HomeMy WebLinkAbout998 AZALEA DR - Building Permits1
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PFOJECPAOOflE55: 9 9 S A ZA_.EA DR
OWNEH'SNIIME: OLEA_ ROBERT R
nooxEss: 998 `AZALEA DR
COSTA MESA,CA
92626
UNIT:
111iCH/ENGINEEP: LANGSTON 6 ASSOC nec.xo.: C29373
nooaess: 1 8 1 0 E 1 6 TH S T uxiT:
SANTA ANA CA 92701
, PEflMITTEE: BEACH CITIES ROOF CO, ( 714 ) 540-5311
AUOflESS: 3222 S. GRISET PL
SANTA ANA CA 92704
LICENSED CONTNqLTOfl OECIAflRTION: I Irereby affinn l�at I am lice�setl uMer Pmviuons of Ghapter 9(commencing with Section
7�0�) o� Div��sion 3 ot ihe Business antl Pmfession5 Code. and my license is in tull torce antl effec�.
ciTvuc.: 060277�r STATELIC.:E)�IZJ4� cu : C-39 EXP; 09/94
Oa�e: L'ZZ Z � SignaNre:
WOFNEFS' COMPENSATION OECLANFTION: I heB6y aflirm Ihal I have rtificate oi consenl [o self-insure or a cetlificate of Workers'
Compensation Inmrance, or a certifietl copY �hereol (Section 3800. Lab- C�.
P�IICY ND : E%P. O0.TE:
COMPIINY:
' Cehified copy is hereby fumiSheQ 0, Certified coPY �5 filed with fhe city BuilOing Division.
Oate: AppliCanl:
E%EMPTION FFOM WONNEPS' COMPENSATION OECLAflATION: (This seciion ne Qt be Gomple�etl i� �he permi� is �Or one Aundred ($100) Or 1¢55�.
I certily �hai in Ihe performance of the work lor which Nis Vermit is i55ueU, shal noI employ any person in any manner so as to hecome
subject to Ihe Warkers' C/Om�penSation Laws oi Cali(omi0.
�a1e: � '�2 "7 y Signa�ure:
NOTICE:I�. atler making �his declaration, you should 6ecome subje � Ae Workers' Compensation prov'�sion5 o� Ihe Labor
Cotle, yau mus� fohhwith camply wilh such prOvi5i0ns or ihis permit I �e OeemeU �evoked.
C�NSTXUCTION LENOING PGENCV: I here6y a�firm tha� there is a consimction lending agency tor the peAormance of the work for
which �his permi� is issuetl (Sec�ion 30W. Civ. C�.
IEMUER:
ADDflESS:
OWNEfl BOIL�Efl UECIANRTION: I hereby affirm [na� I am exempl fmm �he Contractors' S�ate License Law (or the following reason
(Section 7031.5 Business antl Professional Code: Any ciry ofcounty which requires a permitto constmct, alter,improve. tlemolish, or
repair any snucmre. O�ior Io i�s issuance. also requires the applican� for suc� Deimit �o file a signetl s�atemen� tha� he/she is licensetl
pursuant lo Ihe pmvisions af ihe Coniractors' State License Law (Chapter 9(commencinA with Section 7000) of Division 3 of the Business
antl Pm�essions Cotle� or thai he/s�e is exemp� therefmm antl ��e �asis �or Ihe allegea exemption. Any viofa�ion o� Sec[ion )031.5 by
any applicant far a permi� subjects the applicant �o a ciVil penalry of no� more �han five hundretl tlollars ($500).
I, as owner of the pmpeny or my employees with wages as iheir sole compensation, will do the work, antl ihe
❑ sirucNre is not intended or ofle�etl tor sale lSectinn 704A, Business an0 Pmfessional Cotle: The Contractors' Sta[e License Law
does no� apply �o an owner of a pmpeny who builtls or impmves thereon, and who tloes such work himseUPoerselt or �hmuqh
his or her own employees, pmvitleG tha� such imD�ovements are not intentletl or oHereJ �or sale. If, however the building or
impmvement is soltl within one year ot comple[ion, �he owner will �ave the bur0en of pmving he/she tlitl not bui10 or impmve
. tor the purpose ot sale).
I, as owner ot tne pmperty, am exclusively contraG��ng wiN Iicense0 contractors ta cons[mc� �he pmject (Sec�ion 7044, Business
❑ and Pmiessions Code: The Coniracmrs' State lictnse Law does not appry ro an owner of pmperty who bmltls a� imOroves tAereon
antl who comrac�s �or such pmlects with a cOnlracmr(s) license pursuam ro the Comractors' S�ate License Law�. I am aware
that pmo� of lheir Worker's Compensa�ion in5urance should 6e O�o��ded to me.
� I am exempl untler Seaion: B. 8 P. C.
for Ihis reason:
�ate: Ownec
I tlo hereoy cetlify ihai I am aware of anA unaerstantl the requirements of Calilomia Heal�h antl Safery Code Sections 2550.5, 25533, and
25534 antl Ihal l or any �Wure huilding occupan� will/will not (circle one) neetl m comOty wi�h saitl state cotles an0 �he requirements �or a
permit for conslmction or motlilica�ion imm Ihe Air �ualily Managemen� �isVic�. flesidential cons�mc�ion applica�ions are exempt imm
ihese provisions.
�a�e: Npplican�:
I hereby ceriify�ha� I have read ihis application and stale�ha� the above iniormation is carrecL I aglee�o comply wi�h a0 ci�y and County
ortlinancesands�atelawsrelatingto6uilAingcons�mctionantlherebyaulhorizerepr en [ivesof��iscitytoen�erupontheahove-mentionetl
pmperty �toi inspeclion pmpases.
�ate: (o�ZZ-'Zy SigwWre:,�
ori�ers �iw�se or sooai securiry a:
t6ai�a6 Whiie—Buildinq: Green—Cotle EnlorcemenG Canary—Applicanl; Pink—Revenue; Goldemod—Assesmr
CITY OF COSTA P1ESA — HUILDING P£RMIT
PEP.MIT NO: H 067712 PLAN CHECK NO; OZ278-94 S
CONSTRUCTION TYPE: �T-5 PERb1IT TYPE: STR
PERA1 NO: B 06771 �
GOV'I': N SUPP: T'
PURFOSE: OTH
JOB DESCRIFTION ; T/C�FF 6 kE—ROOF W/LT WT CONCRETE TILE SQ FT; 6,6QU
CLAIP9 C�ALUE: 6,600.00 CALC—VALUE: 6,600.OQ GROOP OCC: R-3 /
COD9MENT5: SMOKE DETECTORS ARE REQRD PER 91 UHC, REROQF 240flSF RESIDENCE
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Z O N I N G R E Q U 2 R E M E N T S SMIJnE ' C ,
SETPACKS REQt.JIR�D
----------- MAIN BOILDING ---------- -------- ACCESSORY EUIiL1Nc ---------
FRNT: FT IN REaR; FT IN FRNT: FT SN REAR: FT IN
LEFT: FT IN RGHT; FT iN LEFT; FT IN RCHT: FT Ir!
PARKING REQ; PROV: FARCEL; 412171Q1 ZNE: P.Er^ NO:
PLANNING NOTESs '
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D E V E. L O P A1 E N T S E R V I C E S R E Q U I P. E M E A1 T S
ZONZNG APPROCfED BY DATE: •
BUILDING APPROC'ED BY : DATE:
APPLICATION I5SUED BY: DAT ./�-H- �� /�
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LEGALIZATION:D7 F E E S U M M A R Y STRUCTURAL SEGP�IENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIP.E SMIP!RES GR�UIP7G
PERMIT 90.00 56
� SMIP�'NON—RES
PLAN 58.50
ISSUE FEE -
RUILDZNG—DIG'—> PERMIT ISSUE PLAN�-eHECK TOTAL PAID PU�
TOTALS----> 90,66 0.00 • 58.50 149.16 199.16. .00
REVENUE L�IC*ISSON TOTALS--> COLLECTED; 149.16 OVERlSHORT: .QO
BLDG PMT PLU�9BING ELECTRIC MECFFANIC FIRE SMIPlTOT GP.ADING PLAN—CHECK
90.00 .66 �8.50
iE # iF iE iF iE if iF iE 1: �3P iF iE iF iE iE if iE iE i( # if 1E #�u?c iF * if iE if dc jf 3E?i� iE �IF iE iF if� iF �F 9E iE � iF iF i(-iF # i4 #?t iE ## iF ## iE iF 3F # iE iE �k �1E iF?E 94 jF iF iF ##' � i, i' „
I N D I V I P U A L F E E B R E A K P O 47 N
TYPE QTY D E S C R I F T I O Pd Ui]IT COST TOTAL COS:
SFR 66Q0 REROOF RY VALUE Rc^,SIDENTIAL NOZONE 1,Q0 G,600,00
.E1VD OF FEES
.�
Di OO1b2754—QC1162756 T Q T 149,16
DAT�: 06/22/94 TIME: 23�43
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CONSTRUc7�ON ANDPLANNING
0.PPROVAL5 Permit #
1. Temporary Etectrica4 Service or Po�e
2. Soil Pipe-Undrgrnd.
3. Electrical Conduit Utillty�Undrgrnd.
4. Electrical Conduit•Undrgrnd.
5. Steel Reinforcement
6. Electncai UFER Gmd.
7, Footings
8, Pounclation
9, Water Pipe-Undr9rnd.
10. Structural Floor System
} ry. Property Sewer i_ine & House Connectio�
12. Sewer Cap
73. Roof Drains
14. ftough Pfumbing
55. Rouyh EYectr'icai-Conduit
16. Rouyh Electric Wiring
17. Rough Wlring Sign
18, Rough Electricai-T Bar Ceiling
ig, Rough Heating & Rir Candltioning
20. Rough Factory Fireplace
2L �uccs,in Structure
22. Ducts, Veniilating
23. Gas Pipe�Rough & Test
2Q. Roof Framing
25. Roof Sheathing G
26. T�Bar Celling (Sttuctural) & RAonocoat
27, Frame and Flash�ng
28. Lathing & Siding
29. Insulation
30. Drywali Nailing
37. Piaster Brown Coat
32. Electriwl Power Mete;-Final
33. Finai Elec,r:c
34. Final Heating & Air Conditioning
35. Finai Gas Pipe-Tsst
36. Hood or Canopy
37. Finai Faczory Fireplace
38. Final Plum6ing
39. Water Service�Final '
40. Gas Sarvice-Final
41. Solar OomesticFinai
42. Backflow Preventer
43. Backflow Irrigatian r
� �-
44. �andscape irriqation��stem
45. Sound Atte�uation�
3 ^
46. Handicap Reguiatio � f-,
r�
47. FINAL STRUCTURE.& �,U;1LdiNG l
4$. FtNAtPt�ANN{N �-# �" --'
49. Electric Release to oi�"�- i
50. Gas ftefease to Sr�u'�n ,a �fomia 6as C
51. CERTIFICATEOFr�,CUPANCY
Oate
,
�.
� POO SGA
Inspector APPROVALS Permit#
52. Poo1 & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
5& Rou9h Plumbing & Pre,sure 7est
57. APPROVAL TO COVER GUNiTE
58. Electrical Conduit-Undrgmd. V
59. Gas Pipe, O Undrgmd., Test
60. 6ackwash Lires, P�7raG, L7 Undrgrnd.
"01. APPROVA�TODEGK
62. [iackwash & Rece�tar�Final
63. Heater & Vent-Final
6a. Piumbing System - Fina�
65. Electrical-Final
66. Solar SYstem-Final �
67. Fencing & Access Approval
68. ApPROVED FOR PLF�STERING
69. POOLlSPA SYSTEN1S F�NAL
FIRE DEPT. REQUIREMENT
APPRQVAIS Permit �
�w�
.;
Date � Inspector
70. Underground Hvdro
71. Product Pipiny C7Gas OOii
72. Undergroimd rlush
73. Undaryrnd. Storaye 7ank G Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
76. FIRE PREV. FINAL
HEALTN DEPT. REQUIREMEN7
79. FINALINSPECTION
80. FQO� CSRTIFICA7E ISSUED
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COSTA MESA BUILDING•SAFETY DEPARTMENT
�OLA p,0. BOX 7200 COSTA MESA, CALIFORNIA 92626
PP 1 ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely qE ev o r qECEIVED
BUILOING DAApTEyISSUED
ADDRESS �lfR dO �
—� PERMFTjftlO�
OWNER Lanain Sou ern California A.P. NO. J
MAIL BUILDING �-+�� /fZ A
ADDRESS 16255 Ventura Blvd. ADDRESS N �� G/A (r2.. �
cirv Encino, California nTio�986-8890 TRACT 7718 �oT 194 BLOCK
CANSTRUCTION Larwin Southern California W ADD A P
LENDER
BRANCH 16255 Ventura Blvd. � 1 (''
ADDRESS Encino, California OWNER G/�.Ql��/v Jp v�Li
OR ENGINEEF ��lIl S. Calif. NE`.273-4464 S s� � $ v� ��
FIRE T �
ADDRESS 9100 Wilshire Blvd. 'Bev. Hills 20NE VPE � GFiOU➢" �
APPROVED
CONTftACTOR j.3iW1R Southern California 6Y DATE �
nooaess 16255 Ventura Blvd.,
Encino CaliFornia TE� 986-8890 ZONE PON� USE OF NEWS'`.?£SGl
CITV � NO. �T./' BUILOWG �
STATE CITV VARDS APPROVED VARDS APPROVED
LIC. NO. 1I1311 LIC. NO. B-L MAIN BUILDING ACCESSORV BUILOING
SIZE ND.OF BLOGS.
(FROM C/� STREET)
OF LOT HO X J�F NOW ON LOT O FRONT FT. FT.
USE OF S j��
EXISTING BLDG. FT. - FT.
sr,Eweioc. 1436 ROOMS STORIES 1 SIDE 3� FT. �` FT.
EMERIOR WAIL StllCCO ROOF W�Od shin 10 y' 7
COVERING COVERING g REAR d-'.7 FT. FT.
USE OF BUILDING ANO WORK TO BE PERFOqMED DISiANCE 6ET. BET. MqIN &
MAIN BL�GS. ACCESS, BLDGS.
VAR. #` pATE
Construction Single Family Residence c.u.P.# APPFiOVED
APPROVED %�j '
/J
h
HOLD FOR SPECI EQ NT�
I hereby acknowletl8e thet I have �eatl this epplicetion and state
thai the abava Intormation is correct antl agree to comply with
all laws reeulating builtling construction, and 1 shell not employ '�'�(
eny person in violation of the workman's compensation laws o4
che State of Califomia. // /�
I harab eartif that I am / SQ. FT. �'V
y y proparly licensetl as a conttactor untler
tha State of California 8usinass antl Professions Code, Divislon 3, THE AMOUNT SH N UNDER VALUATION IS FOR
Chapter 9, antl that such licenses are in full force entl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the provisions ot the State of California Business VALUAT70N
antl Professions Cotle, Division 3, Chapter 9.
PERMIT FEE $ H3.00
si6nature
PermitTe �� D. Downs $ 22,100 p�qN CHECK g 41.50
Authorized Ageni TOTAL FEE $ 124.5�
owNeR
GAS
ROUGN WIRING
TRENCHES �-FORMS STEEL REINF.
FLOOR SVSTEM
80ND BEAM ❑ STEEL REINFORCE n
SMEATHING
F(iFMp pN0 FLpSHING
LATHING — IN �/'1� OUT
PI 'cp, BROWN COAT
5', iURAL, FINAL -
HEATING. VENT.. REFRIG. AND A,L., FINAL
DATE 4-1(
BUILDING PERM
RIPTION of WORK Res.
ZONE VALUE$ 2
OUP � IBaJ TYPE V
SUBCONTRACTOR _
"` ��OSTA MESA BUILDING-SAFETY DEPAR7MERtT
APPLICATIOflfF01C?9TRUGi'1112A1 PERMIT 79:70 ' `TL
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 "� ""
RECEIVED �' PERMIT Na - 49866
For Applicant to Fill in Completely — Use In1c On1y
BUILDING r� � � g r q•P• NO. .� �
ADDRES$ BUIL�IN (]�/SCY ' ^ ���
OWNER OR yy�r � r 1e qDDRE55 —� �� b ��i�
TENANT �•�
MAI LI NG UN IT O R
ADDRESS C% Z,9,/e� p� SPACENO.
T LOT BLK.
�-! TEL./
CITV `� �eS/¢ N0�7 �%E—Op1
N W ADD ALTER P I MOVING DEMOLISH
CONSTRUCiION
LENDER V
BFANCH Q��
OWNER
AD�RE55 � / VALUE O
ARCHITECT ,`, �J � TEL. �_O2� USE � � $
OR ENGINEER /7'a
ADDFESS 1%S pp� u/'9 t9 C�OiUtJ Z�NE TYPE GROUP
APPROVE
CONTRACTOR T N �O BY DATE
ADOFESS 3 ,� ti/ D
/J TEL.
CITV s �y , /�4J` NO. %%3 /�
STAT£ CITY PPPROVE TB KS
LIC.NO.�Z$ay6 LIC.NO.
SIZE 6y �� NO.OF 9LDGS. (FRO /LS , E T �;y
vi
OF LOT NOW ON LOT ONT FT.
USE OF � ��
EXISiING BLDG,
� C7
Separate permits are required for �, s�oe c.
electric, plumbing and heating work: �/ l/
REAR FT.
USE OF BUIL�ING AND WORK TO BE PEflFORMED pWNNING ACTION
DATE
W/ O APPROVED
APPR� E /'_
.�'
1 herehy acknowledge thet 1 have read this appllcetion and state
that tne ebove informetion I5 corcect antl ag�ee to comply with
ell lews regulatin8 builtlinp constructlon, end I shall not employ
any p¢rson in vlolation of the workman's compensation lawe af
the SSate of Ce�ifornfa.
I hareby certify that I em properly licensetl as a contractor undar SQ. FT.
the Stata of Cellfornie Buslness and Professlo�s Cotle, Dlvision 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR
Chepier 9, and thet such licenses efe in full force antl effect, or I THE PURPOSE OF ESTA6LISHING A PERMIT FEE ONLV:
am ezempt from the provislons of theStete ot Calltornia Business VAIUATION PERMIT FEE $ a�
and Professions Code, DivisionT3' �ChapteM9�`s gy
^ FY�N � ' �
Slpnature of \/� n��'� PLAN CHECK S
Permlttee /� i $ TAx S
or Io) �
Authorized Agent Date TOTAL PAID S �
�
.�...�
�: •���
Pool Location
Forms
Main Drain
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash l,ines and RecQp,
Electrical Final
Heater and Vent Final _
F System Final
Backwash and Recep. Final
Fencing Final
Approval for Finish _
� � ,•:..
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�m����f ���_.t ��:����sn�
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�_-__ —�-
CI1, OF CbSTA KES REQUEST FOR OCCUPANCY
. � ��;,I/�' �%� �i�il
TRACT N0. ��% � (/(,�/• ��� DATE
IAT ,l'0. _ J � L�
ADDRESS
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing tnis agreement, acknowledges that
�e9ee- (wsae�er were)t�_ advised Chat this [ract has
not been given a inspection r.or has it been accepted by the City of Costa Mesa
as having coa:plied with the conditions of approval whicfi were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other th>n those conditions.protected by surety bond.
The undersigned agrees to indemnify and hold the City hazmless from
cny clain resulting ir. da*�age or personal injury to the undersigned by reason
pf the aforementioned uncompleted condition.
RECE[VED
CITY OF COSTA MESA
PLANNlNQ DEPT,
��P 2;' ]9i3
ANt � �,�
7�8�5�,1�� �:�.�:��4�5�6
�
�
BY
urcnaser
BY � i �-t C-" !� � �..2'-C�i '((`�-
Developer and/or auchorized
represeatative
�J � �� �
sY �v.�r��,_ . �� k
Lender
' � ' �a,,..� - r.�::..-�-i'�.'s.�'f°_"'".`e""' _,•' �. --.-�..-,-.�-.—_
� 9%��ZA�fi ��.Q. 13uilding
Address
_jrABE�CT' GLCl3 O�aner
J��fioNu �Cl��S Contractor
0
�vsavi/v ///Vi� Arldress
//�,fas� Penni[ Uate
�7P�//Numbcrj�—�U IssueJ
C,L"SY OF COSTi� MESA
DRFARTMF.UT
ne
IIIII.UIt;G :iMICfY
+ .
ReRis'erc I.puty Puildinc; inspector
C 1[if!cate of Compliance
IL�Ce o( �hls CerClllcate
�b the I�ireccor ��f Iiul7ding Sa(e[p: '
, T hereby r.rrtify that the followf.nF portlon:: of work on [he buildtngs
a[ che ahave ,ddres5 wlilch reyutred c�n[Lnuous Lns:pec[tun and u•htch I was
empinyeJ to inspr.ct, were inspected bv me nn�l cumply with Che provlsl.ons
ot the 13uilding Code�appllcable tl:eretu.
1) ConcreLe :ij k'eldinp; 5) Spec131 Cases
2) "fasonry �/,) !ie:infnrced Cy,�sinn
SwimminG Pool Size �G �(ia Gur.i[e ✓ liand Pack
Sacks Cemen[_ �� 1'ons of $and �� y
ApproxLmate 7. of wa[er in agfrey,e[�: J`'%d
1'h1s report covers worlc completed durin�; k'Ci.I! endfnf;_ ��_J~ �
REMARKSl. _�_��_�------____-- _ _'
�' S.+/'c�--�. �661—. ..1� .�–..��
(N��F �-. R�.z:TSTh. :D D 'l1TY NDif.�fNG [NSPf'.f.TOR
� iJ:ur.e G/1�'24L / � ���,�.ff
Aridrees_ (�j�n/ (�OdE
LnbocaCory � J 1fJir.l�nJ (n 7'c
F'ocm IfU 6 ����9nYrE 1..P7-�
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Apt'il 15� 1980 Examination:
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Iieesch
12921 Aspenwood Lane
Garden Grove, California 92640
PROJECT ROBERT OLEA HESIDENCE
aDDRess 99$ Azalea Drive, Costa Mesa
sao-i57u
SAMVIE FROM Small Gunite swimming pool and spa ������
�PCNiiECi
FHGINkFF
MIX
DATE C.45T
DATE TESTED
CYLINDER NO.
COMPRFSSION
TOTAI IOAD, 185.
PUUNDS NER SQ Ih
COM?IIANCE
CYIINDER:
4�-1
u-z-so
4-12-80
1
10-Day
97,000
4,080
CONiYP:lOR
TifFany Pools
SVOCONiNGC10o
S & A Gunite
SPEQFIED
STRENGTH
CYLINDER SIZE
4-12-80
2
10-Day
50,000
2�100
10-Day tests comply with speeifications.
u.a-.• t.
Pete Jr.
oisiRieurioH
E. F. Heesch - 2
�C9sta Mesa Bldg. Dept.
'vFt�vCOFD Br
Heesch
2,000 p3i
5}�� x 12"
3 & 4 "HOLD IN FIELD"
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