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BRES2021-0882Permit Details PERMIT NUMBER City of La Quinta BRES2021-088 Description: MCDONOUGH / [6] WINDOWS AND [1] PATIO DOOR Type: BUILDING RESIDENTIAL Subtype: REMODEL Status: FINALED (WEB) Applied: 12/14/2021 ECON Approved: 12/15/2021 AHI Issued: 12/16/2021 AOR Finaled: 1/18/2022 JFU Expired: Parcel No: 774245008 Site Address: 54400 AVENIDA VALLEJO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 290 Lot: 17 UNIT 26 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Valuation: $4,075.00 Occupancy Type: Construction Type: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE [6] RETROFIT WINDOWS AND [1] PATIO DOOR THROUGHOUT DWELLING. THIS PERMIT DOES NOT INCLUDE ANY ALTERATIONS TO EXISTING PENETRATIONS. 2019 CALIFORNIA BUILDING CODES Process Summary 33 Applied to Approved Approved to Issued Issued to Finaled ADDITIONAL SITES CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT ANGELA GOODMAN: PROJECT MANAGER 1507 MARLBOROUGH AVENUE RIVERSIDE CA 92507 (760)771-5661 angela@calshowcase.c om CONTRACTOR CALIFORNIA SHOWCASE CONSTRUCTION INC 1507 MARLBOROUGH AVENUE RIVERSIDE CA 92507 (760)771-5661 angela@calshowcase.c om OWNER MICHELE MCDONOUGH 54400 AVENIDA VALLEJO LA QUINTA CA 92253 (760)771-5661 FINANCIAL INFORMATION Printed: Tuesday, October 10, 2023 4:48:44 PM 1 of 3 CRWSYSTEMS Permit Details City of La Quinta DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS 5B1473 FEE 101-0000-20306 0 $1.00 $1.00 12/16/21 WEB10172 634 268 537 CREDIT 912352 ECON Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 $21.00 12/16/21 WEB10172 634263537 28 CREDIT 912352 ECON Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 $21.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 12/16/21 WEB10172 634263537 28 CREDIT 912352 ECON Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00 DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $70.03 $70.03 12/16/21 WEB10172 634263537 28 CREDIT 912352 ECON DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $68.36 $68.36 12/16/21 WEB10172 634263537 28 CREDIT 912352 ECON Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION 2021: $138.39 $138.39 TOTALS: $165.39 $165.39 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES 1 Printed: Tuesday, October 10, 2023 4:48:44 PM 2 of 3 CRWSYSTEMS Permit Details City of La Quinta FINAL** JFU 1/18/2022 1/18/2022 APPROVED MICHELLE MCDONOUGH FINAL WINDOW INSP. 1/14/2022 2:47 PM CALIFORNIA SHOWCASE CONSTRUCTION INC FINAL WINDOW INSPECTION PROJECT MANAGERL: Angela Goodman CONTACT#909-567-7737 Contact Name: CALIFORNIA SHOWCASE CONSTRUCTION INC Site Address: 54400 AVENIDA VALLEJO Phone: 9516820208 e-Mail: angela@calshowcase.com REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE I RETURNEDDATE STATUS REMARKS NOTES 1ST PERMIT TECH — ETRAKIT (1 DAY) PERMIT TECH BUCKET 12/14/2021 12/15/2021 12/15/2021 COMPLETE BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 12/15/2021 AARON HICKSON 54400 AVE VALEJO SITE PLAN APPROVED.pdf 54400 AVE VALEJO SITE PLAN APPROVED.pdf 1 DOC 12/14/2021 Etrakit Contractor WINDOW PERMIT APPLICATION McDonough permit app.pdf 1 DOC 12/14/2021 Etrakit Contractor WINDOW PLOT PLAN McDonough window plans.pdf 1 DOC 12/14/2021 Etrakit Contractor APPROVED CF1R McDonough window permit CF1R-ALT.pdf 1 Printed: Tuesday, October 10, 2023 4:48:44 PM 3 of 3 CRWSYSTEMS t! add& --,a?,rlri,,,II)E!SliEi II" - PERMIT # PLAN LOCATION: Project Address: 5LLq .11.c(- `da_ Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Y/% u Z'� Qlr c !b 0 e--1i \.P la ie lJC_ (- I id ,-L- Applicant Name: IA l j a Gn /�Jt-Y La / v 7 PTI 1 L'o he ! N/ , V o ! Y clap V California owcase Cons Address: 1507 Mart, Construction, Inc, lorough Avc -�--�- LO' (-� U {MOS 4 ; ��1a. `-� Riverside, CA 92507 City, ST, Zip: r.`/ p3 (, i or Telephone: 61 D of Project $ q Le 5 Contractor Namezd i alb Construction: rfl `bi 6 cO( G&(� Address: Conditioned Space SF City, St, Zip California Showcase Construction I. 1507 Marlborough Ave/1 Garage SF Telephone: Riverside, CA 92507 p Patio/Porch SF Email: Fire Sprinklers SF State Lic: 6 1 a 35 City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name:m 1 j e p Lz `'' 1. New Commercial / Tenant Improvements: Address: l d i 1 Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: 9 to CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 �5D'I 1�lGrt�orUuyF� {yUL.K�V�r��le,CH �1150'7 u: -1-Kam-f Dir: �.Ci,U -i-ovrl, c .ilvc ocCLS 5 D'7 1u1a.r o0rou-gh i4IC • Ri V�►��de� C A c32507 0 '��r5 � LinL � D� Aftl�n uot�- � P�'' «iCfoLL Lo_ fli)c1oLi6 a cookizineb bouertz P\tc_n v qqqq i„, 00 Lft Qu(nfa, CA g2�3 gojaa---( Man eioar2o. 0 A da C-toocEfw qoq-5t�'1.`)r737 Co nf�c-�' Witt sale c u e Fi rg of sp+ion oFFIC5 V1-IraCT_ 145.15 ,2(, .5-4-taarz- /15.25. •Z2 lYlko 53-.7-5x 45. 5 �� fk�, lo. coo 35 GPRAGE 4.1.\, 11-A All RP(XE «ljMr WUt0oWS BRES2021-0882 / 54400 AVE VALLEJO CD flow %,5 LivA U caa r 2149 U _ (I�415iZ2.S 3¢-(ac = � •15u,.84, 50 ,2.2 0'115 X 5/.50 1154 Z 2. 5z ---D.‘2_1 mar boAdot.0S ( 'Kart po door r ( - ox PD ftP u 2.42 54-iZC: Z( GD 4l5w22.5D .415x5?.o xo xo q 5 x 34/, 50 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE 12/15/202113Y AMN REPLACE [6] RETROFIT WINDOWS AND [1] PATIO DOOR THROUGHOUT DWELLING. THIS PERMIT DOES NOT INCLUDE ANY ALTERATIONS TO EXISTIN( PENETRATIONS. 2019 CALIFORNIA BUILDING CODES 54-1 G.0 = , 2 2 ifs'. 2 5 x 33. 25 WiodoGo5 t_ si►( he�3 f _m ()* 5. 0__.+ 5 bedrooni ress �. 9 � �v�nica �Ic�(e�o 0 Tor.v_r. -b La_ Pan tiuy(f__ «hDofto h 5-H-00 n qefl i da. Val l2 n La_ (Qu:in+a, CA 922S (C 1 i E,c��nrl� NI v1DoWS n L hR C ( i- 12i Mar W i lqLCdort) r(Lowbu po .0 door -X. All 1),).tndods mial siretkir-Lrnu\-k-. �l Avg_n;da Vcd(.6o CALIFORNIA SHOWCASE CONST INC 1507 MARLBOROUGH AVENUE RIVERSIDE CA 92507 Quote Number: 95146 PO Number: MCDONOUGH Job Name: Line Hameawller: MCDONOUGH tf 54400 AVENIDA VALLE„1�O LA QUINTA, CA 92253 Location Description 2H 2H1,rCOMBINATIO 7 .r vyil a 2 HIGH 4FFMULL T 045.0000 X 057.5000 TOP = 1/2CIR ►" BOTTOM =X0 +r- *D1SCLAilaIERk Viewed from Exterior Image may not reflect Options ae Memel:: Please verlly+In product description Line 2 Location 511 /2;056' Customer Approval: QtY Description 3 U2CIR 112 ClL /OP DM 2 1/2CIR d:F F / 45.0000 X 022.5000 LEG HEIGHT — 000.0000 ON / ARGON Y (SP)LECL U-FACTOR ¢ 0.25 /SIJGC = 0.24 VLT = 0.56/COND.RESIST = 61 g.d Customer Approval: Created on: Oct 13, 2021 11:16 AM 1 f 4 Line 3 Location QtY 3 XO SINGLE SLIDER Description Line 4 SCl/N. aDE 'MODEL ETM DM.2 XO 4FF 0(5.0000 X 034.5000 , j (SP) LE CL LEFT l•� (SP) LE CL RIGHT ARMOR ) r1 ARGON rJ SCREEN = HALF EXT STD �j + ORIEL = 050.0000 II -FACTOR = 0.26 /SHGC = 0.22 TILT 0.5I / COND.RESIST = 63 LOCK TYPE w2 CAM -STD 2 LOCKS REQUIRED Location f� v '• HEIGJJTOPENING= 028.2500 • 'yARGON SCREEN = HALF EXT STD ORIEL = 050.0000 Image myna! reflect options selected. Please verift In product description 2 LOCKS REQUIRED Description X0 SINGLE SLIDER DER)4 D M.2 XO (4)R-FIN MAY 045.2500 X 033.2500 ► a. (SP) LE CL LEFT (SP) LE CL RIGID' w ARMOR '.. EGRESS SQ FT.= 003.4086 WIDTH OPENING= 017.3750 E 22-�IAlr k.."_ 45- /4„ `DISCLAIMER' Viewefront Exterior Customer Approval: Created on: Oct 13, 2021 11:16 AM Customer Approval: 2 1 4 Location Description Llne 5 ;I l %Q�r 34-278" PD PATIO DOOR GLASS ADDERS GLASS,4DDERS . • ■ r a IV. •L.r 170:0Ui l ❑STOMS TEMP. LE MP. L A Lo /ARGON ti+ DEADBOLT HANDLE = TAN/TAN LI-FACTOR = 0.29 /SHGC — 0.21 0.49/CONDRESIST=60 SCREEN = STD OR ery D (4?R..FIN T� 079.5000 Vi f E rL LEFT -1 CL RIGHT Y *DISCLAIMER" Viewed from Erretfor Image may not reflect options selected. Please verify lu product dcseriptlmt Line 6 ti Location CA1 I f I 22-I/2". ri �- ...-• -45-_3 f.4!r.... - 7-1 *DISCLAIMER* Viewed from Erterior Image 'myna: relied options selected. Please verity in product description Created on: Oct 13, 2021 11:16 AM Description xo SINGLE SLIDER Lt «1' Customer Approval: M.2 XQ (4)li-FINTAN If 045 7500 X 045.2500 ► i� T (SP) LE CL LEFT t% L (SP) LE CL RIGHT 1 ARMOR {,Tel EGRESS SQ. FT.= 004.9264 WIDTH OPENING— 0I7 6250 µ HEIGHT OPENING= 040.2500 ▪ ARGON SCREEN= HALF EXT STD ORIEL = 050.0000 U-FACTOR = 0.26 /SHGC = 0.22 VLT = 0.51 / COND.RESIST = 63 LOCK TYPE =2.CAM -STD 2 LOCKS REQUIRED Customer Approvak: 3 1 4 Location Description Line 7 • } f 2S-112" }i 57-3/4" • y Lri *DISCLAIMER" Z7ewed from Terror Image may not reflect options selected Pleasr verify Irr produ descripdan xo SINGLE SLIDER rVi#ErOD I.2 XO (4)R-FIN TX I 7500. X 045.2300 f tr SP)LECLLEFT lVVV (SP) LE CL RIGHT ARMOR EGRESSSQ.FT.= 005.6035 WIDTH OPENING= 023.6250 HEIGHT OPENIN ,f = 040.2500 ARGON SCREEN= HALF EXT STD ORIEL = 050.0000 LT -FACTOR = 0.26/SHGC= 0.22 VLT = 0.5.1 / COND.RESIST = 63 LOCK TYPE = 2. CAM - STD cr 2 LOCKS REQUIRED Customer Approval: Payment Information: Customer Signature: Disclaimer information Created on: Oct 13, 2021 11:16 AM 4 / 4 Number: 949951-00 Status: In production Order Information Order Date: 10/14/21 Ship Data: Invoices PO Number: MCOONOUGH Side Mark: Carrier: ANLIN Tracking Number: Homeowner Information Contact: MCOONOUGH Email Address: Order Items Sord-To Dealer Ship -To Dealer CALIFORNIA SHOWCASE CONST INC CALIFORNIA SHOWCASE CONST INC 1507 MARLBOROUGH AVENUE 1507 MARLOOROUGH AVENUE RIVERSIDE, CA 92507 RIVERSIDE, CA 92507 MCOONOUGH 59400 AVENIDA VALLEJO LA QUINTA, CA 92253 D M.2/4FF/TAN/4 5./57,5 a DM.2 2 HIGH IFF MULL TAN 1 21-1 . 045.0000 X 057.5060 3.000 Open ( BOTTOM = X0 12/2I/ 21 ( TOP = 1/2CIR DM.2/4FFiTAN/45./2 2.5/Y 1 TOP DM.2 1/20R 4FF :' 045.0000 X 022.5090 2 1/2CIR LEG HEIGHT = 000.0000 ON ARGON 3.000 Open 12/21/21 & (SP) LE CL - U-FACTOR = 0.25 I SHGC = 0.24 VLT = 0.56 / COND.RESIST = 61 DM.2/4FF/TAN/45./34.5/Y ATM DM.2 XO 4FF S 045.0000 X 034.5000 & (5P) LE CL LEFT (SP) LE CL RIGHT ARMOR I ARGON $ SCREEN = HALF EXT STD ( ORIEL = 050.0000 - U•FACTOR = 0.26 / SHGC = 0.22 - VLT - 0.51 / COND.RESIST = 63 LOCK TYPE = 2. CAM - STD SCREEN,ADDER SCREEN ADDER MODEL DM.2/4FF/TAN/45.25/33.25/Y ar 0M.2 X0 (4)R4FJN TAN w 045,2500 X 033,2500 & (SP) LE CL LEFT • (SP) LE CL RIGHT ARMOR EGRESS SQ.FT.= 003.4086 4 XO WIDTH OPENING- 017.3750 1.000 Open 21 12/21 HEIGHT OPENING= 028.2500 / I ARGON $ SCREEN = HALF EXT STD ( ORIEL = 050.0000 - U.-FACTOR = 0.26/ SHGC = 0.22 - VLT = 0.51 / COND.RESIST = 63 LOCK TYPE = 2. CAN - STO SCREEN.ADOER SCREEN ADDER MODEL MAL.2/4FFITAN/70./79.5/y a MAL.2 OX PO (4)R-FIN TAN 1 070,0000 X 079.5000 1CUSTOM SIZE & TEMP. LE CL LEFT ▪ TEMP. LE CL RIGHT 5PO ARMOR 1.000 Open 12/21/21 I ARGON 1 DEAD9OLT °k HANDLE = TAN / TAN - U-FACTOR = 0,29 / SHGC = 0.21 - VLT • 0.49 / COND.RESIST = 60 $ SCREEN = STD GLASS GLASS ADDERS GLASS.2 GLASS ADDERS OEA060LT DEAD BOLT FOR PO DM.2/4FF/TAN/45,75/45,25/Y x DM.2 XO (q)R-FIN TAN 1 045.7500 X 045.2500 5 (5P), LE CL LEFT (SP) LE CL RIGHT ARMOR EGRESS SQ.Fta 009.9264 WIDTH OPENING= 017.6250 1.000 Open 12/21/21 HEIGHT OPENING= 040.2500 I ARGON $ SCREEN = HALF F.XT STD ( ORIEL = 050.0000 • U-FACTOR = 0.26 / SHGC = 0.22 - VLT = 0.51 / COND.RESIST = 63 LOCK TYPE = 2, CAM - STD SCREEN.ADDER SCREEN ADDER MODEL 3 XO 6 X0 3.000 Open 12/21/21 CA Building Energy Efficiency Standards - 2019 Residential Compliance 6i:DZ +Jenuef I D - can w A. General Information III I. ode Building Type: Project Scope: Climate Zone: Zip Code: A D -V -12 a H r 0 w 0 Project Name: D t Ul 8 E__ t< r DC Mic,h�llt Lu M,cibonouah r~� a ova m a o l!r p} is n @ co 4, Total Conditioned Floor Area (ft2): T @ -a co Number of Altered Dwelling Units: Building Front Orientation (deg or cardinal): Date Prepared: r u ▪ ❑ a �arrl ,r o' x 4 .6., o m Cr ro o - Ej n a Z'--. re Q t � rsi -r 4 cb arao 3 ti,a n as a re a �C n a • 0 y. 0� •a- � H a.la 0 ❑ ro ',In:' a r0 `'' Q c re p` RI' ro 4 k 10 Fo re - N a ro n o o a p re re 3 4 a ❑ a 0 0 4 4 ro o- '' a s 8 � ro In a o 4 a r� 0 ❑ y n. a fi a 0 X a m 0 a re rn r a . „��,. �'' r1 7 a a a Et 1 r y O 0 0 RI a ry 0 `'h N r~G O q ran n. iji Z k t r9 0 Lh ro rob a" ~ re n ct O ro a 0- n;_ a ate trl • C •^, P a▪ ' Vi a- - ' � g re �0 r¢ O _�} 1 0 [6 .+ -3 n ro W C q Q "' D roa mH r)y - a • r- Qa fi • m ?, ▪ irp 0„a, A o, • A 0 ▪ II r0 t H 4 y aR, to ft ^, ti rn as in ~ `▪ i - ' i • ar-i 4 ▪ .. rp In n ro t 0a. re. x 0 • O m` n0. n Et4 no a ▪ LQ 4 a .... ro o ,4 ▪ 4 a C �a al ro : ko ,0.a❑ a ff fi Q ro ▪ z ~ -' 3 ro 2 Q j- Z o n ❑ o y ]a a a A m a a7.1 �7 x• o oo IS'^ v. • " a c rn m a ti -.� m a rra O. ❑ 0- 4 ro tCI 0 a 0 Prr C ro Lel d iy a m n n v m rt re tei a„F. T N r. cThr✓Z rn Cr c rri S G -ti CU re a eo paiedaid a�¢p 00 rD 0 CO 3JNdndwOD I0 31V IJila3D 3-SO-I1V-ai3J 0m�� cs m from1 w CI ❑ a ... A n • < 0 mm P3 n n N o CD U � 111 LD 0 w z SD m cn r O. tQ 1 ❑ 0 A�b3N3 VINki0 11):'O 0 H w m asrn 01 CD 0 n 0 41 0 a fD tD rr 6 1-11 z Ci LA ro 0o ro c 0 EL m w 0 Cn n y ❑ ❑ a w 0 ry saua j pasodoad ayl si ❑ pasinba8 aq1 s aola Noel-1 uope ❑ ❑ oN CO m 0 0 rn 0 0 a N rt- ID rp n 0 ❑ 0 m CL m rD h CO 0 In m CD c m 4 I1 m CD fD 1 - 1 LA in -C C ❑ 0 cro- i.i 0 0 0 ID ID 0. C CD co co 0 IA G7 f'7 R 0 0I 6-1 M 6-6 0 N n 0 b 0 En CD 0. 1 ID ID ID ❑ c 1, 1.405, w z :D 0 a R CD 0. m CD 0 ID IA 0 0 v 0 CD a 0 0 rD D I 0 0 fD 0 41 0 SG 0 CD co N n 04 rD N 0 El Jiit w Va z 0_ 0- tn. m n, On C CD 7 N c 0 -d 0 6 C3a 0 Ern w 0 11 3 ID fD 0 -C v m 0 ry v 5 3 p OP,S EJE t— 0 0 a a > u m 0 raj Q ❑1 0 J 0 co • N IUN s--s c4 mia o m n N NN NN b Lo G7 0 m a. F-` o pI VI VI m iri a0 vtss �. Q -1 N of Q, CD O a tm rD 0_ n Ga O m u d Cr N m m 0 ai 0 0 CID ro CD N tai n ❑ 0 n N W a 7 T7 [D n ID CD Isauej pasodoad ❑ 14 00 d 9 0. 4 vhi a - m Eo In —I � y - '93 Ti '� En/ w o 0 rri N Z7 ^.Z1 0 0 r '. CD D3 CA Et m b qQ z Li-d6 CD a7 171 M .�F CD ❑ v 0 "* o CD K r) .0 0 gr rn 0 701 Ln -9 fD � 0 fD Cas CD 7 rn CIi m 0 0 ..j 3-S0-11V-VidD AV7:213N3 VlNNO I1V3 CA Building Energy Efficiency Standards - 2019 Residential Compliance 6LOZ Aienuef For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. n N S v D c , ‘,. Address: 1:l Mar Lwroucih A-t)c n � 8- Responsib Designer Nam now a dry I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices or the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. RESPONSIBLE PERSON'S DECLARATION STATEMENT n R VI N c 0 Address:0 Mar a r-ouch r vt , — CEA/ HERS Ceti ttati6n Idendficakion Cif appli[a61e}: n a ------ ---N. E P --.1. v n ,,,,b, 1. I certify that this Certificate of Compliance documentation is accurate and complete. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT -I 2 Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 8 of 8) CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E ---k v v. 9 T G B R0 Z Phone: n O N m n ll� Respansi a Designer Si ature: 6160L (20_,(M—/ s g ` ! NI a m "m m 1 ` [locum tation th ignature/'� Ca Lrrifill C7 ` 1 y 1J n W y A5Z:13N3 'OM:10311V°