HomeMy WebLinkAbout2316 RUTGERS DR - Building Permits 18 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . . 5141 9/14/87 26,311
• CITY.Oft COSTA MESACONSTMCTION PERMIT PER T {^,�.•r TRACT NO. LOT NO. UNIT NO. ' tr./
Broiect Address a ?it- /C Ire°Ue3 " 0 7 1� '' I -- � 11
Applicant's Mailing Address
TYPE OF CONSTRUCTION H NEW U ADD i?LTERATI9,W Li REPAIR
/• ❑ CONVERSION ❑ DEMOLISH OTHER ooCC//vent:.A q p # Zone
Owner's Name rnAA UCJ/� Phone <52'76"77 /
D CR IPTION OF WO' USE OF BLDG. % l— A 1I1.-
Address
Address T7/79,e e - s.J! — t•sr - ' 6 e " /Nicer tr v. S Main Building: Accessory Building:
•Arch/Eng. License No. TYPE OF PERMIT GRADING ❑ FOUNDATION S STRUCTURAL T Front 0
Address . /-�y ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear N
Contractor's Name('7�71177'7U/1 L. 'f�[x2C Phone lJ�e� ❑ OTHER n
[� PROJECT DESCRIPTION SQ. FT. (aon OCCUPANCY • C Right N
Address(mailing) /0/0p7 Pi' /,%nr*/IA np \ C'
7 V �` - CONSTRUCTION TYPE VALUATION$ �r /1 o K LeftR
City License No. y ZONE _ GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: - faM
with section 7000) of Divlslon 3-of the Business and Professions Code, and - T
my license is in full for + aid •ffect.
Licens- ass e • L Lic. se $
Date4. Signature' N. • V_ PLUMBING EE
•
n
\ WORKERS'COMPENSAYIdN DEC LA RATI•N Bar Sink Showers ELECTRICAL FEES
` I hereby affirm that I have.a certifi'cate of cons nt to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
• Automatic Washer Transformer 0 15-50 KW
3800, Lab. C .'1L _
Policy No. ('/98a i 0 7-- O'�`Company . . Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
Ceyrtified copy is hereby furnished.
LiCert' tl cop filed with-the city Bui I g Diui ion Bathtubs Sewer Connection Cooking Unit Meter Our)to 100 amps
Date 4//4'/d 7 Applicant _a -
EXEMP ION FROM WORKERS'COMPENSATION ECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for •ne hundred($100) or '
less). :D Dishwasher / Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify 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 Drinking Fountains -Solar Tank Fan Motors 001 HP 01%-S
Workers' Compensation Laws of California. _
Date �•- Signature • Floor Drains Swimming Pool � F.A.U. r ❑
Inc.SOla9-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the '. 1111— •••••
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urin. Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYGas Service Outle 5 Water loset . Device Boxes Pole Light
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 He. 'r Outlets
Lender's Name Range
Lender's Address Kitchen Sink Aker Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories o-Wash_ Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or 111,county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laulc rays `—
Generator 00-5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
—•
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
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
enalty of not more than five hundred dollars($500). I I
Li -
I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 ssue Fee
compensation, will do the work,and the structure is not intended or offered — - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑
sale. if, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
•
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By ^ Date
''[,IrL9"154-R.7
pi7
prove for the purpose of sale). q J
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 9�/y
tractors to construct the project (Section 7044,Business and Professions Code: p�
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU SU 4 bt FEES
builds or improves thereon, and who contracts for such projects with a con- ((�O CI �^
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 1:1IJ
proof of their Worker's Compensation insurance should be provided to me. _
PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above DO-100,000 BTU 0100,000BTU ELECTRICAL $ GRADING $
Information is correct. I agree to Co y with all city and county ordinances _
and state laws relating to bu'Idi o�ruction, and hereby authorize repre-
sentatives o th ci to ter •n .e above-mentioned pro per y for
Inspection p s s.• MECHANICAL S ^^ �t
Signature �'\• Data Cl �� TOTAL FEE $ Ol�
Drivers' License or SS yp _ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White . Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
1
CONSTRUCTION ANp-PLANNING POOL & SPA
+ Date Inspector Date Inspector
APPROVALS {Permit'# APPROVALS Permit#
1 Temporary Elettricar`Service or Pole 52. Pool & Equipment Location
2: Soil Pipe-Undrgrnd. e.`1 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 ; /tom 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undig'rnd.-i 60. Backwash Lines, P-Trap, 0 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 Plumbing65. 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. I
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I
..20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure70. Underground Hydro
22. Ducts, Ventilating l. - , 71. Product Piping 0 Gas 0 Oil ,
23. Gas Pipe-Rough & Test 72.•Undeiground Flush ,
24. Roof Framing73. Undergrnd.Storage Tank 0 Gas 0 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 -i
31. Plaster Brown Coat 79. FINAL INSPECTION t -+
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 1., •
33. Final Electric I Notes: (C
34. Final Heating & Air Conditioning -
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing • I
I
39. Water Service-Final I . - '
40. Gas Service-Final
41. Solar Domestic-Final - -
42. Backflow Preventer , •
I
43. Backflow IrrigationI )
'44. Landscape Irrigation System EXPIRED
,45. Sound Attenuation In m ete Inspections --
46. Handicap Regulations nate4(
air
67
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
I
- , 1
49. 'Electric Release to Edison i - • ,
50. Gas Release to Southern California Gas Co .. I'
51. CERTIFICATE OF OCCUPANCY
No. Date I ' lc
CITY OF COSTA MESA (3�
CALIFORNIA P.O. BOX 317
From the Office of the Planning Department
61-414:1111 l'
March 27, 1962 6, 1
Bud Toelkes
2316 Rutgers Drive
Costa Mesa, California
Dear Sir:
The City of Costa Mesa wishes to advise you that in revising
street addresses, the numbers listed below were changed:
Ole. Address New Address
308 Wake Forest Road 2316 Rutgers Drive
For your convenience we are listing the agencies below that
we will notify of this change. In addition to those listed, you
may desire to notify your correspondents of the change.
Your cooperation in this matter is appreciated.
Very truly yours,
W. L. Dunn,
Director of Planning
Cb
By: Dave Leight n,
DL:rlb Planning Technician
cc: Southern California Edison Company
Southern Counties Gas Company 121
Costa Mesa County Water District
Pacific Telephone Company RECEIVfO
U. S. Post Office n , , ,_
County Clerk (4) MAR 19523
Public Works Department WI City of Costa Mese
Engineering Department 'Cj Building Dept, •A
Building Safety
File 4119 Oi
StSeet
•
•
- 753c1FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT JUL I 1 1962
P. O. BOX 917 COSTA MESA. CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely APPLICA ii ?bFM-MA fIESA
TYPE OR PRINT BUILDING
BUILDING Z 3i6 4„6-0,-"+ Th..,
ADDRESS COSTA MESA. CALIFORNIA For Office Use Only
/C / t- T B S .1'7;4-1;S RECEIPT NO. I PERMIT NO.
MAILOWNER ''77 �'///y-''� / f` RECEIVED BY DATE RECEIVED �JDIATE 1/369
ADDRESS ATP 7 -' '// 7- IQ'bv. / —/o-�
TEL. /f`�/ DDRE S a /- 1
CITY • NO.� ) .1 ADDRESS �✓ /6 / s--)"((/// """
ARCHITECT TEL. . COSTA MESA. CALIFORNIA
OR ENGINEER NO. ,/
FIRE
ADDRESS Rl ,{n( R ZONE a---TYPE ✓ GROUP P1.
CONTRACTOR 0 n /0 II` - 0 tv ,-r/ APPROVED )� / //�� (gyp/,�,
BY DATE / ��Ll//
ADDRESS ZONING /� -C,,,
Z NO.OF USE OR NEWS^,/��/1` .J�
L-,ITM �I Jr.::
LANE ^ /I BUILDING y(/y.'VA.1./'t
STATE TEL. LEG y jr..--1- 1/' '/I(�/
LIC.NO. NO. - DESCRIPTION ie )-(J l
SIZE0 �.. 1 NO. OP BLOGS.NOW ON LOT / A.P.NO. ` J
OF LOT / / 1 a _ /�
USE OF lL.. _ YARDS RO ��( ALES
EXISTING SLOG. ///���"'^"����� APPROVED AL •WE•
SETBACK LINE PROM (CENTER LINE 6T .. / ,'
CENTER OFI7REET REAR YARD FRONT /:..:-.4:-.--t4, IN.
SIDE YARD LEFT 7 J I RIGHT /O ' R.SIDE - 4C FT. I I IN.
DESCRIPTION OF WORK
IX
L.SIDE �F 9 FT. IN.
NEW I II ALTERATION I II ADDITION I/ ' REAR / FT. / IN.
REPAIR I (MOVING DEMOLISH I APPROVED I /� �/D�AATE�17�C� (p
BUILDING yq` Y/.1NO. OF ODMS STORIES 11!/`x( I/
SIZE
EXTERIOR WALL VfYe ROOF Q
COVERING 1�00'p I COVERING �(, 0 "(-
USE OF UILDING AND WORKSO BE PERFORM/Ep "
.1.[� 1
f Z 4.. : ti-- r f
OA , / "
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING GONBTRU ON.. i� VALUATION
SIGNATURE OF e.?2J�?�/v�c _. ! 12[ PERMIT FEE $
PERMITTEE (A 'VJ /////{ ,(/ n
S/ PLAN CHECK $
AUTHORIZED AGENT i
B
.® TOTAL FEE 5 0
OWNER TOELKES, Adolph DATE 7-10-62. '
JOB ADDRESS 2316 Rutgers Dr. BUILDING PERMIT NO. 17519
GENERAL CONTRACTOR OYmer-Bldr. VALUE $ 180.00
AP No. 141-472-J6 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Utility Rm. -Re
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R-1
soil F' 7/>6z1- PERMITS ISSUED
Gas f eJ 7J��� SUBCONTRACTOR DATE ` NUMBER
Water 7
Rough Corn. Refrig. 0 Air Cond. ❑
Rough Heating y� e=6:zzre t/,/,LLMC!/ 7-'e -Get_ d �G�-It—
E144
I _
Rough Plumbing E144 -.7,7-‘r0 _f/�l x�A/ ,eek/ �/_o=Cr2_. �J'J -_✓
Miscellaneous -�
Prop.Swr.Line ❑ House Con. D St.Swr. 0
Sprinkling System
Constructioole
Underground ❑ Power
Rough Wiring 4r t)ztn.a/ • 7 io -6 N /7 j✓—D
7es Li Borms L Dteel 2tenn.ti /o_
Floorond am 'IiC(7-1724-
Bond Beam 0 Steel Reinforce ❑ ` yQ�f
Sheathing `f
Frame and Flashing 1
Lathing — In LI Out 0 .23
Plaster, brown coat ,
Refrig. 0 Mr Cond. 0 Final "1...
Heating, Final - /
Plumbing Fixtures, Final it
Final Gas Testy t�
Electric Fixtures, Final ° _ ��
Building, Final it ar �I-y
OCCUPANCY
FORM BO4-5M — 7.61 17759
16808• FE, �j RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 2 6 1962
P. O. BOX 917 COSTA MESA. CALIFORNIA in DEPT,
For Applicant to Fill In Completely FORCITY OF TOOSTA MESA'
PPP y APPLICATION PERM!
TYPE OR PRINT
BUILDING I R 13./6 1�c T 6 Ear d� • BUILDING
ADDRESS .
COSTA
MESA.
/RC/ALLIIF�O/RNIIA p /� For
1 Office Use Only
/�/p�M (�//J
OWNER
Ado £,A L Ate` fl Theig � RECEIPT NO. I f ! �D
MAIL / /y�� y-/'/��� //w RECEI BY D�p5�8_�p��-¢{IV�ts,.� DATE ISSUED
ADDRESS �5/ 6 / W-Giy'_ " Pe I I ✓ o/ (GIs 3•--� 1,-'
.••fes lye C� TEL. ti iter BUILDING
CITY G[(-{i(.A.) /�'�e � NO// -DN e—ADDRESS
ARCHITECTTEL. /
OR ENGINES 'ti`�-ti NO. .r COSTA MESA. CALIFORNIA �//��//�
/( FIRE /--Y—
ADDRESS //jj//JJ //JJ � /Q,(�.�_p� ZONE TYPE
TYPE GROUP` LL//
CONTRACTOR og.e � - '� - " - APPROVE/ /1///�j?- y!
BY DATE✓/ a.
ADDRESS - J ZONING . ,�,
?YE
-USE OP A ,, f�(,�A1 h
CITY ~ (�/ ( PLANS 1 BUILDING NEW ` ( r
STATE TEL. LEGAL L 011—'9 (" D 9 13
LIC.NO. Pte' . ,, NO. DESCRIPTION p PP�j J
SIZE n il `� ( n i' I NO. OP NOW ON LOTS / A.P.NO. I 7, / /6
OF LOT / V (
i
USE OF i YARDS EVES
EXISTING BLDG. 111���/// _ APPROVED ALLOWED
/
/
SETBACK LING PROM S D 111 O / / (CENTER LING BT.) J
CENTER OP STREET f REAR YAR FRONT ��/ / IN.
SIDZ /( •
ARD I LEFT ` I RIGHT ( 0 / R.SIDE (Q Z' lyrr,Q- IN.
DESCRIPTION OF WORK J�\ SO
L.SIDE 1 FT. N.
NEW I II ALTERATION I II ADDITION IV REAR f/IN./
IIMOVING II DEMOLISH I APPROVED (( / / DATE 1+ fY -(y L
REPAIR l V V/ /
SB
BUEILDING NO. OF
//, j (3 ROOMS STORIES 4/�J
EXTERIORNWALL/9 ROOFCOVERICOVERING 4 j d/ /
USE OF BUILDING A D WORK TO BE P RFORMED / I// //
a _ /5-6 d'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONS - ION VALUATION
SIGNATURE O- /
/ 2(,1 ERMIT FEE $ ft"-
PERM ITTEF
PERMITTEF ! ✓� O
$ )
X PLAN CHECK $ °A
AUTHORIZED AGENT /OL'jj C
TOTAL FEE $ y
ie
SEP ] 11962Z"/
OWNER TOELKES, Adolph & Eleanor DATE 3-26-62
JOB ADDRESS 2 16 Rut:ers Dr. BUILDING PERMIT NO. 16808
GENERAL CONTRACTOR Owner-Builder VALUE $ 1,560.00
AP No. 113-11!42-16 LOT TRACT FIRE ZONE DESCRIPTION OF WORKAdd Fam.Rm.to
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R-1 Res.
Soil Goy SUBCONTRACTOR PERMITS ISSUED
Water DATE NUMBER
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 Ilouse Con. ❑ St.Swr. 0
Sprinkling System
Construction Pole
Underground ❑ Power ❑
Rough Wiring Vas, ,S—2/�e`Z// -/1 �/4-PC- / 5-76-a2- !I4'7Pi�
Trenches 0 Forms 0 Steel Reinf. ❑ 2, ,_ —17—e A ( '? X r. P4 0( ! W 1.
BSystem
Bond Beam 0 Steel Reinforce 0
Sheathing ,p
Frame and Flashing ` -!w�--�'
Lathing — In 0 Out 0 ' at/
Plaster, brown coat �-6C
Refrlg. 0 Air Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final `zeta 6-2J-LY
Building, Final R f,4& 11.,9:9-VI
OCCUPANCY
FORM 6U4.5M - 7.61 i68u8
6063tl- T': i'aCL' iD
�i
LL
'COSTA MESA BUILDING DEPARTMENT , /, - /'3 - 5 -7
P.O.BOX
31' �FI�!1RCE DEPT.
COSTA MESA. CALIFORNIA I
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN o„Lii::tlAPPLICATION FOR PERMIT
.�
BUILDING dAC- , TG
UGKS Zia 11,5 61
6.... y)i- 9. BUILDING
ADDRESS s
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY 1
RECEIPT NO. PERMyTO.
OWNER Amherst Development Co. 6U.
MAIL RECEIVED BY DATE RECEIVED E 5
ADDRESS 419 E. 17th St. -1--),0 /,.._,,2_,s-7 Nr 1 $�' 5i
TEL.
oLI 8-ll BUILDING I
CITY Costa Mesa 59
ARCHITECT Carlson & LIC. COSTA MESA. CALIFORNIA
OR ENGINEER Middl Phrnnk NO.
FIRE
ADDRESS Garden Grove ZONE
�. g �cl�2 LIC. ZONE NO.rv5 TYPE GROUP
(((��� ��'
CONTRACTOlake and Cole roVC NO. 7333 � ] v `-!
a9 E. 17th St. Inc TEL c� �1 APPROVED
ADDRESS Ongt� MPaa NO.0 03.159 By DATE
LEGAL LOT CORRECTIONS
DESCRIPTION NO. 75 BLOCK TRACT 2953
A.P.NO.
SIZE NO.OF BLOCS.
OF LOT 77 x 102 NOW ON LOT none
USE OF •
EXISTING BLDG. none
SETBACK LINE FROMI
ypy� 1
CENTER OF STREET rat 50' REAR YARD 35
SIDE YARD RIGHT 10I LEFT 7!
DESCRIPTION OF WORK '
I
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BSIZE 1222
1222 $C1. ft. ROOMS NO.OF 5 STORIES 1
EXTERIOR WALL ROOF
COVERING stucco COVERING comp.
USE OF NEW Single familyresidence
BUILDING
garage attached.
Plan No. 720A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE•EAWS REGULATING BUILDING CONSTRUC.
TION. //� ALUATION
SIGNATURE OF all
( Y ,� 4 PERMIT FEE S 26.00
PERMITTEE �[=�'/ < • le i,
nn
Dike
10,702.00 PLAN CHECK S 13.00
AUTHORIZED AGENT Dike and Colegrove, Inc. TOTAL FEE S 39,00 ,.F