,107.oBIQ iCE Zip SGare c C?.2 ej Lic.#G /3,333 TENSED CONTRACTOR'S DECLARATION 1 hereby affirm ?#censedunder Drovlsions (commencing with Section 7of Divisionusiness and Profess' Code, an y license is in full force and effecI. SIGNATURE OWNER -BUILDER D LARATION I hereby ffirm that I am exempt from th Contractor's License Law for the following reason: (Se 7103 1.5, Business and Professio Code: Any city or county which repulres.a P to struct, alter, improve, demolish, or repair any structure, prior to its issuance also .o.ires t applicant for such permit to file a signed' statement that he is licensed pursuant to. the provi Ins 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 4 subjects the applicant to a civil penalty of not more than five hundred dollars1S500). O 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 of 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.) 1*1 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.) .7 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 r7 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundied dollars (S.100) valuation or less.) I' certify that in the performance of thg work for which this permit is issued, I shall not-, employ anyperson in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT: M, 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 Ihereby 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 y FI WILDING: TYPE -fCONST. OCC. GRP. k.P. Number ♦ �:to 2 �l _egal Description project Description Sri PJ SLAM 1C AA S 11. Y Sq: Ft. Size New FW No. No. Dw. Stories _ Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation `•PERMIT AMOUNT CJ U Plan Chk. Dep. Plan Chk. `Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 7 REMARKS t ZONE: BY: 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: Validation:_ DESERT,SAND`S UNIFIED SCHOOL DISTRICT 82-879 Highway 1;11 NOTICE: Indio, CA 92201 Document Cannot Be tbplidated (61.9) 347=8631 Date ,11 /4/:92 I Type of . Permit .La Quinta No.. 11811 Permit`-# Log # Owner Name_ Sterling. Homes N6.,'51250 -"St' Avenue Ramirez City .L a Quirita Zip, 92253' .. - Study Area 113 AP1V #Tract # Lot # 0 Square Footage 1536 1 i . Type of Development Single�Family. ResidenceK No: of units Q Comments- At omments At the present time; the 'Desert Sands Unified' School District does not collect fees on garages/carports covered patios/walkways, :residenfial addition's" der '500 square feet, detached accessory structures.`or replacemeri6mobilehoriaes. It hasbeendetermined the, above-named owner is .e'xempf from, 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 1.58 X 1536. or $ 2;426.88"-- ' have been` aid to D.S U S D. for Da 0 P A4 that -building. permits and/or.Certifcates of Occupancy for the property listed.above this square footage:in'this proposed proje.ct'may, now'be issued:.' Fees Paid By . Sterling Homes Telephone $04-1866 Name on -the check ` By .James E. Lively Assistant Superintendent, Business Services - f : Fee collected /exempted'by - Vickie T. Durrett ,Payment_ R&kved- Signaturelyheck - No. 1146 Collector: Attach a copy.of 6unty.6r cityplan•check application form 'ki district copy for all waivers. Embossed Original- Building Dept./Applicant Copy ' Applicant/Receipt Copy : Accounting' yY,T•y'�"":,,..�n�'Yg�y�'r "�?v`tis'\�•'S�{i�°^^1FSkF.r"'N*'r+fr'ti'�7'`r"'''^' ''r�,,�,g'ax"�''l'"'.s:..�r*f�"`�'wWy}�'-"Hf..�<w..�.-•a_ 7+-r'-�r��-tw.r•..y� �t'F:ysir.��p:�d^.it'n`v n moo' 0 Q z c U LL V, qOUr TY OF RIVERSIDE HEALTH SERVICES AGENCY Assessors Parcel No. gPARTMENT OF ENVIRONMENTAL HEALTH 3 _06Z_— PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: qwbmit thiEdorm with four copies of a SCALED plot plan (1-20 SCALE) drawn ta:County speculations as indicated on the attached check list. WrIon-refuKdable, filing fee (see below) is required when the application is submitted. Check must be made payable to the County'of Ri3erside. provdof this application shall remain valid for a period not to exceed one year from date of approval. CZ) LOG # ' ° VE IFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION Agent, Contras o , ContactPerson r ` J Phone Address City State -S 5 S G ? <_U LA w U -7A J.V X 4 Owner Q :-4 Phone Address City State Zip S-7-tS AXW 4.4144r _1& .Riverside ❑ Indio 3-6 4,461),aA (fA A. y2 Zs � Job Property Address City t -A U r VA -T- + State Zip Legal Description Prop. (PM, Tract, Lot) DOH -SAN -122 (Rev 1/92) �i2E C A y2z S bLoTIZ Fac X72-; 54,)-7A C►Iz y . Lot Size Water,Agenc /Well Use of Permit P/P, CU, etc. Other t�v ACAG &L.4 -SVA 6;LF_ FAAJ!l 60 9C O/ A•-11-6 0 04446�' S Dwelling, MH Site Prep, etc. Ls 0 i0-ZU- r 4 i.. _ f I Date,, CATEGORY REV CODE FEE y err CATEGORY REV CODE FEE SUBSURFACE DISPOSAL (per system) 1238 $153.00 Z; ❑ °SITE EVALUATION UPON REQUEST .` 7349 $120.00 // ❑ M LTIPLE PARCELS WITHIN SAME LAND DIVISION - (NO{PLOT PLAN) 4- --' ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1 st 4 Parcels (Each) 1238 $153.00 [I PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 . ,., 7344 $ 55.00 (Attach Dl HrWSAN-53) �. • 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 p SITE EVALUATION in Conjuction with Critical Area 7346 $197.00 ❑ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 ' $ 85.00 ❑ COPIES (LAND USE) 7786.81 $ .50 INITIAL DATE ,Holding Tank Agreements Completed ❑ Yes No Certification of'Existing S.D. System Required ❑ Yes _ No WQCB Clearance Required ❑ Yes No (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required ❑ Yes No Special Feasibility Boring Report Required ❑ Yes C No Detailed'Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes I No Grading Handout Provided ❑ Yes C No i Staff Specialist.Lot Inspection Required ❑ Yes No ,Maintenance Booklet Provided ❑ Yes 1/1 qo Lot Inspection Date \ Initials C/42 / Soils Percolation Boring Report by F' 1 2 r' Licc/"Project # Date — Soils Map Page Soil Type Approved By I• -� Date No. of Systems Type of System(s) No. Dwelling Units (1) eptic Tank" Soil Rate Grease/Sand ' ❑ Holding Tank ❑ Replacement New ❑Addition Bedrooms, Fixture Units�" ` 39�� Z Greaselntep/UntTrap Existing ��� r, N t� d Gal. I"` Gal. Sq. Ft. Bottom Area Total Linear Ft. Sidewall Allowance Instal Line(s) n. long mwtd w'th Leach,Bed ft. Bottom Ar ff. rock/ sq. n. per ng -rt. of r Inlet Tested Depth O NA min. inches .bel rainlines or Pwo16 Bottom Tested Depth Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Tofal Depth Z 7 Other: Inlet (BI) (TD) Applicable X_ ❑ 5 A/c Max; Max:. Allowable Depth N/AOverburden Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved:-'- Sigriature Date REMARKS: i K • t •r h y .` This application i APPROVED ENIED for the category checked„in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanie using.ithe.requirements set.forth in SECTION C above. A building permit is necessary for the installation of the above -designed syste No construction is parmittadin the required reserved 100% expansion area- :: ( Septic tank must be 100' minimum from any wells Z. Leach linesmust be 100' minimum from any wells, including expansion area Seepage pits trust be 150' minimum from,any wells, including expansion area Signature of Health Official Date 62- `^ v ❑ CASH XrCHECKNO. 1115 �a RECEIPT NO. Issued By (U Date QZD p DISTRICT: ❑ .Riverside ❑ Indio ❑ Hemet ❑ . Perris ❑ Rancho Calif. ❑ Blythe s DOH -SAN -122 (Rev 1/92) DISTRIBUTION: WHITE—Office file YELLOW—Applicant', PINK—Bldg. Dept. GOLDENROD—Plans/Records e N &r -C. With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class I II DATE: 2/3/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 51-555, 51-535 OBREGON 51-250 RAMIREZ (Street address or Description of Location) PURPOSE OF CONSTRUCTION DRIVEWAY DESCRIPTION OF CONSTRUCTION 3/8" PALM SPRINGS GOLD DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED N A APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) SEE ATTACHED CONDITIONS APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all.. penalties, liabilities or loss resulting from claims or court action and arising out of any .accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the pfrmit a rall�pli'Cable rules ayQ regulaybns/ of the City of La Quinta and to pay for any additional replacement necessary as the res ul f this k. �` STERLING HOMES Name of Applicant (please print) Fghature of AppWrit or 50 LA QUINTA 92253 Business Address 546-1866 Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 638535 859 Contractor's License No. City Business License No. SCOTTSDALE GLS442093 Applicants Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule nspection Fee 'ermit Fee 'enalty ,ash Deposit -Surety Bond f required TOTAL: ciC $45.00 leceipt No. leceived by Date lecorded by 16GGI PERMIT VALIDATION PERMIT NO. - 1 666 DATE APPROVED _2/3/93 EXPIRATION DATE2/3/93 7UED By - Administrative Aut ority TELEPHONE: (619) 564-2246 I Rider for City of La Quin". a Encroachment PermitsNo. I LP6(0 Though the city code requires that new driveways be constructed with hard -surfaced improvements, the city will grant a one-time exception in the case of this driveway because of the possibility of a miscommunication on the city's part. unNcuuun rca .v s etc nn row *'vv� EARTH SYSTEMS CONSULTANTS S.C.. BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name Client Address Client Phone DATE -L( JOB NO. PROJECT c C, b ce LOCATION FIELD TESTING CONTRACTOR OWNER WEATHER TEMP. Oat AM 0 at PM1 PRESENT AT SITE VQO—u-� OPTIMUM TEST TEST LOCATION LOT FIELD TESTING REFERENCE CURVE MOISTURE DRY MAXIMUM MAXIMUM OPTIMUM TEST TEST LOCATION LOT NUMBER NO, ELEVATION CONT * ENT DENSITY DRY DRY MOISTURE % Ibs./Cu. ft. DENSITY DENSITY CONTENT r. a Q % ftJcu. ft. % ev c t' P S I Oc, k( i L).q 1(0 Z- Ib7 REMARKS: 10 6) .7 r, LA (�P' ps C, VIA .1 44 r4 co c4k,. At. I• Gvce '&C Y/ G i