HomeMy WebLinkAbout2340 RUE DES CHATEAUX; 12; 84-275-12; PermitII) z 0 .:: C C j
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S~ }Jereby .•fllrm that I am licensed under
_ provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license Is In
lull force and effect. P-,
lie N~ 3'fl;;:13J/Cl•ss p"~~-t----
1 hereby alhrm lhat I am exempt from the Conlrac• l0<'s l~ense Law tor the lollowmg reason (Set 7031.5
Business and Professions Code· Any city or county which re· Quires a permit 10 construct, alter. improve. demohsh, or repair any slruclure. prior to 11s issuance also requires :neap-
r.~~~or pu~~!:':' 11~/l~r!v~:e;1 ~:ar1e,:~~t;:!/:!~!
LK:ense law (Chapter 9 commencing with Section 7000 of Division 3 of !he Business and Profess10ns Code) or that 1s ex-
empt therefr0<n and the basis for the allegeo exempt10n Any Vlofahon of Section 7031.5 Dy an apphcanl lor a perm,, sub•
iects the apphcant to a cMI penalty of not more than h'le hun-
dreo dollars ($500).
rJ I, as owner of !he property, or my emp~ees with wages
as their sole compensa11on, will do lhe work. and the struc-ture is not intended or offered tor sale (Sec 7044, Business
and Professions: Code: The Con1ractor's bcense Law does
not apply 10 an owner of property who butlds or improves thereon and who does such work himself or through his own employees, provided that such improvements are n~ intend· ed or offered tor sate. II, however. the bu1khng Of improve-
ment 1s sCJkj wilh1n one year of complehon. ~he owner-buiider
will have Ule burden of proving that he did nol build or im-prove lor lhe purpose of sale)
0 I, as owner of the propeny, am exclusrvely contracting
with licensed contraclors to construct !he project (Sec. 7044,
Business and Professions C-Ode: The Conlractor's Ucense Law does no! apply to an owner or property who builds Of im-proves thereon. and who contracts lor each projects with a
coniractor(s) license pursuant to the Con1rac1or·s License Law).
0 As a homeowner I am improving my home. and !he tot low· ing conditions exist:
1. The work is being performed prtor lo sate. 2. I have hved ,n my home lor twelve months
prlo< to completion ot this wont. 3. I have not claimee this exemption durmg the last three years.
g i'h~: r:~:gt under Sec. ______ . e & P.C.
0 I hereby affirm that I ha-...e a certificate of consent to self-insure, or a cert1l,cate of Workers·
Compensation tnsurance., or a cert,t1ed copy lhereot
(See 3800. Labo< Cooe1
POLICY NO ~ WCJOI f:b?'t F
COMPANY M ,::;,slon! I(' Cof)y IS hied w 1lh the city
0 Cer11hed copy 1s hereby furnished
CERTIF'ICATl OF EXEMPTION FRO WORKERS' COMPENSATION INSURA CE
(Th,s section need nol be completed 1f the perm,1
,s fOf one hundred dollars ,s 1())) or less I
0 I certify that in the per1ormance ot the wol1t. tor
which this permit ,s issued. I shall not employ any
person ,n any manner so as It, become sub1ec-t 10
the Worti.ers· Compensa11on Laws of ca11torn,a
NOTICE TO APPLICANT It. after malun4 this Cert,
t,cate of Eitemphon,, you should beeome sub1ec1 l'l the Wot11.ers' Compensation prov1s10ns of the UOOJ
Code. you must lorth1A·11n comply with svcn
provisions or lh1s permit shall be deem ed revoked
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USt BALL POINI PEN ONLY & l'KtSS HAIIU APPLICANT IU t-lLL IN INFORMATION WITHIN SHADED AREA AND DECLARATIUN~.
CARLSBAD BUILDING DEPARTMENT
GRADING PERMIT ISSUED
vO NO ~
REDEVELOPMENT AREA
APPLICATION & PERMIT
PLAN 1.0. #
I 9/28/!H,4810
FIRE SPA
PERMIT NUMBER
g4-z7s ... rz
BLOG USE CODE
BUILDING SO. FOOTAGE
6
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TYPE
\)NS.T
D ..... y N Not Valid Un~r Machine Certified
PLUMBING PERMIT · ISSUE QTY.I MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE ELECTRICAL
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR
TOTl<L MECHANICAL STRONG MOTION
TOTAL PLUMBING FIRE SPRINKLERS
QTY. I ELECTRICAL PERMIT· ISSUE QTY. I SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMPISWT BKR Z60 -II I COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TAN KS Carlsbad .,,,, LT K. 80·92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92· 22·0519
1 PH 3 PH PUMP San Dieguilo 80·92·23·0519
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI
TOTAL ELE CTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERM Ir AND DQ HEREBY Exporalion e-y ...,_ -by the Budding Olf,c,el under the prOYl910nS or th,s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -••pore by hnutabon and become nuH end void If the building or work * AN OSHA PERMIT IS REQUIAED FOfl EXCAVATIONS OYER s· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
STFIUCT\JAtS OYER 3 STORIES 1H HEIGHT DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorizedbylUCllpermH •• not commenced within 180daysfrom thedateolsuch
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON• =~~t'"" bu::::x:, worll eulhorWKI by such permit•• suspended or STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND "-:::;:;::::';:=::--:~:':t,-':'=:=::=:'-lhe=::=..:•:.:o::.rll:::..::IS:.;c~o::,m:,::,_.=:::ced=..:10~r~•~~r:,::iod~o~fc..l!.!!!,!~lll.--4'--... ______________________ J
KEEP HARMLESS THE Cl.TY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE ·~ L OWNER D CONTRACTOR D APPROVED BY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -r? f_ A __,,... .-""' ~ /
GRANTING OF THIS PERMIT V Ju I J { / J '-~ • 1 1 .ILL-BV PHONE 0 ~u~~
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TYPE I DATE INSP~CTOR I
BUILDING I I
-.. --I
FOUNDATION +T?--" /h .. _\ t M ' ""' I& CH ~ -
FIELD INSPECTION RECORD
REINFORCED STEEL '"'. '""' -~'~ , •~ I I ...,
MASONRY I -
-
GUNITE OR GROUT I
FLOOR & CEILING SUB FR~ I / I ·~ SHEATHING ~ tJ RQ.Qf!.,.'~ SHEARZ~ 1
FRAME J :--~ """ 7--ZtJ~~ ... ~~--I r -'
EXTERIOR LATH I
I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE )0 ~4--/.:~--~~•, ~ P_l!S._. ~ -CHECKED APPROVAL <;I.~)
m')~lr" ~·-~ -
SOILS COMPLIANCE 10•\\•M-~
PRIOR TO .. -. -FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I ,_ )t-k._~~
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
I
I CONCRETE
PLUMBING I FIELD WELDING '
SEWER AND BUCO DIPUCO I ~ t.. Lo-·x;.\. I -~ ~L.I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
HIGH STRENGlH -· -BOLTS
; -I SPECIAL MASONRY
TUB AND SHOWER PAN I . ' I
GAS TEST ! PILES CAISSONS
D WATER HEATER D SOLAR WATER
' ,,
I
ELECTRICAL I .
D ELECTRIC UNDERGROUND '$.l!.IFFER -
ROUGH ELECTRIC 7 -7_Jj-~ C '-l ~,T -
D ELECTRIC SERVICE D TEMPO9ARY
--..
f
--
D BONDING D POOL I ? ---.. : ..,._ ....
t _... ..., __ . , " ..1.
I ' ' -. -
MECHANICAL I ,_ •-' , . ..
D DUCT & PLEM., D REF. PIPING ("\. __
HEAT -AIR COND. SYSTEMS ' ~o,....._
I ... ~
VENTILATING SYSTEMS I .,• \ \ \ . ' ...
I I
CALL FOR FINAL INSPECT~iN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED. .·-
FINAL I ./""··
PLUMBING ; '\ ,i _....-, ~ ,.
--:., --\ \_,.\ -.\A \l _\\ i,,j. \ -'1~ !_j . I -,-~>:' t\ ~ r \ • • ' --\t ,.. \ \ ·: •-. ' -. , , . • -. ..... --.. -~ ,i, \. ,. -.:, . .\;_'\-.. ,-'t. • I ,. • 1 ......... -. "'~ -~ ' I'; I..
\"-'; i'> f -f , ~\ \' ..J'-I '-. ..,,1, la~ r __ , , "\ ._{ ~-y, ,-· .... --, : \ -' .\' ..., ' ' , -, . ,: ~ ) • r.---_ t ) i' ,--~ • -~. ~_.j ~.., \ .. \j _ ,( ~ ~ _, \;,; /_\~> ... \:~ --) ,. 'r." .\>
ELECTRICAL I \· /I~ J . i
MECHANICAL I ' '-"·y ,
GAS _;~l '· . VL-,'-'::\/Y -
I • •'
BUILDING ~ I :>\ { I' . I
. " -·· ---' , .. -\ ' \ I,. i. \: -\ \ I , •• ' : '. . \' '. ~-', 't •.
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SPECIAL CONDITIONS I ~ ---
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b4-1 hereby afllrm that I am licensed under
~•lalona of Chapter 9 (commencing with
Section 7000) of Dl•lslon 3 of the Business
and Profeaalons Code, and my license Is In
lulifo~m~ S-L1c No~ Clas~ _ _,,,._.,.._ __
I hereby afhrm thar l am exemp1 from !he Contrac·
!or's License Law lor the loltow1ng reason (Sec 7031 5
Business and Professions Code Any city°' county wh.ch re-quires a perm,! to construe!. alter, improve. demolish. or repair any structure poor to its issuance also requires !heap-
phcant fOl such perm11 to file a signed stalement that he is
~censed pursuant to the prov1st0ns of the Con1rac1or s License Law (Chapter 9 commencing wrlh Seclton 7000 ol D1v1s1on J ol the Business and Professions Code} or lhat 1s ex·
empt therefrom and lhe baSJs for the al!egea e,empt,on Any v1otat10n ot Section 7031.5 by an appucanl for a permit sub· }eels the applicant 10 a CIVIi penalty of not more than t,ve hun·
dred dollars [$500).
rJ 1. as owner of the property. or my employees with wages
as thelf sole compensal!on, will do the work. and the struc· ture ,snot intended or oflered lor sale (Sec 7044. Business
and ProfesstOl'ls COde The Conlractor's License Law does
not appty 10 an ow-ner ot Pfoperty who builds or improves
thereon and who does such WOfk hrmself or through h,s own employees. provided !hat such improvements are not intend·
ed or ollered tor sale If. however. !he build mg Of improve-
ment 1s sokl w1lh1n one year of cornpte!IOn, lhe owner·bullder will have the burden ol proving !hat he did not build or im-
prove tor the purpose of saJe)
□ I, as owner of !he property, am exclus1vety contracting
with licensed contract0<s to construct lhe project (Sec. 7044 Business and Proless1ons Code The Contractor's License
Law does not apply lo an owner of property who builds Of im-proves 1ne,eon, and who contracts tor each pro,ects w11h a conuactOf'(s) Ocense pursuant to the Contractor's Ltcense Law).
D As a homeowner I am improving my home. and the follow Ing conditions exist
1. 1he work Is bemg pertormed prior to sale 2. I ha\le lived In my home tor twelve months
pnor to comptet10n of this work 3, I have 001 cla1med this exemphon durmg the last lhree years.
□ I am exempt under Sec ______ . B & P C tor lh1s reason
D I hereby afftrm that I ha .... e a cel1 ate o1 consenl to self,msure. or a cert1t1ca of Workers
Compensa11on Insurance. or ace ,f1eo copy lhereol
(Sec 3800 Labor Code!
POLICY NO
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSA TiON INSURANCE
(This sectt0n need not be compleled 11 !he permit 1s tor one hundred aollafs iS 100) o, less}
O I cen,ty Iha! 1n the perl()(mance ot the wor1il. tor which 1h1s perm,t 1s issued, I shall no1 emp10y any
person in any manner so as to become sub1ect to the Wor1i!.ers Compensation La.ws ol Cahtorma
NOTICE TO APPUCAN1 U. atler makmJ !his Cert,
ltcate ol E•empoon you should beCOl'l'e sub1ec1 t? the Wor'kers· Compensa11on provisions of the Labor
Code. you mus! forth¥ri-1lh comply with sue" provisions or lh1s perm11 shall be deemed revoked
0 I tiereby affirm that 1here 1s a coos1ruc11on
lending agency '01 the performance ot the wo(l( tor which lh•s permit 1s issued tSec 3097 C1v,1 Cooe1
lenders Name ___________ _
Lenoe,, Aodress __________ _
USE BALL f>OINT PEN ONLY & PRESS HARD APPLIC ANT TO F ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
{~ ~RLSBAD BUILDING DEPARTMENT
0 Elm. Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
J0!2Tf'J /('"~.e ""~ lW4" A?,X.T, RO. NEAREST CROSS ST.
ll/v11T I 2 l0
Az:F/iU~NI
BL~S LICENSE # VALUA TION PERMIT NUMBER
1 J J/'/1, /\,,, -/11 ' .s::zp ~-;t:'j (iA121 <?A b _d'i. '?'X-08 <?:> --
LOT I BLOCK I SUBOIV1$1QN I ASSESSOR PARCEL NO ' CONTRACTOR CO ~TRACTORS PHONE • ZONE 1ft LA-r1c·E SLX.-A(~l,(_ C/'ll-1/ S:.S OWNER'S NAME I 1L11:~;~:ioNE ct'.
t.. J/f11U£. ~(JU 2)t-c/. ~t'.·1 .. CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE . Ki./11&''-/ OWNER'S MA LING ADDRESS //17 ']::<.,,/,/\A 1,,,..,,,1'>/'\ A li£ 1/1</i~
//0 ES£rYVAih0 AUE, ~T~ LL'_;; l/J<:.7/1 f'fi 'ta:.J/<. DESIGNER ✓ LICENSE • STANOAR0 PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK r .
DESIGNER'S ADDRESS 0EStGNER"S PHONE
lTemfoRA.R_J. i?;1,.z 1c.R. {;-e,J/(__<£ L:?AJ /1-fi/ I b/b;::,L.):.lg; I I G~l' F/P FLR ELEV. NO OCC GP EDU OLLl.~~bj ·~1 I t:11 es ..,o;i.;:
7> c£/11A-Nl':N f I -~ ~ STORIES
vO NO --
CENSUS TRACT I GP LANO use PARt<ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO N 0 vO "O vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT · ISSUE ~5u QTY . MEC HANICAL PERMIT · ISSUE 3 / SUMM ARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221
EACH WATER HEATER ANOIOR VENT BO ILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00-8222 _.,-
EACH GAS SYSTEM 5 OR MORE ' METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 L2.
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00· 8224
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 ·00-00-8225
WATER SOFTNE R RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ( NSIOEl SOLAR 01-00-00-A??~
TOTJ;L MECHANICAL STRONG MOTION 80-92-33-0519
TOfAL PLUMBING 1 FIRE SPRINKLERS 01-00-00·8227
QTY ELEC TRICAL PERMIT -ISSUE j --QTY. SOLAR · ISSU E PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXISf BLOG EA AMP SWT BKR ROCK STORAGE Encinitas 80-92·22·0519
I PH 3 PH PUMP San Dlegul1o 80·92-23-0519
REMODEL ALTtR PER CIRCUl1 ~ PLAN CHECK FEE San Marcos 80·92·24-0519 I/ TEMP POLE 200 AMPS /V'.......--
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) MFF 80-92-57-0519
~ C REDIT DEPOSIT -lOTAL ELE(;lRICAL l /.bq;:;---~ TOTAL SOLAR TOTAL FEES PAYABLE I /i
HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMlr' AND DO HEREBY Expiration E\lery permit issued by the Bu1ld1ng Off1c1al under the prov1s1onsof this * AN OSHA PEMm IS REQUIRED FOfl EXCAVATIOf'S OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void It the building or work 5' o· DEEP AND DEMOUTION Ofl CONSTRUCTION Of' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHE'l CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1th1n 180days from the date of such STRUCTURES OVER 3 STOfllES IN HEIGHT permit. or 1f the bu1ldmft or work authonzed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandooed at anv time a er the work tS commenced for a oeriod of 180 davs STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
~NT s ZURE V 1~ OWNER~CONTRACTO~ APPROVED BY /J-1f?t 4t< KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'A Ct' i)'I{//! ,.,, _ ;/. BY PHONE 0 GRANTING OF THIS PERMIT. A • :/. -1 , ,
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME 1
SHEATHING □ ROOF □ SH~AR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO D IPUCO
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER □ SOLAR WAIJ"ER
ELECTRICAL
D ELECTRIC UNDERGROUND D QFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPOlj!ARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPIN;G
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
. -£5".!::>-~c) ' '
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTO R'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ---...
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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