HomeMy WebLinkAbout3175 BARBADOS PL - Building Permits�
I JAMES H KIME NO LONGER WISH TO GO FORWARD WITH MY REMODEL
AND WOULD LIKE ALL MONIES RETUNED AS SOON AS POSSIBLE
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�j�1s i3o,����05 ���
JobAddress: 3175 BARBADOSPL Sfatus: WITHDRWN
Suite: Applied: 09/12/2006
Vicinity: SECOND STORY Issued: 12/152006
Primary Occ: R3 Type of Constmclion: V-N
Parcel Number: 13913317 Zoning: R1
Applicant: KIME, JAMES H
Address: 3175 BARBADOS PL
COSTA MESA, CA
owner: KIME, JAMES H AND RAEANN
Address 3175 BARBADOS PL
COSTA MESA, CA
Coniractor: O W N ER-BU I LDE R
Address:
Phone: 714-642-7159
. Zip: 92626
Phone: 714-437-9830
Zip: 92626
Phone:
ISSUED BY:
Zip: � license: 000000
Arch : Eng: SHUCRI YAGHI
Address: Address: 112 E CHAPMAN AV
. � Phone: �- SUITE D Phone: 714-997-9120
- ORANGE,CA
2ip: _ License: � 92866 License: C43205
SCOPE OF PERMIT
WITHDRAWN - 4/11/07 8Y OWNER
ADD 884SF SECOND STORY TO AN EXISTING 1-STORY SFD AND 34 SF COVERED PORCH. ALSO CLOSE OUT (E) CLOSET IN BEDROOM ON Th
FLOOR IN ORDER TO CREATE A DEN. WORK TO INCLUDE: CONVERSION OF BEDROOM ON FIRST FLOOR TO A DEN, AND, ADDITION OF A MA
BEDROOM , � �.
WNVALK-IN CLOSET, MASTER BATHROOM, 2ND BEDROOM, 2ND BATHROOM AND A LOFT ON THE SECOND FLOOR.
EXISTING 3 BEDROOM, 2 BATHROOM SFD TO BE CONVERTED INTO A 4 BEDROOM, 4 BATHROOM SFD.
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Tota I:
$568.59
$874.75
$8.22
$0.00
$0.00
$0.00
�� ,
$1,451.56 .
Calc Valuation: $az,zzs.sa
Claim Valuation: $o.00
PLANNING & ZONING
SETBACKS
MAINSTRUCTURE Front 22-6,� Rear 25-6 LeR 5-6 Right 6-0
ACCESSORY Front 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0
PARKING Existina: 2 Reauired: 0 Pr000sed: 0
NOTICE: The work authorized by Ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
reqWred Inspectlons and final epproval must be obtained. Failure to obtain inspections and final approval will resWt in the expiretion of ihis permit.
FOFi INSPECTIONS CALL: (714) 7545626
2448-4818�00�
WORKERS' COMPENSATION PECLARATION:
1 hereby ettirtn under penalry of perjury one of iha following declarations:
❑ I have antl will mainiain a cenilicete of consent to self-Insure for workers' compensation, as provitle0 tor by sec�ion 3700 0l the Labor Cotle, tor ihe pertortnance oi ihe
work tor whiCh this pertnit is i55uetl.
❑ I have antl will maintain wolkers' compensation insurence, as required by section 3700 of Ihe Labor Cotle, for ihe pertonnance of Ihe work br which ihis pertnit is issuetl.
My workers' compensation Insurance carrier and policy numbe� ere:
Carrier: Policy Numher:
(This section neetl not be comple�ed il fhe Oermif is valued at one hundred tlollars ($f 00) or IessJ
❑ I cetlity that in the performance of Ihe work for which this permit is issued, I shall not employ eny person in any manner so as to 6ecome subject ro the workers'
compensation laws of Calitornia, antl agrae that if I should become su6ject b the workers' compensation pmvisions of Seqion 3700 of ihe Labor Code, I shall fotlhwith
comply with t�ese provisions.
ApDlicant SignaWre: , Date:
WMNING: FAILLIRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWPUL AND SH�LL SUBJECT AN EMPLOVEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO IXJE HUNORED
TTIOUSAND OOLLARE (5100,000), IN A�DITION TO THE C0.ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3106 OF THE LABOF CODE, IMEFEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eRirm that 1 am licensetl 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 eNect Lic, a Class N
Contractors Signeture: Date:
CONSTRUCTION LENDING AGENCY: -
❑ I hereby alfirm ihat ihere is a conslruction lending agency br ihe peAortnance oi the work for which this permit is issued. (Sec. 3097, Civil Cotle).
, Lender's Name: Lender's Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm ihat under penalty of perjury �ha� I am E%EMPT FROM THE CONTRACTORS LICENSE LAW br ihe following reason (Sec. 7031.5, Business antl Pro�essions
Code: Any ciry or county which requires a permit to constmd, alter, improve, demoiish, or repair any simcture, prior to its issuance, also requires ihe applicant for such permit
to file e signed stetement that he o� she is licensetl pursuant to ihe provisions ot ihe Coniractors Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business end Professions Code) or thet he or she is exempt therefrom and the basis for the allaged exemption. Any violation oi Section 7031.5 by any applicant for 9 pertnit
subjects the ep0�icant to a civil pe�al�y of not more ihan tive huntlretl dollars (5500).):
❑ I, es owner of the properry, o� my employees with wages as Iheir sole compansation, WILL DO THE WORK, and the siructure is nol intendetl or otterad tor sale (Sec.
7044, Business and Professions Code: The Contraciors License Law doas not apply to an owner of propeny who builds or improves thereon, and who dces such work
himseif or herself or through his or her own employaes, provided that such improvements are not intendetl or offered for sale. If, however, the building or improvemem is
sold within one year of complation, the owner�builtler will have ihe burden of pmving ihat he or she did not build or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thareon, antl who coniracts for such project with a contractor(s)
license pursuant to the Con�radors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID ventied by dnver's license. ❑ Ves ❑ No
Business and Professions Code for this reason:
Veritication of Ownership by (typd oi document, i.e. - property taa bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICA710N:
Drivers License No.
Date:
Expires:
❑ I hereby cenity ihat no exc2�ation tive (5) or more faet in depih into which a person is required to tlescend, will be matle in connection with work authonzed by this
permit, and ihat no building stmcture, scaflolding, falsework, or demolition or dismantling ihereol, will he more ihan ihirty-six (36) teat high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, California Adm�nisirative Code).
❑ As owner-builtler, I will nol employ enyone to do work which would require a permit fmm ihe Division of Indusirial Safety, as notetl above, unless such person hes a
permit ta do such work irom ihe division.
Signature: Date:
Division of Induslrial Safery Permit Number:
CERIIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I cartity under penalty of perjury that I have read ihis application antl state ihat the information given is
correct. I agree to comply with al� state laws and city ordinances relaiing to builtling cons�mc�ion, end authonza representatives ot ihe City of Cos�a Mesa to enter upon ihe
above-described property tor inspection purpwes. I agree no� �o acupy or allow oaupancy of any building euthorized by ihis permit until final inspection.
Signature Ot Legal Owner(s) Date
AndOr AWhonzed ApDlicant Date
CODE �. INSPECTIONTYPE � IN7ITIALS
1616 Fized System Final Fire Prevention
1286 Pool Spa Final
200 Final Re-Root
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 FinalOemolition
COOE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Etectrical
212 Finel Fire Preven�ion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
UATE INiffIpLS
, r
. CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMEdVT SEP,VICES DEPARTMENT
� PEFIMIT
p�a) �sa•52�s • Faz (714) 754-4856 • www.ci.costa-mesa.cg�LDING PERMIT
Job Address: 317$ BARBADOS PL
Suite:
Vicinity: ROOF
Primary Occ: R3
Parcel Number: 13913317
Applicant: STEVE BURR
Address: 711 WEELO DR `� �
CO5TA MESA, CA
Owner: KIME, JAMES H
Address 3175 BARBADOS PL
COSTA.MESA, CA
Contrador: BURR ROOFING
Address:- 771 WEELO DR -
COSTA MESA,- CA
Zip: 92626
Arch :
Address:
Phone:
Type of Construction: V-N
Zoning: R1
Phone: 949-548-2965
� . 2ip: 92626.
Phone:
Zip: 92626
Phone: 949-548-2965
License: 635586
Eng:
Address:
77 FAIR DRIVE, COSTA MESA, CA 92626
,_, �, , :Status: ISSUED
Applied: 09/19/2005
Issued: 09/19/2005
::: ��•.
ISSUED BYJ � �
Phone:
Zip: License: License:
SCOPE OF PERMIT
T/O EXISTING ROOF, REROOF 1 LAYER OF 30# FEIT AND 30 YEAR GAF TIMBERLINE FIBERGLASS SINGLES (NEW METAL/ROOF JACKS) ON
ATTACHED HOUSE AND GARAGE, APPROX 24 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED.
Plan Check: $0.00
Permit: $125.25
SMIP Res: $0.58
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
FEE SUMMARY
RRI
Total: $125.83
PLANNING 8 ZONING
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinq: o
Rear 0-0
Rear 0-0
Lek 0- 0
Lek 0- 0
Reauired: 0� Pr000sed: �0
�
Calc Valuation:
Claim Valuation:
0
Right 0-0
Right 0-0
$5,800.00
$5,800.00
NOTICE: The work authoriZed by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulalions. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
2446d8 (8�00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aHirtn untler penalry of perjury one oi ihe iollowing tleclarations: �
❑ I have and will maintain e certifinte ot consent to setl-Insure for workers' comper�Sation, as (�rovitled for by section 3700 of the Lebor Cotle, tor the pertormence of ihe
,�work for which ihis permit is issuetl. '•
.��have and will mainlain workers' compensetion Insurance, as required by section 3700 of ihe Lebor Code, for ihe perfortnance of the work for which this pertnit is issuetl.
M w`��c e ��co_m/p�_ensationl ncecar erand olic numberere: ��� S�C.,L�
�Carner.Y.. J-�p��C �`�' P Y P,olicyNumber.--
�(Thls section need not be compleretl i/ the permit is veluetl af one hundretl tlollars ($f 00) or less.) :/^ "" "' ' �
❑ I certify Ihat in the pertortnance of Ihe work for w�ich this pertnit is issued, I shall not amploy any person in eny manner so es to become suble� io 1ha workers'
compensation law� Cel m�ree Ihet II I shoultl become subject to the workars' compen5etion provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these v' Q G
A�pplicent.5ignature: Dete:- . 7 —�! —� �
r
WARNMG: FAILURE TO SECURE WOfiKERS' COMPENSATION COVERAGE IS IINLAWFUL AND S/ULL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED
Ti0U5AND DOLLARE (E100,OW). IN ADOITION TO THE COST OF COMPENSATION, DAM4GE$ AS PROVIDED FOR IN SECTION 3]W OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm ihat I.am licensetl untler provji ions oi Chaptar 9(commencing wii� Section 7000) of Division 3 of Ihe Business a P §� sions Code, and my license Is in full
roroe„entl etlea.-Lic. R Y �Class q�� �, �i
Comrectofs�Signature� �% De1e�� % � _ ��' _Q �
i. 4 .
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that there is a construction lending egency for the peAormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Neme: Lentler's Atldress:
Signatura: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm that untler penelry ot pe�ury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7037.5, Business and Protessions
Cotle: Any ciry or counry which requires e permit lo construc6 alter, improve, demolish, or repair any strucWre, pnor to its iuuance, elso requires the applicant for such pertnit
to file a signed statemen� that he or she Is licensed pureuent to ihe provisions of ihe Contradors License Lew (Chepter 9(cammencing with Section 7000) of Dlvislon 3 of the
Business end Protessions Cotle) or Ihat he or she is ezempt therefrom and ihe basis for the alleged exemption. Any violation o� Saction 7031.5 by any applicent for a permit
subjects ihe epplicant to a clvil penalty oi not more ihan five hundred dollars ($500).):
❑ I, as owner oi Ihe property, or my employees with weges as iheir sole compensetlon, WILL DO 7HE WORK, and ihe structure Is not intentletl or offeretl for sale (Sec.
7044, Business and Professions Code: The Conirectors License Law does noi apply to an owner of property who builds or improves thareon, and who does such work
himselt or herself or Ihrough his or her own employees, provided that such improvemenis are not intentled or oNered tor sale. If, however, the builtling or improvement is
sold within one year o1 complation, the owner-builder will have ihe burden of proving Ihat he or she ditl not build or improve for purpose of sale.). •
❑ I, as owner of ihe property, em EXCLUSIVELY CON7RACTNG WRH LICENSED CON7fiACTORS to consiruct the project (Sec. 7044, Business and Professions
Code: The comractors License Lew does not apply to en owner ot propeny who builtls or improves ihereon, entl who comracis for such project with a contractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec. Business and Professions Code tor this reason:
Signature: Date:
Owner ID verified by dnver's license. ❑ Yes ❑ No Driver's License No. Expires:
Vetlfication of Ownership by (type of document, i.e. � pmperty tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
❑ I hareby certity Ihat no excavetion five (5) or more feet in depth in�o which a person is required to tlescenQ will be made in conneciion with work authonzed by this
permit, and Ihat no building strucNre, scaHolding, lelsework, or demolition or dismantling thereot, will be more than ihirry-sia (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Calibmia Atlministra6ve Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permi� from Ihe Division of Industrial Safety, es noted above, unless such person has a
permi� �0 do SUCh work from �he divi5ion.
Signeture:
DiviSion of InduStrial Safety Permit
Date:
M/SARDOUS MATERIALS AND EMISSION9'CERTIFICATION: ' "' "' ' � "
1 WIII ihe flpplicent or present or future builtling oaupent neetl to File and certity e Businer Plan for emergency response to release or threatened release ot e haierdous
meterlal? ❑ Yes ❑ No
(Section 25505 of the Calitomie Healih and Satety Code requires, with some ezceptions, that a Business Plan be filed with ihe Costa Mesa Fire Depariment by every
business which has at eny one time dunng a reportetl year a quantity of hazardous materials equal to or greater than a weiqht of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
........................................................................................................................................................................................................................................................................................................................................................................................
2 Does or will Ihe applicant or present or future building occupant need to file e reqistretion form for acutely hazardous matenals9 0 Ves ❑ No
(Sectlon 25533 oF the Calitomia Health antl Safety Code, with some exceptions, requires registratlon with ihe Costa Mesa Fire Dapartment by each business which at eny
one time has on hand e quentiry ot acutely hezerdous matenals equal to or greater Ihan a weight ot 500 pountls, or e volume of 55 gallons, or 200 cuElc feet of
compressed gas et standerd temperature antl pressure).
..................................................................................................................................................................................................................................................................................................................... _..................................................................
3 Does or will the applicant or present or future builAing occupant neetl to prepare an RMPP (Risk Managemen� and Prevention Program for ecutely hazartlous matenals)7
❑ Ves ❑ No
(Section 25534 of ihe California Health and Satety Code provides Ihat ihe Coste Mesa Fire Department may require ihe preparation, certification and filing with the Fire
Depahment of an RMPP by businesses which ere repuired to reaister acutely hezerdous materiels with ihe Fire Department.
a it an nmrr is presemiy requirea, nes secuon zee:�a or me cauwrnia neaim ena seiery coae oeen iuiry compuea wnnt
..........................................................................................................................................................................................................................................................................
5 Does or wlll ihe applicent or present or future building occuDanl require tor Ihe work which is Ihe subject of thls �e iplic
trom the South Coast Air �ualiry Management District or Irom eny other eir pollution control disirict ar agency? LJ Ye:
(Saction 658502 of �ha Celilornie Government Code requires �hat Ihe requeste0 informa�ion be fumis�etl on applicatioi
..........................................................................................................................................................................................................................................................................
6 Will any part of Ihe laciliry lo be consiructed untler thls pertnit be wilhin 10001eet from Ihe outer boundaries of a school
Q�'yes", �he tacility must meet Ihe requirement of Sections 25534 and 42303 of the Califomia Healih and Safety Code).
..........................................................................................................................................................................................................................................................................
7 If e permit From ihe South Coast Air Oualiry Manegement Disirict or other air polWtion control distnct or egency is
epplication, have ell ot ihe disclosures prescribed by Celitornia Healih and Safery Code Section 42303 been mede7 [
construction or
fornon-residential building permits).
(tl'yes", attach ceeificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify ihat under penalty of perjury the information given above is correct. I egree to comply with ell state laws and ciry ordinences
regarding Hazardous Metenals antl Emissions.
SigneNre: Date:
CERTIflCATE OF COMPLIANCE AND AIfiHORVA710N OF ENiRY: I certify under penalty of perjury ihat I have read Ihis application and state that the information given is
correct. I egree to comply wlt� ell state laws and city ordinances relating to huilding consiruction, and authonze representatives of the City of Gosta Mesa to enter upon ihe
ebove-described properry tor inspection purposes. I egreo not to occupy or allow occupency of eny building authonzed by Ihis permit until finel inspection.
COOE �.
1616
1266
200
201
202
203
INSPECTON TYPE
Fixetl System Final Fire Prevention
Pool Spa Final
Final Re-Root
Final Block/Retaining Well
Final Factory Fire Place
Finel Sign
204 Finel Demolition
D te
g-(�t-o�'
— _ _ Date
Q�i ¢, IMRIALS
���
COpE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electdcal
272 Final Fira Preventlon
220 Final Planning Approval
222 Finel Site
250 Final BuiltlincyOccupancy
UATE II�4$
— 4�8�
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA, CALIFORNIA
r FOR APPLICANT TO FILL IN
IBUILDING __ _,.+ _ . . .
COSTA MESA. CALIFORNIA
OWNER - jl�jjj r $n('1 Lana �o
MAIL
ADDRE55
TEL.
CITV , C A O � P. (�'3� NO.
'ARCHITECT l LIC.
OR ENGINEER .u�].111�U11S NO.
ADDRE55
Sui!�i(lei'luYl� Land CITY LIC.
CONTRACTOR (�� NO.{
LEGwL LOT
OESCeiviiOr+ NO. � BLOCK TRACT
A.P. NO.
SIZE 6eoo NO.OF BL�GS.
OF LOT ��ow orv �or
USE OF
EXISTING BLDG.
SETBACK IINE LROM
CENTEfl OF STw[Ei i REAR YARD
SI�E VARO RIGHT � LEFT �
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUIL�ING NO.OF '
SRE 7 � ROOMS STOa-RIES
EXTERIOR WALL COV�ERI OmpO$�el��,
COVERING � 71(7
USE OF NEW
STnTE TH4T THE RBOVE IS
CITY OROINANCE$ PND $TI
TION.
SIGNATURE O .
�AUTHORRED AGENT
L�
FEE RECEIVED
��^^'� .� � 1 `) f �--� �C
FINANCE DEPT. .
APPLIG���I�ri��F��RMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO.
ECENED BY O!A^TE RECEIVED OPTE ISSllEO
/t� V �,-,f-,1 % RII11V Q 1n
L1�1lV1��C5
COSTA MESA. CALIFORNIA
APPROVEO
BY
CORRECTIONS
ANO flGREE TO C PLY WITH ALl
i�GVLATIN BUI CONSTPUP
� VAWATION
� PERMIT FEE �
, g /O /�/� PLAN CHECK $
l�J f7
TOTAL FEE S
OO „BMi
s,;
OWNER RIJMMFRT,ANT1 T.ANTI Cn DATE 5-3-57
JOBADDRESS 3175 Barbados Ave. BUILDINGPERMITNO. �{�1I38
GENERALCONTRACTOR Owner�Sldr. VALUE S lO.E�6•OO
LOT 6 BLOCK TRACT 2353 (%85, W�Btt. �ar.
GROUP I& J TYPE V ZONE RZ FIRE DISTRICT 11J88
INSPECTIONS
Footing Trench
Foundation Forms and Gradeto
Rough Framing
Ptumbing, Rough to Slab �,� a
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer, House ( Sewer,:
Septic Tank or Cesspool
l.athina. In N Out .
Plastering �
Plumbing, Fin�al, Fixtures
Plumbing, Fin,al Gas Test
Wiring, Final
Occupancy
FOqM 310 3M 10-v3
DATE I SUBGONTRACTOR
��
PERMIT3ISSUED
DATE I NUM91
�