Permit . 'p _ -. _CITY OF TIGA BUILDING PERMIT
PERMIT #: BUP2008 -00356
' ° COMMUNITY DEVELOPMENT DATE ISSUED: 10/22/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 113AA - 00400
SITE ADDRESS: 16260 SW 72ND AVE B2 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK 1 LOT: 018 JURISDICTION: TIG
PROJECT: AMSOIL
Project Description: TI.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2 - HR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 55 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 150,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LN
PORTLAND, OR 97224 PORTLAND, OR 97225
Contact #: PRI 503 - 892 -0066
Phone: FAX 503 - 892 -0067
Reg #: LIC 66070
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/22/200E $768.70
[TAX] 12% State Surch 10/22/200E $92.24
[BUPPLN] Pin Rv 10/22/200E $499.66
[FLS] FLS PIn Rv 10/22/200E $307.48
Total $1,668.08
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/-- 41/11 111 %111 11111111
Issued By / —_ice ,,,- . - ermittee Signature: 73,A '
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Buil`dii 'Permit A lication �® Received
s FOR OFFICE USE ONLY
City of Tigard �a ` DateB : / r o � � Permit No `� /.
13125 SW Hall Blvd., TfkE Plan Revie i .
Ili - Phone: 503.639 F'dx: "503.598.190p r ' • ;•.. `'• D : `/ ! ' tj'' Other Permit:
TIGARD Inspection Line: 503.639.4175 .30 id G ( Date Ready ; : la See Attached Checklist for
Internet: www.tigard or.gov 0 ���(�a %) Notified/Method: Supplemental Information
T , �)�, I` '" "" "' ,�,��® REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value o the work performed.
❑ New construction ❑Demolition P
Indicate the value (rounded to the nearest dollar) of all
A Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I - and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /G / .... / A/ a New dwelling area: square feet
City /State /ZIP: / I 4 Q _ eNe 9 9 v..1 9 v..1 y Garage /carport area: square feet
Suite/bldg. /apt. no.: v /� Project name: 0 4 1 , 7 2 1 ... 0 ,, / Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/Ye . / _ipli vre- 41....� /Lh4l at-- .4.1,12- Valuation: $�.3v Od d
0 ?- Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: ✓
Name: PacTrust Type of construction: /A�
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: /
City /State /ZIP: Portland, OR 97224 Existing: Existing: `/` ,4D-d
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
� APPLICANT ® CONTACT PERSON
NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624-7755
E -mail: dennisp @pactrust.com
CONTRACTOR
Business name: �y� 4r l, ,I O . • / L �� J �dNSr ?mac 71 (p BUILDING PERMIT FEES*
Address: /�� (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �� tiA e �......74: • . Date ��ZZ /�O d
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\ Building \ Permits \BUP- PermitApp.doc 03 /21/06 440- 4613T(11 /02/COM/WEB)
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
•
711 gi
BUILDING DIVISION
a
T I G A R D TRANSMITTAL LETTER
TO: ��, IP DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
NOV 0 4 2008
FRO M: /V1 - O L-5 o - i �,-/ 1 s F2A 1 CITY OF TIGARD
BUILDING DIVISION
COMPANY: .k - S 7 --
PHONE: 503 - 3 0 - 1 —'Z-1 O j �n4a7r‘51-5 0A., c.Zs__) B y `6,7
RE: 16240 4w1v� . - a 7--- 6, _3s.
(Site Address) 'ermi ase 1 um,er
e [nnS o t L_ oject name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: _ De 'ption:
Additional set(s) of plans. Revisions: A ,h6/t CICS ,
Cross section(s) and details. Wall bracing and/or latera4 -' nnalysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OF IC USE ONLY
Routed to Permit Technici : Date: (1 10 Initial)
Fees Due: ❑ Yes o Fee Description: Amoun ue:
$
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes D/Vo ❑ Done
Applicant Notified: Date: Initials:
I:\ Building\ Fonns \TransmittalLetter- Revisions.doc 4/4/07
..- . ,
CITY 6F TIGARD
BUILDING DIVISION ii PERMIT #: BUP2008-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2000
Phone: (503) 639-4171 eltilii
Inspection Requests (24 Hrs.): (503) 639-4175 ...._49 mamma
INSPECTION WORKSHEET FOR DATE: 1/16/2009 TIME: 7 PAGE: 2
SITE ADDRESS: 16260 SW 72ND AVE 82 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE:
PROJECT NAME: At
DESCRIPTION: 11
OWNER: PACIFIC REALTY ASSOCIATES, 1 \ PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION s ) PHONE #: 5034)92-0066
\ leVLAjfi`((
Inspection Request Scheduled For: Date: 111612009 Pour Time:
Code # Inspection Description Confirm # Contact # Messge
!
299 Final inspection 079755-01 503-956-6290 i y
orrections/Comments/Instructions: r)
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Inspector: Date: Phone #: (503) 718-
, :
bITY OF TIGARD -, .,
BUILDING DIVISION
PERMIT #: 6UR3008-00356
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2008
Phone: (503) 639-4171 4 41101li;
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/240008 TIME: 7 PAGE: 2
SITE ADDRESS: 16260 SW 72ND AVE 82 • CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: Um TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: -
OWNER: PACIFIC REALTY ASSOCIATES, A PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503.8910%G
/( L4'
Inspection Request Scheduled For: Date: 12/24/2008 / Flour Time:
Code # Inspection Description Confirm # Contact # Me- age
287 Suspended ceiling 079213.01 S0-956 Y
__-----
Corrections/Comments/Instructions:
IP *ASS fl PARTIAL APPROVAL Li CANCEL TI NO ACCESS
1 I FAIL 1 1 CALL FOR INSPECTION rj ADDITIONAL FEES ASSESSED
Inspector:
d4*---- Date: I ' #: (503) 718- S'I/62-11
CITY OF TIGARD • _
. BUILDING DIVISION PERMIT #: B1 P2008
13125 SW Hall Blvd., Tigard, OR 97223 D E ISSUED: 10/22PE)09
Phone: (503) 639 -4171 ivvdyll nspection Requests (24 Hrs.): (503) 639 -4175 Al. A_.
INSPECTION WORKSHEET FOR DATE: 12/23/2008 TIME: 7:00Am PAGE: 3
SITE ADDRESS: 16260 SW 72ND AVE 82 CLASS OF WORK:
SUBDIVISION: OREGON F3USINESS PARK I LOT #: 010 TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: Ti.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 -892 -0066
ji
Inspection Request Scheduled For: Date: 12/23/2008 0, Pour Time: j'
,v "
Code # lipection Description Confirm # Contact # Me-: g:
287 Suspended ceiling 079199 -01 603-956-6290 Y
Corrections /Comments/ Instructions:
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❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VA CA's Date: \ 2/23/6
rl Phone #: (503) 718 - 2 r
p
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20013- 0036
13125 SW Hall Blvd., Tigard, OR 97223 (ji,„. DATE ISSUED: 10/': J ?008
Phone: (503) 639 -4171 avv� m
Inspection Requests (24 Hrs.): (503) 639 -4175 'I L.
INSPECTION WORKSHEET FOR DATE: 12/22/2008 TIME: 7 :00AM PAGE: 1
SITE ADDRESS: 16)60 SW 72ND AVE 132 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 0113 TYPE OF USE:
PROJECT NAME: Aivi SO1l_
DESCRIPTION: Ti. s L
PHONE OWNER: PFIC REALTY ASSOCIATES, #: 0 G
CONTRACTOR: MATTHEW OLSON CONSTRUCTION
91:34\a/ pol 4 l
PHONE #: 603 - 692 -0066
Inspection Reg Scheduled For: Date: 12/22/2008 Pour Ti.-
Code Lnspecfion Description Confirm # Contact # Me- - ge A I1A
287 Suspended ceiling 0791813 -01 603 -956 -6290 Y
Corrections Comments /Inst uctions: / / •
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FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSES ED
Inspector:
\‘ ' d Date: 1 d" 2/›
Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUR2008-00366
13125 SW Hall Blvd., Tigard, OR 97223 . _ 0, DATE ISSUED: 10/22/2008
Phone: (503) 639-4171 isfflittAI it
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET WORKSHEET FOR DATE: 12/19/20013 TIME: 7:00Am PAGE: 2
SITE ADDRESS: 16260 SW 72ND AVE 82 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE:
PROJECT NAME: ANISOIL
DESCRIPTION: j
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066
Inspection Request Scheduled For: Date: 12119/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 079166-01 603-966-6290
Corrections/Connments/Instructions:
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•
ri PASS U PARTIAL APPROVAL ' i _ , NCE_ 0 NO ACCESS •
I I FAIL ' CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
(..
Inspector: Date: 44,06 Phone #: (503) 718-
f
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Bup2008.003%
13125 SW Hall Blvd., Tigard, OR 97223
...14011iNiiil` DATE ISSUED: 10/22P008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ---:!-111■ a
INSPECTION WORKSHEET FOR DATE: 12/9/2008 TIME: 7:02AM PAGE: 2
SITE ADDRESS: 16260 SW 72ND AVE 62 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: Ti
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066
Inspection Request Scheduled For: Date: 12/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 078908-01 503-956-6290 ( ) MS.
Corrections/Comments/Instructions:
PARTIAL APPROVAL 0 CANCEL 1 l NO ACCESS
_
r
• FAIL / i t zALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
'''' ' ---- ------ c —____. ,-----, Dot/Z/46 Z C c7
Inspector: , Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION .., :-
. - PERMIT #: BUP2008-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2008
,
Phone: (503) 639-4171 :NtivAIII\
Inspection Requests (24 Hrs.): (503) 639-4175 ,,..„Jal■ 11.
INSPECTION WORKSHEET FOR DATE: 12/812008 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 16261) SW 72ND AVE B2 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 010 TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: TI,
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066
Inspection Request Scheduled For: Date: 12/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess.. - p/4
27i) Framing 07886401 603-966-6290
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Corrections/Comments/Instructions:
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41,46, CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Ph
Date: 1 .0, #: (503) 718- 247Y
____ 0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1O/22/2008
Phone: (503) 639- 4171'����n�u� "�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/118/2008 TIME: 7 :01AM PAGE: 21
SITE ADDRESS: 16260 SW 72ND AVE 82 CLASS OF WORK:
SUBDIVISION: ORF_GON BUSINESS PARK i LOT #: 018 TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: - I - I
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MAI THEW OLSON CONSTRUCTION PHONE #: 503-882 -0055
Inspection Request Scheduled For: Date: 11/1812008 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
220 Slab 078185 -01 503 -956 -6280 Y
Corrections /Comments/ Instructions:
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SS 1 I PARTIAL APPROVAL In CANCEL E NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: /6 /v4g Phone #: (503) 718- 292 3
CITY OF TIGARD
BUILDING DIVISION . . #: D11P20013 -60356
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2712008
Phone: (503) 639 -4171 U �"4'pi i
Inspection Requests (24 Hrs.): (503) 639 -4175 .c"�' `
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:O0AM PAGE: 13
SITE ADDRESS: 16260 SW 72ND AVE B_j CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE:
PROJECT NAME: AMSOiL
DESCRIPTION: IT
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW O ILSON CONSTRUCTION PHONE #: 503
Inspection Request Scheduled For: Date: 11/12/2008 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
205 Z7a.A..10....
07797401 5C23-5 IMP
Corrections /Comments /Instructions:
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ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: Date: Phone #: (503) 718-
CITY OFTIGARD 7 ....
.
----,- - - -
BUILDING DIVISION PERMIT #: BUP2008-0036
13125 SW Hall Blvd., Tigard, OR 97223 ' . . DATE ISSUED: 10/22/2008
Phone: (503) 639-4171 tioximpii,,11\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 16260 SiA 72ND AVE 62 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE:
PROJECT NAME: AMSOil_
DESCRIPTION: TI
OWNER: PACIFIC REAM' ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 603-892-0066
Inspection Request Scheduled For: Date: 11/7/2008 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
206 Footing 077819-01 603-956-6290 0 Mike
Corrections/Comments/Instructions:
r \/PASS n PARTIAL APPROVAL 111 CANCEL fl NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES SSESSED
I
Date: 1 t° JciA
Inspector: Phone #: (503) 718- )'
CITY OF TIGARD
BUILDING DIVISION #: P2,;,
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/22/2008
Phone: (503) 639 -4171 N , °"� �n1 i ,
Inspecti Requests (24 Hrs.): (503) 639 -4175 ! ' :_..
INSPECTION WORKSHEET FOR DATE: 11/5/2008 TIME: 7.01AM PAGE: 9
SITE ADDRESS: 16260 SW 72ND AVE U2 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK! LOT #: 010 TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 -892- 0066
Inspection Request Scheduled For: Date: 11/5/2008 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Mes /i -
1
205 Footing 077683.01 503.307 -2105 / V c„,,,
Corrections /Comments /Instructions: • VS-
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Inspector: I ector: t Date: 1 J Phone #: (503) 718 - —2,"\)).A
CITY OF TIGARD
BUILDING DIVISION #: BUP2000003�a5
13125 SW Hall Blvd., Tigard, OR 97223 ` . l DATE ISSUED: 10/22/2008
Phone: (503) 639 -4171 km a 0
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 16260 SW 71ND AVE B2 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 -897 -0066
Inspection Request Scheduled For: Date: 10/3.1/2008 Pour Time: q0
Code # Inspection Description Confirm # Contact # Message
• ittl iM'
205 Footing 07706 -01 503 -307 -2105 Lam
( rtions/Comments/lnstructions: ‘4102A)
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nspector: LA114111111. Date: Phone #: (503) 718 -
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