HomeMy WebLinkAbout2077 LAS PALMAS DR; EXPIRED | MULTI-PERMIT FILE; CB100644; Permitff
1I
•} City of Carlsbad
04-21-2011
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB100644
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2077 LAS PALMAS DR CBAD
Tl Sub Type:
2130611800 Lot#:
$15,700.00 Construction Type:
Reference #:
ALLI SPORTS: HIGH PILE STORAGE
INDUST
0
NEW
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
EXPIRED
04/13/2010
JMA
WAREHOUSE SOLUTIONS INC GREENE/STREUER FAMILY TRUST 03-09-87
P.O. BOX 60727
SAN DIEGO CA 92166
619-723-7930
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD#2 Fee
BTD#3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green,Bldg Stands (SB1473) Fee
Fire Expedited Plan Revi~w
$172.41
$0.00
$112.07
$0.00
$0.00
$3.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0:00
$0.00
$0.00
$1.00
$0.00
890 DEL MAR DOWNS RD
SOLANA BEACH CA 92075
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact.Fee (4305541)
'PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
HMP Fee
TOTAL PERMIT FEES
Total Fees: $288.78 Total Payments To Date: $112.07 Balance Due:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
??
$288.78
$176.71
Inspector:
FINAL APPROVAL
Date: ------Clearance: _____ _
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to air'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government CO(le Section 66020(a), and file the protesi and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to tirriely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, orannul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
t x i Ii f hi r · · imil r i r hi h h f limi · n h r vi I h rwi
,,
·-~J. & Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-27'17 I 2'718/ 2719
Plan Check No. C'Bt 00 Co<../
~ CITY O·F
CARLSBAD
JOB ADDRESS
CT/PROJECT# · LOT#
DESC_RIPTION OF WORK: Include Square Feet of Affected'Arila(s)
.EXISTING USE PROPOSED USE
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Est. Value
Plan Ck. Deposit
APN
#. BATHROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF) DECKS(SF)
J APPLICANT NAME
ZIP
FAX
EMAIL
p
ZIP CITY STATE
PH0NE FAX
EMAIL.
ARCH/DESIGNER NAME & ADDRESS STATELIC.#
//..5/
700
CONSTR. 1YPE OCC. GROUP
FIRE SPRINK(.ERS
YES O NOD
ZIP
ZIP
11Y BUS. LIC.#
Z.'ULl7..7
(Sec. 7031.5 Business and-Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to·file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis-for the alleged exemption .. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil peh_alty of not more th.an five hu_ndred dollars {$500)). . . ·
_ . ~ have and wl!I m_aintain a certificate of consent to self-insure for workers'·compensatiori as provided by Section 3700 of the Labor Code, for lhe performance of the work for which this permit is issued. j
Workers' Compensation Declaratlon:J hereby affirm under penally oi petjury .one of the-following declarations:
t:::I ·1 have and.will maintain.workers' comf)!n11tion, as required by Section 3700 of the tabor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
--},umber are: Insurance Co. fi C .S ~Y"o/ ~ C a-sve,,ify Policy No. HUI -GC $t&;2 7"/a' l'7 Expiration Date .3 ~J9-IJ
This section need not be completed if the permit is for one hundred dollars ($100) or less. c:J Certiijcate of Exemption: I certify that in the performance of the work for which this permiUs issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' co pensation coverage is unlawful, and shall subject an employer lo criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
. J addHion to the cost of compensation, damages lded for in · n 3706 of the Labor .code, interJst-and attorney's fees.
'X. .A5 CONTRACTOR SIGNATURE 1!1111111111 D AGENT .
I hereby affinn that I am exempt from Contractor's Ucense Lilw for the following reason:
CJ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not applyJo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. lf,'however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
CJ I, as owner of the property, am exclusively contracting with liceQsed contractors to constrµct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
CJ I am exempt under Section __ ~_Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. CJ Yes CJ Nd
2. I (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (inclucfe name address I phone/ contractors' license-number):
4. I.plan to provide portioos of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number):
5.I-will·provlde some of the work, but I hav~ contracted (hired) the following persons-to provide the work indica_ted (include name/ address/ phone/ type of work):
.Ii$ PROPERTY OWNER SIGNATURE 0AGENT DATE
,----"
is the applicant or future building occupant required to submit a ~usiness plan, ~cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Cl Yes Cl 'No
Is the applicant or future building occupant required to obtain a permit.from the air pollµtion control district or air,quality management district? Cl Yes Cl No
Is the facil(tyto be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE.ISSUED UNlE.SS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify111atl ttave read the application and state 1/latthe abOYe information iscorrectancjthatthe in~nna~on on th~ plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhorfze representative of the Cit,, of Car1sbad il enter upon 1he above mentioned property. forinspeqio_n purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMtESS THE CITY OF CARLSBAD
AGAINST Alt LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT.
OSHA: All OSHA permit is required for excavations over 5'0' deep and demolition or construction of sln!Ctures over 3 &tories in height.
, EXPIRATION: Eveiy permit issued by the Building Ofocial under the,provisbns of this Code shall expire by Imitation and become null and void if the buildilg or work authorized by such permit is not commenced l'lilhin
180 days from the date of such permit or if the buiclilg or work~ by such pennil is sus!)!!nded or abandoned at any lime after the work is commenced for a peJiod of 180 days (Section 106.4.4 Unoorm Building Code).
tj .-@S" APPLICANT'S SIGNATURE ~ ~ , , DATE _/J 1-_,,,) ,.3-j
. '-• ), ., ~ -
4'f,,A-_ CITY O F
~vcARLSBAD
Community & Economic Development
FEBRUARY 1, 2011
ALLI SPORTS
2077 LAS PALMAS DR
CARLSBAD CA 92011
RE:
APPLICATION DATE:
PLAN CHECK#:
ADDRESS:
EXPIRATION DATE:
PERMIT TYPE:
DESCRIPTION:
04/13/2010
CB100644
2077 LAS PALMAS DR
04/12/2011
Tl
ALLI SPORTS-INSTALL WAREHOUSE RACKS
www.carlsbadca.gov
You applied to have your plans checked on the date noted above. To date, the related building
permit has not been obtained and the original plan review application will expire on the date noted
above. This courtesy notice is sent to advise you of the following provisions of the City's codes regarding
expi~ation:
18.04.035 -Section 107.4 amended-Expiration of plan review.
Section 107.4 of the California Building Code is amended to read:
Applications for which no permit is issued within one year following the
date of application shall expire by limitation, and plans and other data
submitted for review may thereafter be returned to the applicant or
destroyed by the Building Official. -
90 day extensions of the plan review period may be granted by the Building Official after review of a
letter of explanation provided to him by the property owner. An extension of time granted by the
Building Official does not, by right, apply to any related Discretionary Permit under review.
Plans submitted and not retrieved from the building department prior to the plan check expiration date
noted above will be destroyed.
In order to provide better service, please indicate your handling choice for the plans originally submitted
and return this letter to the Building Department.
___ Project Abandoned -I will pick up the plans within 10 days
__ Project Abandoned -Plans may be destroyed
If you have any questions, please contact the Building Division at (760) 602-2719.
Building Division
CC: WARHOUSE SOLUTIONS
Building Division
1635 Faraday Avenue1 Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560
" ... ~ '-' ~ (~~ CITY OF .
~ CARLSBAD
Community & Economic Development
FEBRUARY 1, 2011
www.carlsbadca.gov
WAREHOUSE SOLUTIONS
PO BOX60727
SAN DIEGO CA 92166
RE:
APPLICATION DATE: 04/13/2010
CB100644 PLAN CHECK#:
ADDRESS:
EXPIRATION DATE:
2077 LAS PALMAS DR
04/12/2011
PERMIT TYPE: Tl
DESCRIPTION: ALLI SPORTS-INSTALL WAREHOUSE RACKS
You applied to have your plans checked on the date noted above. To date, the related building
permit has not been obtained and the original plan review application will expire on the date noted
above. This courtesy notice is sent to advise you of the following provisions of the City's codes regarding
expiration:
1.8.04.035 -Section 1.07.4 amended-Expiration of plan review.
Section 107.4 of the California Building Code is amended to read:
Applications for which no permit is issued within one year following the
date of application shall expire by limitation, and plans and other data
submitted for review may thereafter be returned to the applicant or
destroyed by the Building Official.
90 day extensions of the plan review period may be granted by the Building Official after review of a
letter of explanation provided to him by the property owner. An extension of time granted by the
Building Official does not,.by right, apply to any related Discretionary Permit under review.
Plans submitted and not retrieved from the building department prior to the plan check expiration date
not~d above will be destroyed.
In order to provide better service, please indicate your handling choice for the plans originally submitted
and return this letter to the Building Department.
__ Project Abandoned -I will pick up the plans within 10 days
--Project Abandoned -Plans may be destroyed
If you have any questions, please contact the Building Division at (760) 602-2719.
Building Division
CC: ALl}SPORTS
·®
CB100644 2077 IAS PALMAS DR
All,.1 SPORTS: HIGH PILE STORAGE
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BUILDING
PLANNING
ENGINEERING
FIRE Expidite7 y N
HazMat
APCD
Health
FormsjFees Sent
Encina 4-l3• l0
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HazHealthAPCD u·.13.1n
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PFF: y (11)
Comments Date
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Fees Complete?
acv
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Page· 1 of · 1
.Job Address: 2077 LAS. PALMAS DR
Permit'Type:· ELECTRICAL
ParcE:?1 No: ·
va·1ua.tion: 0
· Cons}::ructi on Type : VN
P E R .M-J;:. .T.
St:t:
Oc9upancy Group: B2 Class Code:
Df;:lsc:ription: ELECTRIC REMODEL PER KELLEY
. Penni,t;, No/. (;.B90190·4,
.· Pr.ojec.t'· No: A9f)"0212~-
Developmen.t .No:
Fl:. ..$tl;}:
· 9696 .121 <)5190 0001.· o;t-· · 02 : : : , . .
C-PRi~tr · · iS:~~O<Y
. (//!<. -.J-~ ~ tf
Sta;tus: IS~UeD
Appl:t:,ed :·_ 12/.05/90"' ·
Apr/Iss1.;J.e·: 12/05/90.
Validated Bf::-_ DC
· ~ppl/Ownr ,. ZAPCO ELECTRIC . 61~-,~3-4464. .
2209 SDMMERHILL DRIVE
. ENCINITAS, . CA 920~4.
CITY OF· CARLSBAD
..
2075 -~ Palmas Dr., Carlsbad· CA 9.2009 X619) 4384161
,~•, I
; .,,_
I .1 I
City of Carlsbad
· · -=HHNrtml.•ttntUiiHt4fil
DATE: 11/25/91 PERMIT NUMBER: CB901904
ISSUE DATE: 12/05/90
LAST INS-PECTION:
TO: ZAPCO ELECTRIC
2209-SUMMERHILL DRIVE
ENCINITAS, CA 92024
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
RE: BUILDING PERMIT EXPIRATION ADDRESS: 2077. LAS PALMAS DR
Our records indicate that your building permit will expire by limitation
of time on 12/05/91.
The provisions of UBC, Section 303(d) state: "EXPIRATION. Every permit issued
by the Building. Official und·er the provisions of this code shall expire by
limitation and become null and void if the building or work authorized by such
permit is not commenced within one calendar year from the date of such permit,
or if the building or work authorized· by such permit is stopped at any time
after the work is commenced for a period of six consecutive calendar months or
if the building or work authorized by such permit exceeds three calendar years
from the issuance date of permit. Work shall be presumed to have commenced if
the permittee has obtained a required inspection approval of work authorized
by the permit by the building of.ficial within one year of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspection approval of work by the building official within
each six·month period upon the initial commencement of work authorized by such
permit.
Before such work can be recommenced, a new per~it, -or a renewal permit as
specified below, shall be obtained •
.
1. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has
not commenced in the fir$t calendar year from the date of issuance, a renewal
permit may be obtained provided:
(A)
(B)
(C)
(D)
No changes have been made or will be made in the original plans and
specifications for such work.
That the expiration has not exceeded three years from the original
issuance date. .
That the same edition of the model codes is in effect as used in
the initial plan check.
That a fee equal to one~half the amount required for a new permit
. be paid.
The renewal permit shall expire three calendar years from the date of initial
permit issuance.
2075 Las Palmas Drive • Carlsbad, California 92009 • (619) 438-1161
I ' .~.' •'
PERMIT APPLICAtlOij
•
· City of Carlsbad Building Department ·
2075 ~as Pa lmas Dr .. , .Carl shad, CA 92009· (619) 438-1161 . ·ES.T: VAL. ___ '---'---'--,.,,-'----'-'----,.-
. P~N CK DEPOSIT.,,_--?---'-;-----''-'-...;.__-~
. VALID. BY._, ----,------'--,---'-~---"----'-'---
·DATE...,....;----,a--.,---'--.,--:.......,.,----
.
l... .PERMIT .
A -0:COMMERCIAL EtlANT IMPROVEMENT .
· B -0 INDUSTRIAL ONEIi 0TENANT IMPROVEMENT
·J: -[fRESIDENTIA,L 0A~ARTMENT 0CONDO []SINGLE FAMILY DIIELLING 0ADDITION/ALTERATION
.. 0'DUPLEX 0~EMOLHION. 0.RELOCATION . 0HOBILE _HOME ~CTRIC~L 0PLUMBING
·OMECHANICAL OPooL OsPA ORETAINING \/ALL OsoLAR OoTHER-'-__ _.__ __
.2; PiwiEci INFORM~TION PLAN CHECK No .
. A~dress. c2, 11''1 "\. A. IJ...f
· Nearest. CrRSS Streets
LEGAL 'DESCJ!IP.T.ION Lot No. Subdivision Name/Nunber Unit No. Phase-No •
. CHECK BELOII IF. SUBMITTED: 02 Ener'gy Cales · 02 Structural Cales 0 2 Soi ls Report D 1 Addressed .Envelope .
. ASSESSOR Is. PARCEL EXISTING OSE PROPOSED , USE
€"L ~('.'_ 'J7l.lCP--L
BLD9. SQ. FTG_. # OF STORIES
3. CONT-ACT PERSON
NAME
CITY
SIGNATURE
STATE
ADDRESS
ZIP CODE . [)A Y. .TELEPHONE
4. APPLICANT I] CONTRACTOR 0 AGENT FOR CONTRACTOR
ADDRESS
OollNER D AGENT FOR OWNER
NAME
CHY STATE ZIP t;OD[;
5. PROPERTY OWNER OIINER . 0Ll;SSEE
NAME ADDRESS
_CITY. STATE . ZIP CODE DAY TELEPHONE
6. CONTRACTORr:/.r.J" ..
-NAME ZA Pa ,:,~re1 c ADDRESS &Zoe:; 3UMHt;;;i2f.l, ~;_ . .
7.
cm't:Al~I /J 1-r/l-S STATE <!I;._ ZIP cooE9-Z-OZt/, _DAY TELEPHON_E ?~--. <.J.c./C,r/
CITY STATE
LICENSE CtASS C-ID
ADDRESS
ZIP CODE
CI.U BUSINESS ~:JG. #
DATE ·iz:-S: ]10
DAY TELEPHONE SlATE LIC •. /I
. WOR.KERS' ·COMPENSATION
Work~rs• Compensation Declaration: ·1 hereby affirm that I have a certificate of consent to self--insure iSS\Jed by the Director of lnd~strial' Relations,
or a .certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cert.ified .by· the IJirector of. the
insurer thereof filed with. the Building Inspection Department ,(Section ~800, Lab. CJ.
,JJ(SURANC~ COMPANY POLICY NO. E_X.P,IRATIDN .DATE
Certificate of Exemption: rl:erti.fy that in the pe·rfor,mance of the work .for which· this pecmit is issued, l"~hal l riot empl·oy any pers_on in any manner
so as to 'become subjec.t to the Workers' C~nsation Laws of Cal iforni'a.
SJ'GNAlUR_E DATE a.· OWNER--BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that. I am exempt from the Contractor's License Law for the following reason:
,0 I as owner of the proper-ty or my employees with wages as the'ir sole compensat.ion, ·wFll ,do the, work and the structure is not intended or offered for sa'\:e
(Sec. 7044, Business and Professions code: The Contractor's License Law does not apply to an owner of property who ,builds -or imprc;,ves thereon,, 'and who
does· such, •work himself or through ,his own employees, provided that such improvement·s are ,not intended or' off.ered for sale.· J.f, however, the bui lµi'ng.
or ·improvement is sold within one year of completion, the owner-buil·der will have .the burden of proving that he did not builq or· improve for the pu~pose·
of sale.). · • · · • ·
0' I;, as owner of the property, am exclusively contracting with licensed contractors to construct the ·project ·csec. 7044, .Business and ·Jirofessiqn~ Code:·
Th'~ Contractor's License Law does not apply to an owner of property who builds or improves thereon, an\l .contracts for· such projects· wi.th contfactor(s)
licensed· pursuant to the Contractor's License Law). '
[] r am exempt under Section ___________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any Cfty or County which-requires a pe~mit to const;ruct, alter, improve, demol;ish, or-repa'ir any sfructure,
prior to i.ts issuance, also requires the appl'icant for such permit to file a signed, staten:ient· that he is li.censed-pursuant to ·the prov(sioQs. of -the
,Contractor's License Law (Chapter 9, coornencing with Section 7000 of Divisiop. 3 of the Business and Professions Code) ·or that he ·is !SXempt t!Jer,;from,.
and the basis for the alleged exemption. Any violation of Section 7031-.5 by, any applicant for a permit subjects the applicant to a civil penal·ty of f)Ot
more tha·n five hundred dol'lars [$50QJ).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDI~G PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratio~ form .or risk ,managenie~t ~nd prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazarc;lous Substance Account Act_? · .' . . ' '. · · .
DYES ONO·
Is the applicant or future building occupant required to obtain a permit ·from the air 'poHutfon control distr.ict or air qual.ity management distr;'ct?
DYES . E]NO
Is the fac.i l ity to be constructed within 1,000 feet of the outer boundary of a schoo[ site?'
QYES , ONO
IF· ANY OF THE ANSWERS ARE YES, A .FINAL CERTIFICATE OF OCCtA>ANCY MAY NOT BE 'ISSUED.AFTER ,JULY 1, 1989 UNLESS JHE 'APPLICANT HAS·MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVl~ES AND THE AIR POLLUTION CONTROL DIST_RICT.
9 . CONSTRUCTION LENilING AGENCY
. I· hereby affirm that there is a construct'ion lending agency foe the performance of the wor~ for which this.permit-is i·ssued '(Sec ,3Ci97(il CivH Code).
LENDER I S NAME LENDER I S ADDRESS
10. APPLICANT'S SIGNATURE certify ,that r h'ave read the application and s·tate that the above information is correct. · I agree to conipl y with all Cit)( ordinances and: State· laws relating
to.building construct.ion. I hereby authorize representatf,ves ·of the City of, ,Carlsbad to enter UP,On the above me'J']t.ioned property for inspection purpo_ses., I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CiTY OF CARLSBAD AGAl~ST Al'.C L-IABILITIES, JOOGMENTS, COSTS ·AND EXPENSES WHiCH IQ..Y IN ANY IIAY ,ACCRUE AGI\INST SAID
CIJY IN, CONSEQUENCE OF THE GRANTING OF THIS PERMIT. . .
Expirat·ion. Every permit issued by the Building Official under the provisions of thi~ Code shall expir.e by ·limitation ,and become nul'l and void if the·.building
or wcitk authorized, by such permit is not comnenced· .within 180 days from the date of such p_ermi t· or if the building qr work. ~uthori zed. l:jy such permit is susp.ended ,
or abandoned at any t,ime after the work ,is c need for a period of 1~0 days (Secti_on .303(d) Uniform Building ~ode). · ·
~R . D CONTRACTOR OBY PHONE
WHITE: Fiie YELLOW: AppliGant :PINK: Finance
APPROVED· ·SYi-..:..,..;,:....-=--'--'---,-""'-
DATE: ·:...· --'----'--'-'--'---'-'-'-'
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,...,_s •• 1 USE BALl: POJNT PEN.-ONlY &,PRESS HARD _ APPLICANT ,:o fill t_N·it,JFORMATION WITHl!'I SHADED AREAAND,pEClARATIONS. ____________ ·":"~-·:·_· :-:· ~-~~~·-·:~-~c --__ i __ f. . .. ·. OA.EJ~SBAD·_BUILDING··Dt:PARTMEN'f ·-· · --.. ... Al>'P(ICATION &-PERMit
~ ·. 0-1 h ··b· ,i.ii-;,,: h,,.,.1 ed d , : · .• 2075 las.Ra!mas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 ! --.,_ ~-·· ' ere y ·• lrm t at am·llcens un er r · ---· --, , ----• · -· --__ , .•
,0, J\ "prRvl~rori:s· i:i"f""Cliapter"9 (co"nimeni:Trig'wfih-l -JO,B ADc[RESS '.; A-v:sT,RD. . THOMAS BROS NO. . ,DAT); OF APf'LICATIOr,1 . BU,SINES\fl.lCENS~-# VALUATION
: l · Secilon 7000) of Division 3 of .the Business i 1;o· ~ · . ' : · . . . · · -....r,: , A ( · · ,..... ' ana Profe~ilon_is ·cooi,'arid·_iny llcen_se is 1~-·1 . . 7: r ~. I ... _ .... ~ D ,~-(!,A JI it "'7/!L.J·-J4: . ...;JAN. 7 > ---------z -·fullforceandeffect · • · ' · · ~J"'"t""::-,,1 · ·· ,''\"1/":":ll'~.,,.... · · 8::·;. _, · '-', .. :;,.::·.:._; .... "'-· .. -· : ... , . -1· ASi:}ESSOR PARCEL NO: ~OfH_~~cj_oR -~-CpNTRACTORS-PHON_E# ,.ZON.E. ., _ _ _ .... '' 'r--• • I'• hereb'y•'affmn that I am exeinpl fro·m the Contra·c· f ,,._,r ( /' ~ . , . : •• tor's:l1,ep;~ L?W-10( the f~llow\ng,'feasorF(Sec.' 7031 5 l • . . > • .C..oN._.,' 0 > (c?(. ""7'l'(3t~'1 (c.--i:.·.~~/i!n,es)'iOd.Pr.otessio~sCode.Any_~ily·orcountyy,htchre-•. OWNl:;Rs'NAME . . . . OWNER'S'P_HONE' ' -...• · . ~ .. ·. -·, .. ··
•. . • qu11es. a.pe[)ll11Jo construct. all-er .•. 1mprove .• dem.ohsh,.or -I~ · -.M · ~-. .. _ \ CJ 0-· tJG · 1 Li\" .. ~ M .. 5 cCiNTRAC'rOR'S .A oo RESS -· • . STATE llCENSE NO • •. ···,r~p_ill_(any.~l(~i:Me,,~hgrtoitsiss~ancealsorequires!tieap· 1 ' ~ 014"':.ur..,..e~r-,.,, VtS·A-, ·,, . . "··.J Ai : l~-o • , ,;., ......... v~t,;.,r..,.... "''1-...
• > ,,phcantfor such perm11-to f1le a S19ned statemenl-lhal he IS• . I, _I, • r ~~ ' · •• ;. .. , _l """t· . '? I , "-'\.,-,---.:r--. ·'1-" ' 2o?~-~...... · -~'-•h_censM··'.P4rsuant··lo ·the~pr_gy[si~~s·<if 1tie:~ontractor's ·,1:· · "ovm·eR;S MAt-LtNG AODREss· .... , \.' ,·-e A..·_,.,. · . ~ ~ €A--'.-~2.b-"-' · ~Cl·, ··· .•--b1cense Law (Chapter·9,commenc1ng with SecllOn 7000 -of f · · v -:>ll""r c-,-.. . ·. . . . . · · .,
~-___ QIYIS_!On~A!tQ~BusJn~.$ra.nd.RrofessrOpsCp~e)_O\Jhaf.1sex• ~!-r, .: trio_ ~:fe. .. A-'4,"Z.oi'3 :DE;tlt~y-.~~/DZ._ DEStGNERSPHONE_ ·,,
\~ •! 0ESCft!P-T ... C,,,:t(~ ' . (,t<\. 7tf-'t ~'311 -·· -~--~J-. ' t-.J, DE.?)GNER'S ADDRESS . . • " . STATE.1;.ICl;.NSE NO.
a:' · _'i I, a~·~wtie( !(f lhe pro~erty-. or fl!Y employe~s Wtlh,y,~ge_s_: ... -l c;. "7 o (.,, ,v OJ&. v,··· <.:_ .. -... l. A--h/2 ... ; . -:Ji:.. ~C"'.,,,.,£",.,
111 .. ,.-as-their ~ofe-comp~psalioQ, will dQ·\~e,wqrk,'and,lhe s_tru_c· . c;;:~.~ t,. . l?A-;-q 2'fc:, . _ l!> ~-:;, ·"-0 .. , . tur,etrs-~ol intended or.offered-for sale·(Se~. 7044, ~usm~ss f· -· · · ---·-
;.J: ·-and-Protessrons Code:-The·Conlraclor's ·License Law. does· · 1-3 -. not apply.·10 aq.,pwner, oJ ·p[op·~rtr,who ·buildf:or improves . • ·. F/P "FLRELEV.' -NO
SJORIES OCC GP EDU
., ~I~-. • , .. , --1---!! --tngreQn.!n!fy,ho does su.cb.yiork Mnself-'o(tlirbugh"hls:own J . . . ' ' I· . .. ·o·-·o· • ... a: , e111pl9yees. pr~vided,that such 1mprovem~ntS·are not•intend·-..._'!Ji.,.~.. · ¥ • _ ": , N • _ ---• • -, .
• -r~ ._·.., • 1
PERMIT. NUMBER
\ i1 ... 6-44 . '.
BUll!DING sa. FOOTAGE
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z,_ menl1~soldwilh11\:6neyea(·o{"cpmplelrori,l~eo\vnel-builcfer-,j:"· -, •. ,,.,-... · ·,CEN~USTRACT--.PARKtNGSPACE RES UNITS_. qRADINGPERMITJSSUED ·fl!;DEV 1bQPfy'IENr j ._ .• _,TYPE • ,OCC_LEA_~ FIR_E._:>PR_ _ ', ·-, . '},·,.J .. 240°91: 111, 'ed .or-offered for;sale .. ·11: hOwever. the iju1lding or .improve.-· · · · -J 'l · -· l ·· · · :I · e · .. · · · -· · ·
3 ".'ill have the burd~p of0prov1n_g;1hat hed_i~ not bbiid or im· l . , • . . -; -· • · --... -··. _ -, -_--AR~A · . · · C()NST · _ 0007 ,Q1/Q4 01.(}1 O.,.JHuf'jT1t
O .••• prove.forth~-purp,ose.of,,sate). "· _-........ 1 .. -----·· ,---_~-.--·, .. -, .. -•. _ __ '. .YO N_ o. . . _ . :_vD "!0 . _ v[J ~O. _ Not Va/1~~:less':'a~hme(:erttf1ed .••. _ ,
I_} l,_aS owner.Of lh~·prope[ly_. am eXCIUJ,iVe)Y.COntractmg f. ••. ,_., > .:·· .. • • •. • ·, ... ' • .r;V ' ... ' " ·. •. . ., .. .0 . ·t)'?\, ' -• • --.. • . ._ ., .. , •. ' . • • I I·
'c Ill (.) : ·1· ,. w11~Me~s~9 con.tractors io·co.nstructtoe project (Sec, 7044, . QTY . PLUMBIN'G. PERMIT ·1s·sv·E 7 v· QTY ME.CHANICAL PERMI.J 1ss· U6 ' ~ '-' SUMMARY/.ACCOUN·T-NUMBEo •. ·:B_usr~es_s and ·Professiops Code: the,.Contraclor'_s Lice~se ·I · · , , . . . ' . , . · -. . , ~ . . · , . -, • . . .....: n _ _ . __ ., , .. . -, La\Y qoes not-apply.lo an owner-of property who-builds orrm-I ·· • · ---· · --->-· 1 --• ------• -.... ·---·I _g~~~~:~/~rW)0Ic:;:~.".'/u~sti~r·~~ .. ~iri~~~if:i~~~ty~~~~i:f····f.', EAC!+FIXTURETRAP ' . IN$TALLfU0RN.DlJCTSUPTO]iOO,OOO-BT_lJ' •.. ~\JltOINGYtKM_II uu1·81U·OO·UU·tsa0 I ,;l,1,,.5. 9/ .
;Law):-__ -. -. f ·EACH BUILDING SEWER . . .• _ . DVER--100,000 s:l'-U: , • -·, · S\GN-PERMl:r--· · ·00-1-810'00·'00·82·2·1 I • ·I•··
:.~. :~1gJgn~Ufo"rl;~;i:va~iinpr;ovm~.ri1~~~me,3.~d~h~Jollow-,-~,. . . l:~Cl-J-WATER· HE;f~li Ar-JO,OR VENT. ,. ;_ BOILER/C
0
0MPRESSOR UP lO ~ ~p . PLAN GHEC.K. • 001-810,00:00-8891 . . ,
. · l. ·-Ttie work'ts·bemg.performed-pnor to sale. i . . . .. . , . . .. . -. · -, ---· · · . 1 .·2 1 .~?ve ·hvetiry·my h~me:for twelve-months· f --· · ·--EACH GAS:SYS-T-EM 1 T04 Ol:JT·LETS-. BOILER/C,OMPRESSOR 3-15 HR ,. • TOTALPLLJM_BJNG.. _ 001-810-Q0-00·8222 _ prior lo complel1qn ot lh1s work, · l · · · · · · · . , . . .3.--1 have nqf·daimed. this exemption durmg the , --., -EACH-GAS SY-ST.EM !i-0 R-MORE • . . · • ME.T AL FIREPLACE • . .• -~ • . EL~CT.RIC,<\4 • 00-1 ·8,10·9Q·00·8223 I . ·-... I -
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' lasl-three years. · i . · · -· · · · · · o l·am·exemptunder·Sec.__,. __ ...,,....,...,.. B&P·c. f EACH INSTA.L., ALTif:!UJEPAJRWA,T_EB e1PE . VENT fAN SING.LE DUCT . MEC\-iANICAL · 001-810·00·00·8224 ,. . ' __ .,.
fortnis_reason -' --', '_ .... ·,f· '-. EACHVACUUMBREAKER MEtH"EXH.AUST HDD.blDUGTS · ·· ... M"OBILEHOME --001-810-00·00·8225'
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...:.-; . -WATER SOFTNER. . . .. . _ : . .. RELO_CA~-ION_ Qf;A FURNACE/HEATER • _ : . .SOLA~.. • .. • 001-810~00·.00·8226
, -: : ;..,· ·:-.:, . -.·· ·: -.. -( ·EACH ROOF DRAiN\IN?iO.EJ • . . : DRYER VENT '. _-STRONG MOTION 880-519·92·33
i:J _ 1-hereby-atffrmthat.lhavea-gertiticateofcon~entfo f -:· · -, · . --. _ _ : _. TOH,L-MECHANICAL . -•. --· --·FIRE SPRINKLERS--·oof:810-00-00·8227 · : self-insure. or a certificate of'W9rkers Compensat1Qn Jn· f ~ · · • ,
.-·-·~ural]_ceoracert1fredc9pytheieof_(Sec,:,!jOO.La~~rCode~,f ,:·· , ·T-OlALPLUMBING. · ;I. _·. ' · . PU_BtlCFACILITIESF~E _ 320·?10·_00-QQ·§?llQ.I______ .... . I
i .. :~~~~~Ni~-·_.:..·' :-j'' ·.0· . . • . . · _ r ()0 _)#ii);;>...,..,..., 1 __ cf_o~ BRIDGE FEE 360-810·00·00·8740 1 1
Q . -:-. , .,: .. ,: _ · . J Q:TY. ELECTRICAL PERMIT· ISqUE_ . '· ."J _ QTY. MO i:f'OM~ SETUP' 70 . . . PARK-IN-LIEU (ARE/,. -·--·) . !c. _ ~o_p~:,s !1led.w1t~ lhe city f _-· ,. ---\. _ & ' · ';,_
~ Ocerlifiectcopyis,.ne,ebyfurni;hed·,_. f N}:WCONSTEAAMP'SWl~KR ___ ·• ·, GARPDRT, /f!ii' .,._. _ ... i:._.,,\ ----.
~ .. • -. } 1 PH _. . 3 PH ' • I AWNING <? I H\ 1QRR : t; \
TIF 312·810·00·00-8835
LA COSTA TIF 311-810-00·00·8835 ~ • ceRT1E1c11reofEX~MP'r10NFROM l EXISTBLDGEAAMPtSWT·BKR . · · .. ...' GARAGE N ·.ur,_, .. --·'t' FMF 0 ' '-' WORKERS' COMPENSATION INSURANCE , ' · ' -nnm -' '• !,ti':-::: 1Thissectionneed·notbecompleted1flnepermit ·t -· l·PH ... ,· 3PH >
0
• ,"M --•TDEI\SUl';:-~,_-,rJ . ,r LICENSETAX 001-s10,oo-oo-8162 ffi , .. ~-· -_IS:fo~one_hu~dred_~':_llar~($~OO)_or~es~) ~---~ ··--> ~ • , -·' • • •• -• ·_ _ •• __ • _ __ _ •• _ • ~ _ r,~, U\ \if·'u"'.--. ~ ~~/ ·. II · ··· · • _ • : :,,:. q lpertify,th,atinthe-~erformanceoftheworkforwhich t · REMODEL ALTtR PER CfRCUIT • · '\'~ __ cti;!,,l;f~\l.~O.CI\ ,,, ( · II MFF 880-519-92·57 ~ .. th1s.permiHs rs_sued,.t,shall nol employ ~ny per~on i_n ~ny f _ FE-MP POL. E :ZOO.'AMPS· . \ . · 1 · \ I:";), v~ \ .:!_ 3: · rpfpn~r so as~to become subject to the Workers Campen-l ~ . ~ · -\ C--....,.
· :· ~--sahon_Laws of Cal1forn1a. _ . _ , _., o'vER :zoo AMPS , : •.. '\::c"';;,,..._ ~r.~-> , 1 :· , NQJ]C,E,TO .APPLICANT:,lf. after rnal;<ing'-thls Ceftificat~ \. • ..,_ . , "-~,,. .... _,_., _.. , , • _ _ _ • __ _ _ _ _ . _ ~ ~ _ • · -·~rex'emlit10~:-youshouldtiecome-s'ubjecttotheWoike<S· l ~ 1 ·TEMPOCCUPANCY(300AYS) ' · _ ·.---......::::..~c',_,;,\.-'.·\.:· · . .I · ·
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· --cop'll)ens~t~c_;i~ pro~lsfons·otth~'.tatfo~ Co_d~. you muSt f .. -. . . ----. ---. ---. , , , .
· . ·forthw\th pompfy with such:proy1s1ons or thts ~erm1t sha_ll, , . ; ·. ,.1 _..,_ , , _ , ••• --.• • _ .. "' .. . = .:. .. • QR EDIT DEPOSIT __ . . _ 1-. ~ o/ !ij, ~ ) . 0 , -be deemed revoked:· · --. ..,,.f-. • • , " J __ , , . .... -:_(:.~;~, . :::_ . __ ,.~,-__ ·-:. -t -':!_ . --f ____ T_OTAL·E;LEC_TR1C_:1L ___ . '.I' . 1 •• · •••• • ,. _·' TOTAl : · . TOTAL FEES PAYABLE :I --7~J tJ. 'll ~ t~:./·1"C::~:~/ -l ,~--: J ~-• -~ -· --·-·· ., ... _. ____ -_,_ ---,._ • ;• ., -~"-,.~I~ :.: -.... _---~
-~·:· l,8. ~ :~ ,,:-:. ~ . ., . •• . . .,. . . . .. . . l . l HAVE .CAREFULLY EXAMINED THE COMPLETED ·'APPLICATION AND PERM.IT" AND DO HEREBY €xpirat1on. E~ry permit·ts,ued bythe BuifdingOflictal under the P1'<?V1S1ons ofth1s * AN 06ttA PfRMIT IS REOUIN:D FOfl EXCAVAT~ OYER a: :..-.: • !_hereby i!Jf!rm llial \t)er~ is a construction le_ndrng 1 , CERTIFY UNDER-PENAL TY OF PER.JURY THA:r A,LL INFORMATION HEREON INCLUQING, T-HE Code shall exp,re -by hm1t~1on and become null and void ltthe budding or work 5' O" DEEP ANO DEMOl.lTIOH OR CONSTRUCTION Of w . _ agency,fo\ l~e per[ormance of the work forwh1ch lh1s per-EC -ARATIONS RE TRUE AND CORRECT AND I FORT-HE"' -CECTfFlf ANO AGREE IF A PERMIT I& auihorlzed ~y such permit ts not commencedw1thm 180 days from the date ot such . / STRUC.., -s OVE"' 3 ST""'IES 1., HEIGHT Ql a '\, ,M iii!!sued,(Sec: 3097 Civil coae) l Jl l . A . . , " " · . permit, or tf the bulldtng or work authortzed by lUCh permit 1s suspended or "'""' " "" ~ · -z_ ::._'.';.::_ :_:._ ___ ·-. : •. ,. --• ~ -••• _1,. ISSUED: :TO COMPLY WITH.ALL Cl.TY. COUN1Y AND STATE LAWS.GOVERNING BUILDING CON• --abandoned at any time after. the·work 1s commenced for a oenod of 180 dav" . . · ;i;
w Lender'sName. -'· · '. ,.,.. •• '·$TRUCTION.WHETHERSPEOIFIEDHEREINORNOT. IAl.SOAGREETOSAVEINDEMNIFY~AND AP LICAN7!:'SS. Air~ 0 r~ APP~DBY DATE ·3: :, . _ ,..:_,:_:' :~•:..:.-~----___ .r: o J:(J:EP.HARMl,ESS THE CiTY,OF.CARl,.SBAP AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~ · OWNER CONTRACTOR""' . . ~
_Lender~ Mdres_s l .J;'.XPENSES WHICH MAY IN' ANY WA'/( ACCRUE AGAINST SAID Cl'l'Y ·/N CONSEQUENCE· OF . · . . " . .. . . . • . . . / /. . --,.J;
...... ...., .. ,.,, ••• --~-:-.··-·-~:·} GRANTINGOFJHIS"P,ERf,-l}T_ .. ··.·' .· .... _ ' '_,/-;_ ./--!,_.----.-.,n BYPHONEO _ : · _· -1/1/.//7/?Jz
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MA$0NRY
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GUNITE OR GROUT · !
SUB _FRAM~ D FLOOR . D CEIUNG
StJE_ATHJNG pROQF . D SFjEAR
. .
FRAM~
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EXTERIOR LA TH -. I
I
I_N$ULATION. · l ·-.
INTERIOR LATH ~ DRYWALL -··-j
! . ·-.
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PLUMBING !
D SEWER AND BUCO [J PIJCO.
ONDERGROVND D WASTE [)!WATER·
TOP OUT o·wASTE .. D WATER
Ti:JB AND SHOWER. PAN
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l
GAS TEST ! ..
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p WATER-HEATER D ~OLAR_Wli\TER
~
!
ELECTRICAL 1 . '
I
D ELf:CTfUC UNDERGROUND DUFFER
ROUGH ELECTRIC !
I
D ELECTRIC SERVICE -0 TEMPc!)RARY
D BON.DING D POOL J
i
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MECHANICAL 1 ·' D DUCT & PLEM.,. tJ REF. PIP~G . .:. •
HEAT -.-AIRCOND. SYSTEMS · 1
VENTILATING. SYSTEMS l .
• N ! -
-DATE INSPECTOR
-
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CALL FOR FINAL INSPECTlON WHEN ALL APPROPRIATE 1. ITEMS ABOVE HA 'f/E BEEN APPROVE{): , . .
. FINAL -. I
PLUMBING • -.
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ELECTRiCAL !
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MECHANICAL ". l •, ·. -. . • .
GAS
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BUILDING .. I
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SPECIAL CONDITIONS i ..
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FIELD INSPECTION RECORD
'REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR.TO •
FOUNDATION INSP
STRUCTURAL CONC.RETE
QVER 2000 PSI
.PRESTRESSED
CONCRETE
REQ. IF. I lN$PECTOR'S
CH~CKED APPROVAL
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DATE
POST TENSIONED
CONCRETE
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FIELD WELDING \,.
HIGH STRENGTH ·,.,~. •
BOLTS •
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SPE_CIAL M~SONRY
PILES CAISSONS
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IN~PECTOFrS NOTES
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