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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00808 Aar DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006 ---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 to 7715— PARCEL: 2S110AA -01500 SITE ADDRESS: 1'57`3 SW CANTERBURY LN BLDG 19 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG Project Description: Building 19, new 4 unit condominium. 10,853 AIC Addresses: Units 1 through 4. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 1 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 4 401 - 600 amp: SIGNAL /PANEL: 0 MANF HM/ SVC/ FDR: 0 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 0 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 0 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: X > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC: Owner: Contractor: CANTERBURY PLACE LLC DMS ELECTRIC INC 109 EAST 13TH STREET 8502 SE STARK ST VANCOUVER, WA 98660 PORTLAND, OR 97216 -1140 Phone: 360- 695 -7700 Contact #: FAX 503- 252 -6611 PRI 503 - 209 -9298 FEES Description Date Amount Reg #: ELE 37 - 742C [ELPRMT] ELC Permit 6/29/2006 $746.39 LIC 118073 [ELPLCK] ELC Pln Rev 6/29/2006 $186.60 SUP 4542S [TAX] 8% State Surcharge 6/29/2006 $74.64 REQUIRED ITEMS AND REPORTS Total $1,007.63 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fort *AR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -66' s or 1 -806 332 . � Issued = : v,_ : /�,: 1 Permittee Signatu1 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: Are _� DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . 6. §, A Electrical Permit Ap> t n 1 ! FOR OFFICE l'. Sl'. O \1.1 EL N n City of Tigard DateB : /O / y ols "Oi2 Permit No.: fa! e��s_00jg 13125 SW Hall Blvd., Tigard, OR 97223 O CT 14 2005 Plan Review /,t. ��$ n Phone: 503.639.4171 Fax: 503.598.1960 �/" "�� Received ' /'Ppr1PN il`� Date/B : Other Permit: lamif /1 99 Inspection Line: 503.639.4175 Date Ready/By: June: H See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information • TYP t IU : PLAN REVIEWZc "/;_ . ® New construction ❑ Addition/alteration/replacement Please check all that apply: 1:1 Demolition ❑ Other: ['Service over 225 amps, comm'I ['Hazardous location ❑Service over 320 amps — rating ® Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ® Multi- family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park ❑Health -care facility ❑Other: Job no.: Job site address ISW Canterbury Lane `� 7 , s Submit 2 sets of plans with any of the above. City/State /ZIP: Tigard, OR 9722. The above are not applicable to temporary construction service. • Suite/bldg. /apt. no.: Bldg. /9 Project name: Canterbury Crest FEE* SCHEDULE" ';'.o'' ' f ?' Description I Qty. I Fee. I Total I ** Cross street/directions to job site: Canterbury Lane off HWY 99 SW of McDonald New residential single- or multi- family dwelling unit. Includes attached garage. (t; S 3 / y P LE X 1,000 sq. ft. or less __ _, / 145.15 /4 Subdivision: Canterbury Place Lot no.: Ea. add'l 500 sq. ft. or portion / 33.40 3 i. 40 ; ■ Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 3 o D Ga Limited energy, non - residential 75.00 DESCRIPTION OF WORK Eac New Construction of Condominium Units dwelling, service and/or feeder I aw oa( $ 'I Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 IA PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps I60.60 2 Name: Canterbury Place LLC 601 amps to 1,000 amps 240.60 2 Address: 109 East 13 Streen Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Vancouver, WA 98660 Temporary services or feeders installation, alteration, and/or Phone: (503)221 -1920 Fax: (360)693 -4442 relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits— new, alteration, or extension, per panel ® APPLICANT I ® CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: Canterbury Place LLC branch circuit B. Fee for branch circuits Contact name: Dave Gutschmidt without service or feeder fee, 46.85 2 Address: 11624 SE 5 Street each branch circuit Each add'l branch circuit 6.65 2 City/State/ZIP: Bellevue, WA 98005 Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (503) 221 -1920 Fax: : (360) 693 -4442 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - / (Y NTRACTOR energy panel, alteration, or But extension. Describe: HVAC & Page 2 DMS Electric E lectrical 57 -742C Fire Alarm _ Ad 8504 SE Stark Each additional inspection over allowable in any of the above CCB -11873 Per inspection 62.50 Cii Gresham, OR 97216 PH: afflaillifts9 Investigation per hour p hr min) 62.50 Ph! Industrial plant per hour 73.75 ELECTRICAL PERMIT: FEE' . . CCB Lic.: I Llecrncai i e.. Suprv. Lic.: Subtotal 1 .: e Suprv. Electrician signature, required: Plan review (25% of permit fee) I g 6, 6 0 State surcharge (8% of permit fee) 14 ') Li ' q Print name: Date: ` I TOTAL PERMIT FEE �D - I 't0 �3 Authorized signature: � This permit application expires if a permit is not objj�amtnea wtctun LOU' l C? days after it has been accepted as coiplete Print name: .4?......---4 �r•-t ,. r Date: 5/ / Q� v c • Fee mrthnrinlnov set by Tri- County Rnildinp Industry Service.. React' - - CITY OF TIGARD BUILDING DIVISION . PERMIT #: ELC2005-00808 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 52 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. 10,853 AIC Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 4/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 046207-01 503-31:37398 Corrections/Comments/Instructions: T Ei i4AL.1-1 13 c) )10 i I I PASS ri PARTIAL APPROVAL El CANCEL El NO ACCESS K FAIL CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED Inspector: G 1\1 Z Date: L i Phone #: (503) 718- 1 _ _ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00B08 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006 Phone: (503) 639 -4171 7411 1� Inspection Requests (24 Hrs.): (503) 639 -4175 =� __.. INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7 :00AIVI PAGE: 53 SITE ADDRESS: 10715 SW CANTERBURY LW BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. 10,853 AIC Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 360 -696 -7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 -209 -9290 Inspection Request Scheduled 'For: Date: 4/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 35 Low voltage 046206-01 503-3'13-7398 N Corrections /Comments/ Instructions: • C i PAS - ))PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: "� 1, N Date: I Phone #: (503) 718- 1 , CITY OF TIGARD 1 ... BUILDING DIVISION PERMIT #: ELC200S-00808 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/290006 Phone: (503) 639-4171 ii i,lliovli i Inspection Requests (24 Hrs.): (503) 639-4175 -311.- 11. INSPECTION WORKSHEET FOR DATE: 1/19/2007 TIME: 7:01AM PAGE: 27 SITE ADDRESS: 10716 SW CANTERBURY LW BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: . PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. 10,853 AIC Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 1/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 042303-01 503-546-3854 "--------- ' '''' .---- - ,Ns) Corrections/Comments/Instructions: — Pal AN '....'•-••••..—__________------" PASS III PARTIAL APPROVAL I I CANCEL I NO ACCESS I I FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: N (is 0 L --C Date: \ i9( 6 j j Phone #: (503) 718- MAL____ .. . Irk CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00808 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 AJL INSPECTION WORKSHEET FOR DATE: 1/18/2007 TIME: 706A1V1 PAGE: 11 SITE ADDRESS: 10715 SW CANTERBURY LW BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit, condominium. 10,853 AIC Addresses: Units '101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 350-695-7700 CONTRACTOR: DNS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 1/1812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 042260-02 503-545-3654 Corrections/Comments/Instructions: 8 r • I PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS X FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED' Inspector: 6----- ) Date: il01__ Phone #: (503) 718- 2 • ( • CITY OF �� . ��nn m ��m TIGARD \/ BUILDING DIVISION PERMIT #: EIC2005-00808 13125SVV Hall B|vd.. Tigard, ORO7223 DATE ISSUED: 6/29B2006 Phone: (503) 639-4171 Inspection Roquo�y(24Hm�:(5O3)G39'417G ~ �� INSPECTION WORKSHEET FOR DATE: 1 /mODT TIME: 7:06AK8 PAGE: 9 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19. new 4 unit condominium. 10.85341C � Addresses: Units 101.102.103.104. OWNER: CANTERBURY PLACE LLC, PHONE #: 300'695-7700 CONTRACTOR: DkHS FLECTRlC|NC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 1/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 042262-01 603-545'9654 N Corrections/Comments/Instructions: ' ^_ S PARTIAL APPROVAL CANCEL NO ACCESS I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED u/ i \ / ` ' |nop�ctInspector: |' `�*� `~--~ Date: R ' � �� \J | Phone #: (SO3) 718- �^ - c..' `---_ - . . � � CITY ��A�� w ,, ��nn m OF nu��n�� V ' BUILDING DIVISION PERMIT #: ELC.r2005-00808 ' iM 11 ), | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6!29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 839'4175 °��~ "�� INSPECTION WORKSHEET FOR DATE: 1/1812007 TIME: 7:06AhA PAGE: 10 SITE ADDRESS: 10715 SW CANTERBURY LM BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new unit condominium. 10.853 /\|C Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 960-695-7700 CONTRACTOR: DM3 ELECTRIC INC PHONE #: 503 Inspection Request Scheduled For: Date: 1/1EK2OO7 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 E]ecbin@|roumh'in 043260'03 503-645-3664 N Corrections/Comments/Instructions: • XPASS El -- CANCEL ri N[>ACCESS __ __ I I FAIL U CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED �� D ^,�^ \ � � Inspector: �J ' �^��/��[~�� Date: ` | V / Phone #: (503) 718- )--)A , . . • , c, CITY ��N�� _ — _� �� BUILDING DIVISION PERMIT #: ELC2005-00808 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6V23/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 4�■ *�J� INSPECTION WORKSHEET FOR DATE: ill 2j2007 TIME: 7:04AkA PAGE: - 73 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. 10.853 AIC Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-095-7700 CONTRACTOR: Dh4S ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 1/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 042085-02 503-313-7398 @ Corrections/Comments/Instructions: n PASS PARTIAL APPROVAL CANCEL NO ACCESS I | FAIL | I CALL FOR INSPECTION H | AOD|TlONALFEESASSESSEO Inspector: Date: Phone #: (503) 718- CITY OF ��mm n ��m TIGARD ,/ ^ BUILDING DIVISION PERMIT #: EL[2005'00888 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2EV2O06 Phone: (503) 639-4171 a ,A doi Inspection Requests (24 Hrs.): (503) 639-4175 ~ e �� INSPECTION WORKSHEET FOR DATE: 1/12/2007 TIME: 7:04AM PAGE: 24 SITE ADDRESS: 1O715[W CANTERBURY UN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit C:ondorDiniunn. 10.853 AIC Addresses: Units 101,102,103,104 OWNER: CANTERBURY PLACE LLC, PHONE #: 360'695'7700 CONTRACTOR: DM3 ELECTRIC INC PHONE #: 503-2O9+9298 Inspection Request Scheduled For: Date: 1/13y2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 042086-01 603-313-7398 N Corrections/Comments/Instructions: I | PASS PARTIAL APPROVAL a CANCEL El NO ACCESS | | FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00808 13125 SW Hall Blvd., Tigard, OR 97223 . A DATE ISSUED: &29/2006 Phone: (503) 639-4171 • aft4110 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/9/2007 TIME: 7:03AM PAGE: 16 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. 10,853 NC Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE 1.1.C, PHONE #: 360-695-7700 CONTRACTOR: DM5 ELECTRIC INC PHONE #: 50-209-929B Inspection Request Scheduled For: Date: 1/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 041929-01 503-545-3654 Corrections /Comments/ Instructions: !is I.. S W - ESZPNA --- YNIVa'.1\1\6 ,17; 90 • fl PASS PARTIAL APPROVAL CANCEL I I NO ACCESS FAIL HALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: —C \,' Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00808 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2005 Phone: (503) 639-4171 • koilIippe0 Inspection Requests (24 Hrs.): (503) 639-4175 AIL INSPECTION WORKSHEET FOR DATE: 1t9/2007 TIME: 7 PAGE: 15 SITE ADDRESS: 10715 SW CANTERBURY LW BLDG *19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. 10,853 AIC Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-595-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 1/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 041929-02 503-545-3654 Corrections/Comments/Instructions: YV\-14.E. L IQ V N 1 L[ lk• 1 0 3 . war \ • 1114.0- 14 XILI AVA% alt■L. 12kAlelra A- it W W II • 6O2 s'N • I PASS I PARTIAL APPROVAL I CANCEL fl NO ACCESS FAIL , CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED •, LL-2 Inspector: Date: Phone #: (503) 718- CITY A~�� ' ��nm n OF �w�m��nw�� /� ~ •' BUILDING DIVISION . PERMIT #: ElC2006'00808 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24Hm.):(5O3)63O'4175 � K�~ �0 INSPECTION WORKSHEET FOR DATE: 1 /S/�UO7 TIME: 7 'OO�� PAGE: 6 � � � � SITE ADDRESS: 10715 SW CANTERBURY LW BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. 10.863 AIC Addresses: Units 101.102.103.104. OWNER: CANTERBURY PLACE LW, PHONE #: 380'695~7700 CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503.209.8233 Inspection Request Scheduled For: Date: 1/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 195 h4inc.inspmxtion 0411356'03 503-546-3654 T Corrections/Comments/Instructions: • < r� [~ �� "�» `~ ` ~~~` � �� v�� —� o "� �~�/�^�~� I I PASS ' AL APPROVAL ri CANCEL n NO ACCESS | | FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: \ `4`� "^� �~ Date: Phone #: (503) 718- ^ ~^ '