HomeMy WebLinkAboutCOM2011-00057 Revised Addition, Remodel - COM Permit / Conditions - 8/18/2011 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
` Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
S11h,, , WA-985,$4
j COMMERCIAL BUILDING PERMIT COM2011-00057
OWNER: SAFEWAY#1571 RECEIVED: 7/12/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 8/18/2011
SITE ADDRESS: 23961 NE STATE ROUTE 3 SUITE A BELFAIR EXPIRES: 2/18/2012
PARCEL NUMBER: 123294100010
LEGAL DESCRIPTION: PCL 3 OF BLA#98-58 PTN NE SE SURVEY 32/67
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
EXPAND RX WAITING ROOM/CONSULTING AREA SAFEWAY IN BELFAIR
General Information Construction &Occupancy Information
Type of Use: Insp,Area:
No. of Units: Type of Constr.:
of Bathrooms: Occ. Group:
Type of Work: ALT Fire Dist.: 2 No.No. of Stories: Exit Design. Load:
Valuation: $ 39,210.00 Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2011-00057 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Floor Drain 1 Ventilation Fan 1 Plan Check Fee TIA/ 7/17/gn11 6.1r%9 7a s1gn11nn
Floor Sink 1 IFC Plan Check Fee TIN 7/190(111 a17R as S19n11nn
Lavatories 1 EH Plan Review TAN 7/171?n11 a1n�nn R17n11nn
Lavatories 1 Building State Fee I AtN R/a/7n11 T.a sn ,;19n11nn
Water Closets (Toilets) 1 Mechanical Permit Fee I AIN R/a/gn11 a4 nn C19n11nn
Mechanical Base Fee I AIN R/d/gn11 .09R Fin S17n11nn
Plumbing Permit Fee I AIN R/d/9n11 1:7R 1n Rign11nn
Plumbing Base Fee I A%N R/a/9n11 ��d 7n S17n11nn
Building Permit Fee T%N R/1R/gn11 V;AA 7F S1gn11nn
Total $1,269.73
CASE NOTES FOR
COM2011-00057
CONDITIONS FOR
COM2011-00057
1) The remodel will require the exisitng fire sprinkler and alarm systems to be modified. A separate permit application will need to be submitted and
approved prior to the work being done.
X
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
3) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
4) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
6) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements),
Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
COM2011-00057 Page 2 of 4
7)- , CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County Building Inspector shall be made prior to requesting additional inspections.
X
8) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliant with Mason County ordinances and building regulations.
X
9) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit holder have prevented action from being taken. No more than one extension may be granted.
X
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason County access to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
COM2011-00057 Page 3 of 4
MASON COUNTY,WA 9/2/2011
Building Department 11:38:10AM
Environmental Health Department
Planning Department
Permit status and inspection results can now be checked on the web -www.co.mason.wa.us/permits
Building Dept. inspections requests can be made via the web -www.co.mason.wa.us/community_dev
Receipt #: S1201100000000001606
Date: 09/02/2011
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
COM2011-00057 Plumbing Permit Fee 001.125.140.322.10.00.0000 17.50
COM2011-00057 Plumbing Base Fee 001.125.140.322.10.00.0000 12.40
-----------------------------------------------------------------
PRIMARY APPLICANT FOR COM2011-00057: SAFEWAY#1571
Line Item Total: $29.90
Payments:
Method Payer Bank No Account No/Check No Confirm No How Received Amount Paid
Check BULLDOG PLUMBING&DESIGN, LLC COLUMBIA 26782 By Mail 29.80
Cash BULLDOG PLUMBING&DESIGN,LLC In Person 0.10
Payment Total: $29.90
Page 1 of 1 cReceipt.rpt
NoMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
Shelton, WA 98584
t
COMMERCIAL BUILDING PERMIT COM2011-00057
OWNER: SAFEWAY#1571 RECEIVED: 7/12/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 8/18/2011
SITE ADDRESS: 23961 NE STATE ROUTE 3 SUITE A BELFAIR EXPIRES: 2/18/2012
PARCEL NUMBER: 123294100010
LEGAL DESCRIPTION: PCL 3 OF BLA#98-58 PTN NE SE SURVEY 32/67
PLEASE INITIAL ALL CONDITIONS,SIGN,
PROJECT DESCRIPTION: DIRECTIONS TO SITE: DATE AND EITHER FAX TO 360-427-7798
EXPAND RX WAITING ROOM/CONSULTING AREA SAFEWAY IN BELFAIR OR MAIL TO MASON COUNTY D.C.D.
PO BOX 186,SHELTON,WA 98584. ,
360-427-967O X352 C'V" -A&ayNe""t
General Information Construction&Occupancy Information
Type of Use: Insp.Area: No_of Units: Type of Constr.:
Type of Work: ALT Fire Dist.: 2 No.of Bathrooms: Occ.Group:
Valuation: $ 39,210.00 No.of Stories: Exit Design. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information -
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2011-00057 Please refer to the following pages for conditions of this permit. Page 1 of 4
1
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Floor Drain 1 Ventilation Fan 1 Plan Check Fee TIA/ 7/17/7n11 43r,9 7p ,Qi7niinn
Lavatories 1 IFC Plan Check Fee nm 7/17/7nl i 0176 zv S17niinn
Water Closets(Toilets) 1 EH Plan Review Tin/ 7/17/7011 �t1na nn si7nlinn
Building State Fee I Ain/ R/dnnli as Rn si9niinn
Mechanical Permit Fee I Aw R/d/7011 to nn S17ni inn
Mechanical Base Fee I AW R/Q/7011 s7R Fn Si9niinn
Plumbing Permit Fee I Av</ R/a/7ni 1 S76 in R17011nn
Plumbing Base Fee I AIN R/a/7n11 AM7n S19n11nn
PLEASE INITIAL ALL CONDITIONS, SIGN, Building Permit Fee TIN R/1R/7n11 T.Fdd 7,9; C17nlinn
DATE AND EITHER FAX TO 360-427-7798 Total $1,269.73
OR MAIL TO MASON COUNTY D.C.D,
PO BOX 186, SHELTON,WA 98584. CASE NOTES FOR
360-427-9670 X352 o COM2011-00057
CONDITIONS FOR
COM2011-00057
1) The remodel will a Ire the exisitng fire sprinkler and alarm systems to be modified.A separate permit application will need to be submitted and
approved prior work being done.
X
2) Contractor r s ration laws are go med under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. Th are potential 's d monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-098 person signing this condition Is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
3) All approved plans areVued to be on-site for inspection purposes. If inspection is called for and plans are not on site,Approval WILL NOT be
granted. In addition, a spection fee, based on the current fee schedule, minimum one-hour will be chi nd collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X `
4) Owner/Agent is re p si le to post the assigned address and/or purchase and post private road sign in accordance with Mason County Title
14.28.
X
5) ALL CONSTRU TI N MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIR ENTS AND
OCCUPANCY I LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE CUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
6) Changes to approved building plans that affect compliance to the current Washington State Energy Code(WS ), ventilationrequirements),
Building/Plumbi fg/lie hanica[Codes and/or Mason County Regulations shall be approved prior to construction.
X
V
COM2011-00057 Page 2 of 4
7) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance wit th 'nternational codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County Inspector shall be made prior to requesting additional inspections.
X
8) All building r ' s shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration.The
failure to req ew�inn pection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliant County ordinances and building regulations.
X
9) All permits ex i 180 days after permit issuance, or 180 days after the last inspection activity is performed. The'Building Official may extend the
time for action or peri of exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit hol r h revented action from being taken. No more than one extension may be granted.
X
This permit becomes n I and id if work or constructio uthor ed Is not commenced within 180 days,or if construction or work Is suspended for a period of 180 days at any
tirne after work is com nced. Evid rice of continuati of w is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of ork is by ans a pro ess Inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason ounty s to a ab a described property and structure for review and inspection.
OWNER OR AGENT: DATE:
PLEASE INITIAL ALL CONDITIONS, SIGN,
DATE AND EITHER FAX TO 360-427-7798
OR MAIL TO MASON HELTON,WA 98584D
PO BOX 186,S
360-427-967O X352 OYr -
COM2011-00057 Page 3 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Floor Drain 1 Ventilation Fan 1 Plan Check Fee nAr 7/19nnii .0r,77Q ci?niinn
Lavatories 1 iFC Plan Check Fee T1Ar 711719n11 t17R'1Q Si,2ni inn
Water Closets(Toilets) 1 EH Plan Review TIA/ 7/1?nn11 ItIAI nn Si9niinn
Building State Fee I Atnr Arennl1 xA sn Si9niinn
Mechanical Permit Fee I AVV A/A/9n11 AQ nn Si9oiion
Mechanical Base Fee I AIAr AIA19011 _"R Sn Signiinn
Plumbing Permit Fee I A%A1 A/d/9ni1 a9F in gi,niinn
Plumbing Base Fee I A1Ar Ardnni 1 1;')d 71) S1?niinn
PLEASE INITIAL ALL CONDITIONS, SIGN, Building Permit Fee Ttnr AMA/9ni 1 4V;AA 7.r, C17ni inn
DATE AND EITHER FAX TO 360-427-7798 Total $1,269.73
OR MAIL TO MASON COUNTY D.C.D,
PO BOX 186, SHELTON,WA 98584. CASE NOTES FOR
360-427-9670X352 0 COM2011-00057
CONDITIONS FOR
COM2011-00057
1) The remodel willeeg4ire the exisitng fire sprinkler and alarm systems to be modified.A separate permit application will need to be submitted and
approved prior ork being done.
X
2) Contractor r s ration laws are go med under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. Th e are potential 's d monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-098 . person signing this condition Is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
3) All approved plans are e Ned to be on-site for inspection purposes. If inspection is called for and plans are not on site,Approval WILL NOT be
granted. In addition, a r inspection fee, based on the current fee schedule, minimum one-hour will be ch nd collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X `
4) Owner/Agent is re po si le to post the assigned address and/or purchase and post private road sign in accordance with Mason County Title
14.28.
X '
5) ALL CONSTRU TI N MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIRW ENTS AND
OCCUPANCY 19 LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE CCUPANCY WOULD
RESULT iN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
6) Changes to approved building plans that affect compliance to the current Washington State Energy Code(WS ), ventilationrequirements),
Building/Plumbihanica[Codes and/or Mason County Regulations shall be approved prior to construction.
X
COM2011-00067 Page 2 of 4
MASON COUNTY,WA 8/18/2011
Building Department 12:40:35PM
Environmental Health Department
Planning Department
IP,$
Permit status and inspection results can now be checked on the web -www.co.mason.wa.us/permits
Building Dept. inspections requests can be made via the web -www.co.mason.wa.us/community_dev
Receipt #: S12O11O0O0O0O0O01511
Date: 08/18/2011
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
COM2011-00057 Plan Check Fee 001.125.140.345.83.00.0000 352.79
COM2011-00057 IFC Plan Check Fee 001.125.140.345.83.00.0030 176.39
COM20 1 1-00057 EH Plan Review 150.300.000.346.50.54.0000 103.00
COM2011-00057 Building State Fee 650.170.010.386.00.05.0000 4.50
COM2011-00057 Mechanical Permit Fee 001.125.140.322.10.00.0000 9.00
COM20 1 1-00057 Mechanical Base Fee 001.125.140.322.10.00.0000 28.50
COM2011-00057 Plumbing Permit Fee 001.125.140.322.10.00.0000 26.10
COM2011-00057 Plumbing Base Fee 001.125.140.322.10.00.0000 24.70
COM2011-00057 Building Permit Fee 001.125.140.322.10.00.0000 544.75
-----------------------------------------------------------------
PRIMARY APPLICANT FOR COM2011-00057: SAFEWAY#1571
Line Item Total: $1,269.73
Payments:
Method Payer Bank No Account No/Check No Confirm No How Received Amount Paid
Check IN STORE SERVICES INC key bank 64196 By Mail 1,269.73
Payment Total: $1,269.73
Page 1 of l cReceipt.pt
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
Shelton, WA 98584
i
COMMERCIAL BUILDING PERMIT COM2011-00057
OWNER: SAFEWAY#1571 RECEIVED: 7/12/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 8/18/2011
SITE ADDRESS: 23961 NE STATE ROUTE 3 SUITE A BELFAIR EXPIRES: 2/18/2012
PARCEL NUMBER: 123294100010
LEGAL DESCRIPTION: PCL 3 OF BLA#98-58 PTN NE SE SURVEY 32/67
PLEASE INITIAL ALL CONDITIONS,SIGN,
PROJECT DESCRIPTION: DIRECTIONS TO SITE: DATE AND EITHER FAX TO 360-427-7798
EXPAND RX WAITING ROOM/CONSULTING AREA SAFEWAY IN BELFAIR OR MAIL TO MASON COUNTY D.C.D.
PO BOX 186,SHELTON,WA 98584. ,
360-427-967O X352
General Information Construction&Occupancy Information
Type of Use: Insp.Area: No.of Units: Type of Constr.:
Type of Work: ALT Fire Dist.: 2 No.of Bathrooms: Occ.Group:
Valuation: $ 39,210.00 No.of Stories: Exit Design.Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2011-00057 Please refer to the following pages for conditions of this permit. Page 1 of 4
7) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance wi th 'nternatlonal codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County Inspector shall be made prior to requesting additional inspections.
X
8) All building r ' s shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration.The
failure to req est a in n pection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliant wi County ordinances and building regulations.
X
9) All permits ex 1 180 days after permit issuance, or 1 BO days after the last inspection activity is performed. The'Building Official may extend the
time for action or peri of exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit hol r h revented action from being taken. No more than one extension may be granted.
X
This permit becomes n I and Vold if work or constructlo uthor ed is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any
time after work is com nced. Evid nce of continuati of w is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied.Proof of continuation of ork is by ans a pro ess inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate
and grants employees of Mason ounty s to a ab a described property and structure for review and inspection.
OWNER OR AGENT: DATE:
PLEASE INITIAL ALL CONDITIONS, SIGN,
DATE AND EITHER FAX TO 360-427-7798
OR MAIL TO MASON COUNTY D.C.D,
PO BOX 186,SHELTON,0 99855884. .
360-427-967O X35 o
COM2011-00057 Page 3 of 4
` S 7
Building Permit # I�- MASON COUNTY '
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 2:3
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
fund: Items Listed below must be corrected to gain code compliance
-
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department �—✓
Date G Inspector
c '
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O �
D'
N +CONCRETE MECHANICAL MANUFACTURED HOME -n
Footinqs ISetbacks Date By Ribbons
Gas Piping
o Interior Date By interior-Date gy, Date By, D
o
v Exterw Date By Exterior-Date By
Se!-
up
INSULATION
Point Load I Isolated Footings Date By to
BG I SLAB INSULATION 4
Date By Data By FIRE DEPARTMENT j
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING walls Date By
Dale By i �i Data By PROPANE TANKS
PLUMBING Vault Date ay
Ground rk i1,Jy` �" Attic By OTHER
Type.
Date — Z/./' _ By .1 Date By Date By
D.W.V DRYWALL Type 0
Int.Brace Wan Date By O
21 By/
Date VDate By ic
FINAL INSPECTION N
CDWater Lana i Fire Soperation
Date I3y 14Date By Date By O
CD
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments y
J i I► .1 -
CT
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