HomeMy WebLinkAbout1201 MAGNOLIA AVE; ; CBR2022-1905; PermitBuilding Permit Finaled
Print Date: 12/22/2022
Job Address: 1201 MAGNOLIA AVE,
Permit Type: BLDG-Residential
Parcel #: 2052800800
Valuation: $28,324.59
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Residential Permit
CARLSBAD, CA 92008-2543
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Alteration
( City of
Carlsbad
Permit No: CBR2022-1905
Status: Closed -Finaled
Applied:
Issued:
Finaled Close Out:
06/02/2022
07/25/2022
12/22/2022
Final Inspection: 12/20/2022
INSPECTOR: Renfro, Chris
Alvarado, Tony
Description: 609 SF REMODEL TO CONVERT GARAGE 1 TO HABITABLE (NO KITCHEN)// EXPAND TOILET ROOM IN GARAGE 2 TO FULL Bfl
Applicant:
JAMES CHINN
2120JIMMY DURANTE BLVD, # UNIT 114
DEL MAR, CA 92014-2215
(858) 344-2425
FEE
BUILDING PLAN CHECK
REMODEL-RESIDENTIAL-OTHER
Property Owner:
JAMES GERGURICH
4734 CHASE CT
CARLSBAD, CA 92010-5658
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
Total Fees: $860.48 Total Payments To Date: $860.48
Contractor:
EDGAR MULLEN CONSTRUCTION
2805 OCEAN ST
CARLSBAD, CA 92008-2993
(760) 840-0609
Balance Due:
AMOUNT
$336.74
$518.06
$2.00
$3.68
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
'
(_ City of
Carlsbad
Job Address 1201 MAGNOLIA AVE.
CT/Project#: MAP 1681 THUM LANDS
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check C0J?:-20ZZ,-\90$
Est. Value 2.'R) I ?).2J_,\ -·
PC Deposit 3)3,U .7 U.
Date UJ-2-ZL
Unit: _____ APN:205-280-08-00
Lot#: 6 Year Built: 2008 -....---------
BRIEF DESCRIPTION OF WORK: 609 S.F. GARAGE CONVERSION TO LIVING SPACE.
□ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YON, if yes how many? ___ _
Iii Remodel:_6_09 ____ .SF of affected area Is the area a conversion or change of use? e Y 0> N
□ Pool/Spa: ____ .SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ .KW, ___ .Modules, Mounted:0Roof QGround, Tilt: 0 YON, RMA: 0 YO N,
Battery:OYO N, Panel Upgrade: OvON
Other:
PRIMARY APPLICANT PROPERTY OWNER
Name:JAMES CHINN Name:JAMES & MICHELLE GERGURICH
Address:2120 JIMMY DURANTE BL. #114 Address: 1201 MAGNOLIA AVE.
City:DEL MAR State:CA Zip:,_9_2_0_14 ___ City:CARLSBAD State:CA Zip:_9_2o_o_s __ _
Phone:858-755-5863 Phone: 760-258-6530
Email:JAMESCHINN400@GMAIL.COM Email: mlgerg@gmail.com
DESIGN PROFESSIONAL
Name:JAMES CHINN
Address:2120 JIMMY DURANTE BL. #114
City:DEL MAR State:CA Zip:_9_2_01_4 __ _
Phone: 858-755-5863
Email:JAMESCHINN400@GMAIL.COM
Architect State License: _c_-1_5_7_3_7 _______ _
CONTRACTOR OF RECORD ., ..J .
Business Name: ;7rJu /,0· ,A) ( ,•,.,,., ~«tfC laJ 3, r~ . , . r Address: Zr()'--> {, ce,,,v :( -r
C. /' I / / s {_·~ z· '.?.?,_;/; _P 1tv:L(·-s~ a,r1 tate:,<) 1p:_z:. ...... "'~""-'-'➔j'-;.__
Phone: 7(:() · ¥Jf, ?Z? 7 .
Email: 1q ,4 /V-<'cf/40.t.,K:2 (2,c;/>t•/,}1 {'o· 1..-,.
CSLB Lic~nse #: 'IZI ?,C C Clafs:_ ... z ... ? ____ _
Carlsbad Business License n (Required): Roii o l \ lP CV
APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate I :::;(:;::~~~~:;.~~;~:•••••••" .. •=;;~(WY DATE, 05/20/2022
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 1 Email: Bui\ding@carlsbadca.gov
REV. 04/22
•
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING
THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaffirmunderpenaltyof perjury that I am licensed under provisions of Chapter9 /commencing with Section 7000/of Division 3
of the Business and Professions Code, and my license is inf u/1 force and effect. I also affirm under penalty of perjury one of the
following declarations /CHOOSE ONE):
0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the labor Code, for the performance of the
work which this permit is issued. Policy No. __________________________________________ _
-OR-
have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the_ work fo'./JM.hich this permit i_s issued.
1-1 '?,., -r ,,. / -r,·-(' r My workers' compensation insurance carrier and policy number are: Insurance Company Name: ...:::: t/"" IC.C. JI jlJ L,J/C: 1-c :::::f/"'), C...)
Polley No. 76 tJ UU ZZ-'JJ J ?Z I Expiration Date: _LI'-, __c7.:_-LL,-~CJ~, c'-? ________ 1
-OR-
D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in anv manner so as to become
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the labor Code,
interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY: /Li/ ,1
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ______________________ ,lender's Address: ______________________ _
CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and
utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are
not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show
the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed
use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as alt on-site grading/site preparation
All Improvements el<isting on the property were completed in accordance with all regulations in el<istencc at the tifTl.r of eir co struction, unless otherwise noted.
------,I , .· 1//4
NAME (PRINTJ::,/4,,,( AiecS@/4'.._ 4~(.."-l.fi1::, ~==----DATE:
Note: If the person signing above is an authorized agent for the contractor
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
Ii] 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 apply to 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. If, 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).
-OR-
DI, <1s owner of the property, am exclusively contracting with licensed contractors to construct 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).
-OR-DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
[I} FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for ~ny permit issued to a property owner.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this pertnit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in !h entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this appllcatlon is
submitted or at the following Website: http:l lwww.leginfo.ca,govlcalaw.html.
OWNER CERTIFICATION: The applicant certifies that all documents and plans dearly and accurately show all el<isting and proposed buildings, structures, access roads, and utilities/utility
easements. All proposed modifications and/or additions are dearly ta be led on the site plan. Any potentially existing detail within these plans inconsistent with tlie site plan are not approved
for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct
dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each
building as stated is true and correct; all easements. and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation All
improvements existing on the property were completed in accordance with all regulations in ime of their con truction, unless otherwise noted.
NAME (PRINT): JAMES GERGURICH DATE: 5-20-22
ent for the owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph, 442-339-2719 Email: Building@carlsbadca.gov
2
REV. 04/22
PERMIT INSPECTION HISTORY for (CBR2022-1905)
Permit Type: BLDG-Residential
Work Class: Alteration
Status: Closed -Finaled
Application Date: 06/02/2022 Owner: JAMES GERGURICH
Issue Date: 07/25/2022 Subdivision: THUM LANDS
Expiration Date: 03/08/2023 Address: 1201 MAGNOLIA AVE
CARLSBAD, CA 92008-2543 IVR Number: 41016
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date
Thursday, December 22, 2022
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLOG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Status
Passed
Yes
Yes
Yes
Yes
Yes
Page 2 of 2
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HISTORY for {CBR2022-1905)
Permit Type: BLDG-Residential Application Date: 06/02/2022 Owner: JAMES GERGURICH
Work Class: Alteration Issue Date: 07/25/2022 Subdivision: THUM LANDS
Status: Closed -Finaled Expiration Date: 03/08/2023 Address: 1201 MAGNOLIA AVE
IVR Number: 41016 CARLSBAD, CA 92008-2543
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
07/26/2022 07/26/2022 BLDG-SW-Pre-Con 187792-2022 Passed Tony Alvarado Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency July 26, 2022: Yes
1. Informed contractor representative Jack,
regarding all city of Carlsbad
preconstruction meeting requirements -
approved.
2. including waste management and
geotechnical/soils engineers-certification
letter, for footing bottoms and slab pad
locations, to be verified by engineer,
Footings bottoms and concrete slab pad-in
"competent soil", prior to concrete pour.
08/08/2022 08/08/2022 BLDG-24 Rough/Topout 188702-2022 Passed Chris Renfro Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
08/25/2022 08/25/2022 BLDG-22 Sewer/Water 189933-2022 Passed Chris Renfro Complete
Service
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
08/31/2022 08/31/2022 BLDG-84 Rough 190362-2022 Passed Chris Renfro Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
09/09/2022 09/09/2022 BLDG-17 Interior 191282-2022 Passed Tony Alvarado Complete
Lath/Drywall
12/20/2022 12/20/2022 BLDG-Final Inspection 199228-2022 Passed Chris Renfro Complete
Thursday, December 22, 2022 Page 1 of 2
(City of
c:arlsbad
CERTIFICATION OF SCHOOL FEES PAID
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City
prior to issuing a building permit. The City will not issue any building permit without a completed school fee form.
Project# & Name:
Permit#: CBR2022-1905 -~~-----------------
Project Address: 1201 MAGNOLIA AVE --------------------
Assessor's Parcel#: 2052800800 --------------------
Project Applicant: JAMES GERGURICH --------------------(Owner Name)
Residential Square Feet:
New/Additions: 609 --------------------
Second Dwelling Unit: --------------------
Commer c i a I Square Feet:
New/Additions:
City Certification:City of Carlsbad Building Division Date: 07/11/2022
Certification of Applicant/Owners. The person executing this declaration ("Owner")
certifies under penalty of perjury that (1) the information provided above is correct and true
to the best of the Owner's knowledge, and that the Owner will file an amended
certification of payment and pay the additional fee if Owner requests an increase in the
number of dwelling units or square footage after the building permit is issued or if the
initial determination of units or square footage is found to be incorrect, and that (2) the
Owner is the owner/developer of the above described project(s), or that the person
[Z] Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009
Phone: (760) 331-5000
D Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944-4300 x1166
D San Dieguito Union H.S. District
684 Requeza Dr.
Encinitas, CA 92024
Phone: (760) 753-6491 Ext 5514
(By Appl. Only)
D San Marcos Unified Sch. District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appl.only)
D Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school district(s))
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED.
The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or
owner has satisfied the obligation for school facilities, This is to certify that the applicant listed on page 1 has
paid all amounts or completed other applicable school mitigation determined by the School District. The City may
issue building permits for this project.
Signature of Authorized School District Official:_'.S) ./\ , ·:s3» d ; IL, ,:v::,,, ;,, , C: ,/\ ;, , , i' \, l · Q (; L<.:_-. ~G---. ~l...:~\_=\/~'\_~]:::~j"'_~\='<v'<--"-0<->'•'--rk"\"<)c-.,____~~'-"'-~"'--=b....C'----"---"'--
Tille: ~ '-' ? " "~ ,·:\\~-::i,rL--c 11 Ac:;/1:: Date: <J -L ~ -;;i_l\ ,'.) ';)
Name of School District: CARLSBAD UNIFIED SCHOOL DISTRiCT Phone: 1 l.o C' ~3-I __ c-,..., :,
6225 EL CAMINO REAi. ' > v r:-,c;
COMMUNITY DEVELQPr,f,MbSBAiJ;M~QP~ivision
1635 Faraday Ave I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I building@carlsbadca.gov / www.carlsbadca.gov
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT ANO MATERIALS SHALL BE
AVAILABLE ON S!TE TO FACtUTATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
!S EMINENT.
2. THE OYrNER/CONlRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVlCES TO WORKING ORDER TO THE SAllSFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OVtNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES 'M-!ICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY Yd-lEN THE FIVE (5)
DAY RAIN PROBABILJTY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFlER
EACH RAINFALL
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGAlI,
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTlCE IAEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE 'MTH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE,
I UNDERSTAND AND ACKNOV.UOGE lliAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSlRUCTION
ACTI\r1TlES TO THE MAliU,lUM EXTENT PRACTICABLE TO AVO!O
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT ANO TO
AVOID lliE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT All TIMES,
COMPLY 'MTH THIS CITY APPROVED TIER I CONSTRUCTION S\llf'PP
TI-lROUGHOUT THE DURATION OF TI-lE CONSTRUCTION ACTI\r1TIES
UNTIL TME CONSTRUCTION WORK IS COMPLETE AND APPR0\'£0
BY 1HE OTY Of CARLS0AO.
s_j "'/Y\e..S C--ien:,
O'M4ER{S}.ffeWNER) AGEN_
71,;¥:znz_z._
DAIT
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control BMP, SedimM1 Control BMPs Tracking
Col'llrolBMPs
Noo-Sbnn Waler
Mariagemen1 BMPs
W~e Managemeot and Ma1erials PoMion Cootrot BMPs
Best Management Practice•
{BMP) Description ➔
CASQA~atioo ➔
Col\slruction Activity
Grading/Soll Olsturbooce
T renclilng(Excovotion
Stockpiling
DrnllnqlB._orlno
Concrete/Asphalt Sowcutt!ng
Concrete Flotwor\t:
Povinq
Conduit I e lnstolloUon Stucco odor Wor\t: --
Waste Disposal
Stoqing/Lay Down AJM
Equipment Maintenance ond Fueiiflo
1:!_o~rdous StJbstonce Use/Storage
Oewclerino
S!te Access Across Dirt
Other (11st):
I! ''Tu· • -!j ijm .E ~ ~ 5& J: ~ 0 • o"8'e-~g-~ i -~c;i 0
~lrol m 1-~ ~ ~ ~
j
"'
' w m
~ Ir "' ro
~ ]!J g ii 0 Ii, ro .s 1! • j Ji ti ~ g
~ ~ m ~ ' ' ' ' w w w :,: m m m
~ a
~ 1 i l 65 -~ 5 ·~ ~-i g' C:.,
ta @ ell
~~ ] ~.t_
a ~ ] t ]H ~ 8 u"' ~'"-~~ u: ~tl ~1 ... :.:; !i llo ie m~ ·~
~ ro 0
' ' J. w ii m m ' N J; ' I" I" z
Instructions: t Check the bo~ lo the left of all opplfcoble construction octMly (first column) e~pecled lo ocrur during constructloo.
~ i ~ ,g E E
-E l j ~ ~. ~
CC : g,I Oo i u,Z ·fi ~ ~-~ ci'.8 ~"
C I
~ a . ~ E C
I • 0 w ] C I o ! :g ~-~ ~ ii ~ 8, ] i $§ ~o
-0 '5.6 ~j ~vi ::§1 vi mu
~ ~ ~ J, ' J, m z z z ' N ~ ~ ~ ' ' ' ' i ii ;! i ii
"
>s
2. Located olong the top of lhe BMP Tobie Is o list of BMP's wilh it's corresponding Collfornio Stormwoter Quality Assoclolion (CASOA) deslgnot!on number. Choose one
or more BMPs )00 intend lo use during construction from the lisl Check lhe box where the chosen activity row Intersects with the BMP crnumn.
J. Refer to the CASOA construction hondbook for Information and details of the cliosen BMPs and how to apply them to the project.
I
Site Addres~:/ QC/ t I z a 9':;flb/<G, ~,
i ·~ ..
~[ oO NC oo r~
~ ' i
Assessor's Parcel Number: -~-----
[me,g.,,y Cootod_,-,(, • f ~ ✓
Nome, -yt.c,{_/l/£r[(o,
24 Hoo, Phooe, 76-t?. £Ye? t) 57'-.
Construction Threat to Storm Woler Quality
(Check 8oK)
0 MEDIUM ✓,
Page 1 of 1
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