HomeMy WebLinkAbout945 SERRA WAY - Building Permits.
'��qSECTR00NE38: 9QS SERRA WY uNrt: I CITY OF COSTA MESA — BUZLDING PERMIT PERM NO: B 048802
�OWNFH'SN�ME: MACY, PATRICIA A TR
nooeess:945 SEARA WAY PERMIT NO: B 048802 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
�HCHIENGINEEN:
�DOPESS:
NEO.NO.:
UNR:
PEflMIITEE: BEST ROOFING ( 714 ) 557-4040
nooness: z022 PLACENTIA AV D
COSTA MESA CA 92626
IICENSEU CONTMCTOH DECIAMTION: I hereEy aliirm tAat I am Iicenu0 under provivons of Chapter 9(cammencin0 ��� Section
7000) ot Divisian 3 af IAe Business and Professions COEe, arM my license ¢ in NII la aM effect.
c�rvuc.:050 47 sr�Teuc.:570720 ��'�9
�. Date: SAnaNre: �
IWONNE�COMPENSIITIONDELUMTION: I�ereOyallirm hatlhaveaceniliwteafconunttoself-insureoracertificateofWorkers'
CamOensation Inwrance ar a certifieU copy tAereol (Section 3800, LaC. CI.
voucr xo.: 1 1 3 7 512 — 9 0 exr. onr�: 0 6/ O 1/ 91
�ornrnxr: STATE FUND
, CertifieE wpy is hereEy furtus�eE. � Certi/ie0 copy 5 filed ' Ne ctty ' g Division.
Oate�.i 'Zq' `D AODlicant:
¢Mmox Fxorn vronuxs caMr[xsnnax ocauunax: � sxuon nrea na� e mmpinea n me pe�n rs i« o�e n��eree �aiool or kssl.
I ceniry that in �ne peAarmance ot t�e xrork ror whicn ihis permit is iuueC, i stWi ot empby any person in any manner so u to Eecama
su61e�� ro I�e Warkers' ComDensation Laws at Califomia.
�ate: Sipnature:
NOTICE: tl, aiter maldnA �Ns Oeclaralion, you StqulE hxame whject to Ne Warken Compensation prwisions al I�e LaOor
Code, you must Porthwith comply vntA SucA Omhvons or Nis De�mit shall Oe Oeemetl revoked.
CONSTBUCTIOX LENOING �GENLY: I Irereby aKrm ihat there is a coravuctian lentlinp apency far ihe petlormance of IAe work /or
wAicn �his permlt is issuetl (Section 3097. Gv. C�.
LENOEN:
ROONES3:
OWNEH BUILDEN OECLAMTION: I �ereby allirm Ihal I am exempt from the Contractors' State License Law tor t�e followinp reason
(Section 7031.5 Business an0 Hofessional CoGe: My ciry of aunry wNc� aquires a permit to caatrup, alter. ImD�'e, Oemolish, ar
reDair any structura, pdor ta its issuance, alw reQuiru t�e appliwnt for such DerMt to lile a aO�eE statement ihat helshe is Ilcenutl
pursuam to Ihe pmvisions af IAe Coniracrors' Staro Liceiue Law (Chepter 9(commendnp with Section 70W) ol Oivislon 3 0l the Business
an0 Professions Code) or that he/s�e is e�empt t�eretrom anE the Oa5L5 lor the allepe0 eaem0�ion. My dolatian ol Section 7031.5 by
any aOD�icant lor a parmit suEiects IAe apDlicant ta a civil penalry ol not mora than live AunOaE Eollars (5500�.
I, az owner al the O�operry ar my empI�yees wit� wa0es az tAeir wle comDensatlon, vnll Uo ihe xroM1, anE tAe
❑ SlmtNro IS nol Intentle0 or oHereO fOr 5a10 (SeCtqn 7044, Business an0 Pmlusional CotlB: The CantraC�ors' $Iale Ucenso Law
Goes not appty ta an owner al a Omperty who Oui105 or ImDroves theaon, anA wM Oces such vrork �imsell/�ersell or t�wuph
�is or Aer own emDloyees, pmWCeU Itwt such improvemen6 am not Inten0e4 or otferetl for sale. If, Aowever the builtlln0 or
impmvament is SoIA mthm one year of wmp@tion, t�e wmer xill �ave tAe Eurden ol provinp hUs�e Aitl not build or imDrave
� for Ine purpwe ol ulel.
I, as owner of t�a Droperty, am exclusNeh/ fAntrattlnp vritll Ilten5e0 tOntfac�ors �a CORSifud lhe pmleC ($BCiion 7M4, BuSiness
❑ and Pro�BSsians Code: The Cantnctors' SUta Licrose Law Oces rqt apply m an awner of D�rrywho Euiltls ar imOraves thereon
an0 wtia wniracis for suc� O�ohcts with a contractor(s) license Dursuant Io Iha Contractors' State License Law�. I am aware
t�at Di�� of Iheir Worker's Compensauon insurance slwulE be provNeC to rtre.
�'�, � I am exem0� unAer Secqon: B. d P. C.
'i tor Ihis reason:
Data: Qwner.
I Ao Oere�y cenity ihat I am aware ol an0 unEerstanG t�a reQuiremen6 of Califomia HealtA anE Salery CoOe Sections 25505. 25533, and
25534 and tAat 1 ar any fulure Ouilain0 �0��'M���I nat (rirde one) nee0lo comDM ��� �id state cades antl t�e requirements tor a
peimit for wnstmction ar moCilicatlon trom t�e Air ualiry Manaqemeni 0¢tnct. HeSiEenGal Consiructlon apDliwtians are evemD� ��om
t�ese D�avisions.
Oa�e: AppliWnt:
I AereUy cenity tAat I �ava reaA IAis apDfication antl state tlu[ t�e abwe informatlon is conect. I agrte ta comON ��h ail cRy anU caunry
or0inances ana stare laws relatlnp ro EuilEinp mnstrucibn aM hereM a rire reD� �� a� � ab �o enter upon [he ahovamentione0
O�aOeM �or inspection purpous.
Date: � � `� � '*� SiAnaWre:
oriver's �icense or Sociai secunry
164/A8 White—BullUing: Green—COEe Enbrcement: Cenery—Applicant; Pink=Revenue: GolAenroO—Asseasor
CONSTRUCTZON TYPE: PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTZON ; REROOF/T—O,SKIP SHEET 6 COMP ROOF SQ FT; 3,800
CLAIM VALUE: 3,800,00 CALC—VALUE: 3,800.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REQUIRED
+r*-�t*�tx��t***x�*x�*�t+�*****�-�r**+Ex-*-�c�x-�r-x�*�t*�t�-�t-���r*�t****�t*x��**#�*�r�t**�r*�t�**�t***#*u-*�*���t*+t
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 HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 14132801 ZNE: REF NO:
PLANNING NOTES> '
>
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D E V E'b O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED�-BY DATE:
BUILDING APPROVED BY : DATE:
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
P£RMIT 63.00 .50
PLAN
ISSUE FEE
,'
SMIP/NON—RES
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63,50 0.00 0.00 63,50 63.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: 00
HLD63P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRAUZNG PLAN—CHECK
1E iE if iE 3E iF if iF if if i! jt ik if jk iE if jf if iE 3E iE if iF jk ik it jF ak ik i! iE �E if ik ik it Ik iE iE i! iE iE ik it iE �)F fE it ik iE iE 3F iE jE 1t iF it If it iF �E jF iF it ik iP iE iE iF if * 9E i! ik iE if iE iE
I N D I V I D U A'L% F E E B R E A K D O W N
TYPB QTY D E 5 C R 2 P T I O. N
SFR 3800 REROOF HY VALUE RESIDENIAL N020NE
END OF FEES
.r
UNIT COST TOTAL COST
1.00 3,800.00
�1 00�6E62?—ODL63523 3�Cf'�' S3,50
DATE� G8/?9/90 TIflE: 10:43
',
� CONSTRUCTION AND PLANNING • POi,..'& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. 7emporary Electriwl Service or Pole 52. Pool & Equipment Location
2, $oil Pipe-Undrgrnd. 53. Steel fleinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. �lectrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
6. Foundation 59. Gas Pipe, O Undrqrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11, p�opertY Sewer Line & House Connection 62. Backwash & Receptor�Fi�al
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing SYstem � Final
lA. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring , 67. Fencing & Access ApP�oval
17. Rough Wlring 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 Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas �Oil
25. Roof Sheathing �( (QW 74. Overhead Hydro
26. TBar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashin9 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: � b- - �B . �
34. Final Heating & Air Conditioning (�GL.
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. $olar pomestic-Final
42. Backflow Preventer
43. BBtkflow Irrigation
44. Landscape Irriaation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING . � �
48. FINAL PLANNING /�
49. Electric Release to Edison "
50. Gas iielease to Southern California Gas Co
' 51. CERTIFICATE OF OCCUPANCY �
No. Date
Aoo��eant eo elll In all spaces within
CITY OF COSTA MESA PEg� i
CONSTRUCTION PERMI !'=
Addrea
Address
DorEer Ilnei an0 sign all aOPropriate Ceclantions.
TRACT NO. LOT NO. BLOG. NO.
�q V TYPE OF CONSTRUCTION
� PhOnC.y//(.�(�.2 ❑ NEW ❑ ADD ❑ ALTERATION L G
❑ RE�AIR ❑ CONVERSION ❑DEMOLISH �LKi
LiCenSC NO. ❑ OTHER
DESCRIPTION OF WORK
1 hereby affirm lhat 1 am IlcanseC untler provislons of Charler 9(cam-
mencin9 �+��� sectlon 7000) o( Divlslon 3 of the Business antl
Professionz Cotlo, antl mY Iicense Ii In /ull (orce antl aftecl.
LlcenSe Clast ��-3 � Llcense No �� 7 L°S� �
Date �'�S'—�� 519nature ��^ �K�- ^�' "'� l
WORKERS' COMiENSATION �ECLARATION .
I h<reby affirm tlmt 1 hdve d ClrtltiCa[0 of consent t0 seltansure or a
COrtlfiwte Of Worker5' COTpensatlOn Insurance, or a certifletl Copy
tnereof (Sectlof 38 0„Lab. C.).
POIicYNo. "3� �n ComPanY�A✓P/ Zn/�'�
❑ Certifled <opy is here�y furnishetl. . _ .
�' Certifletl copy is flletl wi[h the cl[y Builtlin9 Divlsion.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This zectlon neetl not.be completetl if the permit is (or one huntlretl
Sy1001 or less).
cert((y thatJn the Derformance of the work for wnlch this permit is
issu¢tl, 1 Shall not omPloy any p8�50� In aety mdnner So as to become
subject [o the Workers Compensatlon Laws ot California.
Date Signatura
NOTICE: It aftar making lhis tleclaratlon, you shoultl
[o the Work<rs' CompensaHon provisions of the Labor
farthwith comply wllh such provislonz or Ihis permlt
revoketl.
CONSTRUCTION LEN�ING AGENCV
t hereEy affirm that there is a tonstru<tlon Ientling agenty for the perv
(ormance ol the work for wbic� tnli permit is Issuetl (Sectlon 3097
Gv.'C.l. . .
Lentler'S Name
Lenaer's AtlEress
OWNER BUILDER DECLARATION ' �'
I heraDY affirm that 1 am axompt Irom tbe Con[ractor'z Littnse Law lor
the followlnq reason (Sectlon 7031.5 BuSinau antl Profe55ions Cotle:
Any Nty or county w�ith roqUires a p¢rmit t0 Construcq alter,
improve, Eemolisn or repalr any SVutture, Orbr to it5155uantt, also re-
qul�es tnc appllWnt for Tuth pOrTit IO flle a signetl ztatement tnat �e
is IlcenSetl pursuant to tne provlslons ot tna Contractor'S LJcanse Law
(Chapter 9(Commenting wilh SeCtion 7000) ol DlviSion 3 01 lhe
6u5iness antl Prdeisions Cotlo) or tnat ne is exompt therelrom antl the
ba515 lor tbe allegeE exemptlon. Any vlolatlon ot Sectlon 7031.5 by
any dOP���E�� �or a Oe�mlt zUbfnCts the ap0����� ta a tivll penalty
of not more tnan Ilve �untlretl tlollars (y500�.
❑ I, as owncr ol the property, or my emplayees with wages ai their
sole compensatlon, wlll tlo tha work, antl tho slructure is not intentled
or olleretl tor ule. (Section 7044, Builnoss antl Rofesslons Cotla: The
Contractor'S Liconse Luw tloos no[ apply to an owner of a property
who bulitls or improves thereon, antl who tloes sucn work himself or
througn hls own employees, provltleU [hat sucn Improvemen[5 are not
intentletl or ofteretl for sale. If, however, tne builtling or Improvement
Is soitl wlthin ono yoar of complatlon, the ownar will have tne bur0en
bf proving h0 Ultl not bulltl or ITprove io� [he purpose of salu).
❑ I, as Owne� ot tna property, dT exUuSively Cont�aGtln9 wlth
Iic¢nsetl conVa<tors to construct thn pro�ect (Sectlon 7044, Buslness
antl Profe5510ns CotlO: Th0 COntlactof's LlcenSe Ldw tloe5 not apply to
an OwnOr OI plopelty wh0 Cuiltli of ImprOvlS th8r¢on, dnd wh0 COn-
t�atts 1�om sucb profect5 wit� a Contrac[or(s) Iltesnea pu�suant t0
ine Contractor'S Licenso Law).
❑ I am exempt untler Sectlon B. 8 G. C(or t�ls
reason
Date Owner
1 hereby certify that I have reatl this appliwtlon anC state ihat the above
Informatlon is correct. I a9ree to comply with all tity antl county
oltllnanc¢5 antl Stdt¢ IdwS IClating to conSlNtli00, antl hefeby au[hofl2e
representativas of this Nty to enter upon tne above mentionetl
property for in( «lon Du ses. .
519nature �/)n./ �i/.>i✓� oa�e /-.:9-P'
TYPE OF PEHMIT '
❑ GRADING ❑ FOUNOATION ❑ STRUGTURAL
❑ TENANT ❑ ELECTRICAL �IUMBING ❑MECHAI
❑ OTHER
VROJECT DESCRIPTION .
SQ. FT.
OCCUPANCV_CONSTRVCTION TVPE
VALUATION 20NE
GRADING CU. VOS. ACRES
NG PLANCHECK
TOILETS
LAVATORIES
KIT.SINKS '
SER V ICE 51 NKS
FLOOR SINKS
DRINKING FOUNTAINS
INTERCEPTORS
WATER SERVICE
GASSERVICE
I ON$
URINALS " '
DOUBLELAVS -
OISHWASHERS '
SUMPS " '
FLOOR DRAINS �
CLARIFIERS �
PTRAP
ALTERATION
OUTLETS
BTU OUTPUT '
SOLAR"TANK COLLECTOR'_
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL aLAN CHECK
HEATING SVSTEM 0-300,000 BTU_
ANODUCTING 100,000+BTU_
REFRIGERATION 0-100,0008TV_
SVSTEM 100,000 + BTU _
BOILERS BTU
SVSTEM REPAIR,ALTERATION
EXHAUSTSYSTEM MULTIPLE
ISSV E FEF
Driver5' License or SS � �< / – � ' ^�/ �� �
CMF 0865-46 Wnit¢-Builtling; Canary-Appliwnt; Ptnk-ACcounting; GOIGenrotl-A55¢SZOr
2u03 2/22/B2
,
ZONING REGULATION
A.P. ¢
ZONE ' PLNG. REF.3�
(3EAR ViiHD (TO P/L)
PKG. SPACE REQ.
STREET WIDTH
ZONING APPROVED BV
SPECIAL CONDITIONS:
ELECTRICAL
PROVIDED
PARK FEE
PLAN CHECK
GENERATOR Q.� KW_1-10 KW _
TRHNSFORMER
APPIIqNCE 10-50 KW_50 t KW _
MOTORS 0-1 HP_1-30 HP _
pNC.50LAR) ]0-SOHP -SO+HP�_
'FI%TURES � OVTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS '
5.0� _T�
PANELS MA�N SVB
$ERVICE ' AMP
ISSUE'FEE -
APPLICATION APPROVED BV DATE -
SUMMARV OF FEES ,
BUILDING
PERMIT E SMIP E
PLAN CHECK E— 7ERMIT
� ISSUANCE $ �
PIUMBING S � •
GRADING E
PLAN CHECK E
ELECTRICAL S $
PLANCHECK E MICROFILM $ �
MECHANICAL S TOTAI. FEE $
PLAN-CHECK E LESS AD-
VANCEPC S_
FINAL FEE E � � �
CONSTRUCTION AND PLANN G �7 POOI & SPA ..'' �p
APPROVALS Permit # '�` Date Inspector pppROVALS Permit # ��� Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
Soil ipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms �
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
. tee ein orce 47. Rou h Plumbin & Pressure Test
6. Electrical UFER Grn 46. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn
10. Structural Floor System 52. APPROVALTO DECK
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street Sewer Connection � 54. Heater & Vent-Final
73. Rough Alumbing '
14. Rough Electric-Conduit �56. Electrical-Final �
15. Rough Electric-Wiring 57. Solar SYstem-Final
16. Rough Heating & Air Conditioning � encing & Access Approval
17. Ducts in Stcucture APPROVED FOR PLASTERING
78. Ducts, Ventilating
19. Gas Pipe-Rough & Test � • 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing .
21, Roof Sheathin � ��'1 O.y
22. Frame and Flashin
NOTES: �O �'�+' i� 8 G�r..r
23. Insulation
24. Lathing & Siding
25. Drywall Nailing -
26. Plaster Brown Coat
27. Electrical Power Meter-Final �
28. Final Electric
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing �'
32. Water Service-Final
33. Gas Service-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. Sound Attenuation
37. Handicap Regulations ' •
38. FINALSTRUCTURE&BUILDING
39. Special�Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATEOFOCCUPANCY
No Date ______
� FEE KtGS IVtU�
�-�^-'�'J Lot 69 � Tract 428$, P 1�00 A
COSTA MESA BUILDINGSAFETY DEPARTMENT �FINANCE OEPT.
P. o. ao: s,� C08TA M68A. CN-�RORM�A CITY OF COSTA MESA
For Applicanf fo FIII In Complefely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING�
ADDRHSe 945 Serra Na
COSTA MESA CALIFORNIA For Office US@ �I1��/
HECEIPT NO. PERMIT NO.
�„„ti�o Mesa Del Mar Develobme�t Co. �A �^rt?� =
�ar
� SIZE
RBCHIVEP BY I DA pE�I�IE[Y/I DATE
�i/ � � �J �
'ZQ BUILDING
A�ORESS
2Q COSTA MESA. CALIFORNIA
APPROVED
3 3-b220 ��•�
oeecni
NO. 01 BLC09.
ZONING
xo. oc � I uae on n�
PLANB �--�BIIIIDINO
EXIBTING BLDG n�=� iwKub'
APPROVED
e�„�K ��� �aM , ,�. �,�. s..> y �
cerrren ov errteer �% REAR YARD 21.1 FRONT
BIOE YARD LEFT r`�' IRIGHT 7�J�� R.SIDE •
DESCRIPTfON OF WORK _.__ /
REAR �
B PROVED `� /�.
1
BB Z LDING L 1 � p��X 1 ROOMS 7 STOF
V �
EXTERIOR WALL . ROOF
COVBRING 31'ilICCO COVERING S IC
US8 OP BUILDING AND WORK TO BH PERPORMED
w/attached earaee
S F
I HHP89Y ACKNOWLBDOE THAT 1 XAV6 RBA� iM�9 MPLJGTION THC AMOUM SHOWN UNDER VALl1AT10N I6 FOR TH¢
ANO BTATC THAT TH8 ABOVB IB COPRCCT ANO App88 TO COM- pURP08E OR 88TABL18HING A PERMIT FEE ONIY.
PLY WITM ALL CITY OIiDINANCEB ANO HTAYB LAWO R80ULATING
BUILDINa CONBTFtUGTON. VALUATION p
81GNATURH OF'�g98 D81 Mg7.' Development Co. PERMIT FEE $� p r'
PERMITTE
. � ,'%�v S]_��2�7�� PLAN CHECK S /q ��
AUTHORIZED 'CC:�^L�(/��� ._ _ 1 •
Z
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