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CITY OF CUPERTINO+s.:t.,
DIVISION PERM
CONTRACTOR INFORMATION ��.
BUILDING
er ^:�*�.°n.Si `�4?"PERMIT
"RI V�WR sEINBOW DR
ALLSTAR PLUMBING
NO..
08090191
OWNER'S NAME:
PERNIMISUEDAE -
GAYLA ALTHOFF
326 PHELAN AVE
09/29/2008
WN E
(408) 230-5569
SANITARY NO. CONTROL NO.
ARCHIECDENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
9
Job Description
1 hereby shim Nat 1 are focused under provisions of chapter (commencing
with Section 70M) of Division Softie Business and Professmos Code.and my license is
GAS PRESSURE TEST
in full fora and cmm L'
License Class Lk. R
�
Dab rA�' LMS / r X. Gamamw
ARFHITECI'S DECLARATION
1 undersuu my plans shall he used as public meet&
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby aflim that 1 am exempt from the Consacmrs License Law for the
rollowing mason. (Section ]031.5. Business and Pmfessiom Cmc: Any city or aunty
! which requires a permit in moonstruck slim. improve, dental W, or repair any structure
! prior to is Wuana,alw requites the applicant for such permit in rile a signed statement
Wt he is limmcd purwanuo the provisions of due Comam«S License Law (Chapter 9
Sq. Ft. Floor Area Valuation
ing ] or the Budnusand Code) Or
1200
busidson3
muswiNSemim
on. Any
1 that he k exempt therefrom and the bus for sire alleged exemption. Any
than a is and the Pladan of
36230020: Number
Occupancy Type
P Y YP
to it
Schon ]051.5m airy, applicant f« • permit subjects the appOcwt b a ciWl penally of
not mart than five hundred dollars 015001
I, u owner arthe property. «my eroployees wash "gnu the'v sek compewdon,
will do Ne work and the structure Ice not intended or offered for sale (Sm. 7044. Business
Required Inspections
au Prefestiuv Cede: The Commmors License Law don Out apply an an owner of
_
ptapeny who Wilds«improvnthuwn,cede whodonurhwerkhimulr«Wongh his
awn employees, provided Nat such improvements are not intended oroffured f«u1e If.
_
hmmvur, the building «Improveme« Iswld within arc Year of completion. the owner,
holder will now the burden of proving that M did not Wild or improve for purpose of
ask.).
O 1. as owner of the property am eaciutively contracting with flamed anoanon in
com mtct the project (Sec. 7044, Business and Protections Cade:) The Comuacbrs U-
.
sue law does not apply in an owns of property who builds or impmm Merton. and.
who contracts for such Projects, with a consaaartU licensed pursuant to the Contractors
License Law.
❑ I am exempt under See , B h P C for this muan
Owner Das
WORKER'S COMPENSATION DECLARATION
1 hereby alum under pematty of perjury, One of the following declvuiom,
1 have and will maintain •Ce dficae of Covent in self-imum f«Workers Corniest.
sation.0 pmvidu f« by Section 3]00 of de LAbnr Code. far me perform. of the
which this permit is ins«d.
`work�iar
V I have and will maintain WnAces compenutiao Insurma. as required by Section
3-/110 of the labor Code, for the performance of the work f«which this pi mti(is issued
MY Workers Compevamet marmanee carrier and Policy number am: l�
Carrico 7l�iIb PolicyNo.nlnk�
V l
CERTIFICATE OF EKEMPION FROM W RKERS'
COMPENSATION INSURANCE
.
Inti+section need Out be completed if the permit isform chuMmd dollars (SIM)
or less.)
I cent that in the performance of de work for which this permit is issued. I shall me
employ any person in any manner an u In Myoma subject to the Workers' Compeuadon
Lam of California Dae
Applicant
NOTICE TO APPLICANT. If. after making this Cenifle a of Eamption, you should
became iubica in the Wa can's L'ompmear ion previLOm of dm Labor Cade you mon
forthwith comply with such Moslem or this permit shall M dcemcd revoked.
CONSI'RUCION LENDING AGENCY
1 herebY aRrm thal there i a.ouhucmm lending apency fnr the performance of
the work for whim the permit Or Ls«d (Sec. 309], Civ, C.)
Lenders Nam:
Iendara Adders
1 certify that I have tend this appfiwion andmace then the above information is
comcL 1 aIIa m comply with all city aid county ordinances and scale lava relating in
Wilding construction. and hereby wthorm reprnattatires of then city to mt«upon 0e
(Wr) Ric b ave, indemnify and kap hornless the City of Cupertino against
Tum upcvnwhkhmryin any way accrue agaivlsaid City
in of Lh.'S.dnd
in conn race of the'ironun[a(this permit.
APPLI NT UNDERSTANDS AND WILL COMPLY WITH ALL NO-taOBff
SOURC REGUL - Sy ey
�`[Jr\/�t/((/w['/////Jnr.
Issued by: Date
Re -roofs
Signature o(A licarruContraclor Dale
HAZARDOUS MATERIALS LOSURE
Type of Roof
Will apCupertor Cge. P-1 amhandleh
noMuni Municipal Chaptuortom
u defined the Cupertino Municipal Cade. Chapter 9.13. and the HcaiN and Safety
mildousmeteety
Code. p ns zs53xfa)+ p,�
All roofs shall be inspected prior to any roofing material being installed.
Will applicant in future con equipment oo devices
If a roof is installed without first obtainingan inspection, I agree to remove
P g
us dclined by me D Qu Management
Districtl Nexus air contaminants u defined by the Bay Am Air Quality Manepcment
all new materials for inspection.
❑Yes-
Ih u rChaplcr6.95oftenCallor -
naHul e
/ ubndne^rtiufYndththe uaaifvthpewbtu
idnegy55
5mus'lmiryI
oilfd
don mcu.Fghave a l'my
require hishmmhueno'W'u
wf Ccnifcab of Occepamy.
Signature of Applicant Date
All roof coverings to be Class 'W or better
owns fauthommdagent .Dam
• 3 ITEMS OF 3
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ......... 36230020.00
DATE ISSUED.......: 09/29/2008
RECEIPT #.........: BS000006225
REFERENCE ID # 08090191
SITE ADDRESS .....: 7553 RAINBOW DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
METHOD OF PAYMENT
-----------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
-----------
82.08
---------------
82.08
VOICE ID DESCRIPTION
-------- ----------------------------
301 ROUGH PLUMBING
•
REFERENCE NUMBER
-----------
VISA
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
OWNER ............:
GAYLA ALTHOFF
ADDRESS ..........:
7553 RAINBOW DR
CITY/STATE/ZIP ...:
CUPERTINO, CA 95014
RECEIVED FROM ....:
JOHN GERLETTI
CONTRACTOR .......:
DUARTE TADEV LIC # 22189
COMPANY ..........:
ALLSTAR PLUMBING
ADDRESS ..........:
326 PHELAN AVE
CITY/STATE/ZIP ...:
SAN JOSE, CA 95122
TELEPHONE ........:
(408) 230-5569
•
FEE ID
----------
UNIT QUANTITY
-------------
AMOUNT PD -TO -DT THIS
REC
NEW BAL
1BSEISMICR
----------
VALUATION 1,200.00
------------------------------
0.50 0.00
0.50
----------
0.00
1PPERMITFE
FLAT RATE 1.00
40.79 0.00
40.79
0.00
1TRAVDOC
FLAT RATE 1.00
40.79 0.00
----------
40.79
0.00
TOTAL PERMIT
---------- ----------
82.08 1 0.00
82.08
----------
0.00
METHOD OF PAYMENT
-----------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
-----------
82.08
---------------
82.08
VOICE ID DESCRIPTION
-------- ----------------------------
301 ROUGH PLUMBING
•
REFERENCE NUMBER
-----------
VISA
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
lm
r..-.
Cm"
. CUPEkTINO
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
PERMIT APPLICATION FORM
o �cv D/ 9�
APN #
� DD
Fee ID
Date:
9 z q -meg
Building Address:
--
15S3, ,N �
Permit Type
Owner's Name,.,,,,(
1PCSEWER
Phone #:
sg�?- - 3112 -
Contractor:
1CPSS
Phone #: qD& a--&-(.0oL1v
�F1L�ST:a (� �tvh-�3SNC�
Commercial re -pipe per fixture
P
1CPRP
Fax #:
Contact:
P
Phone #: ' q D8 - - 7 1
sr, �► c-1 GK ETT -
IBSEI3MICOM
Seismic Commercial
p
Fax #:
Contractor License #: 015 3CP
Seismic Residential
Cupertino Business License #:
Job Description:
1PRSEWER
GqS-�feSs�s�e✓ -�-C3i
P
esidential Commercial
❑
Valuation:
00 —
Project Size: Express Standard B Large LJ Major ❑
.
Green Building: Please complete relevant portion of the Green Building Checklist & attach Tt to the
application or if applicable, include in plan set & the sheet index.
Green Building Points:
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1PCSEWER
Commercial building
sewer/sanitary sewer
P
1CPSS
1BPREPIPE
Commercial re -pipe per fixture
P
1CPRP
1PGASCOM .
Commercial Gas Piping System
1-4 Outlets
P
IBSEI3MICOM
Seismic Commercial
p
1BSEISMICR
Seismic Residential
P
1PRSEWER
Residential building
sewer/sanitary sewer
P
1RPSS
CITY OF CUPERTINO
fa` REPIPE/SEWER/MAIN SERVICE
CUPEkTINO FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
IPRREPIPE
Residential re -pipe per fixture
P
1RPRP
1BPWSVCS
Water Service
P
1CPWS or
1RPWS
1PPRSEWG
Private Sewage Disposal System
P
1PCESS
Cesspool
P
1BPWATER
Install/alter Water Pipe
P
1BPFIXTURE
Plumbing Fixture
P
1PGASRES
Residential Gas Piping System
1-4 Outlets
P
1BPGAS
Gas Piping System 5+ Outlets
P
/
1PPERMITFEE
Plumbing Permit Fee Issuance
P
IPLMBLNCK
Plumbing Plan Check
P
1PLMBINSP
Other Plumbing/gas Insp.
P
ITRAVDOC
Travel & Documentation Fee
B
1BUSLIC
Business License
B
Revised 6-16-08
.•
•
Plan Review Process Work Book Page -12-Revised 3/25/08
Green Building Plan Check
Index of Green Building
Points/Categories
A.
Category
Example of an Index or Table of Green
Plan Sheet or Page
Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
B.
Site
9.
_
Install H.E. Irrigation, (details/spec)'
y
L-1
2 points
11.
Permeable Paving, Note
L-1
2 points
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
5 points
D.
Structural
3.
Uses Wood I-Joist, (See Spec.)
S-2
2 points
5.
Use Truss with heels, (detail)
S-2
2 points
6.
B. OSB Sheathing, detail
S-2
2 points
E.
Ext. Finish
1.
Composite Decking, (Note/Spec.)
A-3
2 points
4.
B. Fiber Cement Siding, (Note/Spec.
A-4
2 points
F.
Plumbing
1.
Insulate all H.W. pipes, (Note/Spec.)
P-1
2 points
5.
Tankless W.H., (Note/Spec.)
A-2
2 points
11.
A 2500 Gal. Tank, (Note/Spec
L-1
10 points
G.
Electrical
4.
E. Ceiling Fans, (Note/Spec.)
A-3
4 points
H.
Appliances
1.
Energy Star Dishwasher, (Note/Spec.)
A-3
1 point
3.
Energy Star Refrigerator, (Note/Spec.
A-3
1 point
P.
Other
1.
List Green Features on Plans
A-1
1 point
TIVAMIMMM
TOTAL POINTS
40 points
•
Plan Review Process Work Book Page -12-Revised 3/25/08
Green Points Rating System for Remodeling Projects
Due to the diversity of remodeling project types, assigning a'total points' value to a project to be considered environmentally friendly is
• not feasible. However, 25 measures have been highlighted to signify that every effort should be made to incorporate them into your
projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with
ease of implementation and relative low cost. These measures can be used as a starting point for "greening' your project.
A. Site INPUT Res=ces Energy IAQ/Health
1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; BO%= 4 points up to 4 Resource pts 0
2. Salvage Reusable Building Materials _ J 4 Resource pts y=yes 0
3. Remodel for Mixed Use, Adaptive Reuse, and
Historic Preservation 4 Resource pts y --yes 0
4. Protect Native Soil 2 Resource pts y=yes 0
5. Minimize Disruption of Existing Plants & Trees 1 Resource pt y=yes 0
6. Implement Construction Site Stormwater Practices 2 Resource pts y=yes 0
7. Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
Design ResgurCe-Ef c em Landscapes and Ga dens __ _ I 4 Resource pts y=yes 0
9. Reuse Matedals/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes 0
10. Install High -Efficiency Irrigation Systems 2 Resource pts y=yes 0
11. Provide for On -Site Water Catchment / Retention 2 Resource pts y=yes p
B. Foundation
1. Incorporate Recycled Flyash in Concrete
• 25% Recycled Flyash = 2 points; Add 1 point for every 10%
increase of flyash, up to 5 points up to 5 Resource
2. Use Recycled Content Aggregate 2 Resource pts y=
3. Insulate Foundation/Slab before backfill 3 Energy pts y_
C. Structural Frame
--
r
r
r
rr
r
r
r
r
0
r
r
r
or
1. Substitute Solid Sawn Lumber with Engineered number
3 Resource pts
_
2. Use FSC Certified Wood for framing
y=ye
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource pt:
3. Use Wood I -Joists for Floors and Ceilings
2 Resource pts
y=ye
4. Use Web Floor Trusses
2 Resource pts
y=ye
5. Design Energy Heels on Trusses 6' or more
2 Energy pts
y=ye
6. Use Finger -Jointed Studs for Vertical Applications
2 Resource pts
y=ye
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=ye
8. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y=ye
9. Use Structural Insulated Panels (SIPS)
a. Floors
3 Energy pts
y -ye.
b. Wall
3 Energy pts
y=ye:
c. Roof
3 Energy pts
y=ye:
10. Apply Advanced Framing Techniques
4 Resource pts
y=ye:
11. Use Reclaimed Lumber for Non Structural Applications
r--12. -- - -- - —. - -
3 Resource pts
y=ye:
Use OSB" - -' -1
a. Subfloors 1 Resource of y=ye:
• It. Sheathing 1 Resource pt y=yes
- —
r
r
r
rr
r
r
r
r
0
r
r
r
or
0
.1. Use Sustainable Deeking Mateaals
a. Recycled content
b. FSC Certified Wood
2. Use Treated Wood That Does Not Contain Chromiurn/Arseno
13. Install House Wrap under Siding
14. Use Fiber -Cement Siding Materials
E. Plumbing
1. Install Water Heater Jacket
2. Insulate Hot and Cold Water Pipes
1. Install Energy S1arDishwasher
3. Retrofit all Faucets and Showerheads wth Flow Reducers
a. Faucets (1 point each, up to 2 points)
b. Showerheads (1 point each, up to 2 points)
2. Install Washing Machine with Water and Energy
4. Replace Toilest with Ultra -Low Flush Toilets
(1 point each, up to 3 points)
5. Install Chlorine Filter on Showerhead
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
6. Install On -Demand Hol Water Circulation Pump
r. ciectncai
1. Install Compaq Fluorescent Light Bulbs (CFLs)
(6 bulbs=2 points, 10 bulbs =3 points, 12 bulbs = 4 points)
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to
5 points)
3. Install Lighting Controls (1 point per fixture, up to 4 points)
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points)
3 Resource pts Y--yes0 •
3 Resource pts y=yes D
1 IAQ/Health pt y=yes D
1 IAQ/Health pt y=yes 0
1 Resource pt y yes 0
1 Energy pt y=yes
2 Energy pts y=yes
Up to 2 Resource pts.
Up to 2 Resource pts.
Up to 3 Resource pts.
1 IAQ/Health pt y --yes
4 Energy pts y=ye=.
Up to 4 IAQ/Health
4 Resource pts y:
Up to 4 Energy pts. D •
0
Up to 5 Energy pts.
Up to 4 Energy pts. 0
Up to 4 Energy
G. Appliances
1. Install Energy S1arDishwasher
-1 1 Energy pt
Y --yes
0
2. Install Washing Machine with Water and Energy
7
Conservation Features
1 Energy pt
y=yes
0
3.lnstall Energy Star Refrigerator
1 Energy pt
y=yes
0
4. Install Built -In Recycling Center
3 Resource pis
y=yes
C
1
1 1
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
2 Energy pts
y=yes
0
b. Ceilings
2 Energy pts
y=yes
0
2. Install Floor Insulation over Crawl Space
4 Energy pts
y=yes
0
3. Install RecycledLontenl, Fiberglass Insulation with
',
NoAdded Formaldehyde
31AQ/Health pts
y=yes
0
4. Use Advanced Infiltration Reduction Practices
2 Energy pts
y=yes
0
5. Use Cellulose Insulation
a. Walls
4 Resource pts
y=yes
0
b. Ceilings
4 Resource pts
y=yes
0
•
6. Alternative Insulation Products (Cotton, spray -foam)
a. Walls
4 Resource pts
y=yes
c
b. Cenings
4 Resource pts
y=yes
0
R: Install Encrgy-Efficient Windows- -
• a. Double -Paned 1 Energy pt y=yes
b. Low -Emissivity (Low -E) 2 Energy pts y=yes
c. Low. Cit
L ___ Conductivity Frames __ _ _ 2 Energy pts y=yes
2. Install Low Heat Transmission Glazing — 1 Energy of y=yes
J. Heating Ventilation and Air Conditioning
2 Energy pts
'1
r. Use Duct Mastic on All Duct Joints _ �j
R: Install Encrgy-Efficient Windows- -
• a. Double -Paned 1 Energy pt y=yes
b. Low -Emissivity (Low -E) 2 Energy pts y=yes
c. Low. Cit
L ___ Conductivity Frames __ _ _ 2 Energy pts y=yes
2. Install Low Heat Transmission Glazing — 1 Energy of y=yes
J. Heating Ventilation and Air Conditioning
2 Energy pts
y=yes
r. Use Duct Mastic on All Duct Joints _ �j
2 Energy pts
y=yes
2. Install Ductwork within Conditioned Space
3 Energy pts
y=yes
3. Vent Range Hood to the Outside
1 IAQ/Health pt
y=yes
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
y=yes
5. Install Solar Attic Fan
2 Energy pts
y=yes
6. Install Attic Ventilation Systems
1 Energy pt
y=yes
7. Install Whole House Fan
4 Energy pts
y=yes
8. Install Sealed Combustion Units
3 IAQ/Health cis
v=ves
a. Furnaces
3 IAQIHealth pts
y --yes
b. Water Heaters
3 IAQ/Health pts
y=yes
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
y=yes
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
y=yes
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
y=yes
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
13. Retrofit Wood Burning Fireplaces
4 Energy pts
y=yes
. a. Install EPA certified wood stoveslnserts
1 IAQ/Health pt
y=yes
b. Install/ReplaceDampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
4 IAQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health cis
v=ves
K. Renewable Energy and Roofing '
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=yes
2. Install Solar Water Heating System
10 Energy pts
y=yes
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts
y=yes
4, Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw = 18 points)
Up to 18 Energy pts
r----- - -. ..-
6. Select Safe and Durable Roofing Materials_
L.
1 Resource
__ _ _ _ _ _
7, Install Radiant Barrier
_—' pt
-
y=yes
3 Enerov Dts
v=ves
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
0
L. Use Low/No--VOC Paint 1 IAO/Health pts y --yes
2. Use Low VOC, Water -Based Wood Finishes 2 IAO/Health pts y=yes
3. Use LowMo VVOC Adhesives _ _ 3 IAQ/Health pts y=yes
4. Use Salvaged Materials for Interior Finishes 3 Resource pts y --yes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes
6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
17 Seal all Exposed Particleboard or MDF J _ 4 IAQMealth pts y --yes
B. Use FSC Certified Materials for Intedor Finish 4 Resource pts y=yes
9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes
10. Install Whole House Vacuum System 3 IAQ/Health pts y=yes
0
0
0
1. Select FSC Certified Wood Flooring
0
0
0
0
0
0
y=yes
2. Use Rapidly Renewable FlooringMaledalo _
_ J 4 Resource pts
y=yes
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y --yes
4. Install Natural Linoleum in Place of Vinyl
5 IAQMealth pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
0
N. Flooring
1. Select FSC Certified Wood Flooring
B Resource pts
y=yes
2. Use Rapidly Renewable FlooringMaledalo _
_ J 4 Resource pts
y=yes
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y --yes
4. Install Natural Linoleum in Place of Vinyl
5 IAQMealth pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
y --yes
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
y=yes
Total Points A 1 140 130 57
Total Points Project Received: 1 01 01 0
G:da W progsrgreenbuildngguidelines4emodelersJgmenpantsfmal21 ZNprotected.[Is
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