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HomeMy WebLinkAbout395 FLOWER ST - Building Permits(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: i 395 FLOWER ST 11729324 Applicant: GUS BAHOU Address: '�i - - � �- � � � � Owner:,'. DICKINSON, TIMOlHY ALLEN Address - 21431 SEAFORTH LANE HUNTINGTON BEACH, CA Contracror. PRUDENTIAL ELECTRIC INC Address: 23121 LA CADENA UNIT H LAGUNA HILLS, CA � ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fizts Recept Outlets . Switches Non Res Appl, �'. � Res Appl �� ,, , Service to 200a Service to 7000a' Service over 1000a , Motors to 1 hp Motors to 10hp Motors to 50hp Motars to 100hp Motars aver 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Fhone: 949-837-1198 Zip: Phone: Zip: 92646 �Phone: (949) 837-1199 � Zip: �92653. License: 680295 ISSUED BY: Status: ISSUED Appiied: 12/10/2001 Issued: 12/10/2001 � SCOPE OF P_ERMIT , _ SERVICE UPGRADE TO 100AMP. . - - j.. 0 Quantity 523.50 $0.00 $0.00 $0.00 0 $0.00 0 $0.00 0 $0.00 0 �-,,��$0.00 0 \$0.00 0 .,- � $Oi00;. i-<•-. p•, _ - $0.00 �' - 0 � �830.50'= .' - 1 - $0.00 � � 0 � , $0.00 0 $0.00 0 50.00 0 $0.00 0 , $0.00 0 $0.00 0 $0.00 ' 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 FEE SUMMARY � - Quantity , Temp Dist System / Lighting � $0.00 0' Busway /100 k $0.00 0 Standing Section $0.00 0 Misc Electrical Equipment $0.00 0 � Transformers up to 1 kva/kw $0.00 �0 � , "� : .:. :.:::........up to 10 kva/kw $0.00 "<0 .......:..:.:....up to 50 kva/kw $0.00 � � 0 � ............::_.upto900kva/kw $0.00�;�%0 ..................over 100 kva/kw.<. , $0,.00, � 0- �-. Low Voltage Equipment' ��' - - $0.00 0 � -Low Volt Wiring System / Ckt -�$0.00 �� ` 0 Misc:�Conduit �,- $0.00 �, 0 Misc. Conducto� � � $0.00 � � 0 - Circus ( gen or ride) � $0.00 � 0� . Circus (mech ride or lights) $0.00 0"� Chrislmas Tree Stand $0.00 0 Fireworks Stand $0.00 .� 0 Other Electrical Fee $0.00 Investigation Fee � $0.00 Plan Check Fee $0.00 Reinspection Fee . $0.00 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regula[ions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaasae (a�oo� WORKERS' COMPENSATION DECLARATION: � I heraby aHirm under penalry of perjury one of the tollowing tleclaretions: ❑ 1 have end `will maintain a certificate of consent to self-Insure for workers' compensation, es pmvided for by section 3700 of the Labor Code, tor the performance of Ihe work for which [his permit i5 issued. ❑ I hava antl will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the petlortnance of the work tor which this pertnit is issued. My worker�s' mpensatlon Insurance c rrier antl policy number are: / / �Z Carner: �"/ % F�/N / Policy Number: I �h � / � (7 — p I (This section need not be cample�ed i! fhe permlt is veluetl e( one hundred dollers ($100) or less.) ❑ I certify that in ihe pedormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subiect to the workers' compensation laws otCalifPmia, and egree Ihat ii I should become suDject to ihe workars' compensation provisions of Section 3700 of the La6or Code, I shall toRhwith camply with these p�[n 'u' as.--___� / � Applicant Signatur�C % � Data: D e � � � � � � ����! WARNING: FNLURE TO SECURE WtlAKERS' COMPENSATIIXJ CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FINES UP TOONE HUNwto TFIOUSMlD OOLLARE (3100,000), IN ADDITIQY TO THE COST OF CAMPENSATIIXJ, DAAMGES AS PROVIDED FOR IN SECTION 3)Ofi OF THE LABOR fADE, INTEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am licensed under provisions of Ch�ter 9(commencing with Section 7 00) oi Division 3 of the Business antl P of ssions Code, and my license is in full torce and eHect. Lic. p �.� l� _�9 y � Class # �� O � Contractors SigneWre: �'�}n�s�-y�s=»r.� / Date: nP r_ _ 1 u— m I CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm ihat there is a constmction lentling agency for the pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lendefs Adtlress: Signature: � Oate: OWNER-BUILDER DECLARATIONS: I hereby attirm that under penaity ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to construct, alter, improve, tlemolish, or repeir any stmcture, prior to its issuance, also requires ihe applicant for such permit to file e signed statement thet he or she Is Ilcensad pursuant to the pmvisions of the Contrectors License Law (Chepter 9(commencing wiih Section 7000) of Division 3 ot iha Business and Professions Code) or ihat he or she is exempt therefrom end the basis for the ellegad exemption. Any violation of Section 7037.5 by any epplicant foi a pertnit subjects Ihe applicant to a civil penalty ot not more than tive huntlretl tloltars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the stmcture Is not intentlatl or oflered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herseN or through his or her own employees, provitletl ihat such improvements are not intendetl or oHered for sala. If, however, the building or improvement is sold within one year ot completion, ihe owner-builder will have ihe burden of proving that he or she ditl not build or improve for puryose of sa�e.). ❑ I, as owner ol ihe property, em E%CLUSIVELY CONTRACTING WITH LICENSEO CONTRACTORS to construct ihe project (Sec. 7044, Busines5 and Professions Cotle: The contractors License Lew does not apply to an owner ol property who bullds or improves thereon, end who conirects for such pwiect with e contractor(s) license pursuant to ihe Conl�acbrs Licensa Laws.). ❑ I em exempt under sec. Business antl Protessions Code tor this reason: Signature: Date: Owner ID verified by dnvers licensa. ❑ Ves ❑ No Drivers License No. Expires: Venficetion of Ownership by (typa of tlocument, i.e. - propetly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity that no exca�etion five (5) or mora feet in depih into which a person Is required to descentl, will be made in connection with work authorized by this permit, and that no building sWdure, scaflolding, falsework, or tlemolition or dismantling �hereof, will be more than Ihirty-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Tltle 8, California Atlminisiretive Code). ❑ As ownerbuilder, I will not employ anyone to do work which would require a permit irom the Division of Intlustrial Sefery, es notetl above, unless such person hes a permit to tlo such work from the division. Signature: Date: Division of Indusirial Sefety Permi� Number: CERTIFICATE OF COMPLIANCE AND AUTHOHIZATION OF ENTRY: I cetlity under penelry ot perjury ihat I have read this application and state thet ihe infortnation given is correct I agree to comply with all s;ate laws and ciry ordinances relating to huilding construc�ion, and authonze representatives of Ihe Ciry of Costa Mesa to enter upon ihe ebove-described property tor inspnction puryoses. I a9ree not to occupy or allow occupancy ot eny building authorized by this permit until final inspection. I� i n8�� Of Legal Owner(s) j � � pnd/OrAuthonzedApplicant � .� . . - �.. �' 1616 Fi:ed System final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �•AI�L'l1uCiR�7 CO�E I INSGECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Electrical 212 final Fire Prevention 220 Final Planning Approval 222 final Site 250 Finel Building/Occupency �1111. i / �I�� « AVo�iwnt to fill in all zoaces exceot tnose witnin neavY Earaer Ilnes antl sign all avVrovriate tleclarations. CI7voP COS7A MESA CONSTRl7C"fION PERMIT ApplicanYs Mailing Address Addre55 X C� * . � Arch/Eng. ' License No. � ' Address SA�MG_ Contractor's Name � Phone Address (mailing) City License No. '� LICENSED CONTRACTOR DEG ARATION ' 1 hereDy atfirm tnat I am Ilcensetl untler provisions ot Cnarte� 9(commencing with section ]000) of DiviSion 3 of the Business antl Profe�sions CoOe, antl my license is in full torce antl ettect. License Clazs � License Ya. Date Signatur¢ WOf1KER5' COMPENSATION DECLARATION 1 hereby aHirm that I have a certiticate ot consent to self-Insure or a certlticate •f Workers' Compensation Insurance, or a cer[ifietl copy [hereof (Sectlon 800, Lab. C.) - ' � Policy No. � Company � 8 Certifietl copy is �ereby turnishetl. � Cer[itied copy I5 Bletl with the city Builtling Dlvision. i Date Applicant � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThiS sec[ion neetl not bo completetl if the permit �Is fo� one huntl�etl (5100) or less). I certity that in tne performance ot the work or whlcn tnls oerm�t is issueA, I shall not emDlo any person in dny manne 5o,a;1 becema Sp ubjec[ [o Ihe Workers' C p n Laws of Califor �,L�u . . Date Signature I 'NOTICE: t, af er aking [his aeclaralio ou shoul become subiect to the �Workers' ComOensation provisions of Ih Labo� Code, you must forlhwith comply with such provislons o� lhis ermit�shall b¢ tleemed revoketl. � CONSTRUCTION LENOING AGENCV � 1 hereby affirm that [here is a constructlon lentlin9 agency tor the performance of the work for which thi5 permit is Issuotl (Section 3097 Civ. Cj Lentler's Name Lentler's Atltlress OWNER BUILDEH OECLARATION ' I hereby affirm that I am exempt lrom the Contractor's License Law for tne following reason (Section ]031.5 Business antl Vrofessional Cotle: Any city or county which requires a permit to mn5truct, al[er, improve, Oemoli5h or iepai� any"5lructu�G, p�io� to•its Issuance, dlm requires the aOPlicanl for such Oe�mit to file a slgnetl Sldt2ment tnat he/she I5 IicenSetl pu�suant t0 the provi51on5 ot tne Contractor's License Law (Chapter 9(commencin9 �+��M1 �ction ]000)�.of ' Division 3 ot Ihe Buslnes5 antl Professlons Cotle) o� that ne/she is eaempt 'hereirom antl the basis tor tne alle9e0 exempfion. Any viola[ian of Seclion 131.5 by any, applicanl tor a pe�mi[ subjects Ihe applicant to a civil , nalty of not more [han tive huntlretl tlollars (§500). , ' � I, as owner ol the pmperty or my employees witn wages as thelr sole <ompensation, will tlo the work, ana the structure Is nol intentletl or otteretl 'for 5ale (Section 7044, Business and Professional Cotle: The Contrac[or's License,�aw tloes not apply to an owner ot a property who builtls or improves thereon, antl who tloes such wo�k nimseli/nerselt or through his or hGr Own employees, provltletl lhat SucM1 Improvemen[s ar0 not intenaetl or offeretl fo� sale. I(, however, lhe �uilCing or improvemon[ Is soltl within one year of com- pletion, the owner will have the burtlen ot proving he/shc tlitl not builtl or im- �rova tor the Outpose of Sale). I, as owne� ot the property, am exclusively cont�acting with Iicensetl con- [factors to constru[t the prqect ($eclion 7044, BuSin<55 antl Protes5ion5 COtle: The Contractor'z License Law tloes not apply to an owner ot prooerty who builtls or improvez thereon, antl who contracts for such projects with a ron- tractor(s) license pursuant�lo lhe Contrattor's Lirense Law). I am aware that proof oi tpeir WOrk¢Ys Compensa[ion Insu�ance shoultl be prOvitletl to me. ❑ 1 am exempt under Section-r-.B. 6 P. C. tor tnis reason ' I•ti:a� �r�1r�r=�7!ZLLL 5�9�a���� CMF 0865-46, rev. i this plicatlon Sntl state that tne above comp wlth all tlty antl county ortlinances 9 con uttion, antl hereby authorize repre- upOn tho abOve-mentionetl .p�oper1 y to� 1 I � 9 I f1/ TVPE OFCONSTRUCTION LJ NEW IJ AOD lJ ALTERATION IJ REPAIR. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. _ TVPE OF PERMIT LI GRAo1NG U FOUNDAT1oIV LJ SrRUCTURAL ❑ TENANT -❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . ❑ OTHER PROJECT DESCRIPTION Sa. FT. OCCUPANCv_ 'CONSTRUCTION TVPE VALUATION $� ZONE GRADIfVGCV.vOS. �ACRES_ Sink Prevenrer Irrigation A Drinking Fountains Floor Drains FloorSinks ' Gas Service . Outlets Interceptors Kitchen Sink Lavamries' � � P—Trap Roof Drains � Reinspeetion Fee $15 Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact elt. ICBO � Heating System & Duciing ❑0.100,000 BTU 0100,000 55 � `_'�.�— Vo � ( I I Reinspection Fee � I $75 14- White - 8uiltling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor $hOw¢�S Serviw Sink - Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool wlSpa Urinal Water Closet ' Water Heater Water Service Auro-Wash -LaundryTrays - Issue Fee Haod or TYPeI ❑ Cenopy Type II ❑ Refrigeration Sys[em ❑aioo,000eTu ❑ioo,000eT System Repair/Alteration • � Fire Dampers � Registers luue Fea A.P. # S Main Buil E T Front B Rear A ` C Right K g Left � Pln9. Ref. # Plannin9 Note� _��_ din9: - Aummatic Washer - - � Consttuctian Pole Sub. Cooking Unit Dishwasher DrYers ❑Gas ❑ Electric Fan F.A.U. Fixtures . � - Devic¢ BOx¢5 OuHets Switches � ' Garbage Disposal Generator �0.5 KW �5-151 $ �3 Fee FEES �DEVELOPMENTSERVICES i , 2oriing Approved By Building Approved By — Aooliptian Issued Bv_ $ 3 $15 5171 II,OH/05 . 21035 TL Zone �� 3 i 2 O , N � N � , G 7TTU� R �J Q � M , T S ELECTRICAL Transformer � ❑� 15�50 KW �: 50 + I( W Meter ❑up to 100'amps Meter ❑over 100 amps , Suh Panel Momrs OO-1 HP O7 % ��6 Inc.Solar Q9�15 HP �16-15+ - � Microwave - Pole Light Range Si9n "- ; Standing Sections ' 7 Trash Compacror � Issue Fee SUMMARV OF FEES BUILDING PERMIT $ � � �C� SMIP . PLAN CHECK $ �Q� `�_� PERMIT • PLUMBING S ISSUANCE PLAN CHECK 25% $ ENERGY P.C. ELECTRICAL $ GRADING ' PLAN CHECK 50% g� MICROFILM , MECHANICAI S TOTALFEE PLAN CHECK 25% $ ' FEES � I �� $ 3 ta � IB c [e �� $ , . � $ $ $ � $ Zl . `i S -' � ¢ONSTRUCTION AND PLANNING POOI ,PA . qPPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temaorary 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-Undrgrnd. 55. Electrical Bonding � 5. Steel�Reinforcement 56. Rough Plumbing & Pressure Test , 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '•- 7; Footings - 58. Electrical Conduit-Undrgrnd. - '�8:"Foundation �` 59. Gas Pipe, O Undrgmd., Test � 7 9J 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. Sewei Cap 63. Heater & Vent-final � 13. Roof Drains 64. Plumbing System - Final � 14. Rough Plumbing � 65. Electrical-Final 75. 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 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro � 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil ' 23. Gas Pipe-Rough & Test 72. Underground Flush 24: Roof Freming 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro .26. T-Bar Ceiling��Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing 76. DryStandpipe 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: S '.'p� " C' iT 34. Final Heating & Air Conditioning . _�, y� S. ,.. 35. Final Gas Pipe-Test � a-- � �d�� . �� �i � 36. Hood'or Canopy , � 37. FinallFactory Fireplace ' 38. Final Plumbing 39. Water Service-Final � 40. Gas Service-Final � 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation , � 44. �Landscape Irrigation System � ' a 45. Sound Attenuation � ,,..-� l4 46. Handicap Regulations � . � � 47. FINAL STRUCTURE & BUILDING ! 48. Special•Requirements Completed . 49. Electric Release to Edison . �� � 50. Gas Release to Southern California Gas Co :51. CERTIFICATE OF OCCUPANC�' . fVo. Date . qs a esa g epa ent . �+� 771 EAST 20th STREET � j '- � � �� COSTA MESA� CALIFORNIA FOR APPLICANT TO FILI. IN naaress.3/�� ��/f�L=i �%f• Costa Mesa, California Nearest Cross St �U.J i/N ��� _ _ ' �, i L�L� � -'�O / Lot Tel. City Lfc. �a`� ryO } l 7 —�93 � 2 %` Metes B'ounde � No. of Bldga ,ot �O x/ Z� Now on Lot � /� No.of No.ot u Bldg. I\L.SiOnnCr- Familles� Rooms/ Linefrom 1S0 � RearYard �Z.S'� em�_. ..,.._..__. i Demolish ^„A�PLICATION FOR PERMIT �;z BUILD�tNC ' �OR OFFICE USE ONLY IReceipt No. ermit No. 3�07 �l7 Recetved by Date He d. Date I ued I IJAN 1 0 1955 Buildin9 w Address �j��FGO��I� Costa Mesa, California Nearest Cross St. -. / t,! X 70 — '3 �o tlU��a��9 no. or / s�_ze p19/S 3-3 sooms stories Exterio9Wa11 �.L ( Roor g �'6�no APPROVALS C in VJ4�Cc o Coverfn l f New �/ Foundation Location Ina ecta Bu��din9 ��S�C7i�i✓cr �l%/�i1C�M� Forms,Materials, P Under-Pinning Frame: Ffre Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and sta[e that the above is rnrrect and agree to rnmply Lath. Ext. with all City Ordinances and Stat Iaws regulating building construction ' Signatureof� � Plaster, Int. Permittee / Valuatfon G� S6 �, Pern Plan 5 Tota Fee FOHM 2a4 0-H 2M 9-9a �UO�F Date O � �l Show locatlon and distances from property.line and�tietween buildings,� 1� f �r �� .. ` � . . � . . , .,.I �:. � . . . . � _• C�sta Mesa Bnilding Department - ' 111 EAST 20th STREET � COSTA MESA� CALIFORNIA FOR APPLICANT TO FILL IN e�imio9 � �- , (� Address � / r � �/G' /;iGy �1 '� Costa Mesa, California ■ Owner or ■ Size of Lot G APPLICATION FOR PERMIT d�d,� BUILD�LNG � FOR O�'FICE USE ONLY _ RecefptNo. I PermltN �O O � I by Date Rec'd. D� J /r-�--9-�b /r- , Costa Mesa, California LiC. I P�ans I No. Approved by _.. _ , _ CORREC'�IONS Z 2.�! :�,c.vTif /��'.f /9v.a ILot I I No. Block I Tract sand Bounda) ��%��/ 3� Z T .,c �2 No. of Bldga � `(� /� l Z+�+ Now on Lot ./�1 I No.of No.o} � �/ X �7/�r�77,�amllles� Rooms� f�m � � Rear YaM � Additio� ��9 6 �l /6 � Rooms � s+ ior Wall .� I Roof � �ing .f: a•t-c0 Covering `—` FNew ing � TO " co �a2 APPROVALS -7 ir Forms, Materials, �L�t���,rrt�[�1��h4k�,� '�n B"�rc+_�JM1 Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Iaws regulating building construction. �ath. ext. Signatureof Permfttee Plaster, Ini � Authorize Plaster, Ext Val ation e v PermitFee $ �� MasonryReinforoed 7v G7 r• Pian Check $ � gond Beam $ Total Fee � FINAL FORM 204 S-HP 2M fi-SS a I � Z D r I Date a —a O � � �..-,. .s. 1 LV 1 1 L(11\ 6how Iocation and tlistances trom � property Iine and between buildings V II a t 6 O lil ' . .- : - ,�:: -�.