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20030658.pdfI DATE RECEIVED I PERMIT EXPIRES L CITY OF EDMONDS USELS ZON PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION SUITE/APT# JOB MCI ADDRESS '�9 OWNER BUSINE�SS I MF 0 "nfli PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE $ PC) �P*) 7ESCP Approved PU13LIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Requited CITY TELEPHONE Zip street Use Permit Reced EXISTING — PROPOSED inspection Required Sldew&lk Required REQUIRED DEDICATION— Fr UnderWound Wiring required 13 NAME I METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED A- YESD N 0 1:1 (3 z ADDRESS REMARKS I z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY 'ELEPHONE L44rq lkq�;W or AT NAME CBLN ru 1XIM 11 vixg 4& I A AL*Q vaco ADDRESS ENGINEERING REVIEWED BY ZI DATE 'go jqLff- P,�jL f)C= .2 FIRE REVIEWED BY DATE CITY TELEPHONE e4, t_ I�nza,pb-z I _r N_ rL — - - STATE LICENSE NUMBER EXPIRATION DATE CH E . VARIANCE*RcirRE hwn(WOMD MIMON No 01-sifit.-c I fSs 2x- P 0 STRIVT TO E N9k.E_._TED PROPERTY TAX ACCOUNT PARCELr.M0.________-r SEPA EV AREA FMI COMPLET 13 D PJOWED ROPOSED Qgo�j : IN EXP 13 NEW RESIDENTIAL PLUMBING MECH LOT Q ED SETBACKS (Fr.) KS (Fr.) PROPOS ALLOWED PR %WW8"E REAR ADDITION COMMERCIAL COMPLIANCE OR 0 OM OVIDE IB WITH AVB it; N LLED I 2 CHANGE OF USE 0 1O&TR ; REMODEL MULTIFAMILY SIGN REQ`D 99ow.ftm 0M PROW]; 06 REPAIR GRADING FENCE Dmwm ()-- TNCBB= - CYDS ( X Fn KI IST ON BACK DEMOLISH TANK _ _ OTHER op J013 CAM Otto GARAGE RETAINING WALL FIRE SPRINKLER ITFIREALARM CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACT 'M. sw ton. CHECKED BY TYPE O� OCCUPANT/ PA q GRO 20 ] NUMBER ER OF CRITICAL OF LLING AREAS SPECIAL INSPECTION OCCUPANT STORIES NUMBER 10EA REQUIRED LOAD YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D LAAr va, I VALUATION ll�w X& I- 11�� $ L C4anv& _Y06rf Description FEE '88 FEE V Plan Check rDescription State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit / lz4, %_f -00, City S City Surcharge PLAN CHECK NO: VESTED DATE Plumbing THIS PERMIT AUTHORGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical I= BE DONE ON PRIVATE PROPERTY ONL% ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN Grading 3 fCURBS. SIDEWALKSo DRIVEWAYS, MARQUEES, ETC.1 WIU. REQUIRE li:_ SEPARATE PERMISSION. 2 Engr. Review 5 PERMI'll'APPILICATIOW ISO DAYS 06 PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due I NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* — . Recording Fee Receipt # &242: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF 1 APPL ' ICATION AP ROVAI THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Is applic tion Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Blf11�01fi?cor his/her Deputy: and Fees are paid, and :P IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION el !AafknovvIodgj0 in space PrWldod. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. IC S I NA RE" 81 RE (OWNER OR AGENT]I DATE SPNED "�l (4425) YjDATE 1 771-0220 Y ELE ED Y DAfE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z T (:Zi-D ASBESTO-TEST9 INC. ASBESTOS SURVEY 8528 Main St., Edmonds, WA 98020 Page I of 5 TM231009 October 10, 2003 Sundquist Homes P.O. Box 958 Lynnwood, WA 98036 Attn: Manson Kerner Ph: 425-775-8663 x115 Fax: 425-778-0822 BffRODUCTION On October 6, 2003, Asbesto-Test personnel conducted an Asbestos survey (per U.&LPAJAJIX.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Wash' i State) offle house & aLage 8528 Main St. Ednionik Sn mg. on Countp Waskington 9 fy any Asbestos Containing L02 Tlis survey purpose is to identi Materials that may be present and will require professional rariovalprior to denwiltion. NA RRA TI _VE OF FRO BASIC CONSTRUCTION: The house is one story wood frame. The exterior siding is wood. The roofing is composition. The wood siding vapor barrier and composition roofing materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywall and wood. The drywall/taping matcrials were sampled. Vinyl and tile flooring materials with relating backings and mastics were sampled per each located homogenous area. The formica mastics were sampled from the kitchen & laundry room. The floors are mostly wood throughout. ELECTRICAL SYSTEM: The electrical wiring insulation is not of the kind to be ACM and was not sampled. Any additional suspect electrical wiring insulation or any suspect T91 (7hermal System Insulation)found in, around, or behind any locatedfuse or breaker boxes should be considered to beACW (Asbestos Containing Material), unless determined otherwise by laborato?y analysis. CONrINVE 70 PAGE 2 1429 Ave. D. PKB N187, Sizabomish, WA 99290 ph: 206-914-SSDO fn: 360-563-2469 pCe: 206-540-2401 J, M. Odober 10, 2003 Page 2 of S J70231009 Asbesto-Test, Inc. (206) 914-5500 8528 Main St EdmOnds Snohomish County Washington 98020 ATTIC/WALL INSULATION: There was no visible suspect ACM located. heat in HEATING AND VENTILATION SYSTEM: There baseboard/wall electric house. There vvas no visible suspect ACM located associated with the heating units. Note., It Was A L late to aisman F; 0"gorls Uri notposs susvect ACM inside the units, or associated in hidden areas. It which may be concealed is our opinion anyfialher handling ofthe heating units should be coordinated by the project manager andlor abatement contractor. If any additional relating suspect 0) materials are locatedprior to andlor during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos laboratory analysis. There Containing Material), unless determined to be otherwise by was no suspect ACM visually located associated witb the fireplace system. Misc.: The window glazing was sampled. ADDITIONAL STRUCTUIM ON SITE INCLUDED IN SURVEY: The garage is adjacent to the house. The composition roofing, window glazing and wood siding vapor barrier materials were sampled. There was no additional relating suspect ACM located. The structure is all wood on concrete. # of s&uctures included in surM: one house A one garage RequWed by.- Manson Kerner ArLynn Hanmnd, B.Sc. Inspector, certified A.H.E.1;LA. accredICLAY 5327 (Ezpires S/ 12/04) A-F continue to Pue 3 '�A tJv&*.Tn Pn TY son r� -1 A- Page 3 of S 170231009 Ociober 10, 2003 Asbesto-Test, Ine- (206) 914-5SOO 8528 Main St., Edmonds, Snohomish County Washineton 9802 Any and all materials identified as ACM or PACM in this report (and/or additional materials associated with the structure that may be discovered and later Identified as ACM or PACM), must be professionally abated prior to demolition. ASSESSWNT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND/OR PRICING FOR REMOVAL SHOULD BE DETERMRMD BY ON SITE EVALUATION, AS LISTED QUANTITIES ARE NOT GUARANTEED AND ARE AN APPROXMA11ON ONLY. VMPLES#143 ARE ASBESMCONTAININGMWERIA" ewept the masYla as lkfed ANALYSIS ED ASBESTIOWITYPE//OUAI�MTY OTHER MATERIAL 1.0) FLOOR TILE yes H chry3otile 9 2-5% non -fibrous materials front entry -color. burgundy ACM T1LE IS NON-FRIAYJLE APPROX 20 SQ. Fr. ON NON -ACM SHEET VINYL 1.1) MASTIC NAD adhcsiye� celhilose; 2.0) FLOOR TILE yes // chrysotile // 2.5% non -fibrous materials laundry room surface -color. white rock pattern ACM TILE IS NON-FRUBLE APPROX. S5 SQ. Fr. ON NON -ACM SHEET VINYL 2.1) MASTIC NAD adhesive, cellulose 3.0) FLOOR TILE yes // chrysotile # 2-5% non -fibrous materials kitchen surface -color: off white ACM TILE IS NON -FRIABLE AppROX 110 SQ. Fr. ON NON -ACM LINOLEUM 3.1) MASTIC NAD adhesive, cellulose NOTE: Any additional colors or Iduds of floor tile and/or mastics backings that were not discovered in this survey and may later be located in this structure are also presumed to contain asbestos unless tested otherwise by laboratory analysis THERE WAS NO ASBESTOS DETECTED W ANY OF THE REMArMG SAMPLES 4.0) drywall NAD non-fibTous materials cellulose, fiberglass, paiM (gypsum) 4.1) drywall taping compounds NAD non -fibrous materials, SAMPLED PER AHERA PROTOCOL cellulose, fiberglass 4.2) surface paint (homogenous throughout) NAD pai4 cellulose A-T - continue to page 4 W .4&.j.:Tn on ry -ion A �0_ V I z A J .4, page 4 of 5 VW231009 October 10, 2003 Asbesto-Test, Inc. (206) 914-5500 ,g5j&A,rain St., s. Sh9honish CEO& washinmon 98020 Edntond ASBESTOS/IT ?E//OU—ANTrIY OMR MATERIAL ANALYSIS 11D — NAD non -fibrous materials 5.0) sheet vinyl H001ing ceUulose front entry 2na layer -color: cream NAD adhesive 5.1) mastic 6.0) sheetvinYl C100ring - laundry 2" layer -color: tan 6.1) mode 6.2) linoleum flooring laundry bottom layer -color: off white 6.3) mastletbaeldug 7.0) linoleum flooring IdtChen bottom layer-c.olor: tan 7.1) mastletbacking NAD non -fibrous materials cellulose NAD adhesive NAD non -fibrous materials. cellulose, lar NAD adhesive, cellulose, tar NAD non -fibrous materials, cellulosej tar NAD adhesive, cellulose, tar .0) forwa:a Mastic NAD laundry countertops 9.0) window glazing NAD house 9-1) window gWing NAD garage jo.0) composition roofing NAD & underlying materials -house 10.1) composition roofing NAD & underlying materials -garage t I 11.0) wood sMing vapor barrier NAD material beneath wood siding exterior -house 11.1) wood siding vapor barrier NAD materW beneath wood siding exterior -garage r. - A M A- cellulose, adhesive non -fibrous materials, cellulose non -fibrous materials, cellulose cellulose, tar, fiberglass, non -fibrous materials cellulose, tar, fiberglass, non -fibrous materials cellulose, tar collulosc6 tar A-T continue to Page 5 U le sampyngs and analysis of listed maybe a representative analysis of individual and sep ra homogenous materials, as prescribed by A.H.F.&A protocol. fasbcstos is detected, those samples containing asbestos Samples taken are listed with their corresponding analyses. I are listadfirst and noted with the Initials if, during demolition or renovation, any additional hidden or covered s aspect materials similar to those identified In n ex or jileflooring, wall or ceill 9 1 turings the survey am located /may Inc tude but not limited to: sheet viny1flooring. electrical cloth, electrical wiring Insulation, 7g, cement pipes. cement wallboard. paints. concrete siding or skirth ackling compounck or any other suspect TSI wallboard, juint G ompounds, vinyl wall coverings, sp be thermalpaper, Is unless determined to non - (Thermal System Insulation)], they should be treated as Asbestos Containing Materia asbestos by laboratory analysis a ti its of ACM, which MY be listed with Note: Asbesto-Test, Inc. does not gitgrantee apprwtimations or qu n tj be ob ned by cs and/or d isposal quot c3 tal the analyses. it is therefore recommended professional abatement prl ofspeciflcACM material (i.e. SqU21reor Un ear foot, etc.), or by an site Messmeut r intlairin:1stofeape am& nuderials Jden1#7ed as A CM in this report must be abated prior to A Of disturban cr, renovallom or Any and all fwlonally abded by a licensed asbalos abatentEnt *jnW&lm All matedaft Identyled at AMMUS1 bepro conftdor prior (a any dis, turbanca .62.0 S3 App. I WAC 296 77 anaMical w method: USEPA 600/R93/1160$ (PLM), - ACM 2lgidfles "Asbestos Containing Material* pACM sipirm"pmnudA&bedmContiininsMater4l" C&S slpffies"Concrele Asbestos lure -C signifiez "I*" thw TSI signifies'Mm"I SYsltm Insul2li0yr HVAC sisniaa"nutingVutUtingAir-Conditionine 4 NAD signifies"No, Asbestos DeledW un in bulk sampIcs. osompamentigibeUSEPArtotgatorYtimh forasbest his been known to miss asbestos In =211 petcentages ofsomic samples. wh'ch contain asbestos. thus negative PLM results cannot bo PLM -M. to insurc ansvocal accumq when reported in small petcentages. guaranteed, Floor tiles and vApes should be tested with SEM or T13 'Wity for sample content only. Asbesto-TW , Inc. claims responsi END oFxEmxr 02. OE 'No 5) 390 APPROX. D murnON CALCULAMON HOUSE: 750 SF GARAGE: 400 SF SCAM FOLLOW PRE —DEMOLITION PROCEDURES PER CITY OF �O 40 EDMONDS HANDOUT 8528 MAIN STREET Lovell—Sauerland & Associates, Inc. DEMOUTION PERMIT PLOT PLAN ft&omAwnwvlm�AmbPmmnt cm� M"RONA COVE PRD 02-171 = a iffimmoA lU OM o 06)775-INI * (M)NO-OW ICITY OF EDMONDS WASHINGTON FtLERAWt 44N\DWG\DE"0 UPDATED 08/19/03 LSA JOB NO. 4486 I FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE ENGINEERING DIVISION DATE_jMibW z PLANNING DIVISION DATE.� m -PROJE&i., -rE ADDRESS sr C m PERMIT #A92-0 ---- ADB#_______-PATE INSPECTED 0 -0i 0C m I MON OF WORK TO BE INSPECTED m 10 kfieldlas cti as conducted to determine final Compliance with approved plans. Fin al approval, pe onw a of_ the, se. z r --I x Aenotes that there are no . 0 bjections' - from the above signed Department to rele * C) -n ��,PERFO___LAN a BOND&and gr nting of: RIM' the CE_ M m GRAN T FINAL PROJECT APPROVAL OM C (a C V) M 0 Zr GRANT PROJECTAPPROVAL WITH CONDITIONS NOTED. Q Copy of CONDITIONS given to owner/contracto r by inspector z z FAILED FINAL INSPECTION - OUTSTANDING ISSUES, 0 C of CORRECTION NOTICE given to owner/contractor by inspector Q 01py m 3. RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:fonnsIO/OI I ATE RECEIVED LP ERMIT EXPI RES CITY OF EDMONDS USE PERMIT ZONtS' C� '7 Oo 3 - C) GSS NUMBER CONSTRUCTI . ON PERMIT APPLICATION JOB __3T SUTTVAPT# ADDRESS V1 OWNER NAME/NAME OF BUSINESS y � t U. �) L\ C) I,A\q PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. M MAILING ADDR.ESS _7 LID FEE $ C) L TESCP Apl= PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW pernlit Street Use Permit RoWd CITY ZIP TELEPHONE EXISTING — PROPOSED Inspection Required Sidworalk Required Lt,,vvmxu,� 7--) k- Lt/) ) REQUIRED DEDICATION— FT Underground wmgrq 13 NAME T ME -TER BIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES13 No [3 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSICN-CONTROLIDRAINAGE CITY ZIP TELEPHONE WAtl 104&.11 of AT ses. NAME _,p., CBL__ I I;w r:L C' --& ADDRESS ENGINEERING REVIEWED BY DATE 2 FIRE REVIEWED BY DATE W ITY ZIP TELEPHONE wcp 9 q, pe:� i VARIANC EORCU SHORELINE ORADBV INSPECTION NOND STATE LJCMSE NUMBER EXPIRATION DATE, C REQ'D PITED 0YEs 13NO — It A I I It % I &!,- L-%-- I I I V PROPERTY TAX ACCOUNT PARCEL NO. -if t_i - i I 4tin;' IdE SEPA EVI COMPLETE EX T till, ARIA OW P ED r1clu ALLOWED ROPOSED =a:� 12 EXP 0 NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT LJRSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKING LOT AREA- EVIEWED BY DATE REMODEL MULTIFAMILY SIGN REQ`D PROVIDED I I REPAIR 0 GRADING CyDS FENCE X FT) REMARKS DEMIOLISH' TANK 0 OTHER oGARAGE 0 RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIREALARM I (TYPE OF USE, BUSINESS OR ACT I 'M 6iv (On. CHECKED BY ITYPF O��7M 0 PAtrr GCRCUP NUMBER OF NUMBER OF DWELLING I 7� C IT R 'CAL g& AREAS SPECLAL INSPECTION EA occu PANT STORIES UNITS __ _ 1 NUMBER JA REQUIRED 1:1 YE LOAD DESC RISE WORK TO BE DONE . <4 -ci—In22 REMARKS PROGRESS INSPECTIONS a M MAP Bill SPECTION RECeD Ma m1all IMF LT A Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building Permit PLAN CHECK NO: 0 VESTED DATE Plumbing Mechanical THIS PERMIT AMORLZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I: BE DONE ON PRIVATC PROPERTY ONLX ANY CONSTRUCITION ON THE PUBLIC Grading DOMJUN (CURBS, SIDEWAI.K6, DRIVEWAYS, UARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSIOFL Engr. Review PERMIT APPUCATION- ISO DAYS PERMIT UMM I YEAR - PROVIDED WORK 16 STARTED WITHIN 180 DAYS Engr. Inspection., SEE BACK OF PINK PERMIT FOR MORE INFORMATION I - 'APPUCAK ON BEHALF OF a I ;�tMIGNS AND SUCCE& IN INTEREST, AGREES TO INDEM ARMLESS TH ITY A "IS a C Review EDMONDS, WASHINGTON, ITS OFFI AGENTS FRO NY AN A L2 70 r 11�spectionN) ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, SING DIRECTLY OR I R CTI.Y FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE Landscape Insp. DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS A131UTY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORRECT, ANDTHAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPI.OYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. colkic SIGNfTURE (OWNER OR AGENT) DATE (4251 T 1c) 771-0220 ELEt (10 ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ,�,,CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 COPIES /02 PRESS HARD -you ARE MAKING 5* Description FEE State Surcharge City Surcharge /57— Chk. Deposit Receipt # Total Amt. Due 19 0- Receipt N JCATION AP ROVAL Plon Is not a permit until signed by the or his/her Deputy: and Fees are paid, and ,*�nowlodqp In space ad. DATE DATE ORIGINAL -FILE YELLON- INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 10011� INEW z 0 =1 0 M M M ar :0 C M IT11 C Z 0 1n Irn M a aj 0 0 Fn C cr) C Ica 0: CA z M