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Permit a G CITY OF ,T�ARD BUILDING PERMIT r PERMIT #: BUP2006 -00396 COMMUNITY -D DEVELOPMENT DATE ISSUED: 5/31/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134AB-03300 SITE ADDRESS: 10330 SW SCHOLLS FERRY RD ZONING: R - 12 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: MUSLIM EDUCATIONAL TRU Project Description: Placement of (3) modular classsrooms. • REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: sf N: S: E: W: TYPE OF USE: CMS SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: 0 VALUE: $ 22,000.00 Owner: Contractor: MUSLIM EDUCATIONAL TRUST NW FALCON INC. PO BOX 283 PO BOX 146 TIGARD, OR 97223 14845 SW MURRAY-SCHOLLS DR #1 BEAVERTON, OR 97007 Contact #: PRI 503 - 490 -5555 Phone: FAX 503 - 579 -1188 . Reg #: LIC 166350 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 8/22/2006 $65.59 fQo0/ 4 COtJ7720L [FLS] FLS Pln Rv 8/22/2006 $40.36 [BUILD] Permit Fee 5/31/2007 $254.50 [TAX] 8% State Surchari 5/31/2007 $20.36 (additional fees not listed here) Total $584.99 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issued B : / Permittee Signature: , ii . \ \ ■ Call 503.639.4175 by 7:00 a.m. for an inspection that b 4 6 - ss d This permit card shall be kept in a conspicuous place on the job site u completion of the project. Approved plans are required on the job site at the time of each inspection. sit." ur .`�Y Ed- Building Permit Applicati�fn. �20�r- FOR (fl'H IJSI : :.ONl..Y • • /4 City of Tigard AUG 2 2006 o 9oG % I to �� 13125 SW Hall Blvd., Tigard, OR 97223 , CITY OF Ti Wan Review ` Phone: 503.639.417 03.598.19.1 a G' Other Permit. • T I G A R I) Inspection L • .., -. • - G DIVI$1 p IV Date Ready/By Fral ® See Attached Checklist for Internet: .tigard- or.gov Noo6ed/Method S upplemental Information CU ' P .2- b0006 TYPE OF WORK - 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 X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling Commercial /industrial Valuation: S El Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10336 S° SGh O k1S CFAR R.0„ New dwelling area: square feet OT City / State/ZIP: - ri c aAt Cv1 Z23 Garage /carport area: square feet � Suite/bldg. /apt. no.: Project name: (1405‘1„.., E L c. a'r't Oil TRUS - r Covered porch area: square feet Cross street/directions to job l jobs ` ,�, site: S,p‘lslI F I C.oneS�de tc • Deck area: square feet / P \ - cA rto- Off- - t• et Mn O tl,nr I O WA a i nq c nn - S rk Other structure area: square feet ro r C Xriv.SC'OOw,S . REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: `E k 3 Lk 1:%Z -T t... 3 $00 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: '"',,I 0 '4 r'' 7, Existing building area: square feet New building area square feet r.if PROPERTY OWNER I ❑ TENANT Number of stories Name: 1`1 i44 IS : W Alit S,qi o Type of construction: Address' 1(1330 DLO S&.- o11s rrer ,... Row) Occupancy groups: City /State/ZIP: 71 ct-p ( OR C vt1 - a Existing: Phone: (So ) 5 *1c1 - (0 (D 21 Fax: ($03) S90- tg � O j New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: Same AS flb oV 6 All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: apply: Phone.( ) I Fax.:( ) E -mail: . r � Inc. ` CONTRACTOR Business name: N 0 fikr0 A41s t «A Q Q,N IGIkaa BUILDING PERMIT FEES* J S> (Masse rrrefer mfee schedule) Address: Po box 141D CI% S W mt)r,np,oild e_ 116 /_ 5 5 �( - Sc.�. Structural plan review fee (or deposit): 0 (a 9 City /State/ZIP: 66.AVEQ.zpN 1 02 croon FLS plan review fee (if applicable). L 3 Phone: (So3) 4 - SSS5 I Fax: ( SOT) 519 11Ig i (A fri Total fees due upon application: CCB st:: ( lplo 35o CrE.m � 2w,1 Com\etac,<4o Amount received: /05 ' 9:5 Authorized signature. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 14 ApTh I A. SA 1 t I Date: 4 61 2.,2.1 • Fee methodology set by Tri -County Building Industry Service Board. I \Building\PemiaU)UP- PemnApo doe 0321/06 4404613T( I I /02/COM/WEB) iv 7 0 ° Building Division System Development C harges .. , } TIGARD 1/1/2006 Type of Submittal - # of Plans (Includes new, additions and alterations.) . Required at Submittal Demolition Permit 2 (site plan required showing location and square • footage of all buildings to be demolished) Site Work . •• • 2 (must include location of all accessible parking) , • _ , Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures). • • • 2 ° • ' . . . Electrical 2 Plan review is dependent upon submittal of a completed application and plans. ' After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) • , . : • - • , , . • • * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an I Oregon licensed fire suppression engineei, or NICET•level "3" technicians. 4 . i i P . I: \Building\ Forms \COM- PlanSubRcgMatruc.doc 06/29/06 RECEIVED , =4�,, PERMIT NO. C1eanWater Services AUG 1 9 ZOOti 0 commitment is II eal. CITY OF TIGARD LOT J� � BUILDING DIVISION EROSION CONTROL INSPECTION REPORT DATE �� %'J INSPECTORXlile /fl SUBDIVISION , ,/,44„5/14 , / OWNER/PERMITEE l� _ i.G.5^ SITE ADDRESS JD3? .SG!/ 4/, APPR VED FINAL INSPECTION THIS SITE MEETS THE POST - CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER • NOTE: IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER THANK YOU FOR YOUR COOPERATION! [N SPECTOR . c! c� PHONE 01 / 3 "� ���j � CITY OF TIGARD - BUILDING DIVISION PERMIT # I3UP2006 00396 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED 5/31/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 : ' "'I — INSPECTION WORKSHEET FOR DATE: 8/19/2008 TIME: 7 :00AM PAGE: 7 SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: MUSLIM EDUCATIONAL TRUST LOT #: TYPE OF USE: PROJECT NAME: MUSLIM EDUCATIONAL TRU DESCRIPTION: Placement of (3) modular classsrooms. OWNER: MUSLIM EDUCATIONAL TRUST, PHONE #: CONTRACTOR: NW FALCON INC. PHONE #: 503.490 - 5555 Inspection Request Scheduled For: Date: 8/19/200 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 074349- 1 503 718 -2426 0 Corrections/Comments/Instructions: £ - Ce/- v IT 2C.C>6. — ObC) C=; r o \.) C oMT (Zc�C_ Pi N A - L —� '7 -, !o -v�; r- I4 -,Le� / Gu ? Z© oz_ - )coo c` CO ✓, TIo/S 6 I/ / /4S E- i W /1 %F . u'& 1 /4 3 4vi2 / g Cv PP.vv z - oc6w�3 �(� � G-Al2yTc- c k aff Dv 09-770 Pr 14 diK. = c.4455v.eivity ,,stike_57/10/..s _ el< ("\\<"/- _...) ►,SS/ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: e lei op) Phone #: (503) 718 - Zaii{ 17355 sw boones ferry road • lake oswego, oregon 97035 - 5217 (503) 635 -3618 • fax (503) b35 -5395 www.otak.com RECEIVE AUG 19 2008 July 16, 2008 CITY OFTIGARD BUILDING DIVISION Mike White City of Tigard Engineering Division 13125 SW Hall Boulevard Tigard, OR 97223 Re: Muslim Education Trust (CUP) 2002 -00003 Otak Project No. 13449 Dear Mr. White: This letter is in response to the condition requiring the design engineer to certify the water quality facility for the MET center. The original facility was designed by Adnan Haddad, P.E. who is no longer with this company. It appears at this time that the facility has been constructed solely for the purposes of water quality. As currently designed, storm water will be treated within the constructed facility and released directly into the adjacent creek. It does not appear that phase II of the development will be constructed in the very near future. When phase II of the construction occurs, it will be necessary to reconstruct the water quality facility to provide for detention of the added stormwater. Mike, thank you for your time. If you need any additional information please contact Brad Kilby at 503- 699 -2495. Sincerely, P Otak Incorporated `� 17447 4 'o '.. ti oxec�o�I 28' 1 @' i Fares Kekhia, P.E "OES K0' EXPiRES: Ca • 3c2. 1,: \ Project \ 13400\ 13449 \Planning \Pngenstccher - Tigard COA Response 110206L.doe creativity, integrity, and skill • strengthening our communities • performing exciting work • serving our clients • Albert Shields • From: Mike White Sent: Friday, August 15, 2008 1 0:50 AM To: Albert Shields Subject: RE: Muslim Educational Trust Yes From: Albert Shields Sent: Friday, August 15, 2008 8:23 AM To: Mike White Subject: RE: Muslim Educational Trust Mike ... Engineering is OK with finalling the MET, right? From: Gary Pagenstecher Sent: Thursday, August 14, 2008 5:19 PM To: Albert Shields Subject: Muslim Educational Trust Albert, Planning ok for final based on site visit today. Gary Gary Pagenstecher Associate Planner City of Tigard Community Development 13125 SW Hall Blvd. Tigard OR 97223 503 - 718 -2434 garvp@tigard-or.gov Albert Shields • From: Gary Pagenstecher Sent: Thursday, August 14, 2008 5:19 PM To: Albert Shields Subject: Muslim Educational Trust Albert, Planning ok for final based on site visit today. Gary Gary Pagenstecher Associate Planner City of Tigard Community Development 13125 SW Hall Blvd. Tigard OR 97223 503- 718 -2434 garyp @tgard- or.gov 1 CITY OF TIGARD . _ - &it OD 3 q b BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ii Inspection Requests (24 Hrs.): (503) 639 -4175 . F. INSPECTION WORKSHEET FOR DATE: 7/i 6 /be TIME: PAGE: SITE ADDRESS: 10336 SGAetQ M 1 S ELI,' tor CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 1A1 &A,1 I ChM •l,v■Ai Corrections /Comments /Instructi s: . Ot 1 0°1 # j -- 2,0 0 ( -- 0 a U 1 3 i S5v- - i I D .'1 a v 5 I/\,o ei, C � 1YZ q v-te,---R- W _______L_ / - P OW \ S Si - 5 / 11\--GIL.LA ‘ W e)/ lew, ■,\.3 i 4 < .-/, t...1-7.) A>: _ = / ter tit v L • _g f _ r_vv,.... I 2/t) -3 . a.)__Air . , ._,. .__ AA VW CLA--C-e c V s c f � '°' � t \ kA. rejl nAAJE L■V• 0-zLAk.S ilernq S CA- 6 Z- 00 03 # WT: Aid -4 E--r ) (;.,_ Ti - - 7, e) 9 a - --1- z--..._ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS W FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ./I a L/ Date: -- 2/ 1 (p / t V Phone #: (503) 718- �7 L4 CITY OF TIGARD . . 603W BUILDING DIVISION PERMIT #: SUP ZGD6 - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .�' IL. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 0330 SGv S CI FGA/e / R CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: /1uSL. /r'7 G-- Duc4 TTo/' c- TR vSr" DESCRIPTION: pL44Grc r O F 3 r7oD Ve-4,2- X4411/2-60nf OWNER: PHONE #: CONTRACTOR. PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 8o /7 F - - $TRUcjviz ss i o P Corrections /Comments /Instructions: t7O D v e,-4 t s U f 19 )6 V50 Pew i N 6- //u L�-C PG. 4 / u S --,.------- . ■IIII■ . . . CA- L__ F 6 / F l AM //vi PASS El PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a[/ g /h Al 484/6 —V C/ Date: 4 1 -! /^ vg Phone #: (503) 718- 2 yy-8 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2M6'00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2007 Phone: (503) 639 -4171 i i l ~I Inspection Requests (24 Hrs.): (503) 639 -4175 � '' INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7.00AM PAGE: 64 SITE ADDRESS: 10330 SW SCROLLS FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MUSLIM EDUCATIONAL TRU DESCRIPTION: Placement of (3) modular classsrooms. OWNER: MUSLIM EDUCATIONAL TRUST, PHONE #: CONTRACTOR: NW FALCON INC. PHONE #: 503.490.5555 Inspection Request Scheduled For: Date: 9/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 810 MFG - Structure set -up 055204 -02 503 - 490 -5555 N Corrections /Comments /Instructions: w --- C....t; \ _a ` mot (--•✓- `ems o.-. 6 .....v....5c q kc_ , 4-- a..A_ v--0....._e_at %-.0e.c 4-c.L.,(A _sx-a . L tLA 1--ek CT cl---4 `""k-'s _ \---v"..._ ( \.2.e_ 6' 7 1■1 &le .N 1 I S=am __Ve....,r_ w • 0 _AI Isr, ..„....4-..„... , A } , ■ e___,,,v., .„..,s..„„ , L ` d Ai,* x_ ---....3-/NC:c....0 - C 2, V2 1 .---vs, ,...e_ ...:5Z O c — _Ar... 0 0...1&■■••■ f I e A - I , C \ I ' QC t. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS rfj . IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `I " ci ) Date: e ( 7 Phone #: (503) 718- 2-�Z- CITY OF TIGARD A. BUILDING DIVISION PERMIT #: BUP2006-00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 :r' I �.. INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7:00AM PAGE: 65 SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MUSLIM EDUCATIONAL TRU DESCRIPTION: Placement of (3) modular classsrooms. OWNER: MUSLIM EDUCATIONAL TRUST, PHONE #: N W FALCON INC. CONTRACTOR: PHONE #: 503.490 - 5555 Inspection Request Scheduled For: Date: 9/612007 Pour Time: 9 :00 Code # Inspection Description Confirm # Contact # Message ads MFG- Structure grading/footing 055204 -01 503- 490 -6555 N Corrections /Comments /Instructions: '‘.0-04-L-7--T 54 ,c �yc� f— GAS ?...4■0__ O ,_ _ INO Alk � A c v--Q_ Lam. A , --- ‘ ...._, S.....c- 5 1.1._ _____ --- --t.„_:. d r— - - e 1 C.__ ' g — S' Q - - - t ''.. L.- -e- —€ __BL ---6,,i __C--' . Z-Q-,...z_,_ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ig FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "6: Date: g 4i 1 Phone #: (503) 718- 2 f P ( ) CITY OF TIGARD , = BUILDING DIVISION PERMIT #: BuP2006-00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' '� �.. INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7 :00AM PAGE: 63 SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MUSLIM EDUCATIONAL TRU DESCRIPTION: Placement of (3) modular clansrooms. OWNER: MUSLIM EDUCATIONAL TRUST, PHONE #: CONTRACTOR: NW FALCON INC. PHONE #: 503490 -5555 Inspection Request Scheduled For: Date: 9/6/2007 Pour Time: Code # Inspection De riptio �`� Confirm # Contact # Message 310 Crawl drain � ` 055204 -03 503490 -5555 N Corrections / omments /I structions: ik L47V\ - Q9--- - C/trritA-A) 1 ' — --./, • 1 ' VLik: . -- _c 7 ( c % C J 10/.„_* 7)-r-et „L.Q.-16._ (e_AsDh,_ 7% 1 ....._ i Ala L... ,,,,,, j2 , c. ,,,? ). _ ",,,,___ r „_,... La--v- /er ' ' ' / i-1 vi,--6-z.z_ \--.1 to ,e__,I., _ ‘...,? t;_e_A gl ( 4,,,, L ___,.... , N e cl,Lia_ ....., c .. c .._...„,.._ , 1 oor .. ,, ?) `- ,r2 —c,4„_ c .mac-./` L& & -0 " 1 ro,,,'AJ2 d Lc •* - • ‘ \Ifso - ex„.. , e___G „S___.„ ->1(_,Z " . ❑ PASS ❑ PARTIAL APPROVAL 'CANCEL ❑ NO ACCESS V L FAdL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /� � O Inspector: \�' C•` Date: / 7 Phone #: (503) 718- D—KZ/ CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200G- 00395 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 513.112007 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I.. INSPECTION WORKSHEET FOR DATE: 9/612007 TIME: 7:00AM PAGE: 66 SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MUSLIM EDUCATIONAL TRIJ DESCRIPTION: Placement of (3) modular classsrooms. OWNER: MUSLIM EDUCATIONAL TRUST, PHONE #: CONTRACTOR: NW FALCON INC. PHONE #: 503-490-5555 Inspection Request Scheduled For: Date: 91612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 405 Excavation 055202 -01 503 -490 -5555 N Corrections/ om ents /Instructions: 4 - 2 VU 9_.16t Ce r - V-.1 - 11 J 4- -, .. 0 , e,t,� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L) L/ Date: (6 / Phone #: (503) 718 - /