12933 SW 147th Place ADDRESS:
sw , i !Piic
. . -
islreoordsVnicrofim\tnrgetsJ,u lding,dac
5 a 00 Activities for Case #: MST97-00482
- . ,8 118 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 App1ication received 10/30/97 .,D RECD BON 11/5/97
MSTA008 Permit Created 11/5/97 B PASS BON 11/5/9
MSTA010 Check for prd •estnct 11/5/97 B PASS BON 11/5/97
MSTA012 Plans routed to Plans Examiner 11'5/97 B SENT BON 1115/97
MSTA026 Plans approved by Pin Examiner 11/13/97 RT PASS BT2 11/13/97
MSTA030 Reviewed plans rruted to JSTS 11/13/97 R' PASS BT2 11/13/97
MSTA032 DST Post-Review Completed 11/18/97 B DONE BON 11/18/97
MSTA155 Development conditions met BON 11/5/97
MSTA700 Erosion Control Insp 8344 8444 BUN 11/5/97
MSTA703 Grading Inspection BT2 11/13'97 10%SLOPE
MSTA705 Footing Insp 1 30198 RC PASS WDJ 5/19/98
MSTA706 Foundation Insp 1.30/98 RC PASS J'H 1/30/98
MSTA711 Post/Beam Mechanical 2/25/93 RC PASS J'H 2/27/98
MSTA713 Crawl Drain 2/13/98 RB PASS RB 2/17'98
MSTAI- PLM/l;nderfloor 223/98 WA FAIL J'H Z25/98 Install deanout on bath tub
,,
waste in master bath 1st floor.
MSTA720 Mechanical Insp 5/19/98 WDJ FAIL WDJ 5/19/98 connect bathroom fan to duct.
MSTA;22 Plumb Top Out 4/16/98 WA PASS J'H 4/17/98
MSTA723 Electrical Service 5/15/98 BRP PASS J'H 5/18/98
MSTA724 Electnca Rough In 5/15198 BRP PASS J'H 5/18/98 No fan boxes Low voltage n
passed. Box mounting good
MSTA725 Framing Insp 5/19/98 WD.: FAIL WDJ 5/19/98 1 Provide engineering details
for trusses 2. Provide missing
pace from approved plans
(page 3)3 Complete
corrections from shear
inspection 4 Framing
inspection cannot be done until
the complete plans are
available---inspection
Terminated
MoTA726 Shear Wall Insp 4/10/98 PDC FAIL J'H 4112/98 Plywood entire garage attic
spacerefer to main floor plan.
sheet L. Shear Wall A requires
1/2-incri gypsum both sides I
venfy at drywall inspection.
Cal!for reinspection.
MSTA72S Low Voltage BON 11/5/97
MSTA730 Fireoiace Insp BON 11/5;97
Page 1 of 4
5,P 00 Activities for Case #: MST97-00482
" a 68 ..%t
Assigned Hnid Updated
Activity Descnption Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA735 Gas Line insP 511,98 RC PASS JH 511 98 Tag 323089-No address
posted
MSTA736 Ga';Fireplace BON 11/5/97
MSTA740 Insulation Ins? 618/98 RC PASS J'H 6/9/98
MSTA745 Gyp Board ins° 6115/98 RC PASS 'H 6/16,'38
MSTA755 Rain drain msp 2/13/98 RB PASS ".B 2117/98 PENDING 1/4''.71-TO
STREET
MSTA781 Water Service Insp 2/13/98 RB FAIL RK 2/17/98 NOT INSTALLED
MSTA765 Appr'Cdwlk insp 10/6/98 MH PASS J'H 10
MSTA790 Electrical Final 9/23/98 BRP PASS H 9/23/98 Meets minimum code
requirements More than 2-ft.
from outlet on countertop above
dishwasher Ail countertop
outlets on one arcurt. Kitchen
loading is normally divided
more evenly-overloading of
one arcuit is very probable
Plan outlet layout to provide
more convenience to own'r
T s meets minimum code
requirements.
MSTA795 Mechanical Final 8/19/99 RB PASS AKJ 8/19/99
MSTA797 'dumb Final 10/21/98 RB FAIL RB 10/21/98 11'1 am Permanent address'
Add gutterdawn spout to
fireplace outlet Reverse grade
in slope on down-side of
property line. Do not allow
drainage onto adjacent
property. Re-seat down spout at
rear bay to gutter Caulk lay in
powder room Caulk lavls)in
master bath Lay stop does not
work in fam rm batt upstairs.
MSTA799 Building Final 8/19199 RB PASS AKJ 8/19/99
MSTD026 Plans approved by PE BON 11/5'97
MSTA080 (F)Ready to issue 11/18/97 B HOLD BON 11/18/97 Hold for subd,vision issues
MSTA050 Hold for 11/18/97 B HOLD BON 11/18/97 Hold for subdivision issues.
MSTA081 Return to pending 12/5/97 GEO PASS GEO 1^/597 Need£ewer connection permit
from USA before issuance
MSTA080 (F)Ready to issue 12/5/97 GEO PASS GEO 12/5/97
MSTA092 (F)Issue oombatanon permit 1126/98 BON PASS CTR 1/26/98
MSTAO95 ssue plumbing signature form 1/30/98 JMT RECD JT 1/30'98
Page 2 of 4
5/8/00 Activities for Case #: MST97-00482
11 1808 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Le"rei By Updated Notes
MSTA097 Issue electric signature form 2/17;98 JMT RECD JT 2'18/98
MSTA097 issue electric signature form 1/26/98 BON PASS CTR 1/26/98
MSTA097 'slue electric signature form 1i26/98 B PASS BON 1126/98
MSTA706 Foundation'nsp 2/998 RB PASS RB 2/9/98 pending- 10%slope- '230 ft.sg
maintain seismic restraint
provide adequate venttlL§on
MSTA760 Water Line:nsp 2/17/98 WA PASS J'H 2/25/98
MSTA755 Rain drain 'so 2/17;98 WA PASS J'H 225/98
MSTA710 Post/Beam Structural 2/26/9# 2/25/98 RC FAIL J'H 2/27/98 Two posts are missing on 3rd
beam from garage
MSTA717 Ptivin i''derlioor 2/6/98 2/25/98 WA PASS J'H 2/26/98 Item on correction report of
022398 has been corrected
MSTA710 Post Beam Strictural 2_26,98 RC PASS J'H 3/1/98
MSTA727 Exterior Sheathing insp 4110/98 PDC PASS J'H 4/12/98 Nailing approved.okay to
cover
MSTA726 Shear Wall insp 5/29/98 WDJ FAIL WDJ 5/29198 See framing inspection
05/29/98
MSTA720 Mechanical Insp 5/29/98 ViDJ PASS WDJ 5/29198
MSTA725 Framing Insp 5129/98 WDJ FAIL WCJ 5/29198 1. Provide full width support
under glu-lam in garage 2
Strap top plates to glu-iam in
Garage 3. Provide support to
foundation for column between
stairs and garage 4 Firehlock
end of stringers.add missing
'ireblocks 5 Strap top plates
;hat do'ot lap 6. Provide
continuous support from
glu-lam to post and footing
pad(Next to stairs—giu-lam
supporting trusses 17 F!nish
sheathing garage ceeling as
shown on shear details.
MSTA725 Framing ensu 6,:,.98 618/98 RC PASS J'H 6/9/98
MSTA720 Mechanical Insp 6/998 6/8/58 RC ?ASS J1-4 6998
MSTA725 Framing Insp 619/98 6/3/98 RC FAIL J'H 6.9/98 1 Provide 1-inch clearance
between b-vent and
combustibles in attic at roof.2.
OK to insulate
MSTA720 Mechanical Insp 5/9i98 6;3.98 RC FAIL J'H 6'9/98 Provide 1-inch clearance
between b-vent and
combustibles in attic at roof
Okay to insulate.
MSTA726 Shear Wall Insp 6,1E 98 RC PASS J'H 6;16/98
Page 3 cf 4
5/8100 Activities for Case #: MST37-00482
1808 AM
Assigned Mold Updated
Activity Description Date 1 Date 2 Date 1 To Dor.e By Disp. Level By Updated Notes
MSTA726 shear Wail insp 6,11'98 ?C FAIL J'H F 13i 8 'Drywall Shear Plans all,or
GWB both sides ur upstairs
wall OK to tape inside No
address posted
MSTA797 Plumb Final 8/19/99 8'19/99 8/19/91? RB PASS No Hold AK, 8/19/99
MSTAy60 (F)Issue Cert-of Occupancy 8/19x'99 IJRB RB DONE No Hold JMT 8/24/99
Page 4 of 4
CITY OF TIGARD BUILDING INSPECTION DIVISION n4) MST g7-04-/g-L7
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 / ,7
/y [3UP
Date Requested C-('.
( - /q-e0/ AM PM BLD —�
Location � /� `� ? ��' Suite MEC
Contact Person Ph 1 L' -/ 7 S PLM
Contractor Ph SWR
BUIL[Dit3' Tenant/Owner ELC _
'etaining Wall ELR
Footing
Foundation Access t r� cid( 1/4,.._4. - 6LC FPS
Ftg Drain SGN
Crawl Drain Inspection Notes. fJvY
) f' L_�,�,I ' SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing 1 t'-1(.', • _.... - ,- • C- kik '---t --.....\
Insulation
Drywall Nailing Vr\--t► f t _CA., \ ✓ � - CJ .
Firewall
Fare Sprinkler —i----- —.. .--------
Fire Alarm
Susp'd Ceiling — _
Roof
Misc
`Fina(.:_ —
�' PART FAIT + --- --- -- --- — — —_
Post beam ----- -- — --_
Under Slab
Top Out ----�-----. --- — -- -----
Water Service
Sanitai y Sewer
Rain Drains\)
ma
' PART FAIL
ECHANft
Post Nam
Rough In
Gas I.ine
Smoke Dampers
St:: PART FAIL --- ---- — — — --_ --_
E TRICAL - - - - - ——
..r. - - --- - - --
Service ------ —_ ---_ —--_
Rough In
UG!Slab — --— - --- -- -- —
Low Voltage
Fire Alarm _.--- -------------_-__-- — --- —
Final
PASS PART FAIL '
-
SITE _ tr\! --- -
Backfill/Grading
Sanitary Sewer
Storm Drain L i v I ] inspection fee of$ _—. required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin 1 ;IO•
e e call for reinspection RE [ ]Unable to inspect- no access
Fire Supply tine k")ADA �'� 44 C• r
Approach/
id k `�
L ,, Ite / > > / q� Inspector V2,.L/ — —Ext t
final1,'
PASS PART FAIL1 DO NOT REMOVE this inspection record from the job site.
CITY O 1 •� TIGARD���D CERTIFICATE OF OCCUPANCY
� PERMIT#: MST98-00311
ADEVELOPMENT SERVICES DATE ISSUED: 8/11/98
1125 SW Hall Blvd . Tigard. OR 97223 (503) 639-4171 PARCEL: 2S109CD-00700
ZONING: R-7
JURISDICTION: URB
SITE ADDRESS: 15707 SW COLYER WY
SUBDIVISION: BEEF BEND HEIGHTS
ILE COPY
BLOCK: LOT:007 r
CLASS OF WORK: NEW
TYPE OF UCE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH 1 New single family dwelling w/attached garage
Final Building Inspection and Certificate of Occupancy
Approved 8/30/99 by Ken Schnendl, Building Inspector
Owner:
SLAVO SKORO
Phone.
Contractor:
SLAVO SKORO
21155 SE CURTIS RD
CLACKAMAS, OR 97015
Phone: 658-3418
Reg#:
This Certifica+.a grants occupancy of the above referenced building or portion thereof and
confirms that the building has been 'nspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use nder whi the referenced permit was
issued.
e/,,;. .( r 1 :12 , r_<.
BUILDING INSPECTOR BUILDINia OFFICIAL
POST IN CONSPICUOUS PLACE
CITY O TIC ' a R D MAERMRTF'*RMI T MST97-048
i DEVELOPMENT SERVICES DATE ISSUED: Oil /2:�6a/9B
AO, 11: 13125 SW Hall Blvd., Tigard,OR 97223 003)639-4171
PARCEL:EI-.: cS i R►`rDA—HCQL 4
SITE ADDRESS. . . : 12935 SW 147TH PL
SUBDIVISION •HILLSHIRE CREEK ESTATES NO. 3 ZONING: R-12 PD
BLOCK LOT •084 JURISDICTION: IJRB 1
Remarks: SF - Path I
--- -- BUILDING
REISSUE: STORIES • 2 FLOOR AREAE BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED ----
CLASS OF WORK.:NEW HEIGHT • 24 FIRST • 1238 sf GARAGE • 428 sf LEFT • 7 SMOKE DETECTRS: Y
TYPE OF USE...:SF FI OOP LOAD : 41 SECOND...: 672 sf FRONT. : 20 PARKING SPACES: 2
TYPE OF CONS1.:5N DWELLING UINiTS: l FiNBSMENT: N sf RIGHT • 12
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL : 1982 sf VALUE..I: 134678 REAR • 28
PLUMBING
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 8 RAIN DRAIN ft: 180 TRAPS • 8
LAVATORIES • 4 DISHWASHERS...! 1 FLOOR DRAINS..: 0 SEWER LINE ft: 188 SF RAiN DRAINS: l CATCH BASINS..: 8
TUB/SHOWERS...: 3 GARBAGE D1SP..: 1 WATER HEATERS.: 1 WATER LINE ft: 188 BCKFLW PREVNTR: l GREASE TRAPS..: 8
OTHER FIXTURES: 0
-- --- MECHANICAL -
FUEL TYPES----------- FUN ( 168K ..: 1 BOiL/CMP ( 3HP: P VENT FANS : 4 CLOTHES DRYERS: I
GAS FURN 1=188K ..: 8 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 8 VENTS : 8 WOODSTOVES 0 GAS OUTLETS...: 1
ELECTRICAL
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS- ---BRANCH CIRCUITS--- ----MiSCELLANEd15---- --ADD'L INSPECTIONS--
1888 SF OR LESS: 1 0 - 288 asp..: 0 0 - 200 asp..: P W/SVC OR FOR... 0 PUML'/IRRIGATION: 8 PER INSPECTION: 0
EP ADD'L 5010g.: 3 201 - 488 asp..: A 201 - 481 asp.. : 0 1st W/O SVC/FDP: P SiGN/OUT [IN LT: P PER HOUR P
LIMITED ENERGY.: P 401 E, 1 asp..: 1 411 - 681 asp.. : P FA ADDU BR CiR: 1 SiGPNAI/PANEL...: B iN PLANT 1
MANE HM/SVC/FDR: B 681 1011 asp.: 1 681+asps-1888 v: 1 MiNOR LABEL -18: 0
I088+ asp/volt.: 8 PLAN REVIEW SECTION
Reconnect only.: 8 1:4 RES UNITS..: SVC/FDR1:225 A.: 1 688 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. 5F RESIDENTIAL- B. COMMERCIAL ----------- ---- -
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO 1 ST'REO. : FiRE ALARM : INTERCOM/PAGING: OUTDOOR LNDSC LI:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE/iRRiG: PROTECTIVE SiGML:
GARAGE OPENER..: CLOCK iNSTRUMENTATiON• MEDICAL OTHR: ..
HVAC DATA/TELE COMM.. NURSE CALLS TOTAL A SYSTEMS: 8
Owner: -Contractor: - TOTAL FEES:M 3418.91
WiNDWOCD HOMES WiNDWOOD HOES This perp t is subject to the regulations contained in the
14076 SW BENCHVIEW TERR 14876 SW BENCHVIFW TERRACE Tigard Municipal Code, State of Ore. Specialty Codes and all
TiGARD OR 97224 (FAX 1598-7616) other applicable laws. All work will be done in accordance
Tl(lARD OR 97224 with approved plan,. This permit will !upir. it i,ork is
Phone M: 590-4700 Phone I: 590-4'08 not started within 188 days of issuance, or if the work is
Reg I..: 54196 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-O81-0818 through OAR 952-001-8080. You say obtain copies of these rules or
direct questions to OUNC by calling (5831246-1987.
---- REQUIRED INSPECTIONS -- -
Erosion Control Post/Beam Merhan Electrical Serv) Fireplace Insp Rain drain Insp Mechanical Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM/ n -. rfloor . framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp ,( Shear Wall Insp insulation Insp Appr/Sdwlk,4psp
Post/Beau Struct Plumb Top Out v Low Voltage Gyp Board Insp Electrical' inal�r
issued 13y : _ � ` f Permittee Signature : / ' /( n 4i-i ' _
+4++++++++++++•F+f441 + +4 ++++++++444-•4+44++++++/+++++++++f+ + 4+ 4+++4 +41+444 ++ 4
Call 639-417' by 7'PQi p. m. for an inspection needed the next business day
10
u A , . . unified �� H ` �I
sewerage SANITARY* D"� -J ��
a ency
155te
N First Ave Suite 2/O, Hillsboro. Or.,97124 SURFACE WATER _ \-0 _
503 6488621
ll
$
A ,:.-1 hour notice is rewired Inr e%nr.nn f.,,ntr(l mepr r h,,,,,. I he mapechpr, 1rr11rect number .. 1;44-h441 Wherr Lalllny tot In rr1we(tit please rater t1.
the pJ rmft,p o eCt and tot numbers
r,,r,rNN,.nt r..p,ir c one hun(irprt,nc ', .',,. III '10! r, , r• 'I„ Ar1,.• ,,1 , ,y,,,r pmw 1ho.1,' Wp.) ,'l'.0/('''X.”' .,rir'^,'w,,latr,,,r'
J:
-- 4 WHITE ISA, RUM Accounting, GREEN lnapPrtlun, YF..LOW rutttntael
plan Check A '
.tftT$ OF'TIGARD Residential Building Permit Application Rec'd Sy ._
13125 SW HALL BLVD. New Construction Additions or Alterations )ate Recd 't- -) II.
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E . `./ ' _
V 503-639..4171 Date to DSTE-/2 -
F 503.684-7297 gamut M,,
print or Type Called
Incomplete or illegible applications will not be accepted
Name of Protect ----- -- Name — -
Job /4IL,. , i4 (,;._ clic , ,. ( ALti. Acc.o,.' 0
Address S t _ Architect Mailing ',dross t V
_ ,�l7 !^ P1 I i. I
—
Na - City/State Zip Phone
Owner Mailing Address -- Name nn
11-iAvJ.' I t ''V(t
En ineer Mathes'Address
City/Stats Zip - fl T+
General City/state --- Zip r Phone
Name
Contractor L ''i /\I rO . Nh 1 r+--- 1 Describe work - • Aidrtion O Alteration 0 Repair 0
Ma,Hng Address to be done
Prior to perms t ,, 3-1,.; \" ,s 1.-•••,. -r c . 4- ., . . _, •i,-z Additional Description of Work: -
issuance. a copy City/Stateip Phone ` ' F tit
of all licenses 7)(- '() ' j 1 t `+ )-,.
are!squired if Oregon Const. Cont. Board cxp Date PROJECT
expired ina COT Lic.A / VALUATION $ /3c/ C�
database .S17.2 1 ci 4, 31 ac) 9 N / cr. f 1
Mechanical M 3* NEW CONSTRUCTION ONLY:
Sub- LAI')v A-, r v.) N-"Ftr Sq. Ft. House: ;q Ft. Garage
Contractor /—
Mailing Adorers �4." 1L0
Prior to permit (.(, i `), ;'- `Y N I'll /90 f--- Corner Lot , Ne ~ Flag Lot YES ,.NQ5
issuance. a copy Calx/State Zip Phone check one) r heck one)
of all Ikenses 1)I-1 /3 c tt ] 't ''' Restricted Audio/Biot no Burglar
are rr luirsd if Oregon Const Cont.Hoard Exp Date Energy System Alarm
expired in COT Lx.a _ ��
_ database cl a :; 4 i 2 ; /e, a Installation Garage Li)or HVAC —�
PlumbingName Opener Pystems
Sub- -S 1.-• t pt.,..".,--,1 ..ut, (chock ail that Other
Contractor Mailing Address _ MI the electrical subcontractor wilfr for all YES NO
' ' K ` b . restricted energy installations?
Prior to permit City/State Zip Phone recorder,'' +
issuance a copy L�,et✓a 01 ► �„� t y wu 3'LIHds the Subdivision Plat r N/A YE1. S NO
of all licenses are Oregon Comet. Cont Board Exp Date - l
required if Lic r --, 3l i [ )nr
_
Reissue of M ,i 4. Compliance
expired in COT i .f.t. `
(( •t culation Attached)
database Plumbing Lic C Exp Date 1 heathy acknowledge that I have ret( this application, that the
`I i , 1)6C i/ ?1($ H information giver is correct, that, arr tie owner nr authorized
— Name - agent of the owner, and that plans s(I initted are in compliance
with Oregon State law_s
Electrical rhe ttoc r Ci"". IY1 `r Signature of er nt Date , /,
Sub- Marling Address /l ) )
Contractor E-`' ' ". \ �1) <A -Jt'".1'AA,:r, C00111 ti son-game P a 0
city/S1rte Zip Phone A , i4 ,c t i"-("i- r) -- S's'i 0 -1 a ie 0
il FOR OFFICE t,SE ONLY:Prior to permit \-'"x-,` 12 i `•1 } 113 (�-;,, ,`p fissuance.e copy
Plat p
21sp, LA•of att licenses are Oregon Const Cort 11<oard Fxp bats ,i' r, I
required d t is If ` -
expired,n COT '//3 iv 4 I S f .''i Lt Setbacks. Zone. /) . Solar.
database Electrics)Lfc N
34 U Z ) Exp Date
/U' �A.lf � 1 �� G
-Engineering Approval•'n Fla,, ing.'lcprovet, TIF.
/9 ) pi&`' I
I SFREM DOC (DST) 4/97
1- ( - ,./ II/Or
A
97 Oct 27 12.69:03 R:\LT\LT111110E2 SATURN IM A.R.I
2135
\ 6Y
\` WINpWUOU HOMES
PH 590-4700
CITY OF TIGARD
HILLSHIRE CREEK ESTATE!. 'JOJ
LOT 84
�
� -2 S/ ,5"lip d S- OO
`5° — N 0'06'56;*E Lq8 (5,945 S0. Fl.)
4,.......___ 00' %
•
a to 0..
Io �1 0.� o _ �.--� v+
N
1'
4.1
.6 e I
I
1
MAIN FLOOR
101
'EL :301 0'
m 12_ 8 0
TeDI (y n
v vI at
.r o(Ia
W u
uJ. 1"
1 GARAGE -.
Fl :3000 b?..' Iya
" ,#1 D4RIVEWNACY 1
13500 �'S11
% ‘• :
:''
:,......13::.:s __ L1.: sa1�- -
— iili 191 11'
SW
147TH
rte COVRi
A
SCI/14YY /U4) i
10/27/97 MRR
ALAN INASCORO DESNA ASSOCIA:FS NC O
IS NOT IIABU TOR INF ACCIAACr Or IIIc
IOAOONANNT Pi ORWA TION II IS INF 901E ��
RSIIF Y Or INF RUI D[R Ip VENN f / //
Allll SIRIIIcoronae Hct IAIMIO ANY TAl \)
PLACED ON 1.4 SIT( AND M5OPN 0*NrNS
Or ANY NO,N/1A1 r4ID NODIFIC,AIIONS
ALAfl 11AJ ( OQD D ( 11611 A / 10 ( 1ATf1 111 ( e. �
1305 N W 18 fH AVENUE, POR TI AND OREGON 91209 15031 2259161 S C A l F I " - 2 0 ' • 0 —