HomeMy WebLinkAbout94-4094
BUILDING PERMIT
2--5..... dz:;
~c~
CrTY OF ZEPHYRHILLS
(813) 788-6611
c2tJ.~ Uv
~g) MECHANICAL
Permit N.~
_ 40941
7 t', /1l)
~
Date 6 ._/ 51" ? 'I
, ,
Sewer Conn
Water Conn:
Pmpe~y own",-h=~ ~ _ f1Y ()
Job Address: c.l . 0 ~
Water M!!ter:
T.I.F.'s:
Parcel I. D. #
Zoning: Energy Code:
Description of wor[ 1i?~.AA ....r-,/"7t..:Z;~ /24,.
~o2~
/ " .,/
L /9-7
J /t1
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarr:e with City Codes and Ordinances.
c.o.
DATE
Inspector
Valuation or
Contract Price
/UJ 7<f''7- 0-0
,
:~;~~::,~~~
Company
City License Registration #
State Certified License#
Ji,;;L
Address
TelePhoner.&>/ ~ )
BUILDING
Jt^o0:27.C
ELECTRICAL
949- t,)t:- J
,
11~~PA ~;~ /6'1
JJ;; j9 /1n;JtA~
PLUMBING
MECHANICAL
Driveway
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
-SpflVILE- tJfb'Urt~rL -/g-2-Li yc./ ~b
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM. b-I~~q4 fJ,tl
Insul. CL
WL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
. 1~:Il'-'31-1S1S1~ U7:52 FRON SOUTHLHl'l!J CORP- FLH. DIV TO
18139497518:<c.-!.:, I. '. ,
~d~ ct-1~
/ }',;J '/. OI:/~=-? /.c~
~9g4 RE~TORE INTERIOR Rf~ODEL SCOPE OP WORK
STORJ:; I MARKET It /.55'/ -/cPS.3~
ADDRESS: :,~ .\-'1 'I -..\ - ~ 1+ \lot ( .$ T 'R-o.I ~-'!J
Lt rh~r~; ll,
~ ~ Ok.D " I~ 2.. - D-tL (~
CEILING
/'
./
/'
replace
replace
~'. /,/ .
'" c&-'~--.r .;:'"., " ,
Grid: clean
Tile: cl~an
INAERIOR STRIPE PACKAGE
Install Marlite .y&tem
Install red panel stripe system
Install red 3- decal sy~tem
Iuscall/re-install red cornice system
Remove soffie overhang above bey bar
RES'.t'ROOMS
ADA handicap compliance existing
Remove/replace restroom doors
rRP restroom doors
FRP r4stroom walls
Paint rdstroom walla
5'xS")(~
In.t.ll new cove base on restroom wall$
(i~ /II,:?
,~
Relocate I install new I u~ed:
( ) 'ldr. med temp
( ) 2dr. med temp
Baffle (block off) Ale ducta above sand8n cases
, J
. .'
_\
I"AINTING
Paine interior of store
1:aint all c:loor~ and framaa
Paint front banner board
Paint vestibule area
FLOOR~
In~tall new quarry tile
In.stall new VCT
Repair existing quarry tile
R~pair exiQting veT
#"., ;?'.z. ~
I.NTS~+O~ W~LS
Relocate I rebuild wing wall
FRP entire interior s4las area
Repair ceramic tile at deli prep area
Move I relocate exi&ting interior walle
In~tall walls at customer .service area
REFRIGERATED ~QUIPMENT
Remove;
(
(
) 3ar. low temp
) .2 dr. low temp
Rtiamove backroO/tl ice machine
.~}N&
Remove exi~ting deli case
In~t~ll ( ~) ~4ndan reach-in case
:-}..
(--
~
-
~
/-
/"$eC
. ,
,...., .,
L .
,I
. , l
~-c:'.:.""',... ~.I..
/'
(
(
...Y'"1dr. med tE:mp
,y-) 2dr. med t t:1I1[)
(
(
) 3d.r. low t l:f;;::'
r 2c:lr. low tC':IlII:
/
. '1
;,;.J . .
.
. .
l-AINTINq
~4inc 1nc~~1or ot ~~U&~
f~1nc All doori And fr~m~a
Paint f.ont b~nner bo.rd
Paint vUQtibula ar~4
p/JI/Vr Ejf~;-/()y U-/t /J 5-
PLOORS
In~tall new quarry tila
In''CAll new VCT
Repair exi~tins quarry tile
Rep~ir e~i~tins veT
#/,., Z/'z. c)
INT~ij.Q~ w~1&
RelocAte I rebuild wing wall
FRP entir~ interior 6alcs area
RepQir ceramic t11& at duI! pr~p ~rea
Move I relocate exi.ting interior w~lle
In~tGll wal18 at customer .service area
REF~IGERATED 20UIP~
Remove;
(
(
) Jar. low temp
) 2 cir. low tcsmp
R.locac. I install new I u~eaz
( ) . ~dr. mad temp
( ) 2dr. mad temp
Baffle (block off) Ale duc~.
:)-.
(,.-'
~
~
V
~
/' .><-~
'.. ,
. .
/
,....." ", '
~-c..,:/".,
(
(
~dr. med temp
) 2dr. m~d te::lIlI'
(
(
) 3dr. low CC:i:,.)
) 2dr. low t.-: II 11 ,
Rumov._backroo~ ice machine
.bove sandcsn ca~ee
.~}N E-
Remove cxi.ting deli case
Inut~ll ( ~) ~4ndun r.ach-in caa~
/'
. '" -- 1':"J ==.4 ():3: 34
FROI'I SOUTHLi"I~I1J ~ORP. FLi"I. 1J I V
TO
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DRAWING OF PREMISE~u~~L~s~~PROVEMENTS :-='Pl.o-i'PlA-;:;/
EXHIBIT-"l
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A"""OVCO,
O"'TE,
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A. Uv6ltl1l.. ""NIl~
B. Bo.w~
C. O&bcr Gcl~".u I'Ge'
D. Tcmpor.uy f;M;i11&1Ci
.... 3(90. dO
B.
C.
D.
OATI:;; ~/3h;t_.__
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STOIltiNO.:~t=/'_5.3 :~
LOCAnoN:385"'ll;f ~:~'_,.qt/E
STOilS SIZE:, ___. .._
NEW 111.00;._ CuN II LK:' IlJ 1'0
COMM~rS; (iflC'wl 'U....lill"...)
Proposal based gn ~;C(;1^:: (J]
work-~lo.VILconJit.i.(Jli:~ <J[
~h::lnePq by Bldt';.D~l1L. :..L.L 1
be complete~Lgn a co:,l. pi u: j
lO,ru IJu:jlt.i.
C~l' 0.' CONSIKUCIlON
CON1lI.ACTOi:
M.D. Builders. Inc.
1929 Sunset Lane
Lutz, Florida 33549
I. (OIf.NUI..U. JW.QUUWU::N'r~:
TOTALOENEML: ~_.360- co
.... ON srn:: WOJiK:
UNITS
MA'Il::.1UAL
AMOUNT
UUOK
UNIT HOOKS AMOUNT
'iulA!..,:)
(I) Dcwuld40Q
(l) Cku SI&C
(3) Fill .. Cui c;uy," $ P'r $
(4) COQl;rcle 1'1 v IIli ~ II $ P'r $
(5) SllkwolIl&, ~h $ 11" -$
(elJ Jbpllollll ""VIII' ~Il ~ I"r $
(7) CluW;rcu: lIulllflCll IllII.r $ I"r $
(II) ll~", (;IU" 1111 II ~ p'r $
(~) RcuuWlt: W~b IlIlh $ p'r $
(10) J'iU&U., Lul Slllp" muDtocr $ p'r $
(I J) l..iwd~pwll iqh $ p'r . $
(12) fe~ Iwh $ I"r $
(lJ) SIlC ~b~ ~ $ I"r $
(") M~~; (~Uy) $ per $
(15) Oa Sue Ovelbci6d . "nUll: ..
(ICl) Tu (II .ppl~) ..
(11) TOTAL ON SITE WOKX:
on srn; WO~..K:
$--- ---.--.
$---.-.--
per $-.-
per $ -----.-
P'r $._.._..
pel $_____.._. .
ptr $_____
pet $
pcr $_______._.. ._.. _
pcr $_______
pcr
$
pcr $_______ _______..
pcr $_______.._
per $______
~---_..__.._--
~--_.__.__.
~ 0-
(I) $lIkwiUt I Onvcw.)' 11th $ P'r $ per ~-------
(1) CIUtII Glllll:r &mil ~ pcr $ pIC ~
(3) ~W"'& ... '1 , pcr $ per $
------ --~.
(4) ~IQIJD ~WCI - . Su.c lul II $ I"r $ P'r ~
----.--. .-
(5) Siaawy ~wcr __' Si.u 1111 II $ I"r $ 11'1 $
---.--
(0) .wIler Lwc - . oS",c IUI h ~ per $ P'r S
--,,----....
(7) ~Lwc - . ,su.c Iw II ~ pcr $ P'r $
______..."+h__..
(II) Sewer I WlllCr Tilp Fcc,; ~
- --.------ -, --
(~J Power Tilp fGe; $
(lOJ ~UIQI S4;mu: ~
lllnllIl2000~6 12/n I ul"
\l" ..
",,,~
C.:U:i' "t' l:UN......MUc..-nUN
,".." J
IdA lUIAL LWOK TO .....1_'>
UNITS AMOUl(J' UNIT 1I0UKS AMOUl(J'
C. Shul Mc&.ll H.ajIU", $ pcr $ ...' ~ -----.-. ----..-
GUlIen, Uuwn SJJlNU
D. Mlw;( UlUICUII. $ pcr S pcr \ ----. -.------ --~---
I. C,uu1:NJl( y'
A. ROIII:h Carpcnuy : .L-5 S 23 o. 00 pc' /5" $.2500 pcr S ,/.. t'}_'J (. ()
Fr.ml/" " SIIC~Ulln&
8. WUud TnuK' S pcl $ pll ~
C. fU\l~h C"'ICIIUY: LS $ 3.50. VO pcl 2S $ .cS 0 () pcr ~ '//", co: (J
hill U""'.u. Tnlll, MlllwllIl.
D. WIIUJ RUlli ~t.III& IlIh S pc' S pc, S
9. flNbl U::.S
10. Dry ",.II/GypIIlRl/Uu.nJ ~t. 11I'1 $ .~7 pcl "l- S 2~.()D per ~ / ~,:' {. (~ (
B. HUlIIU'~:
QuarT) "III $ pcl $ PC' S
VIA)'I BA!5iE' .290 I'fl! s .&5' pcr /b $ 2 ~4() 0 pcr , L/-J? c. {.
ShccI I'f '1 $ pcl S pcr S
C. ALUllU....1 Cellini ij.EJO I'f '1 $ .t,~ pcr 8 $ ,? s: DO pc' S ,,/IL~ -/~ {. ()
I). CclllUIl ClUIIU" aqll S pcr S pcr S
E. ","nun, ;
Imc nur Iqh S pcl S ~S pcr S / 6' _~ e., t. ( .
UICIIUI "Ill $ pcr $ pel S
P. .....clu.,. F. It.P. 8D aqh S /'OB pc' 7 S ~-, .I;. c.) () ..r , I . '
. '.'. J,
G. S- (:) c:",. (J . "III S pcr S .L...s pcr S . '-> (l t) t', (,
No es.....fiYA~ CI0/"4f:h~ LS _._L/- (', c> (-1 {"j
:3:' c~. I,ooJ'1 ell/Ifill. ~
~5 ,t/- i/c; . c. (>
O. ~1AJ..ru:.s
A. Ruu'OOlI\ Auc~nu S pcr S pcf '--.,-.-
8. See; u"'y C .1IIeru S pcr S ..r ,
__.n_____ _
C. fuc Al.oru~ I ~1nQ"c S pcr S pcr S
Ocl<<IUR I EaulI.vu.bcn
It. ,s."....u~ M....... S ...r S pi' S
fl. MI~cll.IIC4K1' S pcl S ..' S
I. MliCllAN/CAL
A., "Iumb.." ~S $ i2~O.()() pcr 7 s L..a.oo_ p- I ~ <;('1 . t..) <2-_
8. flit S/'rWlcf1 S pcr $ pcr S
C. 1& V AC '" [.Iv" Wurt $ pcr S ..r J
"IIIllI)I.m/l UNJ lilt..
'\.... .
'\...)
.
("" P' ("'N\lllllCTION
"_", 4
UNITS
MA n:IUAL
AMOUNT
11. ..I.Lnv.u.:^L
A. ~oCIWIl.r, In lIulldllll
L5
n. I)I\II.I.",'IA SYIl(m:
r.nd\, W'flO<<. Candllll,
(""lVell'l".
C. Lllth, hUurCl.\ Trun
D. M.~c1I."clIlI'
fl'Jll.IlINt; ONI.\' CO~TTOTAL
I" n.....
I. Citnc..l ("".'lnCI"n' Owerhud" SupcIYiaioa
(11,"101"... (1,,1)')
}. (.. ,,,,..I (....lIl,..~lOn' I'm".
(l"ul"'"lt Oil')')
1111 TAX "hllhh,,~ Only, If ^rllhClblt)
'\IN...,,...,'I\''''' tll'..r. '''III.IUNU ClNLY) "..'" u.
s Jlbe.oo pcr
S per
S
S
CHI. I. ~;m; WIIIII\ t'O~7S lC INCLUDING PIlOnT' OVJo;RJIUD
; t:N1.R.AI, II.} .C)tJl IU:JotfoJlffS I
TOTAL "'(OJ 1-;(.'" CO~T
....fWd.r IAutborlud A,CIIU:
41~Lr-{
IllftalUn:)
0.&.:
UllOM
UNIT flOURS AMOUNT
;:?3
per
per
c,~
s .=.~ 00 pel
S per
S
S
Dele!
per
pel
TOTAI~\
s 17e7 0. 0
S
s
s
s Sif LfB, tJO
s / .2. f- 7., 0> 0;
s
q /2.. -00 '
s
- 0 .-
I
/ () to 1:';7. (10
.
s
-~-
s
30&) (,) 0
s
/0 987,00
APPLI~"^~TI01!l1 I'Ok PRP.HIT
CI'IY OF ZEPIlYRlIlfLLS
nlITI.DIl!iG DEPARI1lllENr
. , -
OWNER · S ADDRESS
S:uthlarIi Caqmatim
1 JX) Ire Rarl
PIIONlR 4W- 295- JJ?6
OWNER · S MAKE
OrJaUo, Flacida 32810
JOB ADDRESS
J3~ 5th AVEnB- ZeJ:i1yrhills Flacida
LEGAL DESCRIPTION: wr(S) 8, 9 & 10
BI.OCK1fJ:)
SUBDIVISION! ~illR
PARCEL I. D.#
WORK PROPOSED:_!!ilew Construction _Addition _Alteration _Repair _Install
_Sign
_!!love
_DellOlish
PROPOSED USE:
Single Faaily
_KIF
._* of Units
_H/H
_Coaaercial
_Indust.
_swi.. Pool
Rarrxiel
Other
_Restaurant Ii: Hea U:h Depart:llent Approval
BUILDING SIZE:
x
Square Feet,
Height
, RESIDENTIAL:
,COKKERCIAL :
A"ITAGII (2) PLOT PJ..M,:. Ii: (2) SEIS OF BUll.DING PL;\IN!S Ii: 0) SET ENERGY FORH.':;. U
ATrAGII (3) SETS OF P. lULDlliIG PI.ANS Ii: (1) SET ENERGY FORMS. ~~
**copy OF COItffRACT n ~Qmr:RllD.
PERKITS RROUP_'>TED
_BUILDING
$
Valuation of Total Constolction
_ELECTRICAL
AKP Service
_ ,..Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
X
TYPE OF CONSTRUCTION: _Block
_Fr:me _Steel
Other
FINISHED FLOOR .ELEVATIOlNlS:
P'l.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
********~~******..****************~*****~*
mln'RACTOR SECTION
RUILDER CX>>IPMlIY M · D. IS u ,I cI~ J' 5 2#?
~ ~ /Sf:ate Cert:. or Regist. j elSe Ot!>o.3/1/.
Signature /" ./' /~ L City License Regis t ra tion!lt 3" ~
*** ..*~*~...*..*....**.*************.~*
ELECTRICIAN OOlfPMlY ~ V t/ -e / ~ /
:: /) ~ #~ State Cert. or Regist:. :fI: ~tet:/C70 ~Y'5' '2..---
SO ture ~~) City License Regist:rat:ion f c;2 7~
****"'***1; ***...******"'***.*..****.****~**' ~W '-
CDlKPANY tJ U Gf.fi,J~ b/<-. ?<--v""~t5 I r/ c: e u
State Gert. or Regist:.:f# (] p (2 0.;2. 7" J- J (,)
U fJ City License Registrat:ion t ~ /6S-
********~~******.**************.**********
PLUPtBER
Signature a~ e ..3~
COltPANY
State Cert:. or Regist::, , ift
City License Registration #
******.*~***.***..*****.**~***************
HECHAlfiCAL
Signature
CUllPANY
State Cert. or Regist.' ~
City License Registration J
***.**.*~**************.******************
0T1IER
.
Signature
APPLICATION APPROVED BY
PERHIT OFFICER.
CONDITIONS CF ~'~~~~!I~ A~F3:~()V
A. NOTICE OF DEED RESTRICT~ONS
The undersigned understands that this peait lIay-b~-;uLjec' tlJ'(;~~:l reslricLc.ns" 11I1ich may be liore re~trictive than Ci ty
regulations. The undersigned a~sules responsibility fDr co~~~~:al' ~ith any applicable deEd res~rictions.
B. UNL I CENSED CONTRACTORiL,AND CONTR:jCTDF, Fr=~E;F'CIi'.IE; I DI LIT I ES
If the owner has hired a contrac:tor Dr cOlltrilctors- ~'~naertake wor~they-;;y-Ub~-~~q-~i~;;d~-'b'~-i'icensed in accordance wi th
state and local regulations. If the'contrd:;Ur is .~Dt licensed ~3 required by laM, bDth the owner and contractor lay be
cited for a lisdeleanor violation under sta{~ :d~. If tre owner D. intended contractor are uncertain as to what licensing
requirelents lay apply for the intended "ork, thlY are advised to contact the City of 7ephyrhills Building Department, (813)
788-6611.
Furtherlore, if the owner has hired a contrac',~l Dr contraLtor~, ~~ ~s advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they w~ll JI! (~s~ollsibIE. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are r~spJnsible for thE tlork. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to persitting privileges in-the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTI! ITY Cm~"IECTIml FEE~,
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. if the',applicant is someone other than the
"owner", I certify that I have obtained a cop~' of the above described document and promise in good faith to deliver it to the
"owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done In cOlpliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereb~ made to obtain a per.it to do work and installation ~s indicated. I certify that no worK or
installation has com.enced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
.y responsibility to identify what actions I iust take to be in co&pliance. Such agencies include but are not li~ited to:
f Departlent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environ;,entally Sensitive Lands,
Water/Wastewater -i:eat~rnt
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Ar~js, Altering Hatercourses
f ArlY Corps of EnQineers - Seawalls, DOCKS, Nav)gable Water"~~s
f Department of Health ~ Rehabilitative ServicEs, Environlent' Health Unit - Wells, Wastewater Treatment, Septic Tanks
f US Environ_ental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.', it is understDod that a drainage plan
addressing a "compensating volume" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official from thereafter
requiring a correction of errors in plails, construction, or violations of any code. Every per~it issued shall becole invalid
unless the work authorized by such permit is cOlmenced within six months of issuance, or if ~0rk authorized by the permit is
suspended or ahandoned fur a period of six lonths after the tiDe the worK is cOffi~enced. ODe 90 day extension of ti~e, lay be
allowed for the perlit with fee charge of $15.00. The extension shail be reqUEsted in writing to the Building Official. An
approved inspection lust be logged during each six ~onth period, Dr the project will be conside~ed abandoned.
WARNING TO OWNER: lOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMEIJCEHENT".
STATE OF FLORIDA ~~
COUNTY OF
The foregoing instrument
before me this 6/8.194
TI::rw IDAards
was acknowledged
, 19__ by
STATE OF FLORIDA
COUNTY OF Hillsborol!gh
The foregoing instrument was acknowledged
befctl-e me th i 5 6/8/94 19 by
Mario Gonzalez
\o'Jho is pel-<::c,na 11.1 kno\'m to me OKXYXx!lCM~~
i1A~~:K~
as identification and who did/did not
ta!(~ an (oath 'I'~ 1
'-1..-tv\', Q ~ '( ,Il ~..,
(Sig"at~\r~) ·
Gerda C. Newb~rr
(Name Typed, Printed or stamped)
NQ.I I~RV F.:J1E~ Ie
who is pel-sonally I:nown to me ~s
pr~
as identification and who did/did not
tU'~oay~> A/,p, k ~
@~natLl\-e) , '-~,
Gerda C. Newberry
(Name Typed, Printed or Stamp~d)
NOTARY PUBLIC
~ "ERn' c. ""W.....
o .,. Notary Public. Slote of Florida
. . ~ My Comm. Expires Feb.13..1996
:..- No CC 180670
..~~~~
: . ~
:..-
GE!lDA C. NEWRERRY
Nolmy Public. Slale of Florida
My Comm. Expires feb.13..1996
N:1 CC 180670