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0108-069 (SFD)1 LICENSED CONTRACTOR DECLARATION I hereby affirm, under penalty of perjury that• I am licensed under provisions of ,U)CtQt6r.T.8,Mommencing with Section 7000) of Division 3 of the Business and - t'4 LU Professionals Code, and my License is in full force and effect, Odd" Cl) 'License # Lic. Class Exp. Date lr� 0 141. r LLJ r Z Date •,$.1 !Q' A i Signature of Contractor L) OWNER -BUILDER DECLARATION UJ UJI r- hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: Z ( ) 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, Business & Professionals Code). 1, as owner of the property, am exclusiqely -contracting with licensed contractors.to constructAhe project (Sec.. 7044; Business & Professionals Code). V) O I am exempt under Section B&P.C. for this reason LO c1J Date Signature of Owner t 0 Cn < WORKER'S COMPENSATION DECLARATION Z C:) I hereby affirm under penalty of. perjury one,of the following declarations: 0 O I have and will maintain a certificate of consent to self -insure for workers' X U , i L—L compensation,, as provided for by' Section 3700 of the Labor,Code, for the 0 _J < _J performance of the work for which this permit is issued. 100 L0 < Se�ii I have and will maintain workers' compensation insurance', as required by on 3700 of the Labor Code, for the performance of the work for which this 1Ilpermit is issued. My workers' compensation insurance carrier & policy no.'are: 0) Z- Carrier Policy No. 00STA3 E FI)MD 229-00 UNIT 00009A C) < .(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 6 * compensation /11 � hLabor Code, I spall' oAhwith comply with thope provisions Date: Apolicgnt— 4/7,41/71A I//,' I I wl (_Wdfrningf FAlure to secure6ftrl(ers' 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 asprovided 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 pe rson 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 the above information is • 4. state at correct. I agree to comply with all City, and, State laws relating to the building construction, and hereby authorize representatives,, of this City to enter proupon I the above-mentioned pertyfor inspection purposes. 4 Signature (Own er/Agent)­`X'�W,44 A7 /f/A /&-f Date /1/ BUILDING PERMIT PERMIT# DATE i VALUATION LOT TRACT &"2 Mum) 31 25 217 JOB SITE - - APN ADDRESS . 49 -US V1'#3;f.A- VRRIVRA OWNER CONTRACTOR DESIGNER EN (NEER WC13AYL a, XXZ,'fiR.<rA5 YPARD. .91rHiYkrbN 301\i'`7;DESICYN, & C01INTSTRUC1101 49 -?A5 VIMAVIDT.R.TkA 110,'Yr 0FRCE DrUNER 4656 L�k QU)N'r-A, PALM DnERT CA 9'2261-4( 46-3366 MIX: 209.15 USE OF PERMIT 4FI) - PERAVI'VOPSWOT 1NCLUf&X8U)CX:WA1,LA POWs"P.A. OR DRNf RWAY APPRO.A.C*f CUSTOM, C -0M. ,%suoqv POPICIMOATIO asom V WLRAWCARIPORT M -2111"D coolf 011, PRUIVIXTIMERITAVAARY sl,qmoo PLAN CHECKK F&C 8 $45A.05 Xlrk�-DZPOSIT 101-OWC39­319 _$1Zi000.W M1,701NNICAL PUP, $162.50 EV, j; 7, TR 1 CA L R, F, $2971.34 PLUMBINU rat101 -000-419-000 $313.75 21T1 OW1 MOJ1014 FRE - RY51311) 101-W,,241-000 VC26 0A.1XI1INO IME $20-00 DEN&LOSI&P, WAXT RE 311907.0 A111111 PUBLIC PI.AVYci • MSIE.27.0-000-445-000 $656.40 C. W.VC ON fialiD.PT."Aw CHFIVIC LF33 M—PAM FUZ • i 41.000-001' LIIOV 0 9 2001 -.-. . ­­ - - - - 0,1411i MIT FUND1131r.Now CITY OF LA QJ& "A FINANCE DEPT i RECEIPT 1� 1-,C DATE DFI ED /,2. J7� INSPECTOFJ�, I I I _ INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION I DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings I - I $ i�� Underground Ducts Ducts Slab Grade Return Air Steel Roof Deck •r 5`0 Z,, Combustion Air Exhaust Fans O.K. to Wrap ��-8 Z, F.A.U. Framing 5— pZ (�- Compressor Insulationf �3-pZ� - ^J7 Vents Fireplace-F6ft_ f Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath _ , e dt l Final Final //_z _ G l �i�Qi ,�j�_- !r`• POOLS - SPAS BLOCKWALL APPROVALS 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 _ Heater Final . Water Piping r Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral_/ _ /��l-�07 a� Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test 77-7•�li'2_ Appliances Final COMMENTS: /A'ISGrIr(7�o .v C�•�7 .� �� .9t( Bl«.f.✓ Final A /IV IV ogww- Utility Notice (Gas) C_ ELECTRICAL APPROVALS Temp. Power Pole 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) JZ - -o ?i ,�i i Desert Sands Unified School District 47-950 Dune Palms- Road Notice:. La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 11/9/01 APN# E58-220-004 No. 22660 Jurisdiction La Quinta Owner NameNfichael & Karen Sheppard Perm t # 0108-069 No. 49-245 Street Vista Ventura Log # City La Quinta Zip 92253 Study Area Tract # 25237 Lot # 51 Square Footage 5521 Type of Development _ . Single Family Residence No. of units 1 Comments At the present time, . the Desert Sands Unified School District doesnot 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 =ollowing reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in be amount of 2.05 X 5,521 or $ 11,318.05 the property listed above and that bailding; ' permits and/or Certificates of Occupancy for this square footage in this proposed project may now b'z issued Fees Paid B CC / Wells Far o Bank - Pamela Salinas Y g `Telephone 760-346=3366 Name on the check By Dr. Doris Wilson F Superintendent Fee collected /ex pted by Annette Barlow 'Payment Received $11.,318.05` ^ , Check No. 0689023952 Signature NOTICE: Pursuant of 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 collect 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 r —.:rhi� GE CO ASI Y d i', CO. RECORDING REQUESTED BY AND WHEN RECORDED MAIL,TO: Michael P. Sheppard Karen M. Sheppard 1545 Via Leon Palos Verdes Estates, CA 90274 A.P.N.: TRA #: 631-820-004-0 t , R 434g% RECORD AT 8:00 O'CLOCK E I) nsfer Tax JOHNSON Recorder DEC 2 9199-D Recmded in Otk" Reemda dfFlW& ecounry,Cwftda Recorder Fees $ Space Above This Line for Recorder's Use Only Order No.: R-102004-3 Escrow No.: 2044-DJM GRAFT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAXIS: COUNTY $247.50 X ] computed on full value of property conveyed, or computed on full valueless value of liens or encumbrances remaining at time of sale, unincorporated area; [ X ] 'City of La Quinta , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, CITIZENS INVESTMENT CORPORATION, an Ohio Corporation hereby GRANT(S) to Michael P. Sheppard and Karen M. Sheppard, husband and wife as community property the following described property in the City of La Quinta, County of Riverside State of California; AS PER LEGAL DESCRIPTION MARKED EXHIBIT 'A' ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF. CITIZENS INVESTMENT CORPORATION, an Ohio Corporation By: By: X o Document Date: November 2, 1995 STATE OF P*LiFeRNm OHIO )SS COUNTY OF SUMMIT ) On November L'1995, before me, C. Jean Chester, personally appeared 1 iZe s noVees men Cprp ora ion y i iam ee , its ice resi en , and P Y PP err3� 2TT.II1]., a 4at-raf ary , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and' that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Si afore C. JEAN CHESTER, Notary This area for official notarial seal Residence Co. - Pei+ase Smie of Ohio My CO3)MiSsioii Exp. Oct. 19,1999 FROM STEPHEN JONES DESIGN CONST INC PHONE NO. 760.34&2625 Nov 09 2001 09:48AM P2 RECEIVED 6 1atuaCeri NOV 0 2001 gemeat 1'� B � November 1, 2001 Mr. Micbael & wren Sheppard 1545 Via Leon Palos Verdes Estates, CA 90274 RE: 49-245 Vista Ventura / Lot #51 Dear Mr. &.Mrs., Sheppard: The Board of Directors and the Architectural Review Committee met to review your September 27, 2001 submittal. Approval is granted and contingenvon receipt of the following items listed Fs well"as the understanding that the approval is based on the confirmation letter provided from ` Mr. Stephen Jones dated October 30, 2001 as it relates to the submittal review from the Association's Architect.Mr. Robert Ritchey dated October 15,200 1. 1. Resubmittal of the revised color board for Committee's review, per item 14c. 2. Signed Contractual Agreement (found with the Architectural and %ndscape Design Guidelines.. Note: Please have the builder submit .the appropriate inspection forms 10 working days in advance of the four (4) necessary inspections: Good luck with the construction of your neve home. . Sincerely, C Carol .Calhoun, Property Manager For the Architectural Review Committee .Enclave Mountain Estates Homeowners Association Cc: Stephen Jones Design & Construction; Inc Fax: 346-2625 Professional Community Management / Desert Resort Management Post Office Box 4772 -Palm Desert, CA 92261-4772 73-550 Alessandro, suite s • Palm Dessert, California • (760) 346-1161 • FAX (7601346-991 S T INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current e=n'ergy regulation, California Administrative Code, Title 24, State of California, in the building at 49-245 Vista Ventura, La Quinta, California CEILINGS: TYPE: Fiberglass BATTS MANUFACTURER: CertainTeed WALLS: TYPE: Blown i� Blanket MANUFACTURER: CertainTeed THICKNESS: R-38 THICKNESI3: R-23 GE A COR: TEPHEN JONES DESIGN &CONST, INC. LICENSE#: BY: . TITLE:A"1�� PARAGON SC 1D BUILDING PRODUCTS LICENSE #221517 .Baaf'&�� ITLE: ACCOUNT REPRESENTATIVE' DATE: 5%20102 SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY K, V 0 k y ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER 1( ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION q { - 2q b �s V eNi-kreo� �q u.�,.�-b-� REPORT SEQUENCE NO. TYPE OF STRUCTURE R2 p �iNE JE7Clr�r�� PERMIT NO. DATE �f-ZS—oz DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT M iehgsl INSPECTOR HRS. CHARGED ENGINEER Rl itJt— 6,4_44On,�N/EER [[ -rtL4/J ASSISTANTS HRS. CHARGED INSPECTION GENERALC • ' SUB / DATE CONTRACTOR J L,Q/�%e S CONTRACTOR Rego/ "Its- Ang, �4, ,B. b d 4F,,4_ @ &AfP-� H -rT- Z to" d• h e a( co %A a4ee d C Mf� E• �4 . (9 S'o Ck S / o C +4 7 -T -7--Z- 1 b" 'i t: -A . © &WPsT 894Sq' iEA5r &.-,�-roe--roe-I�rsslti A. 8, 5" £,6��/ .��- 3 ;z.H ® oT ice S=+cA oAct . � ZsiNT A l�a '4 , 51E f"1.6-pCF 3 6 1-ki e, u-3 -Pott lq;n-A, 8, A, g, S it ER• ® WW' -'--4 T' 4-L(- Yd &( 614 A.)" C I P a ti tC i'o 2 4m a 3 COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE 0 PAGE OF J CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERE NSPECTOR �- ZS- 02 ego is/I'?r DATE OF REPORT REGISTER NUMRFR A �y REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE, O STRUCT. STEEL ASSEMBLY K- "d K / ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION r^ _ ?,qS j C e &)�unA 1 L-cj 62 u1� J I` REPORT SEOUENCE NO. TYPE OF STRUCTURE - SFD NE S 7'7�F E�tlCL�IJE PERMIT NO. DAM 3-ty-oZ DAY OF WEEK MATERIAL DESCRIPTION loa✓ OJT £ie % �j 2� ARCHITECT - .til' C I% a e ( I �vo T- INSPECTOR �.. HRS. CHARGED ENGINEER EN 'rH �LVi e✓G- u rM 5.5. ASSISTANTS HRS. CHARGED INSPECTION GENERAL SUB DATE CONTRACTOR j •e k -or-) Jo N eS CONTRACTOR Ck6 Ca GH/ -A:) 3 y- oZ 0�7 ✓ �4 G� �� t— 2. 7/8 " �Lj N� 14- e 3 E, �, S�8 °' Lc S'': L e A, �A6 w 15 �v-��scC�( ®LJQST+-i�A-" .L, iTC.Hic4�i OAC on --",j5 Tc o o t- 60 H �B 95 TO �ov�t of 13 hrff 2 L Aa 13 s Y. -I& A� /.3.). E, 5W wl S" 'rdu "Cj"etit ® juoxn-f i -qA'!- .. 8 NtAia ens Cov��e� ��t, A- �,�.��ssi.vG•A , a At -G gvL.,e5 AIAVsg -eD f. ®lo&o^j Cc.eao---)ja.�or- Tv.. pox e COPY SENT TO'CLIENT O CONTINUED ON NEXT PAGE 0 PAGE [ OF I CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. i. T, '-� IzI SIGNATURE OF RECIISTERED INSPECTOR 3- I y- o T sr gee I t t 13 Z p,--Y'� DATE OF REPORT REGISTER NUMRFR • .... .._ ... 'f 4 7 • ' �: _ d1. - as I' •. .� p, .� r y� :, , '( - : - . — I -.1- . " ... - - I -.", , � . .- . .. , ,. ... . _ .. . , : , ..A: . ..�,� . —, , � , . ', ­ . . � ,. , , .., -, �, "I - I"' . .. .- , , . ,O , , � :1 . - I . , . I . I . - . . . ... � ;�. . �. .� - I... . I . , , o r e �_ I ILI . , .� � ., - . .,�- - -�, ... - ,:.:,-, ,: � -- _�� '.,, #� �, t", ". � ; .,t,\, . I -, ,, , 1; t�.. ,: ,-,�. t /,\' t ., ,,� �,, �: "_, ,11'..., I. ,.``//�! , ... , ,. . .... ... � -�_ � t Il � - � * V .1� � , ,.I �/,.; - ... ' 1 -�.�: 1,..1"I , --',. , 7 -- ,�:,*:.", ... . . ­ - -�,.-... . .. :.r :,,..,,p : .: ` =- 1. ` STR`UCTURAL AND CIVIL ENGINEERING:: -1 ..,. `�.-/. �, ,;,� " , , rt,' r i^\ 'DENISE R: POELTLER; INC - c :,' :73.661 Highway:'1;1.1 • 'Suite G .,• P Desert California 92260 ; . .. % .•� \�. .% -,... h y'. �.� .. . -� L - .. t _v I , - . \ `02 1VIay 200.2 r r - t - ' ' " Mr Tom Hartung,; Building Director � - \ " ' CITY OF' LA QU:INTA: - ' f .� . r Department of Bui-ldiiig� and Safety • ' ' ' ¢ . , '78495. Ca11e,Tampico : S1 r s a , La. Quetta, CA 92253 ' . _a - � j;� > , .:I.r. " , t - ARE : Sheppard Residence � . . �. 1. M1. j Job Site 49 2.45 Vista Ventura,`:The. Enclave `Y - :11Addres§: Subject StructuralObservation _ , - _ . , \ f '; , , . ;, ` �. 1. l :f 'Dear Mr Hartung:: a :` _- 4 �- { �.: �,. I have observed the structural ele1.ments and lateral load path for thesstructure. referenced `. ` ': ' ' �.` above and: found •them in substantial'confor trance yu thAhe structural documents prepared' ; _ A ,{ :,� by my firm `Y. �' I.- ; �� "3r y. l,. , - A. I .. - I. ; 3 ` ,_ . 1. ; � 1 f r til ` �q� Respectfiilly submitted, . ��' R. PpF j v t Q F �' I . . �. _ o Ido,=33446' \ �' Exp.6 30 02 , �° ,_ ✓. *V. r �; r s�g11f1� 'F =:� =Demse R\ Poeltler.' _ ��� F ', :R C.E 33446 �.. OF- CAL�E9Q t - t.�, • .. 1. ` y , I. \ �' r W O. 02 100 r\ 1 cc M.k Stephen Sones,•STEPHEN JONES CONSTRUCTION f7 - - _1. - .. 11 _ e-- ,_ ;_ . • - e ,\ : :. . ,., . : ^ r ,= - . . _ , r ._ _. c (� -' - '- '' i ; A- .. \ - / e '. I a J. . e �,- i `�- A -f - \ � ' Y• `�. .y ' 'l. a.- - '- v S� 9 :1 .. - \ L � '�. : 760) 77.9 04,05 O.- FAX (760) 779 1317 G . ,.. r > ;- 1 j s t _ j� y_ . REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 t Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION CTION PERFORMED REINFORCED CONCRETE )K&TRUCT.STEEL ASSEMBLY !' V ❑ POST TENSIONED CONCRETE ❑ ASPHALT O�O'THER O REINFORCED MASONRY ❑ FIRE PROOFING ���� JOB LOCATION / • F-1 Ge- -1 - u Lk REPORT SEQUENCE NO. TY NCTU:!S ^ M-5, PERMIT NO. D' O DAY OF WEEK MATERIAL DESCRIPTION =3.6 ;spa ARCHITECT IN A T�_ i - HRS. CHARGED E_ d� E -r -o i &v�kesS Y ASSISTANTS NRS. CHARGED INSPECTION GENERAL �� ,.. �� ��) CONTRACTS r , 1i � > DATE CONTRACTOR � G\/r W 99{ eLA.-A45 WQ.Lo tta Coo S pr G v2 L C -A Ti 0+� o 'S 46 We w cyj C.- Cow• kitz S Sr`M� COPY SENT TO CLIENT O CONTINUE O \NE%T PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. ®r ' ATRE OF REG.STERED I SP CTOR dl GATE OF EPO T REGISTER NUMRFR ;. ss FSI FOM Begin Date: la Job ftn:-���Pft*-44 fps • Job w.' c M. Sbop cvrw+V Ia a z *Materials and weldments conform to plans and specifications and RISC, and AWS D1.1 Shipping Mark __ Special Deputy Insp, 90S SHEL 6 P -Mo MENEM M,1111111111BEE1111111 NMI 111111111111iflom NMI 1111 is MERIEM 111111 111 Ew m,- 11111101111111 NMI 1111 NMI 1111 M,P1191111111211111111 gum iiiii�■iii��i�i 111111 *Materials and weldments conform to plans and specifications and RISC, and AWS D1.1 Shipping Mark __ Special Deputy Insp, 90S SHEL 6