HomeMy WebLinkAbout934 19TH ST - Building Permits,
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City of Costa Mesa
Building Safety Deparfinent
P. O. Box 31i
Cosfo Mesa, Caliiornio
CERTIFICATE OF OCCUPANCY N� 2�2$ C
The Building located aT [h!^� jj, s�„�} ���6C3t
has been inspected and found to comply with ihe provisions of all City of Costa Mesa Ordinances applicable thereto
for a Gro�p �_�__— Occupancy.
Use of B�ilding ��Ztt��E�s1t�1 --- __
Legal Description �, �, ����-�_�.���T
N
(See reversa sida for Mefes and Baund�)
Building Permit No. �3 Electrical Permit No. '�jQj], plumbing Permif No._—��_
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required �nder Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. .
17050. CERTIFfCATE OF OCCUPANCY. (a) No apartment ho�se, fiotel, or lodging house shal{ be used or occupied
until the owner or operafor has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new cerfificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion ihereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartmenTs� and/or guesT
ISSUED TO: Building Official
— CP,L'f�L�X[I &IM�IQS�N by � %7�f '
Date �/�/� �
This Cerfificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
excep4 by the Building OfFicial of fhe City of CosTa Mesa under Sec. 306 (e) U.B.C. Fo,,,, svaa—iai—ii-ea�s.s r
i
. ' . 23 i �� FEE RECEIVE �
r'COSTA MpSA BUILDINCrSAFETY DEPARTMEM �CT 22 j964
P.O.BOXDi] COHTAMC9A.CALIFORNIA fINANCE OEPT.
CITY OF COSTA MESA
For Applicon� lo Fill In Complately APPLICATION FOR PERMR
TYPE OR PRINT BUILDING
For Office Usa Only
BUILDIN6 G � v /� � /y
ADDRESS I �ti� / 7 �R�
11[c[II! rv0. qipM�T���
COSTA MESA, CALIFORNIA Lv I
A Y �^R��V`D �O_8f$BUGD��
n 1 �
OWNER L O O Q
MAIL !n rG� � ADO H'S8 � I S ��
ADDR8L8 9 3 v�v� / J
THL. ZONH GROUP
��r '1 �1 A � S A No. �C /,f
ARCHITECT TEL APPROV
ORENGINEER �� NO. BY DAiE 'n
TONIN(i
A1 B8
. 2 HO. Ot , U86 OP N[ �1 i
�� �l.�N� �� oU1LO�N0 �'�
CONTRACTOR
LlOAL �
ADDREBS -� D86cHIrt1oN
i
�' A. P. NO. .S l' � � '�
CITY
NOTE: NOEAVEOVERHAN68HALLBEL688THAN
STATE TEL r—�_ 90• TO SIDE @ RHAR L
LIC. NO. � NO.
y� EAVEB
OFLOT X�V 7J I MO.oIBLnas. ALLOWED (U.B.C.RHQUIREMHNT)
HOW ON LAT
YARDBAPPROVED YARDSAPPROVED .
USE OF MAIN BUILDIN6 AGGESSORV BUILDIN6
EXISTINO BLDO.
( PROM C/L HT )
88TBACK LINB PqpM .� ;^ T FRONT �— P�.
cerviers op einegt R6AR YAR� J✓ `
HIDH YARD l,ER7' � F%r I R16HT .C�/�%�N C R. BIDB FT: FT.
DESCRIPTION OF WORK L.81OB Rr. Fr.
NEW _ ALTHRATION� ADDITION REAR V FT. � FT.
DISTANCE BET. BET. MAIN @
MAIN BLDG9. ACCE55. BLD08.
RE� MOVIN� DBMOLIBH
BUILDIN6 �/ NO.OP VAR.�C DATE
SIZE /�/� �O ROOMS �� BTORIH9 C.U.P.iF APPROV6D
EXTERIOR WALL�_ ROOF APPROVfiD
GOVERING COVERIN6� Bl' �
U9fi OR BUILD�(�a AND WORK TO BE PERFORMHD �
..�l� �c n ��9'rs c •
c.°v v zp
N
0 D 60. �. � d
I HlRBBY ACKNOWL6O06 THAT I HAV6 RGO TMI9 �PPLIGTION TXe 11MOYM 8X N IIN�BP VALU�TION 19 PON THE
♦NO BTATH TXAT TH6 ABOVt 16 COpp¢C{ AND AORH6 TO COM• PUHP098 OP 6BT�8L18HIN0 A PeRMIT P8H ONLY. �
O
PLY WITH ALL CITY OROINANCt8I1ND YTAT[ LAWB q[OYLATINO ypLUATION - 0'
BYILOINOCONHTPOCT N.
� PERMIT FEE �
SIGNATUREOp � m
PfiRMITfE n^ i � �
� � (/ /� PLAN GHECK S ¢
AUTHORIZ6D A6bNT O� / 6� 4
TOTAL FEE b `
�� '_` --20563 F�E ��������,
COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 1 3 1363 !
��°.O. BO%917 .COBTA MHBA� �A��FORN�. . ; : = flNANCE DEP11 1
Por Applicant fo Fill In CompletelY '' APQ��A�I�r� l�� �
T'PE. OR PRINT . . . BUILDING
• For' Office Use Only •
BUILDINO / t . . •
ADORE55
116C81A' NO. P[RMIT NO.
OSTA MESA, ALIFORNIA . � Z�OS G�
n •�n ��� � is �eB7J.
OWNER � ' J � .� ` /' n
%�� — � 8 ILDING ._1/ , � /��
MAIL ADORE9S w ��� (
ADOR686 ,
J_.
F�ae '
.:0. TEL: .SONH. E.�' • GROUP I-
CITV �� - NO.
I APPROVE
ARCHITECT TEL. BY � �DATE �
ORENGINEER =.i ��. ..� . .:N � ' �
�, . . ZONING '
AG. .53
ZON[ NO. OR UeE OP N
� � . �UNB GUILUINO
CONTRACTOR
' ` LeOAL
ADDRE59/-� / DEBCPIIf1
CITY I.CJ 4 A. P. NO. — �
NOTE: NO EAVE OVERHAN6 SHALL BE LESS THAN
STATE T6L. 90' TO SIOE 8 REAR P. L.
LIG. NO. 1 N . �
� � EAVE3
SIZE �no�oR eLCoa. ALLOWED <U. B. C. REQIIIREMENT)
OF LOT �� NOW oN LOT
YARDSAPPROVED YAR�SAPPROVED
USE OF MAIN BUILDING ACCESSOftY BUILDING
EXISTING BLDG. .
( FROM GL &TREET )
6ETBACK LINE FFOM FRONT ���
CENTfiR OP BTRER fiAR VARD
SID6YARDI LEFT ' RIOHT R.61OH FT. FT. 1 \
DESGRIPTION OF WORK �. s�oe �: �. �
NE�"" (� MOV�INOTION � DHMOL BH REAR FT. F1'.
DISTANCE BET. BET. MAIN 8
REPi.�R MAIN BL�GS. ACCESS. BLD68.
YAR. $� DATE �
BUILDINfi NO.OF
SIZE ROOMS 6fORIHB 0. U. P. � ' APPROVED '�/ ' G
EXTERIOR W ROOF APPROVH ^ / �
COVERING COVERIN6 'BY DATE
USEOFBUIL�IN AN WORKTOBEPfiRFORMED ,
� /% � i
/. i • �7 '...A�e� � �,C/e.,
N
sQ. �r. �
I HEREBY �CKNOWLEOOe THAT I X�VB HBAO TN19 APPL�C�TION TM! AMOUNT SHOWN UNDEP VALt1ATION IB FOP TH! £
AND BTATE TXAT TH6 M1BOV[ Ip CORRHCT I1ND M1OREC TO COM� PVHPOSb OF HBTABl.I8H�N0 A PHXNIT FHH ONLY. p
PLY WITH �LL <�TY ORDINANCfiB AND 6TAT[ LAWe pHOUL/�TING VALUATION ) p
BUILOINOCON TRO� ` ���/� /I ?
SIGNAT OF �)�� A�� / I i!>/al � PERMITFEE $ i� m
PERMITT
J� �� S �� LAN CHE 1 p
AUTHOR ED AGENT �
TOTAI.FEE �
� •'r � f � ; .� �' �a ' - - ' - - --
. �<i�.'t�i.:,��::��E �..:�. -" � �. _
. - . . _.�.:.,.:��.1 .. ���.
, ,
_ . .... . . .- - .
NO F'iI�VA'[. 0��1�FE'�NCY WIIS, BE GP1EY iJNTII� TAE FOI,LO�lING '` -
,_ ,.,..,
. *CpAI1�IT3,�ONS� I3��E'� •$�N MET:' .. .. .. ..:. . . . ._ . . . , .
1. For a period of one year with the privtlege"oY'reqiiesting
�. ' a renewal at no fee: , '
,. �. .. .: ., 2.: No employees.:, . - - : _
�._, . , ,.,,, .
.
, . •.:.:��-'...-... ...,,.;.:,, ,
3.• No externaT signs. . . � . . "
-'* 4:'. Dedication to the City of Costa;Mesa oP all.land 40'
'., - from the center line of W. 19th„St. for street purposes.
•. .
� * 5. Subject to Iocal and state'fire 'codes. ' . �' ,' �
-- *.6. Of£-street parking under the direction oY,.the_,Director of
� -,..
� Plannirig. ,� ' ..: ' : _. �_. ,...•:; . : .. :. .
• '* 7. Subject to all requirements of the Dept,, of Bldg: Safety.
t
/ 5 -
. .ty� _, . -- . . . . . . . . . _ .. . ... . .. -- .
.. "� '�= � - Lc��- : -�!?��� � . � — i S - � � a . . : - ' _-
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- Costa Mesa Building Department /'��APELICATION FOR PERMI�
. J•� 111 EAST 20th STREET � B U I L D,� N G
�--•��`� COSTA MESA� CALIFORNIA V
FOR APPLICANT TO FILL IN FOR OE'�`ICE USE ONLY
Receipt No. Permlt No
Building l�l�� � �i��
AddRss [ !�t' l
Costa Mesa, ri�liOPIII& Received by Date Rec'd. DaM Issued '
Nearest ' '�'3 �%
Cross St Buflding
. Address
Owner Costa Mesa, California
Mail
Address Nearest
Tel. Crau St.
Cit No. Zone No. of T e I Grou
Aroh�tecto // - Lic. P�a^g yP � � P�
Enaineer ���/L� No. Aooroved '
nadre5s CORREG`7`IONS
City Lic.
'iractor � No. �..�.Z �
AddYess
DesCr ption I No. � p 3I Block I Tract/� J - � � �
� �
(Attach Metes and Bounde) � j � f ,
No. of Bldgs. .- -� ;_
Sizeof Lot ljG )( 1 L 0 I Nowon Lot �
UseOT I No.of I No.oi �� �? '��� F
Existing Bldg. Famillq Rooms f ^' "' �
Setback Line trom ` ` Rear Yard 3 5 Z
Center of Street J J Sida Va�d — _,_ , ,,._� D
DESCRIPTION OF WORH ��; ,_ i_,. r
New I� Alteration I I Addition I �
Repair I I Moving I I Demollsh I
Buflding No.ot /�
Size v�.Sij'���Rooms �P Stories �
euteriorwa�t ��— I :toor Q�� AppROVAI.S
�Nn9 .,Q.Gu.cL� Covering
Build �NCW Foundatlon Location Inspector Date
9 � i
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Brecing, Bolts
I hereby acknowledge that I have read this Application Lath. 1nt.
and state that the above is correct and agree to rnmply Lath. Ext
with all City Ordinances and State Iaws regulaling
building rnnstruction.
Signatureot � � Plaster, Int.
Perrnittee
Plaster, Ext
Authorized Agt.
Masonry Reinforced �
Valuation Permit Fee $
$/p/ 3 0� � Plan Check $ S Bond Beam �
a Feeal $ 3(� FINAL
cnRu >D4 G-M 2M 9-94
YI n �.�
♦ e s
ri.vl ra..ylv •
� Show locatlon and distances irom
property line and 6etween bufldings.
_� � .
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. �� . � \1 � �. 1 .� � .
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" _' ' " _ ` . ' ' _ " _ ' - �. .
/�DV���ant to till in all soaces exeeo< <�esa within neavy Doraer Ilnes antl si9n alt aporov�lata aeclaratlons.
CITV OF COSTA MESA CpNSTRUCTI�p,N P RMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P�y
��.� i �-� �� �_ 3$a:s9
Project Address �_� . S Main Buildi
Applic2nt'S Mailing Address TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E
1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front
Owner'sName-�'�QS r��CCzC-.JSOW Phone 5� � DESCRIPTIONOFWORK/USEOFBLDG. A Rear
Address ��='1'"��
Arch/Eng. License No. TVPE OF PERMIT _ GRaoING FOUNDAT�ON S7RVCTURAL C Right
K Left
Addre55 ❑ TENANT�ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S'
� . >�+ j ❑ �O7HER Ping. Ref. #
Contractor's Name ��hone - � -
Address (mailing) v�'•� 1JIG��R� �L_ /j� PROJECT DESCRIPTION 5�. FT. OCCUaANCV Planning Notes:
CONSTRUCTION TVPE VALUATION $
City LiCense Nn. ���{ (�Tn ZpryE GRADING CU. VDS. ACRES -
LICENSED CONTRACTOR DECLAHATION
1 hereby aifirm [hat I am licensetl untl¢r provi5ions of Cha�ter 9(coTmenCing
with section 7000) of Oivision 3 of tha Business ana Professions Cotle, antl
my Ilcense is In f forc� ayq effe�t. '
Licen Class �� li nse No.
Dat� Si9nature
WORKERS' COMPEN ATION Dp�LARATION
I herG�y aftirm [hal I have a certlq�a[e o( con5¢nt to self-i re Or a Certi(icat¢
wf Workers' Compensation Insurance, or a certlfletl copy [nereo( (SecUon
3800, Lab. C.L_^ tvxv� ��� p _�A
POIICY No. P� �i%��otl�Pan)� �—i.r y.�
CertHied copy is hereby fumishetl. �j}
�C¢rliti C Y �5 fll¢ ith fh¢ <Ity ftc J-`r-b VIS .
Date__�L��/aoolicant L
E%EMPT ON FROM W RKERS' COMPENSATION �ECL RA
(Tnis section neetl not De completetl if the permit is for one nuntlretl (E300) or
less).
I certify that in the pertormance ot the work for wnich ihis perm�t is issuetl I
shall not employ any perzon In any manner so as to become subject to [{�e
Workers' CompensaUon Laws of Calltornia.
Date Si9na[pie
NOTICE: If, after making this tletlaration, you shoultl become subjec[ to the
Workers' Compensation provisions of the Labor Cotle, you mus[ forthwith
comply with suGh p�ovi5ion5 O� this pe�mit shall be tle¢metl �evoketl.
CONSTRUCTION LENDING AGENCV
1 hereby atfirm ihat there is a conitruction lentlin9 agency for the performance
ot the 'work for wnich this permit is issuetl (Section 3097 Civ. CJ
�.entler's Name �
Lentler's Adtlress
OWNER BUILDER DECLARATION -
1 hereby affirm lhat I am exempt Trom the ConVaGtot's LlCense Law fo� th¢
following reason (Sectlon ]031.$ Businesz and Professional Cotle: Any city or
county which raqWrez a pe�mit to con5truct, alter, imp�ov¢, tlemollih o� r¢pai�
any struc[ure, prior to its issuante, also requires the applicant for such permit
to file a sign¢tl statement thdt hQ�She Is IicenS¢tl pur5uanl lo the P�ovislops ot
the Contra<[or'S License Law (Chapter 9(mmmenNng with Section 7000) of
Division 3 of the Business anU Prpfessions Cotle) or that he/she is exampt
'�erelrom �and lhe basis for the alle9etl exemption. AnY viola6on of Settion
J31.5 by any ap0���an[ (or a permit subjects tha appllcant to a civil
lenelty of not morc than tivc huntlrotl tlollars (§500�.
❑ I, as owner of the property or my employees with wa9es as thair sole .
compensatiOn, wlll tlo the work, antl the struc[ure ii nOt int¢ntletl Or o(teretl
for sale (Se<tion 7044, BusineEs antl Professional Cotle: The Contractor's
LiG¢nse Ldw tlo¢5 nol apply to ary owne� ot a proparty wlto builtls or Imp�ove5
� thereon, antl who aoes such work himself/herselt or tnrou9h his or har own
employees, provitlea that such ih�provements are not IntenGetl or offeretl for
sale. If, hOwBver, the builtling or improvement is soltl within one year of Com-
pletion, tna owner will have the burtlen ot proving he/she tlitl not bulltl or im-
�rove for the purpose ot sale).
I, as owner of the propeity, am exclusively contractlng wkh Ilcansotl con-
Vactorsto construct lhe prolect�5ection �044, Business antl Pro(esslons Cotle:
The Contractor's License Law oes not apply to an owner of property who
builtls or imp�oves tM1ereon. and who coni�act5 /o� Sucn o�oiects with d con-
tractor(51 Lcense pursuane to en¢ Contracfor•5 License Law). I am aware [nat
proo� of Sneir WOrkar'S Compensation insuranca shoultl be provitlltl to me.
❑ 1 am exemp[ untler Section B. & P. C. for tbls reason
Dale
Si9nature ti_� l�
Drlvers' Licens�
0865-46, rev. 5/88
_ Owner _
have reetl th
t
Remarks:
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
In[erceptors
Kitchen Sink �
Lavarories
P-Trep
Roof Drains
Reinspeaion Fea
uct - Under Ground
$15
Duct - Ventilating
Exhaust SyStem ❑ Multiple
Firepl/Fatt. Blt. ICBO #
Heating System & Ducting
❑4100,000 BTU �700,000
Reinspection Fee � $15
Wnite - guiltling; Canary - APPlitdnh Pink - A<countinq; Goltlenrotl - Asse55or
$hOW¢f5
Service Sink
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑o-ioo,000sru ❑ioo,000
System Fiepair/Alteration
Fire Dampers
Registers
laue Fee
FEES P.utomatic Washer
Construction Pole Sub.
Cookirg Unit
. � Dishwasher
_ Fan
F.A.U.
Fixtures
- � Device Boxes
. .j
. Outlets
$WitCh¢5
Garbage Disposal
Generatar OP5 KW
$ 3
FEES
$ 3
zo�e
ng:
Parking Req./Provided
ELECTRICAL
Transformer � 15-50 KW
❑ 50+KW
Meter p to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors�0.1 HP �1'h-8
Inc.Solar �9-15 HP �i6-15+
Microwave
Pole Light
Sign
Standing Settions
15 KW Trash Compactor
� Reinspec[ion Fee �$15 � � laue Fee
DEVELOPMEN7 SERVICES REQUIREMENTS:
Zoning Approved By
Building APProved By
Aoolication luued 6v n
FEES
$
N
1
N
G
R
E
Q
M
T
S.
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PEFMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ � ENERGY P.C. $
ELECTFICAL $ -�-�. -� - GRADING $
PLANCHECK 50% § MICROFILM $
MECHANICAL $ TOTA�FEE $ 3�
PLAN CHECK 25% $
o� �ea�i,f:-�coalsa2 �-a��e '=_�.sa
DATE: Da�7�'84 iIr�: :5:42
CONSTRUCTION AND PLANNING rP001 ;PA
APPROVALS Permit # Date Inspector AppqOVALS Permit # Date Inspector
1. Tempc��ary Electrical Service or Pole �� 52. Pool & Equipment Location
2. Soil Fipe-Undrgrnd. � � ' 53. Steel Reinforcement •
3. Elec�rical Conduit Utility-Undrgrnd. ' 54. Forms '
4. Electrical Conduit-Undrgrnd. � . 55. Electrical Bonding �
5. Steel Reinforcement� -� � 56. Rough Plumbing & Pressure Test
�
6. Eiectrical UFER Grnd: � (. . 57. APPROVAL TO COVER-GUNITE
7. Footings - �� `' ' 58. Electrical Conduit-Undrgrnd. ��
8`Foundation - � "• 59. �Gas Pipe, � Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Undrgrnd.
�
10. Structural Floor System � 67. 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 Plumbing' j ' 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
�76 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
20. Rough Facto�y Fireplace ' APPROVALS Permit #
�•
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
33. Gas Pipe-Rough & Test 72. Underground Flush
�4. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro �
26. T-Bar Ceiling (Structura�) & 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
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test .
36. 'Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final •
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42. Backflow Preventer - �`".
43. Backflow irrigation . • ' �
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44. .Landscape Irrigation System �
45. Sound Attenuation
46. Handirap Regulations
47. FINALSTRUCTURE&BUILDING
48. Spe�ial Requirements Completed �
49. Electric Release to Edison
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50. Gas Release to Southern California Gas Co ��; "`�
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51. CERTIFICATE OF OCCUPANCY ' � � �
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No. Date �