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2830 SAN JUAN LN - Building Permits
IPROJECT ADDRESS: 2830 SAN JUAN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 060374 OWNER'S NAME: NAIGLE WILLIAM W 2ND t ADDRESS: 2830 SAN JUAN LN PERMIT NO: B 060374 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 I CONSTRUCTION TYPE: 5—N PERMIT TYPE: SIR PURPOSE; ALT 979-3904 ARCH/ENGINEER: flEG.NO.: JOB DESCRIPTION : T/O SHEATH 6 REROOF W/COMP SHINGLES SQ FT: 5, 140 ADDRESS: UNIT: CLAIM VALUE: 5, 140 . 00 CALC—VALUE: 5, 140 . 00 GROUP OCC: R-3 /M-1 PERMITTEE: CONSUMER SERVICES ( 714 ) 754-1533 ADDREss: 17450 MT HERMAN B COMMENTS: REROOF 2700SF RESIDENCE 6 GARAGE FTN VLY CA 92708r.+F..*..4r.*.....*.*.....x+e*.......**......Tr....*.........ugsm/ 131. LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS �+} �JJ 7000)of Division 3 al the Business and Professions Code,and my license is'• full force and effect. SETBACKS myLic.:04j168/i STATE LIc.:424349 ....., BF URED__ t Date: j(1/ (/ -Tor MAIN BUILDING ACCESSORY BUI tN6 f (7 �L Signature: � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'CO PENS TION DECLARATION: I hereby affirm that l Iv cent of consent to sell-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800. .b.C). POLICY NO.: EXP.DATE: COMPANY: PARKING REO: PROV: PARCEL: 14167202 ZNE: REF NO: ❑ Unified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: *****************************************************************************IF* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This seal, eed no .e completed if the permit is for one hundred($100)or less). D E V E rL_ O P M E N T SERVICES R E Q U I R E M E N t S I certify that In the performance of the work for which this permi •.,I sh. not employ any person in any manner so as to become subject to the .rkers' ompensation Laws of California. / / ZONING APPROVED BY DATE: Date: L Signature: ill. a NOTICE: f.alter eking this declaration,you should beco e ( t o x., .. ers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.y. mus'forthwith complywith such provisions or t;017r•i .e deemed revoked. ^T (qt— which (, CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• DATE: IT1 / ` -1 L which this permit is issued(Section 3097,Civ.CI. ****iE********if****MikiFiflEiEi ***iEiEiEiEiEiE7EiEiE1t•iF1F***iE iFiFlkitiFiEiFitxlflk***BEiEiEiE*** iFitiEiEiEit*** LENDER: **************************iEklklkiFiElFykMiFiFiF1E1EiF#i(****#If1F***MlEifiEiE3FIkklFiEiFiF#1F***1F1F#iE*i *** ADDRESS: LEGALIZATION:N FEE ,SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 70315 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 81 . 00 ..- . 51 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed — SMIP/NON—RES pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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 penalty of not more than five hundred dollars(5500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLANT CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 81 . 51 0 . 00 - - 'r 0. 00 81 . 51 81 . 51 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through I his or her own employees.provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 81 . 51 OVER/SHORT: . 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve forme purpose of sale). BLDGG1PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 8 .I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware ****************************iF!llE1LllttlEiEiklk9EBF****3595!Elf**** F3fiE*lElfil•iE********{p*lE{F{F{FB **** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL ' 'FEE BREAKDOWN ❑ I am exempt under Section: B. 8 P.C. tor this reason: TYPE QTY DESCRIPTIO N•, UNIT COST TOTAL COST Date Owner: SFR 5140 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 140 . 00 I do hereby unify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END ' OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouatity Management District.Residential construction applications are exempt from these provisions. [„-. Date: Applicant: I hereby certify that I have read this application and slate that the abo •info .ion is correct.I agree to comply with all city and county I ",/- ordinances jordinances and stale laws relating to building construction and here. thori7 n.resenlalives of this city to enter upon the above-mentioned r property for i pectin purposes. /' /^( q 42.- Li a il� `' Date: / H�/ Y C� Signator: ��� 7 111 ( (YYY ' Driver's License o Social Security 4: ' 164646 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or sole 52. Pool & Equipment Location 2. Soil Pipe-Undrgind. • 53. Steel Reinforcement T 3• .Electrical Conduij^^Utility-Undrgrnd. 54. Forms '4. Electrical Conduit:Undrgrnd. 55. Electrical Bonding ▪ 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Etactrical UFERGrnd. 57. APPROVAL TO COVER-GUNITE •J 'r u7;•.Footings - 58. Electrical Conduit-Undrgrnd. .. 8.'Foundation - _ • 59. Gas Pipe, 0 Undrgrnd., Test 9•. Water Pipe-Undrgrnd. - 60. Backwash Lines, P'Trap, 0 Undrgrnd. • 10, Structural Floor System 61. APPROVAL TO DECK _ • 11. Prdperty Sewer Line & House Cdnnection 62. Backwash & Receptor-Final 12. 5&iver Cap 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing ' - 65. 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 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . . _ .. , . .. .J U J'. C. r ti 20.-•Rough Qctoi-y Fireplace I -Cm: S-7 - - • APPRQVFC5$-- •LPer it # •• -T tri ._ >- I Y - w - - ,� J - - � , 2. . 1 -5. : J...", r, , 21,Ducts,icuStructure.4 i •. - - .-:70. Undergrou'd,Hyttro •- 22. Ducts, Ventilating: !. 1 t ` y ,t , " ,I.-"Ii Y -'71. Product P}ping O'G7s D'Oil r R l7 1 ,.P -'- r-1 , 1 ' ,t 1 . 23..Ga,.,Fipe:Rough &'jest 1 - tr. ,ia. . :72. Underground Flush",.' . _ t - _ _ , 24:-.Rodt Framing Fe- ' ••[- ' � :-' ' m y. •"73;_'Undergrnd;Storage Tank 0 Gas 0 Oil 25. Roof.Sheathing ;-;a ' J '� iaco-tit? '•74,'0yerhead Hydro• ll c -� . 26. T-Bar Ceiling (Structural) & Monocoat -_ :- .'• ' 75:;.Dry Chemical 27,;Frame and Flashing, , ,4-, ;; t-. - J.,: , 76. Ory Standpipe •128. Lathing`& Siding..J'. -- .s.c ', :� ! ••• i 77;: FIXED SYSTEM'FJNAL i ,_ ` '29. Insulatia y ' .. :. 7 78,;IFIRE PREY. FINAL - - .. :•30. Drywall-Nailing ._ - I HEALTH DEPT,REQUIREMENT j31. Plaster Browtn,Coet' , 1 ,r s •79. .FINAL INSPECTION i 32._,Electrical Power t ete?iFinal' .. I ; ?80:,FOOD CERTIFICATE ISSUED ;33.,Final El2ctrid t'- • r. A '•Noteskj, I Q .� /Cr r-�+: t/yte, T34. Final Heatingg&Ail' Conditionigg; ti 1 - I 35. Final Gas Pipe•Te;t, = . _, , 7 - '`, 36. Hood or,Canopy., . - - - ` .. -• •:r .� - '. 37. Final Factory Fireplace _ . ! I Fireplace .38. Final Plumbing . : -' . - - 39. Water Service-Final • ` • f 40. Gas Service-Final 1, _ I - .:. -241. Solar Domestic-Final•<•••• - - a • 42. Backflow Preventer'- ' - - 43. Backflow Irrigationlyi_.. '• .c -e ' - :44. Landscape lirigation:System - - , ,, - r -445. Sound Attenuation'.. - - . ? .46. Handica• p•RegulatioQs,' r''1, .. - 4. 47. FINALSTRUCTURE & BUILDINGJD y ..� 48.-FINALPLANNING • . vim 49. Electric Release to Edison-J.; - -t. - 50. Gas Release tp Southern California Gas Co , I I - . :51. CERTIFICATE OF;OCCUPANCY r. . f, - No. j-pate CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT Registered Deputy Building Inspector — Certificate of Compliance Date of this Certificate S" 3"/ 9 Building Address Z83 O Spa J'vp a Lu Owner G7, Q% Ggl-E Contractor Q-A'L %So 4e I A Qc o\..S Address ORaro 6E Permit No. cr) IC Date Issued To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were .inspected by me and comply with the provi- sions of the Building Code applicable thereto. [ ] Concrete [ ] Masonry [ ]Welding [ ] Reinforced Gypsum / [ ] Special Cases Swimming Pool Size S'1 [VI Gunite [ ] Hand Pack Sacks of Cement 9S' Tons of Sand ) 7 Approximate percent of water in aggregate s 70 This report covers work completed during week ending c- 3 -i 9 REMARKS: (� ` \� SZ oa_. C1.Rr.t s c '.- .o Go v.E Registered Deputy Building Inspector kpt-v, a SAZ.SC�'loo, . qc' C�l-�uoE0. �> V� NameQ"\kao�olali A4o Q<uo lae Address 1.141-1. LbiteZota4 �i9t Laboratory 1 wTelephone c'i-y'— ?lig CMF 0406-46 (eU 6) I y 00Pe A of • o �F.oet f�12/r I FSS A2j '6 ° • =���z,�fl►,'�°��, Twining Laboratories "f c.soudttn duclfo=,tom, gne. 0 nV Edl' . IL. 3310 Airport Wav 17.Mahng Atlmess P 0 Bo. 47 Long Beech. CA 90801 112131 426-3355 / (213)636-2386 . (7141828-6432 TESTING BRAT:CH OFFICE 15)4 0I:nnn.•ern•••S•r,e:. Sam.,Ana. CA 92103 .114)531 2045 May 16, 1979 Examination: SC79-2449 COMPRESSION TESTS ON GUNITE CYLINDERS R E C E I V E D Richard L. Hubbard C�TFLANNINGTDEPT ESA 17422 Yellowstone Avenue Yorba Linda, California 92686 IAAY 2 1 1979 PROJECT SWIMMING POOL & SPA AM PM ADDRESS 2830 San Juan Lane, Costa Mesa 11819 Ii0111112111213141516 . 4 SAMPLE FROM Transition, Deep End & Bond Beam ARCM))E Cr COnIV A:;Ou California Pools (Orange) ENGINEEE SU8CONIR4CIOR H. M. Hansen Enterprise Gunite SPECIFIED MIX 4,2 - 1 STRENGTH 2,000 psi. DATE CAST 5-3-79 CYLINDER SIZE 5-3/411 x 1210 DATE TESTED 5-13-79 5-13-79 5-13-79 CYLINDER NO. 1 2 3 COMPRESSION 10-Day 10-Day 10-Day TOTAL LOAD, LBS. 89,000 92,000 106,000 POUNDS PER SO. IN. 3,427 3,543 4,085 Average: 3,685 COMPLIANCE 10-day test complies with specifications. MADE B• DELIVERED By RECEIVED ON CYLINDERS Barry Hubbard 5-4-79 DISTRIBUTION (/ Richard L. Hubbard - 3 Costa Mesa Bldg. Dept. ���� UMILR NAIGLE, WILLIAM "" 2-2L-19 OB ADDRESS 2830 San Juan Lane BUILDING PERMIT NO. 4754.5 GENERAL CONTRACTOR California Pools DESCRIPTION•i WORK Pvt. Pool [,_.Spa_ P No. 141-672-02 LOT TRACT FIRE ZONE VALUE $ 15,000.00 NSPECTIONS •� Signature ! Dote GROUP J TYPE V ZONE lj-1 Q )Q Su BCOMTRACTOR PERMITS ISSUED Pool Location �` ���/ _ Dote [ Numbcr LSignaturc [\�1��orms �SMain Drain J��yS�teel Reinforce i Elec. Bond Electric Approval to Cover � �;7, 1 l / /� /a ..-PA 4,0,38)-Underground Electric ...re._ - b' I • . ✓ ' - - 4 ------ Gas Piping Test Cc itii.'x PlumingI Filtering System Lines se., ' Z 0 L. . • �..:v / - -ii/ ._ .. 1 / Backwash Lines and Recep. C•.C it f7 79 , I Electrical Final 6-15•79 Heater and Vent Final Filter System Final 5 5 . Backwash and Recep. Final Fencing Final de . 4• 49 I I n47545 COSTA 120 DTADEPARTMENTUILDING-SAFETY MESA,CALIFORNIACALI O 6 RNIIA 926 P.O. OX00COS 3721 _2/21./79 7 109.05 TL A MON FO1Z kRI IWA J'ERMIT109.A5CKT0 For Applicant to Fill in Completely —Use Ink Only uul t: / _ RE ;AT%RECEIV DATE ISSUED eft......' BUILDING�6 ya , .\ L \ -18-2 v ADDRESS Q✓ Pkh_) /V PERMIT NO. M4_ A.P. NO. 71/41-6.7.2-4 ADDRESS S p,SL(J dam'/ J G�g Q 4 Tu44 1.-A4N4 TE R TRACT 5:A-2 LOT /'3 BLOCK ADD ALTER REPAIR MOVING rDFMOLJSH BRANCH OWNER %Pt A !G-LE— ADDRESS ppb 61:31.1- �/�/�� �\n VALUE / ARCHITECT ��ys ��¢ TEL. USE /( T �+W[NL U'71 Com$/5 1O 1 OR ENGINEER 1�pp1'YlaSt 0 NO L .. ..' .. ADDRESS$SO0` �u'O c% 6noRtc I ZONE TYPECIGROUP Cf' 1 oKN.)\y� IP�A5 APPROVED CONTRACTOR / (,/ BY DATE _ ADDRESSl3D f`•-) ,6l-1,S M ZONE NO.OF USE OF NEW FOO .4 CITY&AfkiJAE_ NO71t.17)( �I IPl'A'N$ BUILDING L SPOS-- .-i STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. 1 K.51 va LIC. NO. MAIN BUILDING ACCESSORY BUILDING 17.1 SIZE L NO.OF BLDGS. (FROM C/L STREET) p• OF LOT NOW ON LOT FRONT FT. FT. a USE OF --EXISTING BLDG. R.SIDE /3 FT. FT, to E-4 Separate permits are required for L.SIDE / ` FT. FT. electric,plumbing and heating work. REAR (p FT.— FT. W USE OF BUILOING AND WORK TO BE PERFORMED h DISTANCE BET. BET.MAIN& -"C ) MAIN BLDGS. ACCESS.BLDGS. C.U.VAR.�� /M / (!� [f' p4 F C.U.P../fr APPROVED a APPROVED /I u)IQ �+ • ›' -$Y ` W�I DATE �/8/7 / wl fg w 0 I hereby acknowledge that I have read this application and state n g that the above information is correct and agree to comply with /i/ C59Vall laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of coo 5W the State of California. I hereby certify that I am properly licensed as a contractor under (_529Q. FT. ale a the State of California Business and Professions Code, Division 3, TAMOUNT SHOWN UNDER VALUATION IS FOR a Chapter 9, and that such licenses aro in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE NLY: - am exempt from the provisions of the State of California Business Cs Ca y VALUATION PERMIT FEE $ and P ofessions Code,Division 3,Chapter 9. U, o Sign re o L PLAN CHECK $ �U c Perm .C,/V�� $/��. '-}. 11 TAX $ 2 Jt! (JV u. /115 U Authorized Agent ` TOTAL PAID S/v7. 05 OWNER MESA DEL MAR DEV. CO. DATE _30_ 1 JOB ADDRESS 2830 San Juan Ln. BUILDING PERMIT NO. 20531 GENERAL CONTRACTOR Macao Realty Co. VALUE $ 23,985.00- - - " - ' AP No. LOT 13 TRACT 5?52 FIRE ZONE 3 DESCRIPTION OF WORKPpc 2.tit r-Ir _ INSPECTIONS S�{'gnature DATE GROUP 7,�,j TYPE V ZONE g�� Soil,C. ?Iw�s,-.� /g-5/-c y PERMITS ISSUED Gas a «// SUBCONTRACTOR DATE NUMBER . Water da. /o Y/-fr3 .�-r+—//-�-a34 Rough Com. Refrig. Air Cond. 0 �_`��,� Rough Heating //////2/9ti3 �'"-"`""� ,06,[17481_, a •0 — Rough Plumbing --� I/2t/o-63 ., .-,- Miscellaneous II I. P Prop. Swr. Line 0 House Con. 0 St. Swr. 0 jZ-2.-- /y-3i-G 3 / 42.<2.,,.r. OCT 2 8 1963 Sprinkling System .... f_i—C 2 I r1 1:1,-(Cl1:1,-(Cl-b\-1-([ �--� t'S '-I (J Construction Pole 31�p te Underground 0 Power 0 Rough Wiring 9o-n,e &2e2 /c2-/a 47 p?/S 2 Trenches 13— Forms DY Steel Reinf. ®' (m _ Floor System 1c6— / Bond Beam 0 Steel Reinforce 0 • Sheathing . /?_-6 - ,3 _ Frame and Flashing _____h mac-63 Lathing— In.©- Out cg-- q',�R i-1-f•% Plaster, brown coat AWS i--4.--6-5, Refrig. 0 Air Con. 0 Final , Heating, Final -1-1-..---- 3/y-C e _ Plumbing Fixtures, Final Final , f Y7 4.- Final Gas Test /..1— J .c..- Z I/-4K . Electric Fixtures, Final " /44. (3-//-4[7‘ Building, Final c-,-v J-/y_g v I OCCUPANCY Form BU4-5M-3-6:—S-B P ` =� 20531 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT SEP n1 0 19063 P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. OSTA MESA For Applicant to Fill In Completely CIT APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS „2 FI30 SAM-) JUA,C 41.1, COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. OWNER Vesa Del 4___ DEM; ••11- 1 • '—`q�'�6 I MAIL RECEI AS BY ATE RECE Ve SLf y1U5Ufg63 ADDRESS 3800 E. Coast Highway a-/ I f b — 'c M,,.. Calif.TEL.Or1O� lpe BUILDING CITY C,Crona Del 1 , NO. 3-L1fr QO ADDRESS ARCHITECT TEL.OriO a COSTA MESA. CALIFORNIA OR ENGINEER MaCCO Realty Co. NO1�.C- .3 •i , ADDRESS Same as above FIRE �� ZONE TYPE GROU CONTRACTOR MACnn Real t.y On. APPROVED DATE ADDRESS Same as abo,- ZONING 2• NO.OF USE `t- N- ' CITY Sallie as above v / I PLANS I BUl • , ; ` STATE lix 2 73k.33B SB-][EL. Oriole I LIC.NO. jjjj(� OO NO. act 52 2 SIZE1 NO. OF BGS, OFF LOT' 655X 96' I LD NOW ON LOT NOTL A.P.NO. --e----- USE \ET )USE OF - YARDS EVES EXISTING B DG N•Tle APPROVED ALLOWED SETBACK LINE FROM 11�'rr (CENTER LINE 8T.1 /- � C CENTER OP STREET {1471 REAR YARD 291 FRONT S FT. IN. SIDE YARD I LEFT - 61 I RIGHT 51 R.SIDE I.CIFT. IN. DESCRIPTION OF WORK L.SIDE FT. IN. NEW • I S II ALTERATION I II ADDITION I REAR 4)AAA/V1 � 9FTT. h^/'/l�]IN. REPAIR I - II MOVING I II DEMOLISH I BPYPROVE�,1. DATE €} I"' / - g BBZE 1XS.,♦0v{1611 ROOMS 8 STORIES 2 T,Sv-ing area 22711 EXTERIOR COVERING WALI�.,WOCenod BC I Roos COVERING Shake SM glP Garage 1463 S.F. a{ 11 USE OF BUILDING.AND WORK TO BE PERFORMED garage. Plan 600-BR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION _ eta SIGNATURE OF n ,,y PERMIT FEE $ 7-) PERMITTEE MASA Del Mar }, 1+V Co. BY: Lam[//�r�� ��__ $ 23,985.00 PLAN CHECK s4^ ' AUTHORIZED AG lOD G TOTAL FEE - 2