HomeMy WebLinkAbout550 PIERPONT DR - Building Permits� � CITY OF COSTA MESA '
; _ � BUILDIN6 DIVISION
� DEVELOPMENT SERVICES DEPARTMENT
J
�� PERMIT PERMI NUMBER
ss8-o�s�o ✓
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: rJ50 pIERPONTDR
Suite:
Vicinity:
Parcel Nunmber: 41802322
npp�icane IRV HUDSON
Address:
BUILDING PERMIT
Zoning: R1
Phone:
Zip:
owner: MITCH�LL, KRISTIN V
Address 550 PIERpONT DR
Phone:
COSTA MESA,CA Zip: 92626
Contractor: HUDSON ROFFING 8 CONSTRUCTION
Address: 11401 wegtminster av
Arch / Eng :
Address:
GARDEN GROVE,CA
R1
Phone: 714-530.2771
Zip: . 92843
License: 338803
0
Status: ISSUED
Applied: 09/08/1998
Issued: 09/08/1998
. Phone:
. Zlp
License:
SCOPE OF PERMIT
T/OFF & REROOF 2400SF RESIDENCE WICOMP SHINGLES. ,
Plan Check: $0.00
Permit: $74.75
SMIP Res: , $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $75.25
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: 0
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
i .
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0-0
$3,000.00
$3,000.00
EXPIRATION: This permit shall a4tomatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the Work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetions end flnel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
WORKERS' COMPENSATION DECLARATION:
I hareby eHirtn untler penalry ot perjury one of tha following declarations:
❑ I heve entl will main[ain a certificate of consent to selFlnsure for workers' compensetlon, es provitled for by section 3700 of Ihe Lebar Cotle, for ihe peAormence of the
work for which t�is pertnit is issued.
❑ I have entl will maintain workers' compansation insurence, as required by section 3700 oi the Labor Code, for the pedormance of the work for which this permit is issuetl.
My workers' compensation Insurance carner entl policy number ere: /
Carcler. Policy Numbec i
(This secflon need not be campletetl i/ the perm/f Is valuetl at ane hundred dollers ($1 ) or less.) �
❑ I certify Ihat in �he performa e of ihe work for which this pertnit is issuetl, I shell not employ any person in any manner so as to become subject to Ihe workars'
compensetion laws oi Califo ', and egree ha '1 I s buld bewme subject to the workers' pensation provisions of Sectlon 3700 of the lebor Catle, I shell torthwi[h
comply with these provisio �. � � � � /q; � �
Applicant Signature: �✓� Date: ''7p�— �/
WARNING FAILURE TO SECU ORKERS' COMPENSATIIXJ CAVERAGE IS IINLAWFUL AND S SUBIEGT AN EMPLOYER TO CRIMI PN4C ENALTIES AND CIVIL FIN 5 UP O ONE HUNDRED
TFIOUSAND OOILARE (5100,000), IN ADDITION TO TME COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SEGTIIXJ 3�Ofi OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CON7RAC70RS OECLARATION:
I hereby ettlrm ihet I am licansetl under provislons ot Chapter 9(commencing with Sectio�00) of Division 3 of tha I
force antl eftect. Lic. # � Class N
� Contredofs Signature: � Date: _
CONSTRUCTION LENDING AGENCV:
❑ I hereDy aifirtn that �here is a construction lentling agency for Ihe peAortnance ot the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs Address:
Signature: Data:
is in
OWNER-BUILDER DECLARATIONS:
I hereby eHirm that untler penalty oi perjury thet I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions
Cotle: Any ciry or counry which requires a permit to construct, alter, improve, damolish, or repair eny sirucNre, prior to its issuance, also requires the applicent for such permit
to flle a signetl statemant that he or she Is Iicensed pursuant to ihe provisions oF the Coniractors License Lew (Chepter 9(commencing with Section 7000) of Divislon 3 of the
Business and Professions Code) or ihet he or she is eaempt Iherefrom and the basis for the alleged exemption. Any violetlon of Seclion 7037.5 hy any applicant tor e permit
sublects Ihe epplicant to e civil penelry ot not more Ihan five huntlred tlollars ($500).):
❑ I, es owner of the property, or my employees with wagas as iheir sole compensetlon, WILL DO THE WORK, and Ihe structure is not intendetl or offered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to en owner of properry who builds or improves thareon, end wno tloes such work
himself or herseN or ihrough his or her own employees, provided Ihat such improvements are not intended or oHeretl for sale. If, however, the �uiltlinq or Improvament is
soltl within one year of completioq Ihe ownervbuilder will have ihe burtlen oi proving Ihat he or she tlitl not build or improve tor puryose ot sale.).
❑ I, es owner of ihe property, am EXCLUSIVELV CONTRAC7ING WITM LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business entl Protessions
Cotle: The contractors License Law does not apply to an owner of properry who builds or improves thereon, and who coniracts for such project with e contractor(s)
Ilcense pursuant to �he Contracbrs License Laws.).
❑ I em exempt under sec. eusiness and Professions Code for this reason:
Signature: Date:
Owner ID verifietl by tlriveYs licanse. ❑ Ves ❑ No Driver's License No.
Vedficatlon of Ownership by (rypebt dwument, I.e. - property ta+c bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
Ezpiras:
❑ I hereby certify that no excavation five (5) or more feet in depth into whic� a parson Is required to descend, will be matle in connection with work aut�odzed by this
permit, antl ihat no 6uiltling strucNre, scettolding, telsework, or demolition or dismantling thereof, will be more then thirty-sis (36) feet hiqh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Atlministrative Cotle).
❑ As ownerbuilder, I will not employ anyone ta tla work which would require e permit from the Division af In�ustnel Satey, as noted above, unless such person has e
pertnit to da such wark from the division.
Signatu�e: Date:
Division of Industrial Safety Permit Number:
CER7IFlCATE OF COMPW�NCE AND AUTFIORIZATION OP ENTRV: I certify under penalry of perjury that I have reetl this application antl state thet the informetion given is
wnect I agree to comply with all s�ate lews end city ordinances rela�ing to building conswction, and authonze representatives of the Ciry ot Casta Mesa to enter upon ihe
ebove-descnbed properry tor inspection purposes. I agree no� to occupy or ellow occupancy of any building euthonzed by I�is pertnit until final inspection.
I Si ur L elOwner(s)
� � ���� l
A tl/Or ulh ed ApDlicant
COOE I. INSPECTIONTYPE
1616 Fixed System Finel Fire Prevention
1286 Pool Spe Final
200 Finel Re-Roof
201 Final BIocWRetaining Well
202 Finel Fflctory Fire Place
203 FinalSign
204 Finel Demolition
zaae-as
� I��
� ' /�
LOped insveenoxnve
206 Finel Mechanical
208 Finel Plumbinp
210 Finel Electncal
212 Final Fire Prevention
220 Final Plenning Approvel
222
250
Final Site
Final Building/Occupancy
Dete
PROJELT AOOFESS: S S O P I ERPONT DR
OWNEfl'SNAME: MITCHELL, KRISTIN V
aooxess: y50 PIERPONT DR
COSTA M£SA,CA 92626
V1AACH/ENGINEEfl:
aooness �
XEG.NO.:
UNIT:
�,,.
PEflMITTEE: KRISTIN MITCHELL ( 714 ) 997—i8U0
pDDflE55: SSO PIERPUNT DR
COSTA MESA CA 92626
ULENSEO CONTBACTON DECIAHRTION: I hereby al�irm ��a� I am licensed unAer provisions al Chapter 9(commencing with Sec�ion
7000) oi Oivision 3 of the Business antl Professions CoOe, antl my lieense is in full brce antl e��ect.
CITY IIC.: STFTE UC.: CLASS: �
Daie: Signaiure:
WDflNEBS' COMPENSRTION OECLFflATION: I hereby ailirm iha� 1 have a ceriificale ol consent to sell�insure or a certilicate ol Workers'
Compensaiion Insurance. or a certified coDY ��ereoi (Section 3800. La�. C).
POLICY NO.: EXP. OFTE:
� COMPANY:
] Certilied capy is here�y �umished. ❑ Certilietl copY is �ileJ wiih �he ci�y Builtling �ivision.
�a�e: ADDlicanC
E%EMPTION FBOM WOflHENS' COMVENSRTION OECLAPATIDN: Qhis seqion neeU nol be completea if the De�mi� is lorone hunAreO (5100) oNess�.
I ceNty Ihat in Ihe Dedormance of Ihe work for which Ihis permit is issuetl, I shall nol employ any Derson in any manner so as lo Decome
subjeci Io Ihe Workers' Compen5ation Laws oi Calibrma.
Oale: SignaNre:
NOTILE: II, a�ier making IAis tleclaration, you s�ould become suble�� �o ihe WOBers' Compensalion pmvisions of Ihe labor
Cotle. you musl forthwith compry wi�h such pmvisions or this permi� shall be tleemed revoketl.
CONSTBOCTION LENDING AGENCY: I here�y aflirm �ha� �here is a cons�mc�ion lending agency �or the pertormance of Ihe work for
w�ic� this permii is asuetl (Seclian 30W. Civ. C�.
LENOEX:
FODRESS:
OWNEB BWLDEB OECIAHPTION: I hereby affirm Iha� I am exemp� �rom ��e Coniraclors' S�a�e License Law for �he tollowing reason
(Sectmn 7031.5 Business an0 Prolessional Code: Any ciry oi couniy which reQuires a permiuo constmq, al�er, impmve. Uemolish, or
repair any Slmcture. prmr to ils issuance. also repuires �he applican� lor such permil Io �ile a signetl s�a�emen� tha� he/she is licensetl
pursuam �o Ihe pmvisions ol lhe Contracmrs' Stale �icense Law (Chapter 9 �commencing wit� Section 7000) ot Uivision 3 0l �he 9usiness
anA Prolessions Cotle) or �hal he/she is exemp� �herefmm antl ��e basis �ar Ihe alleged exemp�ion. Fny violation ot S¢cfi0n 7031.5 by
any applicant for a permii suble��s Ihe applican� ta a civil penaliy o� noi more �han five �unOretl tlollar5 ($500).
I, as awner o� �he p�o0erty or my emplayees with wages as �heir sole compensation, will tlo the work, antl the
❑ stNciure is na� imen0etl or oltere0 �or sale (Section 70n4, Business anA Professional Cotle: The Coniracbrs' S�a�e License Law
does nol apply to an owner of a pmpeny who builds o� impwves thereon, and who Aoes such vrork himself/herself or Ihrough
� nis or ner own employees, pmvitletl ihat such impmvemenis are not intendetl or oifereA for sale. II, however ihe buil0ing or
impmvemeni is soltl wil�in one year o� comple�ion, the owner will have ��e burtlen of pmving Aelshe di0 not huiltl or improve
�or Ihe purpose of sale�.
I, as owner o� the pmper�y. am exclusively con�mcting with licensed conVactors �o cons�mcl the prole�� (Sec�ion 7044, Business
�❑ an0 Pm�essions Cotle: The Contrac�ors' Sla�e License Law does not apply �o an owne� ol propehy who builds or impmves �hereon
'i ana who conlracts br such pmlecis with a conVadoqs)license pursuan�lo Ihe Conl�aclors' Stale License Law). I am aware
, Ihal DmOi of Iheir Workei 5 Compen5aiion insurante Sh0ul4 be pmvidetl �o me.
� i em exempt uneer section: � p'] Q�} t} B. R P. C.
mr mis reason: ALL WORK BY OWNER
Da�e'. _,.7�/ Owner���
I do here�y cemly Iha� I am aware o� and un0ersland Ihe requiremems ol Calibmia Heal�h antl Sa�ery Code Seclions 25505, 25533, and
2553a antl Ihat I or any fuiure buil0ing occupanl willlwill noi (circle one) neetl to com0ly with said state co0es and �he requirements tor a
permil for cansbuclion or moJifiwtion imm the Fu �ualiiy Mana��ric�. fle5itleniia�plication5 are exemP� �mm
Ihese pmvisinns. /�
oa�e: b — .3I � [/ NPPlicanl: .� /�/'/
I hereby ceitdy Ihal I have reaa inis application antl stale ihat ihe a�ove informalion is corted. I agree to comply with all city an0 county
ordinances and slalelavisrelalinglo building canslmction and hereby aulhorizerepresentaiives of�his ciry�o enterupanthe above�mentione0
pmperty foi inspection purpases.
�a�e �_ �, —�/ Signalure: � ��
orivers ucense a� sociai seariiy
�6a1-a6 Whlte—Bmltlin9: Green—Cotle EnbrcemenC Canary—Applicam', Pink—Revenue: Goldenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMZT PERM NO: EM 05225
PERMIT NO: EM 052256 PI�AN CHtiCR NO: 01892-91 L GOVT: N SUPF: N
CONSTRUCTTON TYPE: 5—N PERMIT TYPE: ELE MEC PURPOSE: OTH
JOH TJESCRIYTION : INSTALL NEW A/C UNIT IN SIllE YARD SQ F1':
CLAIM VALUE: 500.00 CALC—VALUE: GAOUP OCC: R--3 /M-1
CUMMEN'TS: SMOKE DETECTORS SAVE LIVES'.
±f iF if �)E if �lE �If �% Y iE iE 9E �IE iE iE #F�lf �3f iE jE #F if 1E iE�)(� if �1E 1E 9f �lE 3f �If dF �lE iE �IE �1F iE �� -IF�-X �lE if i(� if �Y.� �f if iE �IE if iF�% �� �� iE 9f iFiE df � if iE �� �y �lf?E df lE �lE iF �lE dE #9E �7(-�1E if �N
Z O N I N G R E Q U I R E M E N'I' S
sErHAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUIT,DING ---------
FRNT: 20 FT IN REAR: 20 FT IN FRNT: FT IN REAR: FT IN
LEF'i: 5 FT 5 3N RGAT: 5 FT ZN I.EFT: FT IN RGHT; FT IN
YARKiNG REO• PROV: PARCEL: 4ifl023'l2 ZNE: R1 REF NO:
PLANNING N(STES> PROPOSED AIR CONDITION UNIT ATTACHED TU S.F. ALONG
> SIDE PROP, LINE. (UNIT WILL NOT ENCRUACA TNTO SIDE YD)
***�*�����*a���#*�*��x�*r�**���**�r��**�*�w********�*�t**�*�*�x***�e+r��*x���*�*x•**x*
b E V E L O P M E N T S E;R V I C E S R E� � I R E M E N T' S
ZONING APPROVED HY DATE:
BUILUING APPROVED HY : DATE:
APPLICATION TSSUED BY; � DATE: �3���
iF�fif�%�YiEjfiE9fiEdFiFiFifjfiFiflf3EiF��1E . . � . . . �liifiEiE�%�lE-iEif��if� 7FdF�If
ifiE��iE9E1EiE�%iEif�X��E�kiEiEif�aEiEififiEiEiEiE�7EiE9EiFiEiEiF3f� -3fiEififiF E)� 3fif�f� �) �EiFiF��k>E�1EiEiEififdfdfdfiE�?EiE�lfdfifi£iE�MifiE��iE3E�ifiE#�1EiF
LEGALIZATION:N F E E S U M M A R Y STRCTC.TURAL SEGMENT:t3
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAI)ING
PERMIT 11.00 18.00
SOY 25t SMIP/NON—RES
PLAN 5.50 4.50
ISSUE FEE 15.U0 15.00
AUILDING—DIV-�> PERMZT I5SUE PLAN—CHECK TOTAL PAID DUE
TOTAI.S ----> 29.OG 30.00 10.00 69.00 69.00 .00
REVENUE DlVISION TO'TALS--> COLI�ECTED: 69.00 OVEP./SHORT; .00
BLUG PMT PI,UMHSNG EY.£CTRiC MECHANIC FIRE SMIP/TO'C GRADTNG PI,AN—CFiECK
26.U0 33.O0 10.00
�16 iF iE 9f iE iE �7f �%�if IFif �1( �% % if dE �% �lE �iF�lf� dF iE �%if �lE if 3f �1f �lE dEiE M iE dF -1F �lE if if iF iE �� �if �7F �IF �� �N iE if �K 1f If if �X� df if �IE �IE iE �K�lf lf af �1f �IE if 3F iE iE 9Eif �]f dF �IE ie iE iE dE �Jf �iE
Z N D I V I D U A i F E E B R E A K D O W N
fll!`Ii�l
ELE
MEC
MEC
Q'fY D c. S C R I P T I O N UNIT CQST TOTAL COST
1 MISC APPARATUS NOT LIS'fED RE9 PERMIT 11.00 11.00
1 INST FORC—AIR/GRAV FURN <= 100 R BTU 9.00 9,OU
]. REFRIGERATION SYSTEM <= 100 K BTU/H 9.U0 9.00
END OF FEES
C°`�
�• COC�3674—01i�i3e7& '—� -- �-
DA" 06i G31 � "[ �'
�r.. �, i r.r:� i�,:, , -
�I
CONST4ZICTI!�N AND PLANNING P�L� a SPA .
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1, Tempo�ary Electrital Service or Pole 52, Pool & Equipmeat location �
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement � �
3. Electrical Conduit Utility•Undrgrnd. 54. Forms -
4. Electrical Condui[-Undrqrnd. 55. Electrical Bonding � '
5.�$teel R¢inforcemenE 56. Rough Plumbing & Pressure Test�
6. Electrieal UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electricai Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 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
73. floof Droins 64. Plumbing System - Fina�
14. Rough Plumbing � 65. Electrical-Final
75. Ro � Electrical�Conduit 66. Solar System-Final �
16. R gh Electric Wiring 67. Fencing & Access ApProval
f
17. Rough Wiring Sign 66. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough factory Fireplace - - "APPROVALS Permit #
21. Ducts, in Struaure -70. Underground Hydro
22. Ducts, Ventilating ' 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing . 74. Overhead Hydro
26. T-8ar Ceiling ($�ucturall & Monocoat _ �` 75. Dry Chemical
27. Freme and Flashing; . � - 76. Dry Standpipe
28. Lathing & Siding . ' 77. FIXED SYSTEM FINAL �
29. Insulation . 78. FIRE PflEV. 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 „ : � ?-�-g� - Notes:
34. Final HCating & Air Conditioning �J � f2y/Q
35. Final Gas Pipe-Test ^ � ' ,
: /'.:
� 36. Hood o�.Canopy %'�/ ",�
37. Final FaMory Fireplace . " !� � .
� '
38. Final Plumbing � ' �
f
39. Water Service�Final ' ' '
S
40. Gas Service-Final . . _ -
41. Solar DOmesticFinal
42. Backflow Preventer � .� '
43. Backflo'N Irrigation' _
44. Landsc9Pe Irrigation System , - .
45. Sound Attenuation ' -
46. HandicaP Regulations �
47. FINAL STRUCTURE & BUILDING ' �
�.
48. FINAL PLANNING • •
49. Electric Release to Edison /� �
50. Gas Release to Southern California Gas Co - '
51. CERTIF�CATE OF OCCUPANCY
No Date
UWfVCK
JOB ADDRESS
GENERAL C0�
A" 'o.
11 ECYIONS
SOIL
GAS
WATER
ROUGH PLUM6ING
PROP. $WP. LINE
SPRINKLING SYSI
NG ANO AIR CONOITIONING
ROUGX WIP�NG
POWER U
i5 STEEL I
'EEL REINFORCE
FLASHING
LATHING �- IN �./Sf OUT ��
P�ASTER, BROWN COAT
5' 'URAL, FINNL
HE... �NG, VENT., REFRIG. ANO A.C., F
PLUMBING, FINAL ANO GAS TEST
ELECTRIC. FINAL
ING. FINAf
TRACT
Jrra
SUBCONTRACTOR
281Q4
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 7200 COSTA MESA. CALIFORNIA Y2E30
Por Appllcanf fo�F711 /n Completaly
TYPE OR PRINT
eui�iNo S50 �\CZ��
ADDRESS
COSTA MESA, CALIFORNIA
OWNER �i�T' `�'�/`� l�l��
MAIL l� r'1 \�l �
ADf]RH90 � V �
TlL.
CITY � NO.
'41TECf � �C7 sC�9K AAA � TlL.
� eT�Tu.. \ \�%1'L (D O .T.�'-
61ze � Q V \ r� � how on Wrs•
OF LOT /1
USE OP
EXISTIN6 BLDO.
Y6TBACF LIMi IROY A /�
CHM811 OR BTR[R �T R[AR YARO � L
DESCRIPTION OF WORK
a����No �3c�
s�ze
EXTERIOR WALL!
1 HCPCBY ACKNO 6p0
AND BTATH TNAT 6 I
PLY WITH �Ll CI ORI
BVILDINO CONBTP 10
SIGNATUREOP
PERMITTEf��_
l
AUTHORIZGD AG[NT
1�p �B�bsP�—°•OD 6�2* *+***85.50
APPLICA710N FOR PERMR
BUILDINO
For Offica Use Only
RLC611T NO.
�� �I
BUILDINO
ZONING
Z MO. O� YYt Of NI
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/
L[ML I _ "}"'— / � / r
OV[RHAN6 BNALL BE L888 TMAN
YARDEAPPROVHD
MAIN BUILDINO
vwa. #
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TMIB APPLICATION TH8 �MOUM OI
ID AOpB[ TO COX• �URPo88 OP 1
tAWe p[ouuTlno yALUATiON
a ���71�
YARDB MPROVHD
ACCE880RY BUILDINO
o�Te
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m
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0
vw�uwnon �e rop vxs �
A PEPMIT PB8 ONLY.
I�/J� 07
IT FEE `� /
,s� s G�'i
_FEE $ S�/ �