HomeMy WebLinkAboutPermit Building 2001-08-17Job# 99-00687-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
SPRINGFIELD
Page 1 of 3
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 342 S 00035th St
AssessorsMap#: 17023134
Lot: Block:
spr
Job Number: 99-00687-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00200
Subdivision:
ctTY oF sPRrNcFtELD, OREGOTV
Owner: Randy St. Clair
Address: 342 South 35th Street
Scope Of Work: Single Family Residence
$83,568.00
Phone Number:
City/State/Zip:
Addition
541-726-1531
Springfield, OR 97478
Value: $0
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Transfered Records
Curbcut
Underground Plumbing
Footing
Rough Gas
Sidewalk
Underfloor Plumbing
Foundation
Rough Electrical
Rough Mechanical
Rough Plumbing
Electrical Service
Gas Service
Post and Beam
Sanitary Sewer Line
Shear Wall Nailing
Storm Sewer Line
Framing
Walllnsulation
Drywall
Special
-After forms are ereceted but prior to placement of concrete
- Prior to filling the trench.
-After trenches are excavated.
-Prior to insulation or decking.
-After forms are erected but prior to concrete placement.
- Prior to cover.
-Prior to cover.
-Prior to cover.
-Must be approved to obtain permanent power.
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-Prior to floor insulation or decking.
-Prior to filling trench.
-Before covering sheathing with finish materials.
-Prior to filling trench.
-Prior to cover.
-Prior to Cover
-Prior to taping.
-See Plan Review and/or lnspectors Notes, or prior to cover if applicable.
Job# 99-00687-01 Page 2 of 3
Required lnspections
Rough Electrical
Underfloor Plumbing
Rough Plumbing
Final Plumbing
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main
Electrical
-Prior to cover.
Plumbi
-Prior to insulation or decking.
-Prior to cover.
-When all plumbing work is complete.
Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Transfered Records
Plan Check Fee
Building Permit
Electrical Permit
Plumbing Permit
Mechanical Permit
SDC-Storm Sewer
SDC-Sanitary Sewer
SDC-Administrative Fee
Mechanical lssuance
Total Transfered Records
05/1 9/1 999
06/16/1999
0912111999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
34101
34484
35637
34484
34484
34484
34484
34484
34484
$250.25
$385.00
$80.00
$80.00
$15.00
$272.40
$707.10
$48.98
$10.00
$1,848.73
Electrical
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
o2t07t2001
02t07t2001
02t07t2001
4401
4401
4401
$8.00
$.so
$.24
$8.80
4
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
02107t2001
02t07t2001
02107t2001
02t07t2001
4401
4401
4401
4401
4
$.oo
$40.00
$2.80
$1.20
$44.00
Administrative Fee - Mechanical
Miscellaneous Mechanical
State Surcharge - Mechanical
Total Mechanical
$6.s0
$.46
$7.16
7
$.20811712001
08t17t2001
08117t2001
6468
6468
6468
Grand Total $1,908.69
l
250
385
BO
80
15
272
707
49
10
Job# 99-00687-01 Page 3 of 3
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on
this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the property, and the
approved set of plans will remain on the site at all times during construction.
Signature Date
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Fee !escriptinrr Value/*uarrtitv Amo.unt lnommentl Faid Date I oris. R*t Cashier
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Billed
itechanical Admin
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Job# 99-00587-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
SPRINGFIELD
Page 1 of2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 342 S 00035th St Spr
AssessorsMap#: 17023134
Lot: Block: Addition:
Job Number: 99-00687-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00200
Subdivision:
clTY oF SPRINGFIELq OREGOil
Owner: Randy St. Clair
Address: 342 South 35th Street
Scope Of Work: Single Family Residence
$83,568.00
Phone Number:
City/State/Zip:
Addition
541-726-1531
Springfield, OR 97478
Value: $O
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Transfered Records I
Gurbcut
Underground Plumbing
Footing
Sidewalk
Underfloor Plumbing
Foundation
Rough Electrical
Rough Mechanica!
Rough Plumbing
Electrical Service
Post and Beam
Shear Wall Nailing
Storm Sewer Line
Framing
Wall lnsulation
Dryrvall
Special
Rough Plumbing
Final Plumbing
-After forms are ereceted but prior to placement of concrete
-Prior to filling the trench.
-After trenches are excavated.
-Prior to insulation or decking.
-After forms are erected but prior to concrete placement.
-Prior to cover.
- Prior to cover.
- Prior to cover.
-Must be approved to obtain permanent power.
- Prior to floor insulation or decking.
-Before covering sheathing with finish materials.
- Prior to filling trench.
- Prior to cover.
-Prior to Cover
- Prior to taping.
-See Plan Review and/or lnspectors Notes.
Plumbing l
-Prior to cover.
-When all plumbing work is complete.
r trYPiF
Job# 99-00687-01
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Page2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Area (Sq.
Main:Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Transfered Records
Plan Check Fee
Building Permit
Electrical Permit
Plumbing Permit
Mechanical Permit
SDC-Storm Sewer
SDC-Sanitary Sewer
SDC-Administrative Fee
Mechanical lssuance
Total Transfered Records
05/1 9/1 999
06/1 6/1 999
09t2111999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
06/1 6/1 999
34101
34484
35637
34484
34484
34484
34484
34484
34484
250
385
80
BO
15
272
707
49
10
$250.25
$385.00
$80.00
$80.00
$15.00
$272.40
$707.10
$48.98
$10.00
$1,848.73
Electrical
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Tota! Electrical
02t07t2001
02t0712001
02t07t2001
4401
4401
4401
$8.004
$.56
$.2+
$8.80
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
42t07t2001
0210712001
02t07t2001
0210712001
4401
4401
4401
4401
4
$.oo
$40.00
$2.80
$1.20
$44.00
Grand Total
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on
this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the property, and the
approved set of plans will remain on the site at all times during construction.
+a -7a7 f lY-
$1,901.53
2-7-a/W"-Date
Lrsn ?rt e6pq o\
,n
",o,,
oR*{gf.io,,,}**L*"1, "*, ",225 FIFTE STREET zonrng ano doeiffifrEggggq)citic land use
SPRINGFIETD, OREGON ryp49?r
INSPECTI0N REQUEST z 726-96hs
OFPICE: 726-3759 Date
,PFlINGFIELEl
ELESTRICAL PERHIT PLICATION
City Job Number
3. COHPIJTE FEE SCEEDTILE BELOV
Services or Feeders
fnstallation, Alterations
or Relocation:
1. LOCATION ignature
PERMIT IS
pettrlY igog$Y BEH!q?a"" f erable and expi reif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATTON ONLY
Electrical Contractor
Address
Ci ty Phone
Supervi.sor License Number 1*gS
Expiration Date
Constr Contr. Number -f445/
Expiration Date
Signatu erv].s1 ng trician
o
rJ Of, 3t 3\t
c)'O &ob
Ovners Name ]11
Address g1> 5
Ci ty tnt-vhoneaLb ' 17)3 f
\
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:-2
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf 'd []ome or
-Modular Dvelling
Service or Feeder $ 40.00
A
Sum
B
200 amps or less I
201 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
5p?
C Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
E
200 amps"or less $ 40.00
over 401 to 600 amps
-
S 80.00
Over 600 amps or tbOO voEs see rrgrr uffif-
,\
Nev, Alteration or Extension Per Panel
0nerCircuit ' S 35.00
Each AdditionalCircuit or vith Service- a - a-6or Feeder Permit 15 $ 2.00 g
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outtine Lighting-
Limited Energy/Res
-
SUBTOTAL OF ABOVE
7frYl state Surcharge
32 Admini.strative Fee
TOTAL
00
00
00
00
40
40
20
36
s
s
$
s
5
RECEIVED B
@
SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI]NTTY SERVICES DTVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 990687
225 North Fifth Street
Springf ie1d, OR 9'7 4'71
LocaEion of Proposed Work: 342 S 35TH ST.
Assessors Map #: 17023134
Lot: Block:
office
Inspection Line
7 26 -37 s9
7 26 -37 69
Tax Lot #: 00200
Subdivision:
SPilNGFIELI',
Owner: RAIiIDY ST. CLAIR
Address:. 342 S. 35TH
Describe Work: ADDITION
Phone #: '726-l-531
clty/state/zip: sPLFD oR, 974'78
ADDITION
QUAD AREA: 3RSC
CONSTR. TYPE: VN
-- OFFICE USE --
LAND USE: 1111
SQ FOOTAGE: L200
OCCY GROUP: R3
To request an inspection, call the 24 hour recording aL 726-3759.
A11 inspections requested before 7:00 a.m. wil-l be made the same working day,
inspections requested after 7:00 a.m. will be made the followj-ng work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - AfLer trenches are excavated.
FOIINDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR DRAIN - Prior to cover or pLacement of concrete.
TNDERFLOOR PLITUBING - Prior to insulation or decking.
POST AIiID BEAITI - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
ROUGH PLTMBING - Prior to cover.
ROUGH MECHANICAL - Prlor Lo cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materia]s.
FR.AMING - Prior to cover.
INSULATfON - Floor,' prior to decking Wal1/Ceiling; Prj-or to cover
DRYWALL - Prior to taping.
FINAL PLITITIBING - When all plumbing work is complete.
FINAL MECHANICAL - When al-I mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUfLDING - When all required inspections have been approved and
the building is compl-ete.
Total Height: 20
Item
Main
Garage
ADDTTION
Total Value
Building Permit Fee
Surcharge/admin
--- BUILDING PERMIT ---
Square Feet x $/Square Feet
54
VaIue
0.00
0.00
83,558.00
83,558.00
385.00
30.80
TOTAL FEE
ffi-wmw
(A)4L5.80
SPRINGF!ELD
ilob Nurnber: 990587
SPilNGFIELD,
Page 2
PLIN{BING PERMIT
Item
Fixtures
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
8
Fee
80.00
80.00
6 .40
86 .40(c)
MECHAI{ICAL PERMIT
Vent Fan
Mechanical Permit
fssuance
Surcharge/admin
TOTAL PERMIT
2 6.00
15.00
10.00
L.20
(D)26.20
MISCELLANEOUS PERMITS
Surcharge/admin
CITY SDC
TOTAL MISCELLANEOUS PERMITS
0.00
L,028.48
(E)1,028.48
(Excluding Electrical)
unless oEherwise noted
TOTAL A.I{OI'NT DUE - - -
(A, B, C, D, and E combined)1, 555 . 88
BUILDING VALUE, PLAI{ CHECK A.I.ID BUILDING PERMIT
This permit i-s granted on the express condition that the said construction
shall, in all respecEs, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisi-ons of said ordinances.
Plan Check Fee: 250.25
Rece j-ved By:
Pl-ans Reviewed By: AL WARD
BuiJ-ding Site Reviewed By: BOB
Date Paid ': 05 /L9 / 99
Date: 06/1,s/99
BARNHART
Receipt Number: 034101
--- ADDITIONAI, COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
By BignaEure, I staEe and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
sha11 be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further cerLify that only
contracEors and employees who are in compliance wit.h ORS 701.055 wil-l- be
used on this project.
f further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at t.he front of the property, and the approved set of plans
will remain on Lhe site at al,l- times during construction.
t ry-(
i16"^L"i7
g-
Date
// *?r
SPFINGFIELD
Job Number: 99068'7
SPruNGFIEI*D,
Page 3
ION
Receipt Number
Date Paid
Amount Received
Received By
D a IctTYoFSPRNGCLDIT APPLIGATI
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
SPRlN(l''ELD
rElf- hFilil.r
JouRNAr oR JoB xo . 44 or" g *ra, ATTACHMENT A jR:-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
LOCATION Z4z43 5fL-
DEVELOPMENT TYPE: AdA^Ai C,-T..
BUILDING SiZE
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATION
4. SANITARY SEI^IER-MWMC
A. REIMBURSEMENT COST:
NO OF UNITS X TRIP RATE X COST PER TRIP
x _ x $475.32
x _ x $475.32
X $47.14 PER PFU $10J ' lo
$
$-
$..-
SiZ a. Ft
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. Vrc X $0.227 PER SQ. FI . $ 21A ,+ O
2. SANiTARY SEI^IER-CITY
l{
NO. OF FEU'S X PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S X PER FEU
Mt^Jt-4C CREDIT IF APPLICABLE (SEE REVERSE)
Mt'lMC ADMINISTRATIVE FEE
$-'
<$
$1 .00
$9 19,50
$ 4E,q?
T0TAL SDC $ l0zg ,.+(
TOTAL-MI^II.4C SDC $
SUBTOTAL (ADD ITEMS 1,2,3 & 4)5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
rv6 L Date: 5
SDC Coordinator
ATTACH'A. t,'lPD
WARNING DEVICES TO BE UTILIZED:
signing and to bs in complianco with the Manual on uniform Control
DESCRIPTION
I
WORK SHALL COMPLY WITH C HAPTEB X ARTICLE 5 OF THE CITY CO
REV|S|ONS 8t24195 +oRM # 116
DE. CONTRACTOR TO COMPLY WITH MUTCD
(MUTCD)
NAME OR COMPANY:
7 //
PLAN REVIEW COMMENTS / SPEA^qL INSTRUCTIONS:
RESTORATION WORK SHALL BE IN CONT.IRMANCE WITH EXISTING CITY CODES AND IN C1CIVIPUIAruCE WITH CURRENTSTANDARD SPECIFICATIONS, EXCEPT AS NOTED BELOW.
001
002
003
004
005
006
007
008
009
010
011
o12
013
014
015
016
o17
018
019
020
021
o22
o23
o24
025
026
o27
028
029
030
031
032
033
343
Backfill with %" minus rock.
Compact every 1 8" loose depth.
Requires compaction with a steol rolller.
A.C. to match the greater of existing depth or 4".
All cuts sealed for final inspection.
Temporary patch may be used at the end of the day.
Signing and Zone protection to comply with MUTCD
Cut concrete only on score lines or cold joints.
Sidewalks and driveways min. 3,O00psi.
Curbing min 3,SOOpsi / No patchwork less than 3'.
Meet min. requirements on curb cuts, Spfd, code.
Restore planted areas, Spfd. code 206.3.05 . \
Spec. to Bore / Jack / No A.C. cuts.
Mechanical compacting required. ir:
No patchwork allowed.
Lateral cuts to have control density fill.
Cuts to be polymerized crack sealed for final inspection.
Mininum 2" crushed rock %" minus.
Minumum 4' clearance at any point, swing-away.
Concrete minimum 4" depth, 3,000psi.
Trench to be "T" cut.
Needs State / County permit'' l
No above ground enclosings in sidewalk or handicap ramps.
Diamond cut A,C./Concrete value boxes to grade,
Fresh Oil signs / Graded.
Comply with Americans with Disabilities Act.
Concrete slabs, 72hrs. curing tim6, 45Oopsi.
Concrete slabs require joint seal material.
Driveway requires dowels every 1 8".
Submit traffic control plan prior to excavation.
Notify Traffic Division before excavatipn.
Core drill main line, insert tee, 2olo min. grade.
Must comply with the provisions of ORS 757.541 to 757.57'l
6" Circular hole/H2O-Vac.
Comments: r at'
rH E LAN E urrLdifld"ibtHUiflr"Afi N G cou Nct L's"oNE CALL NUMBER" 1-800-332-2344
48. HOURS BEFORE DIGGING
INSPECTIONS:
ALK INSPECTIONS CALL 726.3769 (RECORDER} STATE YOUR DESIGINATED CITY JOB.R, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOB
OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A.M. WILL BE
JUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE To BE
,.VATIONS ARE MADE AND FORM WORK lS lN PLACE BUT PRIOR TO POURING CONCRETE
.T:lyER, ENCRoACHMENT pERMrr AND orHER rNSpEcroNS CALL CTTY MAtNTENANCE Artr
NUMBER/PFP'
INSPECT'-
SANITARY S,-rVEB,
726-3761
tr cuRB cur AND'
MADE THE
CALLED IN
SIGNATURE:
Bv siqnature, I state and aqree, that I have carefullv examined the completed aoplication and do herebv certifv that all information
herein is true and correct, and I further certify that'anv and all work peiformed'shall be done in accord6nce with the Ordinances of the
Citv of Sorinqfield. apolicable Citv Standard soecifications and Drawinos, and the laws of the State of Oreaon oertainino to the work
described heiein. I'fdrther certify that only cohtractors and employees"who are in compliance with ORS 7d1 .055 will bd used on thisproiect.
The Citv mav insoect the work site described in this oermit at anv time durino a one vear oeriod followino the receiot bv the Citv of
notice cif corhpletion of the described work and specifv, at the City's sole deScression, an'i additional resioration wbrk iequired io
return the site to a standard acceotable to the Citv. The oermittee'will be notified in writinq of anv work required and will have thirtv
days (30) from the date of the noiice to complete'the work. Work not completed at the en? of th6 thirty daVs will be performed by fhe
City and the costs will be billed to the permittee.
I furthor agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street,
and the apbroved set of plans will r'emain ori the site at all times during constiuction.
Date
b,-Z
(/-2 7-7A
RECEIVED BY
DATE PAID
VALIDATION:
Signature
AMOUNT RECEIVED
RECEIPT NO:
FOR SIDEWALK AND CURB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER.
INSPECTION: ' DATE:
(
f rrrnrrureNANCE :
ELEVENTH MONTH:
AT TIME OF COMPLETION:
DEPOSIT RETURNED DATE
INSPECTION:DATE
WORK IN PROGRESS DATE
DATE:
DATE:
DATE:
DATE:f, renvrr TSSUED BY:
E eucrrueERrNc REVTEWED BY:
f rnnrrrc REVTEWED BY:
DATE:
DATEI
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