Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00915
DEVELOPMENT SERVICES DATE ISSUED: 12/30/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: T.I. Adult 21,799 AIC. Job #106002. (adult)
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: SIGNAL/PANEL: 3
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 3 W /SERVICE OR FEEDER: 70 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: 1 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: X CLASS,AREAISPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE LLC • , DYNALECTRIC
BY THE MACERICH COMPANY 2901 SW FIRST AVE.
9585 SW WASHINGTON.SQUARE RD , • PORTLAND, OR 97201
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 226 -6771
FAX 503 - 226 -7720
FEES
Description Date Amount Reg #: LIC 066793
[ELPRMT] ELC Permit 12/30/200' $1,092.00 SUP 46535
[ELPLCK] ELC Pin Rev 12/30/200' $273.00 ELE 26 -59C
[TAX] 8% State Surcharge 12/30/200' $87.36
REQUIRED ITEMS AND REPORTS
Total $1,452.36
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all 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
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued , By: ) Permittee Signature: se.,P o`tc
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.
' d
Electrical Permit Applicatif FOR OFFICE USE ONLY • City of Tigard \,;i5t' .i � na
ate/13 ,' . �.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev' w ' Q
Phone: 503 639.4171 Fax: 503.598.1960 & Permit: Date/B : Other Permit: ' - 00 {1
t t Inspection Line: 503.639.4175 ,ITV OF TIGAR N JI Date Ready/By: laJ See Page 2for
Internet: www.ci.tigard.or.us Notified/Method: - I ....A Supplemental Information
;a ailEt9 19G 1) fi/ISI04� .
t:. 1 "° TYPE OFiWORIt" � : . t� ; '. • ' 1 ; fi r• ?. - " •�' i t" P %1 IE'.W`•,,: -r i t t� i r .
• .,. ,,. i '� _! �� .i ' �, " �' `t 'G 11•, � T1 4,-1.: '��,- RE r.fr� ; i � "F'z'i�;i�, ii
® New construction ❑ Addition/alteration/replacement Please check all that apply:
® rn
Service over 225 amps, com'l ['Hazardous location
❑ Demolition ❑ Other:
OService over 320 amps - rating ® Buildng over 10,000 sq. ft.,
' 'all' 'I� I `.,e CATEGORY' OF ONSTR .• I • .,r - :',' t j` ' r:W , a;
,E ,.•l ,��:�,. ; i� E ° j ' :' , �, i.(CTIQItiI ., ., ; � .. - of 1 -and 2- family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling ® CommerciaVindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Multi - family ❑Master builder ❑Other; ['Building over three stones ®Feeders, 400 amps or more
lr . ;� . DOccupant load over 99 persons ❑Manufactured structures or
' i� , ='; . 11 -.,,, . S J O 13 S1T INFOR1ktATION )J4 ) , ''s h 4 ; : '':� , - ®Egress/lighting plan RV park
Job no.: I Job site address:9&B(SW Washington Square Rd ['Health facility ['Other
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, Oregon 97223 93 7 7 The above are not applicable to temporary construction service.
;1 ;i , ' - -, 1'FEE *,SOHEDUL.E.V -,};; F :'t;: '
Suite/bldgJapt. no.: S-208 Project name: Abercrombie & Fitch #972
De�ttoo I Qty. I Fee. I Total I
Cross street/directions to job site: Washington Square Mall New residential single or multi - family dwelling unit.
Includes attached garage. -
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
t Limited energy, non - residential 75.00 2
:4';' 't 4v 4?.'414f. f ;r' ; j i r ; DES( RTPTtON: ol - .WORKCi,.:j ''{' :''''` -:;-yl Each manufactured or modular
Tenant Build Out. First and partial second floor. dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocatio
•
200 amps or less Z, 80.30 // 60 2
''''r 1 , _ '' �# • r • 201 amps to 400 amps 106.85 2
,1 i . ' ' ,, --F i. .. ,, T'fC AOVV ..- ,. " . I la. r i ` '; pa ' r- • t
:3 t't'i1, „ � �, ,. . -. •.... .,r . a %y.�r��rdf�(iai ;,i tt��.,. .. :. .• '� « 401 amps to 600 amps I 160.60 160.60 2
Name: Abercrombie & Fitch - Store Planning 601 amps to 1,000 amps 240.60 2
Address: 6301 Fitch Path Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: New Albany, Ohio 43054 Temporary services or feeders installation, alteration, and/or
Phone: (614)283 -6541 Fax: (614)283 -8541 relocation
200 amps or less / 66.85 1D6, Ss 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
°tx c t � ;' r ., • ; : ,, . � • I = ` - i 4" ;d« ; A. Fee for branch circuits with
_° , '{ e 'FS` } +,• 4 ,.❑,L.,1, . IC��7. ; - - " t ,1., . z I. •. i iKt ®.,l, . , , . CT• ., ,. .. l . ,
,. - •, - 1.: r - <: service or feeder fee, each 83 6.65 551 93 2
Business name: Thorson Baker & Associates branch circuit U i
B. Fee for branch circuits
. Contact name: Jeff Miterko without service or feeder fee, 46.85 2
each
Address: 3030 West Streetsboro Rd (S.R. 303) branch circuit circuit Each add'l branch cuit 6.65 2
City/State/ZIP: Richfield, Ohio 44286 Miscellaneous (service or feeder not included)
Phone: (330) 659 -6688 Fax: : (330) 659 -6675 Pump or irrigation circle 53.40 2
Sign or outline lighting 1 53.40 53,4/0 2
E -mail: jmiterko @thorsonbaker.com Signal circuit(s) or limited-
. ..„.......--....
mergy panel, alteration, or
Business name: 95000
,��. :xtension. Describe: 6 Page 2 IS� 00 2
_ - -__
Address: e= „1-4.0 ft S�, r .t�`�� Each additional inspection over allowable in any of the above
City/State/ZIP: er inspection 62.50
Phone: (5/5) - a7/ I Fax: (D ) .2.7—— 7Z du stigati l per r hour (1 >u min) 62.50
� dustria] plant per hour 73.75
C.CB Lic.: r‘, ifs I Electrical Lic. q . Suprv. Lic.:, ,' .} N, -' • EL' 1'CTRICAL; PER1 iff FEES * - `: , '
Subtotal -t
iuprv. Electrician signature, required: 1___
i' ' �` i A' ' ice i�., — . Z. .n / Plan review (25% of permit fee) -ms
'rint name: �/ d Date:
/! 1 2 N . j • / /� , �� D S State surcharge (8% of permit fee)
authorized signature: „ ' TOTAL PERMIT FEE
// �A A ,c
!� L ` v This permit application expires Ira permit is n obtained w ithin 180
/ _
'Tint name: L1f ,,p.. - ? 2 1 k ! / � Zate: 4a ,3 Q ,QS , days after it has been accepted as complete
Fee methodology set by Id-County Building Industry Service Board
ildinglPermitslELC- PermnApp.dec 12/03 440- 4615T(10/02/COM/WEB 'Number ofmspecaonsper permit allowed.
. u - ‘
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: ELC2005.00915
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2005
•
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 - 4175 '''I �.. •
INSPECTION WORKSHEET FOR DATE: 1/4/2006 TIME: 6:59AM PAGE:
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AI3ERCROMBIE & FIICH
DESCRIPTION: T.I. Adult 21,799 AIC. Job #106002. (adult)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503 -226 -6771
Inspection Request Scheduled For: Date: 1/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 N Wall cover 024324 -01 503.849 2066 N
Corrections /Comments /Instructions:
1
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G/.�/ Date: / "'�' 6 Phone #: (503) 718 -0Z-y7
CITY OF TIGARD r
BUILDING DIVISION PERMIT #: ELC2006-00916
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/30.!)0()3
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/20/2006 TIME: 7 PAGE: 95
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AL3ERCROMBlE & FI T CH
DESCRIPTION: 1 Adult 21,799 AIC. Job #106002. (adult)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503-226-6771
Inspection Request Scheduled For: Date: 1/20/2006 Pour Time:
Code # •._ • _ - a Description Confirm # Contact # Message
130 Coiling cover 025339 -01 503 -B49 2866 N
Corrections/Comments/Instructions: e (2.33%)Z.0 e-y;,c_pr
r r GN s - 1 4 won 1u 6 14 '
K Rs5 N�T 5 l~ e vhp. L_L 5 0S •
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD ' 4
BUILDING DIVISION PERMIT #: ELC2005- 0()915
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J30/200.5
Phone: (503) 639 -4171 Ilif
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.:�� ` __..
INSPECTION WORKSHEET FOR DATE: 1/20/2006 TIME: 7:00AM PAGE: 94
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & F1TCIi
DESCRIPTION: Ti. Adult 21,799 AIC. Job #106002. (adult)
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: DYNALEC (RIC PHONE #: 503 -22& -6771
Inspection Request Scheduled For: Date: 1/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 lb Electrical service 025339 -02 503 - 8499-2866 N
Correc o /Comments /Instructions:
it G-koalt 14 :a►1t +� '6( . : *�� , ■4.
---. ■ 6 s f7 tJGJ`rn9AL Er' \ G -253 vaO �N ALL c ig
- o ( L S v 8 - P j L.
ZD P RA A l w G aX Nq Alk: N C. + N FRS 6r
G 5P _, -aV1e/ ,Th a.v14t > t Olt.Ac
Ngt., NQ ve -?Jo
S a�L yyl F `-- v.) IA A bb L G (S) - w i ,__D
iy\A , -t-ilV J c-- be 6 c-o N t- r .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
N FAIL K CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
p / 1 2 Phone #: (503) 718- Z D 6 0� ( ) l 7L /�
Ins ector:
Da te:
CITY OF TIGARD :- •
BUILDING DIVISION • PERMIT #: E� 02005 f1;1�:I6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2005
Phone: (503) 639 -4171 �. 1 �1�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/ 24/2006 TIME: 6 5BAivi PAGE: 10
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: '� ABERG^ROMBIE&FITCFE___ _ ?
DESCRIPTION: , (l._Adult. 21,799 AI C. Job #10602. (adult)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALEcTRIC PHONE #: 503
Inspection Request Scheduled For: Date: 1/24/2006 Pour Time:
Code # Inspection Description • __' ii # Contact # Message
125 Wall cover 025611 -01 503 - 1349 -2866 N
Corrections /Comments/ Instructions:
N S b\( E� CA vim.
(c11 0() 'IN 2-)
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v I ' � Date: 7- 4 0 47 Phone #: (503) 718- 2 4 (16
CITY OF TIGARD • •
. , A
BUILDING DIVISION PERMIT #: ELC2005 -009i5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' IL.
INSPECTION WORKSHEET FOR DATE: 1/25/200 TIME: 7:03AM PAGE: 12
SITE ADDRESS: 09377 SW WASHINGT ON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & FITCH
DESCRIPTION: "r.l. Adult. 21,799 AIC. Job #106002. (adult)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503 -726 -677
Inspection Request Scheduled For: Date: 1/2E12006 Pour Time:
Code # I : section Description Confirm # Contact # Message
130 Ceiling cover 025713.01 503-849-2866 N
Corrections /Comments ructions:
IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-' Noe) (c Date: I )6 Phone #: (503) 718- 2.1-VL1&)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20()5 00915
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: )2130/20(;5
Phone: (503) 639 -4171 A Yl
Inspection Requests (24 Hrs.): (503) 639 -4175 „„ ° I..
INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7:03AM PAGE: 11
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & FITCH
DESCRIPTION: T.I. Adult 21,799 AIC. Job #106002 (adult)
OWNER: WASHINGTON SQUARE L LC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 603-226-0771
• Inspection Request Scheduled For: Date: 1/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 02571302 503— N9 -206G N
Corrections/Comments/Instructions:
C.-o \I2( SLV 1 - - PA d &- L ,
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & ka- N I Date: 1 2L6 0 Phone #: (503) 718 - t t L
CITY OF TIGARD
. . A
BUILDING DIVISION PERMIT #: 1-t C'1170 ::,0 )c: i6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12130/2005
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 2/16/2006 TIME: 7 :07AM PAGE: 78
SITE ADDRESS: 09377 SW WASHING' ON SNARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AF ERCROMVIBlE & FITCH
DESCRIPTION: Y.I. Adult. 21,799 AIC. Job #106002. (adult)
OWNER: WASHINGTON SQUARE I..I.C, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: C,O3- 225.(;771
Inspection Request Scheduled For: Date 2/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 027016 - 01 503 N
Corrections /Comments /Instructions:
U � IAA t C L t
> ❑ PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
lb Inspector: '� Da te: Phone #: (503) 718- 2 1 1
CITY OF TIGARD EL C-
BUILDING DIVISION PERMIT #: o7 p OS— 00 'f ,3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 za+o
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 93 7 7 IV il r S0 ' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- t d Pour Time:
Code # Inspec •en a escription Confirm # Contact # Message
OL5 G( 6-- 4440,,t 8 4 4 — 2 e,0 Co 6
• -. . • • /Comme nstruction
vob-.-k.- R-0.61 fvpm14)
► "'•=� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " Z` ( se < Date: 3 I1 8 6 Phone #: (503) 718- 244 I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 2,1 2P� OP I 5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i.op i
Inspection Requests (24 Hrs.): (503) 639 -4175 "LL.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: C( 377 Was S / CLASS OF WORK:
SUBDIVISION: y LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #: 51D3 g-L !lp
— °
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 '0�3 -o Pour Time:
Code # Inspection Description Confirm # Contact # Message
L Corr. ctions /Comments /Instructions:
Cvv-e -fit.
‘4. €1. Vs‘pkiliNyn
G� �...�► wpm
❑ PASS Jg,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ,/ ❑ V CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: o 61.-c'
1 Date: 3 2;3(0 Phone #: (503) 718 - Eqiic •
CITY OF TIGARD
,.. illi
BUILDING DIVISION v PERMIT #: ELC200S-00915
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/200
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' I I..
INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 101
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: A3ERCROMBIE & FITCH
DESCRIPTION: T.I. Adult 21,799 AIC. Job 1'105002. (adult)
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 603. 22%6771
Inspection Request Scheduled For: Date: 4/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EIect'ical final 028870 -02 503- 843 N
Corrections /Comments/ Instructions:
• . . 35 3`J
KLPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
e-lka `�• LT Date: ti -a U' Phone #: (503) 718-144