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13566 SW MARCIA DRIVE f' 7 i ADDRESS: i I S t.� {a } a y r i:\recards\microtim\targete\btiildlng.doc r i ry fie+ 444 d 5 ' 1 11 CITY OF TIGARD BUILDING INSPECTION NOTICE r� Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling Plumb. Post/Beam Mach. Shear/Sheath Framing Fc) Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. a Post/Beam Struct. Mech. Rough-in Gyp. Bd. jc San. Sewer Gas Line Appr/Sdwlk C Other: Date: Z—� Yn ',_ I• 3 -i � C3 :1 _ Entry: U A.M. � P.M. t,,• � 7 Address: 7( i C) lP a Tenant: Ste:^_._ MST: BLIP: Con/Own: MEC: PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Gf� I,t P YX I Inspector. Date kL�PROVED _.DISAPPROVED/CALL FOR REINSP. CF CO } do�' p `. • .,..... " ,. ._;i._. moi! .... . .. .. ' ... a ry ,p 'r'� ''�° ' �K°'' °'�"a v M'.e,rF r,q�'+�N�^'�n► r. ;�n.efi .;MANA^.E�"'�i91►4'�Y� �f...,. � �` 4 . .,,;+awnrr,me...�a...unu.mearaMaz,rM"`ernC:'mtsra».ro»r,.. ;•+n«vM±,n�' :: 7 0 i I N . CITY of TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tlgsrd,OR 97223 (503)639.4171 CURT IF I l.:Fa?C OF OCCUPANCY PERMIT' 0. . . . . . . : MST'c36 Q►�+i'1 DATE S SSUED# 01/28/97 jPARCEL s 2S 1048A--•12200 SITE ADDRESS. . . a 13566 SW MARCIA DR SUBOIJISION. . . . s CASTLE HILL NO. 3 ZONIN63R-12 PD BLOCK. . . . . . e LOT. . . . . . . . . . . . . 1152 � CLAP-, OF WORK. a NEW TYPE OF USE. . . t l3F j TYPES OF CONST IT r 5N 1 OCCUPANCY GRP. a R3 � OCCUPANCY LOAD-.2 I 4 Remarks s Patti 1 Owner l DON MOR I S9E T"TE HOMCG t 5000 SW MEADOWS RD LAKE OSWEG U OR 9-7035 Phone #M 620--7538 Contractors DON MORISSf TTE HOMECi 501010 SW MEADOWS RD SU I`rF 151 I-AKE= OSWE GO OR 970;35 Phone #a 620-7538 Ih:i !� Gerti.ficxat@ Nrrt�+nts> occupancy c)f the itiove refer-enced building or portion ►;hereof and confirms that the r)ui lding has peen in acted for compliance with 1 he State of Oregon Specialty Codes for the group ccupar .y, and a=a under ,.ihich the referenced permit w--Au issk_wd. r�i1ILDINl3 IN,PF'C;TOC� FBUIL ING OFFICIAL POST IN CONSP I CUOUS PLACE at l i Jac, nt,. P�. , t taw t�> V at.:• L' — • � " y ile 1 C�iYr�t r 7 t IY ,�ti�Si�+�M� �r t', Ir r,Rt CITY OF TIGARf1 3UILDING INS PECTION NOTICE � ;rr4R � a�R��.�a,, k' Inspection Line: 639 4175 Business Phone: 639 4171 � t Cover/Service FINAL: Footing Rain Drain Water Line Ceiling Plumb. Foundation ' -Mach. l'rr '`tiu t'rJl �U k tai , Post/Beam Mech. Shear/Sheath Framing Elect. Plbg,Und/Fir/Slab Plbg.Top Out Insulation t#rr -Bldg. Post/Beam Struct. Mech. Rough-in Gyp. Bd. 9 ` A r/Sdwlk Reins. San, Sewer Gas Line pP � f 4M'kd 1 Other: —T ----------- }�t,tf C "7 A.M. RM. Entry Date: R Address: ._1--- B Ste:--- MST: Tenant:_ — — — —'—� BUP: Con/Own: _ _ MEC: PLM: ELC: .� i THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: — Date: .- "1,-, Inspector. APPROVED --DISAPPROVED/CALL FOR RLINSP, CF CO as �r -...rr .,r •;.yw_. e, ,. _.. .r— .., .„ � .,y �.. ��M. ,. .,, „ , r. .. .+m..at� "Y"'tN+ Q i, 01 rvu �ti��',Il,{��R1�' I i1��r t�✓) wtgj, Y r�ivN{'� :.r;, tit? tY�q"^����'� kat ! I c tt I� ItU � 1f 4 Vitt!G 41Y Fj ,. (,rtl. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/BeamMach.ech. Shear/Sheath Framing Post/Beamecp+ Plbg,Und/Flr/Slab Plbo.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. San. Sewer Gas Line Appr/Sdwlk© Reins. Other: Date: C A.M, _PM. Entry: { Address: �..�.,���i2�' � /d �� �C ex, Tenant: _ Ste: _ .__ MST: SUP: Con/Own:. _ s 3a MEC: PLM: ELC: I THE FOLLOWING CORRECTI NS ARE REQUIRED E R: 4�- I AA , Ick, Zhq Inspector: ------ - — . -- -- Date: _ ''A { .—APPROVED DISAPPROVED/CALL FOR REINSP. CF CO USA r 1 y1' i V t 11 �r+� i a � Pit r � `I a •� " �IN7 �r"r I r .' I 1 S11 i U J pKm ( I�iF'hq♦r f r a7� n z{ "f r 1 r r��7�)^f, ,�', t A {p JS�>•"S`�ti1r u. CITY OF TIGARD BUILDING INSPECTION NOTICE 4 1•a' Inspection Line: 639.4175 Business Phone: 639-4171 fi,,J�.,' Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -P umb,) Post/Beam Mech. Shear/Sheath Framing -Mach, 1. �"alr.p�i 'ti Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mach. Rour,h in Gyp. Bd. -Bldg. ' San, Sewer Gas Line Appr/Sdwlk Reins. }{ t Other: Date: A.M. P.M. Entry: t Address: I ��� . L, " Tenant: —. -- ---- -- _ Ste:---- MSTa: _ BUP: Con/Own: -- —. MEC: PLM: -- l THE i FOLLOWING CORRECTIONS ARE REQUIRED: ELR: I 11 1 w 7 •— I 'IN t r { 7 I pact Date: PROVED _DISAPPROVED/CALL FOR REINSP. C CO f { Ir Y err/ V v �1wws�1 I ti3� f f r ii� l � qS"�ayt''hy a,,{i :t F �`y�f � Ihl k,Y� _ � � '3'y,•d 7's� r4.d I 1 f����v�7�n'+r�Tb IR f I 1'F. 1 I C { y CITY OF TIGARD BUILDING INSPECTION NOTICE � rY Inspection Line. 639-4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mech. i i PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elec Post/Beam Struct• Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. f Other. _ — Date: A.M..}�P.M. Entry: Address: ,-,—�-- Tenant:_ --Ste:---- MST: c�==�L7 BLIP: Con/Own: (3?.Zu _ _ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: - _ Inspec r: _ 4 ------ _ _ _ Date: I"Z'3-9 APPROVED —DISAPPROVED,/CALL FOR REINSP. CF CO i Willi a V CITY OF TIGARD BUILDING INSPECTION NOTICE _ Inspection Line: 639.4175 Business Phone: 639-4171 ! Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg. I E San, Sewer Gas Line Appr/S�w Reins. Other: — Date: ��-�3C� 4i A.M. _P.M. r Entry: Address- Tenant: �o`tom Tenan : —_ —. Ste: MST: l 07 Con/Own: BUP: MEC: PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: m — 49 1 r Inspector: Date:a _APPROVEDISAPPROVED/CALL FOR REIN CF CO r CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 I IMPORTANT PERMIT NOTICE DICKS ELECTRIC ■ 8907 SW HILLSBORO HWY HILLSBORO OR 97123 Electrical Signature Form ., gLgu Permit # . . . . MST96-0417 Date Issued. : 12/10/96 Parcel . . . . . . : 2S104BA-12200 Site Address : 13566 SW MARCIA DR Subdivision. : CASTLE HILL NO. 3 ^' Block. . . . . . . . Lot:. . 152 Zoning R-12 PD Remarks : Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER : ELECTRICAL CONTRACTOR.: DON MORISSETTE HOMES DICKS ELECTRIC 5000 SW MEADOWS RD 8907 SW HILLSBORO HWY LAKE OSWEGO OR 97035 HILLSBORO OR 97123 1', Phone # : 620-7538 Phone # : Reg # • • : 030474 a Signature of Supervibing -Etriclan Please return this completed form to the address above. ATTN: Building Dept. a If you have any questions, please call 639-4171 , ext. #310 e !i[ �: '� ':.k., '•4Yp'1�'aYx' .i 'l.nut I� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 I ; Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. . i Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect. I Post/Beam Struct. Mach. Rough-inGyp. B -Bldg. i San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: _ — R Entry— Tenant: __. ----- _ _ Ste: -- MST: BUP: �. Con/Own: MEC: l. PLM: ` ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: Date `-2%13.15 t d__tOPPROVED —DISAPPROVED/CALL FOR REINSP. CF CO 1 F Nyw�I ,,Lx �. r ..,,' "1,;.,j M >t-,w„.•. tt V t 3< f t y gq CITY OF TIGARD BUILDING INSPECTION NOTICE Y is ( ,. Inspection Line: 639-4175 Business Phone: 639-4171 �4"a+u+,{ ;y44 ; Footing Rain Drain Cover/Service FINAL: Foundation Water Line Celling -Plumb. Post/Beam Mech. Shear/Sheath Framing Mach. I Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mech. Rough-in Gyp. Bc -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: �� . Z 7A.M._._P.M. Entry: -La:,-..�u y: Address: Q �400 /4 l A e z a. Tenant: Ste: MST: tt,,, BLIP: _ Con/Own:�biei ar i MEC: PLM: ELC: _ v. THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ I Inspi Vtor: Date://z'- APPROVED ___-_DISAPPROVED/CALL FOR REINSP. CF COQ #itl�''4ak i i L t 'fes {{ii J+ - t-' f� ,..; CITY OF TIGARD BUILDING INSPECTION NOTICE N Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling Plumb. Post/Beam Mach. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg.Top Out Insula on- -- -Elect. Post/Beam Struct Mach. Rough-i Gyp. Bd. Bldg. San. Sewer Gas Llne / Appr/Sdwlk Reins. Other: ! Date: —�=2U " Qt'o A.M. __ M. nt ----- Address: Tenant: —. Ste:-_ MSTP,6:L/ . �o ZU _ 3 E — BLIP:7_ MEC: PLM: / THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: �— YZ (c� 2 0 � �� Z` s � w.► �M__ w � f) %-A— Inspector: ..A._ ector: Ins Date I I p - CAPPROVED .--DISAPPROVED/CALL FOR REINSP. CF COi�nt �1 i�� ! 1 Ifi .�4�P,4j� 'y° Il�kqq�r�I R6r ! a t ti �• !;'i� �{,r'�fP�A��r�r��i i ,,�ef , �5l l IQ 1 Pf�� t•..1,�YIL� �k� r q1��I� 1i� uTf 4 �tA�,,- Y y' rill yy,ti�til aai 111 t , ,Iaraw�� Y , CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 � Footing Rai i Drain a FINAL:ek't , ! . Foundation Water Line --6etft<ig� -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. gra � Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg, San. Sewer Gas Line Appr/Sdwlk Reins. k Other: Date: A ._P.M�._ Entry: _ Address: - / 3 5 e (ii Tenant: ` _.! Ste:---.. MST: �� d r Con/Own:. 2 — -�5 3 _ MEC--.— EC MEC:_. � . i PLM: _ t THE FOLLOWING CORRECTIYNS ARE REQUIRED: ELR: e*p ,ter-�.Z�'.,►.,�.,,� I Inspector: Date: —APPROVED -DISAPPROVED/CALL FOR REINSP. CF CO }i yi•� t`T s t & r,, r „a r • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing�� -Mech. f Plbg.Und/Flr/Slab Plb . To Out Insula on -Elect. Post/Beam Struct. Mech. Rough-in yp. Bd. -Bldg. San, Sewer as Line Appr/Sdwlk Reins. Other: G Date: _ Jr �— 0 - i�_ A.M•_— Entry: _ Address: Tenant:_ _ . Ste:. MST,.2 - cr / f BLIP: Con/Own: MEC: 222y PLM: THE FOLLOWING dORRECTIONS ARE REQUIRED: ELR: k le C9- �- - Inspector - --- �. Date Vrt _APPROVED DISAPPROVED/C 4LL FOR REINSP. CF CO ,r q+i c , .;�• yi F��p''n R� �, I �. ff j: a N � 4.1 .• r� alai ry u ) � � :, }. 9 -,. i, •, 4 .j+N" ' "'�MnraA4* ;1 '"'41,• xi�p'!nA"".' 'e y�l;"X'"'"M � "+ 4 001 r; CITY OF TIGARD BUILDING INSPECTION NOTICE a, Inspection Line: 639-4175 Business Phone: 639.4171 s Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Me(h, Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Ibg. Top Out Insulation -Elect. PwXBeam StrUCt. Mech. Rough-in Gyp. Bd -Bldg. 1 San. Sewer Gas Line Appr/Sdwlk Reins. , Other Date: '�^y /�/ —_ A.M. . __P.M.--- Entry: Address: Tenant. ------ Ste MST:74--O-q-)'7 Con/Own- . - c BLIP �� PQM. ELC: _ - THE FOLLOWING CORRECTIONS ARE REQUIRED ELR i i I — I Ins ector: _._1 Date:�O PPROVED _-_DISAPPROVED/CALL FOR HtINSP. CF C 'df s n , , a -. ":•. �'d . x. M, . , „ .. q Mi ... Ng; Y1,,I if t A r r n if f 1 it i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 i Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. i Post/Beam Mech. hear/ eath Framing -Meth. Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk sins. r Other: ' a Date: /O / /"�"� A.M. _P.M. - Entiy: __ — °',r Address: I/"�7 r +- ��A -b / qaf^ Tenant: — lr - -- --— --. e'-- -- MST / St ;. F Con/Own: --- -- - -- - BUP: 3, MEC: _ PLM: ELC- THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: I — ---- — ---- is I ; p Jk; Ins fetor. _ -- - Date,10- _' C7 r--APPI )VED DISAPPROVED/CALL FOR REINSP. CF CO • .1 vi , t c:; 'A 4 ■ CITY OF TIGARD BUILDING INSPECTION NOTICE — Inspection Line: 639-4175 Business Phone 639-4171 ' Footing Rain Drain Cover/Se,vice FINAL: Foundation Water Line Ceiling -Plumb PosUBeam Mech. 6" /Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect. Pos;/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdw!k Reins. - Other: Date: �_- ;g* * A.M. _—P.M._ Entry:- -- - .. - --- - -- - Address: Tenant: _ Ste:_ -- SAS- -- � D Con/Own: �l BUI' - --- MEC: PLM: - ELC: _�-- THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: y Inspector — q Date: _APPROVED ��SAPPROVED/CALL FOR REINS►, CF CO 7 ;J 1 1 ir www- t� on -W� . i CITY OF TIGARD BUILDING INSPECTION NOTICE "i II Inspection Line: 639-4175 Business Phone: 639-4171 i I Footing Rain Drain Cover/Service FINAL: ` f FoundatiorL_ VjWer Line Ceiling -Plumb. Post/Beam Me Shear/Sheath Framing -ivlech. 2 Plbg.Und/Flr/Slat Plbg flop Out Insulation -Elect. i PMVBeamlStrUCt Mech, Rough-in Gyp. Bd. -Bldg. tr Se`wer Gas Line Appr/Sdwlk Reins Other: I Date: .�a A.M. �P.M._.-- Entry: ---- - Address: 1 S (o 62 Tenant: - Ste:_-- - MST: cv Con/Own �- `Z c 5 .J MEC — -- MEC: ,. PLM: Th JE FOLLOWING CORREELC: C"IONSAR�iEQ EU ELR 1-7L Ins ector ' p — Date: APPROVED _- DISAPPROVED/CALL FOR REINSP. CF CO ,........w.. . -------------- w, aha a j� 1 'rG' 'h- 1 uAwFTi•?T. "t;` . j t s, I !3; CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 r Footing Rain�ai Cover/Service FINAL: 4 Foundation (Water Lin Ce;'ina -Plumb. ` iPost/Beam Mech, Shear/Sheath Framing -Meeh. I PIbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg, a T ,ew'IN Gas Line Appr/Sdwlk Reins. Other: Date: ;/� ---------- ------ " A.M. _ P.M.n- — Entry:—- —.�-- Address: —_� S_(�- —� ! J' Tenant: .. - Ste: - MST 16 ' - -- � - L BUP: _ Con/Own: — C4i.tdMEC: - - -- ----- --._._ PLM: D: ELR:i THE FOLLOWING CORRECTIONS ARE REQUIRE -- y �1,npector: _. Date: PROVED _,DISAPPROVED/CALL FOR REINSP. CF O J I "1 i I CITY OF TIGARD BUILDING INSPECTION NOTICE # J + Inspection Line: 639-4175 Business Phone: 639-4171 Footing-_ `- `� YWYORain Drain Cover/Service FINAL: eoundatior Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheatht Framing -Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. .;H:, ",�• Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins, Other: Date: � �- C A.M. P.M. r Entry: Address: -. � J Tenant: — � Ste: MST Con/Own: BUP: - - - - - MEC: �_ I PLM: " T E FOLLOWIN ORRECT ONS ARE REOU RED: ESR: s F' � Inspector APPROVED -DISAPPROVED/CALL FOR REI NSP. CF CO p 4. vn_,. �• JI�T� `i�,x» aw :yp` .y .y�*,.:`.,. i '',.. a �-;^tv,t..1,yr„ Tf . ,rmr: r,...,h; ,ryM,rt�, ,t,p�M;•'i;�, rlAW� "gfW�N�"w Wavr�h_ �4�1'(5{�•^rh r�+1'�M' wawbrli .,� 1 a �i.r��' A. I r {Y+ �r.Y •i,,� _;yt, ;,��,... '1�." , � ,r wz� , ,4t tprpM G�j qq +I CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 a r IMPORTANT PERMIT NOTICE JARDINE PLUMBING P O BOX 186 EST'ItCADA OR 97023 Plumbing Signature Form Permit #. . . . : MST96-0417 Date Issued. : 09/18/96 u Parcel . . . . . . : 2S104BA-C3152 Site Address : 13566 SW MARCIA DR Subdivision. : CASTLE HILL NO. 3 Block. . . . . . . . Lot : 152 Zoning. . . . . . . R-12 PD Remarks : Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. �i AN INK SIGNATURE IS REQUIRED ON THIS FORM r OWNER: PLUMBING CONTRACTOR: �. DON MORISSETTE HOMES JARDINE PLUMBING 5000 SW MEADOWS RD P O BOX 186 LAKE OSWEGO OR 97035 ESTACADA OR 97023 Phone # : 620-7538 Phone ff : Reg # • • : 108747 Or X G—. Signature of Authorized Plumber Please return this competed form to the address above. ATTN: Building Dept. ;. If you have any questions, please call 639-4171, ext. #310 ` r CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 't IMPORTANT PERMIT NOTICE BEAR ELECTRIC PO BOX 389 G 28085 BUTTEVILLE RD NE DONALD OR 97020 Electrical Signature Form Permit #. . . . : MST96-0417 Date Issued. : 09/18/96 Parcel . . . . . . : 2S104BA-C3152 Site Address : 13566 SW MARCIA DR Subdivision. : CASTLE HILL NO. 3 Block. . . . . . . . Lot : 152 Zoning. . . . . . . R-12 PD Remarks : Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM a OWNER.: ELECTRICAL CONTRACTOR: DON MORISSETTE HOMES BEAR ELECTRIC 5000 SW MEADOWS RD PO BOX 389 28085 BUTTEVIL]'E RD NE DARE OSWEGO OR 97035 DONALD OR702() Phone # : 620-7538 Phone# : ��-1 Re # . . 20AX9 rl e o upervis g ectrician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 got .r K i'V•ir1,I �, - r 1 ": YMIRIMIINM.e•...o.«rr�.. w..,.or sAtld'v'zr�u. ,�.. _ ... ...wr.i ..,,...n ....,..,w wrvrNM+wM+wl.,n MASTER 1.''E RM I T "1 CITY OF 71G'FARD DATE.IISSUED: . 09/17/9E,C7-0417 COMMUNITY DEVELOPMENT DEPARTMENT 13125 BW Hall Blvd.Tigard,Orpon 97223.5199 (503)639.4171 PARCEL: SITE GADDREESS. . . : 13`E b 5W 1+1(ARC I A DIR .SUBDIVISION. . . . : CASTI-E.• :-BILL NO. 3 ZONING: R- 12 F'D LA L.C)CII.. .. . . . . . . . . . 1...(Jl.. . . . . . . . . . . . . Remarks: Path 1 ' -----------------------------------------•----------------••----- BUILDING -------------------•--------•------------------------------------ REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------- CLASS OF WORK.:NEW HEIGHT........: 28 FIRST....: 1226 sf GARAGE.....: 660 sf LEFT..........: 5 SMOKE DLTECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1474 sf FRONT.........: 20 PARKING SPACES: I TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 6DRM: 4 BATH: 3 TO'UL-- ---: 2700 sf VALUE-$: 192299 REAR........... aP � --------------------------------------------------------------- PLUMBING --------------------------------------------------------------- SIMS.........: i WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.,,,,,,,,: 0 LAVATORIES....: 5 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..: 0 UB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 -------------------------------------------------------------- MECHANICAL ------------------------------------------------.--------------- a FUEL TYPES----------- FURN ( INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS...... 4 CLOTHES DRYERS: I /G5/ / / FURN )--INK ..: 1 UNIT HEATERS.. : 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: t -------------------------------•----------•--------------------- ELECTRICAL ------------------------ - - - —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--- 1000 SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 Rep..: 0 W/SVC OR FDR..; 0 PUMN IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDA: 0 SIGN/GUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 6 401 - 600 amp..: 0 401 - 600 amp..; 0 EA ADDL DR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 alp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 --------------- ----- ----- ----- PLAN REVIEW SECTION --- ..---------------------------- - Reconnect only.: 0 )=4 RES UMTS..: SVC/FDR)=225 A,: > 600 V NOMINAL: CLS AREA/SPC OCC: ----------------------------------------------------- ELECTRICAL - RC-IIRICTED ENERGY ----•----___-_------__------------------------------- A. SF RESIDENTIAL--------------------------- S. COMMERCIAL----------------------------------------------------------•------------------_ F0010 6 STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....; INTERCOM/Gf4GING: OIITLOOR LNDSC LT: BURGLAR ALARM..: 0TH: X BOILER.........: HVAC...........: LANDSCAPE/IRR1G: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA!TELE COMM.: NURSE CALLS....: TOTAL M SYSTEMS: 0 Owner: ______-.-----.------------------..__.._Lantractor: ----- -------------------- TOTAL FEES:$ 3044.71 DON MORISSETTE HOMES DON MORISSETTE HOMES 5000 SW MEADOWS RD 5000 514 MEADOWS RD SUITE 151 i LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035 Phone It: 620-7538 phone N: 620-7538 Reg N... 35533 chis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other • ' + applicable laws. All work will be done in accordance with approved plans. This permit will eypire if work is not started within 180 days of issuance, or if work is suspended fcr more than 180 daye. -- ---- ----- --------------------—-----.------------ REQUIRED INSPECTIONS --------------------------------------------------- rooting ----------------------------_ ------..-_-._.------rooting Insp PLM/Underfloor Framing Insp Gas Fireplace slater Service In Building Final Foundation Insp Mechanical Insp Shear Wall fns Insulation Insp Appr/Sdwlk Insp Erosion Control Post/Beam Struct Plumb Top Out Low U e Gyp Board Insp Electrical Final Post/Bean Mechan Electrical 5 vi F• _place Ins Rain drain Insp Mechanical Final ' Crawl Drain Electrical R h as Line Water Line Insp Plumb rival ' I e: m J.1; t;F ei ,.;i.y n r.T t 1-t r,e : _ I s I.t e d Fl V : f �/ Cal for inspec�tion - 639- 4175 I t t y , 77, SEWER CONNEETILIN CITY OF TIGA,RD UEDM J PERMTT # . . . . . . : SWR96-0428 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSE - 09/17/96 13123 SW Hall Blvd.Tigard.Oregon 972234199 (503)639.417'o PARCEL: 2S104SA—C3151_' SITE ADDRESU. 13566 SW MARC,'IA DFR 5UBD I V I S I ON. . . . : LAsTLE. HILL NO. 3 ZONING: R D . .. . . . . . LO I.. . . . . . . . . . . . . . I TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0 CLAISS OF WORV\. . . :NEW DWELL I NG UN I TS. t TYPE OF USE:. . . . . :SF NO. OF BUILDINGS: I I N 93T A I .L TY 1—'1*---. B U 5 W R te) i F Remarks: Path I Uvonet'. FEES DON MORISSir.TTE HOMES -type alnol.tnt by date t,ec,pt 5000 SW MEADOWS RD PRMT $ 2200. 00 JMH 09/17/96 96-284060 1 1\4 S P $ 35. 00 JMH 09/177/96 96­2840GO LAKE OSWEGO OR 97035 Phone #: 620-75:&B Cant ract ov-: CONTRACTOR NOT ON FILE 223 5. 00 I-OTAL REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulation-, Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total arount 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 11 purchase a "Tap and Side Sewer" Permit and en will 1 11 a lateral. I-e V-M i.t;t e e 1 1.t I-Ar, I s i.ted By - fall -for inspection 639--4175 17 r Plan Check# _ y CIT`d OF TIGARD Residential Building Permit Application Redd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd -a TIGARD, OR 97223 Single Family Detached or Attached Date to P.E. - JI 939-4171 Date to DST c - /Z Print or Type Permit#Called Incomplete or illegible applications will not be accepted Name of Subdivision Lot# �. Name _ r Job t S •Ad ress Architect Matting Address Address c� G , J Name �Ity/State C Zip. (arn(� :: �..Zy� _ Owner fin Add �- F Y ilylst is Z' PhEngineer , nq x r g� Msill dsg�_�v me f < 'Qty/state ip Phy e General �1 Describe work new• addition O alteration O repair O Contractor sill Addre s to tit,done: L- ° 1 Additional Description of Work: � I - City/$t8te ,t Zip Phone v k�nt--t.e Ore n con -��Conit.Board Lia# . ate Attach Copy of L)75� 9?) Project Current COT siness Tax or Metro# Exp.Date Licenses Valuation Name NEW CONSTRUCTION ONLY: Mechanical Sq.Ft. Howe: Sq.Ft.Garage: Sub_ Mailing Address Contractor ? c' ` Corner Lo,. Yes No , Flag Lot Yes No { I /sta Zip Phone (check one) (check one) Restricted Audio/Stereo Burglar Oregon Cort t.Co, t. and Lie.# Date Energy System Alarm Attach Copy of , (`_C Current COT Busi a atr or Metro e E .Da Installation Garage Door HVAC Licenses rQ / G x Opener Systems Name (check all that Other: Plumbing �. \ . V �a�ti' apply) Sub- Mailing Address Will the electrical subcontractor wire for all Y No Contractor (lb 2 �? restricted energy installations? City/state Phone Has the Subdivision Plat recorded? N/A V-s No Oregon Const.Cant.Board Lie.# Exn..D Reissue of MST# Solar Compliance Attach Copy of -7L-I' ) G ' --' (Calculation Attached Current Plumbing Lic.it - Epp. at I hereby acknowledge that I have read this application,that the 6 Licenses - 1 /e information given is correct, that I am the owner or authorized agent of ; I I C'T Busine&A�as r Met oA Exp.Date the owner,and that plans submitted are in compliance with Oregon �[ �1 State laws. Name ture of Owner/A nt pts 1 Electrical I_r ��Yl ` tact Person�mU I phpne Sub_ Mailing Address i ( i Contractor 1?�' �, j C� FOR OFFICE USE ONLY: S11 tate- i, qlp , P Plat# Ma I regon Const.C n ,Board Lie.# Fxp.Date _ 7 1 Attach Copy of (,: - C � Setbacks Zone: Solar: Curtest Electrical Lie.i C •� *Exp., aLicenses ��-COT Bus)n Tax oL Metro# Engineering Approval: Planning Approval: TIF: ( tslmstapp.doc � r M ..fSYet .wa.y„ranr*nypp +, Mvr"4:ry�s7rMw ' , 1{ e il Pg[mIS Account D .c .riotion Amount Amt. Pd. Bal. Due T %•o / MST. Permit (BUILD) C) to S r STj Plumb. Permit (PLUMB) Mech. Permit (MECH) r-- ELC/ELR Permit (ELPRMT) �r-- State Tax (TAX) Bldg: 55 Plumb: z �� i Mech: , ELC/ELR: ' Plan Check PV MST: S d' -V� (BUPPLN) o232 ,r 5-;Ie Plumb: (PLMPLN) Mech: (MECPLN) r 2 �� x!. .r CDC Review (LANDUS) e , -o Sewer Connection (SWUSA) v av Sewer Inspection (SWINSP) 33— Parks 33—Parks Dev Charge (PKSDC) — Residential TIF (TIF-R) Mass Transit TIF �r�� (TIF- 1 ( MT) Water Quality (WQUAL) Water Quantity (WQUANT) G el G Erosion Control Permit (ERPRMT) �6, c� Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) epr.-to Fire Life Safety (FLS) TOTALS: i`,dsWmstapp.doc �- 1 Box B. continued box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If ,. ft the lot slopes down from the front lot line to the foundation, the figure,is negative. 3. Measure distance from finished floor elevation to the affected peak/eave. + —P ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, - —Q-- ft deduct nothing. Zgj - • 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. _ ft 5. Total figure for box B: ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the ` ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + ft 3. Total figure for box C: ft It is most useful to draw a vertical line to represent the appropriate figure found in box'A"and a horizontal line to represent the appropriate figure found in box"C". The intersection of the vertical and horizontal lines determines the value found in box 'D".The value in box"D"should be compared to the value in box"B"; if the value in box"B"is less than or equal to the value found in box"D",then r h' the building is in compliance with the solar balance code. If ycu have any questions, please contact us at 639-4171,x304 or at.the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Fest) Distance to North-south lot dimension(in feet) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot llnpr' 70 4 40 40 41 42 43 44 65 13 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 50 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 40 28 28 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 26 27 28 29 30 31 32 33 34 r 25 22 12 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 ' 14 14 14 15 16 17 18 19 20 21 22 23 2-1 Box D. Maximum allowed shade point height: feet h:ldocslna n cyWe n to ralsc l a r.ch p Revised 2/26/96 h Solar Balance Point Standard Worksheet f Add ress t 5 Cal,' Cn.A. MAR12,IA Dr. Box A calculations: North-South dimension for the lot. Box A: ' This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. N�oaTrHEu,EaN t N / North-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. feet t N G.7 NORM40111H OVAENSION� Box B calculations: Shade point height fer your residence. Box B: 1. Determine"nether measurements , All be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements will (circle one) Eff be based on the peak of the roof. ❑❑❑❑ M` "a'"'-0111 1A 1B 1C 1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based on the eave. i SHAN POINT EA%C i 1c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements will be based on the peak. w�o 9 i i ayv�tw� kMry :..,'WA+RtC1i s��.'uM!'-�`.�+f�� 'W'/Fa15pPh N11,r?;q ;j�l'f1�.'N14?AUilF.nYA 1WF.1ttlM33M R`sU '4 dam, MrywM, v m+r,;*. FRCd1 :F 1 R•ST WER 1 CRN TPNRSBRI J TO 6036107485 19%.09-04 OF-0:ata #357 F'.04. 017, }, 61461 =' r�!.�!l:..h3466 � � �_�•�'�,.;'C t56��j��,l, ��� �,�� �?3r�;,'t •+!; �of F,'..' Y:',? ��I,,'. �� .•,r':. Vit : �� �' ■ Credit No. .�+a;' ■ Data issued:_q__L1 77AMC IMPACTFE>r ■ CREDIT VOUCHER r y In accordEhce with the Traeic Urpact Fee Ordinance, Matrix Development Corporallon r is entitled toy((p in Trs•�frc lrt cact Fee Credits thet cFn be applied to TI:-charges a, on Ict(s)68 131 of that Castle i-.*Rl No. 2 Development. The use of 71F credits are subjBc. to the rules and limitations of the 77F Orcinence. WARNINGS ' f. !, a This voucher must„e prssanted at the time of issuance of the 2uilding Permit, or if deferral a kas granted issuance of an Cccuor?ncy Fermit. MATRIX CEVE-10FM5N7,"ORF0RA7i0N hereby assigns all its right, ::;.•,, title and interest in and to ttat certain Traffic Impact Fee Credit to be granted !; 'ti\ upon the lssuEnce of a building permit for Lot r' CAME N!LL NO•?suhdiv:sioA Washington County, Gregor, to theorCar at. al, i r7ia assionmert of i ra lic!npact Fee Crac7t is .made and;ivor, this day of eCr,�ler 19 Flo "^ MA TR IXCEVS'LOFMEN7CCRP 0 RA 71014 "'•:s'' an Oreson Corporation Title or Position y8TV::I_� '•'�t�t 'iit'?l1Ti. ��'„ /,:.'j�S3S fit,;Ott �6•`:•; (+ �ii.'6y...ltl'��••( •: . ,I,t� ,� �fe' Y t �S't � ;+' i 't •: � t, f• „ , r. i,.•irtar ./` ^�". 6 u t rr i •t' Y' �� 4 Sir„ J. S 4.tfa t .0Si x.� WOW... ........... R• t „ ..�.... .. _...,,ter IN 1 r 12 August 1996 CITY OF TIGARD Centrex Construction OREGON 8250 SW I-lunziker Tigard,Oregon 97223 SUBJECT: TIGARD FIRST BAPTIST CHURCH Four sets of plans for the new Sunday School facility located behind 11075 SW Gaarde St. were received without plans for site-work. I have routed the plans to our"hold"area until site-work i plans have been received and the required contractor information(also needed for Centrex) is returned with the permit application. I have mailed an application for site-work to John Matteson. Site-work includes all paving, grading,handicap access improvements,landscaping, exterior lighting, signage,retention, private drainage systems(catch basins,etc.)private water and fire lines and any improvements made to the site to serve the new structure. The former medical building moved to the site will be reviewed as building material and is subject to current building code as determined by the Plans Examiner and Building Official. Permit issuance for both the structure and site-work will be subject to approval by the City of Tigard as well as the Tualatin Valley Fire and Rescue Fire Marshal. I { John Matteson has noted on his plans that sub-trade work will be applied for by the individual '' contractor involved. Each of your sub-contractors will need to provide three copies of plans,a i specialty application and copies of their CCB and specialty license from the State of Oregon, plus either a copy of their City of Tigard Business Tax Certificate or a Metro Business License. Also,a new address will be assigned to the Sunday School Building for purposes of identifying the location for building records and emergency vehicies. Please feel free to contact me if you have questions. Cordially, u N Jean Heitschmidt, DST(extension 361) �'✓ Community Development(extension 304) c: Mark Roberts,Planning Department'- Jim Funk, Commercial Plans Examiner �'�� ( �, 4 Enclosure �0 04 /h:DST/I BFTST/jmh091296 VV\ 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 i DON • MORISSETTE 801[ 11 INC08P0HATIRD 6000 LV. YDAD0wa ROAD 1DITI 161 L A W 2 0 1 . 1 0 0. 0 R I a a 1 0 7 0 3 6 (608) 010 - 7666 FAX (603) 600 - 7 . 66 OBE : 1448 Cot. Elev. • 2 LOT: WooDATE: 8/'21/98 Oak"3 Cab nets CITY ER : CASTLEHELL-3 3 Gar Garage SCALE: 1"=20' TIGARD Cptto+'iI Bath PLAN No.: 118A TAX NO.: ZONE: - 135�o .UJ. MARCIA Dr. ;r 8fdewa Ik z85�0' 25.4 ' bralp �• � � � � �S�4./ 201. a ,Concrete Driveway 9 I 283.0' 02 2 r•;, i - _ - 15' I' 5-II 660 Bq. �t. 3 car gar. '. 14' Fr.E. 283' 10' 4 bdrm. �.4 bath 22 I - FF E. 2835' I j 1 112 -1.0' 4L 10,J4. 284.0' l i j �— --- - - -- --- -- j 9 Lot size say .q. rt. CAS, lot erosion control 157 ; ft I bio-bags and hay 288.00' 284.00' (00.00. N � rw aur.•.. .W 6G,,-�u r,�.,� •.7.Si t ia� .,. �� �'V � '� a r o7 � �_,� I '} p t. 77 , r v • ..m....-+ay.r••n.an M..,.. :•.... ,._ ..,.-r.: ..,. ...., :dfi1A I ae.+d°°?!AtWl 1JY+1MIk I I C:.1 T Y Clf. f J[3Fafa1? FaF.L:k. 1 F'T tJf' 1-114 Mt::Pd i Fitt l k..k V,1 NO. c 96- 1.:840616 I 1 tIf l:;K NM1 JON 1' r `tiWt 1. !I NAMF, PON MOR 11:0:A I I E. I'1►!it1 fdM1N.li`I f . 114. 00 !, � �1J5kl►fizt r 1•, plt N l i raa I t I o`4 k !a`f, tA.1B )tV1':i1I.JN y { tJOYMEE:N T AMIJUN( 4-1H 1 J) F'1MW't:lS : C)F I':?YPW.N 1 0140 IN 1 i•='(1 l c BU I l I N111 V-4: 4111 T W5.50 11L IJMWMG F'ti'WM 111+1 MFEHANJC101. 1'I 4,-,1.00 f:I...Ir.(,TR7;t:O4L F'RiHMl'I Fal'. BUILD F•rF.f `'V4. M BUk!~,MNO, FLAN I-HE-:1.,1•: � t MFS 7441-lNIl ill. V,r(41,4 C;I'4F"4::K 1 t » i-tj Lf-IND USE' (04)L SEWER USA ;'.r`''1�1VI, I?IN �AFMF•:FT kN!:i1A.A.-1 � I=IAFOIS SM J 01M. OIA WO 1411111141 1 f Y 1 F1+'L L 1 I Y I F:t 1+'���• ' r"kOf-i t fTN 1,ON 1 RO1_ VI PM 1 T f Fl:- 64. fr 0 !-FV IS l N L IN T HI ll. ll..{)N 1:)', ir:O.. t-.ROF T.'JN (JAN IFalIl. 'ko, klo MR-1 alfa,—04 t i, S4lR':I AA4 6 1il1111 AMI!►.JN'I F4111) ) "'yQtJ. 71 �Iwn aw.M.'..?sY1tM/RRA,IFfT''.•^^'T�yi'+�!�' ....-.�.. �... � -......_.......�r....rw�+r..- -..Jti�.-..a__.,�..�_ .... r.....,.. .,.`• .~'�'.... Y ' 1 I! A OV 711'Ir•I141+ IfI: I' 11 1 ll!- I-'fIvME:N l M I k 111" Nl1. s'?t.,- "43114 r G1-11_C;I4 141101.1N`I a ti:.`'ifta» 00 NAW. 4 DON HIJt+'IF J INC, C;fa'3t'1 AMOUNT x 0.rao ,i�I�r�F fid x 15000 4;W W.ADOW11-: Fa1JOD, #151 F'F1YMF;N'F DDE: 'Pf'_19 k�tlF)FJtt1IC3lI-)Ht a LAKk- f lsiWt.T 0, CPR 9�`1i'1:3°:i- flMCILII'J'I r!i�I.to F't.t1'r1't l`i1 (If- l l(VeRli hd 1 f 11vi1 lUN I 1 4111) 00 a V4.AN r>4F;K F E,.v.g T''i,l1a f v 1 I i 11 I,,. s 6-64R-68R ►17"Frd- AMOL114 T 1-'F 1 1 1' 1 J "r1» VIVI r ,