Permit /J7o?D 7 6:"416: f 41416 (2) 12 d!Ltl al C�1131 PERMIT -yta�c2�
CITY TIGARD ELECTRICAL P
° PERMIT #: ELC2007 -00467
COMMUNITY DEVELOPMENT
DATE ISSUED: 7/10/2007
TIGARD 13125 SW Hall Blvd., Tiganl, OR 97223 503.639.4171
PARCEL: 2S 103 DC -01800
SITE ADDRESS: 13900 SW 114TH AVE ZONING: R-4.5
SUBDIVISION: VIEWMOUNT LOT : 006 JURISDICTION: TIG
PROJECT: PORCELLI
Project Description: Install up to (4) branch circuits for kitchen remodel. 12/20/07, ADD (2) ADDITIONAL BRANCH CIRCUITS. Job
No. 7261
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:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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:
JOAN H. PORCELLI ACCESS ELECTRIC & CONSTRUCTION LLC
13900 SW 114TH AVE 2870 SE 75TH AVE. STE. 108
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 684 - 6600 Contact #: PRI 503 - 642 - 4333
FAX 503 - 642 -9699
FEES
Description Date Amount Reg #: ELE C -I6
[ ELPRMT] ELC Permit 7/10/2007 $66.80 LIC 162666
[TAX] 8% State Surcharge 7/10/2007 $5.34 SUP 4931S
IELPRMT] ELC Permit 12/20/200' $13.30
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $86.50
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 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 0.33 2344. `
Issued By: Permittee Signature. Ogle
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.
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00467
COMMUNITY DEVELOPMENT DATE ISSUED: 7/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103DC - 01800
SITE ADDRESS: 13900 SW 114TH AVE ZONING: R-4.5
SUBDIVISION: VIEWMOUNT LOT : 006 JURISDICTION: TIG
PROJECT: WIFLES
Project Description: Install up to (4) branch circuits for kitchen remodel.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
BOB WIFLES ACCESS ELECTRIC & CONSTRUCTION LLC
13900 SW 114TH AVE 2870 SE 75TH AVE. STE. 108
TIGARD, OR 97223 BEAVERTON, OR 97123
Phone: 503 - 684 -6600 Contact #: PRI 503 - 642 -4333
FAX 503 - 642 -9699
FEES
Description Date Amount Reg #: ELE C - 16
[ELPRMT] ELC Permit 7/10/2007 $66.80 LIC 162666
[TAX] 8% State Surcharge 7/10/2007 $5.34 SUP 4931 S
Total $72.14 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 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 /.1/I2 /1 � 4.2e Permittee Signature: 40,s co f icyri
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.
07. 109/2027 15:32 1 ACCESS ELECTRIC PAGE 01/02
Electrical Permit Application . OFFICE USE ONLY
.j Ea �} EC f _-'- Received
City of Tigard �� I ry
Date/3 . III o' � Permit No.: -goy , . a
13125 SW Hall tAli Ti ,Ti• ,1 Ra 7 23, v
J U L , pine Review ■
Phone: 503.639.4171 Fa'; i IA- i' " %'' " "' oust r
Inspection Line: 503.639.4175 L. 0 9 ' t0 01 ' � � • �I fy Dale/8: ■ Date R�y/13 P1 sec rage 2 for
Internet: www.ci.tigard -or.us � .-a. T (11' 1 'o' w Notified/Method: / �� Suppiemental information
",i' l � ' i - cr .o tit ), . tt try �, �( , s. .i'6' ^i,. F ',flie ::S , ',., 7 F t �} a .'� la! 1 r "�
'''"r: t � � r'•� +•I uti a _ t•!■ •3 • t;t.,,��, _ . �4 , t5 �t..r, :.. �i. d +t`E `. 't,.�1t�`i �..._ rn .a?� c�•1.... .u tit,,
❑ New construction BU L ..ition /alteration/replaccmcnt Please check all that apply:
C] Demolition pother Q m
Scrvicc over 225 amps, com'1 ❑4laxardous location
r ❑Service over 320 amps- rating El Buildng over 10,000 sq. ft.,
js� nt .i � ;6i5C ei - 7 a:,;1: ,,• (4:,.:-;',‘. ' e ., , t Urt7 a `;' of 1 -and 2-family dwellings 4 or more new residential
= =' ' n;. a, , •a : .. _ , . I,r„ , • e •..,r� ... , 'a. Y
M - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building []System over 600 volts nominal units inane structure
❑ Multi- family ❑Mesta builder Q Other ❑Building over three stories ❑Feeders, 400 amps or more
��,,��y� i ❑Occupant load over 99 persons ['Manufactured structures or
` . ':1:: ' •r�.f )1 Vy c°; • , dl f r § 1 • J' ,' ''Oi'.7 '1 i�� i; ^s, ,3, ; ' i IM t }! ❑sgrers/lighting plan RV park
x.7 . , �,.,�.�� .•:,� �s�.iat? • .•�ti.,crc•:•'13 ?xt. ��d,•�;s,•- ., »� �Nx' ,r,�u.,l: "r�;: . �]Othl'x:
Job no.: / 744 Job site address: �� ` 01) 1 5 El l 1 ' 011ealth •care facility
r Submit 2 sets of plans with any of the above.
City /Statc/t Lt': T ( 0 R O --Cr. The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: r I rr :t'° b.Y.''�l 2 % "= ) ? ;i: ';',r .:-
I LA l't" 1R S _ I Qty. Teat
Cross street/directions to job site: New residential singly or multi family dwelling unit.
Includes attached garage.
1,000 sq. ft. or Icss 145.15 4
Subdivision: I Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
7•�<<,,� , a -•... s ty y �•;- r t d Limited energy, non -residential 75.00 2
:�il,$i!gina E`�F ,..�iai-.: �Til r/m x. 'f' .`rf>t'ftR n '. " iY IM �` fi`1Iii j I "Ar � u,`.ilt ' `' M p E.•ch manufactured er modular
Ate 1(1 n , dwelling, service arxVor feeder 2
(/( Services or feeders installation, alteration, and/or relocation
V irg- 7, rc g, f y �f,.(\ 6 200 amps or loos 80.30 2
-6 ;'1 • - ' i` f / � iliCri 11( lv t't .. ,", •it•�ro - 201 amps to 400 amps 106.85 2
gFi ` .t ` ,f &t„q • 1 k ! ` '
• •1. . #s 4 • '1 vr1 W1,a.- iik.�it {31v t 401 amps to 600 amps 160.60 2
Name. ' _g ° 601 amps to 1,000 amps 240.60 2
Address: a- Over 1,000 amps or volts 454.65 ^ 2
Reconnect only 66.85 2
City/State/ZIP: • Temporary services or feeders Installation, alteration, and /or
Phone: ( )684 -6600 I Fax: ( ) 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 10030 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
Y,( � ', 2 '1?ri ��',rl :Mai ae'?::17:`�`r. * �`"• d"{� A- Feeforbra
lj, nch circuitsWilli
f p'.'.'I1YJ• �nti; .•� .1:im•. 2: ' ,..ti ,• 1A,,'•�4 i .t .t 14:A1kl.o." .i �SNrC191�'i ^. ��ti„
Business name: b it f h circuit �, Bch 6.65 2
B. Fee for branch circuits •
Contact name: without service or feeder fee,
caoh branch aireuit 1 46.85 41,15 2
Address: Each add'l branch circuit 3 1 6.65 /9,431 2
City/ State/ZiP: Miscellaneous (service or feeder not induded)
Phone: ( ) -I Fax:: ( ) Pump or utigatlon circle J 33,40 2
Sign or outline righting 53.40 2
E -mail: Signal circuit(s) or limited-
t M i : 111�r! s t �s i
��� „� �J4�t�'s�, a�i:lr • ti��rl.i.;il�,�����4�'�►!;�I�; • > t �. T �,' rnc'>;y panel, alteration' or
f extension. Describe: Page 2 2
Business name: Access Electric
,
Address: 2$70 SE 75 Ave Suite 108 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Hillsboro, OR 97123 Investigation per hour (I hr min) 62.50
Phone: (503) 642.4333 J Pax: (503) 642.9699 Industrial plant per hour 73.75
�,'; l �,. n tl �?�i�,i�1L�1Ll�tt3�r.;t',�. . .. , i.,: . '''' '�'��•lr.�t' `,�:3at�'"
r., '
CC13 Lie.: C16 Electrical Lic.:' ,2 Suprv. Lic.: 4931S
. _ Subtotal , ' gb
Suprv. Electrician signature, required: a Plan review (25% of permit fee)
-,. State surcharge (8% of permit fee) 5 3
,
Print name: f,K , - II II IA • Date: 10/5/05 -
Cay T OTAi. PERMIT FEE 7
Authorized signature: This permit application expires if a permit is not obtained vdthln 18
days after it has been accepted as complete
Print name: I Date: • Fee methodology set by Tri-County Building Industry Service Board
•• Number of inspections per permit allowed.
1• iBuillinir .Pelnile\F.n.C•I'vmilApp.doe i2/03 44044 I ST( IO,OLCOM•WED
u /3 .,
• ;w
' ..ip s i ''. .CITY OF TIGARD � � ::
COMMUNITY DEVELOPMENT a DATE IS . D: 7/10/2007
TtGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.63' 1 � 6 -
PARCE • 2S103DC- 01.300
SITE ADDRESS: 13900 SW 114TH AVE ZONIN C. R -4.5
SUBDIVISION: VIEWMOUNT LOT: 006 JURISDICT % : TIG
PROJECT: WIFLES
Project Description: Install up to (4) branch circuits for ki, hen remodel.
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:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
BOB WIFLES ACCESS ELECTRIC & CONSTRUCTION LLC
•
13900 SW 114TH AVE 2870 SE 75TH AVE. STE. 108
TIGARD, OR 97223 BEAVERTON, OR 97123
Phone: 503 - 684 -6600 Contact #: PR! 503- 642 -4333 ,"
FAX 503 - 642 -9699 4
FEES 0
Description Date Amount Reg #: ELE C -16 I
[ELPRMT] ELC Permit 7/10/2007 $66.80 LIC 162666 O
[TAX] 8% State Surcharge 7/10/2007 $5.34 SUP 4931S O
Total $72.14 REQUIRED ITEMS AND REPORTS
eS
J
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 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 ■ l V Permittee Signature: ,Qe_ 1 ?�Q� C� f { or
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.
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: ar,2 Q6¢63-- REQUIRED ON GREEN INSPECTION CARD.
✓ Code "I Inspection Description I PASS Date I By I I ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing X 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X _ 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final •
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
• 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 final Plumbing rough -in
Alarm 999 Sprinkler final 322 Shower pan
330 Water service
• 335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing _ 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Budding \Forms \InspCard- AOP- Blankdoc 02/02/07
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2007•00467
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/'10/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �'��- ^'I I ..
INSPECTION WORKSHEET FOR DATE: 12128/2007 TIME: 7 :00AM PAGE: +64
bt friaD 6 1 1 15 ----
SITE ADDRESS: 13900 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 006 TYPE OF USE:
PROJECT NAME: F'ORCEL.LI
DESCRIPTION: Install up to (4) branch circuits for kitchen remodel. 12/20/07, ADD (2) ADDITIONAL BRANCH
CIRCUITS. Job No. 7261
OWNER: pORCELLI, JOAN PHONE #: 503- 684 -6600
CONTRACTOR: ACCESS ELECTRIC & CONSTRUCTION LLC PHONE #: 503 - 642 - 4333
Inspection Request Scheduled For: Date: 12/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
4 � i
130 Ceiling cover 062255 -01 503 -642 -4333 Y
Corrections /Comments /Instructions:
tc IA
1 AS 61 L�l. � — x.64 -f4, [r/ �s..liThA't
❑ PASS I :° RTIAL AP' ' % 1 ' L ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: Date: it 2g °7 Phone #: (503) 718 - /
CITY OF TIGARD
r'5
BUILDING DIVISION 2 UI?W PERMIT #: , ELC2007 -004G7
13125 SW Hall Blvd., Tigard, OR 97223 v / r OA DATE ISSUED: 7110/2007
Phone: (503) 639 -4171 l l
Inspection Requests (24 Hrs.): (503) 639 -4175 s' °'L L
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 13900 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 006 TYPE OF USE:
PROJECT NAME: WIFLES
DESCRIPTION: Install up to (4), branch circuits for kitchen remodel.
OWNER: WIFLES, BOB PHONE #: 503.684 -6600
CONTRACTOR: ACCESS ELECTRIC & CONSTRUCTION LLG PHONE #: 503 - 642 - 4333
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # nspection De .cription Confirm # Contact # Message •
1' % Electrical fl .1 051948 -01 503-680-9430 N
Corre • omments /Instructions:
j \OAACke J .41t r e _5
•
ipl
'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,1 Date: / J/v Phone #: (503) 718- � 6
t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: • ELC2(07 -00467
13125 SW Hall Blvd., Tigard, OR 97223 AR DATE ISSUED: 7/10/2007
Phone: (503) 639 -4.171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 s' ''L
INSPECTION WORKSHEET FOR • DATE: 7/12/2007 TIME: 7:04AM PAGE: 51
SITE ADDRESS: 13900 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMVIOUNT LOT #: 006 TYPE OF USE:
PROJECT NAME: WIFLES
DESCRIPTION: Install up to (4) branch circuits for kitchen remodel. .
OWNER: WIFLES, BOB PHONE #: 503- 6846600
CONTRACTOR: ACCESS ELECTRIC & CONSTRUCTION LLC PHONE #: 503 - 642 - 4333
Inspection Request Scheduled For: Date: 7/1212007. Pour Time:
Code # Inspection Description onfirm : Contact # Message
199 Electrical final 051868 -01 03-680-9430 N
Corrections /Comments /Instructions:
U TP • K T ■ r a.k r kc • R% w .
\) L. 1.._/1/4 (61- MT. It 6.3 (k)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C 7 A L ' Date: 1 *1 - 01 Phone #: (503) 718 -
•
I 1 I I N / �, �I 1 \ �- -DERRY I
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