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20041032.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF 13USINESS Lay\,45 \j (x V�, MAILING ADDRESS 1 19 5 1 / 9 Ll CITY ZIP TELEPHONE NAME t ILI t: ADDRESS CITY NAME Lav\ok s v rol ZIP %A Z di TELEPHONE ADDRESS k 9 C5 k I . C? CITY ZIP TELEPHO ,ts q pda o (qQ5 STATE LICENSE NUMBER L10rj\) 1�60R oalu-A). LA PROPERTY TAX ACCOUNT PARCEL NO. MO 51 U"-7 (9 Q0 QQ (v o NEW *N"'RESIDENTIAL ADDITION F-1 COMMERCIAL REMODEL 11 MULTIFAMILY REPAIR 11 GRADING CYDS '0 MOIDEMOLISH 13 TANK GARAGE RETAINING WALL 11 CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIV" EXPAfifIN: NUM13ER OF 0 STORIES DEk CRIB NUMBER 0 DWELLING UNITS T,O.B� DONE r Lfla,-Q 1-5105 CBL 0 <zhi FPERMITEXPIRES ZONE PERMIT NUMBER JOB SUITE/APT# ADDRESS PLAI NAM E/SUBDIVI SION NO. LOT NO. LID NO. LID FEE $ TESCP Approved E3 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rw Permit Required street Use Permit Hoq'd EXISTING - PROPOSED inspection Required 13 Sidewalk Floquirad [3 REQUIRED DEDICATION- FT Underground wiring required 13 METER SIZE NO. OF FIXTURES PRV REQUIRED YESM NO 13 ul REMARKS z z OWNER/CONrRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Z5 ENGINEEROG R N REQUIRED DATE FIRE REV&WEQ..BY DATE SIDE SEWER MUST 1113 CAPPED AT -Qr) L4 ID— PROPERTY LJNIR VARIANCE OR SHORELINE OR A INSPECTION BOND POECK no POSTED /A ; , T BY R METER To B PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN EFENCE ( x FT) OTHER FIRE SPRINKLER FIRE ALARM CRITICAL AREAS U NUMBER 901 - r-I W Qtt- -%� - i U, A — HEAT SOURCE PLAN CHECK NO: GLAZING % LOT SLOPE % VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. CC W PERMIT APPLICATION: 180 DAYS n. PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION U' 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND M ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE C3 -i DEEMED TO MODIFN� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 21 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - 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 THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 16.27. DATE a W11W S SEPA REVIEW EPV' SIGNAREA— HEIGHT COMPLE10 DWp, k-tLA*ft ALLMED PROPOSED ��Wft %Fhff 06vmp 31TO 0 1 Ly EXP SE;13 1) F VE LOTJPE ALLOWE ga, W4QgED SETBACKS (Fr.) Pm. 0 09311t;AWIDE REAR FOR IN PECTION REQUIREh ENTS z E PARKING LOT AREA I PLANNING REVIEWED BY DATE :5 REQ'D I PROVIDED REMARKS CHECKED BY GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YE LOAD REMARKS z PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINALINSPECTION REQ'D 9 VALUATION Description Plan Check Building Permit_ Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee I CALL FOR INSPECTION (425) 771-0220 ATTENTION I E)ff 1333 IT IS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. FEE Description FEE State Surcharge City Surcharge Base Fee Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. OFF191ALS 7SNA DATE RELEASED BY 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR z 0 M -n 0 M C M 0 0 0 0 C -4 K M M M Z JO -1 C 0 -n n M M 055 0 r- 0 M C U) r. Cn M 0 Z z Cn z 0 1 0 M FEB-02-2005 08:20 Am L A ti 11 SV IE R K 4 2 5 6 Date Received PUOET SOUND CLEAN AIR V Ile 7 2gecoqrn. 5 4 9 AGENCY I 10 Unimi Stm9t, 5whe JOPO A I .I.. I V.v," 'Ile I W I V� 104%, 1 'Ile SeattlelWA 98101a,206 I www,pscitanair.org AVACY USC Only Agoncy Use Onile mr%TICE OF INTR9 --- I ............. .............. . ..... .... ..... I . ................. 44 Lo DK=Iftibn Only m, a I m A —�--A-- B, nmsw%Aj114ft" re TBD 2m U I 0H=d'D=nolWcm (aftch c-pp-y �f RL4�q btfarmaden: Date mmipm - -;T k,lti sea U Yes M No. Demolition P�vsombact I Will nonfilisbic asbestos Fm1tt during dwm" C�ontrviwor; Landsverk Quality Homes If Yes, lift " ad qtY, Pt,pi qQj1nd Cleon Air Agency rarm Noa 66-160 (Rcyacd 9oO.11 TS - -1 RECEIVED FEB 0 2 2005 DEVELOPMENT SERVICES CTR f%0"l- (Ir r�%#PkAinc f 1 4' z 0 WEI 0 m Or m m 0 0 =-i (-) 0 C: ,mi K Z: M M Z rL) C: Cn o Tl �n m M 0 6 0 r� 0 m C 0) 9 Cn M 0 Z i M ft�l Or z z 0 OMOI 0 m I 0k3:21 AM L�)NLISVERK Landsverk Homes Demolition L 040304 425 673 6673 H. us The Puget Sound Clean Air Agcncy requires advanct: notification before jiny penon cot=cnct§ a friable asbestos project involving materials equal to or greater In size LhLn 10 linear feet or 413 square ftet, ia�d for all demoli6on projects (regardless of Babostas content) involving stmewcs with a projected roof even girpater than, 120.square feet (Regulation 111, Article 4), All asbestos rernoval and demolition nodRcadons must be submitted to the Agency on curmot Agency forms. Attra-stgs ryMgy"d demolition orgiccu inygLyiniz mQL,;riqlsjw still suhiec;l ko all othcr After recelvine a complete notification with the i5ppropriate project foe, the Agency will reviow the form and return a cop), to the asbestos and demolition contactor by mail. The returned copy will be your validaW no6fication. J. DarnisIldon PLU" 14� CA LAiLL) I'llu 1011" #1 'VA A "W" md;Lwp UJIL Contractor: Landsverk Quallty Homes Dwncr/CEO: Duane Landsverk Mailing Address: 19511 94th P1 West Phoac. 426-742-2742 Job it: 425,67 L0403nA' _in�: Edmonds IstAle: WA Zip: .98020 Fe�x ��6373 1110111111MR :.-a GUIDEUNES FOR SUBMITTING AN ASIBESTOSMEMOLITION NOTIFICATION Step 1. Check the appropriate project typ-c in Box A. EAWZ1LUh1W Includes popcom caillirig irnsitarW, sheet vinyl floorint, cement asbesto; board siding, and duct insuldticon, 149Rfi:i1hLt. uA�� is normally (ound in Yinyl floor tiles, window puny and most rooring initerisIs. Step 2, Griler property owner information In nos B. Step 3. Enter din asbestos contractor or property owner infomiAtIon, i r the property owner is conducUng a singic-f"lY residentill 731cjcot, in D6ox C. Print oiczrly this le your return mailing label. Step d. Enter :he Site addms for all not.1fications in Box ID, Por mvIti-51.rucriam projects, attsch'siu'pp'larr k"Intal sibezi with a 5111; amp (include an address roe cach site) and a list of the type and amount of friable asbesioa to be remcivbd frirm &ch structure. Stop S. Check either stsbcsios survey or rmitcrial presumed In Box E. All demoli6om "wre that -on Asbestos Hazard Emergency Rc"ri3c Acl (AHERA) Asbostos st:rvtry be condoctcd by a ccnIfic4 AHEKA building Inspector, Amwlj-= of the awyey W th P91ification-or ii-i;Lginolhion nroiqcl whQn only gonfriablgms�;q" or no pshalitos is Idont,iflod on Lhc�sumqy, Step 6, Enter the project information in Box F. and check the training fire or ardered d=olltion box it appropritile (a copy of the ofricial ordcr must be. attached). All mb-tistois must be rermved prior to coridtioling a truiriing flro, Addil.ionaJ bluirling fire irticiulremcrits arc contained in Regulation 1, Section us. ir any nonfriable uboGtos materials will be left in place during dcrrio)i6on, checL- yes and list the We md quantity or materini, Step 1. Enter asbasicis projcct inforrnation in Box G. List type.; or fabi; asbuiLga material W be minodecd: surfacing inuitolied such U popcorn ocilings or plaster, sheet vinyl flooring, duct and pipe in;ulation, cement aabnlos bcL&rd 64ing or pipt, etc, Sttp 5, POT SID91ty-Fatrially Rtsidenflul projects; check- BOX HIA for renovation projocta, BOX M01or deMolition projCICU with or without asbestos I'Movid, Asloestos ramovO may bo., condQ-Wird after a compIlete notification is received, but demolition activities can only begin on the 10' day after the no6fication Is received. Note: If the single landly PeOdormce b Dwyliso by onefamily who hai been or wUl be usin,9 flit residence ds dicir domicile, box& 1A or 7B may beeheckeiiL A sinriefiamlly midence does rsor ine-lude re.iialproperTy, rnuld-famil)y Ainia, or any mLxed-use building, For Conimitirclal itibes(ois projects (or projects thnit do not qualify us Single Family Realc6ndil), check the project category �u 5 that matches the amount of friable asiDestos that will be removed, If a demolition is Involved, include the appropriate surcharge (additional rem) In your payment, To f1la for rin cmcqancy asbc3tos or demolition project, chock the appropriate, box I - 5 and the applicable enricradney box in H6, All i;rnereqni;y1NuesLs rnilsi bg ai;coMp4n I ij4d_biy ti)�(tcr frym thp n"d to-conduci Lhr or iccl immediately in nccordAhCe. With tha rt�nu;rrmcntlz ;n Rrv.ulatinn 111. Renfinn 4 n-1 fc). Step 9. PIC-1se cerlif-y the uccuracy and comp)meness or the informollon provided by signiog the notification in B�ox 1. Mandatory turicndmerits to the notification arc required for changes th2t incressio the project c.&tdgory, ohange the Wcis of iisbestos motenals to be mrnovecl and changes to start date, completion date rind work schedule for msbe:itois projecifi, No rem is rcquircd ror work- schedule chsingc-, if the conLructor i3 participating in the Agency work schedule f&x progimm. A 525.00 prcoccssinC roe is rc-quircd ror all nrnendm=3 Pugm Sound Clean Air Agency asbestos regulations and fonns can downimded from the Agency web page at ww%L'.pscI0*na;r. Drs. For techn;cal 0.51sist;nce contact (206) 689-4058 iind for administrative inquiries contact (206) 689-4090. P 114.1 S121 Ind Clenri A I V AN Lnnqi, Fn�j W a. t,4.160 (Rayii;cd 0031 TS R E C E I V E D FEB 0 2 2005 DEVELOPMENT SERVICES CTFI. CITY OF EDMONDS Z 0 q 0 M -n M M 0 ­10 0 C ­19 M M M Z K) -1 C _Z :r CO) o -n n M M 0 6 0 r- 0 M C CO 9 cn Q 0 Z Z --I X En Z 0 1 0 M K- 425 673 6373 P. 02 FF-B-02-2005 08:35 AM LANDSVERK. P.01/01 253 234 0034 ............. FEB-02—2005 09:32 LONG PAINTING SIE 41xw*, � KerILWA98032-2415 (283) 234-OD50 February 2006 FMC (253) LU4034 Lotiap-2301AA L)uane LandeVOrk Homes, Inc. Landsverk QualltY Abareflwl 19511 90 PI W Ost 0 Edmonds, WA 98020 0 M RE: Landsverk Homes Demo iftlon, Asbestos Abatement -1 Job No. L040304 M C M -10 0 0 C M E)ear Mr. Landsverk: M z has completed abatement of the asbestor. conts ining matedals, St C z sw Long Services 10 230 dated 7/30/04 for 8204 & 82 � identified in the A sbesto-Test survey at the above referenced pmject- Cn 0 -n SW, Edmonds, WA 98026 asbestos survey, -n Copies of permits, air monitoring, and waste disposal manifests will be forwarded rn M as soon as they are received by Long Services. 0 5i 0 If you have tiny questions, please call me at 2531234-8050. 0 M C Cn Q 0 Z Sincerely, LONG SERVICES z ?0 C/) z 0 Paul Wolf Project Manager M RECEIVeD FEB 0 2 2005 MELOPMENT SERVICES CTR CITY OF EDMONDS "Your Pene( in SBf6ty ouality & service" TOTAL P-01 FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM- _FIR_E DEPARTMENT DATE PLEASESIGN ? ENGINEERING DIVISION DATE MAMAN PLANNING DIVISION DATE PLEASESIGN PROJEC d—S verY— SITE ADDRESS— �e3m 4 4'fL ;t PERMIT #M64-(O 3 ADB# DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED A field inspection was conducted to determine compliance with -approved plans. Final approval denotes that there are no objections from the above signed Department to tile release of PERFORMANCE BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED 0 Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES M Copy of CORRE CTION NOTICE given to owner/contractor by inpector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1:tenip:b1dgA*6rms:ocaprv1 3/25/04 z 0 M -i -n M 0 0 0 C -4 g 2: M M Z n, C cl) o -n n ;d > M M 0 0 0 M C cf) 9(f) M 0 Z r- M X --I r z Cl) z 0 1 0 M "E'll, UK: Comc W/ I , 3/.q GRASS CAP. DOW 0,2' LS 18077 ejTTt 'PLACE IN R/W ) rouhu 112'," CITY OF' EDMONDS SP NO. S-2004-53 APPLICANT / OWNER LEGEND GARY HARRIS HARRIS LAND OEVELOPEMENf "OPOSED LOT LINES 3711 C�LOW RD. LAKE STEVENS. WA ga25a - - - - - - PROPOSEDSACCESS AND (2011) 229-2693 UPUTY EA CLIENT LINE ------------ PROPOSED SETBACK LINE OFFSITE LOT LINES CENtEIB.INE PIPE. DAY E. & OFTSHE ACCESS AND UTILITY EASEMENT LINE a 19, N pl.ql 'p; . SET RCOM h CA" I It LS 30581 (T'P) ROAD CENTER LINE . N" 'I" S 02-43,57, 1 S 2*42 . 45- E DEED S".12 511 ROAD EDGE .OA KD 1.11, EI as ESUL - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4CP 1350L -- - - - - - - - - - - - - - - 135BL 050L 1 0 ZONING 7.6, PROP. LOT I 30' 1 EXtSnNC ZONING as LOT 3 RS-8 R/W L LO 1 1.204 sr ass ci f, 06 �? i, ; /i O� SURVEY NOTES 75, 1 1 1 - - —Ll�h�k 216-1 1 7w INSTRUMENT USED: SOXIUA SET 5 EDU P I 85BLI METHOD USED: FIELD TRAVERSE To ------------------------ vBSBL 1 7.6- - - - - - - - - APPROXIMATE PONT ACCURACr.* 005- - — — — EASEMENT 5543L ---- ---------- P L�t 26 ACCESS & UM 6 13- 1- W5,67-oon-U"5-LUO SURVEY MEETS OR EXCEEDS STATE STANDARDS PER WAG ce.q.v V-ksan�,: 332-130-090. 110.7q. 31 0) 4 LUR�-,% OviCR 4 4 4 W N '4245 DEED) MONUMENTS SHOW HEREON WERE MSITED ON A&Y 31. z:S AUGUST I & 2. 2000.. THE INFORMATION SHOW ON NIS MAP RCPRESCNTS ME I III RESULTS OF A SURVEY MADE ON ME WDChtED DATE AND CAN ONLY BE CONSIDERED AS IRE GENERAL mg, fAme Lm EXISTING CONDITION AT THAT TIME. OFF PROPERTY EASEMENT NO EASEMENT& RESTRICTIONS OR RESEVAT,,p, or LOCATED ON SP NO. S-2004-63. RECORD WICH WOULD BE DISCLOSED 13Y A TITLE REPORT ME SHOW, VERTICAL DATUM - NAM l9all PER USCCS BENCH MAW 0-407 FND. 3 1/z' BRASS Disc mouNrco m HORN FACE Of BLOG. WALL A 1 23423 HWY. 99 CLEV. 407.95 FEET. CONTOUR INTERVALS - 2 FEET TAX ACCOUNT NO. 005767-000-026-01 FW40 mic GONG w/ 1 3/4' BRASS CAP. DOW O-V p GRAPHIC SCALE LEGAL DESCRIPTION A PORTION OF TRACT(S) 25. SKELTON'S LAKE MCALEER 5 AMC TRACTS. ACCORDING TO 1 is 50 60 ME PLAT THEREOF RECORDED IN MLWC 6 Or PLATS. PACE(S) 21. RECORDS OF SNOHOMISH COUNTY. WASHINGTON. DESCRIBED AS FOLLOWS. SCALE: V 30' BEGINNING At ME NORTHEAST CORNER Or SAO TRACT 26: THENCE SOUTH 8MS'57- WEST 40HO ME NORM LINE THEREOF FOR 79.9 FEET TO IRE 62nd PLACE W NORTHWEST CORNER OF A TRACT OF LAND CONVEYED TO LYLE C EDWARDS AND LUC4X EDWARDSL HIS WE. BY DEED RECORDED UNDER RECORDING BOIS). 1051354. THE TRUE POINT Or OEGUIRING Or THIS TRACT TO BE DESCRIBED; LOT AREAS THENCE SOUTH 2'42'4V CAST ALONG THE WEST BOUNDARY LINE OF SAID TRACT FOR NOTE: SETBACKS SHOWN ARE FOR 311.44 FEET TO THE SOUTHWEST CMNER Or ME EDWARDS PROPERtr REFERIENCE ONLY AND VEST LOT I THENCE SOTITH a7'56'2t' WEST FOR 60.11 FEET TO ME SOUTHEAST CORNER Or A TRACT TOTAL LOT AREA a.059 SF (GROSS) OF LAND CONVEYtD TO "TOM I. PETERSON ANO Q9E L PETERSON. NIS WIFE. BY NO RIGHT. LESS EASEMENT 5.554 SF (NET) DEED RECORDED UNDER RECORDING NO(S). 1014a62. AREA OF EASEUENr 1.515 sr MERGE NORM r4W54* WEST ALONG ME EAST BOUNDARY LINE Or ME PEtERSON PROPER" FOR 311.44 FEET TO ME NORM LINE OF TRACT 26; LOT 2 THENCE NORM SM557' CAST ALONG ME NORTH LINE THEREOF FOR 79.9 rat TO THE SET REHAB & TOTAL OF AREA ILM4 SF (MOSS) PONT OF BEGINNIN11. EXCEPT ROADS, GAP Ls 3o5as LESS EASEMENT 7.203 SF (NET) (TYP) AREA OF EASEMENT 1.661 Sir TOGETHER WITH EASEMENT LOCATED ON SP NO. S-2004-64. ROW SITUATE IN THE COUNTY OF SNOHOMISH. STATE OF WASHINGTON. —TERLIN LOT 3 S Or"'42' t (BASIS OF DEARING) - *�562 82 TO" UIC CONC W/ FWNC. UIC =cmc W BRASS CAP. 2 3/4 GRASS DISK. 1 3 DOW 0 6' 0019,05, -S - - l) el'e� 3 O?Doq 1(05 2)9,r .OTAL LOT MCA 7.204 SF (CROSS) LESS EASEMENT 7.204 Sr (NET) MCA Or EASEUENT 0 ST, VERTICAL DATUM: NAM 1988 :F_ BM VERTICAL DATUM - PER USCGS BENCH MARK 0-407. MO. 3 1/2- 13RASS 04SC MOUNTED ON NORFR FACE Or BLDG. WALL AT 23423 H". 99 ELEV. 407.91 FEET. I HAPROJECTF IL,ES�ACTrVE\HARRIS�dwgViWIS-M.RM.dY9, 09/1 =004 10:50:46 AM RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION* Footing ...................... Wall .......... ................ Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ... .......... Rough -In ................... Commercial Final ...... HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING.......................... FRAMING........................ FIRST FLOOR FRAMING ... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 'File Initials NIT are Milt011 Thollipson, a telliporary contract illspector for the CitY. z 0 i 0 M --i -n M C 0 ITI 0 0 C M M Z C 3: V5 0 -n n 3:9 M ITI 0 0 0 M C cf) 9 CO) Q 0 Z z C/) z 0 1 0 ITI