HomeMy Public PortalAbout6152 MUSCATEL AVE_Building__ I '
AV
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING ADDRESS
WORKER'S COMPENSATION DECLARATION
BUILDING ADDRESS .{ I C�1 S �•/
1 hereby affirm that I have a certificate of consent to self insure, �() ( � 4l s -�4��
or a certificate of Workers'Compensation Insurance,or a certified ///��/�f,,
Copy thereo c. 8 0 .C.) CITY ,1O��1) � 2�Z ZIP L • �� LOCALITY . /�`
Policy No Company SIZE OF LOT q + �J,�I qN NO.OF BLDGS. OW ON LOT r
❑,.,,,, Certified copy is hereby Furnished. '�,
NEAREST CROSS ST.
RrCertified copy is filed with the cc I ection TRACTBLOCK LOT NO.��
department. USE ZONE MAP NO.
Date ^ Applica ASSESSO AP B09K PAGE PARCEL
®/O �F SPECIAL CONDITIONS
CERTIFICATE EXEMPTION FROM WORKERS' OWNER � � �i✓i 64YTEL ,�5 �
COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? Yes No
(This section need not be completed if the permit is for one hundred ADDRESS ,1 DISTRICT GROUP TYPE CONST. FIRE ZONE PROC
dollars ($100)or less.) v C
I certify that in the performance of the work for which this permit CITY_ ` ZIP ( � �®8 n 1
is issued, I shall not employ any person in any manner so as to �JITi CT D Jv[ 6
become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. w
J P STATISTICAL CLA SIFJCATION APT O
Date Applicant ADDRESS CLASS NO. � DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become Subject to the Workers C NTR�CTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith . / i FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRE a vP LIC.NO. / P L
LICENSED CONTRACTORS DECLARATION SIDE
LIC.C P L
I hereby affirm that I am licensed underprovisions of Chapter 9 r SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and Rib FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and fect. NEW ❑ BK PG ® n
License Nu er-
42 ZO ic.CIasS DES R TION Q WORK1444 /S r / ADD ❑ VALU ON G!1 C
Contract a Date?"?';5'r-- L ALTER 0�
D
El am exempt under Sec. REPAIR $
BAP.C.for this reason DEMOL El LDMA P/C# C
Date: USE OF EXISTING BLDG. URM ❑ 3307 8 6.7el U
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 1 ITEMS
❑ I, as owner of the property, or my employees with wages as Z
their sole compensation, will do the work and the structure is ADDRESS o TOTAL 186 o 70
not intended or offered for sale (Section 7044, Business and FINAL DATE Q
�•
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 3 Z 3—� J EC{', 36.70
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE❑ Qr``'1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY CHANGE o 00
licensed contractors to construct the project (Section 7044, VES❑ No❑
Business and Professions Code.)
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A PERMIT RCOAST AIR QUALITY MANAGEMENT CONSTRUCTION MODIFICATION
DISTRICT(SCAOMD)SEE C ECKLIST FOR �-1 I
CONSTRUCTION LENDING AGENCY GUIDELINES 01300-3001 3, 9/96
1 hereby affirm that there is a construction lending agency for YES❑ No❑ 31155
�1,.�•.r 1 1 '�rl 9:04
W the performance Of the Work for which this permit IS ISSUBd(SBC. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
a TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS
3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD
o Lender's Address
04?N'cR OR AGENT
O
F, I certify that I have read this application and state under penalty
4 of perjury that the ab formation is correct.I agree to comply P.C.FEE PERMIT FEE 4:9/,
cm with all county es-'nd State laws relating to building
c Uctio h thorize representatives of this County ISSUANCE FEE
CO
� o e mentioned property for ins tigv Aur ses. (b
INVESTIGATION FEE TOTAL FEE /X�J ,.J/l
P! Aunt 0.0 [J tO /
1 SEE REVERSE FOR EXPLANATORY LANGUAGE
eweaswDss.aa-BAPPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BAD RESS
Deportment of County Engineer
County of Los Angeles LOCALITY
WM.J.FOX.COUNTY ENGINEER NEAREST Aq
CABSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DIST NO. GROUP P I TyF S 9K MA Pd
FOR APPLICANT MAP
FILLINCONST.
BUILDINGADDRESS A3 �i�'/e ?��P 6exe NUMBER ERyi`� C STATE YES O
HWY
�
��� a BLOCK
USEZONE SPECIAL
LOT NO.
-� CONDITIONS
TRACT R o
NO.OF SLOGS. BUILDINGEXIST•
SIZE OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE OF FRONT
EXISTING BLDG. P,I„
Gs' ��'� .'- SIDE
OWNERAl
ML
s 9_Jr. .'I!t�-�•- P.L.
ADDRESS O TRACT DWELL. I UNIT 5 INDUSTRIAL
_d
CITY Y�.a ra 'NO.T� ' I DWELL. 1 UNIT
�P? '7 _ g FUH LDG.
ARCHITECT OR� w TEL. 2 DUPLEX f UNI 7 ADDN..ALT.. ETC.
ENGINEER NO. 3 APT. UNl
SCEL.
ADDRESS 4 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTOR T O.
a
ADDRESS f�
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SCI.FT. NO.OF NO.OF
SIZE STORIES I FAMILIES
USE OF STRUCTURE
SIGNATURE OF
APPLICAQNT� /l , APPROVALS
ADORES S/y � 11jj _ DATE INSPECTOR'sSIGNATURE
` FOUNDATION: LOCATION
(y 4i� P.C. $ FORMS.MATERIALS
FEE FRAME: FIRE STOPS.
BRACING,BOLTS
VALUATION S �
FEE FURNACE:LOCATION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. e� s� /R LATH.EXT.
SIGNATURE OF� HOUSE NUMBER COR-
PERMITTEEr+d// "r, RECT AND POSTED
ADDRESS ~
FINAL 3�.�.,�. ., � a77-1,,
,
WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM,CHIEF BLDG. INSPECTOR
i
All-2 0 6 OU-1 JAN 19 1 1 .0 D in
ENT OF BUILDING AND
DEPART COUNTY F LOS ANGE ESAFETY BUILDING -
WM.
' L ® i N G .
WM. J. FOX, CHIEF ENGINEER APPLICATION
APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO.
BUILDING/ yyL s�j
ADORES C!
/
6� '7
?'8
RECEIVED BY DATE F APPL. DATE ISSUED
LOCALI �.c 13 of J_-::7 I
NEAREST. r
CRO555T
!BUILDINGC-
�' ADDRESS
OWNER
MAIL r
ADDRESS �) �-�,�..►� �. NEAREST•
CROSS ST. �d &/
CITY 65 Af--1f r r NOL/1/�pG�/p FIRE I NO. F TYPE /I GROUP "``
PLA 8
ARCHITECT OR TEL-
ENGINEER
ELENGINEER / NO.
BLDG. ORD..NO.
SETBACK-LINE
ADDRESS USE APPROVED
!" TEL ZON BY DATE
CONTRACTOR Y' NO. HOUSE NUMBERING
ADDRESS �- / J MAP NUMBER � NO. ASSIGNED BY
DESCRIPTION A SOT N13A � l BLOCK(jam �® CORRECTIONS
TRACT V�?h y 11 NO. OF p
9.
SIZE OF LOT ,Lrj`(� .g / I NOW ON LOT /
USE OF .cam NO. OF
EXISTIN BLDG. / ���/ • I FAMILIES / / y`1 _ r r `1 ,3 ,1'1 .� LQ
D CRIPTION OF WORK I °
NEW ALTERATION ADDITION
L./_f1.T/A/r- /7 .1 t!? %n Ci-F'P• D
REPAIR d��y DEMOLITION ,�.� r
Bq.FT. /�/" NO.OF
SIZE ROOMS STORIES r;r` ,�,�r' / �� y�ri/V A-! S (T
EXT.WALL ROOF
COVERING COVERING Vat; ��� �A/� 1)"'j— .V-
USE OF STRUCTURE
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECT '®:SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS `l yl q__q
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, ���/ `�/),
CORRECT. BRACING,BOLTS /1 / 7
I AGREE TO. COMPLY WITH ALL COUNTY ORDINANCES FURNACE, LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS
SIGNATURE OFj/ ` �; �� LATH, INT.
PERMITTEEn / ! '� �%
�r1
ADDRESS [��f 1 t"/� ✓tJl+ �'-Y STH. EXT.
i
PLASTER, INT.
AUTHORIZED AST.
PLASTER, EXT.
$ � P.C. HOUSE NUMBER OCR-
FEE s�
_RECT AND POSTED
"VALUATION
FEE FINAL f n
76A638A OBS 3 7,51
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA -BL 0508 9704030006
PHONE: (818) 285-0488 EXT:
EGAL ID: NO. OF CONST EW BUILDING AD RESS: 1
TR: 5904 LT: 10 SQ. FT STORIES TYPE OCCUP GROUP 6152 MUSCATEL AV N
STRUCTURE: 498 1 V R3 SGAB CA 917752625
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET:
5386-010-043 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TENANT: XIS LDG USE: USE ZONE: ISSUED-OW PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/03/97 TC 04/03/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN L BY: CODE:
SHUI JEAN J 36,850 8^�20�9�
6152 MUSCATEL AV d
SGAB 917752625 �7 �J,(} EES PAID D SCRI TION OF WORK
v ADDITION OF 498 SQ. FT.-MASTER EDROOM, 2 BATHROOMS AND
-
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LAUNDRY ROOM
APPLICANT: -TEL. 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 36850.00 VAL 3.69 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
82 PERMIT W/ENERGY 36850.00 VAL 689.04
TOTAL FEES 775.18
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: EL.-N0: FOUNDATION/TRENCH FORMS
HAN, FREEMAN (818) 287-7982-
9051 E. VALLEY BLVD. LID. NO: SLAB/UNDER FLOOR
ROSEMEAD, CA 91770 C21976
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PGE: FIRE ZONE: CMP. UNDERFLOOR INSULATION
3 01
IST LEVEL FLOOR-SHEATH
0. OF FAMILIES: DWELLING UNI P CO D: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL 9ITHIN HAZARDOUS ROOF S EA NG
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM S — L$DGRT. FRAME INSPECT A7.n
SET BACK YARD: HWY: PROP LINE: WIDTH: °l
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER
L-
INS A'fION/NEAT ER STRIP
10
INTERIOR LATH/DRYWALL
EXTERIOR LATH
OTOT DRAINAGE SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
t SUILbING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9906170009
PHONE: (626) 285-0488 EXT:
LEGAL ID: OF CONST BUILDING SS:
TR: 5904 LT: 10 SQ. FT STORIES TYPE 6152 MUSCATEL AV N
625
ASSESSOR INFORMATION N STRUCTURE: 0 VN NEAREST CROSS SGAB CA 2STREET: GARIBALDI
5386-010-043 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TENANT: S LDG SE: RESID USE - ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/17/99 UT 12/14/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA� FINAL BY
SHUI JEAN J - 1 1,400
6152 MUSCATEL AV
SGAB 917752625 FEES PAID _
CHANGE OF 140
EEWINDOWS (INSET)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL, 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION RESID—_ 1400.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT 14/0 E LSC- -_-':-1400.- 00 VAL 82.20
�. - It rC TO,,4 E 170.45
CONTRACTOR: TE 0: .�-`% �'r _—�'�/�ij�• APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO ' LOCATION AND SETBACKS
SOILS: ENGINEER APPROVAL
Ai I
ARCHITECT ENGINEER: EL. 0: �+ , r y�. �r ffOUND. ION/ C S
LIC. NO. iI - _ J I + I 1 , il , } 1, SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CI,Pi 1Lijr j� fry: \1 f' f /• UNDERFLOOR INSU ATION
150H261 3 O i , i I r ��
L-_--L__��l�� 1V `�' L L L�a CtJ ++ FLOOR SHEAfWlTG
0. OF FAN I LI S: DWELL I NG U CO D: —ST—AT CLASS:- -- --- -- -- - ----NO 27 ROOF SHEATHING
OOLWITHIN HAZARDOUS � /i/ 1 f+ PANELS
AIR QUALITY: 100000 FEET MATEERIALS /, J
IO
NO
FRAME INSPECTION
_N
REQUIRED 0 B FROM EXIST I / i` �! SPR LER G RS
SET BACK YARD: HWY: PROP LINE: WIDTH: le -
FRONT PL- �0.w P ,ic ��_ T INSULATION/WEATHER STRIP
SIDE PL- ----
"�_ - - s- ER 0R LATH/DRYWA
EXTERIOR LATH
RATED FLOOR/CE ASS
RATED WALL ASS B IES
DS FSOE I GS
T-BAR CEILINGS
LO DR AGE
REPORT ID: DPR261 ROUTE TO: SS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUS ILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS o '!RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 6,L-05 0§ 9911010016
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS-:_,
TR: 5904 LT: 10 SQ. FT STORIES TYPE OCCUP GROUP 61.52-MI CATEL AV N
STRUCTURE: 241 1 VN R3 S'GAB CA 917752625-) s
ASSESSOR NFORMATION NUMBER: GARAGE: NEAREST_CROSS STREET: LONGDEN
5386-010-043 OTHER: THOMAS PAGE:-596 GRID: H2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: TSMUED 0 : PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/01/99 UT 04/29/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE•
SHUI JEAN J - 1 17,800
6152 MUSCATEL AV
SGAB 917752625 FEES PAID �.—DE SGRIPT-I N-OF-WORK
A_D_DITION OF-DEN--241--SQ: FT:
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
AMPB GENERAL CONS. (626) 284-3260- AA BLDG PERMIT ISSUANCE 27.75
1600 ORANGE ST AC STRONG MOTION RES D 17800.00 VAL 1.78 SPECIAL CONDITIONS:
ALHAMBRA, CA AX BUILDING tF Ff 54.70
B2 PERMI 1T/ U1 E 780 . 0 VAL 386.10
CONTRACTOR: TEL. N0: O�j a' u�A f A 470.33 APPROVALS DATE INSPECTOR SIGNATURE
AMPB GENERAL CONSTRUCTION (818) 284-3260- �, �►
1600 ORANGE STREET LIC. NO LBACKV
ALHAMBRA, CA 549061B / --
ARCHITECT OR ENGINEER: TEL. NO: - F U�-NDATTO _ IORMS 7(0,001
LIC. N 1111111 ABS/UNDgFLOUR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: n n v �l UNDERFLOOR INSULATION
3 01= U p V��O ST LEVEL FLOOR SHEAT
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-
NO 2 TOD LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDO S Yrtf ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS 0 Eli -. �Z 7
NO NO NO �� - FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST JQ[/6, oil BLDG DEPT. FRAME NSPEC
FRONTSET PL- YARD: HWY: PROP LINE: WIDTH: �c �ervice'6hat� SHEAR PANELS
SIDE PL- y�
INSULATION/WE R STRIP /240
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION VICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
EMIT Ho.r• !
EP ME'NT OF COUNTY BMLDING AND SAFETY .7 s `'; .'APPLiCATTON FOR
LOS ANGELES +a� '' R PERbiIT.�. 1y
,m. Pox. CHIS, ENGCHE a BUILDING.
aff"ACK LINE s V ORD.NO. DISTRICT NO. PLAN CR.NO. MIT NO. .• e
y ItRt \� A
NE ":MOVED
,r.• • •
2 Br DATW
iI
UO[ i APPROVED [IVEDJ/r DATE OP APFT- PAYS dmwm
ply
f V
�• APPLICANT FILL IN H$AVII.Y•OUTLINED PORTION ONLY a
ee �a Ii0
O[ NAM[ SVILDINO
r Vr f/ •• AODR[ 7
ADDREOO
O LOCALITY
, �. • tU a CITY NEAREST
t °•
IC . Off fT''
LICEN1• .
LSE NO TEL �'" '
y NAME
NA14E9'
MAIL
ADDRESS
" O AD f n + +1 nifj
°�. CITY
Q �' CITY �• .-• /� B HERdY At11NOWL .�
EDGE THAT 1 HAVE READ TNN
(TATE TR APPLICATION AND STAT[THAT THE ABOVEUNTY If CORRECT •�
' . LiC[Nst NO. NO. CI. AND AOR[[TO COMPLY'WITH ALL r;
AND STATE LAWS REGULATING o111LDI oN CONSTRUCTION.
+►S�tN+O'� _ LOT. NO4j e Q fI2E OF LSIONATURE or
d'
�a {��
BLOCK OLT ONRIER
NOW ONOAUTHORISED AGT •`
J Y TRACT ..
OIuft OF IILDGII. CORRECTIONS _
NOW ON LOT
DESC1tIP'PION OF \YORK —�j lit
-------------
:uaDING
.._._k a�_.._..... _.....ems.. .�
r . .. ' .
NEW TYPE �• .•. O. *�
OROU r
ALTERATION NO.
pOOMOf!
f' �•• NAOM
ILOIPQ6 .S;!
v ADDITION 612E
• 1 REPAIR fTORIEO
tl 4
MOVING WAIL COVERING
EMO ION R OP OVERTtoo^ .�
F.
s Rr� APPROVAL
VALUATI ���� •• ���✓ �// INSPECTOR'/
JLI;Ala -r r ��j5 n•w
� •11.5 .. .... :'e.'. .._ � .yh•"°•'..•_•°r. •—
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