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13425 SW 72ND AVENUE-1 r FILE NO. 468-92 72nd AVENUE SW - 13425 STR OPN PERMIT 1 y `jG7P 470-'1Z t .DEFINE:entrct=case->eng definition incorrect F-c�Z)te� ENGINEERING PERMIT PERMIT #. . . . . . . : F.IIG92-0005 DATE ISSUED: 02/11/92 By: PRIM. PERMIT #. : ENG92-0005 SITE ADDRESS. . . : 13425 SW 72ND AVE PARCEL: 2S191DC-00100 SUBDIVISION. . . . : ZONING: C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . -------------------------------------------------------------------------------- PERMIT TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE AGREEMENT DATE: / / GRAD/EROS ASSURANCE EXPIRATION--- STREET PERFORMANCE: / / SAN SEW MAINTENANCE: / / STM SEW UTILITIES ALL OTHER TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ i Remar&s: STREET OPENING, TO INSTALL A CONCRETE SIDEWALK AND TO CLOSE AN EXISTING I DRIVEWAY APPROACH. f Permittee: ----------------- FEES ------ ----•---- JOHN SHONKWILER type amount by date recpt 4840 SW DOUGLAS WAY OPEN $ 48 .00 JSH 02/10/92 223081 LAKE OSWEGO OR Phone #: (503) 624-0917 Engineer: ENGINEER NOT ON FILE $ 48.00 TOTAL Phone #: ------- REQUIRED INSPECTIONS ------- Permittee/Agent Signature: ---STORM SEWER-- ------STREET----- _ M.H. & C.B. CRB LINE r, GRADE PIPE LN & GRD SUBGRADE BCKFLL & CMPCT BASE ROCK AIR & TV TEST LEVEL COURSE City of Tigard, Oregon WEARING COURSE 13125 S.W. Hall Blvd. ---SAN. SEWER--- TRAFF & PED CONT P.O. Box 23397 M.H. & C.O. MONUMENTATION Tigard, Oregon 9722.3 PIPE I.N & GRD STREFTLIGHTING Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP AIR & TV TEST FOR INSPECTION, CONTACT: ----GRADING----- Carl Vieweg #639-4171 (office) --.REPR' S/ADJ,S-- CONTOURS #780-2647 (mob3 'e) DRAINAGE ----PATHWAYS----- EROSION CNTL. APPLICATION -- STREET IMPRO" INTENT/EXCAVATION COPY TO: Z (WHITE)•FILE OR DI NAS..E NO, 74-14 ® (YELLOW)•INSP. (INSTPUCTiUNS CN SEPARATE SHEET) (PINK) NCV bldg. E)APPL CANT APPROVED Q9 APPLICATION NO.: —_5.13 NOT APPROVED ❑ f ITN' OF TIGARD, OREGON FEE. AMT.. S 48.00 PENDING FEE Pt•711`. ❑ CITY HALL, RECEIPT NO.: 92-223081 PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BvJ.S.H.- _ - _ _ DATE / In /_ _ _ _ _ _c19r PENDING AGENCY "OK'' ❑ Application and Progress Record MAINTENANCE BOND FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED - PENDING INFORMATION ANNUAL Ij PENDING VARIANCE ❑ EXPIRATION DATE: _ ---- PERMIT NO 4 (s�_& -��_� DATE ISSUED: --; �� 9Z-__ BY —_ -. ( 1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALI- .—Qoncc'et€-51jeWa land close- _a driveway �;poach) __ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WI fH CITY REQUIREMENTS. APPLICANT __2ZL)hn Shonkwiler _4.8_40 .SW Douglas Way Lake Oswego, OR $ 624-0917 NAME ADDRESS CITY PHONE- CONTRACTOR_ Wickum Enterprises 53833 Columbia Rivery Hwv.. _Scappose OR X.70M -_ 4,3 141—_ NAME ADDRESS CITU PHONE PLANS BY per City Standards NAME- - ADDRESS �— CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S 1200.00 DOLLARS FOR OFFICE USE. MIN (2) EXCAVATION DATA: 0.04 x S_12M-_4Q-= s —18-90 - -- STREET _ Y DESCRIPTION PROGRESS & INSPECTION STATUS NAME. SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM AI QUANTITY STREET OPENED 72nd Ave Conc. 1361 51 4" Concrete R TIO — E Q ESTIMATED STREET OPENING DATE: / / - ET -- -- - ESTIMATED STREET CLOSING DATE: _ / _ / — ED _ _ 1200.00 STREET (3) SECURITY NO. SECURITY AMT. E __._ _' CLOSED _ SURETY SM REL # 9Z-tZ3ISZk 1 _2_-11-92 FINAL FIED CHECKOND _- INSPEC_ � . (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS CONDITIONS: FEATURES: EXCAVATION LOCATION AND EXTENT. 1. All work shall conform to City Standards & Specifications._ Notify Carl I/iewegi City Inspector z 1 , (635-4171) 24 tlrs. before starting. 3. ORS 757.541-.571 applies; re: utilities pre].ocati.on etc. S.W. 72nd Avenue -r------- — — ---- - --- 4_Traffic control & pedestrian control shall be provided for I� by the contractor. work area l l I I I 5. Debris shall be removed from I (13425 S.W. 72nd Ave. immediately. I site (SI NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE Of OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIZES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND. EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS _ _ 1Pt�lI� 1 APPLICANTS SIGNATURE 4 A) �� DATE I s N O O c F f J N-�• (..L 06 J O O D O l/) w _u ;PZtil go u 2 O 3 : O r to fr'Gsl fs i L� 1-1 „ w cc Li 0 ;I ~ ~ VI c!7 N > t� a O • « o A S�, r « 1� \CL ix OCiH IYtfG w i.G2,r►�0 S OG flit u i �,`4 p�4'ZY •M3A3Sf3 • � � ��pp \ = NA •� e \ �o O V, • _ 1 ` I Q Q H A~ N r • V \1 1 o Z ^ o N ' O 0 Q Qb v 50 1002 ti Z" i Z1.'U • Y ` Z . o fis..-•0 r/ .,o tn,M .Or 21e aNV 4v t w « k6kG-69 — i ca i v � z ryJ N V c O C s • . W L � QQ pt 8 ` e ca m x, ze N 3nN3Ad iat/21P 17�L •�•V i 0 'R C7Sl -b 'k. v ----- x, KI not 3 ,f0.lc M .— oc c U w I_. L V� R/W �5' MIN I CURB JOINTSEE NOTE 5 IV I 1 ROAD --- I �'2" 0F 3/4"-0 (COMPACTED SUBGRADE SIDEWALK ADJACENT TO CURB R/W 6� - 5 M I N --- I i ROAD SEE NOTE5 1 I 2 OF 3/4"-0 COMPACTED SUBGRADE SIDEWALK AWAY FROM CURB COTES I CONCRETE SHALL. BE 3000 PSI AT 28 DAYS 6 SACK AIX , SLUMP RANGE OF 1 1/2 TO 3 2. PANELS TO BE 5 FEET LONG 3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES , UTILITY VAULTS ,WHEELCHAIR RAMPS , % AT SPACING NOT TO EXCEED 45 FT 4 FOR SIDEWALKS ADJACENT TO THE CURB 9 POURED AT THE SAME TIME AS THE CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN I/2"RADIUS. 5 SIDEWALrI SHALL HAVE A MINIMUM THICKNESS OF 6 INCH,--'S IF MOUNTABLE CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY . OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES . S. DRAIN SLOCKOUTS IN CURBS SHALL BF 'rTENOED TO BACK OF SIDEWALK WITH 3 DIA. PLASTIC PIPE AT 2 % SLOPE CONTRACTION JOINT TO BE PLACE) O'!ER PIPE. NM 0 T WASHINGTON COUNTY DEPARTMENT OF LAND USE CONCRETE SIDEWALK ,r AND TRANSPORTATION DATE -CIVIL ENGINEER DRAWN APWA NO. `MASH. COUNTY NO. AFA_b B N0NE CS - 305 FA OCURS O ° DRAINAGE BLOCKOUT WIDTH OF STREET 3" I.D. PLASTIC PIPE / WITH COUPL'NG FA 1t I ROAD 1° �T— MAX. tO d e r . . I BASE COURSE _ e " 00 9 L FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE CURB CS-300 SHALL BE USED. 2. CONCRETE TO HAVE A BREAKING STRENGTH OF 3000 PS.I. AFTER 26 DAYS EXPANSION JOINTS . A. TO RE PROVIDED 1) AT EACH POINT OF TANGENCY OF THE CURB 2) AT EACH COLD JOINT . 3) AT EACH SIDE OF INLET STRUCTURES. 4) AT EACH END OF DRIVEWAYS . 3) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 45 FEET B. MATERIAL TO BE PRE - MOLDED, ASPHALT IMPREGNATED, NON--EXTRUDING, WITH A THICKNESS OF 1/2 INCH. 3. CONTRACTION JOINTS . A SPACING TO BE NOT MORE THAN IS FEET B. THE DEPTH OF THE JOINT SHALL BE AT LEAST 1 I/2 INCHES . 4. BASE ROCK -2"-0 OR 3/4"-0 , 96 % COMPACTION. BASE ROCK SHALL BE TO SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH , WHICHEVER IS GREATER b. DRAINAGE BLOCKOUT - 3" DIA. PLASTIC PIP A. 1.D. PLASTIC PIPE WITH COUPLING. B. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE COPE DRILLED OR CURB SAW CUT VERTICALLY IB" EACH SIDE OF DRAIN 9 REPOURED TO FULL DEPTH OF CURB. WASHINGTON COUNTY CURB NON — MOUNTABLE `- g- DEPARTMENT OF LAND USE F AND TRANSPORTATION OR USE ON MEDIANS DATE CIVIL ENGINEER DRAWN APWA NO. WASH COUNTY Na "_ a k' LV; 18 ( MOD.) Cs - 301 Crry OF `l'IGP.RD E)TI NDIIURE RWJEST "Adf; form is a multi-use form. Appropriate receipts must be attached. Documentation important for all per. Staple documentation to form. VENDOR NO. : 11--_ _— -- DATE: A- PAYAB E TO: �'"`< • Jo1n v� S,nOV�VFW��EY RBQUL's'TID BY: APPrrnred request e Wednesday -, ��-� 10:00 AM to A P for checks l'F4Z5 fe-W Z A.v� / by Friday. — MISCQLAND S E)T ND1:'ILII2L5: 1 Date Description, Invoice No., etc. Account No. Amount _ 1�E-FV►•�D , o� 5Uz` ce o� issur g 10 -ZZ�C� $ sMt�� WrrAT, CIO Mileage $0.255 �■dam APPROPRIATION BAIANCF.: AS OF: -- SIGNAIURE: (Up to $25.00) Section Manager. V Purch. Agent ---- ($25.01-2,500.00) Division Manager($2,500.01-7,500.00) Dept.Dept. Head ($7,500.01-.15,000.00) city Admin_istratcr ($15,000.01- ?) rascal. Contract Revzew Board 150LF Q. CITY OF T I GARD '- RECEIPT OF DAYMENT RECFm'1 PT NO. .92 CHECK AMOUNT : 1200. 00 NAME C�HONIiWII_ER, JOHN CASH AMOUNT 0. PAYMENT DfiTE c/1 1 .'IDDRESS t SUDDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE 01= PAYMENT AMOUNT PES I D CUSTOMER REPO -- -- 1200- 00 - i 4'/O 1 k , .a .7s- 4/y�'oo- � ourna 1 , 67 10 2,5 yyl v0s 40 0us �o�� Pr PERMIT #46G-92 70'TAL AMOUNT, P,H I D - - - -> 1 00. 00 �t -•— nC:COVn:T fJUr10CR . ia�d coo - c�v oo _ 5. 25-00&.2 /Q/OLO _LO. 1.3 . L6. 17_ 19- — 2Z. 1 I 23.1 24 7.6 Z7- Z8. 7_Z8. Z9. 30. oCSCRIP XON: �,Aa � ae•� c ,k 5$ ►-1eXCS G9P1eS v�� 'r, 5�01�w1�P�-�5 ( SOV-1 4&Z-9Z Fr # 4V-9Z �E'-�� �.�� w�c� �O� v��rwt� -a.T 'this -H►nne /'�\ S0`'' 'e S`LA d vvktrv\.,C-'S ve v- -C �p�.1 CG 1 �_ �c e l�l l v\q � ,*u;Fxj occ v;.4 eS vv�J i _.'.""T"�•.'r�•a•-+v.•�•'r'�"T"!'•..T'T"""-"^tr•^r�rw•"�'^'�.rr•,t.^+^vr�w•^-•-r-r•..•^-"-r9f•r7®n!•�---.^w+�l�^+.ww.+'►.+c+-^**r•.•r. •...---•rpt APPLICATION - STREET IMPRO " MEN'T/EXCAVATION COPY TO: ORDINA, -ENO. 74-14 ( WFILE (YEL,EL�GW)-)NSP. (INSTRUCT'IONS ON SEPmRATE SHEET) (PINK)-OTHER AGENCY bldg. (BLUE)-APPLICANT APPROVED Q9 APPLICATION NO. 1 . NOT APPRGVED ❑ CI I YO[ I IGARD, OREGON FEE AMT.: S 48.00 - PENDIn'G FEE. P •I 1. rJ CI I'll, HALL RECEIPT NO.: 92-223081 PENDING SECURITY PUB[.IC WORKS DEPARTMENT BY _J.S.11• DATE 21 10 / 92_ PENDING AGENCY "r K" ❑ APPllcation and Pr)gTess Record — MAINTENANCE BOND M PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED - — ANNUAL ❑ PENDING VARIANCE q ❑ EXPIRATION DATE: 1' PERM , NO. tCi "_'17,_ _ , _ �s-------•wl... - . D -ATE ISSUED. = I_- _L_ _ :-_ BY: _— •; JLl h ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL Co,ic['etQ Sidewalk (dn�cl _ a drivewdy approach) _ AS DESCRIBED HEREIN, IN FULL ACCORIANCE WITH CITY REQUIREMENTS. APPLICANT John Shonkwi Lec - 4840 SW Wuytaa Uay Lake O,gweyo, OR ;;_6_24-0917 NAME ADDRESS CITY PHONC CONTRACTOR .__Wickum Enterprises 53833 Columbia Rivery Hwy. Sc,appose OR 97056 543-5101 NAME AVORESS CITY PHONE PLANS BY __ per City Standards_ NARE- ADDRESS CITY _ PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E 1200.00 DOLLARS - --- --- ----__—_.---_ — -A r___--_—_— FOR OFFICE USE• CMIN (2)_EXCAVATION DATA: 0.04 x 51200.00 = s 48.00 STREET _ DESCRIPTION PROGRESS do INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM BI QUANTITY STREF-T - __ Q P I,N E U _ '72nd Aveconcrete IN TP C- E -- — - ONQ ESTIMATED STREET OPENING DATE:.--_ E_�-.�. � —_ g ESTIMATED STREET CLOSING DATE: �__- / `—_ E 1200.00 STREET (3) SFCURI fY NO. _ _ SECURITY AMT: S -. CLOSED SURETYWR �f 9 L-��31�Z, • -11- L_ FINAL .3 ERTIFIED CHECK _�, FOND INSPEC (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDI ONS: FEATURES: EXCAVATI011 LOCATION AND EXTENT. 1. All work shall conform to City f Standards & Specifications. 1 I I � I `� I 2. Notify Carl Vieweg City Inspectoc I 1 1 I (639-4171) 24 hrs. before startin - 3. ORS 757.541-.571 aWlies; re: UAB - ' - - -- - - - - - - - - - - _ S.W. 72nd Avenue - Utilities pcelocation etc. - r + -- - - - 4. Traffic cc»ltrol & pedestrian control shall be provided fo( by the contractor. I work area I I I 5. Debris shall be removed frml Cr 1 (13425 S.W. 72nd RVI. ) I 1 site immediately. (`J) NOTE THE CITY OF 1RD DOES NOT. HEREBY, GRANT PERMISSION fO APPLICANTS TO CONDUCT WORK WHERE' RIGHT-OF-WAY JURIS 'I -TION IS THAT OF WASHIWGTON COUNTN OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT TPt REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE rltr AND EIAPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURE ):ATE --- / 1 CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :92-223132 CHECK AMOUNT : 1200: 00 t1:r�ic S�=NKWILER. JOHN CASH AMOUNT 0. 00 PAYMENT DATE 0c/11/92 SUSDI .ISION 0�= _ •�"EtiT AMOUNT PAID DURPOSE OF PAYMENT AMOUNT FTAID 1200. 00 Jl? 'dl�-<4ipNlMa,o �4 f 'j--- --- l oo, lool 40NEY Mir AcocxjNT -7;4.AovJ -- -+: i2 40 0l' l 4 4 0 2 1 ir 010 c6o P Q - 0 2�� i CITY OF TICARD - RECEIPT OF PAYMENT RECEIPT NO. :92-x`2'3081 CHECK AMOUNT 411. 00 NOME : WICKUM ENTERPRISES CASH AMOUNT 0. 00 ADDRESS : 53833 COLUMBIA RIVER HWY PAYMENT" DATE 0'I`9 . SCAPPOOSE, OR SUED M S I OIV 97056-- PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID PUBLIC IMPROV 46. 011 i f t)TAL AMOUNT PAID - - -; 48. 00 A'J;'t1b 3T+1��If1��k+1WniLU1ti,lb1J.. v:!wlµ.• •1,, ..;q�.1,...,., .. ,�.' .. .• �, ., , WICKUM ENTERPRISES FIRST INTERSTATE BANK OF OREGON 973 513-5101 OR 513-7378 ST. HELENS BRANCH 53833 COLUMBIA RIVER HWY. ST. HELENS, OR 97051 SCAPPOOSE. OR 87058 21-12.1230 �� - pA1E T CONTROL NO AMOUNT PAY TO THE ()imER OF / WARREN WICKUM VIRGINIA E. WICKUM ------------- 1'10009 7 3611' 1: 1230001231: 170 00 10 5A 811' - -- s APPL-ICATION --- STREET IMPRO`"-MENT/EXCAVATION COPY TO: ORDINAL. .E NO. 74-14 ° p (YELLOW)FI NSP. (INSTRUCTIONS ON SEPARATE SHEET) [I (PINK)-OTHER AGENCY ❑ (BLUE)-APPLICANT APPROVED APPLICATION NO.: NOT APPROVED C.I I Y OF"TIGARD, OREGON FEE AMT., S PENDING FEE PMT. Cl CITY HALL RECEIPT NO.: PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY --- DATE— L /�- PENDING AGENCY ''OK" ❑ Application and Progress Record MAINTENANCE BOND 0 PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RE(JUiREU ANNUAI_ C] PENDING VARIANCE rI EXPIRATION DATE: PERMIT NO DATE ISSUED - / � _ _ BY. (1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ __.. AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT �_ l r L�V�pn_ NAME ADDRESS / -CI*V T--- •NON CONTRACTOR ' 1 C/1 �1�� .53 R�ADD3 _._S-sem^_ AI14 RESS V , PLANS BY _ NAM[------ -AODM ESS - -- CITY _ ----PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): Z -Z' DOLLARf (2) EXCAVATION DATA: FOR OFFICE USE MIN. 0.04 X S _- S STREET _DESCRIPTION _ PROGRESS & INSPECTION STATUS SURFACE -CUT CUT CUT MATERIAL INSTALLED NAME_ TYPE_ LENGTH WIDTH DEPTH TEM A QUANTITY ITEM DATE REMARKS/TYPE BY t( ST'REE7' ~ OPENED - INSPEC- R TION U ESTIMATED STREET OPENING DATE FS ESTIMATED STREI<T CLOSING DATE. - / /-_ E D STREET (3) SECURITY NO. SECURITY AMT.: S — _. CLOSEC.D _ SURETY CO.: CERTIFIED CHECK CASH ;i ■OND INSPE - (4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL s----Y� SPECIAL PROVISIONS CONDITI,.)NS FEATURES, EXCAVATION LOCATION AND EXTENT. It I (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT Of %VASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIF-ICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE. CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY rESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURE __ DATE