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9021 SW GRAVENSTEIN LANE r� n� C, r a� Ui Ci ro 1 I I r s C� _ q021 Gravenstein .ice, CITYO F• T�I GA R® MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00224 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/2/03 PARCEL: 2S'I 11 DA-09500 SITE ADDRESS: 09021 SW GRAVENSTEIN L.N. SUBDIVISION: APPLFWOOD PARK NO. 3 ZONING: R•7 BLOCK: LOT: 088 JIIRISDIc'rION. TIG CLASS OF WORK: OTR FLOOR FURN: EMAP COOLERS: TYPE OF USE: SF UNIT HEATEPS: VENT FANS: OCCUPANCY GRP: R3 VENTS WIO APDL VENT SYSTEMS: STC)RIES: BOILERSICOMPRESSORS _ HOODS: FUEL TYPES � 0 - 3 HP: 1 DOMES. tNCIN: ELE 3 - 15 HP: COMML INCIN: MAX INPUT. BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS'?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: I-URN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfrn: > 10000 cfm. GAS OUTLETS: Remarks: Install exterior AC unit. AC cannot he Iflaced in du:required setback. Owner: _ ( .-ES _ LORENNE GUARNES Description Date Amount 9021 SW GRAVENSTEIN LN. iMi' 111 Pernut I ee 5/2/03 $72.50 TIGARD, OR 97224 1 [AXI 8'%.Stated a 512/03 $5.80 Phone: 503-684-5096 __ _ Total $78.30 Contractor: SUN GLOW INC 2428 SE 105TH AVE PORTLAND, OR 97216 REQUIRED INSPECTIONS Phone: 253-7789 Cooling Unt Insp Final Inspection Req #: LIC 48131 This Pei.-nit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable I iws. All work will be done in accordance,vith approved plans. This permit will expire if work riot started within 180 days of issuance. or it work is suspended for more than 180 days. ATTE VTION Oregon law requires you to follow rules ad-_)pted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throua;i OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-66!�'/'' 7 ' Issued By: Permittee Signature: 7 � _ Call (503; 639-4175 by 7:00 P M. For inspections needed the next business day 05/01/7.003 09:50 5h12537693 SUN GLOW INC PAGE 02 uy.la/AuuA UU:a,s PAA. 5U313847207 City of TISAI'd - QI002 Mechwde l Permit AppUcation . t �'• Datotbotived:t�- -C'- Permit eo,:�� _ �v -(it - City of Tigard Prol!! tAp h no.: � fi,I�Xr date; olTtra++d Addmss:13125 SW Hell Blvd,Tigard,DR 97223 ?bona:(503) 639.4171 Ditto Issued: yy::_ f Receipt no.: FOLK: (503)598-19190 CM rile no.; paymr.at'rype• �•� (,and use approval' - ._- 9uildlugyorn,$eo.: i« �l =Lx, ,f+ui m.ct•sanry a CornmnrinUivJuta,ial Q Multi family L�T.-Imt Itt+arrlvetnent ©Nr ��-Addifiun/alfrtnt;oWreplacrmr-ctt LJ 0fir,: _ lob ad,L�s; '► �Q�` w t(p _ indicate equipment qututitica in boa:x below Jttoii:ato tbr.e,ollar Bldg.no_: I Suite no.: value,of all mechanicol materials,equipment,labor,air -ad, Tau�apftx lot/aeootlrt no.: ptoflt.Value S _. L U Blook; Subdivision: 'See checklist for Important appliwdon Infortnati.in and Pro' t name: tz,t l( )tuiadictio„'A fox schedule fo, permlt fee. CI1y,cnunV; na, VAN M9 I I Damn' :on and loos or of work on premises: s t Fee(o-) .TOW EsL did Of Co�tttple[ionJastapcctiolt: _ prta,ip;itn, _ Qil ty. e.00ly Rs.o v Tenant hoproveni t i,or change of use: AV U i - D existing space hoelod or eondidoned?❑Yes L'3 Na Airhaodl1ng unit CFM Airaop�ijjo nTg ait� anctquit i Is a dant: apace Insulated?I3 Yea ❑No Altcntnun o axis nr vAc AXstotn 1 `' 1�oGc/rorovrossota �” Rtltiitleas nafnP.• �'� ����j'L,N _ ��� Ctstrt tx,ilrrpetmltno.: Arlt ress'T J�t c E ` ' - --. ill' lone BtMM —.2 _ in/ia'o aM,, octemo a ttx& Q r1 Start ZIP: ^ Hcat ponies; tae trIMd -- Phone ��' Fax'Z-rj E-snail: testdUltplueP,rn err BTI Including ductworkIvenr"nor 0 Yet,0 No ` nO' �• LiJ.r --�__�__ IaotelUreplac lcxaknnttra-st.peti Cl ! /awa' _-.I "?7 .�_ wall or floor mounted Netaa easeprSlt�): '' U vee"-tforepp73eocca�iec an unapt a d'1111 ii-,.Jirtattca Ab4orpti m unite_ _ !_ _ BTU/t'I Addtms: >'-- tam r. est at,aw�n a an: Goy: Applimnvcvnift I Ftnne: Fax; B• mad: ere:duust -"— Bods, rrc.UM a mist I+lsune haod tier vippmision system _ _� )f l�'(J( � _� Pvcheuttt fan with ggle�� duct(Mth tar � e ism:f (� �A Fichaust. +tome adfYrm os n or AC Srlro: ^� r ee "Pont u budae(up tr vu ) T pe: Phont: r- ' u �_pgj_—LPCI _ NG Fax: .Oilnfar each cetidonal i ycr 4 mitlW irm-M plping(WItanatierwu ) Flame Number of ootlns ---- -- ---- — Dt5w th1w app.tate or i qmp irib Address. Lkcantive fireplace rity' Z Y neat-type Phone: Fax: Ml L• uit, steveV 'letvly+� _ App:lcartt's sirnett;re: a na fin puladk rwM awf"emdel o"t.pt,-�rim)ril.Netite tee eine tbpwywkNa. Pettntt fee $ O . WoU Maurt�A Nodes:This perinit applitattitm `.1► 1 ....�.............. expires 1fa permit is not obtained a i num The......•....•....S Z S� Ones e d etlatb°'— -_ ---��-- "[thin!AO dogs arm It has bem Plan roview(at ,%) $ _-��- -" ;"-a' wawws ea +;--" Kteprod as trmplete- TO autr..... .hwv(g96)...,S :j 2 �S1_ i - ! Aaawat 'r0'rA.lh................,...«.f - -.p..+t�00rttl0atl E 05/01/2003 09:50 5032537693 1 CLOW INC PAGE 03 I ._i... ..I i..,._.4.. J i 41 I j i , i... f I , .1 A, j ! 1 CITY OF TIGARD i spe tion Line: (503)639-4175 our RUILC:NG MST — INSPECTION DWISION Business Line: (503)639-4171 BrJP _. r Received _- Date Requested .J _ AM PM_ _ BLIP Location ___ 0 _ ti 'c Suite p� MEC Contact Person L- --' Ph( —) `�_,.�'��-SLL PLM Contractor `1�f C I. �: v_) Ph( Z.01) �-J J `7 SWR --- BUILDING Tenant/Owner ____._.. _ ELC _ Vooting ELC _ Foundation Access: Ftg Drain ELR Crawl Drain --` SIT _ Slab Inspection oces: - Post&Beam Shear Anchors Ext Sheath/Shear - - — Int Sheath/Shear _ Framing - Insulatiun Drywall Nailing T Firewall _ Fire Sprinkler Fire Alarm Susp'd Ceiling — ( Roof Other: Final PASS _PART FAIL PLUMBING _ — Post&0eam Under Slab - -- Rcugh-In Water Servs--e -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other'--- -- ---- -- ---- - - Final - -PASS PART FAIL --�-�--�_ --- ------� -- MECHANICAL -- Post& Beam v Rough-In --- - - - Gas Line Smoke Dampers - - - ------ --- AS PART FAIL `) EL CTRICALService Rough-In t�1 t!11 - �1� 1��1(1 1 / '4' -- UG/Slab t Low Voltage — Fire Alarm Final Reirspecticn fee of$ required bF' next inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line Daly ADA `�� - S llnspe Lit Approach/Sidewalk Other: DO NOT REMOVE this inspection record from the Joh site. PA.,S PART FAIL r CERTIFICATE OF OCCUPANCY CITY OF TIGARD PERMIT#: MST1999-00254 DEVELOPMENT SERVICES DATE ISSUED: 08/05/1999 13125 SW HLII Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-09500 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 09021 SW GRAVENS TEIN LN COPY SUBDIVISION: APPLEWOOD PARK NO. 3 BLOCK: LOT:088 CLASS OF WORK: NEW TYPE OF USE: SF TYPE_ OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage. Final Building Inspection and Certificate of Occ:upal.cy Apprc,ved 12/1/99 by Tom Plescher, Building Inspector Owner: MATRIX DEVELOPMENT 6900 SW HAINES ST#200 TIGARD, OR 97223 Phone: .:ontractor: LEGEND HOMES CORP 6900 SW HAINES ST PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-8080 Reg#: LIC 00060563 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specjatty Codes for the gragp,'orct.ipancy, and use under which the referenced permit was iss ft B :D NG INSPECTOR BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDINV INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Lig 639-4171 C� E3UP Daie Requested I (-t C� —AM.---PM BLD Location_ �'� �' n�t� ►c--� Suite ME Contact Person „ " YJ�J C! w ���i� nG� Ph '�- G?9�3 PLM Contractor Ph -(q-3 3 70 rt+<��- SWR _ BUILDING.' -tenant/Owner ELC Retaining Wal'. ELF! _ Footing —_ Access: FPS ��--- Foundation II ,.— Ftg Drain 1 _ SGN Crawl Drain Inspection Notes: -- -- Slab -- -- ��— -------- ---------- SIT _ Post&Beam --- -- - Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Neiling Firewall Fire Sprinkler - - ---- - -- - -- -- — -- Fire Alarm Susp'd Ceiling - ----- ---- ----_-------------- - Roof Misc, ------- - -- --- -- - ___ ---- ----- - - -- i✓ L ASS PART FAIL --- --- - —.---- - -- ---. .- - -- - - -- - .. - -- Irlt; Post&Beam ----------------- -_ ._ . --- _.__...------- -------- _ Under Slab Top Out Water Service _ Sanitary Sewr)r Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough — ---- - -- - ----- - - --- Rough In Gas Line - - ----- - - --- - -- - Smoke Dampers Final - -- - - - - -- PASS PART FAIL ELECTRICAL - ---- -- _- ----------- --- Service Rough In - -- -- - UG/Slab Low Voltage Fire Alarm Final PASS PARI FAIL SITE Backfill/Grading --- - -- - -- - - - Sanitary Sewer Storm Drain [ ]Reinspection fee of E required before next inspec,ion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE [ ]U ieble to inspect no access ADA Approach/Sidewalk i Other Date ,�z li?cnrrt r EXt Final PASS PART FAIL DO NOT REMOVE Ibis inspection record from the job site. \• CIT�T OF TIGARD __ MASTER PERMIT PERMIT#: MST1999-00254 DEVELOPMENT SERVICES DATE ISSUED: 8/5/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09921 SW GRAVENSTEIN LN PARCEL: 2S111DA-09500 SUBDIVISION: APFI_E'JVOOD PARK NO, 3 ZONING: R-7 BLOCK: LOT:088 JURISDICTION: TIG REMARKS: IDATH New single family dwelling w/attached garage. Lot 88 BUILDING REISSUE: STORIES: 2 FLOOR AREAE REQUIRED SETBACKS REQUIRED CLASS r-F WORK: NEW HEIGHT: 24 FIRST: 927 sl BASEMENT: st LEFT. i7 SM3KEDETEC1ORS: Y TYPE OF USE: SF FLOOR LOAD: 40 'JECOND: 1,227 sf GARAGE: d". sf FRONT. 19 -ARKING SPA^.ES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 F.NBSMENT: sf RIGHT: 3 Ot'C!IP4NCYGRP: R3 BVALUE: $161,817 10DRM: 3 BATH: 3 TOTAL: •f REAR: 16 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAIN': SEWER LINOS: 100 SF RAIN DRAINS: I CATCH BASINS: I'LIBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: MECHANICAL JTHER FIXTURES: FUEL TYPES FURN<100K: BOIL/CMP<9HP: VENT FANS: 4 CLOTHES DRYER: I CTAS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL )NIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS_ MISCELLANEOUS _ADD'L INSPECTIONS 10n0 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 -400 amp: 201 400 amp: tat WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 500 amp: 401 •600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 501 • 1000 amp: 501+8mp•-1000v: MINOR LABFL: 1000+amolvolt PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFCR>•225 A.: >500 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDI')6 STEREO: VACUUM SYSTEM. AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPACii:Z OI ITDOOR LNDSC LT: NURGI AR ALARM: OTH: BOILER: HVAC: LANDSCA!,FJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: D4TArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,643.33 LEGEND HOMES CORP This permit is subject to the regulations contained in the 6900 SW HAINES ST Tigard Plunicipal Code, State of OR Specialty Codes and F'LAZA 2,SUITE 200 all other applicable laws. All work will be done in TIGARD,OR 97223 accordance with approved plans This permit will expired work is not started within 180 days of issuance,or if the 0RIGINAL work is suspended for more than 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rego: LIC 0006041,1 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIO`IS Erosion 844.8444 Underfloor Insulation Plumb Top Out Low Voltage Appr/Sdwlk Insp Building Final Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Electrical Final Foundation Inap Fooling/Foundation Dr; Electrical Rough In Insulation Insp Mechanical Final Post/Beanl Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final Post/Beam Mecha Ca Mechanical Insp Shear Wall Insp Water Line Insp Final Inspection 1' Issued By : �J��� L Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed tYe 44 $mess day ,,� r CITY OF T o%-.- A R D _ SEWER CONNECTION PERMIT---- DEVELOPMENT DEVELOPMENT SERVICES PERMIT#: SWR1999-00153 93125 SW H31! Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/5/99 SrrE A..JRESS; 09021 SW GRAVER'"TEIN LN PARCEL: 2S111 DA-09500 BDIVISION: APPLEWOOD 3 ZONING: R-7 _ __ BLOCK: LOT: 088 _ JURISDICTION:_TIG TENANT NAME: LEGEND HOMES USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSV` IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner: — — -------- _- _- _ _ FEES Type By Date Amount Rece;ot PRMT BON 8/5/99 $2,300.00 99-317406 INSP BON 8/5/99 $35.00 99-317406 Phone: Total $2,335.00 1 Contractor: Phone: Reg #: Required inspections Sewer Inspection Sewer Inspectior 1L This Applicant agrees to comply with all the rules and regulations of the Unified Sewage A jency. The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit e- ires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is riot located at the n r:isuremenl given, the installer shall prospect 3 feet in all directions from the distance gi len If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notificau9n Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions tc OUNC by calling (503) 246-1981. -41 1 Issued by: Permittee Signature: Cal! (503) 639-4175 by 7:00 P.M. for an inspection needed th,6 next business day CITY OF •rIGARD Residential Building Permit Application Plan Check 13125 SW HALL BLVD. Additions or Alterations Recd By l TIGARD, OR 97223 Single Farnilv Detached or Attached (Duplex) Date Rec'd r D ate to P E. V 050,10-G39-4171 Date to DST 7 — F 503-684-7297 Permit# ,1s><37T 0---12-3-4 Print or Type - Called Incomplete or illele applications will not be accepted Name of Proiect Name Job lbw ID,4,� _ L Pc Architect Mailing Ad ess Address Site Address ) O , --- S/ ' • ✓r ,. ' ' Nam i City/Stas Zip Phone Owner Mailing ress Name i 1 city 1 e z Phone -� Engineer Mailing Address Genaral Na City/ tat '��zip P Contractor , s Describe • f` ti ;• Addition O ARArstlon O '., 4 0 ' Ma 11ng ress to be done �:: `�°F,.` e..,, , k 0 )J r y 1-A Prior to pertnk' -(�d • I r4 �`�"•, Additional Descriptio n b1 Wgrk ; 'A ` F Y :; Issuarce,a copy (State Ip Phone of all licenses fy. , are required If Oregon list.Cont.Board Exp.Date PRC l 111 i / -tit expired in COT Lic-0 ttf 7 databasa J VA'l Mechanical Name ' '7 NEW CONSTRUCTION ONLY: Sub- r L LLQ rq. FL House: Sq. Ft.Garage. Contractor Mailing Addrej(s Prior to permit S icate the restricted energy Installation by the electrical Issuance,a copy Ci /State Zip Phone subcontractor in the followingareas of all licenses 1- _ Restricted Audio/Sterao are required if Oregon Const. Cont. Boare. Exp.Date Energy System Alarms— expired in COT Lic# w Installations Vacuum Irrigation database -3_ System_ System Plumbing Namen (check all that Other cclb- o / `n� ap Ply) Contractor Mailing Address Comer Lot YES NO Flan Lot YES N pe -,�) �r �� pC � chc:ck one) �C� Has the SubdivisiIUA NO Prior to rmit C (State 21 Phone on Plat recorded? issuance,a copy q of all licenses are Oregon Const.Cont.Board txp.Date required H uc.# — expired in COT (r)60,L3:' - l -tZ) I hearby acknowledge that I'iave read this application,that the database Plumbing Lic.# Exp.Date infnrmalion given is correct,thr I am the owner or authorized agent // of the owner, and that plans suornitted are in compliance with Lig "-4L loJ -31 ore on State laws. Name `` SignPure of neo gent Date Electrical ,C>'I',1.�'► ti Z1'T ,4 ' Contact Sub- Mailing Address - e on ante/ ~'� Phcne Contractor CkylState Zip Phon Prior to penult .Y issuance,=copy � g FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont.Board Exp Date —-- required if Lic.* Plat "p/TL#: ' / �krry rlt. f�� expired in COT _ / L �/5 �f - l Y-616) Se arks: d Zon ' S /l OA - Solar: database Electrical hk. Exp.Date - 61 ro El is rl al Supervisor Lic.0 ERCP. nate v Engineering Aroval: Planning Approval: TIF: �Y .! O 0 1:WstsVomulsfaddsI.doc t 1/2OM PLOT PLAN LOT 410a, AFM_E WOOL FARK R1 251 11 DA T,AX LOT * 950@ 901& BUJ GRAVEN5TEIN LANE 6-E. 1/4 OF SECTION 11, T.2, R.IW, W.M, CITY OF TIGARD WASHINGTON COUNTY, OREGON LEGEND HOMES 11190 '711 BARBUR BLVD. PORTLAND, (,RECON C721 OFFICE (609) 244-0169 FAX (609) 244-0261 I , I I 0,z' s E9.54'25" W LOT Be I U TT oT—j I r 201.0' q I s i � I S•Zm P • 20'-0" / 'L 07 X g r— ' I \ 4,541 bQ I WATER METER N,4RCoUR7' 11Q/ W---- — WATER LINE I Ira}— (a I � FIN. FI..R 201.9' /�• / i 9 J SS—— —— SANITARY SEWER I � � I Q ( I � GARAGE FLR. ■ 2063' SD— - — STORM! DRAIN I ILLI NNz #`�5` 2 Q OF STREET MANHOLE I -- 12 it 2Q�p' ' ® CATCH 64,5IN �Ar i PROPOSED STREET TREES STREET LIGI-IT FIRE HYDRAh, I I \ / 205 - 8' UTILITY EASEMEN N 89' 54' 2 E� SIDEWALk CURB �- - I ---II —ss — PNZOVIDE EROSION I F r ONtROL I=EUCE PER COMMUNITY EROSION PLAN - >�-`" W ------ �-- -- -- -- --- — 5W GrRVENSTE IN LANE