11571 SW COLE LANE / IS 7 / SL,/ c; ole L A, . EL 196 F_L 19 q EL 141 6L Z90
— EL 289. 5
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2. PROVIDE A MAINTAIN SOL SEDIMENT
FENCE AS INDICATM
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NOTE: OoaERUNE CONCEPTSI EL 292 w ; z Sq.S $
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S, W, C OLE L \ --NEW
— WHO98, SE ADDED, CHECKED PER RECORDED PLAT.
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EC 7-8Y, S
--- — -- -- SAm;rArw Sewell c"0nneJ0 7.j - a L 27
SCALE DRAWING LOT 3 EVERGREEN SPRINGS
EL 18 T 7s N.W. 1 4 SEC. 10,T.2S,R.1 W, W.M.
I CITY OF TIGARD
WASHINGTON COUNTY, OREGON
OCTOBER 21 , 1997 Centerline Concepts Inc.
--AN EIGHT FOOT PUBUC U11UTY EASEMENT DRAWN BY: MSG CHECKED BY: WGDIII
SHALL EXIST ALONG ALL STREET FRONTAGE. SCALE 1 "=20' ACCOUNT # 115
640 82nd Drive Gladstone, Oregon 97027
M: MLI PLAT EVERGS LHVERGS 503 650-0188 fox 503 650-0189
NOTICE: IF THE PRINT OR TYPE ON ANY T[g1j [ lilt � I iJIII � 1111111 TIT III IIT ..�� T 11 1 � 1IIII-r �rll I � I � IIi III Ill I � I III Ill 111 III Ili III r_IT. _I�7 III T_I. �_IL_ .I_ I I I I I . IIII
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S NOT AS CLEAR AS THIS NOTICE 1 ( 2 � I
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IT IS DUE TO THE QUALITY OF THENo.36
- -- —
ORIGINAL DOCUMENT E 6Z 8Z LZ 8Z 5Z fiZ EZ Z TZ OZ 6T 8T _-- LT 9t 9I '�6T EI ZT LT
1111 IIII IIII Mill Illi Illi IlIIIIIII IIII IIII IIII 11JJ_ 11l1�I1JI ILi1.lII�_LlLI I !1 II �I'� T � s
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11571 SW COLE LANE
_ CERTIFICATE
CITY OF TIGARD
PERMIT#: MST99-00008
DEVELOPMENT SERVICES DATE ISSUED: 01/19/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S11OBA-07800
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 11571 SW COLE LN FILE
�
SUBDIVISION: EVERGREEN SPRINGS
PY
BLOCK: LOT:003
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Single family detached, Path 1.
Final Building Inspection and Certificate of Occupancy Approved
10/18/99 by George Steele, Building Inspector
Owner:
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS DRIVE
WEST LINN, OR 97068
Phone:
Contractor:
RENAISSANCE CUSTOM HOMES
1672 WILLAMETTE FALLS DR
WEST LINN, OR 97068
Phone: 557-8000
Reg#:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued.
/
BUILDIN INSPECTOR BUILDI G OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BUP
_ Date Requested AM PM BLD
Location /�' ' 7/ ' `<_ Suite l s MEC
Contact Person Ph PLM iii A- r - 19�
Contractor __ Ph SWR
UILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftq Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post R Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing — _ -
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler — —
Fire Alarm
Susp'd Ceiling -- ---- --
Roof
Isc
P RT FAil_ — —
Post&Beam
Under Slab _
Top Out _ —
Water Service _
Sanitary Sewer —
Rain Drains
AAMY PART FAIL
Post&Beam ---
Rough In
Gas Line "-
Smoke Dampers
Ig RT FAIL
Service —
Rough In
UG/Slab -
Low Voltage
F' Alarm
�A PART FAIL — - --�_--� _ ----- ----SITE
Backfill/Grading - -- —^
Sanitary Sewer
Storm Drain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE' [ ]Unable to inspect-no access
ADA
Approach/Sidewalk �G _/ri_ y7 Ext
Other Date Inspector�— ._.
Final
PASS PART FAIL DO NOT REMLVE this Inspection record from the job site.
CITYOF T I G A R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P /24/19 -00299
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/24/1999
SITE ADDRESS: 11571 SW COLE LN PARCEL: 2S110BA-07800
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACK: BASKFLOW PREVNTRS: i
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Residential backflow prevention device.
FEES
Owner:
Type By Date Amount Receipt
RENAISSANCE CUSTOM HOMES PRMT KJP 09/24/199 $25.00 99-318590
1672 SW WILLAMETTE FALLS DR
WEST LINN, OR 97068 5PCT KJP 09/24l199E $1.25 99-318590
Total $26.25
Phone 1: 557-8000
Contractor:
MOODY ENTERPRISE INC
PO BOX 98
ESTACADA, OR 97023 REQUIRED INSPECTIONS
Phone 1: 631-2918 RP/Backflow Preventer
Reg#: LIC 00005973 Final Inspection
PLM 11717
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard r0inicipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspenr+-, f-ir more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregor itility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
i
Issued By: Permittee Permittee Signature: Cw c � =u •�•CC�►� - l�'1�ur �,
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
TY OF TIGARD Plumbing Application Reed By bco
A 25 SW MALL BLVD. Commercial and Residential Oslo Rncc•d 't 1t. "
CARD, OR 97223 ci Oats to P.E._
;03) 639-4171 \ ) Oslo to 0
Print or Type Permits u>7 y y_'C
RelatwR
�y 9
Incomplete or illegible applications will not be accepted called
Nap»of Oswbprt+snt/Propct ' FIXTURES,(Indivldua1)
Jobb. ! �
_vi it d pC,,vj strut
Address Street A rasa suits lavatory
9.00
S 5, W,(�' r' � Tub or TuWShower Comb. 9.00
Bldg s /slate ZIp Shower only 9.00
1 1 O L 2 Z Wales Closet x•00
/� 9.00
t tio1 rS C4.VC r_ CGS�O/t !Tv'M Er Olahwi,nor 9.po
Owner 9 / suits Garor Disposal 9.00
e c wasfw,q�tatrw,. 9.00
IS Is IV*�Lp /�[� Phone Flow Drain 2•
�,yOOD �, 9.00
Name 9.00
4- 9.00
Occupant Maukq Address Suits w.ter Healer
9.00
City/Stanlat++dry Room Tray 9.00
LP Phone Urttal
O9.00
L ther Fbdtxes(Spstyfy) 9.00
Contractor �ro Suits 9.00
(7. 9.00
(PrW to issuance CUy�tah Phone 9.00
applicant must MIA
Ir 14 Q OZ 6. -2 ttAVp 9.00
Provide all
lraidors Oregon Conan_Cont.Board Utas
t Oate 9.00
6000
Infomatlon PkxTtbinp Ur-! Exp. h 9.00
sews-1st 100'
30.00
for COT COT Business Tax w Metro s Sewer-aach additional 100 23.00
u aabasel, Dat
�c ero wa4Y Service-1st 100' 30.00
Nams Water Servka-eac n additional 200'
25.1]0
Architect Storm a Ran Drain-1st 100'
30.00
or Mang Addrasa Suds storm 8 Bart Drain-each addltkxW lar 25.00
Mobdo rxwm space
Engineer Gtyrstah 23.00 Zip Phone Cdrrtrryroal Bar*Flow Prevention Devtee o,Antl-
p IDrAos 25.00
�su�be wrxtt Now Addma,O Altenbon O Repan O ResfdenlW 115801110wbe dome: Resxlential(V _Non-residential O Ds 15.00
+ddrtronal de an of worn Any Trap or Wash Not Carrtectad to a Furtws
9.00
catch Basin 9.00
insp.of Fxisbng Plumbing 40.00
Spec i'Requested Inspections /hrshag user of
Zing or property_ - p0.00
Rain Drain,sirgk family dvreGirrg 3o.00
orft
oosed use of Grease I raps
Ming or property P 9.00
OU capping, moving or rePlacuig any f1mms� Yes p No❑ Iwxrrtrte w roar diagrartr is QUANTITY TOTAL
'I!!!"back of forml aranh Total is >9
-rer]y aciuwledge that I have read this application,that the information 'SUBTO
wTAL _r
ns cortec t-that I am the owner or authorized agent of the owner.and S'd.SURCHARGE
^Ians submitted are In compliance with Ore on State laws.
s of Agent PLAN REVIEW 25X.OF sUBTOTAL
Rsau..d oney if Poce,.M tori is>s
�iact Parson Nan.e TOTAL
Phone
�' r N C r� / 'Minimum parrnft fes is$25+S%strcharye,except Res,dermal sacJcAow
! • 2 9�� Prevention Device.wtvch is$t S+S%surcharge
L\plmapp.doc 12196 (dst)
CITY OF TIGARD MASTER FMC-RMIT
DEVELOPMENT SERVICES 17,ERMIT #. . . . . . . MST99-0,008
13125 SW Hall Blvd,, Tigard,OR 97223(503)6394171 DATE ISSUED: 01/1.9/99
PARCEL: 2G110SAEVR03
I TC ADDRESS., t 1571 SW COLE LN
'31 JBD I V T 9 TON. . . . :EVERr3REEN SPRINGS ZONING; R--A. 5
DLOCK.. . . . . . . . . . LO1.. . . . . . . . . . . . . .003 JLJRISDICTIONI: TIS
Remarks: Single family detached, Path 1.
---------------------—--—-—---—--------------------------- BUILDING ------------------------------------------------
REISSUE:
---------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED---
CLASS
EQUIRED—CLASS OF WORK.:NEW HEIGHT........: 20 FIRST.... : 1579 sf GARAGE.....: 661 sf LEFT..........: 5 ME DETECTRS:
TYPE OF USE...:SF FLOOR LORD.... 40 SECOND...: 788 sf FRONT.........: 21 PARYING SPACES:
TYPE OF CONST.:SN D'ELLING UNITS: I FINBSMENT: 0 5f RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM.- 3 BATH: 3 TOTAL------: 10367 sf VALUE—$: 176967 REAR..........: 48
------------•-------------------------------------------- PLUMBING —---------------
91NKS......... I WATER CLOSETS. 3 WASHINri MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES.... ; 4 DISHWASHERS... I F1 GOR DRAINS.,: 0 SEWER LINE ft: 100 SF RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS,: WATER LINE ft- 100 BCKFLW PREVNTR: 1 GREASE TRAPS,.;
OTHER FIXTURES: P
--------------------------------------------------------------- MECHANICAL ---------------------------------------
FUEL
--------------------------FUEL TYPES--------- FURN ( IM 0 BOIL/CMP ( 3HP- 0 VERT FANS.....: 4 CLOTHES DRYERS: I
GAS FURN )=10 I UNIT HEATERS... 0 HOODS.........: I OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: I WOODSTOVES....: 0 GAS OUTLETS...i I
------------------------------------------------------------ ELECTRICAL —------------------------------------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- --BRANCH CIRCUITS--- ---MISCELLANEOUS---- --ADDIL INSKCTIONS--
IM SF OR LESS: 1 0 - -.W alp..: 0 0 200 amp..: I W/SVL OR FDR..-, @ PUMP/IRRIGATION: 0 PER INSPF1TION:
EA ADDIL 501!)SF.i 4 2@1 - 400 amp..: 0 2@' 400 amp...- I 1st W/O SVC/FDR: 6 SleN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 100 asp..: @ 401 600 amp..., I EA ADDL BR CIR: 0 SIGNAL./PANEL...: I IN PLANT....... 0
MANE HM/SVC/FDR-. 0 601 -- 1000 amp.: @ 6@1+amps-1W Y: 0 MINOR LABEL -191 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SFCTTON ------------------------------
Reconnect
--------------------------
Reconnect only.: 0 )z4 RES UNITS.. SVCIFDR)=225 A.: 600 V NOMINAL, CLS AREA/SPC OCC:
------------------------—--------------____ ELECTRICAL - RESTRICTED ENERGY -------------------------------------------------_
A.
-------------------------------------------------
A. SF RESIDENTIAL——— --------- B. COMMERCIAL----------------- ------------�_— _____ ______---------------_----
AUDIO
OMMERCIAL------------------
UIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO. FIRE ALARM--: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTB: BOILER.........: HVAC...........: LANDSCWE/IRRIG: PROTECTIVE SIGW:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
4VAr............. DATA/TELE COMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: e
Owner: ----------------------------------Contractor: ------------------- TOTPI FEES:$ 5220.46
RENAISSANCE DEVELOPMENT RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the
1672 9W WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigard Municipal Code, State of Ore. Specialty Codes and all
WEST LINN OR 9709 WEST LINN OR 97M other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: 557-BM Phone 0: 557-8M not started within 188 days of issuance, or if the work r
Reg C.: 949935 suspended for acre than 188 days. ATTENTION: Oregon law
----------------------------------- --------------------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0@1-N1@ through OAR 952-0@I-M. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987,
REQUIRED INSPECTIONS ---------------------------------------------------
Erosion 844-8444 Post/Peas Meehan Electrical Servi Gas Line Insp Electrical Final
Grading Inspecti Crawl Drain/Back Electrical Rough Insulation Insp Mechanical Final
rooting Insp PLM/Underfloor Freeing Insp Rain drain Insp Plumb Final
una '
ro d ti i;s I apical Insp Sheer Will Insp Water Service In Building Final
s i
Post/Bea r"truct lumaTop Low Vol age Appr1SdwIk Insp
T S S'A e19y : Plerinittee SignatLtv-e:
+ 4..1, 4..+.{.N_;u_14_14 i.+ 4 f-4..{...} 1 1 +.4.4..4.1 -1.4,4 . 4 4-4 4-4 .1..}.4-+-f-4,4-++-+++-++4.+++4-4-+ t I- 1 4 4 4-*.1.4- t 4 1 1, t I
Cal 1 6,39-4179 by 7:00 p. m. for an inspecti.on needed the next bttsiness di-iy
CITY OF TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 rJERMIT #. . . . . . . : SWR990007
DATE ISSUED: 01/19/99
PARCEL: 26110BA—EVR03
SITE ADDRESS. . . : 1 1 571 SW COLE L.N
SUBDIVISION. . . . :EVERGREEN SPRINGSZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: TTG
'TENANT NAME. . . . . :
USA NO. . . . . . . . . . : f:I XTURE UNI TS. . . - 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : I
TYPE OF USE. . . . . ..SF NO. OF BUILDINGS: 1
T NSTALL TYPE'. . . . :LTPSWR IMPERV SURFACE- 0 Sf
Remarks : Single family detached, Path 1.
Owner : FEES ---------------
RENAISSANCE DEVELOPMENT type amol.tnt by date reept
1672 SW WILLAMETTE FALLS DR PRMT $ 2300. 00 DEB 01l19199 99 -3122-48
WEST I-INN 3R 97066 INSP $ 35. 00 DEB 01/19/99 99--312248
Phone
ant ractor.i
OWNER
-hone #: 2.335. 00 TOTAL
REPUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 181 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side tower laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance give". If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTENTION: Oregon low requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-01-MI through OAR 9524MI-M. You may obtain copies of
these rules or dicot questions to UK by calling (503)246-1987.
,114_4 P(*)-mittee 93ignati.ire:
ISS1.1ed
-4......4.......4.....4-4..........4.............................4...............4++++
Call. 639-4175 by 7:00 p. m. for an inspection needed the ne)<t bi.isiness day
+-4--+-++4'...........4-+4-++++4.............................4-+++4................... .
CITY OF TIGARD Residential Building Permit Application Plan c c� .
13125 SW HALL BLVD. Additions or Alterations Recd <LIT
Date Recd 7
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Date to DST
F 503-684-7297 Permit#
Print or Type �j Called_(
Incomplete or illegible applications will not be accepted LEpr
`*
— Name of Project Name
Jobvel-Ift SA_,1119 1 -f,t 3 Architect Mailing Address
Address Site Address ,n S >V t9 rh
(/ r/ S�✓ L o/Q [n _ City/State Zip Phone
Name - ,� igiQ '11 Zia
Peon iA+Iro,oCe I'lz„e1� :" Name
Owner Mailing Address ,oar/./
/(7Z Sv V " P� —,C",/` All Engineer Mailing Address
City/State Zip Phone V5
_l✓tj r L,n 2700 + �"3-511-f Vitt'�_ —. City/St t Zip Phone
General Name 3Cy-y?yL
Contractor Sg,,,r �, A�,, Describe work New Addition O Alteration O Repair O
Mailing Address - to be done _
Prior to permit Additional Description of Work: ,
issuance,a copy City/State Zip Proneof all licenses _
are required if Oregon Const. Cont Board Exp Ddte PROJECT
expired in COT Lic# VALUATION $
database rall `� 116,/9V —
Mechanical Name— -- —^ NEW CONSTRUCTION ONLY: _
Sub- �„ -r Sq Ft House Sq Ft. Garage
Contractor Mailing Address
n Indicate the restricted energy installation by the electrical
Prior to permit /"s6 S/ >r_ /y.11h/rr subcontractor in the following areas
issuance,a copy City/State Zip Phone -
of all+icenses G/a a C 3V!,; �5y-z//5 Restricted Audio/Stere
are required if Oregon Const Cont Board Exp.Date Energy System Alarms
expired in COT Lic# Installations Vacuum Irrigation
database_ (r 7 Z 6 Z 3 VZX/w _ System System _
Plumbing Name (check all that Ot'iev
Sub- (;Co�fwo�!< f'IUM� n� _ aprll) _
Contractor Mailing Address I Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
7 7 1� >>✓ ��, Has the Subdivision Plat recorded? NIA NO
F nor to permit City/Stale Zip Phone
issuance.a copy i�r c✓tr fin, _'fl `)'G^V, _ 5y y °`/Z G- _
of all licenses are Oregon Cons[ Cont Board Exp. Date
ren ired if Lic#
exNu .f in COT 7966E _ 2�/ %/i,I I hearby acknowledge that I have read this application,that the
database Plumbing Lic # Exp Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compiiance with
Oregon State laws.
Name Signature of Owner/Agent Dat
Electrical F_
Contact Person Name Phone#
Sub- Mailing Address
Contractor � 13,x_/'/2 —
City/State Zip Phone
Prior to permit r
issuance.a copy Cl r+ �, ��i l s Z
S �� FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date Plat# Map/TL#.
required if Lic# )r
expired in COT �'y r,4 y 90 /91 _ '__ '/ J )G — r
database Electrical Lic # Exp Date Setbacks. Lone !( r/ r' Soli
I�Kc /.0/�/9� I
Electrical Supervisor Lic # Exp Date Engineering Approval Planning Approval: TIF
i\dsts\forms\sfaddalt doc 11120198
SEE 3 5M
ROLL# 22
FOR
LARGE
DOCUMENT