Permit 7/26/06, REPRINTED TO CORREc1' 4 I ELECTRICAL PERMIT
SUI'1E ADDRESS FROM 200 TO 202. PERMIT #: ELC2006 -00328
:ES DATE ISSUED: 6/8/2006
Mink 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126DC - 04400
SITE ADDRESS: 09430 SW CORAL ST 202 ZONING: C - P
SUBDIVISION: LEHMANN ACRE TRACT LOT : 007 JURISDICTION: TIG
Project Description: (1) 200 amp service, (10) branch circuits. Job # 72433.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 10 PER INSPECTION:
201 - 400 amp: 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: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MARTIN BUILDING LLC E C COMPANY
16771 SW BOON ES FERRY RD PO BOX 10286
LAKE OSWEGO, OR 97035 PORTLAND, OR 97296
Phone: 503 - 496 -0610 Contact #: PRI 503- 220 -5377
FAX 503 - 295 -3012
FEES
Description Date Amount Reg #: ELE 26 - 45C
[ELPRMT] ELC Permit 6/8/2006 $146.80 LIC 49737
[TAX] 8% State Surcharge 6/8/2006 $11.74 SUP 4040S
Total $158.54 REQUIRED ITEMS AND REPORTS
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 a re set f. • • .n OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -.: • 9 or 1 -: /0- 2 -2344.
Issued I: y: .� (V iQ��En L'� Permittee Signature
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: 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.
(.6/08/2006 01:55 503220534.7 PAGE 03
a-
•
Electrical Permit Rio i c # o 1r -.% ovilF.- f
•r -i t t � �,/1 h'��R.ON OFFICE u ONLY
City of Tigard EZ / � 325 SW Hall Blvd Tigrd, OR 97223 Phone: 503.6394171 Fax: 503.98.1960 JUN \1 Other Pe
` b 1CJN PermitNo.t f �" 1 -- ' ^
2U�
Inspection Line; 503.639.4175
� ' y ' �� . � � Date/ByPermit: Internet: www.d.rigard,or,ue �' � ! flab Ready/By: ri Sea 's 2 for
aff.vm
.:;..,.,,,,. ,::,,: __..... s PP m eta t forma on
}, %,�.�....,..: >::i:`. "{ �":,:;: t....,,,( r', k. A,.: riy,; a.;x.:5:��cr:::>~s.R.:r.,:..,.; pp�f�R
� 8 �'� Nod 30 le t n ti
� : � J l � ; ..:. �,., ` ,,,r �, �`� ( y ..., 7 rt �� �7—r• v S ""Ma , rw r r r r^ � ,
If.'1h tai r zr r t ,,.,�,J'( J � :;-i .r,, .. 4 '1 ,lei ; -,F1 ,.1, '17 .1:`Y a y t ',: r: - , / 7 K -' p` H ,: t,,,
�, .,..:at. M. �.. •r,. ,x,rQ,.,. ,,,?'S� „'1.n;, � .a). S .�""C . -,, , .,1d �n- Z sa. iv � � � {. , > � S �4 , a
... .. r.,,.�..'T.,., ,.,av��tSr�, "t_�u' %- : „ ` - , Fr '� ” 9 � � M . c, �^” 'f'1R�;J��.' S ( i:• F
New construction , • ^ r� .. �:.� ' (a :+ ... A] �s 4 ✓ ,} „" Fir , G���' ,��.li'L�� ,7 $na�iJ�� i��� a rt• Y y ,�� { ^ i,
❑ i n [] Addition/<eratiob/replacemcnt Please check all at apply:
❑ Demolition
*tlteJf: "1j' [(Service over 223 amps omm'I ['Hazardous location
r( ,.. <,•; ,, ::o-::w; c: ✓r, : ,. : ,.. 4 .: Service
, :. , I t C z �:,.;>,, :.. :,t, f ,.. ? , 7r +' :�:.;. �, ", �.,:: �:�;', ,I�„ over 320 am s � rating Build v
,, .r.,.. : .,..., „ . .... - al l _ >... .. • .r,• : r : 8 n over 1
, -..... ..... . .''.., : .. , 1, ;; ` , :ii) : ;r. ❑ B 0,000 ft.
fir,,,• F,. , k r , : c. a,....� ✓,,, p sq.
.. ., .,.,,,.,.,,:••: •: ,.,; < ar, + - > a,, '� ; ' ,_ � . of 1 -and 2- family dwellings 4 or m
,fa�tily dwelling Co .' . " >; - . ,,ii'' . 'r ` �,' ,�;;, : '
❑ 1 - and 2 more new residential
8 ❑ nmtercial/izldttstrial 0 Accessory building ❑System over 600 volts noadnai units in one structure
❑ Multi fsazily [] Master builder ❑ per. Building over three stories ❑Feeders, 400 atnps or more
r'•a J i:r�: ''`'`:•c` w.M... .� -- •.<:•, - ['Occupant toad over 99 persons Manufactu
:, : -(:, ,.,.;,,,: t•' :.. ....:: : . :,''f ; „ :- . ° ^�:: .. .pin,,.,Jt ... ;;� „tol ., : - v p structures or
, ...,... F . .:, ..:: ; .1,� .. ..:....:.... ;., ., -•; _ +..,.; ...... ,..:.:,.,, E Egon/lighting tin
: , . - .. ,, . . r: r':>`:';'•`: �::,; ::: r :�:; $t” � g Plan RV park
Job no.: . Lk 3 3 Job site address: q 1.. 3 p ❑la cry ❑Ocher: ■ C o' H `' L Su lch - care 2 sets o p with any of the above_
City/State/ZIP: • , to,,,), O z , 4‘ . -1 a The above are not applicable to temporary construction service,
r nit- , dg, /apt, no D o p Pro e' • ^ +' ,w . l;r;;;yr;
^ ttrn ,
Dtwrption Qer. lr Total :.
Cross street/directions to job site: �, � -1 a New residential Angie- or multi-family dwelling t,
Includes attached garage.
1,000 sq,ft or To 145,15 4
Subdivision: Lot no.: Ea. aM'l 500 sq. t. or portion 33.40 - ” i
Tax map/parcel no.:
Limited eneri;y., residential 75 -00 2
+ „,va,. :.,,,, , ... � .. .. ..... ............. ::,a..(,, ,, :n.r-::'•:-r „ :,:, >: •. ;; :•:.: ;..:;�.:.....,.,
Limited energy, no -r
..:.,',,.. n esidentia
;;,, !;t1;..T ?.e ^,' ..... ...:. n. .. &'.'.V..'!..''!.''' 1 7
.�.,,�,...,..... ` .., : a., .. .... .. ... + .... ' '� , ,..;.; 1ti:. „J7( ? . 5.00 z
. F..,.:,.:;.....,... .....,:'>.,....�..,:.:'.:.....: .. .....:.:.....,.;, ... Each menu scarred or modulo
r, 0 °A ,- kJ.. x00 dwelling, service and/or feeder 90.90 2
Services or r relocation
: - ,.: l,... ' . , a :.:
feeders S installation.
::,,/:..,., , ,(,.,J.•:.,,..,,,,,, . . •,:s . . ✓: : ,, ; • %' :. .,. .•; ,,,1 400 amps
, ..,,, 7... , ,,r- ....... <..... ., ,. . . . , � . ....... . . :. ....... . ... ...... :v, : . - . ;i; taps
. ".,,...._,.c.....,,,.:,... . .. . ..... . .... .... . .. . .. ......... . . .. ,:.... :.. r.l rw� k, 106.8
Natzle: , ( t.- x01 amps t 600 amps 1 60,60 2
S G./ C� s 601 amps to 1,000 amps 240.60 2
Address: , . , w 0 J, 5 ), • k(l0
Over 1,000 amps or volts asa.65 2
co VJ
City /State/ZIP Reconnect only 66 -85 2
d� • _ 01 � OS emporary services or feeders installation, alteration, and/or
Phone: ( ;oI , _ q 1--1 1 I Fax: ( ) relocation
Owner installtQtlon: This installation is bed made on 200 amps or less 66,85 t
S property that I o 670, whic7 not 201 amps to 400 amps 1,75 2
intended for sale, lease, ).rent, or exchange, according to ORS 447, 449, 670, and 70 401 amps to 600 amps 13333,75 2
O wner signature: Date; Branch ....... ....................: .,.,�•�r,.,. ... _ circuits - ast on, per panel • ,. ,... : ...i ". ;$ •:., . : : �.,. x..: ;1 „., :,,,:. . ::. .,., , ,: r . ,: , . • , •::• „,,,...::.,: •, •'a _ - '1. :: :': ..:...:. : .. f c o c fl e c alteration, or e
,. ... ;: ... . 1 ... , ,.rte. .....
A•:'J':,::Y`.i,At ■:,i, L l'. , ... : ' � .,.:.,,.�.... .......�'.. ... ,. .�,.1 . . .. ' . ... .. . :1 ": .:�
..�_• .... ......... o :.: .:::.:.._,<:;.:, servi or feeder fee, each
Business name: ", 6.65 �.y' 2
branch circuit
B. Pee for branch circuits
Contact name: without service or feeder fee,.
Address:
each branch circuit
46.85 2
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) F19X: ; ( ) Pump or irrigation circle 53.40 2
E-mail' Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
� . ....2%.,f.' .. ......... _ .... ::: :,• „ - _ :. . •.r:..:: .. ar:' one] alteration o
..:,.. :, ,. . ..rr, .
.... .r ... ..... '''.'.',.'::':'''.:1',.'7.'!..:'''.."'''''',” ... • " extension. Describe: Page 2 2
Business name: V C c 1 ? ti
Address: (� C�So l U a� Bach additional Inspection over allowable in any of the above
Per inspection 62.50
City /State/DT: )'\ 4 d R. o-1 ti Investigation per hour (1 hr min) _ 62.50
Phone: c S Pa 3 } industrial plant per hour
(5 � , (J 31 Fax: (S p1 � J U •'::,;:.6' ! i(t” .w,,.” '!.,,a c: -:'. n; ,, i!: ., ,. s ,. _ r: , ..,'< 3 '�' 4 , : e •
P
U a.6,-- lrlcctrical Lic.: c Suprv. Lie.: :....,._ ............ .......... .. -., .;.. otal - ��::isz "
CCB Ltc -: � 4 S t 39 Subtotal ,� •sa
Suprv. Electrician signature, required: .... . Plan review (25% of perrrtit tee)
Oh. 4 State surcharge (8% ofpermnit fee) \ \ 1
Print name: t G Date: G -
Li % .. TOTAL PERMIT NEE • 1 _s y
Authorized signature: This permit appiieadon expires if a permit u out obtmned within ISO
days after It has been accepted as complete
Print name: Date: - Pee methodology sot by Tri -County Building Industry Service Board
•' Number of inspections per permit allowed,
- ro.- mu...“,4:—roe .- u-- -'--'_- , •tM. AIlL i'fYl Mn9 // - nu /WpTi
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00328
j 13125 SW Hall Blvd.,- Tigard, OR 97223 DATE ISSUED: 6/8/2006
Phone: (503) 639 -4171 di1�� t ii�gyl I
Inspection Requests (24 Hrs.): (503) 639 -4175 .' U.
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 :07Am PAGE: 39
SITE ADDRESS: 09430 SW CORAL 2O CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRAS.. , Q LOT #: 007 TYPE OF USE:
PROJECT NAME: WESTRIDGE
DESCRIPTION: (1) 200 amp service, (10) branch circuits. Job # 72433.
OWNER: MARTIN BUILDING LLC, PHONE #: 603 - 496.0610
CONTRACTOR: E C COMPANY PHONE #: 603- 220 -5377
•
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
199 Electrical fini 033772 -02 503-6843903 Y
Corrections /Comments /Instructions: '
F'iniAl_ UE PeAo s (sulfa k)
PASS PARTIAL APPROVAL El CANCEL El NO ACCESS
I I F IL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Gr° 1 4 6 A M
Date: `112.104) Phone #: (503) 718 - t4t4t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200$- 00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 64012006
Phone: (503) 639 -4171 • iiuwai ,gul �,
Inspection Requests (24 Hrs.): (503) 639 -4175 'I
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 : 07AM PAGE: 39
SITE ADDRESS: 09430 SW CORAL ST/Aid- 1)1)2.--- CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TR LOT #: 007 TYPE OF USE:
PROJECT NAME: WESTRIDGE
DESCRIPTION: ( 200 amp service, (10) branch circuits. Job # 72433.
OWNER: MARTIN BUILDING LLC, PHONE #: 603- 406 -0610
CONTRACTOR: E C COMPANY PHONE #: 503_220..5377
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 033772 -01 503-600-3903 N
Corrections /Comments/ Instructions:
4 n - 21- c .
PASS I j PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 46 L Date: 7/2- (A) Phone #: (503) 718-1-44117
' I
CITY OF TIGARD
, , � ,. EL�'r2C1t3Ci-00326
BUILDING DIVISION PERMIT #: 6/8/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171mep A* tit
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ! :_
7/21/2006 7:01 AM 59
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
09430 SW CORAL STc D
SITE ADDRESS: LEHMANN ACRE TR CT fry 007 CLASS OF WORK:
SUBDIVISION: WESTRIDGE LOT #: TYPE OF USE:
PROJECT NAME: (1) 200 amp service, (10) branch circuits. Job # 72433.
DESCRIPTION:
MARTIN BUILDING LLC, 503-496.0610
OWNER: E C COMPANY PHONE #: 503-220-5377
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Co Cogit # Ir eg flApeription %LORA Gp 1 2 t l # 126 Meage
Corrections/Comments/Instructions:
u13 Pte.
•t4 tezIA) osa.c Nizso844) (LtrtRir, cid
oN wt toi• w&L .
\iv
I I PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 9\ � L Date: 0 1 04 Phone #: (503) 718- /44)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C2006- 00328
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61812006
Phone: (503) 639 -4171 :ref i
Inspection Requests (24 Hrs.): (503) 639 -4175 ∎�' _..
INSPECTION WORKSHEET FOR DATE: 7120/2006 TIME: 7:04AM PAGE: 10
SITE ADDRESS: 0 9130 SW CORAL ST CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRA VII*" LOT #: 007 TYPE OF USE:
PROJECT NAME: 1ESTRIDGE
DESCRIPTION: ( 200 amp service, (10) branch circuits. Job # 72433.
OWNER: MARTIN BUILDING LLC, PHONE #: 503 - 496.0610
CONTRACTOR: E C COMPANY PHONE #: 503- 220 -6377
Inspection Request Scheduled For: Date: 712012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 033409-01 503-680-3903 Y
Corrections /Comments /Instructions:
e PRA) % D Pear E5 o CI' 8 0 x 018 ov"
•
pt■N -
en Pcts5:Nm% [Sa' co J S(L ASE ll T7
"P P.icL. , KC('. ■l . 3.
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL y, FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: % N 616 L Date: 2 71 7 - 13 /0() Phone #: (503) 718- 2 - 41 /6
b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00:328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
6/8/2006
• Phone: (503) 639 -4171 r Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/20/2006 TIME: 7:04AM PAGE: 8
SITE ADDRESS: 0 33o SW CORAL ST Ati `L 0 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: 1Ni_STRIDGE
DESCRIPTION: ( 200 amp service, (10) branch circuits. Job # 72433.
OWNER: MARTIN BUILDING LLC, PHONE #: 503 - 496 -0610
CONTRACTOR: E C COMPANY PHONE #: 503 - 220 -5377
Inspection Request Scheduled For: Date: 7/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 033409 -02 503 -680 -3903 N
Corrections /Comments /Instructions:
44 ,C% 1b ct S Aik K. 6 4-eat. tko wn.4) (CA LJ
tAa \ act jooZ s 1/4)itfikc ,
c) PRIZAI4D - PANL CA1/4)7FL W p 0 ok Teti.
SRtZVic. e tkgeL . Aiz. 11 0 -3.
10si - ,Ivs0 I C4NCrINV5 J
n PASS I I PARTIAL APPROVAL H CANCEL ❑ NO ACCESS
12, FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr • N V5 k../E-
Date: 1 f Phone #: (503) 718- *10
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 0032.8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 618/2006
Phone: (503) 639 -4171 r
� 0t/°1 "III �
Inspection Requests (24 Hrs.): (503) 639 -4175 •I I l
.,
INSPECTION WORKSHEET FOR DATE: 7/19/2006 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 09430 SW CORAL ST 2P ' (/
CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: 1ESTRIDGE
DESCRIPTION: (I) 200 amp service, (10) branch circuits. Job # 72433.
OWNER: MARTIN BUILDING LLC, PHONE #: 503 - 496-0610
CONTRACTOR: E C COMPANY PHONE #: 503 - 220"5377
Inspection Request Scheduled For: Date: 7/19/2006 Pour Time:
Code # Inspection Description I Confirm # Contact # Message
grab Ceiling cover tA N LL , 033306 -01 503-890-7768 Y
Corrections /Comments /Instructions:
94? -41 PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G E`3S Date: .v)I 1 06 Phone #: (503) 718- 24410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2006
Phone: (503) 639-4171 4:5/10,4(#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7 TIME: 7 : MANI PAGE: 87
SITE ADDRESS: 09430 SW CORAL ST ?e,7,o1--' CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: WESTRIDGE
DESCRIPTION: (1) 200 amp service, (10) branch circuits. Job # 72433.
OWNER: MARTIN BUILDING LLC, PHONE #: 503-496-0610
CONTRACTOR: E C COMPANY PHONE #: 503-220-5377
Inspection Request Scheduled For: Date: 72006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 032701-01 503-680-3903 Y
•
Corrections /Comments/ Instructions:
\\\ \L\ L__\
PASS 1 PARTIAL APPROVAL 0 CANCEL' 0 NO ACCESS
0 FAIL 1 CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
Inspector: \)S8 Li" Date: 1 ' 6 - Q1c) Phone #: (503) 718:14
. i
CITY OF TIGARD _ -
BUILDING DIVISION ' . r PERMIT #: EV- 2 0L °00328
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 41714N��i��
Inspection Requests (24 Hrs.): (503) 639 -4175 1.E.
INSPECTION WORKSHEET FOR DATE: 6 •2,`1 ■ Q b TIME: PAGE:
SITE ADDRESS: CI y ()MI.., F CLASS OF WORK:
SUBDIVISION: Z4°v LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2,") - 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
ate' LECT- WALL. Cssotak..
Corrections /Comments /Instructions:
el i 0 \—A U.) \I al w
4:...e acv PL, k) (6 z 1 czi v,i 4,LL c,i v
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: og Date: ,' 2 i "041 Phone #: (503) 718- 7-M4)
■