HomeMy WebLinkAbout1956 FLAMINGO DR - Building Permits e 1
CITY OF COSTA MESA
BUILDING DIVISION
F; R( . 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • uwvw.ci.costa-mesa.ca.us
�• /I FOR INSPECTIONS CALL:(714)754-5626
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PERMIT NUMBER C08-00199
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: POOLSPA DATE ISSUED: 05107/2008
• ISSUED BY: RMD
JOB ADDRESS: 1956 FLAMINGO DR CM Suite/Unit:
APN: 13947102 Zoning:R1 , , • - l
Vicinity: REAR OF HOME . - ,Primary'Occ: POOL -
Const Type: 2'.1. `:. SQ:.FT: - 360 , Valuation: $28,000.00
SCOPE OF WORK: NEW IN-GROUND'SWIMNIING POOL @ REAR PROP. (30'X 12')W/ASSOCIATED PLUMBING & ELECT.
ONLY- NO HEATING. '
OWNER: COX, OLGA PEREZ-STABLE - Address: 1956 FLAMINGO DR • Unit:
•Phone: " - - City/State/Zip: COSTA MESA, CA -
APPLICANT: ELLINSON,PAUL - Address: - Unit: :
Phone: 949683-9861 I ' ' - • City/State/zZip: 1
•
CONTRACTOR: AQUANETIC POOLS AND SPA - License No. 286245
Phone: 949-348-1667 -Address: 26081 MERIT CIRUnit: '
Cell: City/State: LAGUNA HILLS,CA _ ZipCode 92653
ARCHITECT: License No. PHONE:
ENGINEER: . - License No. • PHONE:
COMBINTATION PERMIT FEE SUMMARY
Building Plan Check: $274.33
Building Fees: $422.05 '
Electrical Fees: $73.00 .�
Mechanical Fees: _ $0.00 " .
Plumbing Fees: $114.50 -
SMIP Residential: $2.80 - - .
SMIP Commercial: - $0.00 "
TOTAL FEES: $886.68 '
"Refer to fee receipts for all fees paid for project
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODER. INSPECTION TYPE DATE INTIOALS CODER INSPECTION TYPE, DATE INITIALS
1616 Fixed System Final FireirPrevention r� ,f fir" 206 Final Mechanical
1266 Pool Spa Final P(R- • (I Q j7�ti /Lwyw 208 Final Plumbing -
200 Final Re-Roof - 1 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
•
r
WORKERS'COMPENSATION DECLARATIO,.. Owner ID verified by driver's lice 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. 4. _
❑ 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
rnumber-are: person is required to descend,will be made in connection with work authorized
1 ) s-'5 rr / by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier:— #'f.1 L.,( or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gry
(This section need/not
t be completed ithe 4 a valued at one hundred dollars(5100)or less) 2 M2 SeG 341 The B,Ca l(Omia Administrative Code).
Poticy,Number: 2- /64-6
�_� ❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws • alifornia, and agree that if I should
• ect I �o the ers' •. •'nsation provisions of ecti n 3700 of
Sign
Applicant's Si ature Date
shat • ply with these prove 7
1f��yy *'
i • / vs- Division of Industrial Safety Permit Number:
V
AlIpPllrIg nR! `Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
W ING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires, with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? D Yes ❑No
Lic#- . ��4 S Claseti li 3. (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
/-�/ �� each business which at any one time has on hand a quantity of acutely
. maw ,_ .ate_ hazardous materials equal to or greater than a weight of 500 pounds, or a
- - - volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the properly, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
IDI exempt under sec. _. • the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
-- _ inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final i tion.
Signature Date -`—/�r of
3057-46(3107) /,h�l�
or ie•''ppliwnl__
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
PER T NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA CONS UCTION PERMIT A.P.# zone
X956 P`cm�n n Dv . 37993
Project Address r��/�//; �s l/�1 �y U S Main Building: Accessory Building:
' Applicant's Mailing Address -a /J( 5.2N-q. /l l�(n D TYPE OF CONSTRUCTION U NEW U ADD ALTERATION fk REPAIR E Front Z
/ /� 0 CONVERSION 0 DEMOLISH 0 OTHER T O
Owner's Name ! -/ Phone �� % B N
S^ }„/ O1
DESCRIPTION OF WOR K/USE OF BLDG. IA Rear
Address [�;/Y l��
TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL 1 C Right N
Arch/Eng. License No. K Left C
Address ��//�� �[ ,/� El TENANT 0 ELECTRICAL V11.-PLUMBING 0 MECHANICAL S ' R
Contractor's Name ill K I' I Phone 5- ❑ OTHER Ping. Ref.# Parking Req./Provided E
j�/I ����11//�� PROJECT DESCRIPTION SQ. FT. OCCUPANCY • Q
Address(mailing) Ya, V? er' >' F' r Planning Notes:
S / CONSTRUCTION TYPE VALUATION 5 8 QRQ
City License No. O� 0_73 ZONE GRADING CU.YDS. ACRES RECEIVED FEB 1w" T
51989 S•
LICENSED CONTRACTOR DECLARATION EG E E3 1
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: j i.r r.F IV '
with section 7000) of Division 3 of the Business and Professions Code, and
my license is In full lora a.- -fleet. /�y/' o ELECTRICAL FEES
License las I .ns- ••. you-ss)7 - -
q Date •• I Signature #SUM L. PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
WORKERS' COMPENSATION DEC • RATIONBar Sink Showers Construction Pole Sub. ❑ 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate
�I -t Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Duo to 100 amps
\ 'AQ Lab. 5)Q inc / nn r ,e�J ❑over 100 amps —
/Ul ni h '7 c 7 pt/(1/s Dishwasher Meter
olicy No. Company_ x Backflow Irrigation Sewer Cap
certified copy is hereby furnished. Dryers ❑Gas '❑Electric Sub Panel
icer lie c is filed with the city B I is}gn. / l Bathtubs Sewer Connection
Date , -p. FR Applicant CENS TCN DE Ci`-(i Fan Motors❑0.1 HP ❑1'/a-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This).
section need not be completed if the permit is for one hundred($100) or
lesF.A.U. Inc.Solar 09-15 HP 016-15+
less). / Dishwasher Solar Piping a Oa
I certify that In the performance of the work for which this permit is issued, I Fixtures
shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank •" Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:II,after making this declaration,you should become subject to the Outlets Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there Is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service _ Generator 00-5 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays
any structure, prior to Its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section
'031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure Is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By Dat
employees, provided that such Improvements are not intended or offered for
sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 SUMMARY F FEES
motion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code: 7T
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ �O ISSUANCE $
) th
builds or improves thereon.and who contracts for such oroiects with a eon-
tractor(s license pursuant to e Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof oftheir Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
o I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4k Fire Dampers
HeatingSystem&DuctingRegistersPLAN CHECK 50% $ MICROFILM $
Date OwnerMECHANICAL $ \50-0I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $
Information Is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction,and hereby authorize repre-
sentatives of this City t• enter •.•n the above-mentioned property for
Inspection purpo �/ /)_ 2 _n-86)
Signature . . ��
Reinspection Fee $15 Issue Fee $ 3
01 0002M33_011026463 TOT 7.10
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor LATE: 02/16/09 TIKE: 12:J1-
. CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Uniirgrnd. 55. Electrical Bonding
5. Steel"Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings '.r 58. Electrical Conduit-Undrgrnd.
8. Foundation .. 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd., 60. Backwash Lines, P-Trap, O Undrgrnd.
10.,Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
39. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
•
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas C Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing C7' 2(2,61 LEO
39. Water Service-Final n
40. Gas Service-Final
41. Solar Domestic-Fina
42. Backflow Preventer " ..
43. Backflow Irrigation
44. Landscape Irrigation System -,
45. Sound Attenuation q }
46. Handicap Regulations
47. FINAL STRUCTURE'&iBUILDING
s:3
48. Special Requirements Completed
49. Electric Release to Edison
i J ,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Lot40 FEE RECEIVED
21859 NAR al 1964
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 817 COSTA MESA.CALIFORNIA
• CITY OF COSTA MESA
For Applicant to Fill In Completely . APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING
ADDRESS 1956 Flamin.o Drive RECEIPT NO. ^P�Rgio.
COSTA MESA. CALIFORNIA / Cil.
R[C[ [D EY
DAC RECEIVED DATE ISSUED
OWNER Pemba Subdividers, Inc. i .i'/—Lyl APR 1 a i 64
MAIL 2850 Mesa Verde Drive ADADDRESS
ILDING
ADDRESS o
CITY Costa Mesa To• 5490395 ZONE TYPE V �J GROUP 1109/
ARCHITECT NO APPROVED
OR ENGINEER E• G. Kaltenbach TEL• 547804E BY DATE
AL .S9 1833 E. 17th St. , Santa Ana ZONING F
ZONE NO.OF I USE OF NEW Sing' •raid•
r- S 4 hi P R-1 PLANS 2 BUILDING ''`/ at+ bar•
CONTRACT
LEGAL
ADDRESS DESCRIPTION T of 4o, Tract 52A9
A.P.NO. none
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.TN O. 187318 TEL
• 90'TO SIDE 9 REAR P.L.
EAVES
OSIZE I NO.OF BLDG9.o ALLOWED (U.B.C.REQUIREMENT)
F LOT �j y
NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF /OX flI )° ' 7tht/ /, 111.,73 MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/LSTREET)
SETBACK LINE FROM 501t. 40ft. FRONT al("'CPT. PT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT 5ft. I RIGHT 5ft. R.SIDE _ST. PT.
DESCRIPTION OF WORK L.SIDE SPT. PT.
N' X ALTERATION ADDITION I REAR y�eFT. FT.
DISTANCE BET. BET.MAIN He
REHAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
BUILDING NO.OF n VAR.# DATE
SIZE 2, 481 ROOMS 9ORIgS 2 _C.U.P.# APPROVED
EXTERIOR W ROOF �bLL APPROVE C
:1� lain,Op' 1 //,
COVERING Wo UCCV I COVERIN Ing a BY ✓} I. ' DATE .�� ���—`�
s`siingLlee ramny°�i4 fi t1 STI Ergarage I�
Wit'
House 2,030 sq.ft.
Garage 451 sq.ft. Plan 54-B 10203 .PT. y o' N
o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION �J D
m
BUILDING CONSTRUCTION PERMIT FEE $ €
SIGNATURE OF ,,,///
PERMITTEE �7r(/C / /0/9"/9"/ S C2 / (�/ 5-A-
PLAN CHECK S €7,
q 3 SQ
/
0
4
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AUTHORIZED AG T TOTAL FEE $ /(J mi5-do
(