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11956 SW 126TH PLACE-2 IJ U L-1 t"I ® U ALJ 4,,u 11956 Sd 126th Place d INSPECTION NOTICL City of Tigard Building Departaaent. 13125 Bfi Ball Blvd. Tigard, Oeegon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inepection:� Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation Plumb;�i Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:-a'- �1 Time: AN PM ' LAddress: ` 5(-6 Pormit is euildert TEE V0jjMINO CORRECTIONS ARE RRQUIRED: Inspector: Dates _L_APPROVED DISAPPROVXD APPROVED BUBJBCT TO AEM „Call For Rainap. C17YOFTIGARD I � CERTIFICATE OF CITYOF1WAM OCCUPANCY COMAn'U"WrYY DE:IFLOPMENT DEPARTMENT+ E-ERN I T 4P. . . . . . . : MS1"9 1 k V107 13126 SW FW I Blvd. '3.0.Bax k3347,rlg.,d.Oregon 07223(603)830-4176 7� � i . L,-tarE I5rL1ELr: 08715/91 SITE ADDRESS. . . : 11955 5 SW 1,='FTN p'I_ PARCEL: 1 S133DD•-1, •300 ,. AD I J I E I ON. . . . 7 i,I LLHGE AT SLIMMER LAKE. PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 160 Cl 'ISS OF WORK. :NEW TYUIE OF USE. . . :5F OCCL.IPAN('.Y Fire. ;Ra OCCUPANCY LOAD: 116 4 TENANT NAME. . . : Remarks : Owner: - .___.._._._ ........ ...._.._ __..._.__....._.._ .. _..._ ._.. ._... JAY MILLER PO BOX 23291 T I GARD OR 97223 Phone it: 684-7543 JHIY MILLER F10 Boy r:ti291 T I GARU! CIR 9/ai 3 Phone 41: 604--7542: Reg ski. . : 30109 Ur.,c.R.rpanry of the Above roferenc:ed bi.r.i. lcliny is hereby given, and cer•%' ifiFs the compliance with the State Of Clreynn `ipeci;allty Cudes for the group, occupancy, and uste t.clldoy, whin. -the r ttfPrenced permit ware i 1tued. F•x R� DF.F-'ARTMrNT E►U )C N[3 I N6r-'E=C t SUILDIN F"F tC it _ POGO 11\1 CONSPIC.UnUS PLACE IN_SPEGTION NOTICE City of Tigard Building Department 13125 SW Ball. Blvd. Tirlm d, Oregon 97223 Inspection Line ('tec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: —_- -- _—_ Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poi.t/Beam Slr,.--t. San. Sewer Frami:.g //��`'' -ldg. Poit/Beam Mech. Rain Dr : Insulation," -Pluum-b. Fib,. Underfloor Mater Line Gyp. Rd. -Nec1:j Date Requested: �S �� _ Time: —AM PN Address: /j c� �cT G' Permit Auilder.:_, THE FOLLOWING OU ORCTIONS ARE REQUIRED: .)i !jAJ @ C'�Ar„Ag(� �.wi. mac=,ur"•r � �allt.�la.t�2 �/,US.. G.✓i•y Tt'':a Inspector: , L _ Sate: Gam. APPRf`V6D DISAPPROVED APPROVRn SURJRCP TO ADM Call For Reinsp. r Z!iSPE(TION NCYl ICE City of Tigard Building Department 13125 SW Ball Blvd. Tj�iard, Oregon 97223 Inspection Line (Rec-G-Phone): 639_4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in �/ Appr/Sdalk Found. g• p Ylh To Out Gas Line �FINAL: -Bldg. Post/Beam Struct. San. Sewer Framing -Bg• Poet/seem Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water LSM Gyp. Bd. -Mach. Time=`C=� I Date Reguestede n, Permit #= y�ez07 Address: ) Builder THE FUi,LOWING CORRECTIONS ARE REQUIRED: l Inspectors—z— L_ L t-� Dater APPl10N'/b DISAPPROVE )APPROVED sUBJECT TO ADM Call For Reinsp• .ON NOTICE f� Building Departnent .rd. Tigard, Oregon 97223 sue): 639-4175 Rusinean Phone: 639-4171 Inspection:_ -- r'� Footing Plbg. Underelab Mech. Rough-in ,�Appr/Sdwlk 1 Found. Plbg. Top Out Gas Line FINAL: Pest/Beam Struct. San. Sewer Framing -Bldg. Poet/Ream Mech. Rain Drain Insulation --Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested.- Time: __ Ali .PM Addreee:__ Permit : ICUy 7_ Builders _` J THS POLL0NING CORRECTIONS ARE REQUIRED3 k 1 U ►' InepeCtotf � Detee T � I _ APPROVED DISAPPROVED APPROVED SUBJECT 70 ABOVE 6611 For Reinsp. �■r �r w w w w w w w W- INSP_ECTION NOTICE City of Tigard Building Departioent 13125 SW Hall BI.vd. Tigard, Oregon 97223 Inspection Line (Pec-0-Phone): 639-4175 Business Phone: 639-417 Inspectio.::__ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain < Insulation -' -Plumb. Plbg. Underfloor Water Linnoyp.� -Mach. Dare Requoated: J ( / Time= AM Fh Address: / /�G► ��` �� Permit 7 % -G(C� 7 Builder: THE/!FOLLOWING CORRECTIONS ARE REQUIRED: )ZGY : [7y= C "r-z'E:'J'z 1 1 67CC1-.r Z it t C tZ Inspectors Date: MPROVfb DISAPPROVRD UPPROVED SUBJECT TO ABOVE ---Call For Relnsp. ■� s � � gar INSPECTSOj City of Tigard BLild'ng Department 13125 SM Ball Blvd. TL.;jard, Oregon 97223 Inspection Line (Rec-O-Phone): 639— L75 Business Phone: 639-417 Inspect ion:_-----,-..—__ Footing Plbg. Un-:erslab � 5 Appr/Sdwlk Found. Plbg. To,, Out Oas Lin• FINAL: Poet/Beam Struct. San. Sower Framing -Bldg. Post/Beam M4ch. Raii. Dram: Insulation -Plumb. Plbg. Underfloor Water yLino Gyp. Bd. -Mach. Date Requested: O Time= AM PH mit �: G Builder: /T/11Z FFOLLOWING CORRECTIONS A" REQUIREDS 655 Inspoctori �.% C, Date:�� G� APPROVED DISAPPROVED APPROVED SUB.'rECT TO ABOVE Call F,:r Rainep. INSPECTIOd X ICB City of Tigard Buil ing DePartme 13125 SN Ball Blvd. Tigard, Oregon 7223 Inspectio.i Line (Rec-O-Phone): 639-4175 Busineus Phone: 639-4171 Inspect -- Footing Plbg. Underslab mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL., Post/Beam Struat. San. Sewer Framing -Bldg. Poet/Boam Hoch. Rain Drain Insulation -plumb. Pltq. Underfloor Water Line Gyp. Bd. -xech. .Into Requested: q1 _1 ( Timet Address: �nn''11 I 1G� ��'�� Permit it 'd Builder:THE FOLI.OW:NO CORRECTIONS ARE REQUIRED: Apt- S cv inspectort _ _ _ Date& APPROVED DISAPPROVEDW APPROVRD SURJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department ?� (_ 13125 BA Hall Blvd. Tigard, Oregon 4722.1 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing p1bQ._.Q darm lab Mech. Rough-in Appr/Sdwlk Found. L Plbq. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewer Framing Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mach. Date Requant:ed: � _/y� 7 - �7/f Times AM PM Address: 06�—Permit •:�.._S �_ Builder: THE POLLOWT.NG CORRECTIONS ARE REQUIRED: Inspectors_ � Data: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainap. 1 INSPECTION N04'ICE City of Tigard B:tilding Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Pione): 639--4175 dueiness Phone: 639-4171 inspection: Footing Plbg. FInderslab Mech. Rough-in Appr/Sdwlk Found. Plbg. ":op Out Gag Line FINAL: st/B,Am Struuct San. Sewer Framing -Bldg. ` st/Beam Neo Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Ed. -Mach. � � Date Requestedt/":2— -�� Timet AM/—'-,�,�. Address: ✓/�Df' Permit O'Yzz Builder: THE FOLLOWING CORRECTIONS AR! REQUIRED: •nrl,Prl ur I+,al r.. ,r. nl^•+: +.I• 1)IBRPPPI WFII 1!`I'12nVF1 :It{l,IP,r^I- T + n,nr,v 1. ' -,I1 F •, Nulnnl- INSPECTION NOTIM City of Tigard Building Departeent 13125 9W 6x11 Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171 Ir+ipections Footing Plbg. Underelab Mech. Rough-In Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. ' Post/Beam Mach. Rain Drain Insulation -Plumb. Underfloor Water Line Gyp. Bd. -Mech. (Z__ ---_---� � -y-.tel/ Date Requested: Times IIM4- .ePM Addresse .�_L� .��- Permit itf � Builders_��ZL-.L�� THE FOLLOWING CORRECTIONS ARE REQUIRED: 7 APPROVED n1SAPPROVED APPROVED SUBJECT TO ABOVE call Fnr Rpinsp. INSPECTION NOTICE iilS� City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Touting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. gRainDDrain t Gas Line FINAL: Post/Beam Struct. Framing -Bldg. Post/Berm Mach. Insulation -Plumb. Plbg. underfloor � Gyp. Bd. -Mech. Date Requesteds o � -/_! / r Times/ AM PH a PM Addreass� guilders I � �1-� —_ THE FOLLOWING CORRECTIONS ARE REQUIRED: r Inspectors Dates ` _ APPROVED DISAMOVED APPROVED SUBJECT TO ABOVE call For Reinsp. INSPECTION NOTICE City of Tigard Building Department ' 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o--Phone): 639-4175 Bueinesa Phone: 639-41 It . Inspection:___ /footinq`1 Plbg. Underslab Mech. Rough-in Appy/Sdw1k / Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. 3 Post/Beam Mech. Raln Drain Insulation -Plumb. Plbg. Underfloor Water CLine Gyp. Bd. -Koch. DAte Requested: _ C — a! Times �t PM Addreass� / � CY � r+' Permit �f t/ nui.lders THE FOLLOWING CORRECTIONS ARE REQUIRSDs �o.�TiwvP� S iC '.f_i A .*+F�� 3�G+o �3y/. Chi✓�?�`'i� i I^s>pectors Datea�+(c� 11PPROVED DISAPPROVED e" RPPROVRD SUBJECT TO ABOVE Call For Reinsp. SEWER CONNECTION PIE PM I-r CITYOFTIOARD CITY0-F-TMR9 QERMIT #. . . . . . . : SWR91-000�-i COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW HWI Blvd. P.O.am 233g7,Towd,Oregon 97M MM604j75 ;77 DATE ISSUED: 01/22/91 !SITE ADDRESS. . . : .11956 SW 1261H FIL PARCEL: IS133DD-13800 '3UBDTVISION. . . . - VILLAGE AT SUMMER LAKE PARP'' 14 ZONINGi R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 175 TENANT NAME. . . . . USA NO. . . . . . . . . . :43152 FIXTURE UNITS. . . i CLASS OF WORK. . . 'NEW DWELLING UNITS. . - I TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWP I MPERV SURFACE. s f Remarks - affordable home show Owner- FEES JAY MILLER type amivtrit by date vecpt PAO BOX 23291 F-IRMT $ 1500. 00 I NSP $ 35. 00 TIGARD OR 97223 PAYM $ V-535. 00 JLH 01/22/91 FIhovie #t 684--7543 L'of-itractor: CONTRACTOR NOT ON FILE F,hone 1335. 00 TOTAL ------- RE9UIRET) INSPECTIONS his Applicant agrees to comply with all thp, roles and regulations Sewer Irisuec-,tion nf the Unified Sewage Agency. The aervit expires 0 days from the date issued. The totel amount paid will be forfeited if tie vereit expires. The Pgency does not quarantee the accuracy of the side sewer laterals. If the sewer is not located at the meas -ent given. the installp- shall prospect 3 feet in ali directions troy tH distance given. If not so located. the installer shall pu*Ltase a "Tap and Side Sewer" Permit and the Agency will install a lateral. 1'r—mittee Signat Issi-ted CS31 for, inspec!tior) 639-4175 MASTER PERMIT' CI� �'FAFRD "ERMIT #. . . . . . . g MST91 --oO07 CMOFTMOD 7 CdMMUNRY DEVELOPMENT DEPARTMENT offem 131FS OW HmN Bkd P.O.Box 23307,Towd.QvW g�*Nf%6"j75 0ATE ISSUED: 01/2-2/91 I T*E AOL)RLS-'. SW I aC,I H PI.- PARCEL: IS133DD-12300 SUBDIVISION. . . . : VILLAGE AT' SUMMER LAKE PARK 4 ZONING: R-4. 5 FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .. . 160 ------------- BUILDING -------------------------------- ------ REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARA67E. . . . . . . . . . ..428 sf TYPE nF LISE. . . -9F FLOOR RF-OUIRED TYPE OF CONST. :5N FIRST. . . . : 1960 sf LEFT. . :6 ft RIGHT. :6 ft OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. -20 ft REAR. . :22 f.t STORIES. . . . . . . : 1 THIRD. . .. . :@ sf REQUIRED--------------------- HEIGHT. . . . . . . . . 16 ft TOTAL--------: 19 sf SMOKE DETECTORS. -.Y FLOOR LOAD. . . . .,40 ps-F VALUE. . . . . 97864 PARKING SPACES. . d@ Remarks ,r affordable home show ------------------------------------ PLUMBING _._._--__-----_______—____.._____--_-..—_- SINKS. . . . . . . . . . ----------------------------------------- SINKS. . . . . . . . . . 31 FLOOR DRAINS. . . . :0 BACKFLOW 1-REVNTRS. . -0 LAVATORIES. . . . . ..3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 'ruB/GHOWERS. . . . -3 LAUNDRY TRAYS. . . ti CATCH BASINS. . . . . . . :0 14ATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHEVS. . . . : 1 WATER LINE (ft ) . : 100 OT14ER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . .0 WASHING MACH. . . : 1 F31- RAIN DRATNS. . : l MECHANICAE- ---------------- FEES -______-___-.-.. FUEL UNIT HTRS. . -0 t e Ama'..Int by date e c:pt /GAS/ VENTS . . . . . :0 PAYM $ 100. 00 JL' H 01/10/91 20850V4 MAX INPUI :O D TU VENT FANS. . 12' EAPRT $ 427. 00 TURN ( 100K . . : I F40ODS. . . . . . : 1 HPLC $ 277. 55 TURN ) =100K . . :0 WOODST0VES. :0 B5PC $ 21. 351 FLOOR FURN. . . . :0 CLO DRYERS. - I SSDC $ 375. 00 ROIL/CMP ( 3HP:0 OTHER UNITS-0 PARIS $ 900. 00 GAS OUTLETS: 1 MPRY $ 33. 00 Owner: MPL.0 $ 8. 25 JAY MILLER M5PC $ 1. 65 I-10 SOX 23291 PPRT $ 140. 00 P5PC $ 7. 00 11CARD OR 97P23 TIF $ 1350. 00 Phone #: 684-7543 PAYM $ 3040. 80 JLH 01/22/91 Contractor: JAY MILLER 1=10 BOX 23291 TIGARD OR 97223 Phone #t 684-75435 Reg 0. . ., 30109 ---------------------------------- $ 3,140. 80 10TA1. This pervit is issued sub'itct to the regulations contained in the -------- REQUIRED INSPECTIONS ------ Tigard Municipal Code, State of Ore, Snecialty Codes and all other Foot/f6,.Ind Insp Fireplace Injo aoplicabit laws. All work Pill be done in accordance Pith approved P011t/SPAM StrUct Gas Line Insp Plans. This ver-tit will expire if work is net started within IS@ Fast/Beam Meehan Insulation Insp days of issuance, or if work is suspended for sort than 180 days, Plm/undslab Insp GYP Board Insp P M/Underf I oor RAin drain It-IvAp i--et mittee Signaturell Insp WAtev- Line Insp Issued ley : Plumb Top Out Appr/Sdwl k Ins v Framing Insp Mechanical Finz4 Call for inspection 639-4175 EtWKW sss► wr sss we PLUMBING P1-..RM I T CITYOFTIGARDPERMIT #. . . . . . . : MST'' 1 00th 7 CRYOF'fN►ARD COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/22/91 13125 SW Hall BW. P.O.Box 23397,Tigard,Oregon 97223(603)63"175 SITE ADDRESS. . . : 11956 SW 126TH PL PARCf�L; 1 S 133Ull-12�00� SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . : 160 CLASS OF WORK. . iNEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . sSF WASHING MACH. . . . . . . 11 BACKFLOW PREVNTRS. . :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :b FIXTURE.S--------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . 90 WATER CLOSETS. . :2 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . - 1 RAIN DRAIN (ft ) . . . . :0 H marks : affordable home show OWNERS ---__.____.____________..__.____.___._ ------------------ ....... JAY MILLER PAYM t 100.00 JLH 01/ 10/91. 208509 PO BOX 23291 DPRT $ 427. 00 SPLC $ 277. 55 T I GARD OR 97223 B5PC f 21. 35 Phone #: 684-7543 SSDC $ 375. 00 PARK i 500. 00 Plumbing Contractors------- ---------- MPRT $ 33. 00 / ! MPLC $ 8. 25 Name: M5PC $ 1. 65 Address •_ _ ....... PPRT 4 140. 00 City : State : PSPC t 7. 00 Zip: Ph o n v#: _._ _ 'f IF 1350. 00 / 1 Reg M:-_ _ _-.......�.---.__......._..._.-__._ _. PAYM 3040. 80 JL.F1 01/22/91 - - - - REOUIRED INSPECTIONS - This permit is issl. ed subject to the reg r..11ations contained in the Tigard Municipal Foot/found Insp Gyp Board Insp ro4ip, state of Ore. Specialty Codes and ,all Foot/found Insp Rain grain Insp other applicable lak-. All work will be done p''ost /Ream Struct Water Line Insp in accordance with approved plans. This Post/Beam Mechan Appr/Sdwlk Insp per:�,it will empire if work is not started Plm/undslah Insp Mechanical Fina] within 180 days of issuance, or if work is PL.M/Underfloor Plumb Final solspended for more than 180 days. Mechanical Insp Building Final Plumb Top Out Erosion Control Framing Insp Fireplace Insp n c Gas Line Insp _ „ in.fLux 1 4 lam' � _ _. _._._ I n s r_i I a t i o n I n s p Autha zed Plumbing Contractor Signature ` Call for inspection - 639-4175 Contractor Notes :____ CITY OF TICARD RF.C:FIPT OF PAYMENT RECEIPT NO. ')I -�.:,08847 M11-1-ER, JA Y CHECK (-4MOIJN'r 45- 75- 80 ADDRESS CASH AMOUNT 0. 00 PAYMFN,r DATE t Q,1 _2/91 SUBDIVISION 119516 SW 126TH Plt- PURPOSIH' OF' PAYMEN'r AMOUNT PA I D PURPOSE OF PAYMENT (11110UNT PA I U T'91-000'7 42`7. 00 PLUMBING PERM 140. 00 MECHANICAL PE 33. 00 ST. BUILD PER 30. 00 Pl.,'AN CHECK FE 1E1 a0 SEWER USA Ifift. 00 SEWER INSPECT 35. 00 RESIDENTIAL. TRAFFIC FEE�'i I J150. 00 PARKS GDC 1500. 00 STORM DRAIN SDC :375. 00 MASS TPANSIT TIF T-ELS 100. 00 I-OTAl- AI'4fll1N'r P,An) 4, '75. 80 I'TY OF T)(4,M) — RECEIPT OF F'AYM INT F'ECE IF'T' NO. r 91_ t1Q';r;►'� CHECK' AM(.)LJN'F r I(),l).�'0 A 0R r .TA`/ MILLERCASH AMOUNT r ().►.►ry a'ii?(IF;ES�"i r PAYMENT DATE IQ/91 I �IJN!)I�l);";1ilN a 119216 SW 126TH PURPOSE OF= PAYMENI- AW)LINT FSA I D F'URPOSE: OF' PAYMENT AM0L.1NT PAID F=''I...AN C�1–IECk. F:E= 1 . 1'?F�' li.yt�:y. ►yr, ._......____....._._..____....... f'Fil_ AMC.ICJPJ-F F'A I D Of). .4 1