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Permit la a. 1 AD D t! 1) zao p >a� ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC2007 -00391 COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA -01200 SITE ADDRESS: 11895 SW GREENBURG RD ZONING: C -P SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: LUKE -DORF INC Project Description: (3) branch circuits for a /c, furnace and outlet. 6/22/07 ADD (1) 200amp service feeder. 6 -27 -2007 Add (1) 200 amp feeder. 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: 2 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: - 1st W/O SRVC OR FDR: 0 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: LUKE -DORF INC SOHLER ELECTRICAL CONSTRUCTION 11895 SW GREENBURG 41131 SW BURGARSKY RD PORTLAND, OR 97223 GASTON, OR 97119 Phone: Contact #: PRI 971- 832 -0807 FAX 503 - 214 -6246 FEES Description Date Amount Reg #: ELE C121 [ELPRMT] ELC Permit 6/11/2007 $60.15 LIC 167949 [TAX] 8% State Surcharge 6/11/2007 $4.81 SUP 5945 [ELPRMT] ELC Permit 6/22/2007 $40.09 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $194.98 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: 1.2 ,4.3,, ek gt; Permittee Signature: jjjj ���� 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. � ' r` I n i P�r m`�-� -�� c a� c l CITY OF TIGARD �or\ /z2 /6- ELECTRICAL PERMIT PERMIT #: ELC2007 -00391 COMMUNITY DEVELOPMENT S1,IJ DATE ISSUED: 6/11/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102AA -01200 SITE ADDRESS: 11895 SW GREENBURG RD ZONING: C -P SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: LUKE -DORF INC Project Description: (3) branch circuits for a /c, furnace and outlet. 6/22/07 ADD (1) 200amp service feeder. 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: 1 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 0 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: LUKE -DORF INC SOHLER ELECTRICAL CONSTRUCTION 11895 SW GREENBURG 41131 SW BURGARSKY RD PORTLAND, OR 97223 GASTON, OR 97119 Phone: Contact #: PRI 971- 832 -0807 FAX 503 - 214 -6246 FEES Description Date Amount Reg #: ELE C121 [ELPRMT] ELC Permit 6/11/2007 $60.15 LIC 167949 [TAX] 8% State Surcharge 6/11/2007 $4.81 SUP 594S Total $64.96 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 B, . // /j � f v /// Permittee Signature: S9 o App l((`on 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. i ,,,,•.- . , .. . , , •_,. RECEIVED . .... ...._.:., .... . FOR OFFICE 'USE ONLY : 007 4 City of Tigard JUN 2 2 2 Ftecerve d 51, Permit No, C 6C z 3ft 13125 SW Hall Blvd" Tigmti.°R 97223 CITY OF TI GAR I,. Ptsa Review' Mu= 503.639.4171 Fax: 503.5911.1960 . ,t.:‘,..:4;.•,.■.', Dateitty: Other Permit: Inspection Lin' = 503.639.4175 BUILDING MIS :„.4.- Darn Ready/By: Werner unvisecitigpird.or.us Nosiriodimerhodt lic s lE4 See Page 2 far .i f inr a. T . : ":....:'. !. . ...- :' 7 : ' . *:-.." : • . -::: . :', -. - -•-•.. -,---!...'' . V ':*::-:;:-. t.:::: .:.: .-. • 7 :.- .Eit it . . 0:14ew construction V Addition/alteration/replacement Please check all that apply; 0 Demol OService over 225 amps. corrirrel 01-faxardous foccrtion ition 0 Other: .- - . • - — - . - - -- - - - . - • ... . . _ . . . _ . . , °Service over 320 snips- rating OBuildng over 10,000 4.1 si - • • . -: -.- ' - 1-- .• 0 tik l ...'10i ' :.::: •'.:- ".7-.:_.• .;_;.:•;:-.:. .....: - -• of 1- and 2-Eamily dwellings 4 or more new resident ' 1 and 2 dwelling 0 Corronercialfmdustrial 0 Accessory building 0Srnem over 600 volts nominal units in one structure 0 Mulli 0 Masser builder 0 Other: [IBmidin g over three stories OFecders, 400 snips or r. • DOccupant load over 99 persons [(Manufactured =scum JOB Scir£ ?TURF, yeTLOPT AIXD ' - - . : - ::::, " .!" .- OBigessffighting plan RV park 00ther: Job no.: Job site address li e q 5 - . 41 - s w 7_ L ,, [Wealth-care fatality %-- KJ C• rij fL Submit 2 sets of plans with my ad= above. City/StateJZIP , '1 - : . The above are not applicable to temporary construction service . . 9 A Swift/bldg./apt no.: - rojecx nantm L u k . ,- _fib R(...- .:].K ' - - ,1"f LEE' SC .. Dereaottee 1 Qty. I Re- I Total Cross street/directions to job sit= New residential single- or multi dwelling unit. Includes attached garage. 1,000 szi it or less 145.15 • Subdivision: I Lot no.: Es.. add9 500 sq_ ft. or portion 33.40 Limited energy, residential 75.00 Tax map/parcel wiz Limite' d oaergy„ nort-residattial 751/0 - - :: : •*. : - ' ..",-. .. -. '.-:-.: :-. . - *St E 0. - #0. 14 0k* - 0.iii - - - ' . ';. : :' 1 • , f - ..'Y Each manufactured or modular 4 / c rig NJAcc ovj_j_ ' 1- durelliag.' service and/or feeder 90.90 i Serv i ces or feeders installation, alteration, andia rakes:Woo 200 amps or lcss I 80.30 8'0,301 - - . :. :.--- jaifibilnkry :6176nm- : :. -- - 1 : - '; .7 -.. . ' . --: in ' ' .- ' •-• '. r • '. ' '' 201 snips to 400 amps 106.135 -.• 401 ainps to 600 amps 160.60 Name: L l/ i< F - /) o 6Z F 601 amps to 1.000 amps 240.60 Address: / / f3 cir (PK e._<_.".. . fo Li r - IQ. I Over 1.000 amps or volts 454.65 Reormnect only 66.85 . City/State/ZEP: 7 6- Ag 0 0 6 Temporary services or feeders installation, alteration, andlo relocation Phonm (57&? 3 7, - q . 0.2 I Fax: ( ) 200 amps ar less 66.85 4; Owner instsBation: This intara hif&foin being made on property that I own which is not 201 amps to 400 amps 10030 intended for sale, lease, rear, or exchange, according to ORS 447, 449. 670, and 701_ 401 amps *0 600 amps 1 33.75 Owner signature: Dar= arum* circuits- new, alteration, or exreasion. per panel "." • :.: ' '''. . l' 1 ..;:.7 .... :::: Wa-zi A...Fee for branch circuits with ‘. service or feeder fee. cach Business name: 5 b 4 t FT. ) 4 e.-1r f C4 C- r.... 5 4-1, branch circuit 6.63 B. Fee for branch =mutts Contact num= - In - 4...., <.; I, 6?-4C without =mice or feeder fee, i i, 46.35 each branch circuit Addres. 4 1 / 1 ? 1 c....-- e, rs. Ai JC--N1 (Z-1 Each addl branch circuit 34 6.65 --a City/State/ZIP: C S 4 -r..../ 7 U OZ / 97 /f 9r hiftscelbuteons (service or feeder not included) i I , 15 Pump or inigatioa circle 53.10 Phone: ( 171 ) a : _ __ 0 ... 0 Fa= : (Si's ) i ii - 6 -. ii L ...- ._ sign ar outline lighting 53.40 E-mail: Wgrad eiretrit(s) or limited- • CONtRACiOR cuesgy panel, alteration, or extmasion_ Describe: Page 2 Business oar= co L 19,a E le.c..4-r -, ,,,, I C., r., s Address: Each additional Inspection over allowable is any of the show Per inspection I 62.50 City/State/ZIP: Investigation per hour (I hr Min) - 62.50 non= ( ) I Fax:: ( ) Industrial pion pea-hour 73.75 OEt - r_ERmrr FEES' CCB Lic ----- :;7i ---, - - 17 9 ? - - Electrical Li CI 1,2 1 Supiry: Lie.: 5 _ . Supni. electrician signature, required:c r'' '.' - ' --- . Plan review (25% of permit fee) . 4, Alt, .• - p• .. ...rid* 1 • IP' •■• ;..- -... State surcharge (8% of permit fee) Print namm 0 ri /1./ ii YIP ' S Date: Allihorticd signalurc -' ith-, 4 ... This permit application expires ifs permit is pot Obtained within Mt d530 after It has bee n accepted as complete Print name: 3 i‘t , S di k Ilift Dare: - Fee ntabadotagy set by Tri Stabling, indurcy Sc Hoare - '- Number of inspections per permit allowed_ Uftecrazgi.PoscialELC-Paaiutoca.doe 12103 4-e-gralq- .$ l • 30 T " al BLOT-S86 -EDS -laiLloS a 0 C dTt LO Ta unc CITY OF TIGARD ELECTRICAL PERMIT II V K PERMIT #: ELC2007 -00391 = COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA -01200 SITE ADDRESS: 11895 SW GREENBURG RD ZONING: C -P SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: LUKE - DORF INC Project Description: (3) branch circuits for a /c, furnace and outlet. 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: 2 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: LUKE -DORF INC SOHLER ELECTRICAL CONSTRUCTION 11895 SW GREENBURG 41131 SW BURGARSKY RD PORTLAND, OR 97223 GASTON, OR 97119 Phone: Contact #: PRI 971- 832 -0807 FAX 503 -214 -6246 FEES Description Date Amount Reg #: ELE Cl21 [ELPRMT] ELC Permit 6/11/2007 $60.15 LIC 167949 [TAX] 8% State Surcharge 6/11/2007 $4.81 SUP 594S Total $64.96 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..e:51 /1///a / IJ Permittee Signature: S 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. 1 RECEIVED JUN 0 8 2007 y_.............. A. Vl rune .t-i11.,l,,4a-411.1ltrA; C0 r OFT C ,7 1 FOR OFFICE USE O LY - City ty o Tigard BUILDING l 4 ii C I C - 7 L� Pc7nat No-: Et-C-2009- -derW) J I3125 SW Hall Blvd . Tigard, OR 97223 Y ✓ Phone: 503.639.4171 Fax: 503.598.1960 a..._ - - Praax W Other Permit: MEG2A1� 3 z hts peetion Iiac 503.639.4175 _ .e 1 , ,I Daa�Br- Date R y /By_- 1 l See mPogo en tal 2 narofor aeio . internee wtigu Not if' us Notirod/Method: Supple ww.a TXfE QF :Vi!IIBX:• Ai.APi • 0-New construction ` Addition/alteration/replacement - - Please reek all that apply: Demolition Other QService over 225 amps. comm•i r. Hazardous location QSeaviee over 320 amps — rating 011uildng over 10,000 sr - - ' CATEGQRY'OW.CQ 'I UJC 'TON:: ° .7---..-;_:. • _ of 1 - and 2 - family dwellings 4 or more new resident • V i 1- and 2- family dwelling 0 CoamiexciaUmdastr'jal Q Accessory building QSystan over deo volts nominal units in nue structure Q Multi- family ❑ Master 0 Other: QBw7dmg Duct three stop s QFeeders, 400 amps err r _ J O B SIT A� h iO Tiildll<Y C - - - Persons RV pair lob no.. Job sits addre red slalcatrt - • ON 41;ID I.(TCA • UN ' QOccupant load over 99 fete _ _ � _' .�' QE$itsslLig�S address~ . �f e - k /t • • ' L... Submit 22 � r o f plans with any of the ba c GtYlStatrJZ1P: T f (R The above arc not applicable to temporary construction service Suitdbldg / apt no i ry name n nn ....7... .F .t 'F' '- scrlPPLLE . j et: (J ��C 1/�/C. •l I Orr. I Fm I Total Crass slreet/directi as to job site: New residential single- or multi family dwelling unit_ ladudesattached garage. I.000 sq_ fL or leis [ 145.15 Subdivision: E Lot no: 6t_ addi 500 sq_ EL or portion 33.40 Tax map/parcel nom Limited energy. residential 75 00 thrilled energy. ran - residential 75.00 /-(--- DES1*49#0N- og'-FkORg " • _ . - ' " Each amsnt6maed or modular �v V �j Act 0v 41e_ 1- dwelling. service and/or feeder 90.90 / I / Services or feeders installation, alteration, and/or mineable 200 amps or less 80.30 • --' PROPERTY - OWprER - ' :: - '-' : :`''-_ : - _ " •:. ' -[) . 201 amps to 400 amps 106.85 401 as to 600 amps 160.60 Name:. L V (C F — D U Z F 601 aegis to 1.000 amps 240.60 Address I S 1"" 1"" Cr t t✓v b ti f f C' or vales 4 66.85 City/State/ZIP 77 (' ii i4 \ 0 0 Temporary service or feeders installation, alteration, and/ relocation Phone (sd_? 7 -� ) c _ � e , iFmc ( ) 200 amps or less - 66.85 Owner installation: Tins d n its being made on property that I own which is not intended for sale, lease, rent, or exchange, according to OILS 447, 449, 670, and 701_ 401 amps in 600 amps 100.30 33 75 I 401 amps to 600 amps 133.75 I ! Owner signature: Date: Branch circuits— new, alteration, or extension. per panel - . • .:-.. APPIircap • r , _ NTAI•CT P tS QLtf A. Foe for branch circuits with Business mane S v L. G lv ,...1---c r e-� C-42 . - s-4--- bra th circuit cc or feeder fee. each branch 6.65 B. Fee far branch circuits Captact name: —r„ R... C G.1e , Win service or feeder fee. 1 46.85 /f e, each branch circuit y ( 1 3 ► s' (; tai ., � .. �t g- el Each Each adds branch t 6 .65 t= City/State/MP: ( 4 ( J L? 7 I Cj f (service or feeder not included) ( 3 arc S n r�! ? } Phone: (17/ ) ` o 0 - Fax : (Sts3) I'wnP or;iriganoa circle 53.40 E Signal r �� y � Sign osotttffinc IigptioS 53 -40 Signal cuatit(s) or limited -- CONTAtACTOR - energy panel. alteration. or / � /� )4-, extension Des rn e: Page 2 Business name Sa L L z Ele J,-, -o. ( : ce , S t Bach additional inspection over allowa in any or the above City/State/ZIP: Per inspection I 6250 tn.esagat:aa per hour (1 tv mind 62.50 Phan= ( ) I Fax: ( ) Industrial plant per tour 73.75 • ' E[.TAICt(L PERIVDT FEES crs I.ic.: 4,7 99? - I- Electrical ti c_ t2 i - supr Lie_: 5. —5: r Subtotal , r r Supry Electrician signature, requirmii 11/./ f � ' - ........11* Plan review (25% of permit fee) - Print mom= r9 ill � � U r�P . Date: state s>r rye (8% of permit tee) y 6 TOTAL PERMIT FEE 6, ci --- _ Lei Authorized sigoanue: after permit application expires if* permit is not obtained uiithia L80 t — days it has been accepted as complete Print name: Dare Pee methodology sot byTri - County Building industry Service Hoar '∎ Nombe of inspections per permit ahoorce. re,mitnEr.Ganamrtaaaoe lain a...�.� ...a.......�..e. b' BLOT -SSG-60S - ao' dTS :EO LO BO unf CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00391 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 ,„� INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 11895 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LUKE - DCORF INC DESCRIPTION: (3) branch circuits for a/c, furnace and outlet. 6/22/07 ADD (1) 200amp service feeder. 6-27-2007 Add (1) 200 amp feeder. OWNER: LUKE -DORF INC, PHONE #: CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971 - 832 -0807 Inspection Request Scheduled For: Date: 6/29/2007 Pour Time: Code # Inspection Description r Confirm # Contact # Message 199 Electrical final ( 051205-$1 503- 985 -0131 N Corrections /Comments /Instructions: K PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 4 t . . Date: 6'2.CpM Phone #: (503) 718- 7--4110 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00391 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6//112007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 5(3 SITE ADDRESS: 11895 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LUKE INC DESCRIPTION: (3) branch circuits for alc, furnace and outlet. 6/22107 ADD (1) 200amp service feeder. OWNER: LUKE -DORF INC, PHONE #: CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971-832 -0807 Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message '199 Electrical final 050922-81 603 -986 -0131 N Corrections /Comments /Instructions: O NT$ krtiNtt W Niftiv -r ®N Nr v°Vu.1 t sl MI- Is () . �30 F14044 f ALL - raa I tt rb Helens or►\,,� N hnti - ' girdav (LIE PA*1 T & Feir Vo(L A®iti i o NA� ❑ PASS n PARTIAL APPROVAL n CANCEL Ti NO ACCESS XLFAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 ' N 6C!) L Date: L* . 01 Phone #: (503) 718- IA