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HomeMy WebLinkAboutBLD2007-00473 • • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD07-00473 SITE ADDRESS: 243 RETREAT LN Issue Date: 10/16/2007 CHIMACUM, 98325 Final Date: 4/14/2008 APPLICANT: CARL A PETERSON PHONE: 360-271-0742 SHEILA D PETERSON PO BOX 2135 POULSBO WA 98370 SUBDIVISION: STEINKE SHORT PLAT#2 Block: Lot: 1 PARCEL NUMBER: 801021010 Section: 2 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes ►no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/14/2008 I:\F_BLD_Occu pa ncy.rpt 10/29/19 MA07-00490 IlkILDING PERMIT APPLICA1ON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00473 Received Date: 8/27/2007 SITE ADDRESS: 243 RETREAT LN CHIMACUM, 98325 OWNER: CARL A PETERSON PHONE: 360-271-0742 SHEILA D PETERSON PO BOX 2135 POULSBO WA 98370 STEINKE SHORT PLAT#2 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 801021010 Section: 2 Township: 28 N Range: 01 W CONTRACTOR: ADAIR HOMES INC PHONE: (360)352-7641 1111 SW 170TH BEAVERTON OR 97005-4299 Contractor's License ADAIRH*262RZ Expires 1/9/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,232 VALUATION 91,833.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 484 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routi q Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $937.75 LYK 08/27/07 93029 APPROVEr Plan Check $609.54 LYK 08/27/07 93029 State Building Code $4.50 LYK 08/27/07 93029 OCT ( , 2007 Potable Water Application $58.00 LYK 08/27/07 93029 Jefferson County Planninf Total: $1,609.79 &Building Department Jefferson County Building Di Lion Permit Num.: BLD07-00473 Applicant: PETERSON BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Pa- Srrt Erosion Control N�Q Foundation Footing It_ _07 )4,__ Footing Drains 1 /28/0$ ,�i Foundation Stem Wall f i/ ./ A D� /�c /Ns., � D . 4�/ 'W Underground Plumbing N/l� Under Floor Framing t`P"c4 �`— COPY Straps(hold downs) `/off Ext. Shear Wall Nailing Zpio8. G' Rough-in Plumbing I/Z'/off Framing VG Air Blocking 1 /4/14 5kb Airseal 18P , 1/ Insulation:Walls // J� Insulation: Floors Insulation: Ceiling ,thlk Int. Shear Wall Nailing /�/00 Wallboard Nailing / OK Gas Line: Interior 1.3/A Gas Line: Exterior N/A Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage 2//2 08 - '/GNfL/�vE OK 2/2-e/46 AA- Address Posted 77f//y/08 FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00473 1.) PRIOR TO OCCUPANCY-- FINAL APPROVAL OF SEPTIC SEP06-494 IS REQUIRED. 2.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. NO EXCAVATING OR LAND DISTURBING ACTIVITIES IN DRAINFIELD AND RESERVE AREA. 3.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 4.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 5.) The application was reviewed by the Jefferson County Department of Community Development staff on August 28, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Level I Landslide Hazard Area and Susceptible Aquifer Recharge Area. 6.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 7.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 8.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 9.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 10.) Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 11.) Among the native conifer specielkich may be used in buffers or for re-vegn include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir(Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder(Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry(Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant(Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry(Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry(Vaccinium parvifolium). 12.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 13.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 14.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 15.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 16.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 17.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 18.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 19.) The applicant is proposing to create or add 1692 square feet of impervious surface and 2072 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 20.) A Stormwater Slte Plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 21.) Jefferson County determined this proposal is categorically exempt from rS under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 22.) The site plan as submitted with the building permit application on August 27, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated October 12, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 23.) This approval is for a single family residence with attached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 24.) The parcel has been designated as Rural Residential 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 25.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 26.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 27.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 28.) The building height is not to exceed 35 feet. 29.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 30.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 31.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 32.) Minimum setback from the edge of Retreat Ln right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. Minimum setback to the southern parcel boundary (adjacent to Commercial Forest zoned parcel) is 67 ft as depicted on the site plan. 33.) A septic permit (SEP06-00494) was approved on February 1, 2007 for a system of 360 gallons per day. 34.) Rettreat Ln (P641) is a private access road. The road approach is existing and an address of 243 Retreat Ln has been assigned to the parcel. 35.) This parcel was created through the Steinke SHort Plat under AFN 253939, filed of record November 7, 1978 in Volume 1 of Short Plat at page 135 with Jefferson County Auditor's office. 9.-4: JEFFERSN COUNTY ix4DEPARTMENT OF COMMUIIY �lyV aP , -, ,621 Sheridan Street • Port T -1 r,.:• -iiricto 8[36 360/379-4450 • 360/379-445ax www.co.jefferson.wa.us/commdevelo ment A1f6 2 7 2001 Master Permit Application v MLA: 7- �n(�' Project Description(include separate sheets as necessaryRPN COON j Tax Parcel �21 Property y C�� J 1\E-v\I _)v-y__ .5 Tie- le— t.,c) 4 i. 115‘ ,\,\ Number: I, oSize: I (acres/square feet) Site Address . • .r Directions to Property:9\43 El/fr L� 1 �j`'�U'V1(;� {' ' r ? / Q.: f�l lb ,iC,{ 1L'�+ I+� , F ll 11.71... �3 'F%� lrs, ern rl�ttit' 1�1'I Cc't r I rl1Int" Cm Property Owner(s)of Record: C;C�+'i 4 . YIe-Ike e Pee 1.60 n Telephone: ,Y - [.)del Fax: email '�L !i I; `t; ( F1i; rnC'. C�. rti g �; 1 ,, 15 2O ; (, igch�.70 Malin Address: G cX. 13a t Appticant'Agent(if different from owner): 44'd Pr Hv�'}'�"S m/2(" Telephone: ?4t2 JS2- &5-1 I Fax: —2- d1'-1 5 01 0 I email: Mailing Address: 2 503 el 12 e `�t-t) (3�yl Yl �I C� L� l '1 *`J IZ What kind of Permit?(Check each box that applies Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d), or C]** Single Family ❑Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑Home Business 0 Cottagelndustry 0 Long Plat** ❑Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑ Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: A DESIGNATION OF AGENT I hereby designate \I i 1'l"t , I N�` to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE (u"c f t �.Lz . rf`-� -z_, �t<, "j4 <=,1 �", Date: 1Y) ( )� By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application flapt tie or she wants prior notice. Signature: ' -C/—.._,..� /...... -�.J- , >Jn Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferabl re pn51biljty for adhering to and comp) ing with th ESA. The Applicant has read this disclaimer and signs and dates it below. Signatures ���,t�— } t Lc A ' ,ef'A.YlY1 Date: �`'(:, = 7 C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assupti g the responsibility the General Contractor for the proposed project. su Signature: /rem ,�" kw� -e Date: 0"2"1-07 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FM: I {a. it t-imes, Inc . &) -352 £ ;1I (It))61(43-o")01 MAILING ADDRESS: V'(:7 613 cf.- ��..1'.l,: (Jl yri',p1LC) LiA - EMAIL:— CONTRACTOR'S LICENSE t-7 j4;1 Z WAI NS NUMBER: 4O[�l P H Ai bL�� NUMBER NI P ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL P oject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New )4 Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: ...2 Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: -,2 Height: Iii, Individual Syste ❑ Repair ❑ Masonry SEP Permit#: . cU.- Lb,-rig Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: V' Private well ❑ Two Party Type of Heat: Proposed: - ❑ Public IrUtvi c Total: Name of System: If this is a Commercial Project you must answer the following: 11 \1' ins < Number of Parking Spaces: Current: Proposed: Number of ADA Parking$ c i V Ird LP Number of occupants(includes owners,tenants,employees,etc) Current Proposed 1111��J�.. IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: AUG 2 7 2007 ❑Underground Tank C]Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove ❑Other l Is this appliance being installed in a Manufactured/Mobile Home? Yes / No IFFF RSUN COUNTYCO U�U When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only_,„' Amount Revision Main Floor Heated 1 23Z i EH Bld App Review: (Q8 f, 2na Floor Heated I Consistency Review: ,3 Other Heated Base fee: q3 '�� `7 . Mezzanine Additional Section: Heated Basement _— Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: q300 ......._ Garage/Carport ICJ`'t (L(( ]t5� SUBTOTAL 1 " r .1t Decks 911/Rd Approach fee: c�: ! 152 Other TOTAL $� n Receipt Number: q :G I Cash/Check Number: --7-1 ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materia s t 911 . Initials: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 1 mu I riniN Name ,. _ 6kt! �0-e/t. Mailing Address'') -11ki .1.° 't-%" c.�;=.Ss , t/�► � , s,,`°l Home #_ cc.0) - a,) 1- 1t.32' Work # 946 (7,l.:11_ t 21-12 Cell # Property Location b , V. • c2.0 4 A 4 0- A IA-n.1 /9 2 2 6"' Legal Address T5 r9 • R 11 I Sec ` , Tax Lot #. 'ICI a 4 /-1 " tom\ el , ie erti'lt . .) County, State of V, i it,1 -4,14,,O 1/4,,,t-IE INFORMATION ON 71R5 PLOT PLAN HAS BEEN PROVIDED AI•ID REVIEWED BY TI IE PROPERTY OWNER WHO BY SIGNING BELOW:I)ACKNOWLEDGE AND ACCEPTS FULL RESPONSIBILITY FOR ITS ACCURACY AND COMPLETENESS.2)15 RESPONSIBLE TO El ISURE TI IAT THE , ( IMPROVEMENTS TO THE 517E TAKE MACE IN CONFORMANCE WI TH TI II PLAN,3)WILL Jy�7(,,�� ESTABLISH ALL THE CORNER IRONS,LOT LIhIES AND CODE•REQI ABED SETBACKS REquIRED Of SCALE: 1 = 1' THIS PROPERTY.ANY CHANGE(5)TO THIS PLAN MUST BE PRE•APPROVED BY TI IE GOVERNMENTAL AGENCIES WITH JURISDICTION.THE MORTGAGE LENDER AND TI lE CONTRACTOR AND DOCUMENTED. 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