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Permit ° ~ CITY OF TIGARD BUILDING PERMIT )1 - PERMIT #: BUP2008 -00141 COMMUNITY DEVELOPMENT DATE ISSUED: 6/20/2008 TIGARD , 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126CB-00500 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: MACY'S . 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: 2N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 1,979 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 400,000.00 Owner: Contractor: MACY'S DEPARTMENT STORES INC. HOWARD S WRIGHT CONSTRUCTION ATTN: PROPERTY TAX DEPT 425 NW 10TH AVENUE #200 7 WEST SEVENTH ST PORTLAND, OR 97209 CINCINNATI, OH 45202 Phone: 513 Contact #: PRI 503 - 546 -6180 FAX 503 - 546 -6181 Reg #: LIC 164711 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 4/25/2008 $982.13 [FLS] FLS Pin Rv 4/25/2008 $601.48 [BUILD] Permit Fee 6/20/2008 $1,508.20 [TAX] 12% State Surch 6/20/2008 $180.98 (additional fees not listed here) Total $3,752.79 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. Issued By «`, T l •ermittee Signature: �� / / Sim 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. ' ri 1 Building Fermit Application ;; FOR OV t ICE : 151 ()NIA - City g of Tigard Received Date/I3_ �i7/ C. Permit No Q '(,,'• L co 13125 SW Hall Blvd., Tigard, OR Fy nn Plan Revte �i7� • ' C Phone: 503.639 4171 Fax: 503. ; 8. ` . l 7Ow DateB . ilf V j Other Perron `` T l c. n It 17 Inspection Line 503.639 P Date Ready : Juns ® See Attached Checklist for Internet: www.tigard -or.gov A �WS Notified/Method Supplemental Information NI Of TYPE OF ln REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction \ e Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement Cher: man 1- , nnp r. (TI equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRU ION 1 work indicated on this application. ❑ 1- and 2- family dwelling omercialIindustrial Valuation: $ m ID 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: Y1 LcS /wash., SUG1r'e A. 3O O S W Wets , S=6, New dwelling area: square feet City/State /ZIP: T t.g a r I1 0 7 23 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: c 44b j,j , ULt re, . _ t i I Covered porch area: square feet ' . L '� Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Mac 8 ' k +'e-J Lot no.: f t'p Permit fees* are based on the value of the work performed. Tax map /parcel no.: (S 1 2.6. L. (3 — 500 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. (T I) Te lket vt+ / YvI /9YU 0 e I/YI a h+ Valuation: $ /4 /66) 00 Existing building area: ay5 -, ()0D square feet New building area: C s ' ) square feet ❑ PROPERTY OWNER ' )]"If NANT Number of stories: CSC Name: Knot t`_ yo Tb ri /tux/ r4 Type of construction: Tt Address: /6 0g3 3 r-J a ire l F-(,x) C Occupancy groups: City/State /ZIP: Seo..ff(a -. j (A)G, C i 8 1Es' l Existing: AA Phone: (ak%) Sp 6 7 v $ O Fax: (a06) 57)6 76 K / New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: c,,) l ( I I aYV1 ' b 11c- Q , All contractors and subcontractors are required to be Contact name: l l l(l y►1 �p I K licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: q 14 1,I0e4erv\ a u-C ) S-re. SS S- jurisdiction in which work is being performed. If the City/State /ZIP: 5 l U C 8 I o Li ap an is exempt from licensing, the following reasons Phone: ( ao6) 6 2.2 -:$ L/ 3 Fax: :(aOO 6 22 - 8 - 031 E -mail: b i l l @ w f° 1 k. C Om (o+ j U -GIc(@ w'Po 1 k. C.O,NI CONTRACTOR Business name: ( e f. _ _ a 4_ r c �^ A J A c v j S k/ ( „ BUILDING PERMIT FEES* L a Address: lVA/ f Oth,V / N r K ZO C J O (Please refer w fee schedule ff City/State/ZIP: lire/. � (/ R / 7z0 / Structural plan review fee (or deposit): I�(a ( f 3 ) , - (� / $(,/ I g 1 FLS plan review fee (if applicable): ( j -61 Phone: Fax: ( )3 ) s �� �/ Total fees due upon application: C,/t Amount received: 15 V O(Q J� 5 � CCB lic.: q / 6 7� v \ Authorized signature U I I ` - This permit application expires if a permit is not obtained within 180 days after it has been : cepted as complete. Print name: W t l t t a vv` PA. Po IK , F. A. I I. A A. Date: 4 /-z4.. /ag * Fee methodology set by Tri -County ing Industry s. \ 5' CITY QFTIGAR BUILDING DIVISION PERMIT #:. 3UP2008 -00141 13125 SW , Hall Blvd., Tigard, OR 97223 !. DATE ISSUED: J2O/2g631; Phone: (503) 639 -4171 /8 401 I • nspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE:, 213/2009 TIME: 7 : 00AM PAGE: 24 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: ,SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME MACY'S DESCRIPTION'. TI', OWNER: MiACY S DEPARTMENT STORES INC., PHONE #: 513- 579 -7567 CONTRACTOR: HOWARD S WRIGHT CONSTRUcTI;ON PHONE #: 503. 546 -6110 Inspection Request Scheduled For: Date :. 2/3/2009 Pour Time: Code # Inspection Description "'Confirm # Contact -# Message 299 Final °inspection 080202 -01 603 - 702.0.780 N Corrections /Comments /Instructions: • • • • • • • • • • jmac . PARTIAL APPROVAL • ❑ CANCEL • NO' ACCESS • . ❑ `FAIL CALL FOR INSPECTION ❑ ADDITIONAL.FEES,ASSESSED AMP �, 0 Phone #: (503) 718 - Inspector: _ Date ( ) ` n i 1 ■ • ,„,,:' ,::•)- CITY OF TIGARD _-. +t • . BUILDING DIVISION . A , PERMIT #: , Rif:Y.)008-00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 70no08 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE 10/24/2008 TIME: 7:01A PAGE: 25 SITE ADDRESS: 0930n SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MAcV'S - DESCRIPTION: 1 OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 613.679_7667 CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION 1 , is PHONE #: 503-546.6180 n , . Inspection Request Scheduled For: Date: 100412008 DIE Pour Time: Code # Inspection Description .Confirm # Contact # Me 299 . Final inspection 077133-01 503-799-8726 Y , r......... ___.— Corrections/Comment. i nstructions: . ec5 p_ f.; , divrisi-mAis i 4 / -- OxiA s - 0 ( e A o'v>'c-- 1)/ a /, liekg' 04,07 ., • hr 1' 5_&44,. v , . . . . . i( a7a - 2- 6 04 1 I A/ a ? 0 . 1 2 " Tiff j a. -.----- .----- / P.- / 7 PASS : El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS o , *FAIL 'U 1 I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ibiZ4 Inspector: _ Date: i /6 V '2.(.(21/4-i Phone #: (503) 718 _ . CITY OF TIGARD 0 ' . 7 BUILDING DIVISION - ' - ' - PERMIT #: BLIP2008,001(11 13125 SW Hall Blvd., Tigard, OR '97223. . DATE ISSUED: 6/20/2008 P l l& v Phone: (5 - 03) 639-4171 - ,. 4111:- Inspection Requests (24 Hrs.): (503) 639-4175 0 INSPECTION WORKSHEET FOR _DATE:. .9/25/2008 - TIME: '7:00AM PAGE: 40 . . SITE ADDRESS: . 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION:, WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME:. - DESCRIPTION: M ACS - n . •• , . . • , . OWNER MACY'S DEPARTMENT STORES INC., PHONE #: 513 79_7 66 7 CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION ' PHONE #: 603_546.6180, Inspection Request Scheduled For Date: . • Roar Time: 9/25/2008 Code # Inspection Description Confirm # Contact :# Message 276 Framing , 075895-01 583-518 5382 . N Corrections/Comments/Instructions: . , • , A__4s1„ i_21.._... , ti b lo L_ ---- . . _ ( • . , . . . . --- .. .. . .. , . . . - . ._ . . . 17 PASS P WI ARTIAL ARRR07 0 CANCEL 0 NO ACCESS ' - fl FAIL. • 51 ALL FOR INSPECTION' n ADDITIONAL FEES' ASSESSED r . - -*11111111 - Date , 4.S Inspector: A . 4 4,_______ _ . . ' 0 Phone #: ' 111. ',_ . • (503) 718 2. CITY OF TIGARD BUILDING DIVISION , , PERMIT #: BUP2(308.00 oA1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/ 20/21 6tF Phone:. (503) 639-4171 401004 (I I , Inspection Requests (24 Hrs.): (503) 639 -4175 1.!... INSPECTION WORKSHEET FOR . DATE: 9/24/20 TIME: 7 : PAGE: 43 • SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MACY'S DESCRIPTION: 1'1. . OWNER: MACY "S DEPARTMENT STORES INC., PHONE #:. 513- 579.7667 . CONTRACTOR: HOWARD S WRIGFIT CONSTRUCTION PHONE #: 503- 546 -6180 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 27 6 • - Framing 075828 -01. 503 - 519.5382 N Corrections /Comments/ Instructions: it .,� �.— � .4.... {— c — ,R � c__ i - e, .. - -tour 7 _ l ` PLC. Z - Lf• • • ❑ PASS 4 PARTIAL AP L ❑ CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 0 toe 0© Phone #: 503 71.8- 1 Inspector: Date: ( ) __ e CITY OF'TIG R TIGARD 4110 , 110 .BUILDING DIVISION PERMIT #: BUP2008 -00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5!20]2008 Phone: (503) 639-4171 0 4q, d �� m' NP ���� �Ili , Inspection Requests (24 Hrs.): (503) 639-4175 .,,. ` _ . a INSPECTION WORKSHEET FOR DATE: 8/12/2008 TIME 7:00AM PAGE: 24 SITEADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MACY'S DESCRIPTION: TI. OWNER: MACY'S DEPARTMENT STORES INC, .' PHONE #: 513-5794667 CONTRACTOR: HOWARD 5 WRIGHT CONSTRUCTION] PHONE #: 503-546`6180 Inspection Request Scheduled For: Date: 9/12/2008 Pour Time: Code # `Inspection Description Confirm # Contact # Message 287 Suspended ceiling 075410-01 , 503-519-5382 N Corrections /Comments / Instructions: 1 (,iL L/ !l) 451. T , L 6 C--/ N (- • Cam' -c t o:_� p &I Z -c7 A-cLc -'4- i • n PASS r . °t : s ± ° ° e • ° ❑ CANCEL ❑ NO ACCESS El FAIL : • - 1 SPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - 6 (r CITY OF TIGARD ' • BUILDING DIVISION PERMIT #: BUP200BB00 r s41 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/202008 Phone: (503) 639 -4171 esdloweil l l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE:. 8/28/2008 TIME: 7:OOAM PAGE: 48 SITE ADDRESS` 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MACY'S DESCRIPTION: 11. OWNER: 'MACY'S DEPARTMENT STORES INC., PHONE #: 513 - 579.7667 CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION PHONE #: 503.546 - 6180 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 285 Di call nailing 074759 -02 503.519 -6382 N Corrections /Comments /Instructions: _Caiefb1,,,LA _ • • • PARTIAL APPROV, ❑ CANCEL ❑ NO ACCESS g FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: e 27l 12e, Phone #: (503) 718- I\ - • CITY OFTIGARD • BUILDING DIVISION • - - PERMIT #: RW2008-00141 13125 sa Hall Blvd., Tigard 0R97223 • 'DATE ISSUED:, 6120/2008 • Phone:, (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR • DATE: 8/28/2008 TIME 7:00AM PAGE: 49 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD cLASS OP WORK: • SUBDIVISION: WASHINGTON SQUARE LOT #: • • ' TYPE OF USE: PROJECT NAME: MACY'S , DESCRIPTION: TI. OWNER: MACY'S DEPARTMENT ;STORES INC„ PHONE #: 513 CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION PHONE #: 603 • Inspection Request Scheduled For. • Date: 812812008 Pour Time: Code' # Inspection Description Confirm # Contact # Message 275 Framing 0 074759-01 5/23-515.1 Corrections/Comments/Instructions:_ " t • - T ' • • • • I PASS 10' 'ARTIALAPPROVAL • LI CANCEL I I NO ACCESS • fl FAIL CALLTOR, INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Date: 19c5 Phone #: (503) 718- lib -. ,., .. • CITY OF TIGARD 41). . • IIUIL DING DIVISION . . PERMIT #: 2.,• _ Arl2q'svv Hall Blvd., Tigard, OR 97223 DATE ISSUED: : 6/670/22000:00141 li'horl'e: (503) 639-4171 : tOsii I il ririspection Requests (24 Hrs.): (503) 639-4175 „. „.._A . t -1.. :.„ INSPECTION WORKSHEET FOR DATE: 8/15/2008 TIME: 7: 00AIVI PAGE: '16 -f-r--,-4, : SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: • UBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: 94ECT NAME: mAcy.8 ;7 -0. . ks:i ;,.. :... — • (_•( ,- -,.. "Ng • .Z.'"•1 e. OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 5'13-579-7667 950NTRACTOR: HOWARD S WRIGHT CONSTRUCTION PHONE #: 503-546-6180 --,---,;-`,',-- • nspeation Request Scheduled For: Date: W15/200o • Pour Time: ,_ Code # Inspection Description Confirm # . Contact # Message •g'' f' : Framing 074223-01 • 503-519-5382 N , •, -.1 -+ . Correctione/Comments/Inetructions: • • ' ,-c t s ..c. --...--1 0 2 • N . , • 6-1 fe-/ ( .e---lek(65 3 1 _1 • . . , . Nim PeAr to - 1 H7& A-.5si--iiSt.-( L) L. n PASS . .;if °ARTIAL APPROVA 0 CANCEL - n NO ACCESS n FAIL 0 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED L.LS---S— Inspector: , ■ . Date: e/ 0' • Phone #: (503) 718- 7 __. . %b. : . . CITY OF TIGARD 0 ., BUILDING DIVISION .• _.. PERMIT #: BUP2008- 00111 13125 SW Hall Blvd., Tigard, OR 97223 DATE ,ISSUED: 6/20/2008 Phone: (503) 639 -41.71 Veit • Inspection Requests (24 Hrs.): (503) 639 -41.75 ._ INSPECTION WORKSHEET FOR DATE: (!5/2AOfi TIME:; 7.00Av PAGE: 28 SITE ADDRESS: CLASS OF WORK: 09300 SW WASHINGTON SQUARE RD SUBDIVISION`. WASHINGTON SQUARE LOT # :. TYPE OF USE: PROJECT NAME: MACl''S DESCRIPTION: - I - I OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513 - 579.7667 CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION - PHONE #: 503 -546 =6180 Inspection Request Scheduled For.: - Date: 8/5/2008 Pour Timer Code #. Inspection Description. Confirm # . Contact. # .Message 287 Suspended ceiling 073720.01 503-519-5382 N Corrections/Comments/Instructions: -4011111' +g_ Alai _' • lot fr -=' L . y c____, l L &( p,.twf • • l ❑. PASS' . . MARTIAL APPROVAL. El CANCEL IPI NO ACCESS % ' ALL FOR INSPECTION, 111 ADDITIONAL FEES ASSESSED Inspector: Date: 6/1 . Phone #: (503) 718 - ''? • CITY OF TIGARD • . , .. . SUI DIVISION PERMIT #: RUP1008- 00141 13125 SW HaII Blvd., Tigard, OR 97223 'r'.... DATE ISSUED: 612012006 Phone: (503) 639 -4171 N�f�l Inspection_ Requests (24 Hrs.): (503) 639 -4175 ': _- INSPECTION WORKSHEET FOR DATE: 8/4/2008 TIME: 7 :03AM PAGE: 33 SITE ADDRESS: . 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MACY'S • DESCRIPTION: TI - OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513- 579 7667 CONTRACTOR: HOWARD 5 WRIGHT CONSTRUCTION PHONE #: 503.546 -6180 Inspection Request Scheduled For: Date: • 8/4/20083 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 073509-01 503 -519 -5382 N Corrections /Comm - nts/ Instructions: 41 , / � 1' ' . A „� I %� a i � ■ ��6o�r low_ e 1. � i P7 c t, ,,/ � cam` 4&..) 1M: 1 —C--- 7 • • ■ PASS . PARTIAL APPROVAL [I] CANCEL El NO ACCESS FA %® CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I IL ts / , Inspector: ■ D' Phone #: (503) 718 - 264 4 CITY OF TIGARD 410 BUILDING DIVISION PERMIT #: BUP2008 -00I it 13.125 SW Hall Blvd., Tigard, OR 97223 DATE. ISSUED: 6/20/2000 Phone: (503) 639 -4171 I /Oi miv °''d u0 iii Inspection Requests (24 Hrs.): (503) 639 -4175• ' p_.. . INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 661 SITE ADDRESS:. 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: . SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MACY'S DESCRIPTION: TI. • • • OWNER: IviACY'S DEPARTMENT STORES INC., PHONE #: 513- 579 -7667 CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION PHONE #: 50546.6180 Inspection Request Scheduled For: - Date: 7/17/2008 Pour Time: Code # Inspection, Description Confirm # Contact # Message - 276 Framing • 072778 -01 503-6,195382 N . . Corrections /Co entsllnstru,ti$on L Lt/ Ce c C ■,4,„ ...„. ( g ' . - iryi . 4 aii..6. W /q-is r)-),ea,--tor.....„ _,,‘‘ f,.,,- e_.0"-A-Q. . li 0-C.,- V--0 v4,4,e) tiove � ��u ' ' .,%6e . C' /-),- . / ' crz r • • AI ❑ PASS ti_ 'ARTIALP ❑ CANCEL ❑ NO; ACCESS n FAIL ❑, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: - 0 � Date: 17/ 1 -)/6 Phone #: (503) 718 - 42-4