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12242 SW 122ND AVENUE-2 I i I -�I Chi E, J �1 ' it rQ � �7 �O LGS►Vc'� �I �Iv 2 12 I .� -- - . 2..................................... I v i > S40 L I 10 F.J �" 57 'cJe--" 1,J I I U' `T L. 7000 7 L . -,71 C'l HOMEWOOD DESIGN Custom Residential Design To reach (lie ynality without a name we must design a living pattern language as a gate. Brian Symes Designer (503) 285-1136 6625 N. Curtis Ave. Portland, OR 97217 ''� � � � ��llt�ll`1111f1 11{ltllflll�fll I�I��IIIII�I�t IIIILJtI{11��j1�11j111Ii1�ljll� ilr,ljilllllll IIIIIIIIIIIIfII IIIA{III111�{IIy111�II1I11111I!IIIIIl111111111111111r1111(IIl1�1111111111111111 � � -' I 1 I I 1 � I�"� I .► 10 I I 12 6 t3 NOTE: IF THIS MICROFILMED ( 2 3 4 5 9 DRAWING IS LESS CLEAF THAN THIS NOTICrai-111 15 ME TO THE (QUALITY OF THE ORIGINAL -- bRAWING. OE 61Z 912 a 9Z SZ tiZ Ce ZIIZ IZ OZ 611 @1 LI 91 SI bl C1 ZI 11 01 6 9 L 9 S�� ,r b 1. IE• 1.. Z t'•Swiss sell IIIIIIIIIIII11111111HIlNNl111111N�IIIIGIttI{NIII1111NuluIllNulaua�NIINIINNINII�It1�tN1IIIt1�11�1I111111lIIIUIIIIIIIII1111111Illltllllllllltt�tql11111�11t11UtL�i111I1tt1�1111I1Hti111{� 11111111111111111111111IIIII�IWWI t1111111110111111!(I�IIIIIIt�IIIIIIWIIII) JUN " 3 1992 MIMal f i I --- 12242 SW 122NI) AVENUE Iw er � s '� ®► CERTIFICATE OF CITY QF TIGA RD -� OCCUPANCY CITYOF WARD T #. . . . . . . a MST90--0049 COMMUNITY DEVELOPMENT DEPART'MEW oeEooN 13125 SW FWI Blvd. P.O.Box 23397,Tigard,Oregon 97�14,MM)4JgA 6 SITE ADDRESS. . . a 1-'2421 SW 122ND AVE PARCEL: 25103014 SUBDIVISION. . . . a 14ORTH TIGARDVILLE ADDITION ZONINGe R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 934 -------------------------------------------- CLASS OF WORK. aNEW TYPE OF USE. . . aSF OCCUPANCY GRP. aR3 OCCUPANCY LOADa116 4 1 k NANT NAME. . . a PemarksI Owners JOE LORINC 12435 SW 121ST AVE TIGARD OR 97223 Phone N# Cont ract or a -------------------------------- OWNER/CONTRACTOR I'I�une Na Occupancy of` the above referenced building is hereby given, an(.] (H1 t r f ie- the compliance with the State Of Oreg,)n Specialty Codes for they gi-uup, occupancy, and use ender which the referenced permit was issued. FIRE. DEPARTMENT ALJILDINO INSPECTOR BUIL't)IN �- FICIAL POST IN CONSPICUOUS PLACE f INSPECTION NOTICE City of Tigard Building Depart-went 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: __-� ,/47- ��-H_Z �/ _• Footing Plbg. Underelab Mech. Rough-in Appr/adwlk Found. Plbg. Top Out Gas Line �PIMALt Poet/Beam Struct. San. Sewer Framing -Eldq S. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Lite Gyp. Bd. -Meeh. Date Requested: �- �O Timet �_AN PM Addres9:__ Builder: _ �?(, L •C� �1S% �� 'UZ THE FOLLOWING CORRECTIONS ARE RRQDIREDf r%s Ns T 14Q V w u uta L4 tr--TZ-tz t ry.'S T A L t— t;) Ca. n wt Zo - --- - Loor l U Ins ctort ` / /C Pe _1!�_ Detet /� v4 �- ArPROVEV DISAPPROVED APPROVED SUBJRCT TO ABOVE Call For Reinep. IIECH All I CAL PERMIT CITY OF T'GA RD cPERMIT H. „ . . . . . ; MEC90-0294 OOF ,T�� COMMUNITY DEVELOPMENT DEPARTMENT OR 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Onogon 97223(603jGW1 7b PH T 1.­ 1.S S U E 1); 1.(2 1R.0190 .. 111 ADDRESS. L iu.42 SW 122ND FIVE" PARCEL: 2S1 3EiE4--0(..',800 ZONING: OKOCK. . . . . . . . . . LO 1'. ., - -------------- ----------------------------------------------- W.)S UF' WORK. . N L W FL 0 0 R FL)R N. . .. . ' EVAP COOLERS: OF' U13E. . . . ...SF UNIT HEATERS. . : VENT F,')H S. . . : c,u r:,A N CY G R P , ;R3 VENTS W/0 A PPL' VENT' SYSTEMS: f 0R:l:ES. BOILERS/CUMPRESSORS FUJODS. . . . . . . . i.Ul::A.. 0­3 Hl::,. DOMES.. INLIN: :.3..-1.5 14I.D.. COMML. TNC::l]A.* WX INPUT: UTU 15---30 1-1P. . . ., REPAIR UNITS: FTRL DAMPERS?. . g 30-50 HP. . . . - WOODSTOVES- 0. CAB PRESSURE. . . : 50+ CLO DRYERS. . : 110. OF UNITS----------- AIR 11ANDLING UNi rs C"WR UNITS. :: , "RN ( 100K BTUv Q 10000 cfm: GAS OUTLETS. : , "RN ) -IMMK STU,, > 1001010 cfm:- wood stc-)ve ouvniit pwnepn ---------------------- ------------ ---------------- FEES – ------------- VOTHY LORINC type amount: by dates reept IPPW SW 122ND AVE: PIRMT $ 1.4. 50 I ! BARD OR 9722,3 PAYM 9 1.`'i,. P 3 PCR 12/i'.1./9@ ir?0 7 7 9 'hone K, "ntractorli NOT ON FIl.J.-.: $ 15. 23 TOTAL ----- -- REWIRED 1148PEC7IONS l"s permit is issued nbmd to he regulations contained in the Final Inspection ............ Ticard Municipal Code, State of Ore. Specialty Codes and all other -........I........ ,valicable laws. All worl, Will be done in accordance with ............ .............................. ........... apo,oved clans, This Permit Will expire if Work is not sUrbd ­1................... ............ within 186 days of issuance, or if work is suspended for more .................... lhan Is@ days. ...... ............................. t Si n,-a t Lt-re P, By 1 7 77 _77, Call fo-r inspection 639--4175 r or RECElPr OF' PAYMENT RECEIPT NO. 9t.-)--207793 CHECK AMOUNT (X) NAME KATHY LORINE CASH AMOUNT > 15.2.3 ADDRESS 12242 GW 1."Z'T PAYMENT DATE Z t.',,20/91) GL18DIVf3].('.lN TmARD. OR 9722,3-- f"UPPOSE OF PAYMENT AMOUN'r F,AiD F'ORPOSE OF PAYMLN1 AMOUNT PAID MECHANICAL PE MEG 9(.)--071.9 Q. 73 '0 MEC 90-0294 -10W& AMOUNT PAID 15. 217. INSPFCTION NoTICE City of Tigard Building Departiment 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections_ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: Post/Beam Struct. San. Sewer Framing -.Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:_ �,� <�i7- L) ) Timet AM I�_ PM Address:- VJz ��Cc �tTG� Permit #: Builder:__ THE FOLLOWING CORRECTIONS ARE REQUIRED: :nepector -------..,. Dates-Z2.,— F APPROVED DISAPPROV30 APPROVED gusiwT TO ADM Call For Roinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection tine (Rec-0, hone): 639-4175 Business Phone: 639-4171 e1nd.rslab InspectionsFooting Pl Mech. Rough-in _Appy/Sdwlk`> Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: / 7 -Time: AM --PH Address:. _�L _��.3 . „_ Permit Build-tr.- THE uild-tr:THE FOLLOWING CORRECTIONS ARE REQUIRED: � 5. i C 4P, — ----- ---- 1 z- �7 -�C inspect L •� Datot _ PROVRD DIBAPPlt" APPROVRO BUWNCT TO ASOVR Call For Reinsp. � f• INSPECTION NOTICE K City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection =t-1�<�t! Date Requested��j?` 7-95�6 Time-&_ A.M.- P./Mr.. Address 4:�V-�a-- �.a-4 d _ Permit - Owner _ _ _ Lot #_ Builder — The following Building Coda deficiencies are required to he corrected: 1. '-D-ww W04 Qj+itul 41 -�= P-xsented to Approved -- - f Inspector _ _ 1� � _ C-� Disapproved Date --�_ -- --- - I CALL FOR RFUNSP CTION YESC2*0 FW View comments for selected item OAMASTER PERMIT66AAA`a6AAA6A6AA6A6AAAAA66A6A66A6AaAAAA6A6A6AA666Ai6A6A66a6AAAAat :MST90-0049: PROJECT:LORINC HOME STATUS:I : UPD:10/09/90: :BCR: PERMITTEE:JOE I.ORINC PRIM. . :MSTy0-0049: e SITE ADDRESS:12242 SW 122ND AVE 66 CASE HISTORY AAAAAAAAAAAAAAAA£A6a666AReq/SentASchd/Due&End/Done6AByAStat6AAC A705 Foot/found Insp 04/06/90 RT PASS A710 Post/Beam Insp 04/16/90 KS PASS ° ° A715 Plm/undalab Insp 04/16/90 MS PASS ° A717 PLM/Underfloor 0 O5/24/90 RT PASS /90 MS PASS ° A720 Mechanical Insp ° ` A722 Plumb Top Out 055/2/233/90 MS PASS ° ° A725 Framing Insp 05/24/90 RT PASS ° ° A730 Fireplace Insp 0KS DIS ° ° A735 Gas Line Insp 055/01/90/22/90 TLP APP a A740 Insulation Insp 05/31/90 KS APP A745 Gyp Board Insp 06/11/90 KS APP ° A755 Rain drain Insp " A760 Water Line Insp 05/30/90 MS PASS " A765 Appr/SdwLk Insp 10/17/90 CWV PASS A770 Misc. Inspection 04/24/90 TLP APPR �i6a6A66666A�:A6AA6Aa6A6A66A6A6A6AA6A6A66666666666�i6a,A666A6A66a6A6A6A6AAA666666Ai FTSTORY: VIEW UPDATE DELETE ESC View comments for selected item OAMASTER PERMITA666A6AA6AA6AAA6A66A66666666666b.66A66A6666AgA666666A6AA6A6A6AA6t :M5T90-0049: PROJECT:LORINC HOME STATUS:I : UPD:10/09/90: :BCR: ° PERMITTEE:JOE I.ORINC PRIM. . :MST90-0049: e SITE ADDPE:SS:12242 SW 122ND AVE 66 CASE HIFTORY AASAAAAAAAAAAA6AASAA66AAReq/SentASchd/DueAEnd/DoneAAByAStatAAgC A795 Mechanical Final ° A797 Plumb Final A799 Bvilding Final ° ° aa1�6a66A6��656=+6A{�6bAAA66AA6666Ii66�66A6aA666a5665653ti66a66a6fi6AH6a6AA65haA6Aa36i No,_ ENERt�I EASEMENT, corrnicwr u.• sTEv cep_ 6 6 4 oe •'=c• FORM42¢-c_ - �; or�eE --_.._ _ — - -- �-..�-------- —� Washington County AGREEMENT FOR EASEMENT <` THIS AGREE1bIF.NT, Made and entered into this 26.t.. ...... day of ...S,eO .r............., 1990......, by and between Jozsef Lor:nc...&..Katalin.Ior.inc,..husband.-and-.wife.....................................................I hereinafter called .Ie first party, and.JOZSef.lorinc..&.Katalin..Lorin,.-husband..and..wife..........••. hereinafter called the second party; WITNESSETH: WHEREAS: The first party is the record owner of the following described real estate in Washington......_.. County,State of Oregon, to-wit: �i I See Exhibit "C" attached hereto and by this reference incorporated herein. I i and has the unrestricted right to grant the easement hereinafter described relative to said real estate; liNOW, THEREFORE, in view of the premises and in consideration of One Dollar ($1) by the second party i to the first party paid and other valuable considerations, the ,-eceipt of all of which hereby is acknowl- edged by the first party, they agree as follows: The first party does hereby grant, assign and set over to the second party A perpetual easement for constructing, reconstructing, operating, maintaining, inspecting I and repairing of an underground sewer line and appurtenances, together with the right to I remove as necessary, vegetation, foliage, trees, and other obstructions on the following described pay.-cel of land. See Exhibit "A" and Exhibit "B" attached hereto I IIand by this reference incorporated herein. �I ii II (insert here a full description of the nature and type of the easement granted to the second party.) The second party shall have all rights of ingress and egress to and from said real estate (including the II right from time to time, except as hereinafter provided, to cut, trim and remove trees, brush, overhanging II necessary for the second party's use,enjoyment, operation and maintenance of branches and other obstructions it the easement hereby granted and all rights and privileges incident thereto. Except as to the rights herein granted, the first party shall have the full use and control of the above de- scribed real estate. The second party hereby agrees to hold and save the first party harmless from any and all claims of third parties arising from second party's use of the rights herein granted. The easement described above shall continue for a period of ...............none always subject, however, to the following specific conditions, restrictions arid considerations: If this easement is for a right of way over or across first party's said real estate, the center line of said easement is described as follows: n/a and second party's right of way shall be parallel with said center line and not more than ................................ feet distant from either side thereof. During the existence of this easement, its maintenance and the cost of said maintenance shall be the responsibility of (check one): ❑ the first party; ❑ the second party; ❑ both; parties, share and share alike; ❑ both parties, with the first party being responsible for ..............7o and the second party being responsible for ..............rfo. (11 the last alternative is selected, the percentages allocated to each party should total 100.) This agreement shall bind and inure to the benefit of, as the circumstances may require, not only the II immediate parties hereto but also their respective heirs, executors, administrators and succesors in interest is well. In consuming this agreement, where the context -,o requires, the singular includes the plural and all gram- matical change-. shall be made so that this agreement shall apply equally to individuals and to corporations. If the undersigned is a corporation, it has caused its name to be signed and its seal affixed by an officer or other person duly authorized to do so by its board of directors. IN WITNESS WHEREOF, the parties hereto have executed this easement in duplicate. Dated...........................................................19......... • rUl[T PARTY 0EC0NO PARTY (If executed by a corporation,affix corporate reel and ure the farm of acirnowlsdament opposite.( \ STATE OF OR G V'� STATE OF ORE J ) �r war as. countyq ..:Y....... .��<.... ....Y...�. ........ C,)unty of.. ... ................................ ..... ........... tru�tl¢pt s sick wledged before me on Thi;jnstrument was ecknowled@ Jp a ale on.. .......J......._.......... ' -� J 1'.......".. 9'/D b 19-.711,b ...................c.�.Q..S.. I.l.........�D_.R./. �! :c............. `'�' .,.G: .�.R.....t..N C-...... e�. .......................... ... ................__....� 3......... �,,�.0...�' .;�. I1 � " .. 4orV ` �.. ...........�........... ... ............ ..... . �� .... .. -r.,�zw►'.� . .. �__. _ ..........ai. . �. n i Not y Public 1 Oregon ofery Public for Ore n I : (SEA J c 04�, V V j.0 My cpa6dssion expires: 10 9 My commission expi es: ,* STATE OF OREGON►; .�' 3 N ss. AGREEMENT FOR EASEMENT County of...........:............:s,,,rr....�^._ It IAS r r I certify that the within instru- ment was received for record on the _ -. .. ..............day of , at..................o'clock.....M.,and recorded AND in boob/reel/volunie No.......................on SPACE RKStRVEO page ........................ or as fee/file/instru- ron ment/microfilm/reception No.......y .. ...� RrCor-DErt s use Record of ....................................... ...... - � of said County. (A�F��TER RECORDING RETURN TO Witness my hand and seal of r"�6vtc-, County affixed. nV` ' K- "1 ......-•NAM[..........................................TITLE....... II �[[JJ By....................................................Deputy J t w f DRINKWATER ENGINEERING, INC. 9205 S W BURNHAM ST TIGARD.OREGON 91223 (503)6391155 EXHIBIT "A" PROJECT: JOB 88-07 5/ 19/90 LOC,NT ION. CITY OF TIGARD ITEM: EASEMENT FOR PRIVATE SANITARY SEVER PURPOSES FOR PARCEL "A" AS DEPICTED ON A SURVEY OF RECORD FILED WITH WASHINGTON COUNTY "22,869 A PARCEL OF LAND LOCATED IN THE N.W. 114 OF THE N.W. 114 OF SECTION 3, TOWNSHIP 2 SOUTH, RANGE 1 WEST OF THE WILLAMETTE MERIDIAN, IN THE CITY OF TIGARD, COUNTY OF WASHINGTON. STATE OF OREGON, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTERLINE OF S.W. 1215T. AVE (COUNTY ROAD NO. 358), AT THE NORTHEAST CORNER OF THAT CERTAIN TRACT OF LAND CONVEYED TO E.R. CHR15TENSON AS DESCRIBED IN BOOK 182, PAGE 161 , OF THE DEED RECORDS OF WASHINGTON COUNTY OREGON & THE SOUTHEAST CORNER OF THAT CERTAIN TRACT OF LAND CONVEYED TO E I LEAN V. EDWARDS, AS DESCRIBED IN BOON: 360, PAGE 69, OF THE DEED RECORB5 OF WASHINGTON COUNTY OREGON; THENCE 579-59-52W A DISTANCE OF 26.45 FEET TO A POINT ON THE WEST RIGHT OF WAY OF SAID S.W. 1215T AVE. AND THE TRUE POINT OF BEGINNING OF THI5 DESCRIPTION; THENCE 579-5c)-52W ALONG THE SOUTHEASTERLY LINE OF SAID EDWARDS TRACT A DISTANCE OF 158.08 FEET TO A 5/8 INCH IRON ROD; THENCE 58-32-40W A DISTANCE OF 5.27 FEET TO A POINT; THENCE N_79-59-52E (PARALLEL TO AND 5.00 FEET FROM WHEN MEASURED AT RIGHT ANGLES TO THE SAID SOUTHEASTERLY LINE OF THE EDWARDS TRACT) A DISTANCE OF 158.03 FEET TO A POINT IN THE AFORESAID WEST RIGHT OF WAY; THENCE N9-01-49E (PARALLEL TO AND 25.00 FEET FROM WHEN MEASURED AT RIGHT ANGLES TO THE SAID CENTERLINE OF S.W. 1215T AVE.) A DISTANCE OF 5.29 FEET TO THE TRUE POINT OF BEGINNING. CONTAINING 790 SQUARE FEET MORE OR LESS, BASED ON THE BEARINGS AND DIMENSIONS OF A RECORD SURVEY FILED WITH WASHINGTON COL114TY SURVEYORS OFFICE `22,869. EXHIBIT "B" I t � f � r+ U r b q it O UU _ V u I w> n15Z. I w Z� . ' 2epJ2•-- loo-57 �� X9'7 �'��� ��• ,.e �� d D(�• 1 ' 1147 0� 7sos� F ___�---6.7� 1 N TL )000 ' TL )101 ( (� STREET WAL_MUT-- CLIFNT JOSEF LORW�- 12415 SW I2!ST TIGARD.OREGON 97Z23 PHONE r 684.64314 I EXHIBIT "C" ` A PARCEL OF LAND LOCATED IN -THE N.W. 1 /4 OF THE N.W. 1 /4 OF SECTION 3, TOWNSHIP 2 SOUTH, RANGE 1 WEST OF THE WILLAMETTE MERIDIAN, IN THE CITY OF T ICUI ARLYCDESCRIBED OUNTY OF WASHINGTON, STATE OF OREGON, MORE PA AS FOLLOWS: BEGIt.NiI.G t t AT /� POINT 114 THE CE14TERL I NE OF S.W. 121ST. AVE. (COUNTY ROAD NO. 3513), AT THE NORTHEAST CORNER OF THAT CERTAIN TRACT OF LAND CONVEYED TO E.R. CHRISTENSON AS DESCRIBED IN BOOK 1132, PAGE 161 ' OF �� CORNER OfFDS OF THAT WASHINGTON COUNTY OREGON & THE SOUTHEAST CERTAIN TRACT OF LAND CONVEYED TOFEII14E DEEDLRECORDS OF DESCRIBED IN BOOK 360, PAGE 69. 0 WASHINGTON COUNT't' OREGON; THENCE 579-5 OF S `AIU OF 26.45 FEET TO A POINT ON THE WEST RIGHT OF WAY S.W. 121ST AVE. AND THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE 579-59-52111 ALONG THE SOUTHEASTERLY ETOA 5/B INCH EbWARDS TRACT A DISTANCE OF 156. IRON ROD; THENCE 513-32- 401'! A DISTANCTI{ F 7 3 FEET TO A POINIT MARKED BY A 5/6 INCH IRON ROD, D I STANCE OF 149.32 FEET TO A POINT III THE AFORESAID WEST RIGHT OF WAY; THENCE 149-01-49E (PARALLEL{��AID) 25.00 FEE'f CENTERLINE FROt1 \'WHEN MEASURED AT RIGHT ANGLES OF S.W. 121ST AVE.) A DISTANCE OF 1113.21 FEET TO THE TRUE POINT OF BEG11,1NINIG. CONTAl1:I1,41G 14,760 SQUARE FEET t-iORE OR LESS ACCORDING 1-0 A RECORD ' URVI'Y Fit-ED \;'IT11 \•/ASIIIt�GTON COUNI-Y SURVEYORS OFFICE IDFiJ-TIFII1G ] HE 1E PARCEL A5 "PARCEL. B- At:D AS DEPICTED ON THE ATTACHED EXHIBIT "I3 STATE OF OREGON County of Washington 33 I,Jerry 11. HansonpWrectgr of Assessment e and Taxation and t9-01ficio n6corder of Con. veyances(or,s4ld cofinfyf Ibis hqq pbi ertify that the within in4trument of wrill wa� received and recorded\n book olI V6cord3 of 407county. Hansb�t' r fo \01 10 r of nti Ex- ; ta�i d z r i .:i�. DOC 90055664 ,'. ; n... r n Inn-r CITY OF TIFA RD OREGON 7-2-90 Mr. Jozef Lorinc 12435 SW 12let Ave Tigard, Ore 97223 Re: 11242 SW 122nd Ave WGTM 2S103BB Tax Lot 6800 Dear Mr. Lorinc, In a letter of 4-26-90, you were informed that there was a need to provide an easement for the sanitary sewer line at your above referenced property. An of this date, there is no evidence that the easement has been provided. The building cannot be given a final approval or occupancy permit until this has been completed. Your prompt attention to thio matter will be appreciate.]. Sincerely Brad Roast Building Official 13125 SW Hall Blvd.,F.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 -- J INSPECTION NOTICE �. City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection r uSc'�A Nn a N Date Requested S 3l- `t O Time_ A.M. P.M. Address -L_ 5 w Z Z Z z-4 2.. L _ Permit Owner_- — — Lot #_ Builder---=�. AO;-I"i The following Building Code deficiencies are required to be corrected: h144,2'S Or Wiz_- L!3 B__p—�_ _ I Nk Svk 4-17L o hlS� OCnl �/E.,.ITT_aAf 14 C1tA,a — I Presented to —_ -Approved Inspector _ � _ - U Disapproved Date CALL FOR REINSPECTION O YES i_A NO INSPECTION NOTICE / City of l igard Building Departmert ✓ P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested '::� _'3e) �76 Time_ A.M.____PM. Address PermitL�_"`=y� -- Owner __—_ _ _ _ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to _ iproved Inspector �� LJ Disapproved Date CALL FOR RL'INSPF,C'TION 0 YES O NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — ----- - Date Requested_ - Time A.M.__ P.M. Address _ , hd — Permit Owner_- _ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to --- — I/�4pproved Inspector Disapproved Date CALL POR REINSPECTION L-1 YES I J NO INSPECTION NOTICE City of Tigard Building Department ` P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection Date Requested _ � �'� Time _ A.M. P.M. Address Address �� a` 7 1 T� 1 Permit # 7 l Owner_ _ Lot # Builder The following Building Code deficiencies are required So be. corrected: Presented to — - - Approveei - Inspector _ LJ Disapproved Date CALL FOR REINSPECTION F-1 YES Ll NO ■ INSPECTION NOTICE amity of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection --- Date Requested------ Time_ A.M.__p� P.M. �'� Address _ � �C�1__� Permit d P Owner- -- `�.�'—_—L _ Lot Builder Z` The following Building Code defiiciencies are requir±d to be corrected: s Presented to _. — Approved Inspector _.._ _ Disapproved Date CALL FOR REINSPECTION ❑ YES U NO CITY OF T I CARD OREGON 4-26-90 Mr. Jozef Lori ,,c 12435 SW 121st Ave Tigard, ore 97223 Re: 12242 SW 122nd Ave WCTM 2S103BB Tax Lot 6000 Dear Mr. Lorin, it has come to my attention, that a private sewer line serving your above referenced property, has been extended acroar, your property on SW 121st Ave. I can find no record that an easement has been provided. The easement is required as part of the minor land partition you performed. Please submit the necessary documents to this office as Poon as possible for review. After being reviewed they will need to recorded with each property at Washington County. If you have any questions, please call me at 639-4171. Sincerely Brad Roast Building official 13125 SW Hall Rvd.,P.O Box 23397,Tigard,Oregon 97223 (503)639-4171 -- W W rw--- I INSPECTION NOTICE City of Tigard Building Department P 0. Box 2.3397 Tigard, Oregon 97223 Phone 639-4175 hype of Inspection Date Requested—.. / — //1' y_ Time A.M.—P.M. Address h Permit #9©`0o yam• Owner- __ Lot # BuilderThe following Building Code deficiencies are required to be corrected: OL Presented to Approvsd Inspector r 0 Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO �r ■ a ■r wW- W- W w INSPECTION NOTICE City of Tigard Building Department P O Box 23397 Tigard. Oregon 97223 f lone 639-4175 r ) Type of Inspection �����/�C�/-►m `� � :�_�(� f Date Requested L! ``� Time_�— A.M. P.M. Address --Q _ _ ----_---, Permit #LfL Owner Lot # BuilderThe following Building Code deficiencies are required to be corrected: Presented to _ __- Approved Inspector ,L,j, A _ _� Disapproved Date1 _. � CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection �` '� -'�>Za�R 21 _ — Date Requested ld Time A.M. P.M. Address •3�y�` �� n Permit Owner_ Lot # Builder — — -- — The following Building Code deficiencies are required to be corrected: Presented to � ��II Approved Inspector /P Disapproved Date _ q I __ CALL FOR REINSPECTION XYES I-] NO i� I♦ . t INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection . ------- — Date Requested /— �: !Q Time_ A.M._ P.M. Address ___1-L Z �_,� l �i'�` Permit # 00 � Owner Lot Builder — —- —— --- --The following Building Code deficiencies are required to be corrected: I i Presented to ❑ Approved Inspector A Disapproved Date _ CALL FOR REINSPECTION 0 YES 0 NO INSPECTION NOTICE / City of Tigard Building Department / P.Q. Box 23397 Tigard, Oregon 97223 Phone 639.4175 Type of Inspection Date Requested - L��!t' �/'D Time A.M. P.M. Address [ .�iILG'�-4A) Permit # Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to ��— ❑ Approved Inspectnr Eta L� visapproved Data CALL FOR REINSPECTION Q"-YES L=1 NO CITYOFT11FARD CrrYOF R PERMIT COMMUNITY DEVELOPMENT DEPARTMENT 8165 • • • •. : Ms,r90-0049 13MSWHABlvd P.O.PAW 23397.TiGQM.0M9Mf==(5W)6!9-4175 PRIM. IT #.: MST90-0049 __ A Ag a i i _ _-- 3/90 - SITE ADDRESS.. . : 12242 SW 122ND AVE PARCEL: 2S10j1H SUBDIVISION. . . .: NORTH TIGARDVILLE ADDITION ZONING: 11-4.5 BLOCK. ... . . . ... . LOT. . . . . . . . . . . . . :34 -------------------------------- BUILDING ------------------------------------- REISSUE: DWELLING UNITS:l BASEMENT. . . . . . . . :0 of CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . .. . •552 of TYPE OF USE. .. :SF FLOOR AREAS---------- REQUIRED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . :1952 sf LEFT. . :5 ft RIGHT. :5 ft OCCUPANCY GRP..:R3 SECOND. . . :0 of FRONT. :20 ft REAR. . :20 ft STORIES. . ... . . :0 THIRD. . . . :0 sf REQUIRED------------------- HEIGHT... . .,.. . :16 ft TOTAL------:1952 of SMOKE DETdCTORS.:Y FLOOR LOAD. . .. :40 psf PARKING SPACES. .:O Remarks: --------•-•------------------------ PLUMBING ------------------------------------ SINKS.. . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :2 WATER HEATERS. . . :1.00 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 7ISHWASHERS. . . . :1 WATER LINE (ft) . :100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . :1 RAIN DRAIN (ft) . :0 WASHING MACH. . . :1 SF RAIN DRAINS. . :1 --------------- MECHANICAL -----------•--- ---------------- FEES -------------- FUEL TYPES----------- UNIT HTRS. . :O type amount by date recpt /GAS/ / / VENTS . . . . . ..0 PRMT $ 409.00 MAX INPUT:O BTU VENT FANS. . :l PLCK $ 265.85 FURN < 100K . . :1 HOODS. . . . . . :1 5PCT $ 20.45 FURN >-100K . . :0 WOODSTOVES. :O PAYM $ 100.00 JLH 01/24/90 107041 FLOOR FURN. . . . :0 CLO DRYERS. :1 STDC $ 600.00 BOIL/CMP < 3HP:0 OTHER UNITS:O SSDC $ 250.00 GAS OUTLETS:l PARK $ 250.00 Owner: ------------------------------------ PRMT $ 30.00 JOE LORINC PLCK $ 7.50 12435 SW 121ST AVE 5PCT $ 1.50 PRMT $ 125.00 TIGARD OR 97223 5PCT $ 6.25 Phone #: 684-6431 PAYM $ 1865.55 JLH 02/23/90 Contractor: ------------------------------ * OWNER/CONTRACTOR Phone #: Reg #. . : OWNER -----------------•------------------- $ 1965.55 TOTAL This permit is issued subject to the regulations contained in the ------•- REQUIRED INSPEC Tigard Municipal Code, State of Ore. Specialty Codes and all. other Foot/found Insp Gas L applicable laws. All work will be done in accordance with approved Post/Beam Insp Insul plane. This permit will expire if work is not started within 180 Plm/undelab Insp Gyp B days of issuance, or if work is suspended for more than 180 days. PLM/Underfloor Rain — Mechanical Insp Water Line Insp Permittee SignatureL—_ d— Plumb Top Out Appr/Sdwlk Insp Framing Insp Mechanical Final Issued By: _ Fireplace Insp Plumb Final fjWER CIIYOFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT OREGONECTION 1312SSWHd Bt d P.O.Bac 23397.Tpud.OregmVGE3(SM)x'175 RMIT 69-4174 - - PRIM. PERMIT . : MST90-0049 DATE ISSUED: 02/23/90 SITE ADDRESS.. . : 12242 SW 122ND AVE PARCEL: 2S103BB-06800 SUBDIVISION. . . . : ZONING: R-4.5 BLOCK.. . . . . . . . . . LOT. . . . . . . . . . . . . . TENANT NAME. . . . . : USA NO.. . . .. . . . . :40467 FIXTURE UNITS.. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . :1 TYPE OF USE.. . . . :SF NO. OF BUILDINGS:1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :of Remarks: Owner: ---------------------------------- ------------••--- FEES -------•------- JOE LORINC type amount by date recpt 12435 SW 121ST AVE PRMT $ 1250.00 INSP $ 35.00 TIGARD OR 97223 PAYM $ 1285.00 JLH 02/23/90 Phone #: 684-6431 Contractor: ----------------------------- OWNER/CONTRACTOR ------------- P.1o,ie : $ 1285.00 TOTAL Peg #. . : OWNER r ------- REQUIRED INSPECTIONS ------- This Applicant agrees to comply with all the rules and regulations Sewer I:.z�.,ction of the Unified Sewage Agency. The permit expires 120 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 sewer laterals. If the sewer is not located at the measurement _ given, the installer shall prospect 3 feet in all directions from _ the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. Permittee Signature: Issued By: _ -- Call for inspection - 639-4175 n� r I CITY CIF TIGARD — RECEIPT OF PAYMENT RE:C NU: 00107455 CHECK: AMOUNT s '.'1'50.35 KATALIN LORINC CASH AMOUNT' .00 �:i lkFSS: 124"3 SW 121 PAYMENT DATE 02—:2'-90 TIGAPD, OR 97221; SLOCI,, NO/ADDRs 12242 SW 122ND OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT PMI?LINT PAID ._—_ --------- ______.._----_-------_--------_ 1 i I.r 1 NCS PFRM I T (90-0049) 409.00 PLUMBING PERMIT 125.00 MVI—WNICA+_ PERMIT 7,0.00 STATE BUILD PERMIT 'TAX (5%) 40.20 I Hl I CHECI F F E 171."`r, SEWER USA '90—W31) 1,250.00 IN FE:CION "3.00 STREET SrX 600.00 1 tiTEM DE:VE:LOPWIT CH .250.00 qTORM DRAIN SIX :250.UO I i TOTAL AMOUNT PAIL) — — ', 150.`55 { ,r�„i •,, i!' - `L •:! i o"�`. 4 P',' Jerry R. Hanson, Ex Officio Washingtcn County Clerk 150 N. 1St Avenue Room 215 Hillsboro, Or 97.124 PHONE 648-8751 Receipt # : 27051 Lorinc, Katalin 02/08/1990 12435 Sw 121 Tigard, Or 97223 Documents #. . Rec. . . . Survey. Vac. . . . Transfer A&T Fnd US. . . . Total. . . . . 90006611 10. 00 8. 00 20. 00 38. 00 90006612 10. 00 8. 00 20. 00 38. 00 76. 00 Grand Total 76. 00 MEMORANDUM BUILDING DEP}.,RTMENT TOs(Planuin , Engineering Dept. Respond By PPA Ms For Your Information DATE ( _Sign and Return SUBJECT: ti l /. 1 Y J !r7 ,•� k^r� ,ccr r-,, The building department has sompleted—the plan review for this project. Please notify us when your department's conditions are met, so we may issue permits for construction. Approved for issuance of permits By: Date: CITY OF TINA RD 4 C7PLAN CIICCK APPLT('ATION COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK NC'- 1312SSM.llaa(Nvd..P.O.Box23397,Tigant Oregon 97223,(503)639-4175 PERMIT H /I)Sf �n _e i� 41 �f - DATE ISSUED JOB ADDRESS: p� ++� w p ,� 1 n G� T G q4C►'_a TAX MAP/LOT SUB: LOT: _ LAND USL: _ F VALUATION: OWNER SPECIAL NOTES NAME: _ k�` LG V I y7(, REISSUE OF: AODRLSS: ia441 c tw 12 I T1 Ala, ? 0C2 r'112,L j LAST REISSUE: _ I-LOOD PLAIN/ SENSITIVE LAND: PI ZONE: - APPROVALS REQUIRED CONTRACTOR_ y PLANNING: NAME: _ JU1y I_ .`b ' i IVB Se I_ _ _ ENGINEERING: --- ADDRESS: T— FIRE DEPT OTHER: PHONE: ITEMS REQUIRED BUILDERS BOARD N: EXP DATE: LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: — i —_ _ TRUSS DETAILS: ADDRESS: OTHER: PIIONL•Y- ---� COMMENTS: — __ N27 13u -4G_ i i.s vin• lw �1.TVtf SUBCONTRACTORS PLUMB: MEC": 31 3 PERMIT H ACC1 H DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE f . 10-432 00 Building Permit Fees C _ 10-431 00 Plumbing Permit Fees �� 1"" ;. ..- I t•� 10--431 01 Mechanical Permit Fees e. 10-230 01 State Building Tax (5X) 0 Building — v1G'� 1/5" ✓ Plumbing ✓ Mech _ 10-433 00 Plans Check Fee Building e7G __ ✓ Plumbing Mech 30--202 00 Sewer Conne_tion 30-444 00 Sewer Inzpection 51--448 00 Street System Dev Charge (SDC) 52-449 00 Parks System Dev Charge (PDC) _ 31-450 00 Storm Drainage Syst Dort Chrg (SSDC) 10 230 06 lire REC N APPLICANT SIGNATUR Received By: ` Date Received: 4 cn/3587P/18P ■1r � � � s � GRADING EROSION CONTROL INFORMATION GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: PERMIT NO.: APPLICANT NAME AND ADDRESS: EXCAVA'1'_ON CONTRACTOR NAME&ADDRESS: i orioti / 0? 'W- t l OWNER NAME AND ADDRESS: C4 x w — TELEPHONE NUMBERS: APPLICANT: 1.1 PROPERTY DESCRIPTION: OWNER: t ► i 1 i ► Lc w' 11 STREET ADDRESS AND CROSS STREET/LOCATED GENERAL CONTRACTOR: =w 1 2 Z i 16 .tW e_ EXCAVATION CONTRACTOR: 4 L U SITE/JOB: LEGAL DESCRIPTION: 24 HR/AF`TER HOURS EMERGENCY TAX LOT NO.: _ CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: SITE SIZE,ACRES: _ Kq rH I t '-I- 1 .2 I-I .4 ='` ` ' ' DISTURBED/WORK AREA,ACRES: _ LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE) (NOTE:PERMITS MAY AF.REQUIRED) CATCH-BASIN DITCH PIPE CREEK (CIRCLE ONE) PRIVATE PROPERTY PUELIC RIGHT OF WAY EROSION/SEDIMENTATIQN CQiVI'ROL (ESC) MEASURE ' MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS [MIRING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRAC'1lCES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER _ OTHER PLAN FOR EROSION CONTROL.PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK". EROSION CON'E'ROI.PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDIN3 EMERGENCY PHONL.NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE.STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE AR(WE AND WILLCONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THF CONSTRUC`I'ION SITE. OWNER SIGNATURE APPLrANT SIGNATURE 0M- CIAL USE ONLY RECEIPT DATE ACCEPTED 17EE NUMBER RECEIVED BY � � � / � i i 'ITY OF TIGARD Ileceipt 3125 SW HALL BLVD. MECHANICAL. PERMIT Permit # '. O. BOX 23397 I , oes<orptbn 'T GARD, OR 97223 Table 7A Mechan:_at Code-i — OTY PRICE AMT 503)639-4175 1) Permit Fee p- -0- 1000 Name 04 cpevelo'� Iit-c;�JLLJ _� 2) Supplemental Permit _- 3.00 Job Address11j - ) Furnace to 100,000 BTU Address (� 2 LA n S ?2La incl.ducats&vents 6.00 Tax gat " "up Map No, - 5 r- .3[l i Furnace 100,000 BTU 4 t o w Block s6rKion 2) W.ducts&vents 7 --� Name(ar name or www") Floor Furnace — 3) Ind.vent 6.00 Maung Address - - Pthone Suspended heater,wall heater Owner - ` 4) or floor mounted 6.00 , ,II bI C cityrstdo 7,p 5) Vent not inn.in 3.00 appliance permit _ Name(or name d brnineve) -Repair of heating,retr ig., 6) cooling,absorption unit 6•t10 Matwq Ad 1r .s W _ Win;,,. Boiler or tromp to 3 HP - - Occupant I) absorp.unit to 100,000 Bl u 6.00 Cityrstate �- 7 - -- -Boiler or oop to 3 HP-15 HP _8) mabsorp.unit to 500,000 BTU 11.00 9) Boiler or comp 15-30 HP - absorp.unit 1,12-1 million 15'00 Ma"Addrass Phone -- Boiler or comp to 30-50 HP l ( 10) absorp.unit 1-1.75 million 22.50 Contractor City state Boiler or camP to 50 HP - �' 11) absorp.unit 1,750,000 BTU 31.50 State Registration No. City&n Tax NuAir handling unit to 1�) 10,000 CFM 4.50 I he-eby ackrx wW*e that I have read this applicavon that II'm k0ormrah.yiwn n 13) Air handling unit --- 7.50 (xxhed,thar I am me O'ww or sutmrized or the owrw.that 10.000 CFM + agent d+u s submitted am'n ----- _ comqAahoe'v'rh State laws.thaA I am registered with the State Builders'Board.that tw Non portable rw mber Ow,.s comerx.(t exempt hhxn state mgishation please give mason below) 14) evaporate cooler 4.50 Vent Ian connected - 15) to a single dud 3.00 �- - -- - Ventilation system not --- - - 16) included in appliance permit 4.50 - - ►'. x1 served by - 1 r+ echanical exhaust 4.50 Sigrhabw•(r„wrher a -- -- -- --- agem) Date Domestic type -- - 16 7.50 Describe wtxk ❑ addition U alteration I• r eau ( ( 4..;nerata to be done residen ial (_] non-residential N Commercial or industrial Existing use of 19) type incinerator 30.00 txlilding or property 20) Other i.e.,woodstove,water - -- Proposed use of heater,solar,clothes dryers,etc. 4.50 building or property -- 21) Gas piping one to four outlets 2,00 Typo of fuel-- oil (1 natural gas LPG ❑ electric I-i ---- 22) More than 4-per outlet NOTICE _ - -� S`c 1111,; PERMIT BECOMES NULL AND VOID IF WORK On CON- SUB-TOTAL - - S1I111CT1UN AUT11061IZED IS NOT COMMENCED WI1111N 190 -__ _ S%SURCHARGE DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED ON PLAN REVIEW 25x OF SUB-TOTAL AIIANDONFD FOR A PERIOD Of 190 DAYS AT ANY 1IMF AFTER - - W011K IS C OMMFNCEU- --- TOTAL / S Special Conditions _ ___ F Permit No: '• Address: -- --- ------ -- O • ' Z Issued by:-------- -- ---- Date: STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 101.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be 'ssued. Licensed Architeci and Engineer applicants, exempi from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2.A or 2B: 1. Ein I own, reside in, or will reside in the completed structure. 2. A. C�� My general contractor is Contractor registration numh� I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. [.;^1 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 do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities cn the reverse side of this form. Signature of Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244) 10/24/89 VhHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO 4PPL.ICANT h, w w w w MP ATANT MESSADiE ?ma c' FOR A.M. DATE IME 12 P.M. M OF ;��' PHONE- AREA CODE NUMBER EXTENSION TELEPHONM PLEASE CALL CAMC M&.1 YOU WILL GALL AGAIN WANTS M SEE YOU RETURNED YOUR CALL 9MIALATTENTION MESSAGE LITNO IN U. 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