11958 SW 125TH COURT-1 I
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11958 3W i 25Th COURT
CERTIFICATE
GFCFTIGA OCCUPANCY
xCRYtFTWARD PERMIT f. . . . . . . z MS
T92-0006
COMMUN?TY DEVELOPMENT DEPARWRW anoom
13126 SWHWIOW. P.O.Box 23397, d, upon 07223(600)8344178 DATE ISSUFDi 06/12/92
Y l E ADDRI:S y. .. , c t 1958 SW 1 . 5TH C I' PARCEL: 1 S 1 3'3bD-- l lb600
SUBD!V I S I ON. . . i VILLAGE AT SUM14F'R LAKE f-'ARK 4 Z f_1N I NC3 z R-4. 5
St..l:CK. . . . . . . . . . a LOT. . . . . . . . . . . . . c 14 5)
CLASS OF WORK. s NEW
TYPE OF USF. . . s SF
0C(,:UPANC;Y GRP. *R3
t:3
OCCUPANCY r.f"..)nbi '2 5 4
I
I E:NfiNT NAME. . . :
Pemarks : C»th 1
PON MORIGGETTE BUILDERS, INC.
15555 SW SnNCY RD.
#201
LAKE OSWEGO OR 97035
Phone iii: 6RO-75.30
DON MORISSETT'E BUILDERS, INC.
15555 SW 'BA14GY RL).
02161
LAKE 0514F---GO Oft 97035
Phone #% 62.0- 7538
F!ey *. . 1 :35'533
C)r_r:Uf,an(ry (if thf- ObOVe r of er enc.,ed bmi ldinR is hereby gi unn, and cert ifi&*
the c,omflltance with the State Of Oreyall Spe!c:"lalty Cade% for the group,
ocr_upanc:y, +�nc:l uve �1nc.1Pr• whit-h the v,eferrenred porm) t was iae.ued.
FIRE Df=f'ARTMEf"T iIILDING N$PP OR
eel JR
BU I LDAG OF F IT'I til-�
POST IN CONSPILIA)US PLACE,
INSPECTION NOTICE
City of Tigard Building DepartMent
13125 SW Hall Blvd. Tigard, Orecy,n 97223
Insper_tion Line (Rec-O-Phone): 639-4375 Buoincos Phone: 639-4171
Inspection-__--
Footing
nspection:^ -_Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line F' .AL:
Post/Beam Struct. Sen. Sower Framing Bldy.
i
Poet/Beam Moc:h. Rain Drain Insulation -P umb.
Plbg. Underfloor —a t-ar Line Gyp. Bd. Mech.
Date Requested:_ / !lam / Times AM J� PN
Addreas:�� �rr Pecmit #e � —�✓y��
ley-
Builder:
TTiE FOLLOWING CORRECTIONS ARE REQUIRED:
AP
Tnspectorr,_ Date e
APP,wVMD DISAPPROVED APPROVED S:IRJRCf TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, oregon 97223
inspection Line (Rec-O-P :el: 639-4175 Business Phones 639-4171
Ina pact ion: _C
Footing Plbqr./Onderslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Linev/�- Gyp. bid. -Mech.
Date Requeated: �^ `d/ c�� Tim i AM t PM
Addraee:'1/��® /r�y �� Permit #i / i�� J
Bui lders��,�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A3 i
�Y .C�✓ � -------—------ — --_—
Inspectors a Dates_=1
_(&Ppra 9b DI OWD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 311 Hall Blvd. Tigard, Oregon 972.23
Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4.171
Inspection._
Footing Plbg. Underalab Mech. Rough--in Appr/Odw1k
Found. Plbg. Top Out Gas Line FIKu&
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Ply•
Plbg. Underfloor Nater/Lin* GYP• Bd. h'
! —� Time: AM PM
Dale Reyueetedf Lf� �— /)
Address: _
Z.
OPermit
Builder
THE FOLLOWING pORRECTIONS ARE REQUIRED:
00
/� - ------------- Dates
Inspectors _. - -._�_._ --
�J _ APPROVtO DISAFPROVED N.. _ APPROVRD SUBJRCT TO ABOVE
�'� Call For Reinnh.
INSPECTION :,!?TICE
City of Tigard Building Department
13125 SH Hall Blvd. Tialard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bunineso Phone: 639-4171
Inspection:_
-
Footing Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beset Struct. San. Sewer Framing i' -Bldg. !
Poet/Beam Hach. Rain Drain Insulation -Plumb.
P1bg. Underfloor Nater Line Gyp. Bd. i -Meoh.
Date Requested- _ /� Time: �AMPN
C_
1* 0 ✓ (. Permit #36?") 0,z40&1
Bv:ilder:� Z / / l /!J
THE FOLLOWING CORRECTIONS ARE 11►'WiPJW1
inRpectori Date:
__APPROVED DISAPPRpVRD - APPROVED SUBJECT TO ABOV1
(//cell For Reivap.
INSPECTION NOTICE
City of Tigard Building Departffint
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _---- ,-- — —_._--
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water LinoG� L:01 Bd. -Mech.
Date Requested:_ r( � — 1 Z Timet A� AM PM
Addreas: 11 Permit #t l� 0
HuiIdert . I v `C/Y i�e-
THE FOLLOWING CORRECTION.^ ARE REQUIRED:
Inspector: _ _ [tate: 7—
APPROVIln DISAPPROVED /`APPRMIV SUBJRCT TO ABOVE
Call For Reinsp.
� � r
NSPRCTION NOTICE
City of Tigard 9uilding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Businees Phone: 639-4171
inspection:
Footing Plbg. Underslab Mech. Rough-in Pppr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer Flaming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino Gyp. Bd. _i,ach.
I
Date Requestedt_ 2 __ .Times
Address: Permit
Huil.der:�
TRE FOLLOWING CORRECTION; ARF REQUIRED:
l si
QIP —
-ns —` sL
'Ir 14
Inspectors
APPROVED DI8l�t"it n _UCS'�►PPr.OVED SUBJECT TO ABovp
C411 For FAinsp.
INSPE^TION NOTICE
City of Tigard Building Department
13125 SW Ball, Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-•1175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out , Oaa�LL�
FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Seam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Hoch.
Date Requested:-
/ Time: --AM PH
Addreaaa,a7.�X S J� cel
Permit 1 a
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRJ6�
Date:
�—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call for Rainep.
INSPECTION IjOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Buoiness Phone: 639-4171
Inspections_
Footing Pl.bg. Underslab Mech. Rough-in Appr/sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Str+:ct. San. Sewer _ -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lina Gyp. Bd. -Hoch.
Date Requested: -/ l Time: AM PM
Address: Permit s
t '/�
Builder:___] �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InepectoriF — _- -- _ Date: 7 �'
Appwp{itp DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainep.
m w �e► a�
LNSPECfION_ NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection LLne (Rec-O--Phone): 639-4175 Businens Phone: 6.39-417]
Inspection:__
Footing PLbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing \ -Bldg.
Post/Beam Mech. Rain Drain ?Si[i[17a ion -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch. /
Data Requested: Times ___AM _ .PM
Address:—��4 —r _S [X' Permit f
Builder: ,
TRZ FOLLOWING CORRECTIONS ARE REQUIRED:
Ineyector: Cate .__S G�iEi� Jy
I /
APPROVED v_ DISAPPROVED APPP.OVEL, SUBJECT TO ABOVE
`Call tar Reinep.
INSPIKf19N NOTICE
City of Tigard Building nepartment
13125 SII Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underolab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
foot/Beam Struct. San. Sewer Framing _Bldg,
Postj'Beam Mech. Rain Drain Insulation -Plumb,
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeeted: � � �% Time: AM PM
Address• — / v Permit #
Builder: 11,,7 --b�
r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
4
• L
1
•
v
01
Inspector: Date:
APPROVtD DIBAPpRpOEp APPROVED BURTECP To ANOVR
--Call For Reinsp.
INSP9—c ION NOTICE
City of Tigard BuLlding Department
13/25 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: (39-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. -Plwi. Top Out Gas Line FINAL:
Pott/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line^ Gyp. Bd. -Mech.
Date Requested:_-! � L'� Time: //�' AM PM
Address: —��► � �S 401- c'?
Permit �:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector
APPROVED DISAPPROVED APPROVED SUB.lECT TO ABOVE
call For Reinsp.
INSPECTION NOTICE
City of 'Tigard Building Department
13125 Bw Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspecticn:__,_
Footimj Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lire FINAL:
et/Beam atruct. San. ^ewer Framing -Bldg.
at/Beam Mach, % Rain Drain Insulation -dumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
"� \
Date P.aquasted:_�. Time: __ AM //� PM
Address:_ d� //`S T"''C► L /P/elmit0t�
Builders—,� _---
TBR FOLLOWING OORRECTIOrIS ARE REQU-1ED:
z1/7
-r�-
Inspectors—- �/�L..GI Date:`�_�� 9�y
_APPROVED DISAPPROVRD n SU&INCT TO ABOVE
Call For Reinsp.
N
6
A
INSPECTION NOTICE
City of Tigard Building Dcpar`teent
13125 ON Ball Blvd. Tiger...`, '.regon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab tech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/beam Struct. an. Sewer Framing -Bldg.
Poet/B
e
amMech. i=Drain Insulation -Plumb.
Qplbg. Unde: fTaer� star Line Gyp. Bd. -Mach.
Date Requested: - 2.— _Time. -/ AM PM
Address: //9y� ��S _ Permit is��
Builder: 49 -THE MIAAHING CORR1satiONS ARE REQUIRED:
Inspector: / _! Date:
j2— APPROVED DISAPPROVED APPROVED SUBJECT Tn AR()VF.
Call For Ralnnp.
...............»...... ..._..........v...._...,uweuaa.Nw•rwWSar.�..uw.rwetnnwte•a....w.v.e+q•ah.n-ar:_ar.v,n�a..r.w..._...:.��,..s.w.+r+u..wave..a•v..tiWcbTa�.ul.l+eYyYw1Y••"••"••`••. •Y4AYwili
INSPECTION NO?ICE �)
City of Tigard Building Department
13125 SII Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection: ----
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
uund. Plbq. Top Out Gas Line FINAL:
Post/Beam Strict. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Water
/,Line Gyp. Sd. 1 -Hoch.
Date Requested: � -:f' _ _Time: :—AN /�-7 PPN j
Address: — Permit is C�CLZj
C.
Builder: ,�f'YI f —5 4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
CITYOFTIGARD
® r
CI Y0FT1is�IND MASTER PERMIT
COMMUNfTY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . MST92-0006
13126 SW 14WI Blvd.P.O.Box 23397,TlgR d,orpon 97223(5W)M-4175
1',114/30/9L IT
o.59-417l JISSUED: 1L /3 .I 9 L
SITE: ADDRESS. . . : 11958 SW 125TH CT FARCE-L: 1S133DD-•10800
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING- R-4. 5
BLOCK. . . . . . . . . . . Ln1.. . . . . . . . . . . . . .. 145
----------------------------------- BUILDING --___----___.---____---_
RE 113SUE: DWELLING UNITS: ! BASEMENT. . . . . . . . :0 S f
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .440 S
TYPE- OF U133E. . . :SF FLOOR AREAS___.________. REDUIRED SE:TBACKS---------.---
T'YPE OF CONST. :5N FI RS T. . . . : 1241 5f LEFT. . :5 ft R I GHT. : 10 ft
OCCUPANCY GRP. :R21- SECOND. . . :849 s f FRONT. :: 0 ft REAR. . :6-0 ft
ST UR I ES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED-------------------
HEIGHT. . . . . . . . :25 ft TOTAL._-.._-_... -:2090 S SMOKE DETECTORS. : V
FLUOR LOAD. . . . :40 psf VALUE. . . . . 10406LA PARKING SPACES. . :ul
Rwmarks : path 1
-------------------------- -------- PLUMPING --------------------------------------
SINKS. . . . . . . . . .
-_--_-----------------------.-__----._.SINKS. . . . . . . . . . : 1 FLOOR DRAINS„ . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . — :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :.3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WAtE:R CLOSETS. . :3 SEWER LINE. (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . . 100 OTHE P FIXTURES. . . . . :121
UAR,BAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 13F RAIN DRAINS— : ].
---- ----------- MECHANICAL - --__._____.___-- -__.____. ._______-- FEES
FUEL TYPES-----------— UN 11' HTRS. . :0 type amount by date r•ec pt
/GAC3/ / / VENTS . . . . . :0 TIF $ 1380. 00 JLH 04/30/92 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 445. 50 JL.H 04/._;0/9,_ -
FURN ( 100K . . :0 HOODS. . . . . . : 1 FPLC $ E89. 58 JLH 4712/03/92 222814
F-URN ) =1.00K . . : I WOODSTOVFS. :0 135PC $ c2. 28 JLH 04/30/92 -
FLUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JLH 04/30/92 -
BOIL./CMP ( 3HP:0 OTHL-IR UNITS:O PAPK $ X50. 00 JLH 04/30/92 -
GAS OUTLETS: 1 MPRT $ 40. 50 JLH 04/30/92 -
UhnPr,: IVIPL.G $ 10. 13 JLH 04/30/92 -
DON MORI SSETTE: BUILDERS, INC. MSPC $ G. 03 JLH 1114/30/92 -
15355 SW BANr,Y RD. PPRT $ 140. 00 JLH 04/30/92 -
#201 PSPC $ 7. 00 JLH 04/;30/92: -
LAKE OGWE60 OR 9703'L
I--hone i1: 620--7538
Cont r-ac:tor^: ------_-__---.-_-------------_.--
DON MORIS5ETTE BUILDERS, INC.
15555 SW RANGY RD.
#201
LAKE OSWEGL) OR 970.35
1-1hone #: 620-75.:8
Reg #. . . .35533 --------------------------------------
P867. 0..
--------------•------_---
x'867. 0.. TOTAL
This perait is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS --- -
Tigard Municipal Code, State of Co-e. Specialty Codes and all other Foot/found Insp Fir^eplace Insp
applicable laws. All work Mill be done in accordance with approved Post/Beam Strutt Gas Line Insp
clans. This perait will expire work 14not started within 189 Post/BPam Mer_han Inslllation Inst
days of issuance, or J worksuspended or sore jhan 189 d vs. PIm/Undslab Insp Gyp Boar-d Insp
p'l_M/(Jnder,fIoor Rain drain lnsp
.�rmittPP Sign.atf-ir'p` �,�,� B'►1 Ivtec_hanicall In-;p Water Line Insp
r Plumb Top 0ut Appr/Sdwlk Insp
T ,ued AyrFr,aminq Insp Mechiinical Final
(:all for inspection - 639-4175
SEWER CONNECTIONCITYOFTIGARD
PERIhI'f
7�Cr�FY4O.FTIMMRD
PERMIT #. . . . . . . s SW
R92-0Z57COMMUNITY DEVELOPMENT DEPARTMENT
19126 8W FWI Blvd.P.O.Banc 23397,T%W,Or@pon 97223,(603)x630.4176 C A'E ISSUED: 04/.50/9i_
SITE ADDRESS. . . : 1 .1958 1-, 125TH CT PARCEL: 1 S 133DD-1080ci
3UBD I V I S I ON. . . . : V I LLAGE q.' SUMMER LAKE PARK. 4 "l ON I NG: R-4. 5
BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . : 145
_-__.-----_.__-_-.---------------.---.____._--_---___.--_-__
TENANT NAME. . . . . ;
USA NO. . . , . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS— : 1
1'YPE OF USE, . . . . :SF NO. OF BU I LD I NGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Nemav,ks: path 1
Owner: -.______--_._----------------.---_--_ ______._____--__-_-- FEES ------___-._---_
DON MORISSETTE BUILDERS, INC. type amount try date recpt
1555` SW BANCY RD. PRMT 4 1900. 00 JLH 04/0/92 -
4 01 I NSP $ 35. 00 JI__H 04/30/132 -
LAKE. OSWEGO OR 97 .135
Phone #: 620--75:_8
Coltit Tact or. ---------__-___----------------
CONTRACTOR 1101- ON FILE
----------------------
1rc�rte #s 19:35. 00 TO1AL
_-_
REQUIRED INSPECTIONS ----
This Aaalicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will be forfeited if the
oernt empires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not locateo at the measurement
given, the installer shall orosoect 's feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and cv will insstttaall��a lateral.
Per•mi ttee 51gnat ur-e :
Issued By=
Call for inspection - 639-4175
C11"? OF TIGARD RECUIPT nF r44YMENT RECE I r-'"f NO. t 92-8267P-0
CHECK (AMOUNT t 45521. 02
NAME r MORISSETTE, DON GASH 0MOUINT 0. 00
ADDRESS PAYMENT DOTE 04/30/12
SO PiD I�I S T GN
PURPOSE OF PAYMENT' AMOUNT PAID PURP(ISE OF PAYMENT AMOUNT PAI D
BUILDING PERM 445, 50 PLS UMBINCI PERM 140. lblb
MECHANICAL PE 40. 50 ST. BUILD PER 3 1. 1
PLAN CHECK FE 49. 71 SEWER USA 00
SEWER ]NfiPFGT 35. MO RESIDENTIAL TRAFFIC FEES 1 80. Q.
PORKS 9DC 250. 00 STORM DRAIN SDC 00
MASS TRANSIT' TIF rEES 100. 091
1-.13T' 145 SUMMERLAKr. *4
1 :1.958 SW 125TH CT
V.-ITAL. AMOUNT PAID 4552. OR
CIl'Y OF TIGARI) RFCEIrIT OF PAYMENT RECEIP-1 1\10.
.28 14
CHECK OMOUNTP-150. 00
NnME MCF ISir 1-1-E, DON CASH AMkil 00
(4UPRESc"i I PAYMENT DACE , op
SUBDIVISION z
ijjF2PDSE OF PAYMENT AMOUNT PAT.D PURPOSE OF PAYMEW AMOUNT PAID
2!5a. 00
SW t 25TI-I CT
li-YIAL AMOUNT' PAID 21,50. 00