HomeMy WebLinkAbout2030 MONROVIA AVE - Building Permits�i
P�0.IECT'P�DhE33: zO3O MONROVIA AV
OWNEH'SNIIME: JENSEN, DOUGLAS J
nooness: Z030 MONROVIA ST
COSTA MESA,CA 92627
• 631-3962
uxiT:
RNCNIENGINEEB: BEC.NO.:
ROUBESS: � +- UNR:
' PEflMITTEE:DOUGLAS JENSON - � i714)631-39b2
nooeEss: ��030 MONROVIA CA 92b27
LICENSED CONTMC70R DECLAMTION: I here6y attirm that I am lic¢nsed untler Oravisions of Chapter 9(commencinq wi[h Sectian
7000) ot, Division 3 of I�e Business and Professions Code, antl my license is in full lorce antl ettect.
CITY LIC.: ' STRTF UC.: CUSS: �
Oa�e: SipnaNre:
WOPI(EBS' COMPENSRTION UECUMTION: I her¢Ey aifirm that I have a certiticate ol consent to uli-insure or a ceNficate oi Workers'
ComDensation Insurance, or a certitieE copy [hereoi (Section 3800, La�. C�.
�&;.��;;mICY NO.: ' � E%P. ORTE: �
Cerii�ied CODY �s AereUy fumis�eJ. � O Certifie0 coDY is file0 with tAe ciry BuilUing Division.
Da�e: Applicanl:
E%EMPfION FPOM WOBKEPS' fAMPENSA➢ON OECWWTION: Qhis secGon neeU not 6e comDleteO R Ne pertnil is far one hunAretl (E100) or less).
I cerlity that in ihe pertarman e oi the work tor whicA t' �t is iss 'Lepe Mar¢mDlay any Dersan in any manner so as ro become
suDle�� �a the Wo ers' Co s'an Laws oi Calilomia.
Oate: SiOnatua: �
NOTICE: II, alter makinp ��is Eeclaration, you 5hou10 Ueco s�le�t Workers' Compensaiion provisians o� Ihe Labor
CUUe, you musiforthwith comply wiN such provisions or ' Dermit shall be OeemeU revoke0.
CONSTBUCTION LENOING �OENCY: I hereby aflirm that there is a constmction IenEinp apency br tAe De�ormance ol the work for
whicA �his permit is iuued (Section 3W7, Civ. C).
lENOEB:
aooeess: -
OWNEq BUILOEN OECUMTION: 1 hereby alfirm ihat I am exempt trom the Contractors' State License Law for the followinA �easan
(Section 7031.5 Business anE Prolessional COAe: My ciry oi counry w�ich requires a permit [o consiruct, alter, imprave, Oemolish, or
repair any simcture, D�or to iLs iuuance, also reQuires t�e appliwnt for suc� permit ro lile a signed statement ihat he/she is licenutl
pursuant to Ne Ormisions of tAe Contacrors' State License Law (CAapter 9(commencin0 ��h Section 7000) af Oivision 3 ai ihe Business
� antl Protessions Cotle) or ihat he/she is exempt t�ereirom an0 Ihe basis for ihe alleAeO axemp[ion. Any violation af Section 7031.5 6y
any ap0licant for a permit su�jects t�e applicant to a civil penalry al not more tAan five AunOretl Oollars (5500�.
I, as owner ai the proOertY or my employees with wapes as �heir sole compensatian, vnll Oo ihe work, and the
� stmcture is no� imendeG oroflereA far sale (Sec�ion 7044. Busmess and Pmfessional Code: The Contraclars' S�ala License Law
„ Oces nat aODN lo an owner o� a D�oDertY �o �uiltls or impmves tAereon, and who tloes such wod himseli/herull or throu0h
his or her own employees, DmviOetl IAat suc� improvements are nnt intenAeE or offeretl tor sale. tl, �owever tha 6uilEinp oi
. impmvement is solE within one year of.com0letioq the owner will have tha burEen oi pmvinp he/she did nat DuiIE or imDrove
ior ihe Ourpose-oi:sale�. ' . �
7L I, as owner o1 tAe Omperty, am exclusively contracW A with Iicense0 wniractars to construct the prole�� (���ion 7044, Business
❑ an0 Pmiessians CoOe: Tha Contractors' state License Law dces not appty to an owner oi pmperrywha �uiltls or improves tlrereon
and who contracts for such pmlecls wifh a cantracroqs�license pursuant ro the Coniractors' State L�cense Law�.l am aware
I�at proof of [heir Worker's ComDensation insurance shoul0 �e DroviOetl to me. "
� I am exempt under Section: � B. 8 P. C.
for Ihis reas :r'� �
Oate: �`� � I1`1 Owner. �
I Eo hereby certiy Ihat I am aware ol anA untlerstanE the reQuirements of Ca � ealth an fery CoOe Sections 25505, 25533, and
25534 anU ihat I or any fuNre UuitAinp occupant wiNwill nat (circle ane) neeA ro comply wiN saitl state wEes anE ihe requirements for a
� parmit for consimc�ion or moAitication from t�e Air Oualiry Manapement Dis[nct. FesiAential consimction applications are exemD� �rom
tAese provisions. ' _
Date: �- Applicant: �
I herehy certity that I have rea0 Nis aDDlicaUon an0 staro t�at the above information is correct. I agrea ro comply wRh aIl ciry anE counry
orainancesantlstalelawsrelalinA�obuilEingconstmciionantl ereb uthorrseiepreseat�tivesofthiscirytoenteruponiheahava-mentione0
praDeM �or ins ection pu Doses.
Date: C� � Sipnature: -
Driver's License or Socia� securirv �
Green—COEe En�orcement; Canery—Applicam; Pink—Revenue; GoltlenroE—Assesaor
• CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 098888
PERMIT NO; P 048888 PLAN CN.ECK NO: N GOVT: N SUPP: N;
CONSTRUCTION TYPE; V—N PERMIT TYPE; PLU ' PURPOSE; OTH
JOB DESCRIF+TION : kEPIPE SFD ." 5Q FT: "
f.
CLAIM VALUE: CALC—VALUE;� GROUP OCC: R-3 /..
COMMENTS: REPIPE SFD ' • �. i
*���****�-*�x�****x��**�*�*����*�**�*�*�*�*��***��*******�*�**�***�*�***�r**�e���x
Z O N I.N G R E Q U I R E M E N T S �
S E T H A C K S �,'
----------- MAIN BUILDING ---------- --------- ACCESSORY HUZLDING -----:--
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGAT; � FT IN
PARICING REQ: PROV: PARCEL: 42250523 ZNE: REF NO: � �
PLANNING NOTES>
> .
iF i6 # iF # iF dE dE if iE iE if !E if ##'rE it if iF iE # iE jk iE iF it iE it iE it iF ik iE jk iE it iE iE iE iE iF it �lk iE iF i(-ik it iE �1E if iE i(-iE iF it �k 7f� d(-jE iE it IF �JE iF �N- jE ik iF 1E iE iE iE 3f iF iE 3c� �E
D E V E L O P M E N T S E k V I C E S��•:'� R E Q U I R E M E N T�S
t � ,
ZONING APPROVED BY ,
HUILDING APPAOVED BY :
APPLICATION ISSUED B�-;
iP3klEiEiEif9EikiFiEjEifiFiEiEiEiEititifiE#�Ei�ik� ..,—
iE iE iE iE tk iE * iE iE iE it �E it 3E iE iF ik �E iF iE if jE �E fE �E dE 9E iE if if if iF iE i�
LEGALIZATION;N F E E
BLDG PMT PLUMBING EL
PERMIT 2z00�
PLAN
ISSUE FEE 3 00
DATE:
DATE;
"� DATE; 4 �l O6 ��
' .....^...'f: ��F***�t*�-+�-�ti��t x- * ���-
3E 3E iF iE jF dE iE iE iE iE iE �E ii 3f iE * iE iE jE jE it iF if iF iE 1k iF �E aE iE iE �E �E 9E iF 1E jE *
M M A R Y STRUCTURAL SEGMENT:N
MECHANIC FIRE SMIPlAES GRADING
SMIP/NON—RES
bUILDING—UIV—> PEkMIT ISSUE PLAN—CHECK TOTAL PAID ' DDE
TOTALS---=> 2.00 3,00 0.00 5.00 5,00 ,00
REVENUE DIVISION TOTALS--> - COLLECTED: 5.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING'PLAD1—CHECIC
5.00
3E iE iE if if it ib iE ik iE 3f iF iE jE * iE iE iE iE ik ik iE iF iE iF if fE iE ik if iE if �E 1F if if iE iF dE �f jF iF iE if 3E jE iF iF �F �E iF 9t if jE ih jE it jE iE 9t 9t 1t iE iE df 1E 3E 3E iE iE iE jE if jE iE fE 3E iElE
I N U I V I D U A L F E E b R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT'COST ,TOTAL COST
PLU 1 WATER RE—PIPE 2.00 2,00
END OF FEES ,
0
oi a�aesas�-ooaE9as� -c-},T ;,on
DATE: a9/08/90 . ?It1E: CS'.?3 .
� ��
" CONSTRUCTION AND PLANNING- '� ' �� ` P��L & SPA , . „
.
APPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector �
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location � _
2. Soil Pipe•Undrgrnd. � _� . 53. Steel Reinforcement � ��
3. Electrical Co�duit Utility-Undrgrnd. -� 54. Forms -
4. Electrical Conduit-Undrgrnd. � 55.� Electrical Bonding -� -
5. Steel Reinfo�cement "� 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. -. 57. APPROVAL TO COVER�GUNITE
7. Footings - 58.-ElectricalConduit�Undrgrnd..,
S. Foundation . ,�'- - 59. Gas Pipe, C7 Undrgrnd., Tesi _
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System i--_. -. - 61. APPROVAL TO DECK -.� �'_
11. Property Sewer Line & House Connection i 62. Beckwash & Receptor-Final .
72. Sewer Cap � - 63. Heater & Vent-Final ' � �
13. Roof Drains _ 64. Plumbing System � Final -� ,
14. Rough PlumUing � 65. Electrical-Final �
75. Rough Electrical-Conduit _ 66. Solar-System�Final �
16. Rough Electric Wiring� � . 67. Fencing & Access ApProval
ll. Rough Wiring Sign , � 68. APPROVED FOR PLASTERWG � ^
t
76. Rough Electrical�T Bar Ceiling 69. POOL'/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Struc[ure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling fStructural) & 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. FEQUIREMENT
31. Plaster Brown Coat ; 79. FINAL INSPECTION
32. Electrical Power MeterFinal � �+� 80. FOOD CERTIFICATE ISSUED
33. Final Electric ,; 7 ' Notes:
34. Final Heating & Air Conditioning �j �� - -
�. , /, _�
35. Final Gas Pipe-Test . � � � �
36. Hood or CanoPY � �•�� i •
37. Final FactorV Fireplace � � ,
38. Final Plumbing R L��g(% [.Tt� �
39. Water Servic¢-Final �
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape Ilripation System
45. Sound Attenuation
46. Handiwp Regulations �.. . �
a7. FINAL S7RUCTURE & BUILDING .•
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �'
51. CERTIFICATE OF OCCUPANCY
No. Date
� CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please cpmplete and return this information in the envelope provided at your earliest opportunity
to avoid unnecsssary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement. O Yes �;No
2. I have/ t) signed an application for a building permit for the
pr posed work.
3. I have contrIacied with the following person (firm) to provide the proposed construction:
Name h-�O�^'�P P���r �^ �
Address t7n�� t.��l^•^'i"`�P.� �.f� City nS�-�'125��
Phone (��y) 7Z%'-�Z�S Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No..
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have eived a copy of the information set forth in Section 19830 of the State
of California and Safe e compteted the above information to the best of my per-
sonal knowledge, 'n omplia with t's State law. q 1
Signed_ _ �" Date: [ `Cl6�f �
Name: IF.' �52�
(Printed or Typad)
C.D.L. # or S.S. # �% �
754-5273
�'
- . _ \\ ' �
CITY OF COSTA MESA, .C..._IFORNIA : ' . . �".
�. . . .. . -- , .�
' �, . , - , �\'
. , . . ' '' - _ � . _ - .� ' . , ;
. . September 8, 1967�.
• ' ,' *' ' �
Home Savings and Loan Association . �
9245 Nilshire Boulevard ' ' `,
Beverly Hills. California ` � ` . - -.
: RE:' Building violations - 2030 Monrovia_Ayenue, Coa a Mesa -
Attention:. BetTy HcFerland . . . . �' �
. Gentlemen: . . , , . _ ,
��. It has come to our attention that'�- rty' located 2030 �
'. " Honrovia Avenue, Costa Hesa,_Californ e' bed as Lot 15, " �
: . 'Tract No. 1712,'1s baing sold'and�i cirow�i your Department:': ' '
. ,,
' Thia propeMy was owned by rt�Ad� ` We xish to advise that .
. Mr. Adams applied.for a Variance (N -- ).for_permission.to allorr
` a single residence in�au Rl Zo e with � garage'due to the converaion ',
of.the carport in 1960 ia � ro'. ithont a Building Permit. _
A Fireplace was also co ucted w ouY ilding Permit. This .
Variance was_approved b the City C u ciT'on 5-1-67 subject to the
following conditions�: , _ ', _.' �
. 1. That a Buildin ermit aken'out for the conversion and -
. the e.
2. all the requirements of the Dapartment of�Building Safety �.
b met. . - .
" �3. tallation aoncrete residen4ial sideualks'and concrete �
,' veway app h,by the applic'ant and/or owner, at his
- e se,`per andard•specifications of'the Cfty of Costa Mesa. - "
4. Tha - e built betwQen the house and the side yard on the '
, � � ' north to leave.space for a drivewaq. - - ' ".
� On Map 4, 1967, Mr.,Adams applied'�for Building Permit No.-27002 •
. for the carport converaion and the fireplace. The.,applicant has neve'r'called-�,
for any inspections.to bring these yiolations up:to.code.'- �' -.
�� YSince this property is noN being'�sold, xe felt that you Depertment_�
should be apprised oF.the "violations and conditions imposed t br' g the ,�
,'. , building up�'to'code before the sale is consummated: ' _' .
. . r . . . .
' ti�„ �. y y:Yo .3 .:. .
- . _ illiam 'f.. Dunn � � .
NLD:am ' �• � Director of Planning �_ ' - •
cc - Department of Building Safety�. . '. �' _ •_,
'. : . ' • ' ��I'� _ " .
.. . . , . . �
• � . - ' . -.l • ,
� � � ��
- , . . � i. � `
� ��
QD
OWNER ADA�IS, ROBERT �Rc SARAH DATE 11-10-60
JOB ADDRFSS oriEovla ve. BUILDING PE MIT NO.
GENERAL CONTRACTOR onecra � IIc. VALUE $ �
AP T�Io. — ' LOT Tk2ACT FIRE ZONE DESCRIPTION OF WORK eSl 5.
I� CTIONS DATE I GROUP � J TYPE V ZONE 1
L_ .ground SoIl U.G. Water PERMITS ISSUED
,._�_____.._� ..__ ---I SUBCONTRACTOR I
OCCUPANCY
Form 21�SM-71-59 SB P
13274
r" �32' 4
;,
CO�TA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 977 C08TA ME6A. CALIPORNIA�
Fo� Applieanf io Fill In Compleiely
TYPE OR PRINT � � �
ADD E'68 � O JO /MONlaO✓/A AYE
COSTA MESA. CALIFORNIA
OWNER nfT%At -i-Sd.(AN N AAfaS�� �
MAIL
ADDRESS �n i O-.il./ nn/ Jj0[///; Av E
TEL. 7
c�n �L n: : iJ - i � ES H� No. N. /
ARC�"TEGT TEL.
FEE RECEIVEU
� `��, �,r�� 1019fi0
�FINAiVCE DEPT.
APPLICATION�FOR� ERMSTA MESA
BUILDING
For Office Use Only
e7� I I�../b E�E�iEI
� COSTA MESA.
FIRE
ZONE TYPE
JR ..°i %���E C%JHFT �%N(_ . APPROVE�
BY
���� .�-�F_t K��E H✓F
ZONE� j
i e$ A �VcF_L F_S �
�- IP� %%�Y NO. OL-7- %I3O LEGAL
oescrti�rio�
rvo. ov s�oce.
' NOW oN LOT q, p, NO.
a nr_ %�i L:� / D EN fl L^ YARDS
O 98TBACR LIN6 FROM
DESCRIPTION OF WORK
NO. OF �t USE OF NEW
PLANB / �� BUILpING
APPROVED
(C6NTlP UNE 6TJ
� � � � �
EVE6
o—dv
REPAIR I II MOVING I II DEMOLI6H I_ BYPROVED %�/ Y��I DATE / I� I�"��-'
//
BUILDING NO. OF - ' �y�,
SIZE ROOMS STORIES �/- �
EX7HRIOR WALL ROOF . ' - .
COVERING COVERING �
USE OF BUILDING AND WORK 70 BE PERFORMED
'�i ! D F_NCE
.�. i'n.•ct. liESi,�/-t.�G i=TC. .
I HEREBY ACKNOWLEDOE TXAT 1 HAVE READ TX19 APPLIWTION }X6 AMOUNT BHOWN UNDEP VALUATION 18 FOft THE
ANO BTATE THAT TXE ABOVE �6 CORAECT AND AGRSE TO COM- pUpp086 OR EBTA9L18XING A PERMIT FEE ONLY.
vLY WITH ALL CIiY OltpINANCEH ANO HTATH LAWB REOYLATIN6
OUILDINO CONBTRUGTION. VAL-�U\ATION - ♦�[y
91GNATIJRE OFl7,` i�/- O �Jif/i� � . \ ii. PERMIT FEE $!//
�AUTHORIZED AGENT
�
UWNF.R AllHMb'� tiODDy L.
�� ci
Final
or
DATE
SUBCONTRACTOR
.uw^,""�LI urcy" ._
O.�,e..�.� (���)��3-099� �f� �—��-�7
�t�d Gr�n. ec��y�ez,�i�°, (��' €'d-�vn� �'�-w�- �u,� _a.u� ��.�. �
�
� � � ,� _ �i_ �,�
�.�� ���� -�s e��� _- � �
i%-�.--y,�P.�_eK-�' .ti.-�� . ����,� �'2 s� � � - � �
�
� . � _ +�.`i o0,�r � aatn
�OSTA MESA BUILDING-SAFETY DEPARTMEM I�AY -4-67��,15i��� 233;r t�,s�:�� �,.Qd
P.O. BOX 12J0 � GOSTA MESA� CALIFORNIA Y2l26
��°
i Fo� Applicant ro Fill In Compleroly APPLICATION FOR PERMR
TYPE OR PRINT BUILDING .
For Offica Use Only
BUILDINO
ADDRESB D, il V
11[Cillf NO. P[pM�T NO.
� WSTA MESA.'CALIFORNIA . . . 7 , , i..- '' . . ' . , % �� �%Gv'-
_ . . � a '� . . �i., e�cp io sr . . . �n xe crvm�. � � y�re �esue� �
OWNER O ' 1 . Q _ ,
- " BUILDINO /'�
ADDness 030 on i� O V /q wooReao �:
. . FIRB '`' ' l.i: . T
CITY p �-A . .TlL. [/�`� •� �ZON! +�' .6ROUP -.L
� � 1.�N0. 7 - - '1
A ITEGT T!L APP O �� �
!Y ' AT'E� !�
GINEeR NO. ,
ING
ADDRe68 z no.o� � ua[oRN
(�,f •LAN� GUILDIXY
CONTMCT R ' WNPQ-17I"F
�eo�t �
DiDC111R10N O � '
AD RHBt
A. P. NO. �� ' �'- 2
CITY
NOTH: NO BAVS OV[RHAN6 SXALL B8 LE88 THAN
STATH . TH4 :10' TO HID6 a RBAR P. L
LIC. NO. N
SIZE � � No.ol�L0o6 AIA.LOWBD .(U.B.G.REQUIRLMENT). -
OF LOT O nOw N
YARDHMPROVHD YARDSAPPROVHD
USE OR MAIN BUILDINO ACCEIISORY B ILDINZd
E%ISTIN6 BLOO. -
[PROM C/L
i6TBACK L�IIt IRON FRONT � PT�
ceNTeR OP iTR[ RGR Y D
e1D[YA DI L[PT RIQNT R.DIDi .�� 1�
/�
DESCRIPTION OF WORK �. nio rr, a�� rr, a
[/
N'. TIRATI N ADDITI N RGR - FI'. fJ Ff.
CIYTANC[![T. BQT. MAIN Q
REPAIR �ry qM ug MAIN BLD ACCEBB.BLD68.
BUILDIN6 � q � NO OR V�•# �'/J ��� DAT6
SIZE F ROOMB RI G. U. P. APPROVBD �' '
EXTERIOR WALL ROOA MPROVtD
COVEfttN� COVERINO BY T!
UY60e OUI �tlYAND O;KTO 6PtRF011 � pLU POR SYGCiA R�%QU1K��Yi.*.1 S �p
L v n� "� �
a �.�. �
0
I HlR6BY ACKNOWL6C06 TXAT 1 XAVB R8I1D TN�B APPL�GTION TX8 I�YOU(R BXOWM lINOBR YALUATION 18 ROp TH8 �
AND BTAT6 TNAT TH6 ApOV6 IY CORHHCT AND AOp88 M COM• ��RP098 OP 68TABLIBXINO A PERN�T PEB ONLY.
PLY W1TH ALL CITY ORDIIUNCO AND YTATi LAWY P�OYIATINi �/�yUAT1ON
BUILDINO CONBTRYGTIO ,�/� pj
PERMIITiE�P �iy,� PERMITFEE S I�-L/L/ �
� /J��� . w
AUTNORIZiD Aa[NT G� � `�
TOTAL FEE
. � , , . � l � .. '- ti . '. � ''�.,` \ `�..
, ( - -- , ..
' i � d ip? �'4.�•� �I
��µ � <�'`�7:- �iJ .-_,:i:�':11� :�✓.:.a.. ' ��
. " ..t�:`Ci._'�J,4Z`.y,:T.t]1 ....St�....,.,. .
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... . . ;Y- _ _ " ' " "' ' ' '_ .
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