8960 SW EDGEWOOD STREET a
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CITY OF TMATER r,ER1+121' f
DEVELOPMENT SERVICES P RMTT #. . . . . . . : MST98-0205
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: QBE./1 E`/98
r31TE' ADOREE;C;. . . .013'960 SW E'.DGF'WCIOD c'T
LIB D 7 V T a I(9N. . . . :EDOEWOOD Z ON I NO: R 4., 25
1+1.0!":K„ . . . . . . . . . I_.OT. . . . . . . . . . . . . .Q11. I .TIJRISDIL'T 10N: TIf_=r
Remarks: Convert a po tion of an existing garage into a workshop and master bed oom.
----------_---------•------------------------------------------- BUILDING ---------------------------------------------------------
REISSUE: STORIES.......: 1 FL�3OR AREAS---------- BASEMEN'...: 0 sf REQUIRED SETBACKS---- REQUIRED----------
CLASS OF WORK.:AL' HEIGHT........: 0 FIRS'....., 1.°.47 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USE...:Sr FLOOR LOAD.... : 40 SECOND...: 0 sf FRONT......... 0 PARKING SPPCES; 0
TYPE rr CONST,:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 0
,)�CUPANCY SRP..-R3 BDRM: 1 PATH: 0 TOTAL.------: 1847 sf VALUE..$: 4000 REPR.........., 0
--- ------ ------ ------------------------------------------ PLUMBING --------------------------------------------------------------
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH. 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWASHERS. .: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS., 0 CATCH BASINS..; 0
TUBISHOWERS...: 0 GARPr'_ DISP..: 0 WATER HEATERS.; 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS—: 0
OTHER FIXTURES: 0
--------------------------- -------------------•- MECHANICAL ------__.___-_.____..___----------------------------------•--------
FIA TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....; 0 CLOTHES DRYERS: 1
FURN )=101K ..; 0 UNIT HEATERS..: 0 HOODS.......... 0 OTHER UNITS...: 0
MAX INR.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
_.----- --- - ---- - ---------------- ------- _ -- ELECTRICAL --------
--RESIDENTIAL UNIT---- ----SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS-- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-
1000 SF OR LEGS: 0 0 - 2'0P app..: 0 0 - 200 alp..: 0 WISVC OR FDR..: 0 PUMP/IRRIGATION: 0 PFR INSPECTION:
EA ADD'L 50QSF.: 0 2201 - 4Q0 app..: 0 201 400 app..: 0 1st W/O SVC/FDR: 1 SIGN MUT LIN LT: 0 PER HOUR......: 0
JMITED ENERGY.: 0 401 - 6m app..: 0 401 - E,00 asp..: 6 EA ADDL BR CIR: 4 SIG4AL./PANEL...; 0 IN PLANT......: T
M,'1NF HM/SVC/FDA: 0 601 - 1000 asp.: 0 601+amps-1000 v: 0 MINOR LABEL -10, 0
to"+ amp/volt.: 0 ----------------- _____--------_-_--- PLAN REVIEW SECTION ----------------------------
Reconnect only.: 0 )=4 RES UNITS..: 3VC/FDR)=225 A.: ) 600 V NOMINAL, CLS AREA/SPC OLL:
---------------------------------------------------- ELECTRTr" - RESTRICTED ENERGY
A. Sr- RESIDENTIAL-------------------------- B. COMMERC:u1 ---------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTF",.: AUDIO I STEREO., FIRE ALARM....., IN?ERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM—i 0T4: s; BOU-ER.,.......s HVAC............ tAN1ACAPF,imp. PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL- OTHR: ::
PVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL. 1 SYSTEMS:
Owner: - - ------------------------Contractor: ------------------------- --- TOTAL. FEES:! 13.2..16
BUZZ MALLETT, CELESTE OWNER This permit is subject to the regulations contained in the
8317 SW DURHAM ROAD Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
phone N: Phone iti; net stared within 180 days of issuance, or if the work is
Reg 11..s 000010 suspended for we than 18Q days. ATTENTION: Oregon law
----------------------------------------------.-----------..---- requires you to follow rules adopted by the Oregrn Utility
Notification Center. Those rules are set forth in CZAR 952-001-0010 through OAR 952-0014180. You may obtain copies of these rules o
direct questions to OUNC by calling (503)246-1987,
-------_ _--------------------------------------------- REQUTRED INFOECT114S -------•-----
Footing Insp Insulation Insp
Post/Beam Struct Electrical Final
Mechanical Insp Mechanical Final
Flectr-ical Rough Bu4na
rNaming Insp _
1 5, l(a d P y : F'Pt-!n i t t ee 6 i qflat.r-1r"e
+ + +44++A-+ -F++-+•4f +14++++-+4+•+}+ +-1-+,1 +4 + + 4 .1 + + 4a. :. 'r ++•+++ 1 4 •++++1 + + + + +++
Call 63'9-417 . M. for- �-rn i ns< .Prt i 0Tr npaded the next bUS i ne!;s da<y
J
CITY OF TIGARD Residential Building Permit Application Recd By
13125 SW t;Al-L BLVD, Alteration - Interior Remodel Only Date Recd c `�
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 5034819-4171 Date to DST 's/�ze _Q9
F 503-584-7297 Permit q }�✓i%� ' (J e2Q�w
Print or Type Called
Incomplete or illegible applications will not be accepted
Name ofProject �i I i Name � /Y /
Jab ( �`( (`c'y \ f �' `"r1 1.�J41 �� Mailing Address
Site Address Architect
Address .
City/State Zip Phone
EiUu_r , Nire ��.?_"L IV(_,
O\Nn r Marling Address
Engineer Mailing AddrAss
U L City/State Zin Pho,•e
1 4"7tt _ l c ` -- CitylState Zip Phone ---
General Name
Contractor Describe work New O Addition O Alteration O Repair O
Mailing Address - to be done: _
Prior to permit Additional Description of Work:
issuance, a copy City/State Zip Phone `+!LlC1`-11 m�
of all licenses
are required if Oregon Cons' Cont BoanJ Exp Date PROJECT I
expired in COT Lic.# VALUATION $
database ----
Mechanical Name -- NEW CONSTRUCTION ONLY:
Sub- moi " t — — ( Sq. Ft. House: Sq. Ft. Garage
Contractor ""ailing Address L — –
Prior to permit Comet Lot YES NO Flag Lot YF_S NG
issuance, a copy City/State Zip V Phone (check one) (check one)
of all licenses _ Restricted Audio/Stereo Burglar
are required if Oregon Const.Cont. Board Exp.Date Energy System -- Alarm
expired in COT Lir.,#
database Installation Garage Boor HVAC
Plumbing Name — _ Opener Systems
Sub- I (check all that Other:
Contractor Mailing Address Will the electrical subcontractor wire for all YES NO
co
restricted energy installations? _
Prior top City/state zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy _ _
of all ocenses are Oregon_ Const.Cont Board Exp. Date -- – --- -- —
rer.uired if Lic# Solar Compliance
expired in COT _ (Calculation Attached)
database Plumbing Lic.# Exp Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
Name –� agent of the owner, and that plans submitted are ir.compliance
with Orion S laws. _
Electrical _ _ _ Sig > Date p
Sub_ Mailing r;ddress — —_ ( l— _
Contractor C ntact Person a Phone#
Citylstate Zip Phone Gj -- — 3301007
Prior to permit FOR OFFICE USE ONLY: _
issuance a copy __ Plat# -- Maps L#: /
of all licenses are Orsgon Const Cont. Board Exo Date �d� -ell
required if I-ic# Setp acks: Zon " Solar:
expired in COT _—_ 47L1 'fl / —.
database Electrical Lic 0 Exp Date
�I Engineering Approval Planning Approval: TIF
I SFREM DOC(DST(5,1i9f
P�" � ��
�`E^ <<t�
Permit* 0 7-D
�.,
Address:
Issued by: Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.1710(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and in;tial boxes 1 and 2, and either box 3A or 3B:
1. 1 own, reside in, or will reside in ehe completed stricture.
2. I understand that 1 must register as a construction contractor if the structure is sold or oftcred for Sale
before or upon completion.
F13A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If i hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
1 hereby certify that the above information is correct and that I have••ead and do understand the Information
Notice to Pr, rt y ers abot;t 'onstruction Responsibilities on the reverse side of this form.
� � ' �' ------ --------___--------- —�.--rte.-� ----------
(Signature of permit applicant) (Date)
(White copy to issuing ag.: :y permitfle,
pink copy to apps:cant)
Information Notice, tf.) Property Owners
Abotit Construction Responsibilities
"hWel Constrifi-lion Responsi
with ORS
J I,I I J i V tUrYv ',I'fN;tntia1 improvemeilt to an cxi�,tmt, stnICILlIV,
E-,MPLOYER 11WONSIBILITIE
or assl5Ilng ill tile
!i nd the people
1t,1r,:1r�
PI("N IT ,t tile inic employ,
t'l", hon)
ph)
111�111 AMA: J-111q)(Ne's 011 th(
;AI I )II gall nlpjt)�j ni'M 1-�'
I IS I'll iri!the Deptrimew(it Hullia)Resource,,
11'fprk4-r�;'v(tit Ijwij,.atj(vl I f 4'.1 Yk4 t
ol IU 111;1)
f I I Ile I ;t: -irk, n' -mation,
(If JOK Vul ill( I I hit
Set-vico,, ill 4)4,i--Mpx
illcollw frt�tfit*14
k: WagtS. Ay q,)l I \VI
for the ml,'r1:1villelif 011,11.cAl the inlern.il Revc-nut:St-rvi,.t
"0
01HER RESPONSIBILITIES AND AREAS OF CONCI;RN:
CmIc ''I",tit I-m;lf 1164"? 1"! fill,
. t.""it;11,v rcl)ow d1k for reti(dvingiiny i'.iittvc to ijjet:jc(tit,11 1 ill t,
It it,ill'
avid pj-vjtt.,l-.ty dam4lge out mAjratwe agel" t!""CC 11 Y41tl 11AW ikdk.XJ11dlC 1W,1,11 TIUL't,'( 1!
A t.ldcii.s dilld ollir"'wils "U01 as fuli'llig tooL"'Paint everspra). wato' daillage ll-wil iunt,! pullotire.". fire. ui %wrk that nurt I,
1"' d')Iic.
Tinle to "llpvrO."v m"Plo�I.i'v%. ',otl ha%v sufficierjt time to tiupervi,;c %oul.
Nperftittie- klaki,�mk,voi,h:,l.r.obt,i1.xjvjjik4, ronor-al contrictor,t,.)rnnrdinnto the work ritirt-o.,lph Mand ftnjq!'
In"Jo", and tri l"fliv Hf1ilH11111 011160, lit IN,arr.*nlitiAte llme.sit lhev calf perronil the reqttir,,.(j irjsrectl(jtlq.
Additik'nal yurtiti,,tl , +; c til L'11! 11w i"11,11M 11011 Board 010 Box 14140, Salom,OR
I he, flow-d it I St ".T quite MA), in safel".
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 9722.3
IMPORTANT PERMIT NOTICE
BUZZ MALLETT
8317 SW DURHAM RD
TIGARD OR 97224
Electrical Signature Form
Permit # . . . . : MST98-0205
Date Issued. : 06/12/98
Parcel . . . . . . : 2S102DC-01401
Site Address : 08960 SW EDGEWOOD ST
Subdivision. : EDGEWOOD
Block. . . . . . . Liar_ : 011
Jurisdiction: TIG
Zoning. . . . . . . R-4 . 5
Remarks :
Convert a portion of an existing garage into a workshop and master
bedroom.
Your company has been indicated as the electrical contractor for the permit indicated above. In
order fir the electrical permit to be valid, the signature of the supervising electrician,
is required.
Please have the appropriate individual from your company sign below and return this Electri.al
Signature Form prior to the start of work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
()WNEk: ELECTRICAL CONTRACTOR:
BUZZ MALLETT, CELESTE BUZZ MALLETT
8317 SW DURHAM ROAD 8317 SW DURHAM RD
TIGARD OR 97223
TIGARD OR 9"/224
E'hc ►le It : 330-1007 Phone #
Reg # . .
X
--r -
Signature o �u--pervls,mg Elect--nrcian7i-
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARn, OR 97223
IMPORTANT PERMIT NOTICE
BUZZ MALLETT
8 17 SW DUFHAM RD
TIGARD OR 97224
Plumbing Signature Form
Permit # . . . . : MST98-02 )5
Date Issued. : 06/12/98
Parcel . . . . . . : 2S102DC-01401
Site Address : 08960 SW EDGEWOOli ST
Subdivision. : EDGE"WOOD
Block . . . . . . . . L")t. : 011
Zoning. . . . . . : R-4 . 5
Remarks :
Convert- a portion of an existit:g garage into a workshop and master
Ledroom.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work.
No plumbing inspections will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
)WNER : NiUMAING CONTRACTOR :.
BUZZ MALLETT, CELESTE BUZZ MALLETT
8317 SW DURHAM ROAD 8317 SW DURHAM RD
TIGARD OR 97223 TIGARD OR 97224
Phone 4 :
Reg ,# ..a.-.---
X
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Buildling Dept.
If you have Emy questions, please call 639-4171 , ext. #310
CITY OF TIGARD BUILDING INSPECTION DIVISION Msr
24-Hour Inspection Linc': 639-4175 Business Line: 639-4171
I RUP —
_ Date Requested AM PM 6-�
BLD _ --
Location` fo Suite MEC ~
Contact Person :(, ZZ_- / Ph 3yR' S�Dt 7 PLM —
Contractor Ph SWR -
BUILDING Tenant/C...:cr ELC
Retaining Wall
ELFT _
Footing Access: --� —
Foundation FPS
Ftg Drain - -`- --'
Crawl Drain Inspection Notes: SGN
Slab
Post&Beam - - `—._--_-- ----._ - SIT _------- —
Ext Sheath/Shear
Int Sheath/Shear -- --�---
Fram ng
Insulation — " -- ---`
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm -- - - ----_
Susp'd Ceiling _
Roof
Misc
Final --- ----------
T FAIL
--
PAS _--KAR -----
osF& Beam --
Under Slab
Top Out
Water Service
Sanitary Sewer _-- ------
Rain Drains
PART FAIL
RIECHANICAL - -- ----- --. ----
Post&Beam ----------
Rough In
Gas Line -- - - _---- ----- - ---- -- -- -- ---
Smoke Dampers
Final -
PASS PART FAIT- -.— ---V-v ---
ELECTRICAL -- -----..- - ----- -- - -------
Service
----Service
RoughIn ---- ----._. --- -- ------ __._._------
UG/Slab
Low Voltage ----- _ --- --------------- ------ ---- -
Fire Alarm
Final - ----- __--- - --------
PASS PART FAIL
SITE --- -- ----- - ___ ------- - ---------
Backfill/Graling -- --- ---- --- ------ - ---
Sanitary Sewer
Storm Drain ]Reinspection fee of$-_— required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE: —__— -` [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other — Date Inspector,! ,, Ext
Final
PASS- PANT FAIL 00 NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST gp.0,2-40
24-Hour Inspection Line: 639-4175 _Business Line: 639-4171
:' A- BLIP
_ Date Requested 00 AM PM • _ BLD
Location _ r �'p C�L" Suite MEC
Contact Person Ph '" 7 FLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC —
Retaining Wall E.LR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes - - ---
Slab _ -------- -___--- --- SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing
---- --------
Insulation I, '• -- -- ----_____
Drywall Nailing
------ - ---- ---- - -----
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -----_----_
Roof
Misc:_ -- - - - --- -
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
TopOut ---------- ------ - ---------------------_-__.-------------._..-._.__ ... .
Water Service
Sanitary Sewer -
Rain Drains
PASS PART FAIL
MECHANICAL
Post&Beam
Rough In
Gas Line —
Smoke Dampers
Final ---
PASS PART FAIL
ECTRICA -- --__._ _
Service
Rough In
UG/Slab --- ---- ---- -- --.
Low Voltage
Fire Alarm _ --
PA S' PART FAIL
Backfill/Grading --` ---� _
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Bas,n [ ]Please call for reinspection RE:_ __ _ [ ]Unable to inspect-no access
Fire Supply Line
ADA j
Approach/Sidews lk ,pate
Other —In.:pector .._. ---fit-¢ Ext
Final
PASS PART r'AILJ 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD 24-Hour
BUILDING Inspeclon Ling:: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
_ nn BUP
Received Date Requested S �� L�_ AM PM -_ BUP
-ocation _-- l-�-V �� _Suite _ MEC
Contact Person _ __ _ Ph(--) cl7D -6 ?D 7 PLM
Contractor _ _— Ph(—) _ SWR
BUILDING _ Tenant/Owner ELC
Footing
Foundation Access: ELC ---_----_--- - _-
Ftg Drain ELR
Crawl Drain
Slab InSDe�t-Ion s: SIT
Post&Beam C
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing _ _ �oY.�=''- ---Sisli'l�c: ��lLrc"<Z'iCS.
Insulation
Drywall Nailing - - - -- ---
Firewall
Fire Sprinkler -- --— ---------------
F4e Alarm
Susp'd Ceiling — -- --- ---
Roof
On r.
PASS_ PART AIL -- -
PLUMBING _
Post&Beam
Under Slab - -
Rough-In
Water Service ---- -- - _
Sanitary Sewer
Rain Drains - --
Catch Basin/Manhole
omirm Drain - - - -- - -- -
Shower Pan
Other: - -- - -
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gas Line
S oke Dampers
I
S` PART FAIL
tfCRICAL-
Service - -- - - ----
Rough-In
UG/Slab - - - ---- ------
Low Voltage
Fire Alarm -
Final 11 Reinspection foo r!
PASS PART FAIL r required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE L_ Please call for reinspectw ; I iI -_ -- [jUnable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Kato �-''-_"' . .ns�►�ctmr -Ext
Other:_
Final DO NOT REMOVE this Inspection record from the Job site.
PASS FART FPIL
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP _
Received Date Requested S'oZo� AM�"f . PM _ - -_ BLIP _
I-ocation __-- 1 (a � k1 = _ Suite -___ MEC
Contact Person 4707 PLM
Contractor -- - -------- - - - Ph( _ ) - - - - GWR
-
BUILDING Tenant/Owner . --- -- - ----- ------ --- - ELC
Footing i ELC - -- -- - --- ---
Foundation ---------
Ftg Drain Access:
Crawl Drain ELR
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - --- - --- ---
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing - --- - - -- -- - ---- - - ---- -
Firewall
Fire Sprinkhar -_ � ------- - - --------- - _ __
Fire Alarm
Susp'd Ceiling - --- - -- _.- -- --- -
hoot
Other. I - -------- -- -- -- -
PAS: -PART FAIL -- - - -- - -- --
_ G _~
Post&Beam
Under Slab
Rough-in
Water Service -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain - - - - - -- ---
Shower Pan
Other. ---_ -- -- -- - - ----- -
Final
PASS PART FAIL -- - --- - - - - -- -- - -
MEC:HANICAL
Post&Beam -Rough-in
Gas
— -
Gas Line
sffL=Dampers?PA - -- --- ---- -
i
SS PART FAIL
__ICAC
-
Rough-In
UG/Slab - -- _- ---
Low Voltage
Fire Alarm -`_-__-
Final Reinspection tee of$___- required before next inspection. Pay at City Hall. 13125 SW Hall Blvd.
PASS PART FAIL_ f
SITE Please call for reinspection RE: �� Unable to inspect-no access
Fire Supply Line
ADA _ •
Approach/Sldewalk Date-����-��- -- Inspector ___1 _�_. Ext
Other:
Final DO NOT REMOVE this Inspection record from the J,-:S site.
PASS PART FAIL