The URL can be used to link to this page

0202-297 (SFD)LICENSED CONTRACTOR DECLARATION 1 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 .,Date , 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 for 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). r ( ) I am exempt under Section B&P.C. for this reason Date Sianature 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. 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:. Cartier Policy No. STATE, F11RD. 1640.40-0% - (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 agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions ?, bate:?// ) '"f Applicant'- am �+,&'/lsZ;✓•�+40✓ 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 forpa permit subject, to the conditions and restrictions set forthodn 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 t ;D any permit issued as a result of this applicaton agrees to, &' shall, indemni & hold harmless the City of La Quinta, its officers, agents and employee 2. Any permit issued as a result of this application becomes null and void i work is not commenced within 180 days from date of issuance of su permit, or cessation of work for 180 days will subject permit to cancellati 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 buildi construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent) BUILDING PERMIT PERMIT# DATE VALUATION LOT EZS,Y�- Fi'I TRACT 14n'..K 2.1..3' G:i`U, JSITE APN ADDRESS OWNER CONTRACTOR / DESIGNER / EN &NEER PO _T3X 2982 r9tik'�`••921) ,R.SfiYA"S VAN dYr'5..1', P 2+i1 &IEKt' 6A 922,61 isEP_VK7_V)A;C3ili A49 r.`A y92761 26 USE OF PERMIT M10,11 *VKMWY dF0 .. LOT ?, LSOH MASTZR-ft-EV i -EV B. Ak:P..AfiT =3140T T TNCL,U De ,l, �OCX WUL� 110014 Dk[VLVA.Y APPRO.ACK 194 FILAR CHROK DISCO UN T FOR M%J1. fiP1 E KMMITS 0P S.AAIt.E PIAN TYPE ISSIJKD SAM12, DAY `t11AC"T f`ONSTR13C'1° O'N 1,3:x' oo ap � P[yAc;KlPtfi'. 10 24.00 Sy G&RAWYCARPORT 440.01) 8F QF..r'�F CONS' .Ui."��,�:t,'N.. ,fir r�`g � yy'� ��y'•p�(�7.�(�,q.�yu�.a'y1�a�Ii.N.�3tf�,'.�,�'.�' il~.1:.s'�"iI�'�'di��:.C".s f94.7AY_IS�''4'].Y:i.7G CONSTRUCTION FEB 101-MO.418.000 "1 0P.00 PEE, DEPOSIT 101-000-439-318 00-439.31% 412$01.00 14WHi42+1t•CALP 101-000.421-000 $53.31.1 1.u.CTP CAL F"FE 101-000-420-4000 $110, 6 PWU.,MrfN0FEE 101-0 00-419-00.0 $126.50 SROM MO TAYN PER - R=D 101-000-241-000 1+,22 O:�tAiDW401rr.L DEVELOPER LOPER IVIR410 R14, $1,907.00 PRECISK1?LKN IOA�Ot3fi-X41-3 54 X100.411 ',- c3i.�'s3>i•CY�;.3��;C;C�1�'.i'R.[TG'�:t`LQ2�Y �8 ��%.��1� ti?�.�•`.{� �3Qe5?.0 MAR MAR 01 MYOR AQUIRTA i. RECEIPT DATE; ,_� BY -7;/ DA3.%NAeD 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 ,Z OZ Exhaust Fans O.K. to Wrap p F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath 7z Final Final BLOCKWALL A ROVALS Steel POOLS - SPAS 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 Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection ¢-a" Z �� Encapsulation Gas Piping Gas Test -o Z., Appliances ' Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main S rvice Sub P els Exterio Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final _ Utility Notice (Perm) �G COMMENTS: W r� �� . • "M��.. ,�,"��•�'�"�`'��'� • ' I ��'-`��'33�?'9,"-�-Fvw'-�.,...---ryr.-.,,., .,,».;�;v>;L,�rx".,••ia ',ql' 0,Z, -V7 BOX 1504 P CAA.91P_Y Building 78-495 CALLE TAMPICO (,,9(L,r,_ 4L)IoA, LAQUINTA, CALIFORNIA 92253 Address 2002 n—, 4) BUILDING: TYPE'CONST._0CC. A.P. Number !7 Legal Description Project Description 70- ca, 0 2 &Z 0: _4 Mailing Address ) 2- City Zip Tel. r-/ 1) �-(4z V 1-t Contractor Address \J zity, Zip, Tel., State Lic. City & Classif. Lic. # Sq Ft Size No. No. Dw. Stories Units Arch., Engr., Designer New 0 Add 0 Alter 0 Repair 0 Demolition 0 Address Tel. CityState T� Lic. # LICENSED CONTRACTOR'S DECLARATION I hereba . ffirm that I am Ijcer1se5,(�nc1a`r provisions of Chapter 9 (comnyegg with Section 7 l6f Division 3 of the,Business-and Profess Code, and my lice qae;ls in full force and a 7,7N ;�- 'Ins SIGNATURE— OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,gusiness 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 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 thealleged 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). as owner of the property, or my employees with wages as their sole compensation, will do ihe 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 of 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 buildin9 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.) Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing (1 1, 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 properly who builds or improves thereon, and who contracts for such projects with a contractorls) licensed pursuant to the Contractor's License Law.) 1'71 1 am exempt under Sec. B. & P.C. for this reason S.M.I. Grading Driveway Enc. Date —Owner Infrastructure 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 n Copy is filed with the city. 0 Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify thatinthe performance of thp 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 TOAPPLICANT: 11, after making this Certificate of Exemption you should become , subject o he Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: —Front Setback from Center Line Rear Setback from Rear Prop. Line 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.) —Side Side Street Setback from Center Line Setback from Property Line Lender's Name Lender's Address This is a building permit when properly tilled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. FINAL DATE —INSPECTOR I certify that I have read this application and stale 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. Issued by: Validated by: Date Permit Signature of applicant —Dale— Mailing Address Validation: APPLICANT PINK = BUILDING DIVISION City, State, Zip WHITE = FINANCE YELLOW = Desert Sands Unified School District 47-950 Dune Palms Road Notice: - La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 3/1/02 No. 23001 CERTIFICATE OF COMPLIANCE - APN # 770-166-020 Jurisdiction La Quinta Owner NameDGH Dev. Corp. No. Street Calle Kalima city La Quinta Zip 92253 Permit # 0202-297 Log # Study Area Tract # BLK2DCTU Lot # 7-8 Square Footage 3066 Type of Development Single Family Residence No. of Units Comments COVE- Tract Development, Single Family Dwelling Lot 7 @ 51395 Calle Kalima - 1533 sw. ft � -n R -n 5.14(15'('alla Kalima - 1-S��Tcn—f}� 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 2.14 X 3,066 or $ 6,561.24 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 CC PDNB/David Heusinkveld Telephone • Name on the.check By Dr. Doris Wilson Superintendent .Fee collected /exempted by Crystal Scott Payment Received $6,561.24 Check No. 083270/1 Signature NOTICE: Pursuant to Assembly Bill 3081 (CHAP 549, STATS. 1996) 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 on 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 ollect them on the District('s)(s') behalf, whichever is earlier. 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 FORESITE ESCROW, INC. 41-995 BOARDWALK, SUITE G-2 PALM DESERT, CA 92211-5110 (760). 773-5333 FAX (760).773-9289 D G H DEVELOPMENT CORP Date December 10, 2001 DAVID HUESINKVELD Escrow No. 2-34778 78921 RUNAWAY BAY BERMUDA DUNES, CA 9220 S' .stDS RE: apn: 770-166-019 & 020, La Qumta, CA Dear . We are pleased to .inform you that your escrow was closed on December 7, 2001 and we enclose the following for your records: Final Closing Statement Our Check in the amount of $95.93 representing your refund. Policy of Title Insurance No. R204149-1, to follow, issued by Orange Coast Title Company. Property Tax Information - For your information,' County taxes on real property become delinquent as follows: First installment after December 10th, second installment after the following April 10th. If you do not receive a tax bill one month prior to the delinquency date, a written request for same should be made to the County Tax Collector. Your written request should include the legal description and Assessor's Parcel Number (APN) of the property. When the lender collects impound funds for payment of.taxes, the tax bill is usually sent to there. . Any recorded documents which you are entitled to will be forwarded to you directly from the County Recorder's office. It has been a pleasure handling your escrow. We look forward to servicing your future real estate transactions. Foresite Escrow, Inc. Sydney Benoun Escrow Officer 00 SB �� a CHARLES D. GARLAND C17 Architecture, Interiors, Space and Land Planning Structural Calculations 8 March 2002 The City of La Quinta Department of Building and Safety 78-495 Calie Tampico La Quinta, CA 92253 Project: A Single Family Residence for: Development, Inc. _S( 14oks_ 41405 aIle Kalima uinta, California Regarding: Project Certification To Whom it May Concern, S��`fdS�k�Gl�Lt�1 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE-4�S�_l3Y I have been asked by D G H Development to certify a modest change to the standard single family dwelling he has been building up in the cove for some time now. This plasn is one that I personally provided the structural analysis for. D G H is proposing to add one truss bay to the 40' span trusses going over the main portion of the house. This change increases the area of the diaphragm in question from 1,040 s.f. to 1,120 s.f. This constitutes a 7% increase in area. In turn, applying a 7% increase to the walls directly affectred by this change results in the following: Wall A: goes from 6,401 lbs. To 6,849 lbs. (from 173 plf to 185 plf) which is still less than the wall's capacity Wall D: goes from 3,410 lbs. To 3,649 lbs. (from 110 plf to 118 plf) which is still less than the wall's capacity Wall F: goes.from 2,948 lbs. To 31154 lbs. (from 268 plf to 287 plf) which is still less than the wall's capacity Wall G: goes from 4,968 lbs. To 5,316 lbs. (from 276 plf to 295 plf) which is still less than the wall's capacity All aspects of the project's structural system have been observed by me many times and I have found it to be in substantial conformance with the structural design intent of the construction documents and based upon my investigations of the current calculations 1 find this one time change for a particular client of D G H Development to be within an acceptable range that will not adversely affect the structural as it is currently designed. If you have any questions or comments regarding these issues or any other issue please do not hesitate in contact- ing my firm. Si v el�, r Charle D. Garland 1 0 Architect 0 EXP. ATE a� or C 74-854 Velie Way, Suite 5 ❑ Palm Desert, CA 92260 ❑ Phone: (760) 340-3528 ❑ Facsimile: (760) 340.3728 7-771 C11991 20 February 2002 The City of La Quinta Department of Building.and Safety 78-495 Calle Tampico La Quints, CA 92253 Project: The Single Family Residence for: D G H Development at: Various Lots in: La Quinta, California Regarding: Truss Calculations To Whom it May Concern, : CHARLES D. GARLAND Architecture, Interiors, Space and Land Planning Structural Calculations I have been supplied with truss calculations prepared by J M W Truss of Cathedral City, California for the project noted above. Upon review of the calculations and in light of the structural design documents I find them to be in substantial conformance with the structural design intent as documented in the struc- tural calculations prepared by my firm for the noted project. If you have any questions or comments regarding these issues or any other issue please do not hesitate in contacting my firm. rely, lesarland Architect No.119 1 v l 0 31 0� EXP. 6ATE t Opc im6§5 ;d/ 74.854 Velie Way, Suite 5 ❑ Palm Desert, CA 92260 ❑ Phone: (760) 340-3528 ❑ Facsimile: (760) 340.3728 Sladden Engineering n7182 Stanton Ave., Swile E, Buena Park, CA 90621 (562) 864-4121 (714) 523.0952 Fax (714) 523-1069 39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 Datel::�s Jot) No. IZV — PY OU FIELD MEMO Project Name Site Address Job Phone Work Done Test Summary Footings Inspected Test No. Location LIME Elev. Dry Density Moist 1-6 Pelalivp Compaction 5,6 5 Z' Ret, Max I Moist PCf I _T ............. Comments Super. or Agent 24 hour notice reouested to schedule Field Technician. Thank you for the opportunity to be of service. 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 ADDRESS: Use Classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Type of Construction 51-405 CALLE KALIMA Owner of Building: DGH DEV. CORP Building Official vni Bldg. Permit No.: 0202-297 Land Use Zone: RC Address: P.O. BOX 2982 City: PALM DESERT, CA 92261 By: RICHARD KIRKLAND Date: 07-26-02 POST IN A CONSPICUOUS PLACE &'Y,449" 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760) 777-7075 APPLICATION FLOOD PLAIN DEVELOPMENT PERMIT BUILDING SITE LOCATION FLOOD ZONE "AO"- DEPTH 1 L COMMUNITY- PANEL NUMBER 060709 0005 B _ . Map Revised: 8/19/1991 ' APPLICANT INFORMATION SECTION •� APPLICANT NAME f/ t L --� APPLICANT -�' DAYTIME TELEPHONE NO. 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 • 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 Certificate" 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. Z� AUT�HORIZILD SIGNATURE D E La Quinta Engineering D ment AUTHORIZED SIGNATURE DATE La Quinta Engineering Department FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copygoes to A plicant PLAN C CK N MB� PCN Please use this Plan Check Number (PCN) FOSO REV -2 on all correspondence while plans 7/00 are In plan check 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: F080A All fill material placed under the structure shall be compacted to ninety-five percent (95%) relative density. 8 df aeu qa: oxq rt iZ "39ofIW tt )ipncgavncz IE- rto 400113 nolq r.; E)13 10199 0 C,4-1 -411V 'ex /- 11V/� 14�'AICE 019ZIvIlV6 I GRADING NOTES 1. ALL GRADING SHALL CONFORM TO THE UNIFORM BUILDING CODE, CHAPTER 7 0. /-1 /ORz A0 /,y -�-F 2. MINIMUM BUILDING PAD AND DRAINAGE SWALE SLOPE SHALL BE 3. MAXIMUM CUT AND FILL SLOPES = 2:1. 4. ALL GRADING SHALL BE DONE UNDER THE SUPERVISION OF A COMPETENT SOILS ENGINEER WHO SHALL CERTIFY THAT ALL FILL HAS BEEN PROPERLY PLACED AND WHO SHALL SUBMIT A FINAL COMPACTION REPORT FOR ALL FILLS. 5. NO FILL SHALL BE PLACED ON EXISTING GROUND UNTIL THE GROUND HAS BEEN CLEARED OF WEEDS, DEBRIS, TOPSOIL, AND OTHER DELETERIOUS MATERIAL. 6. DUST SHALL BE CONTROLLED BY WATERING OR OTHER APPROVED METHODS. 7. A REGISTERED CIVIL ENGINEER OR LICENSED LAND SURVEYOR SHALL SUBMIT CERTIFICATION OF BUILDING PAD ELEVATION. WHERE SPECIFIC ELEVATIONS ARE REQUIRED, THE EilEVATION '(WITH RESPECT TO MEAN SEAL LEVEL) SHALL BE GIVEN. IF AN ELEVATION WITH RESPECT TO ADJACENT GROUND SURFACE IS REQUIRED, THE ACTUAL DISTANCE ABOVE THE ADJACENT GROUND SHALL BE GIVEN. ,,:-ILI- A4.,ir,61nAL ZIND,6AF 7-1-1ZSr1?1-1Crl-11;F,5 51-4,411-4 Z- � G.E AID (XX',e-XX) 69/5F/A/6 6R,4DF- 2, Xxxlyy CIA1151-1 3. E Y/9 TING co N TO ZJR EX1Sr1N(:; 9,qAOE 6. rop 51- OPE,' C0 71,,cll- /5- 7 r. C. rop of cz1R,3 Fl- 0 I/V /- INS 16. POINT /0. 1E, P. coaz of R.4t1,c1wc1vr F. 5. ,c ISAI - -IN -IIVIS,41 EX1Sr1N(:; 9,qAOE INE /5- RIW RIGI-17-O.-c WAY 16. POINT lllal-- sr ext .67-11va E1-,Ez11-lr1o1v o1v ,-or 39. 1-7, CIE Ivrffl? /- //VF - 4 0 Wif 5 r rl-1,6 I -,E 1`-11V1,5WE L? R -C I—E VA r/ e) /V -540. e /& COAICRETE /9- T. 710P 0,4- WA ,?a- B. kv, 10 rro" 0/c- kv4 4 EA /? rH AVOIFA- rl-11.6 Y17 1?,OA 6,6 e5 rlWA r.E /s,"®R e, 0 /-1 RP,0104ER7-Y AOOR.656' 51- 4105 6,41-1-C I-CAl- IMA a 6. /-/ /,?,E" 1141. o PA -f zAl r co. 0. 19 clx z 9 e 2, 144 /- 4-7 0,06516ler, CA. Ph Tao -:FaO rl-l" El- 7%Z - /0,2"7® Ji ,8RI-755 CAP 11V COAIC V A,' 5 r- o/v A/wY 2. 0 A-111- 4� //a "/v 19'el-11No 6,5-0,4"o P 0 IV07- 7-0 5CII.1-45