Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00198
COMMUNITY DEVELOPMENT DATE ISSUED: 5/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103 D D -01201
SITE ADDRESS: 13920 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT: JURISDICTION: TIG
PROJECT: GOODWILL INDUSTRIES
Project Description: Fire alarm
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 21,653 sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 21,653 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 499 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Owner: Contractor:
GOODWILL INDUSTRIES STONER ELECTRIC
1943 SE 6TH AVE 2701 SE 14TH AVE
PORTLAND, OR 97221 PORTLAND, OR 97202
Phone: 503 - 238 -6190 Contact #: PRI FAX- 239 -9521
PRI 503- 233 -3631
Reg #: LIC 44823
FEES
Description Date Amount REQUIRED ITEMS 'AND REPORTS
[BUILD] Permit Fcc 4/6/2007 $139.30
[TAX] 8% State Surcha 4/6/2007 $11.14
[FLS] FLS Pin Rv 4/6/2007 $55.72
Total $206,16
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:, 0 / i e %/ Permittee Signature: /l o` .
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.
I
s (3TzoSGVPG 1ULY.
Building Permit Application FOR OFFICE USE ONLY
�EIVED e BY
74 • City of Tigard Date P,. Q d . 11121/071'!A e: �D
13125 SW Hall Blvd, t 3 Plan kec�e�y mil! AA
C Phone: 503.639.4171 F QQ ��3.5 _ 98.1960 Date EN' / i � rAk Other Permit
T I C A R D Inspection Line: 503.639.44175i 6 2007 Date Ready By 0 See Attached Checklist for
Internet: www.tigard -oT Notified/Method: / Supplemental Information
' rV OFTIGARD
BUILDING_
REQUIRED DATA: 1- AND 2-FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF C'ONSTRUCT'ION work indicated on this application.
El I- and 2- family dwelling 0 Commercial /industrial Valuation: $
ID Accessory building El Muhi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AM) LOCATION Total number of floors:
Job site address: 13920 SW Pacific Hwy. New dwelling area: square feet
City/State/ZIP: Tiagrd, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Goodwill Industries Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: C'OMAIERC'LAL -USE C'HEC'KLIST
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.
Installation of a fire alarm system. Valuation: $$10,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Type of construction: !jk)
Address: Occupancy groups: A 6479 ace\
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Stoner Electric Co. MI contractors and subcontractors are required to be
Contact name: Dave Litzenberg licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1904 SE Ochoco St. jurisdiction in which work is being performed. If the
City/ State/ZIP: Milwaukie, OR 97222 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 462 -5248 I Fax: : (503) 659 -2765
E -mail: davel@stonergroup.com
CONTRACTOR
Business name: Stoner Electric Co. BUILDING PERMIT FEES*
Address: 1904 SE Ochoco St. (Please refer ro fee schedule)
' City/State/ZIP: Milwaukie, OR 97222 Structural plan review fee (or deposit):
Phone: (503) 462 -6500 I Fax: (503) 465 -6500 FLS plan review fee (if applicable):
CCB lie.: 44823 Total fees due upon application:
Authorized signature: x0,, 1� Amount received:
l t
�C���CCC��L//// ///����!!! This permit application expires if a permit o tamed
Print name: Dave Litzenberg I Date: 416/07 I s whin 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
IABu ilding\Perrnits \BUP- PermitApp.doc 03/21/06 440-4813T(11 /02/COMAVVEB)
k
. FILE COPY
FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -31
FIRE ALARM SYSTEM ,
/3 RECORD OF COMPLETION
Name of protected property: Goodwill
Address7449W Pacific Hwy Tigard Oregon
Representative of protected property (name /phone):
Authority having jurisdiction:
Address/telephone number:
Organization name /phone , Representatioe name phone
Installer STONER PROTECTIVE SYSTEMS 503.462.6500 ' Renee Annette 5o3-7o , 33oJ
Supplier
Service organization
Location of record (as- built) drawings: •
Location of operation and maintenance manuals:
Location of test reports:
A contract for test and inspection in accordance with NFPA standard(s)
Contract No(s): Effective date: Expiration date:
System Software
(a) Operating system (executive) software revision level(s):
(b) Site - specific software revision date:
(c) Revision completed by:
(name) 1 .rh.l: I (firm)
1. Type(s) of System or Service
NFPA 72, Chapter 6 — Local
If alarm is transmitted to location(s) off premises, list where received:
NFPA 72, Chapter 8 — Remote Station
Telephone numbers of the organization receiving alarm: •
Alarm:
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone
numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 — Proprietary •
Telephone numbers of the organization receiving alarm:
Alarm: •
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone
numbers of the organization receiving alarm: __
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 — Central Station
Prime contractor: Mastertech 1.800.722.0364
Central station location: 303 NW Zobrist St Estacada, OR 97023 Phone: (503) 630 -2565
•
(NFPA 72, 1 of 4)
FIGURE 4.5.2.1 Record of Completion.
2002 Edition
•
72 -32 NATIONAL FIRE ALARM CODE
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One -way radio
✓ Digital alarm communicator Two -way radio Others
Means of transmission of alarms to the public fire service communications center:
(a)
(b)
System location:
NFPA 72, Chapter 9 — Auxiliary
Indicate type of connection: ____ _ __ Local energy _ Shunt Parallel telephone
Location of telephone number for receipt of signals:
• 2. Record of System Installation
(Fill out after installation is complete and wiring is checked for opens, shorts, ground faults, and improper branching,
but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as shown below, was inspected by
Renee Amette 06-06 -2007 , includes the devices shown
in 5 and 6, and has been in service since 06 -06 -2007 , •
✓ NFPA 72, Chapters y v 4 4 1 9/ , "/ Y V V 11 (Check all that apply)
✓ NFPA 70, National Electrical Code, Article 760 .
✓ Manufacturer's instructions •
_ Other (specify):
Signed: Date:
Organization:
3. Record of System Operation
Documentation in accordance with Inspection Testing Form. Figure 10.6.2.3, is attached
All operational features and functions of this system were tested by Renee Amette date 06-06 -2007
and found to be operating properly in accordance with the requirements of:
✓ NFPA 72, Chapters V V 3✓ 4✓ V V v y !V 1,' 1 L (Check all that apply)
✓ NFPA 70, N tional Electrical Code, Article 760 v
✓ Manufactur 's instructions
Other (s cify):
Si lL tt_. __ Date:
- W-v7
Organiza 'on: D ►..r - 1-1
P .- I LET L
l J
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (sec NFPA 72. Table 6.6.1):
Quantity: Style: Class:
(NFPA 72, 2 of 4)
FIGURE 4.5.2.1 Continued
•
2002 Edition • .
•
•
FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -
5. Alarm- Initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, 7hble 6.5):
Quantity: Style: Class:
MANUAL
(a) Manual stations Noncoded 3 Transmitters Coded Addressable •
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete Partial
Selective Nonrequired
(a) Smoke detectors 2 Ion Photo 2 Addressable
(b) Duct detectors 3 Ion 3 Photo Addressable
(c) Heat detectors FT RR FT/RR RC Addressable
(d) Sprinkler waterfiow indicators: Transmitters Noncoded 1 Coded Addressable .
(e) The alarm verification feature is disabled x or enabled , changed from seconds to seconds.
(f) Other (list):
6. Supervisory Signal- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
•
GUARD'S TOUR
(a) Coded stations
(b) Noncoded stations
(c) Compulsory guard's tour system comprised of transmitter stations and intermediate stations
Note: Combination devices are recorded under 5(b), Manual, and 6(a), Guard's Tour.
SPRINKLER SYSTEM
Check if provided
(a) x Valve supervisory switches
(h) Building temperature points
(c) Site water temperature points
(d) Site water supply level points
Electric fire pump:
(e) Fire pump power
•
(f) Fire pump running
(g) Phase reversal
Engine - driven fire pump:
(h) Selector in auto position
(i) Engine or control panel trouble
(j) Fire pump running
ENGINE - DRIVEN GENERATOR:
(a) Selector in auto position
(b) • Control panel trouble
(c) Transfer switches
(d)_ Engine running
Other supervisory funcLiunts) (specify): _
•
(NFPA 72, 3 of 4)
FIGURE 4.5.2.1 Continued
•
2002 Edition
•
72 -34 NATIONAL FIRE ALARM CODE
•
7. Annunclator(s)
Number: 1 Type: LCD Location: Front entry
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 — Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Si ngle: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
Quantity and the class of notification appliance circuits connected to system (see NFPA 72, 711ble 6.7):
Quantity: 3 Style: 6 i iuse:
Types and quantities of notification appliances installed: •
(a) Bells 1 With Visible ___ •
(b) Speakers With Visible
(c) Horns 11 With Visible 11
(d) Chimes With Visible
(e) Other: With Visible
•
(f) Visible appliances without audible: 3
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: ?20Va Current rating:
Overcurrent protection: Type: Breaker Current rating: 20
Location:
(b) Secondary (standby):
Storage battery: Rude Amp -hour rating: 14
Calculated capacity to drive system, in hours: 24 -
Engine -driven generator dedicated to fire alarm system:__________
Location of fuel storage:
(c) Emergency system used as backup to primary power supply:
system described in NFPA 70, Article 700:
10. Comments -
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
System devia ions from the referenced NFPA standard(s) are:
( g 1 = d) for installer •ntractor /supplier (till ) (dale)
(signed) for alarm service company (title) (date)
(signed) for central station (title) (date)
Upon completion of the system(s) satisfactory test(s) witnessed ( if required by the authority having jurisdiction):
(signed) representative of the authority having jurisdiction (title) (date) •
(NFPA 72, 4 of 4)
FIGURE 4.5.2.1 Continued
•
2002 Edition -
•
•
•
•
S'totet Protective Systems /► Division ofPie Starve Electric Group
FIRE SYSTEM INSPECTION AND TESTING FORM
DATE: 06/06/2007 TIME: , b '/D1 4fl t •
SERVICE ORGANIZATION PROPERTY NAME (USER)
NAME: STONER PROTECTIVE SYSTEMS NAME: Goodwill
ADDRESS: 1904 SE OCHOCO ADDRESS: 13900 SW Pacific Hwy
REPRESENTATIVE: Renee Arnette OWNER CONTACT: . •
LICENSE NO.: 35.14, •
TELEPHONE: 503- 462 -600 TELEPHONE. -
MONITORING ENTITY APPROVING AGENCY
CONTACT: Mastertech CONTACT:
TELEPHONE: 1800- 722 -0364 TELEPHONE:
ACCOUNT #.: 13 - 4073
TYPE TRANSMISSION SERVICE
[ ]- McCulloh [ ]- Weekly
[ ] - Multiplex [ ]- Monthly
[,/]- Digital i ; ' j. [ ]- Quarterly •
[ ] Reverse Priority [ ] - Semiannually
[ ] - RF 1 ' [ ] - Annually
[ ]- Other (Specify) [✓]- Other (Specify) Install
PANEL MANUFACTURER: Napco - MODEL NO.: MA3000
CIRCUIT STYLES: Class B
NO. OF CIRCUITS: 10
SOFTWARE REV.:
LAST DATE SYSTEM HAD ANY SERVICE PERFORMED:
ALARM - INITIATING DEVICES AND CIRCUIT INFORMATION
QTY OF CIRCUIT STYLE
3 Class B MANUAL STATIONS
ION DETECTORS
2 Class B PHOTO DETECTORS
3 Class B DUCT DETECTORS
HEAT DETECTORS
1 Class B WATERFLOW SWITCHES
1 Class B SUPERVISORY SWITCHES
OTHER (SPECIFY):
ALARM INDICATING APPLIANCES AND CIRCUIT INFORMATION
QTY OF CIRCUIT STYLE
1 BELLS
11 Class B HORNS
CHIMES
14 Class B 1 STROBES
SPEAKERS
^ ‘:" OTHER (SPECIFY):
NO. OF ALARM INDICATING CIRCUITS: 3
ARE CIRCUITS SUPERVISED? OYES ONO
•
•
•
t
•
SUPERVISORY SIGNAL INITIATING DEVICES AND CIRCUIT INFORMATION
QTY OF CIRCUIT STYLE
BUILDING TEMP.
SITE WATER TEMP.
SITE WATER LEVEL
FIRE PUMP POWER
FIRE PUMP RUNNING
FIRE PUMP AUTO POSITION
FIRE PUMP OR PUMP CONTROLLER
FIRE PUMP RUNNING
GENERATOR IN AUTO POSITION
GENERATOR OR CONTROLLER TBL
SWITCH TRANSFER
GENERATOR ENGINE RUNNING
OTHER:
SIGNALING LINE CIRCUITS
Quantity and style (See NFPA 72, Table 3 -6) of signaling line circuits connected to system:
Quantity Style(s)
SYSTEM POWER SUPPLIES
a. Primary (Main):
Nominal Voltage 120Vac , Amps
Over - current Protection: Type Breaker , Amps 20
Location (Panel Number):
Disconnecting Means Location: Breaker
b. Secondary (Standby):
•
Storage Battery: 12vdc Amp - Hr. Rating 14
Calculated capacity to operate system, in hours: 24 60D
TYPE BATTERY
[ ]Dry Cell
[ ]Nickel- Cadmium
[i]Sealed Lead -Acid
[ ]Lead -Acid
[ ]Other (Specify)
c. Emergency or standby system used as a backup to primary power supply, instead of using a secondary power
supply consist of one of the following:
Emergency system described in' NFPA 70, Article 700
Legally required standby described in NFPA 70, Article 701
Optional standby system described in NFPA 70, Article 702, which also meets
the performance requirements of Article 700 or 701.
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE: YES . NO WHO TIME
MONITORING ENTITY [A [
BUILDING OCCUPANTS ['] H [ ]
BUILDING MANAGEMENT [A
OTHER (SPECIFY) [ ] [ ]
AHJ (NOTIFIED) OF ANY IMPAIRMENTS [ ] [ ]
•
pt
•
•
•
•r
'r 9 •
SYSTEM TESTS AND INSPECTIONS
TYPE VISUAL FUNCTIONAL COMMENTS
CONTROL PANEL [P] [4
INTERFACE EQ. P] [P]
. LAMPS /LEDS [.] [P]
FUSES [i] [4
PRIMARY POWER SUPPLY ['] [i] ,
TROUBLE SIGNALS [4 [P]
DISCONNECT SWITCHES [P] [P]
GROUND FAULT MONITORING[+] [%I
SECONDARY POWER
TYPE VISUAL FUNCTIONAL COMMENTS
•
BATTERY CONDITION ['I [4
LOAD VOLTAGE [i] [1]
DISCHARGE TEST [4 [4
CHARGER TEST [P] '[4 -
SPECIFIC GRAVITY [ ] [ ]
It 1
TRANSIENT SUPPRESSORS [ ]
II .
REMOTE ANNUNCIATORS [4] [4
1. 1
NOTIFICATION APPLIANCES ` !
AUDIBLE [11 [4
VISUAL [.] [P]
SPEAKERS [ ] [: ]
•
VOICE CLARITY . [ ] . i
INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS
i1
DEVICE VISUAL FUNCTIONAL .
LOC. & S/N TYPE CHECK TEST PASS FAIL
Z -1 Panel Smoke [,] [4 [4 [ ] •
Z -2 Riser . Smoke [4 [4 [4 [ ]
Z -9 Donation door Pull Station [4 [4 [4 [ ]
Z -10 Dock Door Pull Station [4 [4 [4 [ ]
Z -11 ACU -2 Duct Detector [4 • [4 [4 [ ]
Z -25 Riser Waterflow [4 [4 [,/] [ 1
Z -26 Riser Tamper [ • [4 [ [ 1
Z -27 Vault Tamper [ i i [ 4 [ 4 [ ]
Z -31 Front entry Pull Station [4 [4 • [4 [ ]
Z -32 ACU -1 Duct Detector [ 4 [ 4 [ 4 [ ]
Z -33 ACU -3 Duct Detector [ 4 [ 4 ] [ 4 [ ]
[1 [1 [1 [1
[] [] [] []
[] [] [] []
[] [] [] []
• 11 ' [] [] []
•
•
•
ON /OFF PREMISES MONITORING:
•
YES NO TIME COMMENTS
ALARM SIGNAL • [ ]
ALARM RESTORAL [d] [ ]
TROUBLE SIGNAL [vi [
SUPERVISORY SIGNAL [✓] [
SUPERVISORY RESTORAL [v] [
NOTIFICATIONS THAT TESTING IS COMPLETE:
YES NO TIME WHO
BUILDING MANAGEMENT [ ] [
MONITORING AGENCY [ ] [ ]
BUILDING OCCUPANTS [ ] [
OTHER (SPECIFY) [ ] [
COMMENTS:
•
SYSTEM RESTORED TO NORMAL OPERATION:
YES NO
6/1 [ ] DATE 6/6/07 TIME ( (OP.
•
TESTING WAS PERf5ORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS.
NAME OF INSPECTOR: Rene 4ette DATE: 6/6/07 TIME: /000
•
SIGNATU • E: _
OWNERS REPRE ATIV rr " a DATE: v �TIME:��'
SIGNATURE: ,O„
WITNESSED BY THE AUTHORITY HAVING JURISDICTION YES 0 NO ❑
NAME OF AUTHORITY HAVING JURISDICTION:
SIGNATURE: DATE: TIME:
Stoner Protective Systems
1904 S.E. Ochoco St. Milwaukie, OR 97222
•
(503)462 -5203 Fax (503)659-2824 Watts (800)548 -2701
COB #44823
•
•
•
•
CITY OF TIGARD . �`
BUILDING DIVISION . . - PERMIT #: BUP2007 -00198
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 -4171 i` - � I � I
Inspection Requests (24 Hrs.): (503) 639 -4175 F _ _
INSPECTION WORKSHEET FOR DATE: 6/7/2007 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Fire alarm
OWNER: GOODWILL INDUSTRIES, PHONE #: 503- 238.6190
CONTRACTOR: • STONER ELECTRIC PHONE #: FAX-239-9521
Inspection Request Scheduled For: Date: 6/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 049811 -01 503. 706.3308 N
Corrections/Comments/Instructions:
S //40gAiS ics_______
•
Pui- 775T
'S.tT . rT 1 ca , e ..........._
/ .
a"
PASS % rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ■ 4 'L FOR INSPECTION ❑ ADDITION L FEES ASSESSED
ANEW
Inspector: _ ■■ Date: b Phone #: (503) 718 -2-6D
lb
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00198
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 -4171 0i
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I L
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 14
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Fire alarm
OWNER: GOODWILL INDUSTRIES, PHONE #: 503.238 -6190
CONTRACTOR: STONER ELECTRIC PHONE #: FAX-239-9521
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # • •:: Message
299 Final inspection 049729-01 503- 706.3308 Y L
Corrections /Comments /Instructions: ,9"T
t .e.A_ iy(A4-70._ G0, . r
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0 7 a
Inspector: Date: 6 0/ Phone #: (503) 718- P/Vd