Loading...
Permit • 0 CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00474 ��4r. DEVELOPMENT SERVICES DATE ISSUED: 9/25/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12575 SW GRANT AVE PARCEL: 2S102BB -02000 SUBDIVISION: MOORE'S MEADOWS ZONING: R -4.5 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: add 912 sf garage. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT. 10 FIRST: sf BASEMENT: sf LEFT• 5 SMOKE DETECTORS. TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE. 912 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT: 5 VALUE: 22,161 60 OCCUPANCY GRP• R3 BDRM: BATH: TOTAL: 0 sf REAR: 12 PLUMBING SINKS. WATER CLOSETS. WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS' FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP' WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K. UNIT HEATERS' HOODS: OTHER UNITS: MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp. W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp. 1st W/O SVC/F 00 SIGN /OUT LIN LT' PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR' 601 - 1000 amp' 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt . PLAN REVIEW SECTION Reconnect only. > =4 RES UNITS. SVC /FDR> =225 A : > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO. VACUUM SYSTEM' AUDIO & STEREO: FIRE ALARM. INTERCOM /PAGING' OUTDOOR LNDSC LT• BURGLAR ALARM' 0TH: BOILER: HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC. DATA/TELE COMM" NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 590.40 This permit Is subject to the regulations contained in the TIMOTHY L. MCCARTHY OWNER Tigard Municipal Code, State of OR. Specialty Codes and 12575 SW GRANT AVE all other applicable laws. All work will be done in TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: Phone. Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 - 001 -0080. You Reg #. may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987 CE 5 - t L i 4) 'ZZ-(4 q REQUIRED INSPECTIONS rosion Control Insp 8 Exterior Sheathing Insj Slab Insp Rain drain Insp Electrical Rough In Electrical Final Framing Insp__ _ Final inspection j Shea . f Walllnsp --- ---- I // • Iss ed By : • + 1 UM/AL 1 Ai s I! Permittee Signature : , ( _ I1 Call (503) 63' -4175 by 7:00 p.m. for an inspection needed the ne , business day • Building Permit Application FOR OFFICE USE ONLY Received 9/ RECEIVED Date/By /�$/ Building a3 Permit No S (o ' ' - Ong 7 4 City of Tigard Planning Approval Other y g Date/By Permit No : 13125 SW Hall Blvd. P 1 8 20 Plan Review Other Date/By Tigard, Oregon 97223 y 04 i f" - -).. rs3 Permit No Phone: 503- 639 -4171 F - 503 -598 -1960 l4 ' %; 0 I } 4 Post- Review Land Use TY OF TIGARD 'III Date/By Case No Internet: www.ci.tigard.� Conta Juns.: Su ' y � ' §AON See Page for 24 -hour Inspection Reques : '�` �1 Name/Method Supplemental al l Innformation V P- �. r. ;sa' z {,.. � 3 — (90oq� - .�,^ y, bs _ �.�'^" ' C;n; , , �F �.,;,,,.,- 1'$in'-�':3„ � , � s 's ;�'� �� � �r " g= ®I�` Z';��°e• ��st4� =�� ,. ,. � �� .` .«. .s' �``�"' `w ,�i.' 2 r & .. _ s- _ a'ta c, ' tea' „.:�= sL,,,,:4i:.,,:, . ,,t ,. t - g New construction 111 Demolition .04.1:f , li& Y D » - ❑ Addition/alteration/replacement ; O on/replacemen_t ❑_Other: °' :' . -`- r ' ��' XTin:00 IC ON$° 0 :0R I . ' ,'' .`� ,. '` Note: Permit fees* are based on the total value of the work performed. Indicate \ IN 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ 11,0 1 D00.ov " qh <.at A - ~ ~ � No of bedrooms: No of baths: Job site address: 5 Su) Total number of floors...... New dwelling area (sq. ft.)...... .... Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) 1 ( 1 - �j( ; - < -c Project Name: ' y . t. Covered porch area (sq. ft.) U Toss street/Directions to job site: Deck area (sq. ft.) C - t Z1 d - (j'e- Other structure area (sq ft.) : x - +'�'"`4 ��,' :. ,' V �. ' ; az ^x, I t s ,. .�. �� , ,x �+'a E �' � .. '# <; SE ens waa`"�a¢^r,�a»� a5a�`� ". ,ten l �� N;:,,. . - ',0 4 'C ` OMiZZO L < "Ur IST. ° _�, 3y ` Subdivision: 1 r r a\ -e_o4 il) I Lot #: / „ q:,, .. f'1 .q.;:3 a:;3 „t.-m a�a :,, avvr # ,, t s °14w: ~ r ;' . : ,b Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed Indicate . ' �' fi- � � `DE "tows ' Om ,” the value (rounded to the nearest dollar) of all equipment, materials, labor, t X overhead and profit for the work indicated on this application. u 0.cLG�Ci. e_ �U Valuation. $ Existing building area (sq. New building area (sq. ft.) Number of stories ,RO Ri L0 R " ; , TENIA1TT 0,,r-71 Type of construction Name: Uv`o'Hi.\A L l '�,1CC eltr q -L Occupancy group(s): Existing: Address: t �Srj U) y- d G�-- ' - New: City /State /Zip: Tr -o ©P. 9 '7 2 Phone 6 �0 +-t 3$ Fax NOTICE: All contractors and subcontractors are required to be .�w licensed with the Oregon Construction Contractors Board under l APPIg.. ` N s MATA OWINOT PERSON ; :V., provisions of ORS 701 and maybe required to be licensed m the Business Name: jurisdiction where work is being performed If the applicant is exempt Contact Na e: - I - 1 %NJ\ 1--_. n,1C & i from licensing, the following reason applies: Address: ��, „„_.e) 1 City /State /Zip: l Phone: I Fax: E I i , r 1+� a. "�; :;y' esi , i , i ' ,,F, BT�ILD1`I°G»EEItma ) S * , i s ` °�. E -mail: � � � ��� tr: -.z' -= 't;^ 3�, 'ws — ' - "dT -Rr, r ,,;x '°'n?i, "R, s.�,� .�;� ' , �+ 0P.,leas efe tofee sche ule ,_ -1,,, c ' a , -4 , f: t N t t. s .c �s .fs ° „, a`�^s� �� �:."i. -.�, .w. �e„sa��� ...:.�sY��' 4��.t����1�� ��s��C® N�IZAC��D��l�t ±�.�:•:�����.�f >:,a;:�� Business Name: ' .p, -A--- 1`tAreAr- Fees due upon application $ Address: . City /State/ ip: Amount received . $ Phone: I Fax: - Date received: CCB Lic. #: ,,_ ) Authorized . at I _ 0 �� Notice: This permit application expires if a permit is not obtained within gartagri Signature: 180 days after it has been accepted as complete. r i / t *Fee methodology set by Tri- County Building Industry Service Board. • lease print name) f 7 f � 1 D- 9 q Forms\BldgPermitApp doe 01/03 , V vim ” . • One- and Two - Family Dwelling ,,, Associated permits: Building Permit Application Checklist Reference no.: City of Tigard City f Ti ard y b ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, histonc district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ plan O permit required. Include drainage -way protection, silt fence design and location of C lj -basin protection, etc. 10 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ing codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour Imes at 2 -ft. intervals); location of easements and X driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot , . area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, • wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. .• 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. . 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. - JURISDICTIONAL SPECIFICS 2 1 Five (5 site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". 2.4_...., (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440 -4614 (6 /00 /CaM) ■ w F O USE ONLY -Electrical Permit Application Received Electrical Date/By Permit No.. 0'937 3 e775' • City of Tigard Date/By. Approval Sign DateBy Permit No 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No: Phone: 503- 639 -4171 Fax: 3 jk .- Post- Review Land Use . + ?` Date/By. Case No . Internet: www.ci.tigard.or.us ������; g [� �'r�" �!' I � Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 54E3'4-4l' 5 y �� CITY Q Name/Method. Supplemental Information. :'.':n° / : ° r 3 _ n' N'. `° : h e , ,., aa; 4;.. ;. >>'. .:.i7 '.., " �m Z .; , 5 , r, [P)l . , 9 ,1 ,� '4 - N . s :a W ' k _�f at -a t ' "" _,�:::�: „_ .,_... ,.._,__ �. < � , . 7 � -..�: ,,.. - �,�_��.:� -�,� � � � :,���PA �(�'��ase;cbec,_ „_��th _ _Pp..Y�)�,.��•:. ...a�'�:.� Z New construction �l) volition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous 111 Addition /alteration/replace ❑ Addition/alteration/replacement ❑ Other: location _ Service over 320 amps- rating of ❑ Building g over 10,000 square feet, k ;: _ ,ICA EG;ORMQ ,( OI�,S� RU�G`FZO t '' c; 1 & 2 family dwellings four or more residential units in ® 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stones ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ['Egress/lighting plan ❑ Other: c `xs 301 M r.-_ ° °” _e 1 0 m, Submit sets of plans with any of the above. �.. ,,� - OB, T�T<, INi0214AIC)N'- andCJCTI(9N�r.., � : The above are not applicable to temporary construction service. Job site address: (' -S” l S 6-v ,�-- N-4-(... .� ,; 270 �' * ° ,; ,: N t,. = y . ; . Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) Total Cross street/Dlrections to job site: New residential - single or multi - family per t + j dwelling unit. Includes attached garage. 50‘). . fl C � /�'i& Zl {? +-- �1,1\t \' e_ • Service included: 1000 sq. ft or less 145 15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: e_ 5 t/1/t'P . v(Tt,.) Lot #: ( Limited energy, residential 75 00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling ; , - " "° '" `° °`��, J,`.z • „ a.� service and/or feeder 90.90 2 '` ^- �pERIPt Th(1W()RC %;�:: «. a: =,at . „ l 3 5 ct C (?�( { /Yc c Services or feeders - installation, X alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 '.�� �ElY ' T�;��:: '�. ��g� >���:'t,� 1 amps s to 1000 amps 240.60 2 1' Rt3PER3�® �YE' R���;; �- � � ' f, � �'" Over 1000 amps or volts 454 65 2 Name: +t, C Reconnect only 66.85 2 Address: ( 2_5r S � r Q _ on Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: / r� � � q 7 22, 200 amps or less 66.85 1 Phon � Ip.+,0 -i j 8 - Fax: 201 amps to 400 amps 100 30 2 • 401 to 600 amps 133 75 2 Branch circuits -new, alteration, or Name: Ti v, , KCC,, extension per panel: A. Fee for branch circuits with purchase of Address: _ .Un serv ice or feeder fee, each branch circuit 6.65 2 City /State /Zip: B Fee for branch circuits without purchase of service or feeder fee, first branch circuit / 46 85 2 Phone: Fax: Each additional branch circuit 6 65 2 E -mail: Misc.(Service or feeder not included): i , Each pump or irrigation circle 53.40 2 � ec'�a-r ' ���� ��� ,� � � � �` Each sign or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, Business Name: ,,P� alteration, or extension Page 2 2 t U r'V, (��� Description. Address: C5,,, City/State/Zip: /State /Zl Each additional inspection over the allowable in any of the above: }� P Per inspection per hour (min 1 hour) 62.50 Phone: Fax: Investigation fee. CCB Lic. #: Lic. #: Other: « .M; 4 h . v;: IectricitY mil' e s� : �.: rt t ti- '. Supervising electrician Subtotal $ signature required: Plan Review (25% of Permit Fee) $ Print Name: Lie. • . State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Authorized --Th 0 , , 't 1 Notice: This permit application expires if a permit is not obtained within Signature: � . /.at w .1 � h ater --0 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. - 77 IM.6 L 01- , r tL (Please nr name) 1 l i.\Dsts\Permit Forms \ElcPermrtApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - SupplementaI Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: Audio and Stereo Systems In Burglar Alarm n Garage Door Opener n Heating, Ventilation and Air Conditioning System n Vacuum Systems Ti Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: Audio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation ri Fire Alarm Installation HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control n Medical n Nurse Calls n Outdoor Landscape Lighting n Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations r.\Dsts\Permit Forms\ElcPermitAppPg2 doc 01/03 I Permit #: j t ( 9,co1 — 0047 Ado ._ss: ` 75 O� _ ,. I OLIO- • .sued by: ,O__ i1i,_,1 /,! Date: 1A�3-- Statement: Information Notice to Property Owners . About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: r . I own, reside in, or will reside in the completed structure. row \, r2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR P B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is •,r t and that I hav,�„read and do understand the Information Notice to Pr i Ownel b / onst 164 ' es o sibilities on the reverse side of this form; q ) (Signature o per applica t) (Date) (White copy to issuing agency permit file, pink copy to applicant) . . ~~ linforrnation Notice to r Toperty Owners Ab Construction Mes!oons~b^U^t^es Note. This Notice to Proper4 Owners about Construction Responsibilitie.s was developed by the Constr Contractors Board in accordance with ORS 701.055(5,). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSINLITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire vill he employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes From employee waes at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from youremployees. For more information, call the Oregon I)ept. of Revenue at 945-8091. Uiiemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For mare information, call the Oregon Employment Department at 378-3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law. and must obtain workers compensation insurance for your employees. lfyou fail to obtain workers compensation insurance, you may be subject to penalties and will bc liable for all claim costs i[oneof your employees in injured outhojoh. For more information. call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. Internal Revenue Service: As an employer. you must withhold federal income tax from employees' wages. You will be liable for the tax payment even i f you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: Aa the permit holder for this project, youon:nspunsibke for resolving any [uUun:tu meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work ofrough-in and finish trades. and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box l4\40, Salem. OR97309'5O52. 5O]/]78-462|). The Board is located at 700 Summer 3(. NE Suite 300, in Salem. prop-oxn.nmy 1/94 CITY OF TIGARD 24 -Hour ��— BUILDING Inspection Line: (503) 639 -4175 MST 2c 3 X7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requ�es — A = P BUP Location / 7 C -)c,/-4, Suite MEC Contact Person Ph (C ) 5/ 3 - /a 0 S PLM Contractor Ph ( CO) ) /o .c?, D – 3e SWR BUILDING Tenant/Owner ELC MI Foundation ELC / Ftg Drain Access: \ g\..y., ELR Crawl Drain W /� Slab C -lnspection U /.' Notes SIT /'/' Post & Beam Shear Anchors Ext Sheath/Shear Sheath /Shear Framing Insulation Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: M;aPART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL LECTRI L Service Rough -In UG /Slab Low Voltage F'- arm PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line r ADA Date 4 S — \ 6 - 0 ri Inspector � 0(36 LE Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL