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HomeMy WebLinkAbout964 19TH ST - Building Permits/ � ,. . •�y � CITY OF COSTA MESA BUILDING D/YISION 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5826 � PERMIT NUMBER: P08-00268 PERMIT TYPE PLUM STATUS: ISSUED APN: 42253111 DATE ISSUED: 11/17/2008 • ISSUED BY: RMD JOB ADDRESS: 964 W 19TH Si GM .;Suite/Umt .- Vicinity: SIDE AND REAR , . . � � - . , ,; �, -- � SCOPE OF WORK: REPAIR/REPLACE 70F.T�OF�SEWER LINE AT SIDE AND REAR OF A�� �. SFD. t ;,,,��- ' � ,;� . �. :'1 -. . . ... .. . _' , . OWNER: SMILEY FAMILY TRUST �'J'.'. ��� � , - ,' pddress: 2408 MARGARET DR �� ' PHONE: '- J � . � . - '_ Ciry/State2ip: NEWPORT BEACH, CA ' APPLICANT: LEYVA,ROBERT..- " Address: ' �- :953:UNIONAV' , ;. �� PHONE: 7�4323-5820 �z__ � � �,,, City/State/zZip: COSTA MESA CA. . . j : , . � _ . . ','� , , CONTRACTOR: ROBERT LEYVA'CONSTRUCTION -- - License No.' 825124"'.' Address: 953 UNION AV � � � , � � , � ' . • � " � � pHONE: 714323-5820 -. � City/State: COSTA MESA, CA ZipCode: 92627 � - CELL: - , � , , , , . _ _ ,. .'� . . . - ARCHI7ECT. � .. ...:'.' ' - .�.Llcense,No . .:.. . .. .. . . : :. „ �...� PHONE:.; ENGINEER: � �� , _ ' . License No. ' , y,� ,PHONE. +� �t � PLUMBING PERMIT FEE SUMMARY �' PLAN CHECK PEE: , ' �* � $ PERMIT FEE - ' ' 4 1 � TOTAL FEES: $48.15 �.�; i,., m NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) � EXPIRAT�ON: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF IAST INSPECTION. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all requlred inspeMions and final approval musl be obtained. Failure to obtain inspections and.final approval will result in the expiration of this permit. WDEt, INSPEC710NTYPE 1818 Fixed System Final fire Prevention 1288 Pool Spa Final 200 Final Re•Root 201 Final BIocWReteining Well 202 Final Faclory Fire Place 203 FinalSign 204 Final �emolition �7�F �$ f1QQjj INSPECl10NTYPE 206 Final Mechanipl 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 229 Final Planning Approval 222 Final Site 250 FinalBuiitling�Occupancy P�]E ` i nx n��s i i. ! . �i: WORKERS' COMPENSATION DECLARATION: ' . 1 hereby a�rm untler panalty W pery"ury one oi ihe fWiwring OeWarofions: �, ❑ I have and will maintain a certificate o( consent to sal(•Insure for workers' com0ensation, as provided for 6y seccion 3700 of Ne l.abor Code, for the pertormance ot the work for which this permit is issuetl. ❑ 1 �ave anC wiil maintai� vrorkers' compensation insurance, as requiretl hy section 3700 of the Labor Code, for the peAormance of fhe worlc fw which ihis permit is issued. My wnrkers' compensation Insurance carrier antl policy numDer are: Carner (Thu sredpn neetl ipt pe mnfyeledTlheperR�R 4`21ueC al one hundre0 JOYars (if00j w fess.) Policy Number: ({�1 � I certify that in the performance of the vrork for rfiich this permit is issuetl, 1 shall not employ any person in any manner so as to become subject to lbe workers' tompensation Wws of Calitomia, antl agree tbat if I should become sub' t to the workers' compensation prov'�sions oi Section 3700 of the Labor e ai�yyqih c mply with [hese provision / ilpnYs g ature _9 te 0 WARNING�. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUT AN� SHALL SUBJECT AN EMPLOYER TO CRIMINAI PENAlTIES AND CIVII FINES UP TO ONE HUNDRED THOUSAND DOIIAR$ ($t00,000J, IN AD�ITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACTORS �ECLARATION: I hereby affirm that 1 am IicenseG untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full force and eHecf. Cic: #`' / 1' Class # �� V � `Cw4acior'�� aWre � .. �ate ✓^ l, CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affmm [hac there is a cansWction lending agency frn the peRwmance oi the woNe ta which this permit is issued. (Sec. 3097, Civil Cotle}. Lentler's Name: Lentler's Adtlress: Signature Da�e 4WNER•BUILOER DECLARATIONS: I hereby aKrm that urMer penalry of periury that I am EXEMPT FROM THE CONTRACTORS IICENSE LAW for the (oilovring reason {Sec. 7031.5, Business and Professions Cade: Any city or county which requires a permit fo construct, alter, improve, demolish, or repair any structure, prior to its issuanse, also requires the appliwnt far suc� permit to file a signetl s(atement that he or she �s licensetl pursuant to the pro�isions of ihe Confracrors license Law {Chapter 9(commencing with Section 7000) oi Div'�sion 3 of Iha Business and Professians CodeJ or thae he or she is exempt theretrom and the besis for ihe a�legetl examption. Any violafion of Section 703t5 by any applirant tor a permit 5ubjects the applicant to a civil penalry o( not more than five hundred dollars ($500).): ❑ 1, as oaner of Ne propeAy, or my employees with wages as t�eir sole compensation, WILL DO THE WORK, and the structure is Irot intended w oRered for sale {Sec. 7044, 8usiness and Professions Code: The Contractors License Law dces nOt appty [o an owner of property who builds or improves thereon, and who dces such work himself or herseH or through his or her ovm employees, provided tbaf such improvements are not infended or ofteretl for sale. If, however, the buil0ing or improvemeni is soltl within one year of completioq the owne�-builtler will have [he burden of proving that he or she did not huild o� improve fa puryose of sale.). ❑ I, as owner of the properly, am EXCLUSIVELY CONTRRCTING WITH UCENSED CONTRACTORS [o constmct Ihe project (Sec. 7044, Business antl Professions Code: The contractors License Law tices not appty to an owner o1 property who builCs or impioves thereon, antl who contrads fa such project vnfh a contractot{s) ficense pursuant to the Contractors License Laws.). ❑ I am ezempt under sec. Business and Professions Code for this reason: Ovmer ID verified by Arive. ...ense, ❑ Yes ❑ No Driver's License No. Ezpires: Verification of Ownership by (rype of document, i.e, - property taz bill or deed): DIVISIOtJ OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . • � 1 hereby certify that no excavation five (5) or more feet v� depth ioto which a person is required to descend, wili be made in connec(v�n with wark auttwrized by this permit, and [hat rw builtling svudwe, scaffdaing, taisev+nrk, a tlemolifion ur dismanNing thereof, will 6e more than thirty-six (36) feel high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Title B, Califomia Atlministrdtive Cotle). � As owner-6uilder, I will not em0loy anyone to �o vrork which vrould reqWre a permit from the Division o( Intlusiriai Safety, as noted above, unless such person has a permil to tlo such work from the tlivision. Applic2rtl'sSigiwlur¢ paie Oivision of I�dusinal Safety Pertnit Numtec HAZARDOUS MATERIAlS AND EMISSIONS CERTIFICATION: i. Will Ihe ap0���ant or presen{ o� future huiltling Occupaot need to fiie and ceAify a 8usiness Plan for emergency response to release or fhrealened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, wit� some excep�ions, tbal a Business Plan be filetl vnM {he Costa Mesa fire DepaAment by every business which �as at any one time during a repoAetl year a quantity ot hazardous materials equal to or greater than a weight of 500 pounds, or a volume o1 55 qailons, or 200 cubic feet of campressed gas at standar0 temperature antl pressure). 2. Does or will the applicant or presem or tuture buildfng occupant neetl to file a registration form for acutely haxardous materials? ❑ Yes ❑ No (Section 25533 of the Calitomia Health and Safery Code, with some ezceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on �antl a quantity of acute�y hazardous materials equal to or greater than a weight at 500 pour.tls, or a volume of 55 gaVons, or 200 cu6ic teet ot compressed gas zt stantlartl temperaWre and pressure). 3. 6oes or will Ihe applicanf or present or future builtling occupant neetl to prepare an RMPP (Risk Managemeol and PrevenGon Pmgram tor acutely hazartlous materialsj? ❑ Yes ❑ No (Section 25534 0( the Califomia Health antl Safety Code provides that the CosW Mesa Fi2 Departmen[ may require the preparation, certiFication anE filing wiN the fire Oepartment of an RMPP by businesses which are required to register acutety hazartlous materiais with the Fire Department. 4. It an RMPP is presentiy required. has Saction 25534 0( the California Health and Safety Code been fuily complied vidh? ❑ Yes ❑ No 5, Ooes or vrill the applican[ or present or future building occupant require for the vrork which is the subject ot this application a permit for such constmction or modification from fhe South Coast Air Qualiry Management District or from any other air polWtion control district or a9ency7 ❑ Yes ❑ No (Sectbn 65850.2 ot the Calitomia 6ovemment Coae requires that the requested infortnafion be Fumished on applications ta roo-residential buiiding permits}. 6. Wili any paA of Ihe Faciliry to be construcled under ihis permit be vriihin 7000 feet from the outer poundaries ot a school? ❑ Yes ❑ No (If "yes", the taciGty must meet the requirement o1 Sections 25534 and 42309 of the Gati(omia Health antl Safety Code). 7. ii a permit Irom lhe South Coast Air �uality Management District or other air pollufion control disiricf or agency is requiretl tor the vrork which is ihe subject ot this application, have all of the disclosures presci�bed by Califomia Health antl Safety Cotle Section 42303 been matle? ❑ Yes ❑ No 8. (If �yes', at�ach certificate of compliance froin the appropriate air pollution contrW officer}. • " " CERTIFICATE OF COMPLIANCE: 1 ceAify ihat under penalry of.perjury the infortnation given above is correcL 1 agree to comply with all 547te laws antl city ordinances regarding HazarUous Materials and Emissions. ' , . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION �OF ENTRY: I certiFy untler penally oF.perjury that 1 have reatl this application arb sWte that the intormation given is correct 1 agree to comply vrith all state laws and city ordinances relating to builtling constmctioq and authorize represeatatives of tne City ot Costa Mesa ro enter upon the above-describeU property for inspection purposes. 1 agree not to occupy or aliow occupancy ot aoy buiiding authonzed by ihis permi[ until final inspection. � . �8�olle vmei�s) O,te ' ' Slgnature Oa�e ' 305i<6 (3/0]) �-� Ai rorAul�odze ApD��cant .._Dace' (714) 756-5273 • Fax (714) 754dB56 • www.cl.costa-mesa.ca.us 77 FAIR DFiIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 964 W 19TH ST Suite: Vicinity: Parcel Number: 42253111 Applicant HAN, AUSTIN Address: 1022 W ORANGETHORPE FULLERTON,CA'�� Owner: SMILEY FAMILY TRUST Address 2408 MARGARET DR � Zoning: Phone: (714) 871-9923 - Zip: 92838 � � Phone: - � - NEWPORT BEACH, CA- Zip: 92663 � Contractor: ACE IZOOFING SYSTEMS CO Address: 1022 W ORANGETHORPE FULLERTON,CA Zip: 92838 Arch : Address: Phone: (714) 871-9923 License: 679543 Eng: Address: Status: ISSUED Applied: O6/24/2002 Issued: O6/24I2002 ISSUED BY: Phone: Phone: Zip: License: License: , - SCOPE OF PERMIT - . . TEAR OFF EXISTING RROF AND COVER WITH 30 YEAR COMP SHINGLES. NO NEW SHEATHING PROPOSED. INCLUDES ATTACHED GARAGE ' FEE SUMMARY Pian Check: $0.00 Catc Valuation: 5�,sso.00 Permit $66.20 Claim Valuation: S�,eso.00 SMIP Res: $0 50 SMIP Com: Other: Inspection: Total $0.00 $0.00 $0.00 $66.70 � SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0- 0 PARKING Existina: o NQTES: Rear 0- 0 Rear 0- 0 Re uired: 0 PLANNING & ZONING Left 0. 0 Left 0-0 Proposed: 0 R�eni a o Right 0- 0 NOTiCE: The work autFwrized by this pertnit shall comply with all applicable handicap access requirements under Califomia slatutes and related regulations. (Ord. No. 92-28, § 7, 12-21•92) EXPIRqT10N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned for a period of 180 days. . .. . . . � , :� �� INSPECTIONS: In order for the work authorized under ihis permit to be considered legal; such work must compty with all applicable codes, and all requlred Inspectiona antl final approval must be obtalned. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . zaurae Ieroo) ��1 WORKERS' COMPENSATION DECLARATION: � I hereby affirtn under penelty oi perjury one ot the following declaratlons: • �I heve entl will malntein e certificate of consent lo selFlnsure for workers' compensa(.,n, es pro�ntled tor by sectlon 3700 of tha Labor Cotle, for Ihe pertormence of t�e work for which t�is permlt Is Issuetl. I heve vi�l meintein workers' compensetlon Insurence, es required by sectlon 3700 al the Labor Code, for the peAortnence of the work tar which Ihie pertnit is issuetl. M rkers' compensation Insurence cerrler end policy numCer are: nrrieo � __ PdkyNumDer. (Th19 SBCNaI nBBd /rof bB mmpletBtl ❑ I ceNy that in the pertortnance o1'. compensatlon lewe af Caiifomie, e Compty with Ihe% provlsi0ns. ApPlicant Signeture: WARNIN(3: FAILUpE TO SEIXIRE WORKERS' THIXI$FND DOLLAFE (f/00,000), IN ADOfiIOF LICENSED CONTRACTORS DECLAR I hereDy effirm that I em Ilcensed under Porce end ettect. Lic. a Contractors SignaNre: ef One which thls pertnit is Issued, I shell not employ eny person in eny manner so es to becwne su6jod to I�e workers' i It I should becom ect to tho workers' compensation DroNs�ons o1 Sec on 3700 ot the Lebor Cade, I shall tort�wit� oa,a �r���oa— COVEMOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMI�WIL PENALTIES M1D CIVIL flNES UP TO ONE HUNDRED �T OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3�Ofi OF TME LABOR CODE, INiEREST, PND FTTORNEV'S FEES. of Chapter 9(commencing with Seclion 7000) of Divislon 3 ot Ihe Business and Professions Cade, end my license is in full n n � I Class a . I , i CONS7AUCT10N LENDING AGENCY: ' ❑ 1 hereby atfirm ihat Nere is a constructlon Ientling egency for the pedormance ot the work br whic� lhis permit i5 issuetl. (SeC. 3097. Civil CodeJ. Lenders Name: �entlets Atltlress: Signature: Date: OWNER-BUILDER DECLARATONS: I hereDy atfrtn Ihet under penelry of per�ury lhet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business an0 Professions Cotle: My dry or Counry which requlres e pertnit to canstruct, elter, ImOrove, tlemolish, or repalr eny strucWre, prior ta Its issuance, elw requires ihe apDlicant for such permit to flle a signetl stetement ihet he or she Is IlcenseO Dureuant to the proNsions ot ihe Conlradore lJcense Lew (Chapier B(cammendng with Sectlon 7000) ot DMsion 3 of the Business enC Professions Cade) or t�at he or ahe is�exempt therefrom end tha basis for Ne allegetl ezempUon. My vidatlon oi Sectlon 7031.5 hy eny epplicent for a permit subjects the applicant to e cWil penalry of not more ihen tive hundred dWlere (5500) J: � �, ❑ I, es owner ot the property, or my employees wit� wages as ihelr sole wmpensatlan, WILL DO THE WORK, end Ihe structura Is not intended or oMered lor sale (SeC. 7044, Business and ProfeSsions Code: The Conirectors LJcense Lew doas nat epply to en owner ot property who Duilds or improves Ihereon, and who does such work himself or �ersetl or Urough hls or her own employees, proviAad that such imprwemenis ere not intendad or aHered for sele. If, howaver, the builtling or improvement Is soltl within one yeer of completion, Ihe owner-builder will heve Ihe burtlen ot Oroving ihat �e or s�e tlid not Duild or imprwe for purpose ol sele.). � I, es owner ot Ihe property, am EXCIUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prqect (Sec. 70a4, Buslness end Professions Cade: The conirectors License Lew does nol epply to en owner ol propeny wha bullds or Improves thereon, end who contrects for such pro�ect with e conirector(s) license pursuent to the Coniractore License Lews.). ❑ I em exempt untler sec. Business and Prolessions Code for Ihis reason: Signature: Date: Owner ID venfied by drHers license. ❑ Yes ❑ No DriveYs License No. Expires: Vedlkation of Ownership by (rype ol tlocument, i.e. - property tau blll or Aeetl): OIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ 1 hereby certify that no excavatlon five (5) or mora feet In tlepth Into which e person is requlred to descen4 wlll Ue metle In connectlon with work euthodzed by tNs permil, antl Ihet no builtling strudure, sceHoltling, telsework, or tlemolitlon or tlismantling t�ereof, will be more than thirry-six (36) faet high. (Chap. 32, G�p 2, Art 2, Sec. 341, Title 8, Califomia AGministreilve Cotlej. ❑ As owner-hulltler, I wlll not employ enyone to do work which would reQuire a pertnit Irom the Division ol Intlustriel Safety, es notetl aDove, unless such person hae e pertnit lo do such work from the tlivislon. Signature: Date: Division of Industrial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORVA110N OF ENTRY: I cetlity under penalry ot perjury thet I have reeC this epplicetion antl stete Ihet the Infortnation given Is cortect. I egree to compy with all slate lews entl ciry ordinences relaling to builGing consWction, end authorize represenietives of the City of Coste Mesa to enter upon Ihe ebove-described properry tor ir s�ection purposes. I egree not to occupy or ellow ocwpency ol eny Duilding authorized by I�Lq pertnil untll finel inspection. CODE �. RlSPECTqNTYPE 1678 Fixed System Final Fire � 1266 Paol Spa Finel 200 Finel RaRoo1 201 Final BIocWRetaining Wall 202 Final Fedory Fire Place 203 Final Sign 204 Final Demolition (o �7 N1e� ��— at Qdg �$ ��,( INSPECTIONTYPE 206 Final Mechanicel 208 Flnal Plumbing � � M�W�270 FinalElectrical U 212 Finel Fire Prevention 220 Final Planning Apprwal 222 Final Sita 250' FinalBuilding/Occupency Peff. li�ew �ta Mesa $uilding Department 117 Eq&T 20th STREET � COSTA MESA, CALIFORNIA _ FOR APPLICANT TO IN B�;�d��s �� /9 Address • Costa, Mesa, California Cross St Address 1` APPI.ICA �1 BUILD,LNG '� FOR OFFICE USE ONLY _. e ipt No. Permit No. ' i �� Received by Date Rec'd. Date ued �7 �3 J S� Tel. Cross Si. No. Zone • Lic. �- No. Approvei b City LiC. .�.A�No. �-32� s7i I 61eek I Tract��l/7 (Attach Metes and BoundaJ Size of Lot � � (o —�/ (i Use of Existing Bldg. Setback Linefrom Center of Street SS New �/ No. of �Rooms Use oi New Bu��a�ng Demolish � Stories � I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Iaws regulating building construction. SignatureW QQ._ _ Permittee 0�"�� Authorized Agt. Valuation PermitFee$ `/ a Plan Check $ 6 $ fU,36'�`� Total Fee $ 3 FORM 204 G•X 2M 5-54 Costa Mesa, California Type CORRECTIONS APPROVALS �n Lxation I Inspecto Materials, Plaster, Int. Plaster, Ext. Mawnry Reintorced Bond Beam FINAL O A � D r . > -- -...--, , . . .... .. . .. . . . , . . , .� . , •, -,,' ,. _ � � , __ _ ;. . . , - � , . , _ --- -- - - - - � .. . --- -- --- - --- ---_ _ ., . , �� :IC .. r.. , , � l. �' � . .� �♦ �� � i � . ' �' ' .__ . �\l .. •�- . � . .'.��� .�I . �� ' � i'�i�. . ♦ " � i . �^ _ rl.vr r�� ' . . ' . . . ._ : ' . . Show Ixation and distances irom , � ` �� ����'�'�� ' , � property line and between buildings. . . �, , � . , , � �..�: i � . . = ... � ' _.' . . _ .' __ . . I: ' _ . . . . ... ; . '.r_ . �} �. . . ,� .. ' _. . i�� . � ,. . �_, �'i , . ; . • , � _.. , ' _ . , � \ \ _� i.. ..� . _ . . 1 - . � L. � ` . � a � J APPLICATION FOR PERMI�T i�� � D�ARTA�yNT CF�BUILDING AND SAFETY B .}► � � ` . ' SANTA ANO CA� FO NIA ��� �� D il � i9 /� �/ .r/,9�- �N 2 �� � C' PLOT PLAN � Show location and distances from � property line and between buildings. ' �i' S � U/1/ /-'�� ���-r��-v Q�/�'S��'Z 6.o9T� OU�2 / �U �2i1�� �'� . �✓ - . o. y G � �'1 , OFFICE USE ONLI(, � , `. LAND USE P.LAM CHECK , +.� �l-zz—sr Checked by � Dare Dofed Cleared Plot plan fully dimensioned. es No All 'n9z shown on plon (Der aODlicanf) No Moin Use Accezzory Use Zone � equired building site frontage Yes No ReQuired areo ' � es No Building Xeight L.v�Q Story ecf Vorionce Repuired. Approved o. Streef Widfh (jp Feot ��;.p Corner Lof Inzide Lof Bldg. setback Sf. cenfer ,�S Property lina o'iS Sideyurd.righf J�S— Eavo Prola�fion ,�Ner.. Side yard, left 5 , ,Earo projection �� :� Rear yard ITo Property linu) �9tf7 .3'� Feet Separafion between bldgs. �o--y� -:- , Feet. � AIIey in rear N0. � • ' Width' Chimney in required side yard projacfs � Porch in required yard projecfs :tot:s in required yord proje<ts � Parking area required "-*C.> CaDacify cars' Remarks: � �/2�JS� v �� i�LL lv�.4LL�, �I"/ �U� � i�r, C/lOSS �/CS /�+/ G' i9?. D �.�`c�2 . f o: ����� .s� Ni���. y'� S /9�?'!L� � � /j/h' �.� A.[ L T�?irh�;v 's TO��` /�o �i�om . - /��'y��: � i /�-�x' A �