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HomeMy Public PortalAbout9926 DAINES DR_Building__ 76A638A CE #803 3-69 • L r T APPLICATION FOR BUILDING PVRMIT COUNTY OF LOS ANGELES BUILDING / c� �/��5. DEPARTMENT OF COUNTY ENGINEER ADDRESS 'V2 //' BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPNEAREST L/JJT OF BUILDING CROSS ST (7 !+V/ FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE CONST. PRO E SED BV ' (PRINT OR TYPE ONLY) .!� 08 ' BUILDING STATISTICAL CLASSIFICATION SEWER M ADDRESS 9926 Daine Y CLASS N0. WELL.UNITS BK E PG LOT NO. e6 BLOCK USE ZONE- MAP GD8 NO TRACT 3 80S,PECIAL- NO. OF BLDGS. — / COND IT,IONS O SIZE OF LOT j O 7c ZO NOW ON LOT USE OF EXISTING BLDG. reSiddnCe BLDG. SETBACK FROM A. Haywood p TEL. FRONT PROP. LINE OF (STREET), Edgar A -• OWNER . ood NO. TYPE OF EXISTING SETBACK HIGHWAY + YARDi = TOTAL ADDRESS D _ HIGHWAY WIDTH FROM C.L. CITY Temple City --- - + -~-� ARCHITECT OR TEL. BLDG.SETBACK FROM -- (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK -HIGHWAY + - YARD-°•- = TOTAL-• ADDRESS HIGHWAY WIDTH FROM C.L. ' T E L26 - 1g + _ a CONTRACTOR N0. - C LIC ADDRESS P.O. Box 6782 NO 159496 CORNER CUTOFF YES ❑ NO ❑ oe CITY j, A 22 CLLl�ASS -C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS u CONSTRUCTION LENDER Lu NAME AND BRANCH a t/7 Z ADDRESS SQ. FT. NO. OF N0. OF ❑ SIZE STORIES FAMILIES NEW USE OF ADD ❑ STRUCTURE ❑ ALTERpi"i mf car an-tr ' REPAIR SIGNATURE OFDEMOL ❑ APPLICANT ' VALUATION $ 800.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT FOUNDATION LOCATION FEE $ FEE $ 12.00 FORMS MATERIALS ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. iil i �•d Mfg. Compa LATH, EXT. SIGNATURE OF 1'iL V HOUSE NUMBER CORRECT PERMITTEE AND POSTED - ADDRESS 6782 FINAL JOHN F. LEWIS, PRI CIPAL STRUCTURAL ENGINEER` PLAN CHECK VALIDAT-ION CK. M o. CASH _ PERMIT VALIDATION ( M.O. CASH F Pi L - 1 D 8 3�- J0235 1 D 1 2.00- 4 .DEVARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT TYA COUNTY OF LOS ANGELES Q U,t L ® ' N G .� WM. J. FOX, CHIEF ENGINEER s ' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. •PLAN CK.NO PERMIT.N BUILDING (,7��.a�+ i a" - •(j y ADDRE89 LOCALITY[ /" R �IV�D BY• DATE OF AP"yP�L. DATE ISSUED NEAREST CRD95 ST. 1J BUILDING OWNER —ADDRESS MAIL LOCALITY' T ADDRESS •d �� NEAREST ' dd '' TEL. CROSS ST. -{'„-yv CITY 'tt'l NO. FIRE NO.OF TYPE GROUP , ARCHITECT OR TEL. ZONE PLANS L� ENGINEER NO. I] BLDG. 5-or � ADDRESS SETBACK LINE APPROVED TEL p� 1Yd. BY DATE CONTRACTOR O.A 71 6 7 • USE � APPROVED - ZONE - . BY DATE ADDRESS LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK �V v TRACT SIZE OF LOT 064 x / /^� I NO.OF BLDGH. , NOW ON LOT USE OFS NO.OF NO.OF EXISTING BLDG. I FAMILIEB�I ROOM DESCRIPTION OF WORK NEW ALTERATION ADDITION //Y e.a t�(/� a.� .c h� �` G•-Cr��c �IPs�LJ�4D REPAIR MOVING DEMOLISHGI Sq.FT. NO.OF / Z SIZE1�46 ROOMS STORIEH� D r WALL ROOF _ - COVERING COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ, THIS. APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE )J AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS 'r-, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEr - LATH,INT.: L k AUTHORIZED AGT LATH,EXT.: DBS-3 S13M SETS 7-47 $ P C PLASTER, INT. \ �Q; FEE PLASTER,EXT. VALUATION FEE '� FINAL 76A638A CE k803 3-69 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING � J DEPARTMENT OF COUNTY 14�GINEER ADDRESS � g A BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP'T OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO F ' LIN DI TRICT NO. GROUP TYPE CONST. PROCESSED BY ... ..1 ;I (PRINT OR TYPE ONLY BUILDING STATISTICAL CLASSIFICATION SEWER ADDRESS f' CLASS NO. Y'•' DWELL. UNITS BK PG LOT NO. '-^�'l »� BLOCK USE ZONE MAP TRACT .�` �" SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT v K f NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER N0. TYPE OF EXISTING SETBACK HIGHWAY - YARD = TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS CITY Tomple ARCHITECT OR -TEL. BLDG.SETBACK FROM (STREET) ENGINEER NO. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. a TEL. 0 CONTRACTOR, �N0. V ---"14,L -4 - LI`' CORNER CUTOFF YES ❑ NO ❑ uj ADDRESSNO. LL LIC. CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS C0INS TRUCTIO LENDER < NAME AND BRANCH Ce O ADDRESS SQ. FT. NO. OF NO. OF w SIZE STORIES FAMILIES NEW ❑ ~ USE OF ADD ❑ STRUCTURE ..^ ❑ - - ALTER REPAIR SIGNATURE OF DEMOL -- APPLICANT „��yy VALUATION $ f.MV kiW APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING, BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTj-HORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION F THE L R CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORD EN'S COM- PENSATION INSURANCE. {,. LATH, EXT. �y SIGNATURE OF esu yg♦ ko'”". "--w HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS .-.: :" box OM a';, i7d 4w 2_2- FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. ~ M.o. CASH ,-,WORKERS' COMPENSATION DECLARATION - • he ebyj affirm that,I have a certificate sof conV.nt to s jf -APPLICATION FORBUILDING PERMIT insure, or a certificate of Workers'Compen'stion Insurance,nor a certified copy thereof (Sec-3800, Lab C ) COUNTY OF LOS ANGELES BUILDINGAND SAFETY, „Policy No 7!t �t'c' Company._ Certified o BUILDING �y py is hereby furnished FOR APPLICANT TO FILL IN ,�- ADDRESS Certified copy is filed with the county building inspec- � BUILDING Q I� r � - Tion department ADDRESSLOCALITYNEARE Lam. L�Cc Date Applicant CITY ZIP 7 �PD CROSS ST - J CERTIFICATE OF EXEMPTION FROM WORKERS' / ! NO OF BLDGS ASSESSOR :'COMPENSATION INSURANCE ' SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (\ (This section need not be completed if the permit is for one i USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO 0 Q d OWNER T TEL �(/'1 SPECIAL 4. I certify that in the performance of the,work for which this J NO 1� CONDITIONS permit is issued,,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROC SED BY OV so as to b come subject to the Workers'Compensation Laws ADDRESS QZ P (( CONST `ZcOONE O '?Xzz Zh .!"Q��f/_,` CITY --e \ ZIPS Date Applicant J --• ( 5c� STATISTICAL CLASSIFICATION - APT CONDO V NOTI TO APPLICANT If,'after making This Certificate of ARCH TELT TEL y� Exemption,, you-should become subject to the WorkersE►d9fIQEfR NO �� CLASS NO 11L DWELL UNITS N Compensation provisions of the Labor,Code, you must forth- ADDRESS J \ SEWER MAP with comply with such provisions or this permit shall be TEL deemed revoked VALIDATION CONTRACTOR NO � BK PG, LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / NO' VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC 1 Professions Code, and my license'is in full force and effect CITY CLASS SQ F NO OF NO OF CHECK License Number• Lic Class SIZE STORIES FAMILIES ' ONE , y $ 20J o 0C) Contractor r Date DESCRIPTION OF WORK An NEW %lZ ADD O I I an,exempt from the licensing requirements as I am a �P.1J licensed architect or a registered professional engineer ALTER Q FINAL / ✓, acting in my professiondl^-capacity (Section -7051, p �� a DATE Business and Professions Code) REPAIR "' USE OF FINAL EXISTING BLDG DEMOL B iiJ` 97. 9'A Lic or Reg No _Date APPLICANT TEL Y , OWNER-BUILDER DECLARATION (PRINT) AA� NO % ;# o e o o 2 3�yr, I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS n 2 ro 1 2 3 6 0 Pr fessions Code) ` PRESENT / / 1 2 3 6 0,50 BUILDING' io'o j, as owner of the property, or my employees with ADDRESS wages as their-sole compensation,will do the work and - r the structure is not inteAded or offered for sale(Section LOCALITY 9 . 0-1 —8 2 7044, Business and Professions Code) MOVING TEL DCONTRACTOR- NO I, as owner of the property, am exclusively contracting . t with licensed contractors to construct the project (Sec- ADDRESS V z,5 9 8.Cr A tion 7044, Business and Professions Code) • REQUIRED TOTAL SETBACK FROM EXIST t #,0'0 0 0 0 1 CONSTRUCTION LENDING AGENCY SET BACK YARD HW Y PROP LINE WIDTH �U I hereby affirm that there is a construction lending agency for FRONT - 2'-2-8:7,Jr 0 the performance of the work for which this permit is issued P L5 q, Sec 3097, �� ' Qic� Civ l = ( C ) SIDE / o,e 2 8'7.5 010 Lender's Name L} V i" ISJ0 r9,'0 1.—8 2 - Lender's Address P C Fee$ Permit Fee 7( ro w I certify that I have read this a lication and state that the � y FP ��3 � � Q Issuance Fee i ,�" � • a above information is correct I agree to comply with all County Investigation Fee i , and hereby authorize representatives of this County to enter ordinances and State-laws relating to building constructionTotal Fee J. upon the above-mentioned property for inspec{ion put ose'71s d - �� 4 ra— f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Y 6ote t Os COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1005270042 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 13805 LT 86 SQ FT STORIES TYPE 1 9926 DAINES DR 1 1 (STRUCTURE 2000 V-B I TEMP CA 917802638 1 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET BALDWIN I 18588-018-018 THOMAS PAGE. 597 GRID- A3 LOCALITY TEMPLE CITY, Cl TENANT: JEXIST BLDG USE RESID USE ZONE: R-1 JISSUED ON PROCESSED BY. (EXIST OCC GRP 105/27/10 SR OWNER TEL NO- IBLDGS NOW ON LOT VALUATION- IF NAL DATE FINAL BY CODE IMALDONADO JOSEPH R,ALICIA (626) 286-8257- I 4,000 1 (� 19926 DAINES DR I I #1:42 v (TEMP 917802638 I FEES PAID (DESCRIPTION OF WORK I I (TEAR OLD ROOF AND PUT A NEW ROOF ON THE HOUSE SHINGLES AND I IFEE DESCRIPTION QUANTITY DOM AMOUNT- 1PLYWOOD I (APPLICANT TEL NO. I I I ISA4E AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 I I IAB STATE GREEN BLDG FEE 4000 00 VAL 1 00 (SPECIAL CONDITIONS 1 IAC STRONG MOTION RESID 4000.00 VAL 0.50 I I I ID2 PERMIT W/O EN-HC 4000 00 VAL 115 80 T/ ri TOTAL FEES 145 05 I �/Vl� ii 0 y �� :%r /� �-ft (CONTRACTOR TEL NO I IAPPROV S DATE' INSPECTOR SIGNATURE (SAME AS OWNER - I LIC NO i (LOCATION AND SETBACKS I I I j (SOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I I I I - I 1 LIC NO. I (SLAB/UNDER FLOOR I I I I I I (RAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I147H269 3 001 I 11 I 1 I (FLOOR SHEATHING I 1 I INO. OF FAMILIES DWELLING UNITS: APT/GOND STAT CLASS NO 21 I ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (AIR QUALITY. 1000 FEET MATERIALS ! 1 NO NO NO 1FRAME INSPECTION I I I I I, (FIRE SPRINKLER HANGERS I I I I IINSULP_TION/WEATHER STRIP( 1 (INTERIOR LATH/DRYWALL I I I I I I I (EXTERIOR LATH I I I I I I I 1RATED FLOOR/CEIL ASSEM. 1 I I I I I I (RATED WALL ASSEMBLIES � I I I RATED SHAFTS/OPENINGS I I IT-BAR CEILINGS LOT DRAINAGE I I (REPORT ID: DPR261 ROUTE TO- BS0508 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112280036 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST I BUILDING ADDRESS 1 ITR 13805 LT 86 SQ FT STORIES TYPE I 9926 DAINES DR 1 STRUCTURE 1200 V-B TEMP CA 917802638 (ASSESSOR INFORMATION NUMBER _ I I NEAREST CROSS STREET I 18588-018-018 I I � THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY CAI I I (TENANT: 1EXIST BLDG USE. RESID USE ZONE R-1 (ISSUED ON. PROCESSED BY I EXIST OCC GRP 112/28/11 SR I (OWNER TEL NO. JBLDGS. NOW ON LOT VALUATION 1F NAL DATE FI BY- CODE 1 1MALDONADO JOSEPH R,ALICIA - 1 6,000 19926 DAINES DR 1TEMP 917802638 1 FEES PAID ID CRI TION OF WORK 1 I I INEW ROOF SHINGLES AND PLYWOOD FOR HOUSE 1 I 1FEE DESCRIPTION QUANTITY UOM AMOUNT. 1APPLICANT TEL NO 1 ISAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27 80 1 1 I JAB STATE GREEN BLDG FEE 6000 00 VAL 1 00 ISPECIAL CONDITIONS I I IAC STRONG MOTION RESID 6000 00 VAL 0 60 1 I ID2 PERMIT W/O EN-HC 6000.00 VAL 149 70 I I I I TOTAL FEES 179 10 I 1 1CONTRACTOR TEL. NO , SAME AS OWNER _SAME DATE INSPECTOR SIGNATURE I LIC NO i ILOCATION AND SETBACKS I I I 1 ISOILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I I 1 LIC- NO I 1SLAB/UNDER FLOOR 1 I I I I I IRAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK. PAGE FIRE ZONE CMP-1 (UNDERFLOOR INSULATION 1147H269 3 001 I I I 1 I 1FLOOR SHEATHING I I I 1NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I 0 NO 21 1 IROOF SHEATHING 1 Lnn I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I (AIR QUALITY 1000 FEET MATERIALS 1 1 NO NO NO 1 (FRAME INSPECTION 1 1 I I 1 IFIRE SPRINKLER HANGERS I I 11NSLILATION/WEATHER STRIPI I (INTERIOR LATH/DRYWALL I ' I (EXTERIOR LATH I I I IRATE,D FLOOR/CEIL ASSEM _i I I I IRATED WALL ASSEMBLIES I 1 IRATED SHAFTS/OPENINGS I IT-BAR CEILINGS 1 I 1LOT DRAINAGE I I REPORT ID DP2261 ROUTE TO 9S0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR' BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780 BL 0508 1112280037 PHONE- (626) 285-0488 EXT`- ILEGAL ID - NO OF CONST BUILDING ADDRESS - 1 ITR 13805 LT 86 I SQ FT STORIES TYPE 1 9926 DAINES DR i - ISTRUCTURE 200 V-B I TEMP CA 917802638 (ASSESSOR INFORMATION NUMBER _ NEAREST CROSS STREET 18588-018-018 THOMAS PAGE. 597 GRID A3 LOCALITY TEMPLE CITY CAI I I (TENANT. - IEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY- 1 I IEXIST OCC GRP 112/28/11 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION- IFINAL DATE ' FINAL B CODE: 1 IMALDONADO JOSEPH R,ALICIA - 1 1 - 1,000 19926 DAINES DR - `• 1 I �'��(/ - ITEMP 917802636 1 FEES PAID IDESCRIPTION OF WORK 1 I - INEW ROOF SHINGLES AND PLYWOOD FOR HOUSE 1 I IFEE DESCRIPTION- QUANTITY UOM: AMOUNT I 1APPLICANT TEL NO I - 1 ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE _ 27 80 1 JAB STATE GREEN BLDG FEE 1000 00 VAL 1 00 ISPECIAL CONDITIONS - 1 IAC STRONG MOTION'RESID 11000 00 VAL 0 50 1 1 ID2 PERMIT W/O EN-HC 1000 00 VAL 65 40 1 I TOTAL FEES 94 70 1 1 ICONTRACTOR TEL NO - 1 JAPPROVALS DATE INSPECTOR SIGNATURE I SAME AS OWNER - 1 I 1 1 LIC NO 1 ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL I 1 JARCHITECT OR ENGINEER TEL NO - IFOUNDATION/TRENCH FORMS I I I ' LIC NO - JSLAB/UNDER FLOOR I (RAISED FLOOR FRAMING 1 1 1 I MAP NO 'SEWER NAP BOOK PAGE' FIRE.ZONE CMP, - - - - UNDERFLOOR INSULATION I I 1147H269 - 3 001 - 1 11 IFLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I _ 1 IROOF SHEATHING II 0 NO 21 !I] _ 1 SCHOOL WITHIN HAZARDOUS J ISHEAR PANELS fj /1 1 JAIR QUALITY 1000 FEET MATERIALS 1 I I 1 1 NO NO NO 1 IFRAME INSPECTION I I 1 I IFIRE SPRINKLER HANGERS I 1 I 1 (INSULATION/WEATHER STRIPI I 1 I JINTERIOR LATH/DRYWALL I 1 J IEXTERIOR LATH 1_1 I I RATED FLOOR/CEIL ASSEM 1 1 1 1 RATED WALL ASSEMBLIES 1 1 I I I (,RATED SHAFTS/OPENINGS I 1 1 IT-BAR CEILINGS 1 1 I I I I (LOT DRAINAGE REPORT ID DPR261 ROUTE TO SS0508 1 b I I I I I