Permit : 41111111
`CITY OF TIGARD MASTER PERMIT
^• ��, 0���, DEVELOPMEN SERVICES PERMIT
SUED: r�7 � -0295
PARCEL: 2S111DA -04500
SITE ADDRESS...:08752 SW LODI LN
SUBDIVISION •APPLEWOOD PARK NO. 2 ZONING: R -7 PD
BLOCK LOT •040 JURISDICTION: TIG
Remarks: Path I - New single family detached dwelling.
- — _____________-- _____ -- - -- — ____-- - -___- BUILDING - - --------- ----- -------- --- -------
REISSUE: STORIES • 2 FLOOR AREAS - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED------- ---
CLASS OF WORK.:NEW HEIGHT..........: 24 FIRST • 927 sf GARAGE • 479 sf LEFT • 7 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 1227 sf FRONT : 20 PARING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 16
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL - - -: 2154 sf VALUE..$: 152572 REAR. : 11
---- -- - -- - — PLUMBING — — - —
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS • 0
LAVATORIES • 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1Y SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1Y BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- ------------------------------------ ----------------- MECHANICAL ---- --- - - ----
FUEL TYPES- - -- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS : 4 CLOTHES DRYERS: 1
GAS FURN 7 =100K ..: 1 MIT HEATERS..: 0 HOODS : 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
ELECTRICAL ---
-- RESIDENTIAL UNIT— — SERVICE /FEEDER -- --TEMP SRVC /FEEDERS— — BRANCH CIRCUITS --- -- MISCELLANEOUS -- - -ADD'L INSPECTIONS — .
1 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 4 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
NANF HM /SVC /FDR: 0 601 - 1' ° ' , amp.: 0 601 +amps -1,x,0 v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 - - -- PLAN REVIEW SECTION - - -- --- -- ----
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: 1 600 V NOMINAL: CLS AREA /SPC OCC:
-- ---- ----- ---_ --- - - - ---- ELECTRICAL - RESTRICTED ENERGY -------- ---- — w__ ---- - - -_-
A. SF RESIDENTIAL -- B. COMMERCIAL -- --------------------- — - -- ---
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X BOILER • HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: ::
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL D SYSTEMS: 0
Owner: - - -- — ----- Contr-actor: ----- - - - - -- TOTAL FEES:$ 3004.21
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
6900 SW HAINES ST 6900 SW HAINES ST 8200 Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 8: 620 -8080 Phone 8: 620 -8080 not started within 1:s days of issuance, or if the work is
Reg g..: 000605 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 952-1-:. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987. .
------- ---- -- ---- --- - -- - ---- REQUIRED INSPECTIONS - ---- -- --------- - ----- ----
Erosion 844 -8444 Crawl Drain /Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLN /Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final
Post /Beam Struct Plumb Top Out Low Voltage Appr /Sdwlk Insp
Post /Beam Median Electrica / Gas Line Insp Electrical Final
Issued By: L-- Permittee Signature: '00d"/ + + + + + + + + ++ + + +F�® +++ ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ++ ++ ++
Call 639 -4175 by arri IZi p. m. for an inspection needed the nexa iness day
Plan Check # % a _3�
CITY OF.TIGARD Residential Building Permit Application Recd By -
13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd 7/7/9,'
TIGARD, OR 97223 . Single Family Detached or Attached (Duplex) Date to P.E. 7 9 'P it '`, :
V 503 -639 -4171 D to to DST I' i
F 503 -684 -7297 Permit # /''I 5 ..., O
r
• Print or Type Called 1 / - ?V -• .:;,�-'
Incomplete or illegible applications will not be accepted . :;::e:,
w /e 9 F — O ?
A 4o14 7 11'0il re of Project ;
Job ame
U" �
: . Architect Maili Address ' '' '
Address site ess� ° s.• . (090C 4CtA.4eI P '•. 5, '1
e City/State • Zip Phone .'■.err "�; -
N ae '- ✓ 17 (V £ 172? 3 0020 $ a .
Owner • Mailin Address °,: j ' : -:: ..: n . , e,0, Ly �� 7 D- $�..t •
("7 C ? • .� :Ht. (TT• ` ' ' Mailing Address 'x
Zip Phone " . Engineer g 1 ;,
State
. Ce. CI 11.23 $O_ Coq fa�' � _ v ,,L
Ci ty /State -Zip . • Phone ; ;> `:
General Nam . - - - - . ..:�.,,.- C}1L ' 723 (?j/ -.?
; Desc ribe work ew Addition 0 ,Alte ration 0 ••Re air 0.• t
Contractor � L ' o f P
n.
M
- to be done: ,. .
re
may • Prior
ailin Add ss
9 -
: f'; e;< Additional Description of Work
Prior to permrt �(7 �= " � {�.._ .
...v.... P - ���
�Ccq �{
'om
/ L Ph one
issuance, a copy • City State "'�� ` p ,
oa Lc7 '-- -9 . :�.. l
d
of all licenses � .�"
t Q•
Ex Date
�r
PROJ
CT
r -
i rf r Const Cont. Bo ard - -
are re u
red O e C t. C
1 3
; 1
COT i.#
i in CO Lc
ex red _ p � VALUATION
database �. (
, /p ..) .� "~ .. L I' : l'' `
Name .: NEW CO NSTRUCTION ONLY: ` _ ` '''' " :' .i22. Mechanical .�:..` _ :`:`s
S F Gra9 e
Ft House: t. a
v
S
4
Sub- R
�.
Mailin Add _ _ q
Contractor e _��� ='' - _ : l - _
Prior to permit 2 2�j `''6 , : I 0 `J Corner Lot . YES . : NO "Flag Lot Y ,_
issuance, a copy City/State- `:Zip Phone:?::.,..‘,: (check one) - :`'s`" (check one) -; v
of all licenses i?o - 44o, - • • — `• 4721c, 263 "-77R j Restricted Audio /Stereo Burglar ^i' :-
are required if Oregon Const Cont. Board . Exp. Date " k O.• t- <
expired in COT Lic.# - - . •- /4 ✓ Energy System ' Alarm =w ::,; ,k "
d S�"3 ".:_q. Installation - ,1�' Garage Door HVAC `Z:-
database � .(j / 3 � -... _ -!" �,�,} 9 � ..•.
Na - . ) ( J n 1 Opener • Systems ;";t
Plumbing : � Ot ;,•
Sub- (AD O I r— . " /p i u pr•N� t i -- (check all that " . Other. •• -, 5
apply)
Contractor Mailing Address : :,: - 1.: ` '"
Will the electrical subcontractor wire for all YES ": ::":NO'"-
'; N O'
PO z O ( C77 2. restricted energy installations? N'•' :::5 •
Prior to permit City/State - . Zip Phone . .: " . Has the Subdivision Plat recorded? N /A YES • NO,,y,
issuance, a copy C ` ! t.1.- Nryd ,.,
1 c17r1 Ccr.,7 =g5t41 `` " " " "
•
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# • = v- Reissue of MST #: Solar Compliance
expired in COT 3 <P V 7 10 (di -9 4 6 (Calculation Attached) . : ::! :
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the "?
.20 , -6 -30 -9 information given is correct, that I am the owner or authorized `e4
a .
Name agent of the owner, and that plans submitted are in compliance
with Oregon State laws. ,.::
t
Electrical C77 cm- h R,,r • EIeG4-rtC, Signature of ner /Agent • • / Date ' '
Sub- Mailing Address te/ 1 ' j c � 7 )' ' "- : .
Contractor Z/ 1 , 5 co TV f t �," t,,rrwj Cont ersora e P City/State Zip ' Ph • . ,p 02
Prior to permit ` FOR O USE ONLY: 0
issuance, a copy A-t f C� CI 1 — � ' Plat #: Map/TL #: . '• .4
of all licenses are Oregon C Cont. Board Exp. Date . //.3� - a i g g a 9, 3 0 02 S// 9 - Q - d g : >'"� •
required if Lic.# Co �i 1 / // 1 ^
59 Setback_ f Zn Solar.
expired in COT i t ' Q -14X s ^ , , Zone: 7 /a° a-;. * `
rM '
database Electrical Lic. # Exp. Date
Engineering Approval: Planning Approval: TIF: :.`;;`
9� 9 PP 9 PP .
- 59 — 305 c K, - i'oe T . P -Tl . 124 7 / 4 9.1' , . r; t`:..� ,
I:SFREM.DOC MST) 7•
.
,.\
Solar Balance Point Standard Worksheet : ' '
Add ress g 7.-Z S4J ../..7/ / Z .�: , d./ G ' l `j 3;;. .. �:: :.-.
:.�.. .:sue._ J ti; .+ ; `- ' _
vy,
,
Box A calculations: North-South dimension for the lot. Box A: . ;K � ' - i:t
- 1,t4i i�j. 1,
finding the midpo of the North to line �. i5 kt ;t.' -
fin °•y,, ,
This dimension is determined by
o t e and draw ing �T ,.
an intersecting line perpendicular to that point, r 4,
First, determine which property line is the North lot line The North I line is the e °`;,: ,,5,� �R'
determin whi . 'v:
of e i th lin �,,.,�.
smallest angle from a line drawn east-west ,� "Y `'
with the small a -west and intersecting the ' rye; >���������'
northern most �. ' :����
point of the lot. :�', ; . - -, :. K-4s .
•
-. .. - - , 44, - - '?: ; :i,,",Y , . , 14':'Aa .tra
N . • ,
; n',7 0 ; 4^ s' ��
knew t m ew ., x � :� �,_�,; . r -t � a
N North -South .4' w
,;.'
'• -- Di f ''; <. .
;. '`r ,. : "ii. .; �4 ��'�'.�.ay .t; r
Measure the distance from the midpoint of the North to line to the South lot line along i '�f`� ' "
>, x; ;ict
the described line. ,;y; ;y
height for your residence.
Box B calculations: Shade point Box B:
1. Determine whether measurements will be based on the peak oreave of your �� d g, -
structure. The orientation of the ridge is also important your residence? . ,
la: If the roof line runs North - South, measurements will `�i,,, (circle one
be based on the peak of the roof. ` aaaa .... -
h uht
- . .
'°'" --► 1 A 1B ft
1 b: If the roof line runs East -West and the roof pitch is
less Flan 3/12, measurements will be cased on the ,
eave. ,.:'.: �.�
- PONT EAUE
•
1c If the roof line runs East -' -Vest and the roof pitch is _
5/12 or steeper, measurements will be based on the s .. R.,at..,
peak. .
•
Box B.-continued Box 8:
?. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If
the lot slopes down from the front lot line to the foundation, the figure is negative. ft
3. Measure distance from finished floor elevation to the affected peak/eave. + y ft
4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - ft
deduct nothing. ,;W ' .
•
5. Subtract one foot for each foot of difference in elevation from the front property -
line to the rear ro line if the lot slopes p pony pes up from;the 'fro
fron't the rear. If the � � -• -• • - .;
lot has no slope or slopes up from the rear to the front; deducx''nothirig. • - ;" ft
6. Total figure for box B: 5 ft
Box C. Distance to the shade reduction line. • • Box
• 1. distance from the ' ` ` ••
Measure the d North property line ,to the foundation , near the °-�- r�, ���`. ft peak/eave. : y ; _ '4 c:;, ,�a�-
. • .d4�:% x`n€,:fi' ::,;i .
2. Measure the distan f oundation �. ' '`...
S,..bai�;:'r M��.v.9i,
ce from the foundation to the affected or eave. : iF: �: �;;:;N,,3!�'�`�'��'�: ft
3. Tota! figure for box ''. >:- `fir } r .
43 4 -�, .. - ..� i . .4 ,0: -i r.l
It is most useful to draw a vertical line to i p a nt
represent the appropriate figure found in booc'A':and a horizontal Gne ti; the
appropriate figure found in box - C. The intersemon of the vertical and horizontal fines determines the value found in bcz 'O'. The value
in box 'D' should be compared to the value in box '8'; if the value in box '8' is less than'or equal to the value found in`bOX 'O', then
the building is in compliance with the solar balance code. If you have "' • ` "' . f at the
.
any questions,; please contact ui at 639 - 41'71; x3o4 o
Community t Counter, s f r'
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) ,-
Distance to
• North - south lot dimension (in feesf
shade 100+ 95 90.85 80 75 70 •65 60 ' 55 • 50 45 40
reduction line
from northern
m t tine an fern} •
70 40 40 40 41 42 43 44
65 38 38 38 39 . 40 41 42 3
60 36 36 36 37 38 39 40 ..1 42
55 - 34 34 34 35 36 37 38 39 40 41
30 32 32 32 33 34 35 36 17 33 39 40
4 5 30 30 30 31 32 33 34 15 36 37 38 39
s0 28 28 28 29 30 31 32 3 34 35 36 37 38
35 26 26 26 27 28 29 30 '1 32 33 34 35 36
30 2-4 24 ---24 25 2 - _
=5 r 22 22 23 24 25 26 7 28 29 30 31 32
20 20 20 20 21 22 23 24 j 5 26 27 28 29 30
t5 18 18 18 19 20 21 22 i3 24 25 26 27 28
10 16 16 16 17 18 19 20 /1 22 23 24 25 26
5 14 14 14 15 16 17 18 9 20 21 22 23 24
Box D. Maximum allowed shade point height 2 feet
h: Lsolar.dip
Revised 2 :2696
Page No. 1 CASE HISTORY FOR CASE NO.: MST98 -0295
LEGEND HOMES
08752 SW LODI LN
12/15/98
Action Description . Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA005 Application received / / / / 07/07/98 RECD DLH 07/09/98 DLH
MSTA008 Permit Created / / / / 07/09/98 DONE DLH 07/09/98 DLH
MSTA010 Check for prcl. restrict. / / / / 07/09/98 PASS DLH 07/09/98 DLH
MSTA012 Plans routed to Plans Examiner / / / / 07/09/98 SENT DLH 07/24/98 BT2
MSTA026 Plans approved by Pln Examiner / / / / 07/24/98 PASS RT 07/24/98 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 07/30/98 PASS RT 07/30/98 BT2
MSTA032 DST Post - Review Completed / / / / 07/31/98 DONE GEO 07/31/98 GEO
MSTA080 (F) Ready to issue / / / / 07/31/98 Need TIF credit letter prior to PASS GEO 07/31/98 GEO
issuance.
MSTA092 (F) Issue combination permit / / / / 07/31/98 PASS JSD 07/31/98 DST
MSTA094 WACO issuance to change status / / / / 07/31/98 PASS JSD 07/31/98 DST
MSTA095 Issue plumbing signature form / / / / • 08/10/98 RECD JMT 08/10/98 JT
MSTAO97 Issue electric signature form / / / / 08/06/98 RECD JMT 08/06/98 JT
MSTA155 Development conditions met / / / / / / 07/09/98 DLH
MSTA700 Erosion 844 -8444 / / / / / / 07/09/98 DLH
MSTA704 Sewer Inspection / / / / 08/10/98 PASS MS 08/10/98 MRS
MSTA705 Footing Insp / / / / 08/04/98 PASS TLP 08/05/98 TLP
MSTA706 Foundation Insp / / / / 08/05/98 PASS TLP 08/05/98 TLP
MSTA710 Post /Beam Structural / / / / 08/14/98 PASS TLP 08/18/98 TLP
MSTA711 Post /Beam Mechanical / / / / 08/14/98 PASS TLP 08/18/98 TLP
MSTA713 Crawl Drain /Backwater valve / / / / 08/07/98 PASS MS 08/10/98 MRS
MSTA717 PLM /Underfloor / / / / 08/17/98 PASS TLP 08/18/98 TLP
MSTA720 Mechanical Insp / / / / 10/05/98 see framing this date FAIL KS 10/07/98 J *H
MSTA720 Mechanical Insp / / / / 10/07/98 PASS KS 10/14/98 J *H
MSTA722 Plumb Top Out / / / / 09/21/98 DWV- not on test. FAIL RB 09/21/98 RB
Secure master tub in corner.
Nail plate at master shower.
Mid -guide strap missed at Hot Water
Heater.
MSTA722 Plumb Top Out / / / / 09/25/98 PASS RB 09/25/98 J *H
MSTA723 Electrical Service / / / / 10/02/98 PASS CD 10/02/98 CD
MSTA724 Electrical Rough In / / / / 10/02/98 PASS CD 10/02/98 CD
Page No. 2 CASE HISTORY FOR CASE NO.: MST98 -0295
LEGEND HOMES
08752 SW LODI LN '
12/15/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA725 Framing Insp / / / / 10/05/98 Framing & roughin mechanical: FAIL KS 10/07/98 J *H
1. Nail TJI hangers at garage.
2. Provide double TJI at tub /toilet.
3. Provide full bearing under parallam
at entry & positive connection to post.
4. Add stud at splice at entry.
5. Strap glulam to post adjacent to
stairs.
6. Fireblock at tub.
7. Provide attic access.
8. Add stud at splice rear bedroom.
9. Truss clips missed above stairs.
10. Complete nailing at girder truss
hangers and connection to plate.
11. Block and seal return air at main
floor.
12. Provide clearance at sides of
fireplace as shown and secure.
13. Add support at upper end of stair
jacks at garage.
14. Add stiffners at range duct.
15. Gas piping pt test = 15 psi for 15
minutes (app) tag 342839.
MSTA725 Framing Insp / / / / 10/07/98 PASS KS 10/14/98 J *H
MSTA726 Shear Wall Insp / / / / 09/21/98 1. HTT22 holddown at wingwall at garage FAIL KS 09/21/98 J *H
need secured (bolted).
2. MST #37 strap missed (interior).
3. Nail shear panels per schedule.
MSTA726 Shear Wall Insp 09/24/98 / / 09/24/98 PASS KS 09/24/98 J *H
MSTA727 Exterior Sheathing Insp 09/24/98 / / 09/24/98 PASS KS 09/24/98 J *H
MSTA728 Low Voltage / / / / / / 07/09/98 DLH
MSTA735 Gas Line Insp / / / / 10/05/98 Tag 342839 PASS KS 10/07/98 J *H
MSTA740 Insulation Insp / / / / 10/09/98 SEAL AROUND ALL PENETRATIONS AT KITCHEN PASS KS 10/15/98 J *H
PLUMBING & OTHERS.
MSTA752 Rain drain Insp / / / / 08/07/98 PASS MS 08/10/98 MRS
MSTA761 Water Service Insp / / / / 08/07/98 PASS MS 08/10/98 MRS
MSTA765 Appr /Sdwlk Insp / / / / 11/30/98 PASS MW 12/01/98 J *H
MSTA790 Electrical Final / / / / 12/04/98 PASS CD 12/07/98 CD
MSTA795 Mechanical Final / / / / 12/09/98 See bldg final FAIL KS 12/09/98 J *H
MSTA795 Mechanical Final 12/14/98 / / 12/11/98 ? KS 12/14/98 J *H
MSTA797 Plumb Final / / / / 12/04/98 PASS TLP 12/07/98 TLP
Page No. 3 CASE HISTORY FOR CASE NO.: MST98 -0295
LEGEND HOMES
08752 SW LORI LW
12/15/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA799 Building Final / / / / 12/09/98 Mech & Bldg: FAIL KS 12/09/98 J *H.
1. Electrical & plumbing finaled
2. Need erosion control approved
3. Spot nails at storage area garage
4. Range exhaust duct won't open fully
also need backdraft damper.
5. Exposed low point drain.
6. Slope finish grade away from
structure when weather allows.
MSTA799 Building Final 12/14/98 / / 12/11/98 Slope finish grade away from structure ? KS 12/14/98 J *H
at rear and sides as weather allows.
(Status not circled on report.)
MSTA960 (F) Issue Cert. of Occupancy / / / / 12/11/98 12/15/98 JT
•
CITY OF TIGARD BUILDING INSPECTION DIVISION atICN_ (lac/5
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
--,, �rrr /
10 i?4`I Date Requested � Ic2 - ` C i � AM PM BLD
Location g 15 2 5 W X,671.C.� ' Suite MEC
Contact Person Ph PLM
Contractor Ph .5•58-Oct Q-3 SWR
/BUILDING: �� Tenant/Owner ELC
Refaining Wall ELR
Footing Access: / � T
Foundation 4-6 d 4-0 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing AT
Firewall �
Fire Sprinkler �G7'' E T `x� ` 'S,
Fire Alarm
Susp'd Ceiling rJ S' A2 6` ii
Roof
Misc:
`Final 7� -�
PASS PART FAIL
PLUMBING K . _ ., u
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
— Ace PART FAIL
- _';.:;K ,
Post & e� am - -
Rough In
Gas Line
Smoke Dampers
final
ASS 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 7C7 g ,
Other Date Inspector - Ext
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.