Permit C ITY OF TIGARD PLUMBING PERMIT
,14 A DEVELOPMENT SERVICES PERMIT #: PLM2000 -00363
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/13/00
SITE ADDRESS: 13535 SW 72ND AVE PARCEL: 2S101DC -00300
SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2
OCCUPANCY GRP: B FLOOR DRAINS; 6 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: 1 SF RAIN DRAINS:
SINKS: 6 URINALS: 10 GREASE TRAPS:
LAVATORIES: 8 OTHER FIXTURES: 11
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 10 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Plumbing permit for new building.
FEES
Owner:
Type By Date Amount Receipt
PACIFIC NW PROPERTIES PRMT CTR 10/13/00 $642.50 27200000000
9965 SW ALLEN BLVD PLCK CTR 10/13/00 $160.73 27200000000
SUITE 115 5PCT CTR 10/13/00 $51.40 27200000000
BEAVERTON, OR 97005
Phone 1: Total $854.63
Contractor:
POWER PLUMBING CO
P 0 BOX 23144
TIGARD, OR 97281 REQUIRED INSPECTIONS
Sewer Inspection
Phone 1: 244 -1900
Reg #: LIC 00052378 Water Service Insp
g Top -out Insp
PLM 34 -150PB
Storm Drain Insp
Rain Drain Insp
RP /Backflow Preventer
Final Inspection
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 - 0001 -0010 through OAR 952 - 0001 -0080.
You m. :::•s copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
,��
Issued � , i , �� -� Permittee Signature: n O�
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bus s day
CITY OF TIGARD Plum g Permit Application planc P 15, --
1312 S HALL BLV D Com ercial and Residential Recd 6y 4 _ (y
rIGARD, OR 97223 e Date Recd r .' '�'e' '�;
;503 639 -4171 Z Date to P.E. ri . -
Date to DST
��� �
� Print or Type Permit #J"1t`c 6 ' Ze ce Gl�''
Incomplete illegible applications will not be accepted Related SWR# -4. : 1 ,4.9e6
Called
Name of hill y� FIXTURES (individual) QTY PRICE AMT
"7 •
Job 'r I d a ve . D f- fi C bti l Id m / + Sink 11.50 -7. f''i
Address s A d , -' W / s // ���� �J Suite Lavatory ��((� (6 11.50 eiz,e
A �� Tub or Tub /Shower Comb. 11.50
Id # C C ity/te a Zip - Shower Only 2 11.50 ' 0,46
'° r Water Closet 10 11.50 //6,e
N ?Q, f i fie- / Ple)),19rbes Urinal 11.50 Owner Ma A dress �p i (( ite([ Dishwasher 11.50 /! �(� I �I Garbage Disposal 11.50
State 4p Ap c ,70 Phone Laundry Tray 11.50 /
Vrt% i Washing Machine/Laundry Tray + 11.50
Name e
FloorDrain/FloorSink 2' (n 11.50 (09,6
-
Occupant * Mailing Address Suite 3" 11.50
4° 11.50
City/State Zip Phone
Water Heater O conversion O like kind ' 11.50 n ; 5' ,.
_ - Gas piping requires a separate mechanical permit.
1r W P1 aM V i i N t MFG Home New Water Service 32.00
A e �I � / II Suite
- MFG Home New SaNStorm Sewer 32. 0
� o Contractor ` 7 Hose Bibs ( 11.. 50
Prior to permit /S / Roof Drains 11.50 qz, eZ
issuance, a copy t 1/ -' Q vv . Drinking Fountain 2 11.50 ,Df7
of all licenses are Ore�t �,o t •Board Lic.# Exp. Date Other Fixtures (Spedfy) n pcu,�o 1 15.00 0 5,40
required if G „'(' . "I
expired in COT Plu)bipg Li -. /t- Exp. D ate •
database �j 1, � J
Name p
Architect in I a rep L•LS/ f Sewer -1st 100' 38.00
or ll ll,na,pd5re w n t I S Sewer -each additional 100' 32.00
I T S /� �J Water Service -1st 100' 38.00 -
Engineer I , t n te / �„ r''n fn7 , P 1.1_0 -� �, �' 3 '" + Water Service -each additional 200' 32.00
it Des ► • ' work to be done: �( (1K- `f / Storm & Rain Drain -1st 100' 38.00
j New • Repair O Repla ith like kind: Yes O No O Storm & Rain Drain - each additional 100' 32.00
Resid: n+ al O Commercial Commercial Back Flow Prevention Device , g 32.00 c, (.4 t9t
Additional description of work: Residential Backflow Prevention Device' 19.00
nod() b 1 l ot j71 Catch Basin 11.50
Are you capping, moving or r ing any fixtures? Insp. of Existing Plumbing or Spedally Requested 50.00
Yes O No Inspections per/hr
If yes, see back of form to indica a work performed by Rain Drain, single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT IN INCREASED SEWER FEES.
1 hereb acknowled a that 1 have read this application, that the information ' 7 '
Y 9 Isometric or riser diagram Is required it Quantity Total is > 9 QUANTITY TOTAL d '
i
given is correct, that I am the owner or authorized agent of the owner, and • SUBTOTAL ' S� 1
• : - . 5 sub fitted are in com li nce with Oregon State Laws.
I Signature .f ner /Age Date 8% SURCHARGE 1/
Con /► V P /1 / (�'� ** PLA N R EVIEW 25% OF SUBTOTAL ) J u 1) itilita
)r 7 Required only if fixture qty. total is > 9
� , HOUSE.$178 OO ,,, r : ; -, � g : f ` TOTAL �y �
; _. i. ; S OUSE,; », '1 �x; i r ,
i t �
,. � '`Ot i 285rSEsOO� i ;� r� i *;o-t .�4 3 , ,3 � �, ;
/. „ des_ U p iumbing ctu an t o dweNt .ttle r4. + •Minimum permit fee is $50 8% surcharge, except Resid • I Backtbw Prevention
ei er storm ;, i , :rand se . nd to ,, , Fi' ' . Device, which is $25 + 8% surcharge
s� ' )
( i
1:ld "All New Commercial Buildings require plans with isometric or riser diagram and
\ c plan review.
l � i
i . - 6/ V staVamalplumapp.doc 11118/99 _ / � ,
; i!0 (' _ , �,,�,_ F y 9r^ i .r - / I�, � c't., ,Pty
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
:: New Moved I : Replaced Removed /Capped
Sink �P
Lavatory
Tub or Tub /Shower Combination
Shower Only 2
Water Closet
Urinal 4 - _
Dishwasher
Garbage- Disposal
Laundry Room Tray i
Washing Machine
Floor Drain /Floor Sink 2"
3"
4"
Water Heater 1
Other Fixtures (Specifyliab4 ck v
OVer &a 0 roof dact rid q
Su p uurvto f
COMMENTS REGARDING ABOVE:
1:1dstsVom'S\ *maw .doc 11118/99
k
"CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
� � f.s'D r BUP
Date Requested AM PM BLD
Location (77 53 S i.j . 12-vt.4 Suite MEC
Contact Person Ph 2h/L1 (ADD PLM at90 --61,)36•3
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall ]
Fire Sprinkler Tej I��h�`"Q to�1� �ev- `D7� C.
Fire Alarm
Susp'd Ceiling / / "� � . % iit -Or C/
u CI& vim.
Roof
Misc:
Final
PASS PART FAIL
Pos & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
(- PART FAIL
NICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date to - 1 G Inspector � � I /��G l'V`p - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST . . •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP -
Date Requested AM PM BLD
Location 1' ;. ,,JJ Suite MEC
Contact Person 1 /,(,Iz Ale■ Ph 14 T`LR 9U PLM 1,815r) �' 66 0_'3
Contractor Ph r SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam Ad
Ext Sheath /Shear
e r fIt, /� .(
Int Sheath /Shear L `•( �/
Framing / � F / Oo.- / 0 9 I 1 L ( i v 0, �/r,' H . (
Insulation L
Drywall Nailing NO / Oy- e■ /`1,
Firewall . , -7
Fire Sprinkler I ' f G'' f /Ion 7?'a 7r 1 w�.ar N O e A4c 4 tq
Fire Alarm J
Susp'd Ceiling
Roof
Misc:
Final
PASS FAIL
ost Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drai
* - FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
. Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 6 - 1 7-- 0 / I 730 � / L .e f�V - -4- . Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
3C7
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST .' - 42, 21/00 - Zi
Date Requested f AM PM BLD
Location / 3 5 ,Sr r/ 2 a Suite
Contact Person M
Ph ZY/ /9 �ivG-GD 3< 3
Co Ph SWR
BUILDING Tenant/Owner ELC
e ping WaII ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab
Post & Beam SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
isul- '• -
.:;a1111IMEMI"'" Per c ��sc/k7 dA.I.
Fire Sprinkler C.. G � / /� ( $ 7 f 2
Fire Alarm
Susp'd Ceiling
Roof
Misc
•
&, FAIL
!IiT- = ...r 1
Post & Beam 6d e e E /~
Under Slab
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
t• 'r' NICAL
'ost & Beam -
Rough In
3as Line
>moke Dampers
final
PASS PART FAIL
!LECTRICAL
service
tough In
IG /Slab
ow Voltage
ire Alarm
inal
PASS PART FAIL
;ITE
ack ill/Grading
anitary Sewer
torm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
atch Basin
ire Supply Line [ ] Please call f r reinspecti n RE:
[ ] Unable to inspect - no access
DA • ,2
pproach/Sidewalk J zai
ther Date Inspector 76 Ext -
nal
'ASS .PART FAIL DO NOT REMOVE this inspection record from the job site.
•
yz /s
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
-� BUP
Date Requested /' 2 1 AM PM BLD
Location /31 S' 7Z---2-r Suite MEC
Contact Person Ph 93 -59Z 9 PLM 2e..0 -6 V.?(.. 3
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain • SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall (K 7-0
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PA • ART FAIL
Po : - Beam
Under Slab ;. 7h /,
Top Out
Water Service
Sanitary Sewer
Rain Drains
F:.
� FAIL
C
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA ‘- nCIZ/ 1 7 Approach /Sidewalk Date / 2_// t ') ( Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
3; 3 -
- .CITY OF TIGARD BUILDING INSPECTION DIVISION Mss
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• BUP
Date Requested 3 � 7 AM PM BLD
Location l 3 S 3 5 54. 7Z--+ -/ ,+.c Suite MEC
Contact Person Ph 2 Yq - / f G v PLM etidG -6U 3
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ��� �2 ���r C �� �'rvr� /' ��
Fire Alarm / ``
Susp'd Ceiling (7 /'� /� S /✓ C U / 1 '^ % /�� S
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Fin
ASS PART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART. FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please r rei pecti RE: [ ] Unable to inspect - no access
ADA >
Approach /Sidewalk Date / Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•,CITY'OF TIGARD BUILDING INSPECTION DIVISION
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639=4171 MST
gV4 Date Requested 3 /C
AM PM BLD
Location t 3 5 SW 71AJI , Suite MEC low
Contact Person Ph 'Z — (Rb O PLM 16/40-- 04 3 ( 3
Contractor Ph SWR
•
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear •
Int Sheatth/Shear
Framing
Insulation
Drywall.Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof S7 #/ C�J�f /Uv�
Final
L T FAIL � � /✓ � � j �
Post & Beam
Und- Slab
'op •ut
- - Service
Sanitary Sewer
Rain Drains
1 PART FAIL
MEC' ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ 1 Unable to inspect - no access
ADA
- rj7 Approach /Sidewalk Date /'Y Inspector V Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection .record from the job site.
ZZ7P'4
•
CITY "OF TIGARD BUILDING INSPECTION DIVISION MST •
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP• •
• bate Requested _ C AM PM BLD
Location /,3 S 3) 5 w 7z---i-i05 Suite MEC
Contact Person qigifet Ph - 4) -Z y -1 F0 U PLM - CO ° `V45,1 ‘7
Contractor Ph �_
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm ] �-
Susp'd Ceiling «/ �-� � O //(.l
Roof
Misc:
Final <
PASS PART FAIL .
it
Post & Beam
Under Slab
Top Out •
- Water Service
Sanitary Sewer
(Rain Drains
Fi
ART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date 34 Inspector t Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF'TIGARD BUILDING INSPECTION DIVISION .
24-Hour Hour Inspection Line: 639 -4175 Business Line: 39 -4171 MST
T - t ,- BUP
Date Requested AM PM BLD 1 T;
'
_ 4
Location /3 3 7 7.- Suite MEC
Contact Person Ph 73/ .may Z y PLM
Contractor ,L:•f.0 -fit✓ Ph v f '-/'7t7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm &Ca r
Susp'd Ceiling - GAS
Misc ( T6 3 LJ / /( / /Le 0
Final C U ✓ /
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
C$a►n Drain3ti
Final
■ PART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanita Sewer
Storm in [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
( Approach/Sidewalk Date /2" /
Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CIT' )OF' iGARD BUILDING INSPECTION DIVISION MST
•
, 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BuP
Date Requested 2— r— a / AM PM BLD 7#�
Location /.33 S 7 Suite MEC
Contact Person Ph 5 " PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation CIA c k- FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: s �� �LAlU
SIT
Post & Beam 7
Ext Sheath/Shear 2 -ereq)--C20 0 `'-
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall Fire Sprinkler -� - / (� — 1 J / t-f / d G/ / L
Fire Alarm -� �� , /
Susp'd Ceiling / �.$ / / / CV / A- �/ C./
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Fi!
1 ti.�lr " ) PART FAIL
HANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA /C _ (/ /
Approach /Sidewalk Date j � TS ! Inspector 47) Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
- :C#TYIF tIGARD BUILDING INSPECTION DIVISION MST t -'
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 f - =- •
BUR
Date Requested 0 AM PM BLD
Location *". 1.3 5 ' 3) .Sw 7 "d- ( Suite MEC
Contact Person Ph 5 - q / - 4'oO PLM , -
�0 3
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation r ,, L�
D all Nailing Y ry _ ■ 0 A_ (f /
MN 9
Firewall 1 , A J'r ' , I, 191-4— P
Fire Sprinkler L-lJ /t�'
Fire Alarm 1/ (. 14 t i4 5 r�t l/< <i�� S t (re v o 0
Susp'd Ceiling I
Roof �� P—r/14/ � � r ft- rt PO (
Misc:
Final
PASS PART FAIL
UMBIN
os Beam
Under Slab
Top Out Cs 14 4
Water Service WU ✓i
Sanitary Sewer
Rain Drains
Fi
PART FAIL
MECHANICAL
Post & Beam -
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. " =y at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: � ] Unable to inspect - no access
ADA
177,
Approach /Sidewalk -v�r -� / �
Other Date / o (" Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
GITF' BUILDING INSPECTION DIVISION
MST
24 -H ur Inspection Line: 639 -4175 Business Line: 639 -4171
BUP =
•
' Date Requested /o AM PM BLD
Location / 35 3) Sw 72 /4v io Suite MEC
Contact Person Ph 573 �6 - /ay PLM — 3(0 3
Contractor Ph 27.D 33/ k swR
BUILDING Tenant/Owner //� � z-� ( ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
•
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
_L imiamenenin •- : T FAIL
4 m
6
Water Service t4i 4
Sanitary Sewer
Rain Drains
F� =
,: PART FAIL
M ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA //
Approach /Sidewalk Date / // 7 j % U Inspector Ext
Other 740)12
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.