HomeMy Public PortalAbout5926 ROWLAND AVE_Building__ 76A6eBAcr.hosio-9e APPLICATI®N FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING 51326 N. Rowland Ave.
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY T m le - CitY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CABSATT D.GRIFFIN,BUP•T OF BUILDING CROSS ST.
DISTRICT O. GROUPTYPE P SS D
FOR APPLICANT TO FILL IN
I coNST. I
7AD7DRESS
A
5926 N. Ro nand Ave. STATISTICAL CLASSIFICATION SEWER MAP
PG
. Orth j of 18CLASS.NO.=DWELL.
DWELL.UNITS
BLOCK NUM ER STATE YES O'
HWY.
TRACT 6561 USE ZONE SPECIAL-
✓/^� NO.OF BLDGS. }}}��� CONDITIONS
SIZE OF LOT V NOW ON LOT 2 }��J
USE OF a
House & Garage "
EXISTING BLDG. g BUILDING EXIST.
OWNER J. A. Giangr-egorio SETBACK YARD, HWY STREET NAME WIDTH
FRONT'MAIL
ADDRESS 5926 N. Rowland Ave B' P L
$.IDE
CITY Temple Citi No' Y.L.
ARCHITECTOR TEL, INSPECTION RECORD
ENGINEER NO.
ADDRESS _
CON*KO Rli1v BrOA. I� W-32210-
,
�
ADDRESS 5871 Firestone Bl. 3o Ga
DESCRIPTION OF WORK
` NEW X ADD ALTER REPAIR DEMOLISH — �Sa!� (✓�! !- /IIf� //�I lP?
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES /
USVOFfvT' CTURE m pool r9 S ,11 1/YGl
SIGNATURE O APPROVALS A5 UCTH• TC�GJI '"„�
APPLICAN 8 1 Fireston 1. SO a S�� DATE INSPECTOR'S 1C�
ADDRESS 5 9 FOUNDATION: LOCATION
$ FORMS.MATERIALS M-.214,0
P.C. S FRAME: FIRE STOPS.
250000.0 FEE � BRACING,BOLTS
=rUMMM
VALUATION $ / FURNACE: LOCATION,
FEE / GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE THIS AP- LATH,INT.
PLICATION A ST TE THAT THE ABOVE C RECT AND
AGREE TOC L IT ALL TY DI ANCES ND LATH,EXT.
ti STATE LA S ULA G 1 ST U ON.
SIGNATU HOUSE NUMBER COR-
PERMI RE OSTED , , �1��'
ADORES FINAL !1 2 aS 7 V1J�!/1•�.�(I.(6171l
CLYDE N.DIRLAM.PRINCIPAL STP
URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION c M.o. cASH
LkC051839� AR16 2 3 A 3.00 '1 01,
1I 'To 5 1 8 4 0 ►i•R 16 .. � A 1 2.0 0
cl �-t/ .e
-761&63 CE 8031-82 APPLICATION FOR BUf' I-DING PERMIT .
COUNTY OF LOS'-ANGELES BUILDING .
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST f '�
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DIST T NQ._ GR UP TYPE C SSED BY
FOR APPLICANT TO FILL IN (b/" ONST.
BUILDING / T STATISTICAL CLASSIFICATION S ER MAP
ADDRESS T/(� BLq4 /` CLASS.NO. DWELL.UNITS. �� �K P
LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED
TRACTAY
NO. (CGMAP CVLE) STATE MAJOR SECOND LOCAL)
N OF BLDGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF /�/ CONDITIONS
EXISTING BLDG. Gro �ir� V
-
OWNE S �fUiPC�+fNO. T. BUIL INC YARD HWY STREET N E EXIST.
r SETBACK. WIDTH
ADDRESSAY OGL�L /Y/J �jE, FRONT
ARCHITECT OR TEL. P.
L.
ENGINEER NO. SIDE
P. L.
ADDRESS' IL
Q
CONTR u
sm
ADDRESSj2_S,
DESCRIPTION OF WORK W
' a
H
NEW ADD ALTER REPAIR DEMOLISH z
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE O
APPLICANT
VALUATION$ /
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $�_ :_ _ _ _F_EE.$�_. _. FORMS, MATERIALS _
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE CF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT.
SIGNATURE O HOUSE NUMBER COR.,
PERMITTEE RECT AND POSTED _
ADDRES wfkk FINAL /� 0
JOHN F. LEWIS, PRINCIPAL STR URAL ENGINBkR
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LAGC) 9 2 5 7 E JAN 1 p 4,0 0" c
76AG38A CE#803 9-67 10
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS-ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS CS/
BUILDING AND SAFETY DIVISION LOCALITY -P-�
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. (_e S
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL-IN / CONST.
(Print or type only) i7
BUILDING .yy �+ ! STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS o/ / G Q L✓G�. ^yJ> CLASS NO. DWELL.UNITS a BK 67 PG
LOT NO. Q i O 7 �O7- I C7 BLOCK USSEE ZONE NOP - 7
TRACT CONDITIONS �5• , �8 a P G
NO.OF BLDGS.
SIZE OF LOT .6-0-A / / O NOW ON LOT Z
USE OF
EXISTING BLDG. M A , BLDG.SETBACK FROM �-
OWNERT- C Al G A NOL. FRONT PROP.LINE OF 4a1 S, J y� (STREET)
TYPE OF EXISTING SETBACK HIGHWAY = TOTAL
ADDRESS G-q 7 i cO 12t w� AjHIGHWAY WIDTH FROM C L.
CITY
ARCHITECT OR TEL. DG,SETBO
SI LINEO M
ENGINEER NO. SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING S T C H HW •F YARD = TOTAL
ADDRESS �• ,,r 6� ,ZIIGHWAY 0
CONTRACTOR - J M A�II�+Sd� NO. 'G�3 Oy + C
ADDRESS 5317 CL-0 vaEj2L NO. (3I M fey-/ CORNER CUTOFF YES ❑ NO ❑
LIC. C
CITY 3 O 1 CLASS I SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK t CL
NEW ADD ALTER X REPAIR DEMOLISH
SQ. FT. 4 NO. OF NO. OF
SIZE STORE FAMILIES
USE OF ,
STRUCTURE
d0�
A AZ,C CE
SIGNATURE OF
APPLICANT
VALUATIONS
APPROVALS DATE INSP CTOR'S IG ATURE
P.C. ) Z f PMT. j FOUNDATION: LOCATION
FEES ! FEE$ Z FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO E SAT 1 SURANGE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
_PERMITTEE uRECT AND POSTED -
ADDRESS Z T FINAL ox
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH
.4 2 % - APER 9 .23 D 1 125- Q
' 'L04 4 5-7��.5 0
4&JA'w
I
° WCi KERS'C%MPENSATION DECLARATION
pi%reby affirm that I have a certificate of consent to self I CAT I N F RIB I L®I N G PERMIT
insure, or a certificate of Workers'Compensation Insurance,
® or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- FADDRESS
�,,.-r ��
tion department. (v {POW cDate Applicant G�y ZIP l7p0 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' 1 NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE X �t7'� NOW ON LOT 2 CROSS ST. 4� ef191.CJ
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
A� TEL. -Z$•j� USE ZONE MAP ,�
I certify that in the performance of the work for which this OWNER Y.M.<i. NO. M -�/ NO. 2(�l167
permit is issued, I shall not employ any person in any manner ^ l✓ SPECIAL 911.so as to become subject to the Workers'Compensation Laws. ADDRESS �5426 CONDITIONS 0
Date Applicant I CITY GIS\ Le C- ZIP 117150
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO ESSED BY
Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZONE &�
CADDRESS
ompensation provisions of the Labor Code, you must forth- ,. �r� V
with comply with such provisions or this permit shall be �
deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. CO DO.
CONTRACTOR NO.
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business and QWLIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ.FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE ISTORIES FAMILIES ONE ?
p,. VALUATION
Contractor Date i. DESCRIPTION OF WORK IT— NEW ❑. �� 183.7 A
❑ I am exempt under Sec. hi L I71\/I s i of- �L-��,_ ADD $ # 0 0 0 0 0 1
ALTER �'� $ 0 o28.50
B.BP.C. for this reason REPAIR ❑; .(
Date: USE OF EXISTING BLDG. �, DEMOL ❑' 0 0 - 2a5 0 Ft
Signature APPLICANT EL. rZ 7 x
g OWNER-BUILDER DECLARATION PRINT)GU W4�IGC OL O. NL DAL EU V o4, 12-85
I hereby affirm that I am exempt from the Contractor's License d�, '
Law for the following'reason (Section 7031.5, Business and ADDRESS L•pjIVO p-�v:.. G 1 FIN
Professions Code): PRESENT BY
IIPpI( BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY 4
7044, Business and Professions Code). MOVING TEL.
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQRED TOTAL SETBACK FROM
UI
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). LInvestigation
i Lender's Name
1r` /I 6 LDMA Ref.it
Lender's Address $ Permit Fee /J V
I certify that I have read this application and state that the Issuance Fee LDMA P/C fr
above information is correct. I agree to comply with all County ee
ordinances and State laws relating to building construction, Total Fee 61s v LDMA Perm.#
i and hereby outRorize representatives of this County to enter
I u th aba Mentioned property for inspection purposes.
19• �2• �� SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig ature of Applicant or Agent Date
(
APPLICATiQN' F®R BWL®ING PERMIT
COUNTY ( LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING�D�DRESS
I hereby affirm that I have a certificate of consent to self insure,
FBUILDINigADDBESS �� /2,
or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP
copy thereof(Sec.3800,Lab.C.) m & C—/l->/ LOCALITY Al G
Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT st"
❑ Certified copy is hereby furnished. I NEAREST CROSS Sr
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
USE ZONE MAP NO.
department.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNEREL NO.
COMPENSATION INSURANCE TC- UG
inX6-C/rYC H d F IV A+7- ��'J-���� WITHIN 1000 FT.OF SCHOOL?DI I
Yes No
(This section need not be completed if the permit is for one hundred j � DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
RES
dollars($100)or less.) L -IV".
pp
I certify that in the performance of the work for which this permit CITF07 a-ci r
is issued, I shall not employ any person in any manner so as to �G
fie,
become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO.
STATISTICAL CLASSIFI ATIONAPT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become. Subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith
FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS UC.NO. P L
LICENSED CONTRACTORS DECLARATIONSIDE
CITY LIC.CLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NFO--OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW 11BK PG 0
License Number Lic.Class DESCRIPTION OF WORKV ®i-bW ADD 11VALUATIO C
Contractor DateQ6WALTER ❑ C.
u'�mlHl/I/lJ UO Zi REPAIR ❑ F
❑ I am exempt under Sec. C
BAP.C.for this reason DEMOL )V LDMA P/C# U
Date: USE OF EXISTING BLDG. URM ❑ U
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# _ G
❑ I, as owner of the property, or my employees with wages as ZC) trt C-C-7 of sF
their sole compensation, will do the work and the structure is ADDRESS
not intended or offered for sale (Section 7044, Business and FINAL DATE
Professions Code.) —t�
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL (
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ��ErB
J
❑ I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY
licensed contractors to construct the project (Section 70444,, ❑ o
Business and Professions Code.) YES 11 NO TOTAL IS 1 65
WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING y �C
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
(-1JAL 00
I hereby affirm that there is a construction lending agency for GUIDELINES VES 11 No❑ rl l9 G EE o
a the performance of the work for which this permit is issued(Sec.
rn\ I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
CM 3097,CIV.C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
Tm.E 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS 0000-00101
't {� �� v +i
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. L(.I0 1-0101 of 27., �'-'
Lender's Address 1 _tr} i
o LtoAn o 22
C -1'r1 ti •
OWNER OR AGENT
cI certify that I have read this application and state under penalty
of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
N with all county ordinances and State laws relating to building
CO constructio , and he�eb�authnorizerepresentatives of this County ISSUANCE FEEto enter on theyinspection pur oses.
a �7
n INVESTIGATION FEE TOTAL FEE
g9l'Aum of Appkonl a AgWt OJo _
�16rY� Fdti 0*14GH Cr F- NA2�+066 A'6r SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0610020051
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I
ITR: 6561 IT: 18 I SQ. FT STORIES TYPE OCCUP GROUPI 5926 ROWLAND AV I
I ISTRUCTURE: 297 1 VN R3 I TEMP CA 917802240 1
(ASSESSOR INFORMATION NUMBER: I GARAGE: 430 1 VN Ul I NEAREST CROSS STREET:
18587-032-010 I OTHER: 63 1 VN U1 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY: EXPIRES ON:
1EXIST OCC GRP: 106/28/07 SR 06/22/08
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL A FIINALn BY: CODE: 1
ITRINH, TRAM (409) 209-0203- 1 60,890
15926 ROWLAND AVE 1 I
ITEMP 917802201 1 FEES PAID ITESCRIPTIdb OF WORK 1
I I (ADD MASTER BED, BATH, LAUNDRY, EXTEND BED 1 & BED 3 NEW 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IATTACHED 2 CAR GARAGE, FRONT PORCH AND REMODEL, NEW ROOF * I
(APPLICANT: TEL. NO: I I I
INGUYEN (626) 674-3014- IB1 PLANCHECK W/ENERGY 60890.00 VAL 850.61 1 I
11139 GLENVIEW RD. IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: 1
W. COVINA CA 91791 AC STRONG MOTION REBID 60890.00 VAL 6.09
I IB2 PERMIT W/ENERGY 60890.00 VAL 1,000.73 1
TOTAL FEES 1,885.18 1 I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IH D CONSTRUCTION (626) 695-0444- I I
14418 FANDON AVENUE LIC. NO I 1LOCATIO AND SETBACKS / I I
IEL MONTE, CA 91732 636105 B * 1 I '�
I I ISOILS ENGINEER APPROVAL �� I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS
ITAGUDAR, FRED (626) 674-3014- 1 I I I
11139 GLENVIEW RD. LIC. NO: I ISLAB/UNDER FLOOR I I I
WEST COVINA, CA 91790 C33612
I 1 I I 1
I I-+. �1/� - I RAISED FLOOR FRAMING
k S
IMAP No: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 I UNDERFLOOR INSULATION I I I
3 OlIiI I I
/j rSH LEVEL FLOOR SHEATH
I NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 1 a( ff r y a �`��, 1
1 NO 21 1 1 a ` (� } 112ND LEVEL FLOOR SHEATH 1 1
1 SCHOOL WITHIN HAZARDOUS I �6 J 1 (`� �`� ' �t4� �,�� ��\ • IROOF SHEATHING I I I
(AIR QUALITY: 1000 FEET MATERIALS I �( C ' � �T� (FIRE DEPT. FRAME INSPECTI I I
1 NO NO NO
IREQUIRED TOTAL SETBACK FROM EXIST 1 IBLDG DEPT. FRAME INSPECT( I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I
IFRONT PL- I ISHEAR PANELS
I SIDE PL- I I
I (INSULATION/WEATHER STRIP( �I I
IINTERIOR LATH/DRYWAL I I
(EXTERIOR LATH II
ILOT DRAINAGE � \ - I u
ISMOKE DETECTION DEVICES I I I
I FIP.E DEPARTMENT APPROVAL I I I
I* ADDITIONAL DATA ON FILE I I I I
1 I
REI I I I
( PORT ID: DPR261 ROUTE TO: HS0508 1 I I I