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Home My WebLink About1026 DAMASCUS CIR - Building Permits.lob Address: 1026 DAMASCUS Cl Status: ISSUED Suite: Applied: 11/27/2006 Vicinity: ENTRY WAY Issued: 11/27/2006 Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: Parcel Number: 41237126 Zoning: R1 Applicant: FOROUTAN, MANUCHEHR Z TR Address: 1056 S ORANGE GROVE AVE Phone: 310-940-5342 LOS ANGELES, CA Zip: 90019-6509 Owner: FOROUTAN, MANUCHEHR Z TR Address 1056 S ORANGE GROVE AV hone: LOS LOS ANGELES, CA 0019-6509 contractor: .OWNER -BUILDER Address: Phone: Arch : Address: Zip: License: 000000 Phone: Zip: License: Eng: Address: ISSUED BY: I��✓ Phone: License: Total: $24.00 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front o -o Rear 0-0 Left 0-0- Right 0-0 ACCESSORY Front 0-0 ' Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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: This permit shall automatically 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 required inspections 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 244646 (6=) - -. SCOPE OF PERMIT INSTALL ONE SKYLIGHT OVER ENTRY WAY. ICBO # 1998. NO CUTTING OR REMOVAL OF ROOF RAFTERS. FEE SUMMARY Plan Check: $0.00 ' Calc Valuation: $250.00 Permit: _ _ $23.50 ' - Claim Valuation: $0.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $24.00 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front o -o Rear 0-0 Left 0-0- Right 0-0 ACCESSORY Front 0-0 ' Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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: This permit shall automatically 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 required inspections 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 244646 (6=) - -. DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance. W required by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance Gamer and policy number are: R . Policy Number: cfion neetl not be completed i/ the pBnmif is valued of one hundred dd/ars ($100) or lass.) ertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensatlon laws of Cal'fc 'a, antl agree that'f"I should become subject to the workers'compensation provislons of Section 3700 of the Labor Code. I shall forthwith mply with these proms. I� 1 _ I1 ^, Applicant Signature: / Date:—fVll�.. IIJY�fn WARNING: FAILURE TO SECURE�1y �RKE SCO! NS ION COVE8AG NLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IT ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE 16100,000). N ADDI T HE T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed 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 effect. Lic. k Class a Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Data: OWNER -BUILDER DECLARATIONS: k � 1 hereby affirn that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a pemlit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves 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 sale. If, however, the building or Improvement is old within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The czars License Law d Bs not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license rsuan to ih o tractors cense Laws.). ❑ I a exempt sec. BGsiness and Professions Code for this reason: Signa re: Date: Ow er ID verifi by d fs s as ❑ No Drivers License No. xpirss: I fcetlon of Ownersl y (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet In depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, iaisework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the divisior. Signature: Data: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .._....................._._................._....................._..............__._...__..............................______......................___..........._.___............_.............._.�.............._........._................................................_......... 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (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 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 temperature and . pressure). .........................................................................................-.......,............................................ ..................... ....................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the 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. 4 If en RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No ............................................................................................................................................................................................................................................................................................................................................................................................ 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication ayermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ......................................................................................................................................................................................................................................................................................... .......................................................................................... 8 WIII any pert of the facilityto be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑ No (If 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). .............................................................................................................................................................................................................................................................................................................................................................. 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ........................................................... _............................ ....... ..............................._.................. __.......................... __................................ 8 (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to compy with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFlCA EO COBE INCE AND AUTHOyRAT10N OF ENTRY: I certify under penalty of perjury that 1 have read this application and state that the information given Is correct. I agree ompl wit state laws 49 city -ordinances relating to building construction, and authorize repr¢¢¢sentatives of the Ciry of Costa Mesa to enter upon the above-de� d prope to in purp0$es. I eqa ohto'ftcupy or allow Occupancy of any building author ilza byahis perr/iit,un it final inspection. Si /ire Le//gal Owners) U Date And/Or Authorfzed Applicant Date CODE r. INSPECTION TYPE 2&3 INTITIAL CODE# INSPECTION TYPE UU 111IIDELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 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 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.dOMLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1026 DAMASCUS Cl Status: ISSUED Suite: Applied: 11/17/2006 Vicinity: Issued: 11/17/2006 Primary Occ: R3 Type of Construction: V -N Parcel Number: 41237126 Zoning: R1 Applicant: FOROUTAN, MANUCHEHR Z TR Address: 1056 S ORANGE GROVE AVE Phone: 310-940-5342 ISSUED BY: LOS ANGELES, CA Zip: 90019-6509 Owner: FOROUTAN, MANUCHEHR Z TR Address 1056 S ORANGE GROVE AVE - Phone: _ 310-940-5342 LOS ANGELES, CA Zip: 90019-6509 Contractor: OWNER -BUILDER Address: - Phone: Zip: License: 000000 . Arch Eng: ' Address: Address: Phone: Phone: Zip:' - 'License: License: SCOPE OF PERMIT TEAR OFF WOOD SHAKE INSTALLI LAYER 30 LB FELT INSTALL 1/2" OSB. 40 YEARS COMP. SHINGLES. FEE SUMMARY Plan Check: $0.00 "Calc Valuation: $11,000.00 Permit: $195.25 Claim Valuation: $11,000.00 SMIP Res: $1.10 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $196.35 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0•r Right 0-.0 -, ACCESSORY Front 0-0 Rear 0-0 Left 0-0 - Right - 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 R 'RI P _2 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: This permit shall automatically 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 required Inspections 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 2"646 (8100) �I DECLARAVONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by section 3700 of the LaborCode, for the performance of the work far which this permit is Issued. My workers' compensation Insurance carder and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed 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 effect. Lic. if Class k Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit � su u,,p0jqcts the applicant to a civil penalty of not more than five hundred dollars ($500).): 40 I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himpelf or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is old within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). .jl11as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions ode: The contractors Lice a Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pur nt to a Co rectors License Laws.). ❑ 1 am ex pt nd s c. Business and Professions Code for this reason: ate: erifby r' icense. � [INo Drivers Lic rise No. Ires: Verifi ion of Own, y (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Cade). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............................................................................................................................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (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 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 temperature and pressure). ......................................... .................................................-...................................... ...................................................... .......................... ...... ................... .......................... .................. ........................ ................................................................. ............ 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the 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. .................................................................... .......... ....... ..... ............................................................................................... ....................... ......................................... .......................... -......................... ......................................................................... 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ............................................................................................................................................................................................................................................................................................................................................................................................ 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aPPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ....................................................................................................................................................................................................................................................................................................................................................................................... 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ............................................................................................................................................................................................................................................................................................................................................................................................ 7 It a permit from the South Coast Air Quality. Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .................................................ertiific..........................i"a"-.................................................................................o'nt.................................................................................. ..... ................ .................................... .......... ................................................... 6 (It'ves", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE O MPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I age to c mpl lith all s Cte laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above -de ribed pr ape 1 inspe ion a oses. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. / !'1/710G S nature Of Legal O n s) to And/ o licanl a CODE f. INSPECTION TYPE DATE INTmALS CODES INSPECTION TYPE DATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final � 9 206 Final Plumbing 200 Final Re-Roof Lv_L/ !_(_fL� 210 Final Electrical 201 Final Block/Retaining Wall p U 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 Ir 44 Q� COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS OWNER /DZG FO= F MAIL ADDRESS 2101 E. CITY Santa P CONSTRUCTION' LENDER U.0 BRANCH 1010 N. ADDRESS Sart a P ARCHITECT OR ENGINEER RAI ADDRESS 777 S. TEL. No. 543-9471 L. PA10 OCT 21 77crisa001093t ***373-02 APQy IVATION FOR STRUCTURAL PERMIT PEC IV D V DATE RECEIV D D TE ISSUED Sartte as above Separate permits are required for electric, plumbing and heating work.��tt TEL. CITY / a051 C PERMIT NO. A.P. NO. SIZE OF LOT NO.OF BLDGS. O NOW ON LOT BUILDING ADDRESS 1026 DaiflaSCUS Circle TRACT 9901 1 LOT 24 BLOCK WADD ALTER/ P OWNER l- r m ALUE SE $ •� CONTRACTOR Foley Construction Co., Inc. ADDRESS Sartte as above Separate permits are required for electric, plumbing and heating work.��tt TEL. CITY NO. STATE CITY LIC. NO. LIC. NO. SIZE OF LOT NO.OF BLDGS. O NOW ON LOT FIRE APPROVED USE OF N ZONE/ IP° NS Z I BUILDING EW &� O YARDS APPROVED CARDS APPROVED MAIN MAIN BUILDING I ACCESSORY BUILDING USE OF EXISTING BLDG. FT FT Separate permits are required for electric, plumbing and heating work.��tt LSFT. FT. //�� uVFT. tDSTANCE.13,ET. FT. USE OF BUILDING AND WORK TO BE PERFORMED . BET. MAIN & ACCESS. SLOGS. DATE I ,HOLD FOR SPECIAL REQUIREMENTS I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and 1 shall not employ any person in violation of the workman's compensation laws of the State of California. 1 hereby certify that 1 am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or 1 am exempt from the provisions of the State of California Business and Professions Code, D is 3, Chapter 9. Signature of Permittee iJ - 2920 SQ.FT. Gar. 658 s .ft. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY: VALUATION PERMIT FEE E Q /}� 0 f0 PLAN CHECK E 2 2, $ �U,�✓Q/ ' TAX $ TOTAL PAID 9 L