Loading...
07-2616 (BLCK)4 P.O. BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA,.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT . INSPECTIONS (760) 777-7153 BUILDING.PERMIT c Date: 9/28/07 Application Number: ',07-00002616 Owner. Property Address: 53175 VIA VICENZE SEDONA HOMES APN: 772-520-008- 73-091 COUNTRY CLUB DRIVE t Application'description: WALL/FENCE , PALM DESERT, CA '92260 Property Zoning: LOW DENSITY RESIDENTIAL (760)77376633, Application 760)773-6633- Application Galuation:• 5840 y � - 1 • Contractor Applicant: Architect or Engineer. SUNROSE CORPORATION - 49950 JEFFERSON,: -4130-13 ` , N p tINDIO CA 92201 / CD �/ • (760) 347,'0089 Lic. No. `533670^ ' 1 1 LICENSED CONTRACTOR'S DECLARATION • '' - ' ° �' ' WORKER'S COMPENSATION DECLARATION .„ I hereby affirm' Linder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with thereby affirm under penalty of perjury one 'of:the following declarations: ' Section 7000) of Division 3 of the Business and Professionals Code, and. my License is in full force and effect. '�� I have and will maintain a certificate of consent to self -insure for workers' compens ', n, s provided .s License Class: B _ - - License No:: .533670 for by Section 3700 of the Labor Code, for the performance off the work for which permit is C' _ • issued. ` Date: = Z 7 <7 �C ntrraaat. �1 - � ry•I have and will maintain workers' compensation insurance; as required by Section 3700 of the tabor 'r, -� Code, for the performance of the work for which, this. permit is issued. My workers' compensation - ` OWNER -BUILDER DECLARATION - - > insurance carrier and policy number are: .', I hereby affirm under penalty ofperjury that I am exempt from the Contractor's State License Law for the a �Carrier'EXEMPT - Policy Number - EXEMPT • 1 - following reason (Sec. 7031,5, Business and Professions Code: Any city or county. that requires,a.permit to 'o I certify that, in the performance of the work for which this permit is issued,.I shall not employ any - construct, alter, improve, demolish, or repair any.structure, .prior to its issuance, also requires the applicant for the %f�..° .L . `person in any manner so as to become subject to the workers' compensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State ` r _ "t"• and agree that; if I should become subject to the workers' compensation provisions of Section_" License Law, (Chapter 9 (commencing with Section 7000) of Division 3 of -the Business and Professions Code) or ' ... 3700 of the Labor Code hall forthwith comply with those provisions.- ry that he or she 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 (S5001.: ' _ Date. . - - "�-T 'D, Applicant: 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 and Professions Code:. The - _ ,- WARNING: FAILURE TO SEC'' WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - c' and. who does the -work himself or herself through his or her own employees, provided that the _ DOLLARS 15100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within - . SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. " one year of completion, the owner -builder will have the burden of proving that he or she did not build or ( - ,• �. - r " . a , 'improve for the purpose of sale.). - - APPLICANT ACKNOWLEDGEMENT ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. - - IMPORTANT Application is hereby made to the Director of Building and Safety for a permit. subject to the 7044, Business and Professions Code: The Contractors' State License Law does not.apply to an owner of ' conditions and restrictions set forth on this application. - - - ' property who builds or improves thereon, and who contracts for the projects with.a contractor(s) licensed :. 1 . Each person upon whose behalf this application is made, each person at whose request and for ' .. :.� pursuant to the Contractors' State License Law.). _ - - whose benefit work is performed under or pursuant to any permit issued as a result ofthisapplication, (_ 1 I am_ exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City • of LaQuinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. - Date: Owner: 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 • CONSTRUCTION LENDING AGENCY - ,permit to cancellation.. - I.hereby affirm under penalty of perjury .that there is a construction lending agency for the Performance of the : - - I certify that I have read this application and state that the above information is correct. I agree to comply with all. work for which this permit is issued (Sec. 3097, Civ. C.). - �: 'city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property f ecti purposes. Lender's Name: - , —D - �'07 Signat- ure_ q licantor_Agentl `._....- - .Lender's Address: p`p - - LQPERMIT - - Application Number 07-00002616 Permit . .. WALL/FENCE PERMIT Additional desc Permit*Fee 81.00 y `Plan _Check Fee 00 Issue Date Valuation 5840 Expiration -Date 3/26/08 «- Qty 'Unit Charge Per Extension %BASE FEE - 45.00,- 4.00 9:0000 THOU BLDG.2,001-25;000. 36.00. Special Notes and Comments - -. - 208X6 GARDEN BLOCK WALL& 40X3'GARDEN BLOCK WALL PER CITY STANDARDS&APPROVED r _ PLANS . «. Fee summary Charged ..Paid Credited Due. - - -------------------.--. ------ --------------------- .£ ---------- _.. .00 ' ' ?.00 . Permit Fee Total �: 81.00 '° - 81:00 ` Plan Check Total.00 :•00 00 00" �, .• ' Y ! - Grand Total' .81.00 - .00 .00 81.00 + ' s .. .. .i LQPERMIT ,� - Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # " Project Address: -59- 1-7 S 11 ,c- V Owner's Name: A. P. Number: Address:. vs R - Legal Description: City, ST; Zip: 2'L Contractor: p . � Telephone: 6' O � � 7 ' % � 3 3 �� J 'r Address: 73. Qci Project Description: O L tkp� ' (oc�. City, ST, Zip:��: C` Lq C7 �' b /)(�� W� l Telephone:' State Lic. # : IT 3 - 6 p City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: $ ° . � . Construction Type: IBI W LI l Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: t7Q0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING , PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A: Approval Plans resubmitted Grading IN HOUSE:- i" Review, ready for correctionsfissue Developer Impact Fee, Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Al - CITY OF LA QUINTA SUB CONTRACTOR• LIST - CITY JOB ADDRESS.'PERMIT NUMBER OWNER _ _ - _ ., BUILDER This form shall be osted on the ob with the Building Ins ection Card at all times in a conspicuous place. Onl ersons a earin on. this list or their em to ees are authorized to work P J 9 p YP, Pp 9 p y on this job. Any changes to this list must be approved by the Building Division..prior to commencement of work. Failure to comply will result in a stoppage of, work and/or the voidance • of' -building- permit.. For each applicable trade, all information requested -below must be completed by applicant., --`.'On* File" is not an acceptable response. •... . rad Class�f�catibtt T e/ .: .:....:::....::.;:.' .:::::..:..............:....::...::::::::.::........... Contractor ...._............................. .:.: . :..:. ;.:... State Contracto s :............................:.::.::.:::::::::._:::.:.::::::. workers..Co.m arysucance:.::.:......................................... :ensaf o ....................................... P ................. ::.;:.:'.::.;::.::::' :.;:.; ::.;::.rCitY.:Business::.....: ...........::.. an Name - Company Com ' Classification C ss Number i Numb License l rt Ex P .Date Carrier Name C e, .. Policy. . Numb r ' Y Date' E x .D P r, . br License Num e Exp; Dat e P X XXX - ( e. . A B C 8 ) 9 1 xzxxxx ) xx xx xx ( / / 1 r. ate• Fund CaIC om e. . St 1 ( P 9 Format Varies 1 - xx x x xx / / ) xx xx ) xx x xx x / / ) ......... EARTHINOR "c 12 ` . r - ! CONCRETE C 8) ...::::.:::.... . 4.; • ' ......... .. .::::..:.:. . _ s , STRUCT STEEL ., ' a MA , , . mm W l� — �) d . a J �., r i Y : :. PLUMBING #C.36):. .- { r• . .... :.:::::.. :..:. LATH"'.:.PLA$TFR (C 35) >.' a , . t c• r , ,_� r . �a , r DRYWALL (C • -• - HVA 'C`20 ti l .: r ELECTRICAL (C 10) =_. .' ... ... ROOfI�IG (C :3g) . .• «., _ 3 w . i SHEET.METAL,(C 43) m FLOORING (C*:151:.:[. >>:::a: 4 � GLAZING (C 17) _ Y - - s • -J. ! 'i• SEWAGrt DISP _ .. + r i,. PRINTING FC- e ::. , 1 CERAMIC ..............TITL(C 541 � - • .. _ _ � � • ::-CABINETS ('C 6) I • • • • • - _ • u , r • _ �. � t �! , • 'r -. J• , .• FENCING (C 13) • L f • ". .r ,' 4 � IX LANA C'A ...I''G? 5: .. PIR POOL:.#C. 531.:......... _ - :. Underground Service Alert 0Ef0RE ro �o Call: TOLL FREE oe c 1-800 11 422-4133 TWO WORKING DAYS B$FORE YOU DIG 0 CONSTRUCTION NOTES 1. RE XAGT� TPSEGFI ALL WALI�S SEATWA��S PILAp?ERS ��ANt0Ss 2. ALL CONCRETE TO BE 5.5 SACK MIX UNLESS NOTED, TO OBTAIN A MINIMUM COMPRESSIVE STRENGTH OF 2500 PSI AT 25 DAYS 3. ALL CONSTRUCTION TO BE PLUMB AND TRUE UNLESS OTHERWISE INDICATED 4. VERIFY WITH THE PROJECT SOILS ENGINEER THE NEED FOR REINFORCING, BASE MATERIAL, PRE5ATURATION, ETC FOR WALKS, STAIRS, WALL FOOTINGS, ETC 5. ALL MATERIALS AND CONSTRUCTION TO CONFORM TO APPLICABLE GOVERNING CODES AND ORDINANCES (o, ALL CONCRETE PAVING, SUS -BASE TO BE A MINIMUM OF 31/2' THICK CONCRETE WITH EXPANSION JOINTS, AT S' -O' O.C. UNLESS OTHERWISE INDICATED. 1. PAVING AND CONCRETE SUBCONTACTORS ARE TO COORDINATE AND COOPERATE WITH THE ELECTRICIAN, DRAIN LINE SUBCONTRACTOR AND IRRIGATION SUBCONTRACTOR FOR SLEEVING, PIPING AND CONDUIT UNDER ALL PAVING. OFINISH SCHEDULE CALLOUT NUMBER + CENTER POINT OF RADIUS DIMENSION +18" SITE ELEMENT HEIGHT DETAIL VIEW DIRECTION tl ACONSTRUCTION DETAIL LETTER DESIGNATION** CONSTRUCTION DETAIL SHEET NUMBER** ') a 1 ! r F NfS�4 SC;SEDULE LOT 1a3= Via Vicerize 5YM. DESCRIPTION FINISH OR TREATMENT COLOR COMMENTS OI PAVER5TONE DRIVEWAY, MOTORCOURT 4 MASTER BATH PRIVACY ENTRANCE, TUMBLED 'TOSCANA' BLEND 4 PIECE PATTERN - 'BERGERAC' BELGARD PAVER5 '1 STONE PAVING 9 ENTFRY TOWER, INNER COURTYARD L W'� 'ARIZONA SUNBURST' -SEE PICTURE GROUTED JOINTS w/ 2 COATS OF NO -SHEEN STONE SEALER 0 CONSTRUCTION NOTES 1. RE XAGT� TPSEGFI ALL WALI�S SEATWA��S PILAp?ERS ��ANt0Ss 2. ALL CONCRETE TO BE 5.5 SACK MIX UNLESS NOTED, TO OBTAIN A MINIMUM COMPRESSIVE STRENGTH OF 2500 PSI AT 25 DAYS 3. ALL CONSTRUCTION TO BE PLUMB AND TRUE UNLESS OTHERWISE INDICATED 4. VERIFY WITH THE PROJECT SOILS ENGINEER THE NEED FOR REINFORCING, BASE MATERIAL, PRE5ATURATION, ETC FOR WALKS, STAIRS, WALL FOOTINGS, ETC 5. ALL MATERIALS AND CONSTRUCTION TO CONFORM TO APPLICABLE GOVERNING CODES AND ORDINANCES (o, ALL CONCRETE PAVING, SUS -BASE TO BE A MINIMUM OF 31/2' THICK CONCRETE WITH EXPANSION JOINTS, AT S' -O' O.C. UNLESS OTHERWISE INDICATED. 1. PAVING AND CONCRETE SUBCONTACTORS ARE TO COORDINATE AND COOPERATE WITH THE ELECTRICIAN, DRAIN LINE SUBCONTRACTOR AND IRRIGATION SUBCONTRACTOR FOR SLEEVING, PIPING AND CONDUIT UNDER ALL PAVING. OFINISH SCHEDULE CALLOUT NUMBER + CENTER POINT OF RADIUS DIMENSION +18" SITE ELEMENT HEIGHT DETAIL VIEW DIRECTION tl ACONSTRUCTION DETAIL LETTER DESIGNATION** CONSTRUCTION DETAIL SHEET NUMBER** ') a 1 ! r F NfS�4 SC;SEDULE LOT 1a3= Via Vicerize 5YM. DESCRIPTION FINISH OR TREATMENT COLOR COMMENTS OI PAVER5TONE DRIVEWAY, MOTORCOURT 4 MASTER BATH PRIVACY ENTRANCE, TUMBLED 'TOSCANA' BLEND 4 PIECE PATTERN - 'BERGERAC' BELGARD PAVER5 '1 STONE PAVING 9 ENTFRY TOWER, INNER COURTYARD ARIZONA FLAG STONE (I" THICK) 'ARIZONA SUNBURST' -SEE PICTURE GROUTED JOINTS w/ 2 COATS OF NO -SHEEN STONE SEALER O AND POOL DECK PATIO w/ RANDOM EDGE (Previously submitted on L/5c. colorblard) �r N 3 \1 lu Q) AVAIL. VALLEY BUILDING MATL'S. (160) 5354539 -Tim Bailey CONCRETE PAVING: LIGHT ACID -WASHED CONCRETE 'YOSEMITE BROWN' D O3 BANDING m DRIVEWAY, MOTORCOURT 4 MASTER N DAVI5 CONC. COLOR BATH PRIVACY ENTFRANCE, GARAGE SIDEYARD TRASH 4 UTILITY AREA. 0) (Previously submitted on L/Sc. colorblard) `i:5 11) POOL 4 SPA 0 CONSTRUCTION NOTES 1. RE XAGT� TPSEGFI ALL WALI�S SEATWA��S PILAp?ERS ��ANt0Ss 2. ALL CONCRETE TO BE 5.5 SACK MIX UNLESS NOTED, TO OBTAIN A MINIMUM COMPRESSIVE STRENGTH OF 2500 PSI AT 25 DAYS 3. ALL CONSTRUCTION TO BE PLUMB AND TRUE UNLESS OTHERWISE INDICATED 4. VERIFY WITH THE PROJECT SOILS ENGINEER THE NEED FOR REINFORCING, BASE MATERIAL, PRE5ATURATION, ETC FOR WALKS, STAIRS, WALL FOOTINGS, ETC 5. ALL MATERIALS AND CONSTRUCTION TO CONFORM TO APPLICABLE GOVERNING CODES AND ORDINANCES (o, ALL CONCRETE PAVING, SUS -BASE TO BE A MINIMUM OF 31/2' THICK CONCRETE WITH EXPANSION JOINTS, AT S' -O' O.C. UNLESS OTHERWISE INDICATED. 1. PAVING AND CONCRETE SUBCONTACTORS ARE TO COORDINATE AND COOPERATE WITH THE ELECTRICIAN, DRAIN LINE SUBCONTRACTOR AND IRRIGATION SUBCONTRACTOR FOR SLEEVING, PIPING AND CONDUIT UNDER ALL PAVING. OFINISH SCHEDULE CALLOUT NUMBER + CENTER POINT OF RADIUS DIMENSION +18" SITE ELEMENT HEIGHT DETAIL VIEW DIRECTION tl ACONSTRUCTION DETAIL LETTER DESIGNATION** CONSTRUCTION DETAIL SHEET NUMBER** ') a 1 ! r F NfS�4 SC;SEDULE LOT 1a3= Via Vicerize 5YM. DESCRIPTION FINISH OR TREATMENT COLOR COMMENTS OI PAVER5TONE DRIVEWAY, MOTORCOURT 4 MASTER BATH PRIVACY ENTRANCE, TUMBLED 'TOSCANA' BLEND 4 PIECE PATTERN - 'BERGERAC' BELGARD PAVER5 USE POLYMERIC SAND IN JOINTS STONE PAVING 9 ENTFRY TOWER, INNER COURTYARD ARIZONA FLAG STONE (I" THICK) 'ARIZONA SUNBURST' -SEE PICTURE GROUTED JOINTS w/ 2 COATS OF NO -SHEEN STONE SEALER O AND POOL DECK PATIO w/ RANDOM EDGE (Previously submitted on L/5c. colorblard) �r N 3 N J lu Q) AVAIL. VALLEY BUILDING MATL'S. (160) 5354539 -Tim Bailey CONCRETE PAVING: LIGHT ACID -WASHED CONCRETE 'YOSEMITE BROWN' ACID -WASHING TO BE DONE AFTER 15 DAY CONCRETE CURE O3 BANDING m DRIVEWAY, MOTORCOURT 4 MASTER N DAVI5 CONC. COLOR BATH PRIVACY ENTFRANCE, GARAGE SIDEYARD TRASH 4 UTILITY AREA. 0) (Previously submitted on L/Sc. colorblard) 11) POOL 4 SPA `V O PEBBLE FINISH PLAI5TER SUBAGE ------------ PEBBLE -SHEEN 'OCEAN BLUE' -VERIFY NO SHELLS IN MIX POOL 4 SPA COPING NATURAL STONE, CHISELED EDGES 'ARIZONA SUNBURST' -SEE PICTURE GROUTED JOINTS w/ 2 COATS OF NO -SHEEN STONE SEALER 13 2" THICK, 2' CANTILEVER, TYP. (Previously submitted on L/5c. colorblard) O� c0 IL RAISED BOULDER SPILLWAYS INTO POOL 'DESERT SELECT' BOULDERS BEHIND POOL SEE PICTURE SPILLWAY STONES TO BE HAND SELECTED FOR PROPER s 'COCO FLAT' STONE AT SPILLWAYS (Previously submitted on L/5c. colorblard) FIT AND AESTHETIC APPEARANCE. • COBBLE -LINED SPCA SPILLWAY 4 CHANNEL 'COLO FLAT' STONE AT SPILLWAYS SEE PICTURE AVAIL. VALLEY BUILDING MAT05. (160) 535-4539 -Tim Bailey INTO POOL '50NORA SHINERS ll" -3" DIA.) SET INTO PLASTER (Previously submitted on L/Sc. colorblard) WATERLINE TILE to POOL 4 5PA TUMBLED 'TROY' GROUTED JOINTS w/ 2 COATS OF NO -SHEEN STONE SEALER O 2" SQ TRAVERTINE ;STONE TILE S� (Previously submitted on L/5c. colorblard) a� ti M Q AVAIL. AT ARIZONA TILE (160) 321-2005 -Shawn Smedley OLOW WALLS 4 PILASTERS (TO 4'-(o' HT.) ARIZONA FLAG STONE, CHISELED EDGES THICK, TYP. *%I ZONA SUN QRST' -SEFL PICTURE viously fitted GROUTED JOINTS w/ 2 GOATS OF NO -SHEEN SEALER w/ STONE CAP 4 STUCCO SIDES 2" 2' CANTILEVER, su on /5c. colorblard) STUCCO FINISH TO MATCH RESIDENCE STUCCO COLOR TO MATCH RESIDENCE O BLOCK WALLS 4 END PILASTERS (5' 4 (o' HT.) STUCCO FINISH TO MATCH RESIDENCE STUCCO COLOR TO MATCH RESIDENCE COLOR(5) PER ARCH'S. PLAN -NO STONE POOL 4 SPA EQUIPMENT LOCATION- N/A N/A PROVIDE DRAIN TO THIS LOG. FOR CLEANING PROCESS OF O POOL CONTRACTOFR TO DETERMINE EXACT OR POOL FILTER. ADDT'L. EQUIP. 4 SFPACE REQMT'5. AS NEEDED. ORANDOM STONE STEPPPING PAPS ARIZONA FLAG STONE w/ RANDOM EDGES ARIZONA SUN�URST' -5EE PICTURE (Previously L/5c. AVAIL. VALLEY BUILDING MATL'5. (160) 535-4539 -Tim Bailey su mftted on colorblard) APPLY THINSET TO UNDER &IDE OF EACH PAD 4 SET ATOP 2 FT. 0 x b" DEEP WET' CONCRETE BED 10 TRASH 4 RECYCLE C14NTAINER LOCATION N/A N/A N/A II A/C CONDENSOR LOC:ATION(5) N/A N/A N/A 12 ORNAMENTAL LANDSCAPE POT LOCATIONS SEE PICTURES FOR EXAMPLES SEE PICTURES FOR EXAMPLES TO BE SELECTED BY OWNEIR BUILDER TO PROVIDE IRRIGATION 4 DRAINAGE TO EACH CA SEE PLANTING, IRRIGATION, (Previously submitted on L/5c. colorblard) (Previously submitted on L/5c. colorblard) OWNER TO PROVIDE PHITIGiRAPHS OF POTS FOR APPROVAL AND LANDSCAPE LI ILIGHTING PLANS FOR ANY PRIOR TO PURCHASE AND/OR INSTALLATION. ADDITIONAL REQUIIIREMENT5. PREFABRICATED SPANISH STYLE FOUNTAIN SEE PICTURE PROVIDED SEE PICTURE PROVIDED PROVIDE WATER, DRAINAGE: 4 ELECTRIC 5TU50UTS- THIS LOG. 13 AND BASIN (Previously submitted on L/5c. colorblard) (Previously submitted on L/5c. colorblard) 14 THI5 LINE LEFT BLAN< INTENTIONALLY N/A N/A N/A SEE SKEET L5=2 FO F-, SITE, FOOL 4 5f,4 CONSTf;PUTION DET,41L5. SASE INFORMATION FROV I DED E3Y 5fiRA�fiS, INC,. ARCH I fiEC.fiS, _A OU I NTA, r -,AL I FORN I A 8 FT. 1& FT, GiRAf11 H I G SCALE 1/8.1=11=0 O �p,NDSCgp HE �y Qa Signature 32 FT * 4/30/2008Da Renewal Date �J Date qTF CF s 0 r s • 'i -ft wn u o o u �r N 3 N J lu Q) N C.- N CV I 0) u 11) `V (D 0 x C> 13 13 O� c0 IL (Y -0 V ( -4 •,� s aaaaa oti- LL) • r` n s • 'i -ft wn w N C.- N CV I 0) U `V (D 0 x C> � O� c0 IL c s �s oti- LL) • r` n 47 = r_ S� o� ti oos a� ti M Q r— run OJ 1 PL., El Approved By: Date: 3/26/07 4/30/01 (o/25/01 I Drawn By: FJH Job No. 1 I ' LS -1