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Permit r - A t CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00646 • 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/12/2005 PARCEL: 2S102DB -00100 SITE ADDRESS: 08840 SW BURNHAM ST ZONING: CBD SUBDIVISION: LOT: JURISDICTION: TIG Project Description: TI, replace ductwork, relocate (3) VAV boxes, replace (2) VAV boxes with larger fan powered boxes, add (1) fire damper. Project Value: $28,000 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: • FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES VERIZON NW Description Date Amount 1800 41 ST ST [MECH] Permit Fee 10/12/20[ $474.50 PO BOX 1003 A \WA 010 4-LB [TAX] 8% State Surchar€ 10/12/20( $37.96 EVERETT, WA 98206 [MECPLN] Plan Rev 10/12/20( -$118.63 Phone: 425- 261 -5408 Total $631.09 • Contractor: HVAC INC 5188 SE INTERNATIONAL WAY REQUIRED ITEMS AND REPORTS MILWAUKIE, OR 97222 Phone: 503 462 - 4822 Reg #: LIC 50897 This 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 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 rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throu• • i A R 95 -§ -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or - 800 - 332 -2344. / sued By: • 1.1 . , JA../ Permittee Signature: \ a �VVhop� all 503 - 639 -4175 by 7:00 a.m. for inspections that business day. This permit rd 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. • • Mechanical Permit Application FOR OFFICE USE ONLY - . City of Tigard RECEIVE .A Re Date/By: d D M Permit No.: _ /0' /jl alf 13125 SW Hall Blvd., Tigard, OR 97223 v/` - ' � " �� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 I i Date/By: Other Permit: Inspection Line: 503.639.4175 OCT 1 2 2U L1J 4 *I I1 Internet: www.ci.tig ���� � Date Ready/By: El See Page 2 for c Notified/Method: ' / Supplemental Information CITY OF TIGARD a s 0 C ' P � .,,�, � .. -_ �� - �. 1�� -_ tee. �,. :015**ERCIAL FEES. S *t)-v E.;. USE- @HE@KLIST placement Mechanical permit fees* are based on the value of the work 0 New construction SAdditi4teratignA performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. s _n:: , °> �,::::._ ; :: V a l ue: �r =r, CAT'EGowei e STRTJ,CTIO li ~ g . co _ , R ESIDENT IA L E Q UI P"'... .�.,T.•.•,, / M ' ❑ 1- and 2- family dwelling 1-Commercial/industrial ❑ Accessory building ❑ Multi- family ❑ Master builder For special information use checklist. ❑ Other: Description Qty. Ea. 1 Total :; := �` y �'» ,., 3e 4*-foo ORIYIATIO" :AND`' LOGI z1TON :. ° :* r• <Y' g � �\,,P >.: ...._ „� .., ._.�-�:.,.. __ „ �<. ..,. .,.�,:�•,,,.> _� .�,.��� >"lT`' ".xx"��3 <� Heating/cooling G� ¢` L 1 Air conditioning or heat pump Job site address: C� Q"(0 1`� t LQ 141 (requires site plan showing placement) 14.00 City/State /ZIP: l R ct.iYr� Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: V 3, cj Gas heat pump 14.00 Cross street/directions to job sie: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 . Tax map /parcel no.: Other fuel appliances `" ".s & F. '""'"`'"''-'A .R _ Water heater 10.00 , O, \'V , t AWIP,TION .. •. ��.., ,,. .., s. .9 .:.r,r �...��,. .. •...• v,•,, .- , ; v... . -,, _.•. .4 'r' .. e «. ._, =3x_� .' "aid _ A ( p / I ,( G fireplace 10.00 C).-I1&) CL)C(S GLt.04 tC/Orl_ IA� Ir.91./1 e t) v r DCoLAZ Flue vent for water heater or gas • 3 vx1� y V / V & s " t V11-0 V ep lato_ Lu i fi replace 10.00 ((�� (S' Log lighter (gas) • - 10.00 O1A1-eA J b S 1 (, Q 1 t jie Wood/pellet stove 10.00 1 Wood fireplace /insert 10.00 Chimney/liner /flue /vent 10.00 ;- •: a;'; °;,,; •:, ,,,;; g x-: „,; . ; ; ;❑" -RI'1' UW,NER ` ..y `- ' „„ ,, ' TENANT ' => . r, -...- .mom- i,'• -_a s_�.;,,'•::a: „ _ "�=� *< _ . , .. __ - � ��, � = - _ Other: 10.00 - Name: V Q- I -?__—L?1(1 : .. Environmental exhaust and ventilation Range hood/other kitchen Address: equipment 10.00 ' City /State /ZIP: Jy ( )C4c LJ_ .0,- 6_l,.i . • Clothes dryer exhaust ,10.00 I Single -duct exhaust (bathrooms, - • • ” -” "- • --- • - • Phone: ( ) Fax: ( ) toilet compartments, utility rooms) ' 6.80: ',. ;,'s,:: aye ;,�.,•; .,,.; •Attic /crawls y' ®yrAPPL3GANT� of =,:;CON'i'ACTs �PERSON'M« ace fans 10.00 p p, ;;r� ��.;� .� __ ., t�,t . ,.,. ,•:��,. ,. __�`: _•� ��,A�. :a. -_,, .,�., >,a��.,, ... >- sad. >�,- ..r�,:.__ ,,r Business name: Other. 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range ��; • mss: ,�- �r•. ,..�.. - �- -k;: ��; � ,;. a ;�,,.,,,,�• "� �-x, s� ":,CON1`I2i1:CTOR` .`�:'� ° r ; .r:- ''�;;:, >�., Barbecue �._, I� 0) ,' _ Clothes ter Address: �� dryer (gas) Business name: ' r E o Other � � � �.;�.: �� H- «�..�.... - .,:. >,..,. , >.,.,,. ��1 (,U �:,", .; 3V1EG "`'' ,4� / City/State /ZIP: (fin � �� t OL��� Subtotal _ Phone: ( ) 4w__t_ a . Fax: , Minimum permit fee ($72.50) ( ) �5 �� Plan review (25% of permit fee) CCB lie.: c '7 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: tC) �ti/J t1 This permit application expires if a permit is not obtained within 180 / days after it has been accepted as complete. Print name: S� e4,,e , O (0 vt�ISO -rI Date: I 0/ ( 1 j OS * Fee methodology set by Tri -County Building Industry Service Board i:\ Building \PermitsMEC- PermitApp.doc 12/03 440 -4617T (11 /02/COM/WEB) CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 JII 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/12/2005 PARCEL: 2S 102 D B -00100 SITE ADDRESS: 08840 SW BURNHAM ST ZONING: CBD SUBDIVISION: LOT: JURISDICTION: TIG Project Description: TI, add/replace ductwork, adding air handler & condensing unit. Project Value: $65,000. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 0 TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 0 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES VERIZON NW Description Date Amount 1800 41 ST ST [MECH] Permit Fee 10/12/20C $474.50 PO BOX 1003 A \WA 010 4 -LB [TAX] 8% State Surcharn 10/12/20C $37.96 EVERETT, WA 98206 [MECPLN] Plan Rev 10/12/20C $118.63 Phone: 425- 261 -5408 [MECH] Permit Fee 2/6/2006 $484.50 [MECPLN] Plan Rev 2/6/2006 $121.12 Contractor: [TAX] 8% State Surchaq 2/6/2006 $38.76 HVAC INC Total $1,275.47 5188 SE INTERNATIONAL WAY REQUIRED ITEMS AND REPORTS MILWAUKIE, OR 97222 Contact #: PRI 503- 462 -4822 FAX 503- 462 -6555 Reg #: LIC 50897 This 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 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 rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: S L LA/v C;c----N Call 503 - 639 -4175 by 7:00 a.m. for inspections 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. Mechanical Permit Application FOR OFFICE USE ONLY - Received Cl of Tigard Date/B -9 Permit No. 131 SW Hall Blvd., Tigard, OR 97223 y " �� �°'L' o QS UO ( (4) Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 �r y p . Plan Date/By: 1 / r Inspection Line: 503.639.4175 _J 1. l Date Read Juris: 0 See Page 2 for Internet: WWw.ci.tigard.or.us Notified/Method: T )( Supplemental Information : -' :`.. `rye r, � .. , :..,:,x�,,, ,.,-. . . .. br -„ ,.�:. .x,:r_.x � xo�`•. xxi.,,a. :.,�.,,.«- .:,..>:� vsCt:h::.�; z, r: �.; <. `TYPE�.OF �YORK� ° ,� R a D - .I ��< < � <' s � °,i ,COMMERCIAL, F.EE�,SCHE UT:E� i7SE'CHEGKI. ST' o ❑ New construction ddition /alteration /replacemenit M echanical permit fees* are based on the value of the work JAN 3 0 7Uliri performed. Indicate the value (rounded to the nearest dollar) of all El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ ;; . >. •:, Oa, O d Cf... SIDENTIAI E ❑ 1- and 2- family dwelling ❑ Commercial /industrial QUIPMENZ S STEMS "FEES :411 ❑ Multi - family ❑Master builder For special information use checklist. t, • •e, .: � - -. sue.• >.� esc Ion Qty. Ea. Total �,,A ,_,, x--i i r JOB AN =LOCATION v ; ` ^ ` ` '4' D ript t . -,_ ._. : �; ; a� '4, �,. _ _ , -,x 6 a� K- ,,,, -. , ,��>r._ „,w,�,,,,, ,,,, . _ _ -;;V., r _,o, -- Heating /cooling Q�'ir r S Air conditioning or heat pump Job site address: O't 0 i n le. (requires site plan showing placement) 14.00 City /State /ZIP: Tt J n CtA''ci O r Furnace 100,000 BTU (ducts /vents) 14.00 I Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: VQ4, ✓*M_ ifie a/ccl Gas heat pump 14.00 Cross street/directions to job sic: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances . „' ter h eater. 10.00 *" .< ':'. ` ... �.411::.>_ W �;,. >� ,,,': D_ „ GRIETION: =, F .WORI:a` ": %:_. -. - - �K >, , J C r - Gas fireplace 10.00 i'Y k0_ 0R - _ 1t Cjci_ dQ .t&S- c-t-ccJ\ (Li + Flue vent for water heater or gas n-Ae- (' -� A ^ er � Z Q I fireplace 10.00 `jam c�L►�07. l Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ' ,, .: ..,,,,... >.-> y „ Chimney /liner /flue /vent -- . . 10.00 4- 41 ERTY OWNER <Y =' ®.TENANT R l . ..,.•, ,��- »,,.<..�.,�,. >;,��.>�,.�., _�,; �.: <.- .,Y ". .,., -...,. ,_�, „.:�,���.�.��T °F- -��y�� Other:... 10.00 •I .._ Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: .. Clothes dryer exhaust 10.00 Single-duct-exhaust (bathrooms, - - - • Phone: ( ) Fax: ( ) .. - - .toilehcompartments, utility'rooms) 6.80 ACT „ERSON `k Attic/crawlspace fans 10.00 _`'�;l� F :��� ®FAPPL =IC'T- s: >`'1-„ ',���> , ' °�� .,..� , CONT �P _..< „ ��€� p .aca Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range �z•�` a:,- �- , -:•' >� ":�z,. g�, ::��= r "�:a• ��:3 > ". uvwE�. : °;a���� mo o: , �.;�:,. �s-:�. �.3;;�?�.^.K,.... Barbecue rs .. i, „: ' ,,, �:�. � ° ��° �`'� -� .,����'> °:�:y C`t R <: �: ._ � -,�: �,_ ` .,,, ,�,: >r , �. ,.: � � >,..,,,�,_ . -,�.� :- . _ ..- ,..�•.�: - _.. ';.� -'., . � fit, =� �. �•::,: <,�;, =.:.r 4( T v - . Clothes dryer (gas) Business name: Other: Address: S( SE 10: -0 1.ii < .4 ; IVIEGH F ' City /State /ZIP: 0.1 \ �U 0, ,JC,(4.. J Or Q-\/1 Subtotal i Minimum permit fee ($72.50) Phone: (S03) C.4 (Da- c(R-),Ds. I Fax: ) �coa^ (D SS S Plan review (25% of permit fee) CCB lie.: S0 is9 7 0I (I- n(p State surcharge (8% of permit fee) r _ TOTAL PERMIT FEE k yy:f$ Authorized signature: ..1, ° m t J LM' tom` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S k.e tly c U wt_S c ,,,,- \ Date: 1 / -Z) /O (a * Fee methodology set by Tri -County Building Industry Service Board i:\Build ing\Permits\MEC- PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) 4/23/2008 Case Activity Listing - ` V 9:56:39AM L� A f _,. Case #: MEC2005 -00646 n.� �.,. ; w�, -:.•; � ;,�;: Assn ` ned; °Uone'•Y d ,. ryr r�•3 i s t o „Da to d` «Date 2 Date 3 Hold ` <Dis _., ; •• ..., p., ... , ,,,,,, _ ys, ,. a , .., .. .tea ":. °s�. . , . . ",.., ".....,,,... .. ... ".. >.... ,.... , .rc. - � - �_ -- „<.,..,,�., ,.,, MEC1010 Application received 10/12/2005 None RECD DEB 10/12/2005 DEB MEC1020 Permit created 10/12/2005 None DONE DEB 10/12/2005 DEB MEC1030 Check for parcel tags 10/12/2005 None DONE DEB 10/12/2005 DEB MEC1040 OTC plan review 10/12/2005 None DONE DEB 10/12/2005 DEB MEC1100 Building plans 10/12/2005 None APRV VSH 10/12/2005 approved by PE DEB MEC1280 Issue permit 10/12/2005 None DONE DEB 10/12/2005 DEB MEC2699 Mechanical final 12/15/2005 12/16/2005 12/15/2005 None CANC DAN 12/15/2005 023562 -01 503 463 4500 VM - STI N-180 MEC1070 Revisions /Info 1/30/2006 None DONE BB 1/30/2006 Revisions in job scope. requested BLD MEC1290 Reprint permit 2/6/2006 None DONE DER 2/6/2006 BLD MEC2615 Mechanical rough -in 4/20/2006 4/21/2006 4/21/2006 None PASS DAN 4/21/2006 028470 - 01 503 - 462 - 4822 VM - ZZZ Y MEC2699 Mechanical final 5/25/2006 5/26/2006 5/26/2006 None CNCL DAN 5/31/2006 030668 -02 503 - 462 -4822 VM - DAN Y Page 1 of 2 CaseActivity..rpt Case Activity Listing 4/23/2008 ( q‘CCEL Case #: MEC2005 -00646 9:56:39AM i„ ^,,, r e e -.,, ... „x -t, ,,.:..t "`.., <.✓ 5i,• , .af"y„- "f " :F. 3 =. % ✓% :;';:i ii ;ay �/ i y i? N£' ^ rs_n;-, �., ".:_.,, ;x .... _ .. ,.� ... ........0 .... Elctivi llescri ton. � Datel � v;�:� "•ec�ix w, �... , : <�. „s.�- Y..,, � ..�. ,.,�1 �, ,i ,,, ., , . , ,u.ro'�n..✓ .,a.,. =.cxb,.,.,+azx, «.rte" so .,,ar �.�s.,,e.,- e„ _ ._ , , , �� , dw3 i - .,,. ,. _� ...,:.,�s,• a _ ,> ,,... _ _^ ,. , ., > ,� .. ,� :1�'�r .k�wY v.. "..,., ,_,,,... "., ,,,, , ,, ,,,,, , ,;,, ,,,�._.,,_ ...... ,. , x , . MEC2699 Mechanical final 6/2/2006 None PASS DAN 6/2/2006 DAN MEC1740 Case fmaled 6/2/2006 None DONE DAN 6/2/2006 DAN Page 2 of 2 CaseActivity..rpt CITY OF TIGARD ^,,, BUILDING DIVISION PERMIT #: ZCY j - CD( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 . Inspection Requests (24 Hrs.): (503) 639 -4175 ���__.. INSPECTION WORKSHEET FOR DATE: (di, (0a TIME: PAGE: SITE ADDRESS: 60 L) f %! �( j* CLASS OF WORK: SUBDIVISION: �'� LOT #: TYPE OF USE: PROJECT NAME: y6 t c DESCRIPTION: X63 4(� L - 5 "' j A-x Its OWNER: PHONE #: CONTRACTOR: t_.(y ( 7/ PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm #. Contact # Message (o (v(N c_ (,J(e f7l tcAce— Corrections /Comments/ Instructions: 41 fir ‘ r FM w ki PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL e ------..:1 CALL FOR INSPECTION n ADDITIO AL FEES ASSESSED ■ Inspector: ALA Date: V , Phone #: (503) 718 - ��J my " ,✓' - - CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200&00646 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/12/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 50 SITE ADDRESS: 08040 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: VERIZON DESCRIPTION: TI, add/replace ductwork, adding air handler & condensing unit. Project Value: $65,000. OWNER: VERIZON NW, PHONE #: 425-261-5408 CONTRACTOR: HVAC INC PHONE #: 503-462-4022 Inspection Request Scheduled For: Date: 926/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 030668-02 503-462-4822 Corrections/Comments/Instructions: CC.. 1 1 1 kouky e e_ 3 p , -e P c I P8 PARTIAL APPROVAL L CANCEL LII NO ACCESS FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 5 )16) o (0. Phone #: (503) 718- Q 913 \, CITY OF TIG,ARD - BUILDING DIVISION PERMIT #: ME.C2005-00646 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10112/2005 Phone: (503) 639-4171 1441101141 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: 60 SITE ADDRESS: 08840 SW f3URNF1AM ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: VERIZON DESCRIPTION: Ti, ad replace ductwork, adding air handler & condensing unit. Project Value: $65,000. OWNER: VERIZON NW, PHONE #: 425-261-5408 CONTRACTOR: HVAC INC PHONE #: 503-462 Inspection Request Scheduled For: Date: 4/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 028470-01 503-462-4822 Corrections/Comments/Instructions: e;C:r 6,7•3 f.R(G-F-tiqki / (A) • 1/1 ASS 7 PARTIAL APPROVAL fl CANCEL E NO ACCESS I I FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED di t Inspector: Date: 21 Phone #: (503) 718- S NOMI „; •