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12476 SW 114TH DRIVE I N 01 G i i l - 12476 SW 114TH nRtvP -- CITYOFTIOrARD CrTYOFTWAkD CERT IF'JCATS OF COMMUNITY DEVELOPMENT DEPARTMENT moon OCCUPANCY 13125 SW R11 Blvd. P.O.Box 2MV,ngmM,Oregon OrM(SC4)039-4175 PF"RMI T MGT9 I -Ot'08 b.54- Ai I I DACE 1,5.buEl): 05/09/92 3ITE ADDRESS. . . t 12476 SW 114TH DR PARCEL: 2G103AC--W(',-, SUIAD I V I S I ON. . . . s WALNUT GROVE SUBD ZONINCi R- 4. 5 BLOCK. _ LOCK. . : LOT. . . . . . . . . . . . . 13 CLASS OF WORK. :NE=W TYPE OF' USE. . . Ili= OCCUPANCY GRP. s VJ OCC."UPANCY LOAD 3223 4 TENANT NAME. Remark e : Owner: FOUR D CONF)TRuumN PO BOX 1577 BEAVERTON OR 17075 Phavve #s 641-0935 Contractor - FOUR D COWsl'RUCTION P41 BOX 1577 ilEAVERTON OR 97075 Phone #t 641-0935 Req #. . : 71037 (lccupancy of the sbc,ve r-eferpnc,?d building is hereby given, and certi.fies they compliance with thy. State Of Oregan Gp(4(-ia) ty Codes For, the group, OCC"rupahncy, and use 4.md-pr which the refevenred permit was imsUed. FIRE DEPARTMENT INS INSPECTCM At� DU I LD I Nr,,fiW-'F I C I A&'- POST IN CONSPICUOUP PLnCE IMPPECTION NOT14;1�,, {. Cl' Y of Tigard Building Department 13125 = Ball Blvd. Tigard, Oregon 972.23 Inspection Line (Rec-o-Phone): 639-4175 Susineas Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Ainr/Sdwlk Found. Plbg. Top Out Gas Line FXNALt post/Beam Struct. San. Sewer Framing --Bldg Post/Beam Mach. Rain Drain Insulation -plumb. j Plbg. Underfloor Water Line Gyp. Gyp. Bd. -Meeh. f Date Requested: J 2 / �'7e� ___.Time: AN PH Address:_LP" Lll� —+-' L - C CSL-PPrmi-t -- Builder:_ �----------- ---THE FOLLOWING CORRECTIONS ARE ^E;7UIRED: 4 ' i — I Inspector: /r ___ Date:- -.> APPROVED DI'3APPROVRD APPROVED SUBJECT TO ABOVE Call Fn- Relnap. i"SPEC-rioN HOSICE City of Tigard Building Department. 1311, BU Bell Blvd. Tigard, Cregon 97223 Inspec"-ion Line (Rer--O-phone): 639-41:i Buvineas Fhone: 639-1171 Inspection: _- -- --- --�--- Footing P1bq. Underalab Mech. Rouqh-in Aper/Sdwlk Found. Plbg. rop out Can Line FINA; : Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mesh. Rain Drain Insulation -Plumb. P2bq. Underfloor Water Linn Gyp. Bd. -Mech. 1 Date Requentedr / ..tea- i Z Time: _ K AM _PH Add room Y�[5 Sc✓ �/ `� Permit Builder: THR FOLLOWING CORRECTIONS ARE RRQUIRED. Inspertor:_ �li' CCF APPROVKD _ DIS 41M) APPROVRD .4UB.7RCT TO AROVR Call For Reinar. '411 Milli TNSN NOTICE ��J City of Tigardard Building Departtaeat (X/'�� 13125 SW Hall Blvd. Tigard, Oregon 97223 (�_ Inspection Line (Rec-O-Phone): 639-4175 Business Pho e: 6„9-4171 Inspections — �— —_ i Footinq Plby. UndGi slab Mech. Rough-in Appr/Bdalk Found. P1bg. Top Out Gas Line FIHALt Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain 'nrulation -Plumb. Plbg. Underfloor Water Line yp. Bd. -Hoch. Date Requested:_ Tita:t AH PM Address: IVY V _ L-� Pw_mlt Builder:_.__Ll/D--- —T- TIM FOLLOWING CORRECTIONS ARE REQUIRED: Inspector Date. / l_ ✓ - -� .APPROVED --_- DISAPPROVED - APPROVED SURJZCT TO ABOV= —_Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspecticn Line (Rec-O-Phone): 639-4175 Business Fnone: 639-4171 Inspection: Footing Pl.bg. dnderslaW Mach. Rough-in �j Appr/Sdwlk ' Found. Plbg. Top Out Gan Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mer_h. Rain Drain insulation -Plumb. Pibg. Underfloor Water Line Gyp. Bd. -Mach. nate Requested& Times AM _ PM Address:�.���� Builder: THE FOLLOWING COARLCTIONS ARE REQUIRED: Inspectors Date: RPF!lOViD DISAPPRJVED APPROVED SUBJECT TO ABOVE ---Call For Reinsp. INSPECTION NOTICE City of Tigard Buildi-og Departaent 13125 SW Ball Blvd. Tigard, Oregon 07223 Inspection Line (Rec-C-Phone): 635-4175 Business Phone: 639-4171 Inapection:_ Z Footing Plbg. Underslab Koch. Rnugh-in) Appr./Sdwlk Found. Plbg. Top Out =—. L FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Ineuiation -Plumb. Plbg. Underfloor Water Line Gyp. Ed. -Koch. D Date Requested: / / �_�" Time; AM) Address: /4&- �(Q Permit #:4? Builder:__ THE FOLLOWING CORRECTIONS ARE RSQtAID: i Dater: „� Z —__APPROVED DISA PROVED �- App!toVRD SUBJECT TO ABOVF _ —Call For Ra.inap. ULMEKALMOLMUM INSPECTION NOTICP City of Tigard Building Doparta nt L1125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Li.e (Rec-O-Phone): 639-4175 Busineno Phone: 639-4171 Inspection: Footing Pliog. Undersl Yach. Rough-in ) Appr/Sdwlk Found. Plbg. Top Out Gas Lina FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. U:.dorfloor Water Line Gyp. Bd.. -Nech. Date Requested:— JJ�GJ' -`� Time: C AM l� PN Address: �L(i L' � irmit fl< c7`��� Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: `A N � -- Inspectore_ Date: L _—APPROVED DISAPPROVED __ APPRnVEn SUBJECT TO ABOVE Call Fee Raiusp. MIN INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 9722.3 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inepectionr Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer taming -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp, Bd. -Mech. Date Requested: Z fime+t ` vAM �' PM Address �_ 12-H 1 Co ((L{�'' (eY12C.2.¢) Permit it Builder: THE POLLAMINO CORRECTIONS ARE � REQUIRlDt 4-, Jv K OIQ r, , i. ✓Lb 10 Itupectbtrt_ � - - - Oatat APPROVED �bII//llbV/D APPROVED SU9JECT rn ABOVE y cw IkIt Rsinsp. 1 INSPECTION NOTIfE City of Tigard Building Department �'� 13125 SW Brll Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections_ -- looting Plbg. Underslab Mech. Rough-in Appr/5dwlk found, P Top Ou Gas Line FINAL: Poet/Beam Struct. San. Sawa- Framing -Bldg. Post/Beam Msct'. Vain Drain Insulation -Plumb. ndta 1 r Water Line Gyp. Bd. -Hoch. l Date iceguestadt 7 u —Time /y ) r7 Address: ll� -/ erm+.' is Builder: TICK FOI COORRRECTI`NS ARE REQUIRED: 7 ,4 .Z / V Inspector: Data: - T-tPnovitr) _ DISAPPROVED APPROVED SUBJECT TO ABOV2 Celt For Rainsp. T,_NSPP:CPION NOTICE //'� � city of Tigard Building Department 13125 SA Hall BI%J. Tigan ^---on 97223 Inspection Line (Rec-O-Phone)s 639-4175 Busi:.ies Phone: 639-4171 Inspectinn:_ --- Footing Plbg. Underalab Mech. Rough-in App-iSdwlk Found. Plbg. Top Out Can Line FINAL: st/seas etruct. San. Sewer Framing -Bldg. i at/eaam Mecfi Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requested: Time: Address:—/ ANs PM 4171, 4,1 1— Permit :CiJ/ C .1L Builder:_ �� 4D /, [ -� THE FOL OWING CORRECTIONS .N" REQUIRED: Inspectors �� APPROVSD DIAAPPROV1D APPROVED SUBJECT Tri ABOVE _Call for Retnap. INSPE ION.N_QYPLQK City of Tigard Building Department 1.3125 SM Ball Blvd. 7:7ard, Oregon 97223 Inspection Line (Rea-O-Ph3ne): 639-4175 Business Phone: 639-4171 ja Inspections_, -- ----- Footing Plbq. Underslab Neth. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer !Taming -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. lbg Underfloor. Water Line Gyp. Bd. Mech. Mate Request � Time: j /�_AM _ PK Address'--42 V :Zl,,, Builders _..— THE FOLLOWING OdRECTIONS ARE REQUIRED: i Inspector: , _ Date: APPROVED —, DISAPPRGVED APPROVED SUBJECT TO ABOVE Call For Reinsp. pNSPECTION NOTICE City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ _ - - ----— Fcotiny Plbg. Underelab M.nch. Rough-•ir. Appt/Sdalk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Ban. S Framing -Bldg. Poet/Beam Mach. Rain D Insulation -Plumb. Plbg. Underfloor Nat ins 0". Ed. Mech. 2 i Uate Requested! 2 ' J �^ - -Time: AM PN Address: ----- - Builder: TNS FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: / /// ,_ -`-__ Date: V__APPROVSD -i DISAPPROVED _- APPROVED AUDJRCT TO ABOVE Call For Roinsp. MEEC'TION NOT—CE City of Tigard Building DePart—nt 13125 SK Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 inspection: Footing i Plbg. Underslab Mech. Rough-in Appr/Sdotlk Found. Plbg. Top Out Gas Linc: FINAL: Post/Beam ctruct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line/ Gyp. Bd. -Meeh. Date Requested: � Tom= - _AM/� + PM Address: ✓� [tlrit't:�� 'tJO� Q� Builder - THE FOLLOWING CORRECTIONS ARE REQUIRED: inRpectora _ ��__ natal_ y 7ISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainer. � �w 4w wAr �:e ^�r •w CITYOFTIFARD MAs r �� FSE f<rl r CITYOFTWARD PERMIT #. . . . . . . : MS'f�31 0208 COMMUNITY DEVELOPMENT DEPARTMENT oomoo« 13126 SW Holl Blvd. P.O.Hoot 23397,TIQud,Oregon 97223(603)639-4176 c _ SITE ADDRESS. . . : 12476 SW 114TH DR PARCEL._: �_S103AC- WG , SUBDIVISION. . . . : WALNUT GROVE SURD ZONING: R•-4. 5 BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . :3 BUILDING REISSUE: DWELLING UNITS: i BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BFDRMS:4 BATHS:3 GARAGE'. . . . . . . . . . :450 s f TYPE OF USE. . . :SF Ft-OOR AREAS-_ - - ---- REQUIRED TYPE: OF CONST. :5N FIRST. . . . :921-1 sr' LEFT. . : 10 ft RIGHT. : 12 ft OCCUPANCY GRP. :R3 5ECOND. . . :96.2 s f FRONT. : 0 f i; REAR. . :42 f t S-IORIES. . . . . . . :2 TH I RD. . . . :0 s f RF'QU I RED--------------------- HE _------------------.HE I GIST. . . . . . . . :23 -Ft TOTAL----------: 1891 y F SMOKE DETECTORS. :Y FLOOP LOAD. . . . :40 ps f VALUE. . . . . S : 95066 PARK ING SPACES. . :0 Remarks : --------------------------------- PLUMBING ----------- SINKS. . . . . . . . . . : 1 -_-_-_-_SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . . LAVATGPIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/GHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER C.LOSETS. . ::3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . ,. . :0 DISHWASHERS. . . . : 1 WATER LINE ( Ft ) . : 101 , OTHER FIXTURES. . . . . t7l (J(4RBAGE D1SP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 __---------__.__-- ME.C-HANICAL _.___._____..___.__- _._._.____._.____.._.___-- FEES FUEL_ TYFrES------ ---- UNIT I-ITRS. . -0 type amor_knt by date recpt: /GAS/ / / VENTS . :0 TIF 6 1380. 00 JLH 01/03/92 - MAX INPUT :N BTU VENT FANS. . :5 BPRT $ 4,=1. w70 ..TI..W 01/03/92 - FURN < 100K . . : 1 HOODS. . . . . . . i BPLC: $ 273. 65 JL.H 12/18/91 I URN ) =IOOK . . :0 WOODSTOVES. :0 L1 F'C $ 21. 05 JL.H 01/03/92 - r LOUR FURN. . . . :0 CLU DRYERS. : 1 S5DC $ 250. 00 JLH 01 /03/9,= - BOIL./CMP ( :AHP:O OTHER UNITS:O PARK $ 300. 00 JLH 01/03/92 GAS OUTLETS: i MPRT f 42. 00 JLH 01/03/92 - Owner: -___.______._----______._____._____.__.___ MPL-C $ 10. c0 JLH 01/03/92 - FOUR D CONSTRUCTION M5PC $ 2. 10 JLH 01/03/92 - PO BOX 1577 P P R T $ 147. 50 JLH 01/03/92 - P5PC $ 7. 38 JLH 01/03/92 - BEAVERTON OR 97075 Phone #: 641-0935 Contractor: FOUR D CONSTRUCTION PO BOX 1577 Bf AVERTON (7R '17117175 Phone #: 641-09.35 Rep #. . : 71037 `I 3085. 18 TOTAL This permit is issued sub)ect to the regulations cintained in the -- -- -- REQUIRED INSPECTIONS -- - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/for_tnd Insp Fireplace Insp applicable laws. All Mork wiil be done in accordance with approved Post/Beam Strr_ict Gas Line. Insp plans. This permit will expire if world is not started within 188 Post/Beam Mechan Insr.tlat ion Insp days of issuance, or if work is suspenwi fc-- more than 188 days. Plm/undslab Insp Gvp Board Insp PLM/Underfloor Rain d-ain Insp Permittpe Si[Ina ore ll Me+chaniCaI Insp Water L ne Insp Plr.lmb Top Oi.it Appr/5dwlk Insp I s s n.1 e d Dy " � _•_�.__ _ F r al m i n ri Insp M e r•h a n k-a l I-i n a l • � Call for inspection _-• 639-4175 SEWER CONNECTION C17YOFTIFARDGiYOFi lAORD PIE RM I T OOMMUNPTY DEVELOPMENT DEPARTMENT oR>toosm pEk'MI-r #. . . . . . . .. SWR91-0 26 13126 SW FWI BMd. P.O.Bot 23307,Tigmd,Csegon 97?23(603)639-41'6 J f, 7--4.1 7 - T 13 ci SITE. ADDRESS. . . : 1e:476 SW 114TH DR P-ARCEL: 2S l @3AC-WG::, SUDDIVISION. . . . : WALNUT GROVE SURD ZONING- F:-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . ..3 TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNIT. . . . CLASS O,' WORE. . . :NEW DWELLING 11N I T S. . : 1 TYPE OF USE. . . . . :SF 1\10. OF' BU I l_D I NGS: 1 INSTALL TYPE:. . . . :BU WR I MFIERV SURFACE:. . : : s f- la marks : towner,: _______._____-__-___ ._.__------- -----___-•- -__._____------•____- FEES F'OUR D CONSTRUCTION type amoi_tn , by date r-ecpt F'0 BOX 1577 PRMT $ 1900. 00 JLH 01 /03/92 - INSP 35. 00 .JLH 01/03/92 -• BEAVERTON OR 97075 FJ-)Wie #: 641-0935 LOntr'aCt0r': --------------------------•----- C-UNTRACTOR NOT ON FILE Fli-ione #: t 1935. 00 TOTAL_ f:eq #. . . ------- REQUIRED INSPECTIONS This Applicant i—ees to comply with all the rules and regulations Sewer Inspection of the Unifieo Sewage Agency. The permit expires 188 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" Permit and the Agency will install a latet;aL r _ ! 'wr•rnit;tee d By _..._._ Call for inspection - 639-4175 I C'TY 0F T'��RD PLUMBING PERMIT '"' COMMUNITY DEVELOPMENT DEPARTMENT �a i a�� PERMIT' #. . . . . . . : M5791-0208 13125aw►weer.I P.o.Box 23W,TkW,a.son 07223(M)6394175 � OATE ISGUEDi 01/271,3/92 > `,1TE ADDRESS, . 12476 -314 114TH DR PARCEL: :_S 103AC.-WG3 SUBDIVISION. . . . . WAL-NU'f GROVE SUBD ZONING: R-4. 5 BLOCV.. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 CLASS OF 0ORK. . :Nf-_W GARBAGE DISPOSALS. . : 1. TYPE OF USE. . . . -SF WASHING MACH. . . . . . . s 1 BACKF'LVW PREVOTRr. . sO OCCUPANCY UPP. qR 3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 0�1c STORIES. . . . . . . . 12 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . 10 FIXTURES----- _---_--- --- LAUNDRY rRAYS. . . . . . .0 SF"'RAIN DRALNB. . . . . : 1 S I NI'.S. . . . . . . . . . : 1 GRFASE TROPS. . . . . . . ..0 LAVATORIES. . . . . :4 OT14ER FIXTURES. . . . . :0 t, TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . .-3 WATER LINE (ft ) . . . . : 100 I)ISHW4SH5FSG. . . . : 1 RAIN DRA.Uj_ (ft ) . . : , :0 Remarks: OWNER: --__. _..__. _._.--•_-_.__.______..._.______.. ___.__ .___..._.____..._FEES~-- -- ___________ FOIJR D CONSTRUCTION TIF $ 1.380.00 JL(' 01/03/92 - DO BOX 157.7 BPRC $ 421. 00 JLH 01/03/9 - BPLC; $ 27.3. 65 JLH J -2/18/91 BEAVERTON OR 97075 85PC.' * 4.1. 05 JI-1-4 k'sl/03/92 - 'hone #: 641-0935 SSDC $ ,80. 00 JLH 01 /03/92 - PARK $ 500- 017 JLH 01/03/92 -- i�'lumhiny 1Y1PP'1' i- 42. JLH 10 /(67--/92 MPLC $ i C,, S 0 JLH N 1 - Name :—G..,& B_pLBG, INC _ ._..__._. MSP(: $ 2. 10 ILH 01./03/13P _ Address :lK�� _S. z�, PPR-I 4 J47. 50 J..H 01/03/92 - ity:Hillsboro,0 _ �F3tate :-»OR �_. P5PC f 7. 38 JLH 01. /03/92 Zip: _97123 Phone# REQUIRED I N,PELT I CANS --- - -- Thi r perm It is issued sub.jec:t to 4he rag- ulations rontained in the Tigard Municipal root/i;ound Insp Rain drain Insp Lode, Statt of Ore. 13pecialty Codes and all Post/Beam Strutt. Water Line Is}sp other laws., All work will be done Post/Beam Mer_han Aopr^iSdwlk Insp in accordance with' approved plans. 7*Hi ,. Pim/undsl«ab Insp Mechanical Final permit will expire if work is not started FILM/UnIderfloor Plumb F'inMl Within 180 days of Issuance, or if wort, is MPr_h,zhical Insp Building Final ..T(spended for more than 160 tial,». Plumb Top 0ut Erosion control Framing Insp Crawl Drain Fireplace Insp _ Gas Lille In+sp __.�_. -;_. ._ _ _--• Q n Insulation Insp __•�.•_._. ��� .___ L.IC��(..-Y Gyp Board Insp P umhinEI Contractt5r Si6 nator-e Call for inspeol.ion - 639--4115 Contractor Notesr_ 7-7 ^1TY or' TIGARD PECEIVIT OF FlOYMENT RECEIPT NO. c 92—;?R 1535 C:F•ECF{ AMOUNT c 4770. 18 NAMrt--_' FouR 1) CONS TRI.ICTTON CASH AMOUNT 0. 00 ADDRESS PAYMENT DACE a 01103/92 SUBDIVISION a PURPOSE OF PAYMENT 1MOUN'T' PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM .. 421. 00 PLUMPING PERM147. 50 MECHANICAL. PE 4c. 00 ST. BUILD PER 30. 53 F L(-iN CHECK FFA 34. 1= SEWER USA 11300. 00 EWER INSPECT ::35. 00 RESIDENTIAL TRAFFIC FFEG 1280. 00 PARKS SDC 500., ON STORM DRAIN SPO 1?80. 00 MADS TRANSIT "CIF FEES 100. 00 i I (aW 114TH ID R Ti+ ; 0l.- 0MO INT PAID 4770. 10