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9804-025 (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 �r�( ltfl3t'� Date f � • Si nature of Contractor 1A A I! u `, !-1. 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). ( ) 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. ( ) 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 Policy No. (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. r 1 ate: rOApplicant 1 Y L 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 of this City to enter upon thabove-mentioned property for inspection purposes. I v,Signature (Owner/Agent) Date PERMIT#CONTROL# BUILDING PERMIT DATE VALUATION !,�.i2€+,1419.0f) LOT 44 TRACT 177 (( II JOB SIT ��f�h7�%P� i(Uti./ APN 631-820-020 d ADDRE OWNER CONTRACTOR / DESIGNER / ENGINEER pimfA celi�i4w'lyl"T!'M4t"/1x4 1 tf11 Y \d;V 0; S<V161.aY 1: Alo viS'l'A ROSA 71 -99--9 WOi,F RD .91.02 €,A. QUINTA CA 1 22253 I~'R.1JV1 OESf:R 6"A, 9221 t (7641)345_5521 (1101 111120 USE OF PERMIT - f aia1� - 3?iirC;+vft:l• 1;FtrJ1�� ,CvUl' IN�LG.1'�tw iii c`Jl�:h; �ri€.t,S 4 �[< I?I;�S:,. ?�0 U�, VCS U is\VI L J r:,T♦°?, MW 2 61998 1%) '3,10.00 S c nt2Ac11IC n�cliGtiat,°a` 1t13.liil N te',s,.TIVIIATED CCWI 01RCUNIn71ARt'r1.TION c.`+�f�S't'f7lTt:"1"ff?"t� fits Ifld-€).[f4tid1C1 $f,413.00 to AN Oflf,(-K 14:r} !i"It..t�_tt���itf� Ca f Ji th FIX, 0117TIOS€`€' 101 (AID -10r>7 31S 'o7Sil.fkr fv1T::(.'11ANW'AL €Mals 3.t?1-bflU :tz.tatit3ti g9�. 0 i'I H(,,', 'RWAL T'f fi 101-000-420-000 SZ4)J fig Hi l ffid)iiPsPT FIT.J." 1101-•i/�lyt{11(�)-� f 9..f++��1f1(I 90 1�Ntla i`Ii�f1l i,1?di�'J€`)111'0.;1,• RUS.1t,) 10,11 (�1(T-:,e11.000 fld .:4p i,+ltfi1J11yf1,f i^Ir 101430-423,000 k�tl:fii+ ldvt k�.A'�f'l�i+l: #`lil2)s a i is P15-000-441-3, Q tai iri(l.ftil +1'f2'0' 1'N PlfftfJV PI.A011,14 ,, Rf;Slf; 1f►14M-95S-O(W S€ Tt i 'f'<TfA1, ,('(94N"€ R I TOMW > N!) Pfe:A•N ('.{ 11Y tk 10 k 119 fif) i.i:Sti PR 1, 11:.5' at f7f} 11r, 2.Rif F 1�° 1:V 043F.1't'M 1L_ A , RECEIPT DATE BY . DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE TINSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air ' Steel Combustion Air Roof Deck _ Exhaust Fans O.K to Wrap / F.A.U. Framing QJ` Compressor Insulation GI Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath 9 Dr,rwall - Int. Lath � rK �� All BLOCKWALL APPROVALS 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 _ / Heater Final Water Piping 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 / 9 Appliances Final Final Utility Notice (Gas) 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)/� COMMENTS: �.%•'�O�ibi✓ �/�/G/"�S/L O7� j .i'x�r.�...gUera:p'r^'Axa.:.�-'�'�=+'t•¢�„�':�.,.�:�.rw�ti'i�+r;r'�"�r�+'�r.�,R���-,J'`at��+�k'I`���i��'�:4"i.�;`'�+d�``rij�r�w•yt.�.-'tt�tSY',. , ry _4 J�IA '�Osq P.O. BOX 1504 APPLICATION ONLY Buildin 78-495 CALLE TAMPICO Address -77- 4(oc '' i"F ,,r -a _ LA QUINTA, CALIFORNIA 92253 V All"i Mailing Address City Zip Tel. t QIO\.1 C Aaaress QQ 2.O ^V_r3?^�° I �V—�O City. Zj let,. Worryq t a.�'ClS "I Z� �O 4,5-%% State Lic. City & Classif. Lic. # Arch., Engr.,S �� t Le01W* 2;e Designer .L� f-� 1j =-�11�0 eLP/SGdD IZip.,2 Z,1 I State Lic. `l w 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 Contractor's License law for the following reason: (Sec. 7031.5,Susiness 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, 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 subjects the applicant to a civil penalty of not more than five hundred dollars (8500). l: 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 antl 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.) 0 I 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 n 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 (E100). valuation or less.) 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 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 ame 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 BUILDING: TYPE'CONST. OCC. GRP.. A.P. Number n]/" ^-19 nrn Legal Description Project Description 5 l7 Sq. Ft.No' No. Dw. Size 18-5-7 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. j -7J;O- oC) Plan Chk. Bal. 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 k Isiued by: Date Permit Validated by: P O Validation: APR 0 21999 WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION C"�/ ,'OF!,�!"9 Q, OU lJd1{NTA f t 6 99 f Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 5/22/98 APN # 631-820-020 No. 17060 Jurisdiction La Quinta Owner NameEvans Permit # No. 77-460 Street Vista Rosa *4 Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 3,858 Type of Development Single Family Residence No. of Units 1 Comments t 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: ` J EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 3,858 or $ 7,445.94 the property listed above _and°that building permits and/or Certificates of Occupancy for this square footage in this proposed projectmay'now'be Issued, Fees Paid By Cashier Check/l st Com. Bank/Mark Martinovich Telephone l 345-67 r Name on the check By Dr. Doris Wilson rA Superintendent L Fee collected /exempted by Juanita Green, Payment Received $7,445.94 Check No. 079898 Signature NOTICE: Pursuant of Asspphbly 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 fro(X the dale 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 Distric ('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 = OLD REPUBLIC TITLE C.Q, RSGO4WG REQUESTED BY: 443340 RECEIVED FOR RECORD AND WHEN RECORDED, MAIL TO: AT 5:00 O'CLOCK Michael Evans PAID DE C 3 1997 93908of Rive�sda county, CaBfom Riv. Co:co Rerder Recorder Fees $� THIS SPACE FOR RECORDERS USE ONLY ASSESSORs PARCEL No.: 631-820- 02o The undersigned Orantor(s) declare(s) that the DOCUMENT TRANSFER kr;, TAX IS: 1 TITLE ORDER NO:: 103290-13 $ 159.50 County $ City ESCROW NO.: 17216-001' Xx computed ori the full value of the interest of propertyconveyed, or computed on the full value less the value'of liens or encumbrances RANT D � � D remaining thereon at the time of sale ; OR transfer is EXEMPT from tax for the following reason: FOR A•VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, a William F. O'Connor; Trustee of The William F. O'Connor Revocable Trust dated July 13, 1988 , hereby•GRANT(S) to Michael Evans and Carol Evans, husband and wife as joint tenants all that real property situated. in the , Ci ty of La Quinta County of Riverside , State of California, described as: Lot 44'of Tract No. 25237 as per map recorded in.Book 228, Pages 95 to 99 inclusive of maps, more completely descr'ibedas per Exhibit "A'! attached `hereto and made apart hereof . t by this reference Dated November 02, 1997 j�l /�/STff STATE OF CALIFORNIA, } ivilli o'Connor; Trustee COUNTY OF \,pE• } ss: On Nova V\ea a- 5 , \ I CO , before me • •EL -k S a C . o I—1iV p -Z n , Notary Public, personally appeared �J il_ L\ Atm F . 1-�- Cow f , perm y-kneuvlpr­ te-Rae (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(&) '•- :'• ELISEO C. OLIVA, JR. COMMISSION #1074145 is/w subscribed to the within instrument and acknowledged �� Notary Public - Callfornla 9 to me that he/sl*Ahey executed the same in his/weir _ , RIVERSIDE COUNTY o authorized ca aci res , and that b his r signature(6) natures .. My CommlSSion Expires p tY( ) Y . /� 9 O Oct. t; 1999 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. Signature --�PC�•r- G� • (This area for official notary seal) MAILTAX STATEMENTSTO: Michael Evans -19000 Portola Drive, Salinas, CA.93908 NAME • ADDRESS CITY, STATE & ZIP A 43340 NO. 103290-13 2 r EXHIBIT "A" PARCEL 1: LOT 44. OF TRACT NO. 25237, IN THE'CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 228, PAGE(S) 95 THROUGH 99 INCLUSIVE OF MAPS, IN .THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. EXCEPTING THEREFROM THE FOLLOWING: A. ALL PREVIOUSLY UNRESERVED OIL RIGHTS, MINERAL RIGHTS, NATURAL GAS RIGHTS AND RIGHTS TO ;ALL OTHER HYDROCARBONS BY WHATEVER NAME KNOWN, TO ALL GEOTHERMAL HEAT AND TO ALL PRODUCTS DERIVED FROM ANY OF THE FOREGOING (COLLECTIVELY, "SUBSURFACE RESOURCES"); AND B. THE PERPETUAL RIGHT TO DRILL, MINE, EXPLORE AND OPERATE FOR AND TO" PRODUCE, STORE AND REMOVE ANY..OFTHE SUBSURFACE RESOURCES ON OFA FROM SAID,.LOT, INCLUDING THE RIGHT TO WHIPSTOCK.OR DIRECTIONALLY DRILL AND MINE FROM LANDS OTHER THAN SAID LOT, .WELLS, TUNNELS AND SHAFTS INTO, THROUGH OR ACROSS THE SUBSURFACE OF SAID LOT, AND -TO BOTTOM SUCH WHIPSTOCKED OR DIRECTIONALLY DRILLED WELLS, TUNNELS AND SHAFTS WITHIN OR BEYOND THE ' EXTERIOR LIMITS OF SAID LOT, AND TO REDRILL, RETUNNEL, EQUIP, MAINTAIN, .REPAIR, DEEPEN AND OPERATE-. ANY SUCH WELLS'OR MINES, BUT WITHOUT THE RIGHT TO DRILL, MINE; EXPLORE, OPERATE, PRODUCE, STORE OR REMOVE ANY OF THE SUBSURFACE RESOURCES THROUGH OR IN THE SURFACE OR THE UPPER FIVE HUNDRED FEET (500.dO) FEET OF THE SUBSURFACE OF SAID LOT. PARCEL 2: A NONEXCLUSIVE EASEMENT FOR INGRESS, EGRESS, OVER THE COMMON AREA, AS DESCRIBED IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS, AND RESERVATION OF EASEMENTS RECORDED MARCH 12, 1991 AS INSTRUMENT NO. 82168, OFFICIAL RECORDS: PARCEL 3: A NONEXCLUSIVE EASEMENT FOR ACCESS, INGRESS AND EGRESS FOR PEDESTRIAN AND VEHICULAR .PURPOSES OVER THOSE PRIVATE STREETS DESCRIBED AS THE "PUD ROADS"AND", VENTURE PROPERTY ROADS," AS DESCRIBED IN THAT CERTAIN USE AGREEMENT AND GRANT OF .NON-EXCLUSIVE EASEMENTS .RECORDED ON FEBRUARY 25, 1987 AS INSTRUMENT NO. 52339, IN OFFICIACR' ECORDS OF RIVERSIDE COUNTY, CALIFORNIA ("USE AGREEMENT"). C 1rt gs e���� O:isu:Hilteelt,it mom May 20, 1998 - Mr. and Mrs. Michael Evans Re: 77-460 Vista Rosa, Lot 44 Dear Mr. and Mrs. Evans, The Enclave Mountain Estates Architectural Committee has reviewed and approved your submittal of drawings for your residence subject to the following comments: 1. Please provide lighting plan for review, exterior sconces, light fixtures. Please submit Construction Security Deposit of $10,000.00 Please review the Architectural Guidelines carefully and note the In Progress Review Inspections noted on Page 29 of the revised Guidelines. Good luck in the construction of your new home. Sincerely, Marian Adkins, Property Manager Enclave Mountain Estates Homeowners Association Professional Community Management / Desert'Resort Management Post Office Box 4772 • Palm Desert, CA 92261-4772 73-550 Alessandro, Suite 5 Palm Desert, California (760) 346-1161 FAX (760) 346-9913 131. CITY OF LA QUINTA �. — BUI►.DtfN4._.8, SAFETY DEP..ARTMENT 777-7012 r 4� INSPECTION REQUEST•LINE" 777-7153, _ \ Owner✓ MIKE EVANS' Contractor SOUTH. POINT CONSTRUCTION 9804-025 Permit Number' POST ON JOB IN ..CONSPICUOUS PLACE .1 , INSPECTOR MUST SIGN ALL APPLICAABLE SPACES JOB ADDRESS 77-460 VISTA RAS SFD - PERI�IT-DOES NOT INCLUDE BLOCK WALLS OR POOL DATE INSP. TYPE OF INSPECTION ; FOUNDATION 8 SETBACK FOOTING STEEL ; MAIN GROUND SYSTEM {J. ¢� , GROUND PLUMBING PRE-GUNITE n-lv DO NOT POUR CONCRETE UNTIL ALL/ ABOVE S BEEN SIGNED CONCRETE SLAB JOISTS 8 GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS 8 GAS TEST. HEATING 8 VENT - AIC FIREPLACE ROOF ' BON EAM .91 O.K. TO WRAP GROUT. 0 4' 0 8' FRAMING INSULATION PRE=ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNETS ' DRYWALL INTERIOR r, j EXTERIOR LATH w POOL PRE PLASTER POOL FENCE 8 GATE j SEWER SEPTIC TANK f. FINALS /' c ELECTRICAL , PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER I fry 6�� JON TANDY-37630 Med'ool, Ave. OC � 4 RECD Palm 'Desert,,,, 92211Office .(760) 772-7192, Fax (760) 772-7193'- Paer (760) 776-3338 REINFORCED -CONCRETE _ ❑ STRUCT. STEEL ASSEMBLY ❑ + 1 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION Eo .POST TENSIONED CONCRETE ❑ ASPHALT REINFORCED MASONRY ❑ FIREPROOFING ❑ OTHERPERFORMED. JOB LOCATION \/\� 1,,�c/ry�'R-QP1 - A REPORT SEQUENCE NO.,X6 TVP OF R CTURE PIAN... PERMIT NO. , A E l .p u JVDMATERIAL DAY OF WEEK� DESCRIPTION �- x � ) �� �: ARCHITECT t INS TORL HRS.CHARGED l I ENGINEER • ASSISTANTS HRS.CHARGED INSPECTION GENERAL yam �, ®` ,L �'� . SUBDATE CONTRACTOR �(V CONTRACTOR l�J Oe c t1 L o� �r� ?C ( C-Csl ` s " SV+i-P- c ELD c0au-E �.dQ_ 1v�JCOPY SENT TO CLIENT UED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE'BEST OF MYS NA URE OF REGISTERE INSPECT RKNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE 0 1 ��NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED d Certificate of Occupancy tof La*Quinta y Building and SafetyD�eartrrtent.... cFl►f OF 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 comp/lance with the various ordinances of the City regulating building construction or use. For the fol%wing BUILDING ADDRESS: 77-460 VISTA ROSH Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9804-025 Occupancy Group: R-3 Type of Construction: VN Larid Use Zone: RL • a Owner of Building: MIKE EVANS Address: 77-460 VISTA ROSA ` City: LA QUINTA, CA., 92253 By: DANIEL P. CRAWFORD JR. Date: 12/31/98 Building Official POST IN A CONSPICUOUS PLACE