BWFE2016-0169.q
78-495 CALLE TAMPICO Ct A D �IUCt/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT. '
Application Number:
BWFE2016-0169 Owner:
Property Address:
51780 AVENIDA RUBIO MIGUEL ACEVES
APN: .
773162002
Application Description:
MIGUEL ACEBES / BLOCK WALL 92253
Property Zoning:
Application Valuation:
$16,000.00. �I"• "-
VOICE (760) 777-7125
: FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/25/2016.
Applicant: Contractol:
MIGUELACEBES OWNER BUILER�
51780 AVE RUBIO 51789 AVER 2 5 2016
I A Q!JINTA, CA 92253 LA QUINT`A—C'A 9225'3_
COW11. CIIYOF
LA QUINTA
A(760)799'2'4'45 DEVEL0P17ENTOEP4nR4ENT
Llc. No.:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.:
Date:
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
Rha500 .:
Ras owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he ora did not build or improve for the purpose of sale.).
-s owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Con ractors' State License Law.).
(•IF exempt under Sec. . BAP.C. for this reason
Date: a Owner: 4�) (y) t
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier:. Policy Number: _
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and .
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.. %
fC�
Date: o/ ignature (Applicant or Agent): l -, 1 Q �,
FINANCIAL INFORMATION
`DESCRI.PTION ACCOUNT,;, . 'QTY i AMOUNT = .: PAID PAID DATE;
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00 7/25/16
PAID BY. - -. x.,,, 'METHOD ; e F " `�
RECEIPT # - CHECK #: .t a CLTD BY
MIGUELACEBES CASH
R17348 RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION' '� ,,ACCOUNT
`».�„
QTY,'
AMOUNT':'
�'PAID�
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$43.50
$43.50
7/25/16
PAID BY
� METHODe°i
RECEIPT#_
=:a :CHECK#' f.
CLTD BY;
MIGUELACEBES
CASH
R17348
RSE
`DESCRIPTION
--'ACCOUNT < y
:QTY
:AMOUNTS=S
''PAID "`?
PAID DATE`
'WALL/FENCE - FIRST 100 LF : •
101-0000=424040
,
47.86
$47.86
7/25/16
PAID BY ` s
METHOD'
RECEIPT +;` >
#F
`CHECK #
CLTD BY
MIGUELACEBES
CASH
R17348
RSE
µ== <I)ESCRIPTION',' ,>
t ��
ACCOUNT
s QTYf`
- �.�_
AMOUNTS
z„�r.
- PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$60.91
7/25/16
5, PAID BY
RECEIPT t# s`
CHECK #
CLTD BY '-
MIGUELACEBES
CASH
R17348
RSE
Total Paid for FENCE OR FREESTANDING WALL: $152.27 $152.27
TOTALS:
M �
t
Description: MIGUEL ACEBES / BLOCK WALL
Type: WALL/FENCE
Subtype: CITY STANDARD/PRE-
Status: ISSUED
Applied: 7/25/2016 RSt
APPROVED
Approved: 7/25/2016 RSE
Parcel No: 773162002 Site Address: 51780 AVENIDA'RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA
VALE LA QUINTA Block: 34
Lot: 23
Issued: 7/25/2016 RSE
UNIT 2
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $16,000.00
Occupancy Type:
Construction Type:.
Expired: 1/21%2017 RSE
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details:
Printed: Monday, July 25, 2016 2:34:30 PM 1 of 2
0TW-1ySTEWS
DESCRIPTION .,,.;
E
n
ACCOUNT
.,
. QTY w
r„
AMOUNT�3
PAID �:
PAID DATE
RECEIPT #.
'CHECK #
METHOD
PAID BY
T ��
CL D7
ATTACHMENTS
,
BY
WALL/FENCE - EA
101-0000-42404
0
$43.50
$43.50
7/25/16
R17348
CASH
MIGUEL ACEBES
RSE
ADDITIONAL 50 LF
WALL/FENCE -FIRST
101-0000-42404
0
$47.86
$47.86
7/25/16
R17348
CASH
MIGUEL ACEBES
RSE
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$60.91
7/25/16
R17348
CASH
MIGUEL ACEBES
RHE
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL: $152.27 $152.27
INSmECTIONS
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............
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BOND
INFORMATION
ATTACHMENTS
Printed: Monday, July 25, 2016 2:34:30 PM 2 of 2
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Bin #
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Building a Safety Division
Permit # 78-495 Calle Tampico
1 La Quinta, CA 92253 : (760) 777-7012
J� Building Permit Application and Tracking -'Sheet >_
'Project Address s 1+., 7o /srV U V Ow�a7e: 1"( -T-- L A C—LA&S .
A. P. Number:Address
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Name of Contact Person:_
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Units:`
Telephone # of Contact Person(- 2-9 (o. (��
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Str . ral Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cal cs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
tans resubmitted
Mechanical
Grading plan
2nd Revic� , ady for. correclionsfissue
Electrical
Subcontactor List
Called Contact Person
—..�__
Plumbing .
Grant Deed
Plans picked up `�."`�
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN-HOUSE.:-
" Review, ready for corrcctionsrssuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit F.
THE CITY OF LAQUINTA,CA - UPDATED ENGINEERS STAMP - EXPIRES 3-31-18 (100*mph C)
6' to 8' High Site Nall
Spread Footing - C o 100mph (ult)
. t Risk Category i
Shwe 1946
ANGELUS BLOCK MASONRY FENCE WALL SYSTEM 60 Wide CMU
DESIGN CRITERIA:
i. `DESIGN CRITERIA PER 2013 CBC
2. ALLOWABLE SOIL BEARING PRESSURE = 1500psf OPTIONAL WALL CAP (� I Y OF LA
/\ Q U
P. "ALLOWABLE SOIL PASSIVE PRESSURE = 150pcf `_, � i L j 1
4.' COEFFICIENT OF FRICTION = 0.25, COHESION = Opsf G p qq �/
5.' CANTILEVER•,ACTIVE = 30pcf BUL0111 [x S lt-� I
6.•MASONRY COMPRESSIVE STRENGTH, f m _ 1500ps1., SPECIAL fNSPECTI.ON
NOVREOUIRED PER CBC SECTION 1704.2, EXCEPI`ION 2, 'U' OCCUPAkY � f- ROVE
7.'USER TO'VERIFY APPLICABILITY OF THE DEFINED DESIGN CRITERIA FOR THE �-r F�-st
• PROJECT SPECIFIC SITE. p6 STD: LADDER. TYPE_ '�I � 1uu 1.1
NOTES:(�5 STD FOR SLUMPSTONE)_ '
'H' MAX.,., �...,. �.�. u..na
16" LONG CMUIIB* LONG'CMU TYPE PERS-2.0 16' LONG CMU 18' LANG CULP
•• ell
4bJNY` REINF. AT TOP COUj
#4048"o.c.
1.' REIT ORUNO StzZL' SHALL BE DEFORMED AND CONFORM TO ASTM A615
AT FIRST CQURSE, AND 2,
4®24 o c.
4048 o c..
GRADE 60. PROVIDE SPLICES (LAPS) OF 48 BAR DIAMETERS OR 24
2 -0 2
2'=0" T,
INCHES, WHICHEVER IS GREATER. CENTER VERTICAL BARS IN CELLS.
2. JOINT REINFORCEMENT ("LADDER" TYPE) SHALL BE COLD -DRAWN STEEL
WIRE CONFORMING TO ASTM A951. PROVIDE MINIMUM 6 INCH LAP SPLICES.
6" WIDE (NOM;) CMU
X14045"o.C.
A
V.
GROUT CELLS
4®18"o.c.
4654"o.e.
3. STRENGTH OF CONCRETE FOR FOOTINGS = 2500ps1 0 28 DAYS, UNLESS
W/ REINF.
OTHERWISE REQUIRED BY SOILS REPORT:
4. CONCRETE MASONRY UNITS SHALL CONFORM TO ASTM C90. ANGELUS
T-4"
BLOCK PRECISION, SPLIT FACE, BURNISHED, OR SHOTBLAST, WITH OR
84045"o.c.
`A'
'B'
WITHOUT, MORTARLESS HEAD JOINTS (TONGUE -AND -GROOVE), OR
4018"o.c.
4045"o.c.
!3*=01 3'
2-0" 2.
ANGELO§ BLOCK SLUMPSTONE SHALL BE USED.
5. MORTAR SHALL BE SPEC MIX TYPE S PRE13LENDED MASONRY MORTAR AS
'X' BARS PER
MANUFACTURED BY E -Z MIX INC., CONFORMING TO PROPORTIONS AND
SCHEDULE 0
#4040"o.c.
REQUIREMENTS OF ASTM C270, OR SPEC MIX IWR MASONRY MORTAR AS
CTR. OF WALL
��"o.c.
- -
MANUFACTURED BY E -Z MIX INC., CONFORMING TO PROPERTY
J -4a 3
REQUIREMENTS OF ASTM C270,
6. GROUT SHALL CONFORM TO ASTM C476, WITH AN B-11 INCH SLUMP,
AND SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH AT 28 DAYS OF
2000ps1.
'Y BARS PER
FIRST COURSE MAY BE WET -SET 1 1/2 INCHES MAX. WHILE CONCRETE
SCHEDULE LAP
IS PLASTIC.
PER 'L'
8. CONCRETE BLOCK SHALL BE LAID IN RUNNING BOND PATTERN WITH
VERTICAL CONTINUITY OF THE CELLS.
F.G.
9. VERTICAL CONTROL JOINTS SHALL BE SPACED AT A. MAXIMUM OF
40'-0"o.c. OR 20'-O"o.c. IF WALL IS TO BE STUCCO COATED OR
WET -SET FIRST
MORTAR WASHED
COURSE -n
10. GROUT ALL CELLS WITH REINFORCEMENT.
2-jj4 CONT,— -�-- �_
11. INSPEC71ONS: A. AFTER FOOTING IS READY FOR CONCRETE AND ALL
FOOTING REINFORCING IS TIED IN;PLACE. B. AFTER VERTICAL
��v
i
REINFORCEMENT IS IN PLACE AND CELLS ARE READY FOR GROUT.
12. FOR TYPICAL FOOTING STEP AND DRAINAGE BLOCK-OUT DETAILS
CONT. CONC.G: iLl
SEE DETAIL SHEET S-5.1.
13. DO NOT PLACE FOOTING WITHIN 5'-0" OF A SLOPE
ALT. BENDS
'H' MAX.,., �...,. �.�. u..na
16" LONG CMUIIB* LONG'CMU TYPE PERS-2.0 16' LONG CMU 18' LANG CULP
'L' STEM '8'
#4048"o.c.
#4054"o.C.A'
8` ..
4®24 o c.
4048 o c..
4®27'6.C.
. 054 o.C.
2 -0 2
2'=0" T,
6'-8"
#4048"o.c.
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A
V.
4016`o.c
4046"o.c.
4®18"o.c.
4654"o.e.
2-0"' 3'
'2'-0" .1':
T-4"
X4048"o.c.
84045"o.c.
`A'
'B'
4016"o.c,
4048"o.c.
4018"o.c.
4045"o.c.
!3*=01 3'
2-0" 2.
8'-0"
#4040"o.c.
#4036"o.c.
A
W
��"o.c.
- -
4®9"o.c.
J -4a 3
ANDERSON DESIGN GROUP
Structural Engineering • Building Design
228 East Badillo Street • Covina • CA • 91723-2115
(626) 938-1595 Famlmlle (626) 938-0485
mw "-61 ..rt 9 exCeuence sl 195>.
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DATE. -SIGNED 3-10-16
s-1.OLQ
4#6255
BLOCK CO,. iNC.
Since IM
ANGELUS BLOCK MASONRY FENCE WALL SYSTEM
END -.OF WALL
XE. 0 SxHp: .
B ,
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nBF-1111777177771
'8',.High Maxi Site Wall
C o 100mph
Risk Category I
6" Wide CMU
5 x
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xi1 In
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A Bo� a
K
00
RETURN TYP.
SxHF SxHF A SxHF
-
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TYPICAL REINFORCED WALL STEM TYPES PLAN
WALL TYPES "
o&o� •
�( TOTAL WALL LENGTH
5 x HF MIN.
TYPICAL
RREIN%FORCED WALL STEM'
WALL TYPES
SAFETY DEPT.
ANDERSON DESIG . --ONS �f
_ Structural Engineering Duiiding D q�CTRUCTE" �ttl
228 East 5adlllo Street • Covina CA 91723.7115
(626) 938-1595 • ft+c5lrnfl
BY.
5 x Hr MIN.
DATE SIGNED 3-10-16
s-2:OLQ
#6255
P.D. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760)777-7012
FAX (760) 777-7011 .
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder, of the property
improvements specified at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority. .
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS. Read and initial each statement below to signer you understand or verify this information.
r'
�'- I understand a frequent practice of unlicensed persons is to have the property owner obtain an `,`Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may lie held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
i2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party. of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of
own. m y
4;a_— 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts..
5. I understand if I employ or otherwise engage any persons, othei than California -licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
_6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial
risk.
I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the' intent to offer them for sale, unless all work i`s performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
MA& I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries -sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. I understand I may obtain more information regarding my'obligations as an "employer" from the Internal Revenue
Se ice, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb_ca.gov for more information about licensed contractors.
'�10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party' legally , and financially responsible for proposed construction activity at the following address:
DMI 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as.well as employers.
12. I agree to. notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any fumancial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you, to understand that if an unlicensed Contractor or employee of that individual or fume is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note. A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner ^ _ Date: 7— 2 ? - l
i.r.
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the towner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign; and file. the documents necessary to obtain an Owner-Builder-
Permit
wner-BuilderPermit for my project.
Scope of Construction Project (or Description of Work): $1 QC -`r— www
Project Location or Address:� 3" J�
"Name of Authorized Agent: "49 %p Rt�-NpyJ D E -Z- Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
�? Property Owner's Signature ' Date: (/�/