13717 SW LEAH TERRACE Q)
I - 011
U`
5ET5,4c< �Pll
L INE I I �'� f 1` 3 ., r PATRICK SCHMITT,
C ON TREES I - ="— I \ 6 _ 9 5 ---- -y_ designer Inc.
/� ..
r�I T I ,�T I .617 I ✓ • ^�'�� r� 'F ,... .,».r,.... i.. � Cwtnm HWM Deslpn,P ennirtp 6 Go^wlunp
PER DEV. PL ANS - ; .: > 5126 SW Mart{,old StnrN
--- --- __ _
w 11 Tel 50 )767Pertland 68-4S731N
Lam.— --- .rn.1 Ydrnmalwpon cam
t r;,
20) MlItM dimensions on these d'Gwlny snap have
_ I precedence over scaled dlmenlwnl. Contractor
Moll assume tMpaMbpdy !p all dlmenfldq
and conditions on the bD. PATRICK SCHMITT,
1 f) designer In[. in De ^otllied and Consent t<
N
u q E ��• O 0 ) S I t E F L /` � I M O T E(�
any roriatlan nom dimensions wt forth nerein.
' N (J / f`i l I C This document Is the Dropmty of PATWICK SCHMITT,
designer Inc, onJ is for IM use only for oM
fpetific project as noted below Na reuse at
reproduction in any form Is allowed without the
5. 2 ' S5. D ' -
�" ' 0 _ I II
LEGAL DESCRIPTION bes esigner lac., consent of PATT,ICK SCHMITT,
- I Lot 11 Danodll Will
' i TE3ACK
r11TIGA1TION TREES `� LINE I I I 11
PER DEV. PLAN;; rills
SITE ADDREGS
13111 6111 Leah rw►au
SETBACK T19ard,Oreefla+917Y4
L INE .
— I t
I - Oil �� - I LOT COSE
RAr
LOT AREA 6,176
BUILDING AREA 3A91 O (�
(INCLUDING EAVEW (�
TOTAL LOT COVERAGE 9091 / 5,126 (100) .54% 1 t: N
C Y
6, 2 52 _ I vy EROSION CONTROL NOTES:
IJ REFER TO THE CITY OF PORTLAND 'EROSION CONT!-,L MANUAL' ^ I hC)
/ / • I Fpl!ADDITIONAL DETAILS AND EROSION CONTROL REQ•6.
Q) o -- \ d 2)COVER ALL DISTURBED GROUND Alae.BETWEEN OCT. I TO }.t j 64
APRIL 30.COVER WITH MULCW.500,GRA65•PLASTIC OR
OTHER APPROVED MATERIALS AS SPEC:IFIEp IN THE 'EROSIONI Q
** ^ CO'dTROL MANUAL'
) / 3)SEDIMENT BARRIER TO BE INSTALLED PRIOR TO EARTHWORK.
^. .'+,.fw°r.'n er r, I II O / REMOVE ONLY AFTER GROUND COVER 15 ESTABLISHED.
e z 5 � c�.d,�
4)NO SOIL ALLC'r11ED TO ERODE OR BE TF QCICED OFF SITE. t""w
r.,,d>uta I I / LISW `l!/ '1 1- M
6; van �� <
. �,•} GRAVEL GONSTRUC110N ENTRAN;,;E - SEE
I
O DETAIL 4.IA AT LEFT OR IN THE CITY OF
. O 0 f PORTLAND 'EROSION CONTROL MANUAL'
:: 4�M / I
COVERED STOCKPILES
C"d
WORK$TtGING /MATERIAL STORAGE AREAS
All
Lj
«•.�+ 7-— � 1�� / WOODEN CURB RAMP - SEE DETAIL 4.IA AT
x,yry,, „„,, ,,•p1'; < r•'� .- c 4 q ' / e +ul�i{ � LEFT OR IN THE CITY OF PORTLAND 'EROSION
d ,c'w Jca :'fi(a° Y` `- �r tI1 ,�• '" CONTROL MANUAL'
L__ c'v ✓ ,' I^ ---- / // J / WRAP AMC)PROTECT ALL CATCH BASINS PER I
16. 01 "1 DETAIL 41H IN TNF CITY OF PORTLAND
DETAIL DRAw,,v 4.I4 - GRAVEL,CON5TRUCTION ENTRANCE }•t ''� �+! 1, _ 'EROSION CONTROL MANUAL' ---::= 51 . 85 "rr.• , '' / R 4 0. Date: January S,2004
_ _.___-- I , / •�'� L_ 62. SEDIMENT FILTER FENCING
Plan: site Plan
� ` � I�► 1 ��
S . W .
Inuw . WATER uNE - Job No.: PS-1289-03
(USE I' PVC:LINE KRt7M METER TO HOUSE) Revision:
mac. ifs 1 �� S(U5E 3�AD5E ERFLRCXI LATERAL TO HOUSE) --
�. 111L 4. ,} , TERRACE - 66 . SANITARY SEWER LINE -
(USE 4' PVC LINE FROM LATERAL TO HOUSE)
I 1
FILE • PUBLIC UTILITY EASEMENT Sheet Title:
> °Ii wA44 — — ` - ---- — O . WATER METER Lot 17
r✓'I ) 11 SitC
e r. �.`I,'.+IF Y.1'f4+ its �f ���•^� S i r/t�`�• r ' I V 9 a ��`_. ' 12 ' 105- 81 ' misc.
11 Ian
"
7►:.'�'�llt dit,, dlf lkehl' ,^.f e� «• I f\ 1 ----
1 U A 20% ADJUSTMENT TO THE SIDE
�''•� e « • WARD SETBACK I4A5 BEEN GRANTED
FOR THIS SIT
E.
- Q
'30.
------------ - ----
-::: 44.
DETAIL DRAWING 41A - TEMPORARY SEDIMENT FENCE S �.
COPYRIGHT zoos PATRIM SCRMM, deelrer In:
• _....,_...._/... ..�.+..:.. -._._._... _. ..: +�c .wrciY• ,.. ..,.:c....�xk.a.r.a,»,.•li.....ra•Mv.rvu.,. . .,,.ti +,rnL�W!!?ro.r.ie;Fsraga�4MlSY •:...., �.�,. . .m .r.uvw.,« .., -...,.r, ........ .. .., ., ,_._.w.,wwetlp'r.,,n...,..�.....r...n......; ..,- .__- .__..m__._.. -.-.._.-.._....
NOTICE: IF THE PRINT OR TYPE ON ANY � 111111 111 Jill 11 Ili 111111 1 ( I 1p- [ JIT1I_1 . rj-r 11-1 ..1ii -1 SII 1 � � � I � 1I1. .1 � 1 1 [ 1 '•-1-11 r rl1 t � < 11.1 11rTele I-11. r� 1 ref 111 �11 �� � � ITTI �ri � rl111 111111 11111 � 1 �I I 1 1 1 1Jill1 1 1 1 1 ( I J
IMAGE IS NO . AS CLEAR AS THIS NOTICE, l 1 2 3 4 6 _ $ 9 10 11 lY��
IT IS DUE TO THE QUALITY OF THE No.36 �► ...:��.�
c nrr•wr Car....
ORIGINAL DOCUMENT E 6 Z 8 Z L Z 9 Z Z Z Z Z T Z O Z 6 i S I L I 9 T 9 T I T Z T T I T g g L 8 1^ Z i �Irri�w I
��►�� till ���� ���� ���� 1111 ���� ���� ���� ���� ILII -111111)1 ��� 111 111 illi 1111. till ���� 1111 ���� II11 ���� ���� Ilii ���� ���� ���� :���� ���� ���� ��I�I���� ���� ���� ���� ���� �«< «►l��l� ���� ���� ui � � � ����f��� ','' '1
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13717 SW LEA.1 TERR
CITY OF TIGARD 24-Hour
BUILDING Inspection Line :303)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST —
BLIP
Received __ Date Requested AM _PM_._. - BUP
Location I „ 7 / ll -G -'�-� Suite _ MEC
Contact Person �K � -� Ph(—) PLM
Contractor Ph( ) SWR —
BUILDING _ Tenant/Owner -.—_.» ELC
Footing - ELC _
Foundation Access:
Ftg Drain ELR _ _ _-
Crawl Drain
Slab Inspection Notes: SIT __--___--
Post&Beam �- -- -- -- -- - --- - - --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - - - - -- ----- --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _ --.-_-- - - -_--
Fire Alarm
dusp'd Ceiling -- --- ----- - ---
Roof
Other:
Final
PASS PART FAIL f --
PLUMBING
Post&Beam —
Under Slab —
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain — —
Shower Pan
Other: - ---
Final
PASS PART FAIL ---
MECHANICAL
Post& Beam
Rough-In --— -_—.T —
Gas Line
Smoke Dampers - —- -- --------
Final
PASS PART FAILELECTRICAL
Service --- -- - ------- -.-_--- - ,__.._
Rough-In
U r
F rm
rm
in F� Reinspection fee of$_--- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
11815 PART FAIL
SITE F] Please call for minspe tion RE: —_ [ I Unable to inspect -no access
Fire Supply Line
ADA r /_.;
Approach/Sidewalk DA#e C/ - - — InspeCtOt' Ext
---
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P2/200 -00344
13125 SW Hdll Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7122 2/2004
SITE ADDRESS: 13717 SW LEAH TERR PARCEL: 2S109BA-09100
SUBDIVISION: DAFFODIL HILL ZONING: R-7
BLOCK: LOT: 017 JURISDICTION: TIG
CLASS OF WORK: OT: GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: S,^ WASHING MACH: BACKFLOW PREVNTRS: 1
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
DISHWASHLmS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device for irrigation.
FEES
Owner:
Description Date Amoun+
GOODLET/MARSHALL
PO BOX 91551 II'I.l'�1131 I'rri�iit I cr 7/2212004 $36.25
PORTLAND, OR 97291 "f;1\I `� Stotc tiurch;u $2.90
7122/2004 _
Total $39.15
Phone : 503-297-1881
Contractor:
CATANDELLA IRRIG 1TiON +
BACKFLOW
5334 SE DEL RIO CT REQUIRED INSPECTIONS
HILLSBORO, OR 97123
Phone: 356 8022 RP/Backflow Preventer
Final Inspection
Reg #: MET 5351
LIC 11498
PLM 7022
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes Find 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 suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR
952-0001-OlOff---(,nu may obtain copies of these rules or direct questions to OUNC by calling (503)
246--,6899.
Is ed By: K Permittee Signature:
6 -4175 b 7:00 P.M. for an Inspection needed he next business da
Gall (503) 39 y p Y
Ouilding Fixtures
Plumbing Permit Application
City of Tigard Received �5l
13125:;W Hall Blvd.,Tigard,OR 97223 Date/.By: Permit No 4 (�
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/B miOther Pert No
24-Hour Inspection Line: 503.639.4175
Internet: www.Ci tigard.or.us Date Ready/Bw ® See Page 2 fm•
tJotiOed Method t Supplementnl lnformatlun
TVVE OF VYOYtK` FEE" SCHEDULE
Ne w construction — ❑ Demolition For�cial information use checklist
-- Description t Ea. Total
(]Addition/alteratiot3/replacentent U Other:
New 1 2-family dwellings(includes 100 R for each udhty connection)
;100,,8 .RUCTION SFR(1)bath — 249.20
1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 350.00
Accessory building ❑Multi-family - SFR(3)bath 399.00
El Master builder ❑Other: �- Each additional bath/kitchen 45 00 —
Fire sprinkler(_sq.ft.) Page 2
INFORMATION AND LUCATION_• Site utilities - -
Job site address: Catch basin or area drain 10.-60
City/State/ZIP: n r0- Drywell,leach line,or trench drain _ 1060 -
Suitetbldg./apt.no.: Project name: C)cc s t 1 l Footing drain(no.linear R.: ) Page 2
-- Manufactured home utilities 110.00
Cross street/directions to job site:
1 - -- Manholes 16.60
Rain drain connector 16.60
Sanitary sewer(no linear ft ) Page 2
Storm sewer(no.linear ft Y) Page 2
Subdivision: Lot no.
Water service(no.linear ft. _) Page 2 A
� .
- �-"
Tax map/parcel no.: Fixture or item -
Absorption valve 1660
DESCRIPTION OF WORK
u •3SisI>' ___.__-. __ `, i Backflow preventer --�( Page 2
Backwater valve 1 16.60
Clothes washer T - 16.60
Dishwasher 16.60
ZRIPROPERTY OWNER Drinking fountain 16.60
— ❑ TENANT —
— Ejectors/sump 16.60
Name:
T L�� ��-'' Expansion tank 16.60
Address: 9�5 5'� _ Fixture/sewer cap 16.60
City/State/ZIP: �2 9 •;7- Floor drain/floor sink/hub 16.60
Phone:(5b5) A97-/681 Fax:I =�) Cnrbage disposal 16.60
tAPPLICANT l; Hose aka 16.60
❑ CQNTACT O�I j.,
'---------- ------ --- Ice maker 16.60
Business name: Interceptor/grease trap 16.60
Contact name: M-dical gas(value:S ) Pee 2
Address: Primer 16.60
City/State/ZIP: Roof drain(commercial) 16.60
Phone:( ) Fax: ( )
Sink/basin/lavatory 16.60
-- - — ---- ---- --- Tub/shor eer/shower pan 16.60
F-mail:
--- Urinal 16.60
ONthACTOR � Water closet 16.60
Business name: I 1-T A cM Le- tom. t k-,_ C� J Water heater 16.60
Address: S L Qs t� L-t Other:
City/State/Z1P: r 1`S p t�j 0(' Subtotal
Minimum permit fee. $72.50 I a
Phone:( ) (o Q Fex:( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
Authorized signature: �- State surcharge(8410 of permit Cee)
TOTAL PERMIT FEE ,
Print name: " s Date: LZ This permit application expires If a permit Is not obta et within
180 days after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board
i tBulldingTermiu\PLMF-PemutApp doc 12103 440.4616V I O/OLCOWWEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su ression Svstems:
Qty. Fcc(ea) Total uare Footage: Permit Fee:
Site Utilities =�— -- x115 00 -
Footing dram-I"100' 55.00 0 to 2,000 __ -
46.40 2,001 to 3,600 $160.00
-
Footing drain each additional 100' 3,601 ro 7,200 $220.00
Sewer-1 st 100' 55.00 L11201 and eater $309 00 _
Sewer-each additional 100' 46.40
Water Service-Iat 100' 55,00 Medical Gas S 'stems:
Water Service-each additional 100' 46.40 Valuation' Permit Fee:
Storm&Rain Drain-Is' 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50
tin rm&Ram I>retn-each additional 100' 4640 $5,002.00 to$10,000.00 $72.50 For additional$1 e first frn each
100.00 or fraction thereof,to and
Fie or Item Qty. Fee(ea) lot includin $10000-00.
Fixture
t xtur al Back Flow Prevention Device 40 dlt $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1 54 for
each additional$100 00 or fraction thereof,to
Residential Backflow Prevention Device and including$25,000 00.
m
minimuperrmt fee$36.25) 2 55
Rein Dram,single family dwelling 65 2S $25,001.00 to$50,000 00 $379.50 for the first$25,000.00 and$1 45 for
each additional$100 00 or fraction thereof,to
Inspection of existing plumbing or 2 5p and including$50,000.00
specialty requested inspections per hour . np .
$742.00 for the first$50,000.00 and$1.20 for
Subtotal: 1 each additional$100.00 or fraction thereof,
Fixture Work:
Are you capping, moving or replacing existing fixtures? If
"yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
uantit b Fixture Work Performed
Fixture Type: Replace
New Moved plieNaQ Capped Comments regarding fixture work:
Ba hs ,/Font — — — -
Bath -Tub/Shower
-jacuzzi/Whirlpool
Car Wash -Each Stall ---
-Drive'fhru
Cuspidor'Water Aspirator _ -
Dishwasher -Commercial
-Domestic —
Dnnkin Fountain _
Fvc Wash -- --- --
Floor Drain!sink 2 — —. -- -------
Car Wash Drain —
Garbage -Domestic
Disposal -commercial _ *;Vote: If the fixture work under this permit resr.,ts in an
-Industrial —_ increase of sewer EDUs,a sewer per mit will he issued and
Ice Mach.iRefri Drains fees assessed for the sewer increase .oust be paid before the
oil Se arator Gas station plumbing permit can be issued.
Rec.Vehicle Dump Station
Shower -Gang _-
-Stall
Sink -Bar/Lavatory Quantity t otal
-Bradley — Isometric or riser diagram is required if fixture quantity
-Commercial Y _ total is>Q.
-Service _
matet
m Pool Filter-Clothes xtractor Platt Revi w
Water Closet-Toilet_ — Plan review is required if fixture quantity total is>9.
Unnal _ —--
Other Fixtures: —
i�auddmelPemutsTLM Pe Mpp doe P03
CITY OF TIC XR,O 24-Hour
BUILDING Inspection Line: (503)639-4175
MST _
INSPECTION DIVISION Business Line: (503)639-4171 OM �,(
4t,,_ " 1 U , BLIP
Received _ / _Date Requested._T— .- AM P�IY BLIP -
Location . �� � ��``t' _ Suite - - MEC
Contact Person _. Ph
Contractor _— _ __— Ph(_ ) _ _--- SWR
BUILDING Tenant/Owner _ --- ELC —
Footing ELC _-- -
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT —--- _--
Post&Beam -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ----- -- - - --- -----
Insulation
Drywall Nailing ----- - --- -----
Firewall
Fire Sprinkler - -- --
Fire Alarm
Susp'd Ceiling --- - --- �—
Roof
Final — ------- -- --- - ---� --
PASS:_ ART FAIL
—LUMBIN
— am
Under Slab - - - -- --- --- -
Rough-In
Water Service —
Sanitary Sewer
Rain Drains ---
Catch Basin/Manhole
Storm Drain ------ -- ---- ----
Shower Parr
PARTOff-
CHANICAL ---
Post& Beam
Rough-In --------- - -- ----- -- --- -- - - -- _.
Gas Line
Smoke Dampers - _---- -- ----- ...- -- ---
Final
PASS PART FAIL - _ - -- -- -- ---- - -----
ELECTRICAL --_
---- -----------------------
Service
Rough-In --- -- - ---- --- ---------- - -- ---
UG/Slab
Low Voltage --- --- - - - - ----- ---- --------- - -._ - -
Fire Alarm
Final Reinspection fee of$._- _required before n,xt inspection Pay at City Hall, 13125 SW Hall Blvd.
_PASS PAF'T FAIL
T Unable to inspect-no access
SITE Please call for reinspection RE:_.. ...__-_ -_-___ L P
Fire Supply Line
ADA Approach/Sidewalk Date __ - - - Inspector_)/ Ext
� --- --- -_ .
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF i IOARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP —.
Received _Date Requested______� _'/ —_ AM- —PM___ BLIP
Location 3 7_� cr��z✓ /,_�..%2 1_. —suite— __ MEC
Contact Person a-K- ) Ph PLM
Contractor __ Ph( ) SWR __--
BUILDING _ Tenant/Owner _ ELC
Footing _ ELC _
Fol nidation Access:
Ftg Drain ELR
Crawl Drain - - --
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors --------- -----
Ext Sheath/Shear _
Int Sheath/Shear --
Framing ---------_- __.---._--- - -------_____-___--
Insulation
Drywall Nailing ---_.- --------- ---- - ------ --
Firewall
Fire Sprinkler ------- - -
Fire Alarm
Susp'd Ceiling _--- ---- - - ----- --- - --
Roof
Other: -__-
Final _
PASS PART FAIL --- - _-- ------ -- - ----- ---- ----- -
PLUMBING
Post& Beam ----
Under Slab ----------- -- ---------- -----
Rough-In
Water Service �--- - ---___ ----__ -_ --__
Sanitary Sewer
Rain Drains -- -- --- - -- -------- - -----
Catch Basin/Manhole
Storm Drain __-- ----- ---^- -__- _--
Shower Pan
Other: - -- -- --- ---- --------------- --- -._
PAS PART FAIL_
M_C_HANICAL
Post&Beam - - --- --- - --------------- ---- -
Rough-In - - - �-
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL—
Service
LEC CService
Rough-In
UG/Slab ---- --- --- - --__._
Low Voltage _-
Fire Alarm
Final F-1 Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:- _--. .. ..— F-1 Unable to Inspect--no access
Fire Supply Line
ADA �w�; Ill►tia,
Approach/Sidewalk Date ��._(� Inspector --_ ._ Ext -_
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 ,`
INSPECTION DIVISION Business Line: (503)639-4171 MST d
C
- a
Received --Date R uested TAM. _ PM_ BUP
Location --Suite_ MEC __--
Contact Person 4-�:- ph( ) __Z PLM
Contractor _ Ph( ) SWR
BUILDING _ Tenant/Owner _ ELC
Footing ELC
Foundation Access:
Ftg Drain
Crawl Drain ELR _
Slab Inspection Notes: SIT
Post& Beam _
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear ---
Framing -
Insulation —
Drywall Nailing
Fi r ewal I
Fire Sprinkler ----- -- _
Fire Alarm
Susp'd Ceiling --
Roof
Other: —-------
AS PART FAIL `------ ---
P UMBING__ �-
--Post 8 Beam --
Under Slab
Rough-In
Water Service _-
Sanitary Sewer
Rain Drains ------..- ---- -- --- ----- _
Catch Basin/Manhole —
Storm Drain --- ----- --
Shower Pan
Other: -- ..._ --- _ - — --------- -- ---
Final
PASS PART FAIL -- -- -_- - - ------------____ ___.._ _
MECHANICAL
Rough-In - -- --. -- ---- -- _— --
Gas Line
�e Dampers -- _— -- - ------ ----- ----
Fin
,3S RT_FAIL -- --- -- --- - -- ------ ---
Sevice --- — - - ----- --- - -- - -- _---
Rc ugh-In
013/Slab
Low Voltage
Fire Alarm - -- _—.---- ---- -----__
Final Reinspection fee of$_. _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL
SITE --- Please call for reinspection RE:_ —_-__ _ �] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date ..f-_ -_ '__g— Inspector--Z,31 ___ - -- Ext _—__--
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
MASTE
CITY OF TIGARD PERMIT
PERMIT
#: NST2004-00008
DEVELOPMENT SERVICES DATE ISSUED: 2/3/04
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 63914171
SITE ADDRESS: 13717 SW LEAH TERR PARCEL: 2S109BA-09100
SUBDIVISION: DAFFODIL HILL ZONING: R-7
BLOCK: LOT: 1117 JURISDICTION: "IIG
REMARKS: SF detached.
BUILDING
REISSUE: CIISTOM STORIES: I _ FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW
HEIGHT: 72 FIRST: :099 of BASEMENT: at LEFT: 5 SMOKE DETECTORS, Y
TYPE Of USE: SF FLOOR LOAD: db SECOND: at GARAGE:
F�Ao al FRONT: I S PARKING SPACES:
TYPE Of CONST: 5N DWELLING UNITS: I 11nnn of RIGHT:
VALUE: ;pg].'2 r;n
OCCUPANCY GRP: R3 BDRM: 7 BATH.
TOTAL %4199 at
REAR'
PLUMBING
SINKS: I WATER CLOSE'-'S: WASHING MACH. I LAUNDRY TRAYS: I RAIN DRAIN. I'M TRAPS:
LAVATORIES,
? DISHWASHERS. FLOOR DRAINS: SEWER LINESSF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS. - GARBAGE DISP WATER HEATERS. i WATERLINES 8CKFLW PREVNTR. GREASE TRAPS:
MECHANICAL
�/ / ,,,/ J A/C OTHER FIXTURES:",,- �"y
,��/J/� T �Cf•L"ic.-f{ /7
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS CLOTHES DRYER: 1
FURN—100K: UNIT HEATERS: HOODS- I OTHER UNITS: 1
MAX INP: btu FLOOR FlIM`I4NCE5: VENTS.
I WOODSTOVES: GAS OUTLETS: 4
ELFCTRICAL
RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVCIFEEDEPS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: I 0 -200 amp n 200 amp: WISVC OR FDR. PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF201 400 at"p.
201 - 400 amp 1 at W/O SVCIF DR- SIGNIOUT LIN LT: PER HOUR,
LIMITED ENERGY: 401 600 amt)
401 600 amp FAADDL BR CIR SIGNAL/PANEL: IN PLANT.
MANU HMISVCIFDR: 601 1000 amu. 6011-amps-1000V MINOR LABFL
1000-amolvolt PLAN REVIEW SECTION
Ret nnect onIV >=4 RES UNITSSVCIFDR>=225 A600 V NOMINAL: CLS AREAISPC OCC:
: ..
ELECTRICAL•RESTRICTED ENERGY
B.COMMERCIAL
A.SF RESIDENTIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO FIRE ALARM. INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM OTH: Al.l•ENCOMV BOILER.
HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER CLOCK. INSTRUMENTATION. MEDICAL. OTHR.
HVAC. DATAlTF.LE COMM. NURSE CALLS. TOTAL#SYSTEMS'.
TOTAL FEES: S 7,454.80
Owner: Contractor: This permit is subject to the regulations contained in the
GOODLET/MARSHALL GOODLET/MARSHALL BLDG&DEV.Tigard Municipal Code,State of OR. Specialty Codes and
PO BOX 91551 PO BOX 91551 all other applicable laws All work will be done m
PORTLAND,OR 97291 PORTLAND,OR 97291 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance,or if the
work Is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Phone: 501-297..1881 Phone: 503-297-1650 forth in OAR 952-001.0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
Rap w
I I(' 100882 OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Frsn Cntrl 681-4444 PosUBearn Mechanics Plumb Top Out Exterior Sheathing Ins[ Rain drain I Electrical Final
Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Storm dr Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water ne Insp Olrnb Final
Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service IN13p uilding Final
Post/Beam Structural Shear Wall Insp Insulation Insp App Sd Ik Insp'
Mechanical Insp
Issued By : {� ' (' t` G. ( ' ` Pes'mittee Signature
Call (503) 639-4175 by 7:00 p.[n. for an inspection needed the nex business tlay
CITY OF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2004-00011
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/3/04
SITE ADDRESS; 13717 SW LEA!t TERR PARCEL: 2S109BA-09100
SUBDIVISION: ZONING: It-7
BLOCK: LOT: 017 JURISDICTION: Tlt i
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Re, larks: Sewer connection for new SF dwelling
Owner: —
_ FEES
GOODLET/MARSHALL Description Date Amount
PO BOX 91551
PORTLAND, OR 97291 ISWUSAI Sw-Connect 2/3/04 $2,400.00
(SWUSAI Swr Connect 2./3/04 $0.00
Phone: Sn i-297-1881 )SWINSI'I Swr Inspect 2/3/04 $35.00
ISWINSI11 Swr Inspect 2/3/04 $0.00
Contractor:
— — Total $2,435.00
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
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' Perm
Issued by: J ,j j ,. Cl I �� -_ � �� aiL Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next businegs day
Emus=sammumm
Building Permit Application Received Building _
Date/B / /7)Z4(`r Permit No.:
Cit of Tigard
Planning vat Other
City g Date/ey: Permit No.:
��C E I �
13125 SW Hall Blvd. Plan Review ! ' Other
'Tigard,Oregon 97223 Date/By:: _ Permit No.:
Phone: 503-639-4171 Fax: 503-598-19ON Post-Review Land Use
Internet: www.ci.tigard.or.us � contact ytis.; fRee Page z for
24-hour Inspection Request: 503-639-4 4TV OF TIGARU Name/Method: Supplemental Information
13UII_DING DIVISION
TYPE OF WORK REQUIRED DATA: —
New construction Demolition I&2 FAA[ILY DWELLING
Addition/alteration/replacement —
CATEGORY OF CONSTRUCTION _ Note: Permit fees'are based on the to,-1 value of the work performed. Indicate
1 &2-Famil dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
-- overhead and profit for the work indicated on this application.
-- __— —
esso
tccaste
Building Multi-Familyr Builder Ll Other: Valuation.................... ... S 'lfit�r�o0
JOB SITE INFORMATION and LOCATION No.of bedrooms:-1 No.of baths: 2
Job site address: t 1�1 — Total number of floors............I........................
Sh_— — — New dwellingarea (t.
Suite#: Bld /A t.#: (sq. ).............................. .---�---__--
— _-- g• p Garage/carport area(sq. ft.)............................
Pro1ect Ppq"t, Covered porch area(sq. ft)............................
Cross street/Directions to job site: Deck area(sq. fl.).............. .. ... d
. ......................
Other structure area(sq. ft.)............................
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: _ Lot#: JJ — �—
Tax map/parcel#: :4.S/d9 _ -UPJ/Uc' — Note Permit fees''are based on the total value of the work performed Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
--- overhead and profit for the work indicated on this application.
Valuation.................. ...................................... S
-- - ------- ..� — — — Existing building area(sq.ft.).........................
---- --- --- -- ------- — New buildi,ig area(sq. ft.)...............................
Number o'stories............................................
PROPERTY OWNER 1 [:1 TENANT _ I ypc of co istructton.......................................
Exist
Named hpo�t.f Z�h�AjL�d �h _Y,��- Occupancy ;roup(s): New:
Address:
Citrate/Zip: I,ca -
Phone: Zq..._1� Fax: Z� (p5p NOTICE: All contractors and subcontractors are required to be
t1' !_—__— �� licensed with the Oregon Construction Contractors Board under
APPLICANT 12 CONTACT PERSON pro...-os ef'ORS 701 and may be required to be licensed in the
Business Name: 4taertticy.SrhtN,LtTLttA�j�. 1 lurisdic't), .,,e,e work is being performed. If the applicant is exempt
Contact Name:TSGEIh•j1rT ft-),,I It.t t: r'. roe following reason applies:
Address: 51W 5LI -----
Cit /State/Zi -----_.-.,- ----
'�--_-1_�!
Phone:503_ ?(6- 457 3 Faxes_ 5 - BUILDING PERMIT FEES
E-mail: ScNwtT i Tl✓l.Epd1T c v Iln Plesie tPefer to fee schedule.
CONTRACTOR - --- ---� —--
Business Name: y_w Fees due upon application............ ._. .. .
Address: Pc�. hof `j�551__—_.___ _--_
Amount received........ ... .. .... ... ..... ...._, .,_
Ctt / -S/7 _P2-Lj1� off-.—_ ,t
Phone: 's 1Fax:
- I&-S-)_ ---
Date received:._-- ---- ------------.---
CCB Lic. #:_ �$Z. - ---- ---- --- -- ---- ----- ---,..----------
Authorized Notice: This permit application expires If a permit is not obtained within
Signature: _ Date:_4 180 days after It has been accepted as complete.
—rig-r l �aA.(�r"v1�-( _.._ __.—�_-�— *Fee methodology set by Tri-County Building Industry Service Board.
(Please print name)
iADsts\Permit Forms\BldgPennitApp dor 01103
Buiiding Fixtures
Plumbing PerqgLAppfication
City of TigardITC�
Data received. Permit nab"h�T� O�/-eat'
sewer pannit.no.: Bu dine psmilt no..
Address. 13125 SW Hell Blvd.,M 9"'�2a
City gfAgard Phonc: (503) 639-4171 1 241i�f Pro)ect'oppl io• 'w~� Expire date—�_
rut• (503) 396-1960 Uate iatued: By Receipt no.•
r�"'ry�r T;t3��ID c.so rll, no......_. -.___....I Pa nt t --
Land use approval: _ tjI IIl' slyA„� _—_- - , ym� type
1
j i &2 family dwelling or accessory 0 Commercial,'industrial Q Multi•hunily U Tenant improvement
),New eonstru.aion ❑Addition/alteratlon/replacement J rood service O Other. _
1 1 1 JII
Job eddrese: 1311 SIJ �C6n/Lae Description 1 r t ,I Feefoa. Total
.._.,,_,.___� ---• �. .. 7s� —�-
5FR
• a ' ydwe ass ottly: �nldS °: ! Syuc no. h.for each trtility coanediot►)
Taxmap/lert loUfccount no — '1Lot_�1 Block: Subdivision:
^Pro)ect name:
y _ .� I.
_City .oucry _ ! ZIP �1L'� - -- - ach addnionn(7ath�utcTen '
5escnpiion and ocntron of work or.premises: _ Site utilities:
Catch basm/sreft drain _
Bit.data of oom IetivnJins action:----- - -�----- Drywellsllcach itnettrench draln
ma -T-
-.4
1
Fnor_u in(110 lin ft.) I I
Mmiut'actvlc home --t--- I
Business name: �d(i,, �laA.wtbt ►�� _.._ - _... ......`_...,.__ --1_...._,
�1an11ole1
Address! �__ Ra,n drain cowector
City: t State; ZfP Saottar sower(nu, lin.
Phone .tai _ d� F11_��'��. 1,C�_�•tnnil. --- Storm sewer neo lin ft,)
CCR iso.: Plurn'o.bus.reg. no' 7 14'ater servlow(no lin. R.) ! 1
3 P$
,�ci,ry�, i.m�.e�trolie.tio.• [�pCG HN _- - - Fixture oritemi I
C' onvatioT's re reseotative signal.. � Absot non valve
j----- —�- Back 1110% reventer
Pont name: r bete: 11 A o Backwetnry alve ----'"-
basins/Invntory
10 1
�
Name Clothes washer --
Address 4�w- AL) MOu ^—�
� �------ - Drinkin&.ounce•-- J
C! :".. j�,��i1pSteteaAr iIP:
Ilhone' Fax: !:•mail: —'tet 6><pansiuo lanl. ^•.•!-_ _ --
1 a' FtrtLtc'SanCl cap— - - - r-
Name(pnnt): / /�Iq Floor dtalne+f Oor�tnks>hub,��
i\4ulto Addrrss �t--•�-�LA'a. :,rba a dl9 oce!_—_--------------�• ••�J - "" _....
1551 4oic b,bb
riry ro1mu',V, _ StAte.yt_. 'zIPice maker
Phonc- -18L Fax _ 7 So 8 mut Interco taN_ Via____..
p__ ._
1 Owner InstallatioNre0donJal rrlalntenence only: The actual installation Primers -tt-"t
�I _
will be mode by me or the maintenance and repair mad-by my regular 1�o�i'aa cummerc!al _ _
employee tin the ptoperiy I own as per ORS Chapter x475tnk(s�nstn(s), ays(a)�" ----'
' Owners signature. _ _ Date. _ SumpELIF '
Tubs/shower/chow zr pan
11 Nam_e... _ Waier iloeot_.
Addrral' _ .-_._ pater hcalcr ------- - --
C'h_. 5tatT Z1P other
P11ono: PNx; .mail' Total
r—NM all .�'eUant etaq.writ W6.yb°M x111111��riUktlA,r0/a�Mt Int'emube, Ivllblmtlnl fee... ....... .... S
yodca 71,Ie perrnit application MinPlan muni freview °
U Visa u Ma rer;ud OKptrtl if o pertrut is oat Obtafnld (et_ /°) R _•_ _
I GKlit trd eumbrr. _._.�_-- p+l eo" witldn 190 •ltys after it has been State eureharpe(il°/n). S
a aspted as cc - TOTAL..
----t:amt o1 r_- ndTia�Tr if shawl en uWl1 o°rA ........................
Mechanical tion
TigardJAN i 5 ►11 Date received: Permit no.:W L� �ps�
City Of �i '} Project/appl.no.: Expire date:
Cifyoj77gard Address: 13125 SW Hallefyd Tigard,OR 97223 Date issued: By: Receipt no.
Phone: (503) 639-417 Y Q�fiGA RD _ -
Fax: (503) 598-1960 �UIIDIM(;()M"tON Case filen.: ' Paymenitype:
Land use approval• _- Y Building permit no.:
t$l &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
VLNew cwnstruction U Addition/altemdon/reptacemeni U Other.._
Job address: ?�L - Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical innte,ri equipment,labor,overhead,
?
Tax map/tax lot/account no.: _ profit.value$ _
lot: 17
_ Subdivision: F{r)ptt✓ }�(t�t. - "See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee
City/county: _ ZIP: 9?Z L
Description and location of work on premises:—&$C4_>
Fee(e■.) Total
Ed.date_of completion/inspection: Deavl}Ilosl _ Qty. Re+.only.Resr.ady
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U No Air handling unit CFM Is existinga insulated?U Yes U No u t ng(arse plan roqu — -u -
P� � o existing system
i compressors
Business name: / State boilrr permit no.:
O 1�LJZLd�G---- ---- -- HP _____Tons BTU/
Address: �e7_12 irclemnke damp6wduct smo Becton -
Cily_ ('N_ - ate:OR ZIP: {7C j -Hat pump ssr[c p a-T n regouea---__� —
inkiilVrepTace�urnrce/mourner-���s /
Phone:�'._�(� Fax:Soo 7�4• E-mail: Including ductwork/vent liner O Yes U Flo
CCB no.: /NoeB Ftp. 9= -7-VV nstelt reT`p a e/rrc�eisheater—s-sued, `-
City/metro tic.no.: 11-32- wall,or floor mounted
Name(please print): Ce h �'`:' E r,,o -__ _Vent-mor--frm e odx-w an furnace -
Abacr.pdon units._ _ BTU/ _
Name: Chillers -- - ---- HP - ----
Address: Cornoressurs HP
—.- ��� �J t�t4(LIF+o►_O l - en a�'-veart oa:
Statep(L- ZIP: q7 j�7 Appliancevent
Phone: `t�(p 5?2 I:t,: 7jC5 fi-rttatl: e't Dryer --
i oocT.s,' y�peTiiTres.Ttitezmat---
- -- --
hood fire suppression system
N- ame.�llp� (yl� � __.Q Exhaust fan with single duct(bath fans) -
Mailing address_ pQ aunts stem art r�om�n or AC:
-— - ■ Pto o u bets)
City: l dtate p(�'7 ZIP: o����_ Type:_1_ __--(11c1 '�1�- T _LPG NC nil
Phone: Fax:2r - ( &trail: truei-iir.eacTi additional over�outlets - - -
ptvcea reg(sc rematicrequTredi
Name: Number of outlets
Decorativefireplam _
City; _ State: ZIP:" neat- _ --
Phone:� ------ Fax: &mail• Wood2ioverpellet _
Applicant's signature: Date:
Name(print):
Na W p■idkdaw aw;W uemi ansa,plane can ju adk4 a tar mue Imam.eke. Permit fee.....................
U Visa U MasterCard Notice:This permit application Minimum fee................$ ..-
C"i card number, _---- -- - expires if a permit is not obtained plan review(at -_ %) $ -_-
within Igo days after it has been -- -�----
----N.me
accepted as complete.ai .i 5iowe oa eredh c:d
State surcharge(8%)....$
3 TOTAL .......................$ _
Crdbolner daeaese Anami 44GA617(69VCOM)
Electrical Permit Application
N
Datereceived: Permil no.f/
City of Tig -- Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Bj*,�,rritutr1,OR 97223
Date issued: — By: Reccip.-o.:
Phone: (503) 639-4171 ------ ----- ——�-- —
Fax: (503) 598.1960 CITY 0!"TIrARD Care file no.: Payment type:
Land use approval:BU ILDIAIr riyr,!rN __._--_
Ya &2 family dwelling cr accesory U Commercial/industrial U Multi-family U Tesiant improvement
t#New construction 13 Addition/alterationlreplacement U Other. U Partial
Job address: _\���\-7 S VL C.c(� Bldg.noSuite no.;_ jTaxmap/t&xIot/accountno.:
Lot: Blex;k: Subdlvi_aion: �f'gpl�-. I,r,�_ —�—-------�-----
11_ _7-_ - ? H __-
Project name: _ Description and location of work on premises: QE'W� -
&.1imated date of con letion/ina tion: -
,Job aw ( Fee Max
Business name: [ /r.�f , X• Description Q . (eor) Toll ao.i
_Addreab: S L i ., S Nen reddndlal-*toe or MUNI-family per
lot
Imcludes
State:fv1 ZIP: T— Servicehrdadeek �
Phone: q_ - Fax: (. &mail: 10t10 sq.ft.or lea
1 Each addi9onal 500 eq.A.a portion thereof
CCB no.:� v EIeC.bus.IIC.nei: luraleed .tesieiential 2
City/metro C.n0.: Unritedenergy,non-residential 2
-7i --- -� Each manufactured home:or modular -
pature of supervising electrician(required)y ,s Date -- _ Service anti/or feeder -
Serdces or feeders-linstallatlon,
Sup.elect.name(prim): ail,,, � License no:_y' � Y' 3alff altarstionorrviocation-
I AIL[111
200 amps or lege 2
Name(print): 4'6�/G 201 amps to 400 amps 2
L!�_._ 401 amps;w 60o amps _ 2
Mailing address: _ ��` 1 5-51 — --- 601 amps to 1000 amps — 2
City: Uah' Mate:011 ZIP: Jj C�lL over 1000 amps or volts
Phone: T17- Fax X. IPSO E-maim Reconnect only ----� -- I
Owner installation:'i-he installation is teeing made on property I own Temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to la:"Oloe,al6wotion,orrelocatioa:
ORS 447,455,479,6.70,701. 200a—asp`—or ten --- - 2
201 amps to 400 amps 2
Owner's ai lure: Date: 40110 600 amps 2
Branch clmlh-aew,ntkraflosr, -
er extras:aa per panel:
Nie' A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
----- --- --- -' . - - _-- ------------____ of service or feeder fee,first branch circuit: 2
Phone: Fax: E-mail: Bach additional branch circuit: _ —
Misc.(Service erfeeder est hots&4)r
U Service over 225 ampaeotmeerdal U Health-(wr.facility Each pomp at irrigation circle 2
U Service over 320 amps-n►ing of 1&2 U Hazardous location Each sign or outline lighting --f — - -- 2
family dwellings U amidine•over 10,000 squire fed four or Signal circuit(s)or a limited energy panel.
U System over 600 volts n)mina) more residential units in ane structure alteration,or extension• 2
U Building over duce eloniea U Feeders,400 amps at more elksniption:
U Ooarpam load mer 99 persons U Manafantaed structures or RV park
FFLd ndeEtload tnapexslea oar tlse erllowabie n ay of Ibe erbovte
U EgresalNgMingplan ❑Other-
Sabnk.. seb of pbsas with stay of 4e arbors. — — -Investigation fee
11 a above are not appNabk to tes#tportaf cmutroctlon aertlee, other
Nat as hrtnrcnim se cope Clear rid.,pease con lmrricean nor mrxe hft orkm Notice:This permit application Permit fee..................... -- --
U Kea U Maseescard expires if a permit is not obtained Plan review(at ` fir) $
Crceat cord mraber _--- _-- _ — within 190 days after it has been State surcharge(8%)....$
- - accepted as complete- TOTAL .......................$ --- _--
- -- - nee Iden a,shown exi creditx�
s
-Cess oldust�nNnre__`-- Aaxmm_ "04615(6tMMM)
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