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Permit Plumbing Permit Application ' Date received: 7 'f 4 > Permit no.: c a _ •, r 4 Tigard --► City of Ti! yl � � � : � , - g Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598-1960 'ft - Paoo1- Date issued: Receipt no.: t _hand use approval: t j ems✓ Case file no.: Payment type: - z .,-,TYPE OE PERM II ° • ❑ 1 & 2 family dwelling or accessory P C. •- • • • ..n..y' al i :.. ❑ Multi- family ❑ Tenant improvement ❑ New construction r. • dditi s . o placement ❑ Food service ❑ Other: `J OB SITE,IN 0 r : ICE' SCHEDULE ( for special inforination use checklist) - Job address: �•r ¢� ,� Descri i lion . Qty. Fee(ea.) Total `� r rr New 1- and 2- family dwellings only: Bldg. no.: - �� ° (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: i I ., ,, SFR (1) bath Lot: Block: Subdivision: SFR (2) -- . NM Project name: SFR (3) bath City /county: ZIP: Each additional bath/kitchen MI Description and location of work on premises: Site utilities: ■ -. Catch basin/area drain Est. date of completion/inspection: Drywells/leach line/trench drain = Footing drain (no. lin. ft.) I LUl\'II;ING'CONhRACCOR Manufactured home utilities = Business name: 2. L - .�1•r t 15 I, Manholes Address: , , J C Rain drain connector __ - ELM •.1 Statet2 • Sanitary sewer (no. lin. ft.) _ Ph ''s � ; - SS/ Fax: E -mail: Storm sewer (no. lin. ft.) CCB no.: / - 944, Plumb. bus. reg. no: R r'o - 010 ' - Water service (no. lin. ft.) I= City /metro lic. no.: Fixture or item: � -.. Contractor's representative signature: /f_ Absorption valve Back flow preventer IIIII Print name: C.102.4. 1A115 DDn Date: ep — ,—€5 >— ✓ Iris - Backwa�: CONTACT PERSON •. Basin avatory 11/A Name: Clothes was er I Address: Dishwasher V I /4M Drinking fountain(s) City: State: ZIP: Ejectors/sump IM Phone: Fax: E -mail: Expansion tank IIIM - ., .., OWNER Fi 1 ::,.:yer cap w 'Floor drain oor sinks/hub Name (print): _ ' e �:E*'is sal Mailing address: �M3 i ��/1 fFCCf LSO Hose bibb r1 [(� En • State: 0 ti ZIP: 2 2 Ice maker ,--m Phone: , 3' - z ( E -mail: Interceptor /grease trap - Owner installation/residential maintenance only: The actual installation Primers) nil will be made by me or the maintenance and repair made by my regular Re., drain (commercial) employee on the property I • n as per RS Chapter 447. RUM.), basin(s), lays(s) - Owner's signature: LW' Date?—q-- z ump ENGINEER Tubs/shower /shower pan ME —_ . _...im MI Name: Water closet t/ INI Address: Water heater - - City: State: ZIP: Other: Mi Phone: Fax: E -mail: Total • Not all jurisdictions accept credit cards, please call jurisdiction for more information Notice: This permit application Minimum fee $ plan review (at _ %) $ ❑ visa ❑ MasterCard - expires if a permit is not obtained Credit card number: / / within 180 days after it has been State surcharge (8%) .... $ Expires TOTAL $ • Name of cardholder as shown on credit card accepted a complete. : :' : $ F : ' Cardholder signature Amount 440 -4616 (6/00/COM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) 0' QTY„ (ea) AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink `. 9 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection) / One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet c� / 16.60 SUBTOTAL Urinal ( 16.60 8% STATE SURCHARGE Dishwasher o / 16.60 PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain /Floor Sink 2" v 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Sink MFG Home New San /Storm Sewer 46.40 Lavatory Tub or Tub /S ep " Hose Bibs 16.60 Combination v Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet 1 )( Other Fixtures (Specify) 16.60 Urinal Dishwasher ei Garbage Disposal 1 .t i' ' ' , ' j__.. , Laundry Room Tray Washing Machine 9 1' I' Floor Drain /Sink: 2"f/ pc Sewer - 1st 100' 55.00 3" Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 55.00 Water Heater Water Service - each additional 200' 46.40 Other Fixtures (Specify) , Storm & Rain Drain - 1st 100' 55.00 sf /n 9 f 3 I Storm & Rain Drain - each additional 100' 46.40 /C M r k (/4 Commercial Back Flow Prevention Device / 46.40 Residential Backflow Prevention Device' 27.55 Pt ,t f ,Z `..„ `l Catch Basin 16.60 VIri'f /,.r„aE E- i Inspection of Existing Plumbing or Specially 62.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: ,r 4- r 1 Rain Drain, single family dwelling 65.25 r 11 r z -, iii, - _ Grease Traps 16.60 �r g ` / t>V - ' QUANTITY TOTAL 'i't ,/,20,..++> In+ 1,044. +»- 1 nt,, , to C' ) isometiicor.riser diagram is required if j ?' . Quantity Total is > 9 d u - *SUBTOTAL / kg; e - "''"'te."' tr.- _,V " 8% STATE SURCHARGE **PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. ** All New Commercial Buildings require 2 sets of plans with isometric or riser diagram for plan rer, r , 1/4)illjv is \dsts \forms\plm - fees.doc 12/26/01 Accumulative Sewer Tally Tenant Name: This SWR# Address: This PLM #: Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values Baptistry/Font 4 Bath - Tub /Shower 4 - Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain /sink - 2 inch 2 -3inch 5 - 4 inch 6 - Car Wash Drn 6 Garbage Disposal 16 - Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 42 Ice Machine /Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 - Stall 2 Sink - Bar /Lavatory 2 - Bradley 5 - Commercial 3 - Service 3 Swimming Pool Filter 1 Washer - Clothes 6 Water Extractor 6 Water Closet - Toilet 6 Urinal 6 TOTALS Total fixture values: divided by 16 = EDU HISTORY PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# iadsts\swrtaly.doc 71 1 1,. i J ,, w n , � y . e i I / ,` � ,r 1 {*4 , , G , t 4 1\ ' ut • kl ,f e . e /1% spy , t 1 v"e. 1 ,.. y, i -qt i,' ( 7,c „1-. • _ '0 (y1.- S 0c G s3 CITY OF TIGARD PLUMBING PERMIT ��► DEVELOPMENT SERVICES PLUMBING PLM2002 -00274 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/6/03 SITE ADDRESS: 08530 SW PFAFFLE ST PARCEL: 1S135DA -01000 SUBDIVISION: METZGER ACRE TRACTS ZONING: C -P BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Building fixtures. Other fixtures are (2) primers. FEES Owner: Description Date Amount DAVE DALTON 17930 SW MCEWAN [PLUMB] Permit Fee 8/6/03 $212.40 TUALATIN, OR 97062 [PLMPLN] Plan Review 8/6/03 $53.10 [TAX] 8% State Tax 8/6/03 $17.00 [PLUMB] Investigation I 8/6/03 $212.40 Phone : 503- 267 -4419 Total $494.90 Contractor: EARL WISDOM 3966 NE GARFIELD PORTLAND, OR 97212 REQUIRED INSPECTIONS Phone : 503 Rough -in Insp Misc. Inspection Reg #: LIC 122960 Final Inspection PLM 26 -620pb 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 Issued By Gnu dv Permittee Signature! Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day ,Building Fixtures 5w03 -©v 3 j 1 Plumbing Permit Application OFFICE USE ONLY + Date received: - 7 0 a Permit no.: H„„, , _647 1 Cit of Tigard - -4 0 City g Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 (}� City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Ex ! ire date: 1 Fax: (503) 598 - 1960 -- '��/ " (P tig 31f.) Date issued: � �� Receipt no.: Q � EI Land use approval: .� .,/ - . r /,i1,4 Case file no.: Payment type: T" TYPE OF PERMIT 0 ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement 1171"I ❑ New construction 0 Addition/alteration /replacement 0 Food service 0 Other: JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) • 1 ' _ Description Qty. Fee(ea.) Total Job address: (6,5 l � . {-- . Bldg. no.: ' u lin o.: New 1- and 2- family dwellings only: (includes 100 ft. for each utility connection) Tax map /tax-- lot/account no.: SFR (1) bath Lot: / Block: I Subdivision: • SFR (2) bath Project name: SFR (3) bath City /county: I ZIP: Each additional bath/kitchen Description and location of work on premises: Site utilities: C Catch basin/area drain � Est. date of completion/inspection: Drywells /leach line /trench drain • Footing drain (no. lin. ft.) PL CONTRACTOR : ".. ' ' Manufactured home utilities Business name: 'S4 L, . .W t 51 -116 l.�,H Sr ' Manholes Address: Rain drain connector City: • I State: I ZIP: Sanitary sewer (no. lin. ft.) Phone: I Fax: I E -mail: Storm sewer (no. lin. ft.) k CCB no.: I Plumb. bus. reg. no: Water service (no. lin. ft.) City /metro lic. no.: Fixture or item: Contractor's representative signature:-.9e it e,0 Absorption valve Back flow preventer / 4/6.6 Print name: Date: Backwater valve ;CONTACT PERSON Basins /lavatory Name: Clothes washer Address: Dishwasher / /6 • �a0 Drinking fountain(s) City: I State: I ZIP: Ejectors /sump Phone: Fax: E -mail: Expansion tank '' ' .;.:' : 5 ,., • OWNER • ; Fixture /sewer cap Name (print): lP 0 LTD Floor drains /floor sinks /hub A" a 33.E Mailing address: $5 30 6 p rA FF L� 'Dr Garbage disposal Hose bibb City:-1 I StatG /L I ZIP: 9 79 9'3 Ice maker Phone:- /o37 -724/ I Fax: I E -mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Primer(s) A 33. D will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) 0.)1'.4./5 (,pr 3 OP Owner's signature: Date: Sump ENGINEER Tubs /shower /shower pan Urinal Name: Water closet / /6. 60 _Address: Water heater � MP. /4!0 City: I State: I ZIP: Other: - Phone: I Fax: I E -mail: Total Minimum fee $ ,J YO Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application , ❑ Visa 0 MasterCard expires if a permit is not obtained Plan review (41 /o) $ 5 /0 Credit card number. / / within 180 days after it has been State surcharge (8 %) $ t ?J. 0 WM= Name of cardholder as shown on credit card Expires accepted as complete. $ , , Y ) $ /,, Cardholder signature Amount 7 D -L4, Q- tifri )4E._ r2i 440 -4616 (6/00 /COM) Rss, Au . PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection) One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Sink MFG Home New San /Storm Sewer 46.40 Lavatory Tub or Tub /Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Other Fixtures (Specify) 16.60 Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Sink: 2" Sewer -1st 100' 55.00 3" Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 55.00 Water Heater Water Service - each additional 200' 46.40 Other Fixtures (Specify) Storm & Rain Drain - 1st 100' 55.00 Storm & Rain Drain - each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 62.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required if Quantity Total is > 9 `SUBTOTAL 8% STATE SURCHARGE **PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. ** All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. is \dsts \forms\plm- fees.doc 12/26/01 • Building Fixtures - tP Plumbing Permit Application-7-g" . OFFICE USE ONLY R eceved Plumbin r r- Date/By: .6 -5 -0,. Z� Permit No ] ��r O0b17 ��� �� � � Planning Approval Sewer City of Tigard ]� 1� � __ -. Date/By: Permit No.: 13125 SW Hall Blvd. „�� Plan Review Other Tigard, Oregon 97223 () �' Date/By: Permit No.: Post- Review Land Use Phone: 503- 639 -4171 Fax: SS03- 98-l9 0 D p, ery „ tk y , ( Date/By: Case No.: i u Internet: www.ci.tigard.os 1 � t � a h� ,. I Contact Juris.: ® See Page 2 for 24 -hour Inspection Requesti:5039- "" Name/Method: Supplemental Information. TYPE OF WORK • .. FEE* SCHEDULE (for special information use checklist) D escription Qty. Fee(ea.) Total ❑ New construction ❑ Demolition I I > ❑ Additit i/alterationlr� placement ❑ Other: New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) 1 & 2-Family C SFR (1) bath 249.20 il ❑ Y dwelling SFR (2) bath 350.00 ❑Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2 Job site address: ASS 3 c7 Sw RC-. Site Utilities Suite #: I Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name �OJ'S CPFC-t 1 N 6 Drywe lio. linear ar drain 16.60 Page Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: I Lot #: Storm sewer (no. linear ft.) Page 2 Tax map /parcel #: Water service (no. linear ft.) Page 2 Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 ` 1. Ft X l (,(•I S Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ❑ PROPERTY OWNER 1 ❑ TENANT Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/Zip: Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone: Fax: Hose bib 16.60 ❑ APPLICANT 0 CONTACT PERSON Ice maker 16.60 Name: Interceptor /grease trap 16.60 Address: Medical gas - value: $ Page 2 Primer 16.60 City /State /Zip: Roof drain (commercial) 16.60 Phone: I Fax: Sink/basin/lavatory 16.60 E -mail: Tub /shower /shower pan 16.60 CONTRACTOR � Urinal 16.60 • Business Name: �e /0/519I 4I /,fi 'crt,(� i � y Water closet 16.60 ✓✓ Water heater 16.60 Address: 3 f( h ,�l/��yl Other: City /State /Zip: ���,,,, ,i6ac_ 97e=1-/"..)-7-3. Other: 3 Phone:9 -Sam 9-5 Fax:1�i1° Plumbing Permit Fees* Subtotal $ CCB Lic. #: / -9100 Plumb. Lic. #: 6 4:A& Minimum Permit Fee $72.50 $ Authorized Residential Backflow Minimum Fee $36.25 Signature: �f? Date: �_s 03 Plan Review (25% of Permit Fee) $ • State Surcharge (8% of Permit Fee) $ (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with Isometric or 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri Building Industry Service Board. i:\Dsts\Permit Forms\PlmPermitApp.doc 01/03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1" 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater _ $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Total additional $100.00 or fraction thereof, to and Fixture or Item Qty. Fee (ea) including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Quantity by (Fixture) Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved Existing Capped Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" • - 3" 4 .. Car Wash Drain * Note: If the fixture work under this permit results in an Garbage - Domestic Disposal Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice MachiRefrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang • -Stall Sink - Bar/Lavatory . - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water - Extractor Water Closet - Toilet Urinal Other Fixtures: i:'Dsts\Permit Forms\PlmPermitAppPg2.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received 2: g 4 P Date Requested 5 e l AM PM BUP Location Y 5 _5 () �; Suite MEC Contact Person /, r.—' �J�" w Ph ( ) 69? -e74/ l' PLMi Z- Contractor Ph ( SWR BUILDING Tenant/Owner , 9a � � C 7 G�.t 7 i ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: /(7/7 Final PA FAIL UMBIN Post & Beam , Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan er. Fi PART FAIL CHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: n Unable to inspect — no access Fire Supply Line P7/71/ Dat �/ Inspector Ext ADA Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL