0004-171 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
-' Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
ate /' 4tr' Signature of Contractor ^ -
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 ford,
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner}of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under ,penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation„ as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( f) �I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier �STAn. I.'UND Policy No. 22490.0009671
(This section need not be completed if the permit valuation is for $100.00 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 and`dgree that if I should become
si"ibject to the workers' compensation provisions of'Section 3700 of the Labor
,Code, I sha 1' forth ith comply with those ovlsions�
Date: Applicant
c..
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for: in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the .conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers,' agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is.,
correct. I agree to comply with all City, and -State laws relating to the building
construction, and hereby authorize representatives sentatives of this City to enter upon
the above-mentioned property for `rfspection,purposes.
Si • nature (Owner/Agent) %' -r Date
BUILDING PERMIT PERMIT#
(MM -171
DATE VALUATION LOT
TRACT
JOB SITE
APN
ADDRESS t^ CAL s O L0
76,9-114-017
OWNER
CONTRACTOR / DESIGNER / ENGINEER
I.A. QUMTA P AR7WM.ZS
VWM
P.O. BQX450
'78080 Celle Mtado
Ste 204
LA QUDITA CA 92253
LA QST{+,
CA
9225'
(760)564.1866
ML#
859
USE OF PERMIT
01.,E PAWLY DWMWG
SFD-PERMi T DOES NOT INCLUOV,13WC IC WALLS OR POOL. LOT S
$i.ClCK 4 OF MERT CILUB TRACT 0.
t
TRACT CONSTRUCTION 1,4 1.00 SF
PORCH/PATIO 33.00 Sip
OARA EICARPORT $00.00 8F
3 F11% WOOD FENCE 200.00 I.F
t.
.�:C"�f`'D COS'T� OF C�3k+7S`[x't.°i►�`a.2:ON
69,12.'"+.�3I3
y� yy /y-yr�t+ y-7���.,f'p �7jP:91'I'
£ rX' lG. SYJY it � 9 i�''J1YJ.L'AkS A.
�, h
CONSTRUCTION FEE 101-000`418-000 $594,:+0
PLAN MIEC K FEE 101-000-439-319 $500.07
MW11HANICAL YF1; 101-000-421`000 $60.00
LLECTRIC,ALFeP 191-000-420-000 $129.24
PLUMY31i3C} PL�E 1X11 -000-k419-000 $110.73
CIPAD.INC1 IRE 101-000-423-000 $20.09
yn
I9WELOPERIMPACT FEE "' ffi1,90°Y.UU
VE `—r
PR CIS& PL,&N 101-000-441,x345 $100.00
A.
FEE DEPOSIT1131-t�9t1�1 Sy -a I8 ^®a�0.v0
SUB-I`VdiALCO MWilMON AND d',S:JMN CT WiC.K
LIMIS PR s -PAID 2 EFS
4250.00
WWI, FLEW f DUX NOW
RECEIPT
DATE
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
O.K to Wrap
�J. (y - om 57
y_ys $>
Exhaust Fans
F.A.U.
Framing
Insulation
62;?o(
C1,23 . pp S (
Compressor
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath _
L_- 005--r-
;r-Drywall
Drywall- Int. Lath-
4
Final
BLOCKWALL- PPROVALS
Final
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Water Piping
_
b-� �a�
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole �Qjj 5
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
;.•.yiy,.;,.a•.':y,�yr;•j°'y,41•i'Hv rx.v5 parr-�v—•-ew.�`,�;,�t Wil;^ ::�... A. ,'sn: :-.a�'�a'fA'ew'; :•� ;;f6r. sF.,:?�6s': F
T i 'R4 r
f r J
PAID
13 2000 ci
P.O. BOX 1504 APPLICATION ONLY
Building A
� t `� ��� L �-/�'4,�9`'�CALLE T R PI 9
Addresses%%%���111i-'i r[Vlr'x C.L'�r + CALIFORNIA 92253 � .../
Ownepe 8 e -76 ®- --
u I LJT1�l �tiz-r�z..S
Mailing 1 �- t -
Address t ). x�%C U e
tty_ Zia Tel.,
, ya 2 S'3 64-• 1�:?6 fd
Contractor z
Addres
State Lic./ � City
& Classif. �6a j Lic. #
ngr.,
Addresa TeJ: �6
City. Zip State
-70 �9-2 C �' Lic. #
LICENSED CONTRACTOR'S DECLARATION `
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors 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 thstatement.
e 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 7031.51by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
C2 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'I 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.)
17 1 am exempt under Sec. B. & P.C. for this reason
`Date Owner
I .
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.
ji
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 %
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: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the i Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
l
. "IV
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
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 a0plicant - Date
Mailing Address
City, State, Zip
WHITE= FINANCE YELLOW
//1Y v i
NlJ'il/
BUILDING: TYPE'CONNST. OCC. GRP.
A.P. Number �%� i. ��4 7
Legal Description
Project Description
Sq. Ft. IL/ No. o.
DW.
Size Stories nits
New Add ❑ Alter ❑ Repair Demolition ❑
r"
w;t✓
Estimated Valuation 0'
PERMIT AMOUNT
Plan Chk. Dep. R �,
Plan Chk. Bal.Ir
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
infrastructure
TOTAL
REMARKS
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:
= APPLICANT PINK = BUILDING DIVISION
Al
Notice:
Document Cannot Be Duplicated
Desert Sands Unwed School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
Date - 5/18/00 APN # 769-114-017
No. 20455 Jurisdiction La Quinta
Owner NameLa Quinta Partners Permit #
No. 51-355 Street Calle Iloilo Log #
City La Quinta zip 92253 Study Area
Tract # Lot # 5 Square Footage 1421
Type of Development Single Family Residence No. of Units 1
Comments
- permit does not include block walls or pool.
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 mobilehomes. It
has been determined the above-named owner is exempt 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
2.05 X 1,421 or S 2,913.05 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued
Fees Paid By CCNalley Independent Bank - Mike Brauckmann
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Ellen Patino
r�
Signature W
Payment Received
-f ' `
Telephone .760-409-5422
$2,9:1T3:05
Check No. 216387
NOTICE: Pursuant of Assembly Bill 9081 (CRAP 549, STATS. 19%) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date an which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s) behalf, whichever is either.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
FJAvr.12. 20001L 3:28PM3V' POWER BROKERS No 1542 P• I
9771RC RQ7Q136iQ7
l M n+cq mom
iPL"%m Tlimm Bu"n
P.O. Bmt 134
LA QUMA, CALIPOMM 92983
GRANT Dm '
1 ono -alb
s'he undersigned grantor deolare pl,
Dooumeatary trasssfet tgse is $19.76
!DO( Com u -ted on full value of uey coaysyed/ or
CCaalm�usted ass fµ11 Val1tQ le B l�egf and enB�brences remaining at time of Qale.
Unincorporated areas ! � Ci at ,anew
a0& A VADUMI1 CQDAi=2W:(X, receipt at which to hereby eoknowledged, .
R ti>3M3m A. STE>DIPP>D61, A 4RA0(P
n
hereby MOM) to
a inLLI M TRMW VQ»'P=# Illi MAP= 10i1>;P
v
0 the real property in the City of LA GUZO ►, County at Rivareids, stats at oalifornie.
V described ser
Lot 5, Block i, Chit a%. 3, TMOt beeert club, as per W recorded in seo)k 90, Pa"(s) d
inclusive of maps, in the office'of the County Recorder of said County,
Dated Merl) 21, XQDO
state an Cdiisornia,
County at t.eoL sma\e s ) s.s, G=mm a. aT MIN
e ore to,
w , , personally appeared
P `,� so 29 93
Sims proved to me on
the basis of satisoutory evi4eooel to be
the psreon(el Whose m me(ml LF/mm tubsor0bed
to the within instm meat ar4 sakaouiedged to
ma that lie/she/bboy* executed the one in
his/her/Oheio authorised ospaoity(ies), and
that by hie/herAW" signatures) an the
instsvmsnt the person(s), or the entity upon
bo"19 of which the person(e) acted, executed
the instrument.
WLIW id
Signet
MAIL TAX STATE' PITS MS
MR9ARA tiff aR01tJN f
(Thio area for official notarial meal)
,,.,, J
County of Riverside
Health `service A9enn
Environmental Health
l
DATE 0411812000 TUE
_
5135.
$214.00
i TOTAL $214.00
CHECK $214.00
Terri M No 00532
TIME 14:10. �V 00
I L0 0-0
r -1a
ASSESSOR'S PARCEL NUMBER
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
APPLICANT. Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list.
A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County -of Riverside. Approval of this applica-
tion shall remain valid for a period not to exceed one year from date of payment.
LMS #
Age t, Contractor, Conta Person
L45r r' . - — / 4) ea
City State Zip
AddLo,j�,r 4-1; & 9 o--rn CA . ciz z -:;-3
Telephone
1-;74-/856
Q
Owner ,��� �a 01-9
/"lCl��/ ;-• F-�:DIF:4.t
`A dr ss City State Zip
-7
Telephone
� a�
ZO
Job Property Address
�' 3S,e C,4 /L p/ t_ v
City
A ltr�'d► C� •
Zip
`72 z S`�
�
V
LU
Lot Size
r
Water Agency/Well
Use of Permit, P/P, SUP, PUP etc.
Legal.pescription
Dwelling, MH Sit Prep., etc.
JC`I
A 19 1 *E
t!L(3��� %Z* -'j- OQ}!%�
Signature of Applicant Cr!
Date
CHECK 16"U IF REQUIRED ���• � C�(i tr � � (26
If any box is checked, this application shall a considered rejected until
❑ Detailed Contour Plot Plans Required (1 to 5 foot interval)
the Information is provided and the fee Id. Resubmittals later than 90
days after date noted below may require repayment of fees.
❑ Staff Specialist Lot Inspection Required
i
ca
Holding Tank Agreements Completed
Thomas Bros. Page Grid
Z
❑ Certification of Existing S.D. System Required
❑Date Lot Inspection Completed: Initials
U
❑ WQCB Clearance Required
LU
(Attach for DOH -SAN -007, Santa Ana Region Only)
Remarks:
❑ Soils Percolation Report Required
❑ Maintenance Booklet Provided
❑ Special Feasibility Boring Report Required
❑ Final Inspection by Department of Environmental Health is required.
❑ Rereview Required Initials Cate
Please call 24 hours PRIOR to inspection.
C/42 / Soils Percolation Boring Report by Lic/Project # Date
Soils Map Page Soil Type Approved By Date
No of Systems
T pe of System(s)
No. Dwelling Units
(1) Septic Tank
Soil Rate
Grease/Sand
Holding Tank ❑ Replacement
New ❑ Addition
Bedrooms, Fixture Units
t S �tL
Grease Intcp/Lint Trap
Existing
F, t{, , ,. �1'VC,�
Gal.
100.. 1
Gal.
Sq. Ft.
Total Linear
Sidewall 4llowance
Leach Bed sq. ft. of
Bottom Area
Ft.
Bottom Area
ft. rock/ sq. ft. running ft.
Install Lines) ft. long ft. wide with
Inlet Tested Depth ❑ NA
min. inches rock below drainlines or
U
Proposed Bottom Tested Depth
Z
Leach lines/bed special design for slope:
(3) Fit Diameter
No. Pits
Pit Below Inlet (BI)
Seepage Pit
Maximum
Other:
0
Total Depth
Allowable
i-
Applicable
I
Depth
UJ
.N/A Overburden Factor
❑ 5' 5
\
`
L�Q
TD `I�
y 3 I
Well Review Approved: Date: Well Drilling Permit #
SIGNATURE
Grading Plan Approved: Date:
sI
Sewer Verification Approved: Date:
Plan Check Only Approved: Date:
REMARKS: SPw�d,k s.._�e.� �n�� r,,,t 6C L t/ d•( A... �oy..1 4v,l;44rS
1
1 k 1-1.1111 fir_ . n•�F-51e n/ f. ,c. d, -+:.L -e d. •,e- G l • 1 ,,1
(�►n` �[l � �'t7-j-!/PQS (CdOt.� SGr-tTi�- SVS%i„� !
This application is`APPROVED/_DENIED for the category checked in SECTION B
FOR OFFICE USE ONLY
above, regarding the design of a subsurface disposal system as indicated on the
acompanied plot plan, using the requirements set forth in SECTION C above. A build-
,^�11
, V
ing permit is necessary for the installation of the above -designed system. No con-
struction In permitted In the required reserved 100% expansion area.
Revenue code 1 by 5 j Fee $
(1) Septic Tank must be 100' minimum from any wells.
4Check #
(2) Leach lines must be 100' minimum from any wells, including expansion area.
jj t� f
Date L'i ` 1 U ` 00 Initial
0
(3) Sewer lines must be 50' minimum from any wells.
o o S 3 Com.
Z
0(4)
Seepage pits must be 1517 minimum from aiy wells, including expansion area.
H
�. J
U
U.1
1-n
� \
-
Signature of Health Official
Date
utn-gray-iu tnev groat ulsinouuon: Vn1111 t—Unice rue; Ttl-ww—Appucant; VINK—tilGg. Uept.; UULDENRUL—Plans/Records
to
W217
/ �Ml
78-495 CALLE TAMPICO
LA QUINTA, CA 92253
(760) 777-7075
APPLICATION
FLOOD PLAIN DEVELOPMENT PERMIT
BUILDING SITE LOCATION
.FLOOD ZONE "AO"- DEPTH 1
PC-- T
COMMUNITY- PANEL NUMBER
060709 0005 B
/V
Map Revised: 8/19/1991
APPLICANT INFORMATION SECTION
APPLICANT NAME���
✓� ! �t,�.
APPLICANT
ADDRESS
�{�
`z
(MAILING ADDRESS, NOT THE BUILDING SITE)
(.,QA ts- {T`� -C
DAYTIME TELEPHONE N0.
INSTRUCTIONS
1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the
Applicant Information portion of this application and submit it to the Engineering Department along with the
required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and
Safety Department for plan.checking.
2. Documentation required for.STEP 1 OF 2 APPROVAL prior to receiving clearance. for Building Permit issuance
y Copy of the proposed Precise Grading Plan for review and approval containing all information required by
the checklist shown on the back of this application.
3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval.
Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety
Department authorizes foundation construction.
• Submit a completed FEMA "Elevation Certi)rcate" form to the Engineering Department.
• Submit 95% relative density soils compaction certification to the Engineering Department.
STEP 1 OF 2 APPROVAL
STEP 2 OF 2 APPROVAL
The Precise Grading Plan submitted for this application has been
All requirements have been satisfied. This Flood. Plain
reviewed and found to contain all data required to satisfy the
Development Permit is approved.
requirements of LQMC 8.11 The proposed dwelling is eligible to
receive a building permit upon satisfying all other Building &
Safety Department requirements..
A T ORIZED SIGNATURE D TE
AUTHORIZED SIGNATURE DATE
La Quinta Engineering D rtment
La Quinta Engineering Department
FO90 REV -1 11/99
CHECKLIST
FOR
PRECISE GRADING PLANS
IN "AO" FLOOD ZONE
1. Prepare Precise Grading Plan in accordance with Checklist for Precise Plans
and the following additional items.
2. All elevations shall employ the NGVD-29 convention.
3. Show and label elevation of "Highest Adjacent Grade" next to the building
footprint. This refers to the highest existing natural grade next to the
proposed building prior to constructing the elevated the building pad.
4. Show and label the "Highest Existing Elevation on Lot'
5. Show and label the "Lowest Habitable Finished Floor Elevation". Note, this
elevation shall be at least ONE FOOT higher. than the "Highest Adjacent
Grade" elevation. ,
6: The following grading note shall appear on the plan:
All fill material placed under the structure shall be compacted to
ninety-five percent (95%) relative density.
F080A 10/88
P. O. 'BOX 450 * LA'QUINTA * CALIFORNIA * 922.53-0450
760/564-1866 * FAX -760/564-2627
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following.-
-BUILDING
ollowing.-BUILDING ADDRESS: 51-355 CALLE ILOILO
Use Classification: SFD Bldg. Permit No.: 0004-171
Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC
Owner of Building: LA QUINTA PARTNERS Address: P.O. BOX 450
City: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: 11-09-00
Building Official
POST IN A CONSPICUOUS PLACE