HomeMy WebLinkAbout3441 PINE BROOK CIR - Building Permits�onn�ssorewinu�o: 3441 PINE HROOI(
qYNEN'SNAMEIFqAMI: VEE YAMAFUJI
noones� 3991 PINE BROOK
�vv�.�uwra �oonEss:
MCNRECT OP ENfd1FFA:
MCIL OX FN4'S MDNF55:
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FLOOU; AO-38
uc No.:
UNi:
�+"+"�T�""� NOCK PLUMBZNG ( 714 ) 895-1246
ca+m�crorcs�uiwo 11612 KNOTT ST
A°01�� GARDEN GROVE CA �G"�- 707775
92841 uNT: 17
110ENSED COMNACTORS OECL�N�TION: I Mreby ellim urcbr p�nely W pwjury Uet I em IieameE wder pari�ian d CMqx 9
(comma�q xi�� Seciion )OW) d Oivaion J M Me Bueirou enE PMaaana Code. ud mY 4oe�ae e in Iu0 Mn eM Wetl.
�uc.No.: 0503��f8 �� C�9 C-36 uc N0'; 7077�5 �XP • 02 /98
me: !/ Cowaem /� )o�� �,1%/i%ty��
NEP BUILD X �ECLAP�TION: I IweEy eRum �oMs pnWy d pmjury Ihet I un emmq han iM CaXeetlon liw�ss lew tor Ns
�Ibwip �edon ISeeion )03t.5 &nim� end Aotvdons Cads: �m uv o owwv Miid� roa� e D�Y io muwn. etlr. inOrwe.
)md"oR a reper erry eVuclun. p'vt b fs'vweriw. ebo �epidim IM eppl"raM Ia arA pemW to (Ye e dpinE ptlanaN OW M M ohe
a kcemeA W�aent b tha Vawioru d Ihs Comrmon t'xwe lew IChePr B(mmmebn0 wE� Setlun )000) d Gveion � d �M
Buaiiwn eM Rdeaioro Coda� a Ihe� M a Me is memq Iherehan end IM bmu la IM ellpd usmqion. My vulaion d Seriion
IW �.5 by eery epplimnt la e pe�m� euEptle Ihe appli�+nt to a aW penelry d ml mws then I'wa hurdrtE AODer� �SSWII�
❑ I.enaxirrd�MpropMY«myemployeenwihwapeam�heisdeoompenemion.nilldoMexdk.eMNseuunurou�wlinteMeE
or dlered la ceb ISecuon ]Ou. Buvmu vM Pmteaeiora Code: The Conlrmae Lironae lew Eow nd MV�Yto on ox+wd popary
Wlp bll�f Of Tp1WB91INIBM1.9fV�'M�q dMl tlM�l MIXk hC118� IX �1Ml� IX 1�YIXY�1 �1! Lf �IM OWII MIIpO/M�. p1O/Idl� I� RC�1
ITM��GNf BfG M INl11dl� IX 4nMB� (IX Y�O, d. �qMNM. ��1! b111�1�11V IX�IIP��CN 0 ft� M11�W1 dM iW 4� Cq11pG10I1.1�1G
ow�s�ad�. �,;o n� ine wme� d wa+m ne «.ne ea �a aae o. �wa+�« u» wm�• a.w�.
❑ �. ea ovm« a ine ww.n. em me�.ro mm..anu �dn 6os,.a mw.cw. m ommw me o� (s.aun ro«. a�.ns..,a
VTIfAfIOM CO�: The COMRtlM LSOnM lAw dCOf MI GGD�/ b M OMe�et M V�D�Y Mq MO�MIt IX�IPwtl �MtOM GM Wp
convma la arh prqeda xiN a mmretlorls) liwnod pasuW w Ihe Caqre�r� liwnss lew�.
� I em uemp urder Seaion: B. 8 P.C.. lar Nu resaon:
I Eo heieW anAy Nm I em ewua d ud uMrsieM Me ipuiremenq W Cellwnu IbeXh and SeMy Gode Seqiwro 25505. 255Si. W
255�0, eM tl�q I a e�ry Mure Wikirp oaaWan� will / wll mt (e�cb ons) nsed io canply Mh eeN pete aodae eM Ihe nyuimnams br
epe�mnlwmrm�uclionamodifrmionhanlMAi�eu tyi%�enepemeni0iatrip.Revidenlielconmrwionepplrmbroeroeyempiromthsee
prwisiona.
Dme: AppfcW:
wonKen�s couvas�now oecun�nox: i n...ey.� ww �.ny n�.y o�. a m. imow� e.a.m�.:
❑ inmeene.wm�ae.,.�«urs�.wm�nim..u:m�.m..,w�.:amw.�.m�...wd.wae«p�s«�onnaodm.�na,
coes. i« me wn�. d m..ax �> �.n:d, mm v� s 4.�ed.
�I heva end vAI mainlen xaM1en' mmP�ion mwrarca. n niw� W Setlian �100 d Ihe Labor Cads. b �hs prbemuo al tM
wak Ia whirli thie P�� u mueJ. MY xalwe' oom0e�ian mw�ence mrrier end W�Y mvnbr ero:
c.�,: r.nT.nFN FAr,r.F EXPIRES
PdryNumber: ��� 7'13�1A1 09/OS/97
�mi, e.+rw,n.e nor ne comob�aa r m. ro�n r. rw o�e nuod�.d ew�en /sroo� w b...l
� I mnAy Net in IM perlmnuice d Ihe wwk la whch thie pe�mn u iuued, I ehell � empby erry penon In em� menner ao o lo
e«om. .ud«, m �ne won�ae• canro���� b••. a cdaom �. � ��.no�u n.mm. wieu m �ne wone�•
mpense�ian p' re SeUion �]OD M tM lebar Cade. I s I Iorl�Milh om0 v hws pwidon.
ma: �en AppliuN:
mlip: N/lun ro uwn woilrwi ro/II�MYtl0I1 COY/IIyI h YIINMNI� IIIC /IYII NC�Itf N MlplOyY f0 MMN
clNl flnu �q ro wn h,nOrM tlauuM Jd/en (SfOq0001. In MGltlon b(M cwt ol romo�nutbn, Cenrpu u provMM br In
Sxtlon Jlfl6 0l Ms Lebor Cotls, Infemt, �n0 �ttomsY� Is�s.
CONSTHUCiION LENDINO AOENCY: I Mreby effirm uMer paralry d perlwY �� �� ie e awWiudion bMi�p apercy for Me
perlormenra oi tM v.wk tor �MiM ��o pmnY e oeueE (5eaion 308]. CM. C).
LENDEH'S NM1E:
LENDER'S ADDHE49:
I ceniN ��� I heve reaE Ihia epplce�ion uM mele tlul �ha ebove in/«mation ia conee. I epres �o canply wnh ell dry ud ooumy atlineMee
end etale bw reW iq to WiMvp comVUNon eM hareEy euNaae rpnaenlelivm d Ihb tlry to enler upon iM eEovs�meMiwwd popMy
�a ��,,,a� �„�,.
Dma: 'l �
(5151<BWP) Whne-Buikvq 8 Selely;Orean-FIe:Cerery-�ppYcenl: Fnk-Raranue;(3dderuoE-Mesev
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: P 08395
PERMIT NO: P 083954 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : DISHWASHER CHANGE OUT SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC; R-3 /
COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT
�r**�r**�r�r�e�e�t�r��r�*�*�*�r�e�t�if��e�e�r****�r**�r*��*�*r***�******rft�r*�r�r�ret+r***+ratetit*�r�r**�r�*�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 93506102 ZNE; REF NO:
PLANNING NOTES>
i
ik if ih if k M'k if if iF if if 1E it if iF iF i! iF it it iflf k iF ik it if k 1E iF iF i!'ll� M if iF iF M k M if iF iF')f 1F iE it If if iE if M it it iE it iF iF it if �F iF iF iF if iE it if iF ik 1f iF if iF iE iF 3f it
D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE: p
APPLICATION ISSUED BY; DATE: �,� � l�
MMKKM1f1fM1f1fifMiFlfKiFifififMiFK iFiFKiFifififiFMK iflf
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
- HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 8.75
25t SMIP/NON-RES
PLAN
ISSUE FEE 22,00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 8.75 22.00 0.00 30.75 30.75 .00
REVENUE DIVISZON TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK
30.75
it iF k i! if iE M i!'M iklF k iE if iF M iF M if if iE iFiFiE 1F at 1E if if %M N it if iE df iE M if N if if M iF if K iE if iF it it ik 1E it iE if if 1t if if iE if 3f if iF iF it iF if iE if if iE iF if if if if if
I N D I V I D U A L F E E H R E A K D O W N
Ty�E QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 DZSHWASHER 8.75 8.75
END OF FEES
EXPI t�ED
DATE 3 � 1_ =---
W-30-1997/1�:19 Ay/f3B.75
kCPTN:Gl-[8�9903
PEFIMIT:083954
CONSTRUCTION AND PLANNWG' P0� & SPA _ .
APPROVAlS Peimit�k Date Inspecto� APPflOVAIS Permit#� Date In:pector
1. 7emporary Electrical Serviceor Pole 52. Pool & Equipment Locatiorl
2. Soil Pipe�Undrgrnd. -�% 53. Steel Reinforcement
:.3.��lectrical Conduit Utility-Undrgmd. 54. Forms � �
�� 4o+Electrical Conduit•Undrgrnd. � � 55. Electrical Bonding '
,.�5y5teel Reinforcemeni� - � 56. Rough Plumbing & Pressure Test '
_�G�:; �lectrical UFER'Qrtd. 57. APPROVAL TO COVER�GUNITE
���7X Footin9s ;� � t! •• 58. Electrirai CondvitiUndrgrnd.
� S:�Foundation ���: _. 59. Gas Pipe, O Un�r'grnd., Test � �
� 9. Water Pipe-Undrgmd. �' � 60. Backwash Lines`,�P?I'rap, O Undrgrnd. ��
10. Scructural Floor Svstem �• � 61. APPROVAL TO;DECK
i t, Property Sewer Line & HouseCo�neciion 62. Backwash & Ae�eptor-Finati
� .
12. Sewer Cap �' 63. Heate'r & Vent-Final
73. F7oof Drains 64. Plumbing System - Final �
1"4, pough Plum6ing, .� 65. Electrical�Final
1'5. Pough Electrical.Conduit _ .66. Solar System�Finat ,` �-
�. Rough Electric kViring _, 67. Fencing & Access''{lpproval �
77, Rough Wiring Sign `' i�. 68. APPROVED FORPLASTERING .
18. Aough ElectricaLT Bar Ceiliny� � 69. POOL/SPA SYST�EMS FINAL � �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
-- I 7 7'._--•� � -; a . -
20. �pough Patto��? Fir?place � �. Q- � �% _ '-".r '.APPq'OV7i`'�� = Petmit # � '� �
c .. S_a �,r G r -r.ti' .> _U"--�'-, � '�`T_..
21. Ductf, in_Stru�ur�, y ,�.�. _ i S C - . 70. �Undergt6nrtd FM1�dro �
�^ z
22. Qucts: Ventila�(inq-� i: � ` 'S'� �' 71. ProduiPi�iing��l'Mf..,as �JOiI
t 2i i � -. e� � . «
r � :[ .
23. �Gas pipe;Roug &�tesc � � ,� �r �� �;:� . � 7y, Underground Flueh �: �-
24.'f400f�raming•• J�- -� " =' U' J�+- -� 73� Under rnd.$toF'� aTan'QGas 0'Ciil
-� r r 7r .a.. 9 , 5._ �
25. f7oof. Shaath'ing ' i: ` ; i. � � � .v�t. � 7M Overhead HydrQ; � �
26. �BarCeilin9 (Strocturaq & RRbno�oat '` �' ;'� 7� Dry Cherpical �, _? ' - �
27, i?rarr�and F�ashing � ��. k y �. �'� 76� Dry Sta � pipe =c>j � �.L
� 28. 4atking &�Siding fl]a •-• -7�� '� f� E ..:.% 7 FIXEDy ^ �'
.. � -, �. � . Ej ?L'STE�1'��NA�.+ �i �u
"29, Insulatiog� �:�; r' 'J �� �� 7 � �~ � �i 7 , FIRE PREV. FIDtAL � �� x '*t
r 30. ��Y�'all IV'ailing ,,�a� J V � � ���- '-� •-� '�ALTfjDEP7.'REQUIREMENT
,r I I r ,� �- � a
r I I :% 'J,�„ �^J -
-, 37. Plaster B�dwmCoai; t� r�-� Y. � � 79. FINAC fiV�PECT{ON ,
� �
� 32.'2lectricakPoWer MecerFinal . � r v ;� ' S� FOOD CEflTIFICATE I�SS�JED
..: -, J y ` a' K .n � ' T � <. x
- 33. F'inat;,Elec�ric� �s .y ;� i ( , �� � No1es: ;;;; r -f ^ m,
' � -
�: 34. ,Finaj HeaungY$ AiF Eondwtioninp� r. �' � ,� �z ; f�S ��: S _ "��
� � . rf 1.
35. ��inal�Ga�-Pipe,Test' x �'iy 1 r. -� � � �i _ . ....� n. r T - � .
- � . ,
� 36. HoOdOr CanoPY _' + ^ �n-; ., t: � ,� s .' " + .
"t -r - z *1
' 37. F'inal`factorY FirePl�ce ' �•' " �` . ; .
X -i- �7 ' 3:
i � -_
- 38. Fina�f�Plumbing ^7t A�'J - . s �-+ ti 7� ,ad'
k
�� 39. Water�Service-Fina� �'' ~ � � " ' " . ",'s �" �
-i .r � a cc � . �
;� 40. Gas Service�Pinal � � ;:� �*-�. . _ .e tv � ^ �r 'rj^ .�.� : �
„ N'
- 41. Solar pomescicFinal i �. - .. , 7 � s � _ f
n �-e 1 i ^ / ' -
y 42. �Backflow Preventer , ;j y. ` � � •t f•• r _ �
�
43. Backflow Irrigstion t �-'�� �: r t � � �_ * �� �
c^ ' ; r -. _ ... � -. '
,44. 4andscape Irngation�System � •�„ ' , �r " ;J 7 r v : � :� � ~ �'- �
=,r� ti
45. Sbund A�,ten,uation �, '' x'" .. .- `� T � ` � � � � � `
1 �
'46..aandicap.Requlations ?, t: w � ' _ . _; +
47.:FINA;I STRUETURE & BUIGQING 4 r� 1 � ?,.. �
�r e r �
48..FINALPLAP(NING; _�.� e:'� �- .'1 �� � • r
49. Electric fielease to Edison �'� � '
.Y +1 , Y � � I :1.
f �
50. Gas Release to Southern California.Gas Co x� • - �•
- - � 'i
51. CEFiTIFICATE OF OCCUPANCY � � �� - " ' �- '
No. Dace
�
�'
y
�
PflOJECT RDOPESS:
OWNEfl'S NFME: 39 4 S P INE BROOR
aooeess: VILLAGE CREEK H2O,A,
3929 TIMBER LAKE
COSTA MESA, CA 92626
FflCNIENGMEEF: 5 5 3— 1 8 7 6
AOOFlESS:
XEG.NO.:
UNIT:
UNIT:
PEPMITTEE:
aooncss: P3�0G'0�`6n5ENpTGEyRPRISE ( � �14 ) 979-7111
LICENSE� CONTFACT01111iCUtfIAtIONMififr4Ey aflirm ��a� I am licensed untleYpNvi5i6nS'o���ter 9(commencing wi�h Sec�ion
7000� o� Divsion 3 ol Ne Busmess an0 Pm�essiuns Code, antl my license is in full fa¢e antl ellect.
ciTr uc� 5 STATE LIC.:6 O% S�J Z',� n_, �y�s ,•��
�are: _ . SignaWre: —//v/ ���Z�..�
WOflBEP COMP NSRTION DECLANATION: I here�y affirm���al I have a cetlilicale of consen� Io self-insure or a cetlificate of Workers'
Campensaiion Insurance. oi a cendied coOY �hereol (Section 3800, Lab. C).
ro��cvNo.: 1021355-93 E%P.ORTE: O4IOIIJ4
comraxv: ST1�T� FI�i�D�
� Cerlifi¢tl copy is ere y Wm¢ e. Cetlilie0 copy is �iletl with e cily uiltlin/ry �/rvWo n.
Oa�e: ApplicanC ��:f �/A �/� �L �
EXEMPTION FFOM WO REflS' COMPENSATION OECLpNRTION: (This Set�ion neetl not �¢ cample�ed ii Ihe Dermit i5 for one hundrea �$100) or less).
1 cetli�y Nal In �he periormance ol the work tor w�ich this permlt Is lssued, I shall no� employ any persan m eny manner so as �o become
sublec� lo Ihe Workers' Compensa�wn Laws oi California.
�ate'. Signalure:
NOTICE: It, afler making ihis declaration, you shoultl became subjec� to t�e Workers' Compensa�ion provisions o� the Labor
Catle, you mus� fotlhwi�h camply with such pmvisions or �his permit shall be deemed revoke0.
CONSTPUCTION LENOING pGENCY: I hereby aflirm Iha� Ihere i5 a cons�mction lentling agency for �he perlormance ol �he woB �or
which Ihis permil is issuetl (Seciion 309Z Giv. C�.
LENOEfl:
AO�HESS:
OWNEP BUILOEP UECIAHPTION: I hereby aflirm Ihai I am e�emp� Imm the CaNractoK Staie License Law for Ihe lollowing reason
(Sec�ion 703t5 Business ane Pmiessional Cotle: Any ciry oi couniy w�ich requires a permil to cons�mct, al�er, impmve. tlemolish, o�
repair any s�mc�ure, priar �o iB issuance. also requires �he applican� far such permi� �o file a signetl sla�emeni lhal helshe is licensetl
pursuanl io �he provisions o� �he ConVactars' S�a�e License Law (Chapter 9(commencing wiih Sec�ion 7000) o� Oivision 3 oi the Business
antl PmleSsions Cotle) or Ihat he/she is exempi Iherelrom antl �he �asis lor ��e allegea exemption. Any viola�ion o� Section 7031.5 by
any aDPlican�for a permit sublecis I�e a001ican� to a civii penally of nol more than tive hunOreO dollars (5500�.
I. as owner oi the propetly o� my employees wiih wages as �heir sole compensa�ion, will do the work, and the
❑ slmcmre is noi imentled or ofiered for sale (Seclion 7044. Business antl Gro�essianal Code'. The Contmclors' S�a�e License Law
Uoes no� apply lo an owner ol a Ompetly w�o builds or impmves �hereoq an0 w�o tloes such work himself/herself or thmugh
his or her awn employees. pmvide0 �ha� such impmvemenls are nol imen0e0 or offeretl ror sale. u, however me Ouileing or
impmvemem is sold wit�in one year o1 completion. ��e owner vnll have Ihe burden oi pmving he/ihe Aid no� �uila or impmve
lar the purpose oi sale).
I, as owner ol Ihe pmpetly, am exclusively conVacting wi�h licensed conlraciors �o conslmc� �he pmle�� (Section 7044. Business
❑ antl Pm�essions Cotle: The Coniraciors' Sla�e License Law tloes nm apply ta an owner ol property wha builtls or impmves �hereon
antl who conVads br such pmlec�s wilh a conVacia�s) license pursuantlo �he Conirac�ors' Sta�e License Law),I am aware
Ihat pmol ol Iheir WaBer'S Compen5aiion insurance 5houlA be pmvitletl �o me.
� I am exempl unaer Sec�ion'. B. 8 P. L.
lor Ihis reason:
Date: Ownec
I tla �ere�Y cenity Iha1 I am aware ol ana unaerstantl Ihe requiremems o� California Healt� antl Sa�ery Cotle Seciions 25505. 25533, antl
25534 and ihall or anytuiure builtling occupanlwilllwill no� (circle one) neetl ta comply wilh 5ai0 s�ate coees antl Ihe requiremen�s fora
permil for constmction or motli�icalion imm �he Nir Ouahry Managemeni �istric�. flesiden�ial canstmc�ion aDDlica�ions are exempt �mm
�hese pmvisions.
�ate: NP�Iicani:
I hereby ceruly thal I Aave reatl Ihis applica�ion antl Sla�e ihat the a�ove information is correcL I agree ta comply with all cily antl county
ordmances antl s�a�e laws relating Io builtlmg consimclion antl hereby aulhorize repre enlative ol this ciiy lo nler uDon the above�mentionetl
property �ai Inspetli0n purposes.
�am'. __���� S9nalure'.�_1.� �2�
�
�rivefs L ense or Social Secunty
i64na6 W�ne—Buildlnq; Green—Cotle Enlor<ement; Canary—Rpplicam: Rnk—Revenue; Goldenroe—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063998
PE MIT NO: B 063948 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: V—N PEAMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT; 3,700
CLAIM VALUE: 3,700.00 CALC—VALUE; 3,700.00 GROUP OCC; R-1 /
COMMENTS• SMOKE DETECTORS RE� PERMIT INCLUDES 3493 6 3445 PINE BROOK �
���������**��*�-�*���*�.�����* .�������.*�.,��*���.��*�����*,������*����'1"�"Y�R
Z O N I N G R E Q U I R E M E N T S�
S E T B.A C K S RE_QUIR�
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILUltvc; ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARICING REQ� PROV: PARCEL; 00000000 ZNE; REF NO;
PLANNING N(�STES>
j
iE iE 1E iE if iE iE iF if 1f fE iE iE iF iElE iE iE 1E ik ik1E 3E iE iE iE if it iflE 1E 3E iE �E iE iE iE if iE if it iF �EiF if iE if iFiF iflt 1k 1ElElE iF itlE iflE iE iE iE 9E iE if 3F iE iE if 1F iE �E �F iF iE iF k iE
D E V E.L O P M E N T S E R V I C E 5 R E Q U I R E M E N-T S
ZONING APPROVED BY DATE: ��_
BIIILDING APPROV'ED HY : DATE;
APPLICATION ISSUED BY; � DATE• ��
iEiEiEikiEitiEifiEiFiEifiEiFififiFiFiFiEkif3F'iFiFiFiF�F�F'fflEiF3f�FiF3f3F �Fifit-�f3fiFif7fiF7F'iFiE'iFiF"i�3FlEiEifff�E�fiEiEiEiE i i IFif
iF if iE 1E 1E iE iEif if iF 1ElE �f iE if ik iF iE ik af 1f iE �E ik iE iE iE it iE k iE iE if �E if 3ElF ik �E iF �lE iE ikif ik if ik 3E iE i! 1E iE iE 1E �E iE iE iEiElE iE iE iE iE iF k if if ik jE if iF it iF if if !f �k iE
LEGALIZATION;N F E E S U M M A R Y '� STRUCTURAL SEGMENT;Y
BLDG PMT PI,UMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0,00 0,00 63.50 63.50 .00
REVENUE DIVZSION TOTALS--> COLLECTED; 63.50 OVER/SAORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GkADING PLAN—CHECK
63.00 .50
iE iE if if if if iE iE 1E if if iE iE iF iE iF iFiF 1E iE 1E iF iE 1E iE 1ElE 3F iE iF if if 3! iElE 1E iE �E 1ElE iFlE 1E ik f! IE iE iEik iE k 1FiE iE iFif iE iE if k �E k!E iElF iE iE iE iElE iF 1E iE 1E it iF ik if iE
I N D 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
SFR 3700 REROOF BY VALUE RESIDENTIAL N020NE 1.00 3,700,00
END OF FEES
01 00145?SS—OOi4b3`9 Ti!'T b3.?Q
DAiE: r9i14/93 TIME: 10:4i
CONSTRUCTION ANp PLANNING
APPROVpLS Permit#.`-
i. Temporary Electncal Service or Pole
2. $od Pipe�Undrgmd. '
3. Elcctrical Conduit U2+hty�Und�grnd,
4. Electrical Conduit�Undrgmd.
5. Steel Remforeement
6. E;rctr;ca� UFFR G�d
7. Footings .
$. Fou^.dat�on
9. ltiater P�pe�Undrgrcd.
10. Str�cture� Floor System .
11. Property Se�ver Line & Hou�a ConnecLon
12. Sewer Cap
13. Roof Dra�ns �
74. Rough Plumbing �
55. Rougfi Eiectriwl-Cortlwt
16. Rouqh Electric�Viring
17. Rough tV ��^g S�gn
18. Rough Electrical�T Bar Ce�l�ng
19. Ro�gh Heat�ng & A.r Condr�a^�ng
20. pough Factory Firenlace , '
21. Ouccs, in Structure • •
22. DuctS, VCntilating ' '
23. �Gas Pipe•Rough &�Test '
2A. Roofi Framing � � •'
25. Rooi She>thing �
26. T-Bar Ceiling (Struct�rall & F4onocoat
Z7. Frame ard Flashing
28. La;hmg 3� S:tl�ng
29. InsulaLon .
30. Dry�vall hadmg
37. P:aster B•omn Coat
32. Electncal Power 61etenFinal '
33. Fina( Electric .
34. Finai Heehng & Air Cor.ditio^ing
's5. Final Gas PiPa;Test
36. Hood or Canopy
37. F�nal FaUory Fveplace
39. Final Plumbing
39. 11�ater Serwce�Final '
40. Gas Serv�ce�F�nal
41. Solar pomesticF�nal
42. Bac:cflow Preventer
43. Backflow Irrigation
4q. Landscape Irr�pation $ystem �
45. $ound Attenuation. `. , ,
���
�46. HandicapRegulatio:� �
47. FINAL STRUCTUF�E-� pUILDING '
,.� -
48. FINAL PLAyNINC '
49. Electric Release to a�•o,.�:.,
50. Gas Release to Sout e i�SliFnmia Gas Cc
51. CERTIFICATE OF 'i'iCUPANCY
POI._ eL SPA
Date I�specior �{ppROVqLS Permit �`
, 52. Pool & EGulpment Locaaon
� 53. Steel Reinforcement
54. Forms
55. Electricai 6ond�ng
` 56. Rough Plumbing & Pres�ure Tctt
57. APPflOVAI?OCOVER�GV'•'�Tl
58. E�ectr�cal Cord��t�Und�q�na.
' 59. Gas Rpe, �-; U�wg^�d , Test
- 60. Baek�vash I_;nes. P�Tran, ;: ✓�n•n�r.d.
' 61. APPROVAL iODECK
62. Bachr:ash tL Aecepto� Fric
63. Heater & VenbFina�
G4. Plumbing System � F��ol
� 65. Electricai-Firal
0
-Y-43 �4wl,i
Z
�
Da2e I lnspector I
8
�
66. Solar System�Fina'�. , �
67. Pencing & Access Ao�roval �
--�- --
i-i- "-'
68. APPROVeD FOR PLF,57ERIiCG I
-- -- -- 1- -�
69. POOUSPAS�S'E'-1SFINAL ��
----- -- - -� -'-----
FI3E DEPT. RECUIREf�'EVT � �
pPPROVALS Pertilt -'% � j
70. Unde�grou.�.� t17o.� �
)1. ProductP�n�rjc�C]G.s !70�i �.
72. Undergro��t:i Fi,l:'- --. � �-----�
'/3. Undergrnd, Storaqe Tank O Gas :7 U�t
74. Overhead Nvr!ro
75. Dry Chemical _ __ _l _
7G. Dry S!artd��p; �
77. 'FIXED SYSTE�^ FINAL `
78. f!RE PREb'. P:'.AI_ --- . ------ y
H�ALTH DEPT. REDUIREM1,IG\' .
� --- ----- i---- �-- - - �
79. F!hAL liA5" �CT'�^ : '
-"__'__ L_ _ _.{-- '
30. �OOD CEHTiFiCl,� F ISSl1FD �
----'--�- ---��---I--- �
No�e;:
- --- - - - ---- - - ---�
PPOJECT POOBE55: 3 A 4 1 P IN E HRbOK
owNex•swnme: VILLAGE CREEK HOMEOWNERS
aooAess: ASSOCIATION
3429 TIMHER LAKE
CM VA 92626
UNIT:
APCNIENGMEEB: C.HESTER C�VII.LE flEG.NO.: CI83OS
aooness: 797.2 ARMOUR ST uxir:
S.D. CA 92111
PEflMITTEE: PHOENIX ENTERpRISES INC. ( 213 ) 690-9559
nooness: 411 COMERCIAL WAY
LA HAHRA CA 90631
LICFNSEU CONTHACTOP OECUIPATION: I �ere0y a��irm tliy� I am lic 0 untler provisions ol Chap�er 9lcommencing wi1� Seclion
7000� ol Oivsian � o�lne Busineu antl Pm�essions CoOe. antl my n rs lulllorce and ellect.
c�Truc.: 50788 �TA�uc.:376639 �����
/
oa�e: — — U Signature: __ �l/ `
wON fl5' COMPENSATION OECLAMTION: I �ereUy al�irtry Ihat I hdve a CerlAiraie oi Wn5en110 5e14in5Ure a certd¢ate ol workers'
Compen5ationiY.e�dq[4 el 5cwlifieU copy I�er¢al (Seciion 3800. Lab. $1.7 � OI I9 S
POLICY NO.: CAVCOMP 6 FIRE �XP' OFTE:
�omvnxv:
C¢rtilied topY is hereby �umis�ed. ❑ Cetlilietl topy is lil i he 1 Building Oivisi0n.
//-/�- c(� '
Oate. Applicant: �
E%EMP710N FflOM WOflNEflS' COMPENSATION OECLAflFTION: (ihis Setiion need no16e comple�ea ii Ihe permi� i5 �or ne hunared �3100) or Ie55).
I certily t�at in the pedormance oi Ine wark lor whic� Inis Dermil is issuetl. I shall no� em0loy any person in any manner so as to �ecom¢
sub�ecl lo Ihe Warkers' Compensalion LawS ol Calilarnia.
Oa�e: - SipnaWre:
NOTICE: II. afler making Ihis 4eclaraiion. you shoultl E¢come 5u61eC Io I�e Warkers' Campensalion pmvi5ion5 0� Ihe Labor
CaUe. you mu51 torihwiih tOmpry wilA Suth pwvisions or Ihis Oermit Shall Oe deeme0 revoke0.
CONSTPIICTION LENDING AGENCY: I hereEy atlirm IAa� Uere i5 a constmclion IeMing apEncy �o� Ihe Detlormance o� t�e wnrk lor
w�it� I�is pe�mit is issue0 �Seciion 3097. Civ. C�.
LENDEB:
aooness:
OWNEfl BUILDEP OECLABpTION: I �ere6y a�iiim I�al I afn exemp� trom Ihe Conifatlors' Staie License Law lor t�e foilowing reason
(Semion 703L5 Business and Pmlessional COEe: Any city �� �ounry whicM1 requires a permit to cansimct, alter, impmve, tlemolisR or
repair any simcture, pnor lo Rs issuance, also requires ihe aDOlicant for such permil to Iile a signed statement that helshe is licensetl
puRuani lo i�e pmvisions ot the COniratlors' Staie License Law (Chapter 9(cammencing with Section 7000) of Division 3 oi Ihe BusineSs
antl Pro�essions CoOe) or i�at �e/she ¢ exempt thereimm and i�e basis far t�e allege0 ecempiion. Any violation of Section 7037.5 hy
any applicani for a permi� sublects the ap01iwn1 Io a civil penalty ol not more IAan live hunEr¢E Gollars (5500�.
I, as owne� ol �he OmDerly or my employees wi�h wages as IAeir wle com0en5ation, will tlo �he work, anA �he
❑ slmaure is nai intended ar oilere0 loi saie (Seclion 7W4, Buvness ana Pm�essional Coae: T�e Comractors' State License Law
aoes nol aDPly to an owner ol a D�oOeny who builds ar improves t�ereon. anU who Ooes such wod Aimsell/hersell or IhmuAh
�i5 or h¢r own employ¢¢5. pmvitle0 Ihal Suc� imprOvemenl5 are no� intentl¢0 of olier¢E lot sale. II, �Ow¢ver ihe building Or
im0�ovemem is soltl w�hin one year ol completion, t�e owner will have ihe bur0en ol proving Ae/she tli� not bui10 or impmve
for Ihe purpose ol sale�.
I, as owner o� Ihe pmpeny, am erclusively coniracliqg wi�h licensed con�rac�ors lo conslmc� �he proled �Sec�ion 704a, Business
❑ an0 Pmlessions Cotle: The Contractors' Siale Liteng¢ Law d0e5 nol apply lo an own¢ro� pmDe�y wh0 bWltlS or impmve5lhere0n
antl who conlrads for such pmle��s wiih a coniraqoqs)iicense Dursuant tolAe ConVac�ors $Ia�e LiCense Law�. I am awale
Ihat pmol ol I�eir Workei's Compensalion insurance shoNa he pmvitle0 �o me.
� I am exempt unAer Section: B, g P, C.
CZTY OF COSTA MESA — BUILDING PEAMIT' .
PERMIT NO: B 049936 PLAN CHECK NO; 06467-90 A . .
CONSTRUCTION T'YPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTZON ; REPAIR SETTLEMEN'C DAMAGE SQ FT: 143
CLAIM VALUE: 19,388.00 CALC—VALUE: 14,300:00 GROUP OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION
*** �+r�r**�r*�rx�t�r*�r�*****�e***+t***�**�r*�r�t*+r**�r****�r�*�r*�t�c �r�t�c **r*�r� �***�t �*�*�t�*�t �r*�r*
Z O N I N GS ERTEHQAUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT' IN REAR: FT TN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT . IN
PARKING REQ: PROV: PARCEL: 93506124 ZNE: R2 AEF NO:
PLANNING NtSTES> REPAIR EXISTING FOUNDATION,
�r�r*�r�e******�r��r*�+r���+r�e*�r�***�r****�,«**��r�r�+r*�r�r****+r***+��r�Q1�r����'�ir���N�S �r
D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N 1' S;
20NING APPROVED BY :� I�— ,f—�_ DATE: II LS'JO
BUILDING APPROVED BY : �,L7�Os4�1 DATE;�'�
APPLICATION ISSUED BY: � DATE-
iF iF if k if if if if M iE 1! iFif fF If �k iF iF iF 1t iE if iE k iF 1f 1F 1E iF 1f iE if�iF�TFif if
iE�fMikMlEiFik�fIF�Elf�ifiElflFiEiFiflfifiFltafMMjf�fif�tiflt�Eitjf iFifikiFiFikiklfiFiflEfFifiF�EiFaflfifiFifiE�lE3fif�)faf#iE�FafiflEM�flFkMiFiE�f
LEGAL.ZZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y
BLDG PMT PLUMHING EL CTRIC MECHANIC FIRE SMIP/RES. GRADING
PERMI'P 162.00
SMIP/NON—RES
PLAN 26.33 2.15
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 164,15 0.00 '26.33 190,48 190,98 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190,48 OVER/SHORT; ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 • 2.15 26,33
if K� IE IF k�E iP �k iFif �F if ik # M af 1f iE k �k If If if iF IE �k ik IF If )f iF iElf 1f iE ff k 1E if If �f k 1f Ik iF If 1f if 1F IF iF iE �F iE IE �f if M M If iE If Ik iF �F �E iE iF IF if k iE If iF if If iF it iF
I N D I V I D U A L F E E H R E A K D O W N
ionmsreaso�: TYPE QTY D E S C R I P T I O N
oaie: o.�e�: SFC 143 FOUNDATION BY VALUE PER $100
i Go here0y cemly ��at I am aware ol anA unders�antl tne requiremenis oi Calilornia Healt� anU Safety Code Seclians 25505, 25533, anU END OF FEES
2553d anatha� Ioranyfuiure building occupant will/willnot��ircle one) nee0lo comply with SaiA sla�e cotles antl Ihe repuiremen�slora
permil lai consimction o� motlifiCation imm Ne Air Ouahly Management �isiritt. PesiGential conslmction apDlications are eKemO� ��om
��ese Dmdsions.
Dale: Applicani:
I hereby ce� Ihat I have reaa t� his applicaiion a9nd 5�aie I�y� �he above' orm ' n iC s correcl. I agree ta comply with all ciry� ntl counry
orAmancesanestaielawsrelatingtobuil4ingwn5�mctionanAhereGy a e p seniativesoflhiscil enlerupontheabave�mentione0
propCiiy � SpeCiion purpo5es.
r / �
�ale'. � —L � Si nature�. /
od�er's �aense a� Saiai securuy
i6<Fa6 W�ue—Budeing: Green—Cotle Enlorcemene Canarv—AOP�icanl: Pink—Revenue: GalOenroE—Assessar
UNIT COST TOTAL COST
100.00 19,300.00
Q� JOL'74�fs�_���14t^ 6M��'I �.4U:�:�
eaT�: ili2i/aC Tir�E= ^5�5�
CONSTRUCTION AND PLANNING - POO & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electcical Serv�ce or Pa�e , 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement
- � „ ' '
. �3;�Electrical�Condui4 UtilitY`-�Ondr9rnd,.::, 54. Forms
•�.4:'ElectriCak Conduit-Undrqrnd. � 55. Electrical Bonding
'�'5. StGel Reiriiorcemerit „- 56. Rough Plumbing & Pressure Test "'
=.� 6.: Electrical�UFER�Gmd. �. 57. APPROVAL TO COVER�GUNITE •�
' 9. Footings �� �� �T 58. Electrical Conduit-Undrgrnd.
�
',�8. Foundatio� ;, y y 59. Gas Pipe, O Undrgrnd., Test �
~'9. Water Pipe-Ufidrgrnd. � ' 6p. Backwash Lines, P�Trap, � Undrgmd.
.
1:0. Structural Flooi'6vstem 61. APPROVAL TO DECK
1�1. PropertY Sewer.Line & House Connection 62. Backwash & Receptor-Final
Y2. Sewer Cap :: ' 63. Heater & Vent-Final
13. Roof D�ains •' 64. Plumbing SYstem - Final
14. Rough Plum�ing � . 65. ElecCrical-Final
75. Rough�Electrical-Conduit , . 66. SolarSYstem-Final �
16. Rough �Electric Wiring 67. Fencing & Access Approval
17. Faugh Wiring Sign 66. APPROVED FOR PLASTERING �
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- ' - - . t � r,"ti:a : � - :'u
20! Rough Eactory Fireplace � ' �, _ - _ :: � � qppROVALS-�CPermit # " "
s: *' �_�,- c.. � ti - ` i'. i: _r. - �
21`.'Ducts, �� St�uctu're, � . _"� ; � - _' ` � �` 7p, Undeiground Hydro -
22. Ducts, V'entilating� � ��` �_� � , 77, produci'PJping O Gas ❑ Oil
23;�Gas�Pipe;Rough & Jest . r 'u �- � � -� ' � 72. Underground FIusF � , " _.
24: Root Framin9 = � � ""� '� �' _ ' • � 73?- Undergrriii. Storage Tank'O Gas ❑ Oil �
> t,
25. Roof 5heathing,. _ � - `,•� , 7q: pvefiead Hydro-��� .
26: T-Bar Geiling (Stcuctural� �;Monocoat� � r 75ti Dry Chemical � � -
� 4 Y' a/" 11 . rf
27�: Frame and F.lashin9 j�, ,;., .�- ." a 76 'Dry Stancjpipe �- 7, `o ' r ,
28�� Lathing & Siding• � c� '-i���i 5:� �� 2: •• • � ��i �i 77,- FIXED SYSTEM=FINAL � '
29. Insulatlon '� i ��i �'"� - �� �� , � � "� ` 7g: FIRE PREV. FI�NAL � r, `
.;. I .
� � • ..
• 30. Drywall-Nai�ingr�'� �� �� " �+- � ;I �' i. •. - ,HEALTN�DEPF.�REQUIREMENT
�f �f
- 31. Plaster;Brown Coa[ _ , �, ; � � ; .; i 7gc FINAL INSPECTION � ' ' •�
32,rElec[rical Power Met¢r�Final � � - .'� , . : .80::F000 CERTIP�.I_CATE ISSUED �
33=FinalEiectr.ic - ' - ` ' � �"~ `� = '' _ -
.r � �� . ' Notes: . ,,. . .� .. ,
, . -
��34: Firial Heating & Air Conditioning, - ; 1 i. '/ -��1; � - _
i � .a� /
35: Final Gas Pi"pe-TesY -� ^ f 1 �'�''' � '_�`_ �' �
+ �:
. ,� � ,
� 36. Hood Or CanoPY_ r � � _ .. .> .' � '•� �I � � ' � + �.,
r�
•:4r• • r � - "' .: y
37�� Final Factory Fireplace � I.' ' "?
- 38: Final Plumbing ? . ��,u , ' (. + � �
- 39. Water Service-Final � �` I � � . �+ Y ' 's.
= � -
�,40: Gas ServiceiFinal ,. ,. ;;,.,r . .- '�: = _ �HOLD ;FOR Si'F�i� �^T 1
L F.y,J RE119ENTS
'� 41rSolar pomestirFirral�, _ � ^ -� I �L•� _
Y� ,�.
42 rBackflow Prevente� ` .'' '" ' I l, ^ , ' `• ' " ` -
43. Backflow Irrigation }•• ^ 1 4'' ._ •
- ::a. - .�- _
, 44. LandsCaPe lirigation System , - ,�� - - . - - . --
45:. Sound �Attenuation � � ` ' � ` - -• - _ ""
"v :� . -
� 46, Handicap Regulations - '� - � , "�� _ _ � � ,
47>.FINAL STRUCTU�RE & BUILDING , �.� i - � "
� •
48 •S. ,t (• .r ; x
: 49r Electric Release to•Edison . `� `• � ' . '
{ �� �: ,
; 50. Gas Release to Southern California Gas Co . �� � Y ' .- _ . ` ` " - '
•.51. CERTIFICATE OF OCCUPANCY i. E: i = ;�� -• :_; _� ± �-� _.
No. Date
uwnerc STATE-WIDE Dev
JOB ADDRESS 3 1 Pine
GENERAL CONTRACTOR Same
AP No. ' ' � OT
I✓ 'ECTIONS
GAS
WATER �R
ROUGH PLUMBING
PROP. $WR. LINE Q MOUSE CON,
SPRINKLING SVSTEM
MISCELlANE0U5
ROUGH HEATING AN� AIF CONDITIONING
TEMPORARY SEFVICE OR POLE
UNDERGROUND � POWER q
ROUGH WIRING
TRENCHES � FORMS � STEEL REIN!
FLOOR SVSTEM -
BOND BEAM ❑ STEEL FEINFORCE �
SHEATHING
FFAME ANO FLASHING
LATHING - IN r��/
PLASTER.BROWN COP
H'
P�
�ENT., REFRIG. AN� A,(
FINAL ANO GAS TEST
F
F
pe 3, Iac. uait 4-"lt3-/6
roo&' BUI�DING PERMIT N0. 41869
DESCRIPTION of WORK �AT��t' 8��'�-
TRACT FIRE ZONE VALUE b > •
Sipyht�rc Date TYPE V GROUP I Re J•ZONE '
� SUBCONTRACTOR PERMITS ISSUED
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi!l in Completely
BUILDING
AooREs53441 Pine Brook
OWNER State-Wide Developers, Inc.
MAIL _ _ . _ ._
CITV L�IF
CONSTFUCTION
LENDER
BRANCH
A�ORESS
ARCHITECT
coNraacroaStet2-lVld2 DeV21
AooREss9461 Grindlay
c�Tv Cypress
LIC. NO. 22Q%� Q
OFLOT �2.093 acres
USE OF
EXISTING BLDG.
SIZE OF NO. OF
USE OF BUILDING AND WORK TO
No`.826-4550
nTio�;'826-4550
CITV
LIC. NO.
INO. OF BLDGS.
NOW ON LOT (i
t Residence w/att aar
�a'( 13-l6cnaLaa �zo;: =�uZza.co �
APPLICATtON FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED �prplsslu
BU�LDING
ADORESS
��
E
ED
ZONE NO.OF USE OF NEWti'�•
2Z L� PLANS � BUILDING �
YAPOS APPqOVE� VARDS APPpOV
DISTANCE BET.
MAIN BLDGS.
VAFi.SW � �
�iOLD FOR
I heraby aeknowlatlpa t�et I have reatl this applicetion and state
ihat tha abovo intormation is correct entl apree to comply with
ell laws .aeoiae�a builtlin8 �onshuctian, entl I shell not employ
any person in violation of the workman's compenaeUon laws of
the State of Californie.
I hereby ce�tify that I am p�ope�ly licensatl as e cO�VecSo� untler 1381 SQ. FT
tha State of California Businass antl Professtons Cotla, Divisicn 3, THE AMOUNT S
C�epter 9, and that sueh licensas are in full torce entl effect, or I THE PUfiP�E OF
am exempt from the provlsions ot the Stete of Celifo nia Business VALUATION
end Protessi0�s Cotle, Division 3, Chapter 9. ��
e-bJide Develo er , c. �
SIB�atura ot
Permittee
AuthorizeaAeant Vtce President
FT. �
BET. MAIN &
ACCESS. BLOGS.
DATE
APPROVED � � �
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1-534 �4
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UNDER VALVATION IS FOR �
LISHING A PEFiMR fEE ONLV: ¢
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