Permit CITY OF TIGARD
„.t79 , A .:, A, DEVELOPMENT SERVICES BUILDING PERMIT
'IJ PERMIT # : BUP99 -0081
°= 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639-0171 DATE ISSUED: 03 / 15 / 99
;,
Y '
PARCEL: 28102CB -02600
SITE ADDRESS...: 13066 SW PACIFIC HWY
SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK • LOT •020 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 8440
Remarks: Re -roof
Owner: FEES
CAPONES type amount by date recpt
13066 SW PACIFIC HWY PRMT $ 74.50 B 03/15/99 99- 313693
TIGARD OR 97223 5PCT $ 3.73 B 03/15/99
99- 313693
Phone #: EXPIRED
Contractor:
CASCADE ROOFING
14905 SW 74TH AVENUE
TIGARD OR 97224
Phone #: 620 -2711 $ 78.23 TOTAL
Reg #..: 039079
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Ponding before t
Tigard Municipal Code, State of Ore. Specialty Codes and all other Dr y r o t after tea
applicable laws. All work will be done in accordance with e— e' % . ' •
!ut��
approved plans. This permit will expire if work is not started I `, �� .�
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 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
pp : L
Permittee Signature: i dQ x_ 1.4..l0z Issued By
+ + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
• CITY OF TIGARD Plan Check
13125 SW HALL BLVD. Recd By:
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Recd: =
V- 503 - 639 -4171 X304 Commercial and Residential Date to PE:
F = 503- 598 -1960 Date to D T:
• Permit #:r1) r�7. 43ipti
Incomplete or illegible applications will not be accepted Called: ,
• Name of Develop nt/Business- :'< N; : ^ >� #:::? :
' ::: r?;.:;:.>•:s ?:<;�;fs;::'
' �' t' iRI'`' 2.::. �1. IR1(!t'�G:i.E�iNI�ABSI"IVIB>1�` ` "'`` ?- <� >:::::: ,. ::..::: n• :::::::::.:: •:::::.:.,, •:::::.
wr.::;:;>..;:. i:. i.::•;:. ii;:;•::•>:< �;::;.;:.;;;; •;:;.: ••;; >:<.::: •ii >:•;:.s;••: s:.;:;•ii:.
t-S 7A,, R A / :.' lV atot a tatiotimentettorqu :Appondb '1 bans: 0 :: ::< : : : ::: : : : : : m :::
t t A.. -ss 0 Ste # Please fill out applicable section and attach copy of roofing
Job Site � DO •i (o SL) `Az,c.,',, • specifications.
Bldg C' /State '. :< :: ::.: ;;;>::;::.; :.•:•;; »:
9 P !Jl'�seie�i� CiEC1e8 €�i3m�" faA ":� ;:or•` {::> �:<: : <:r<: >::::= >:«:�;::;;::;. :
O r
1. Specification #: ^ S r I b
Name 0) .
I S t✓ f -P - 1 s �1vAf I �
Applicant Mailing Address N . 2 Manufacturer. r `res '''‘-t-
1 `{9 OS 5 M - -
City /State I Zip - Phone - *3a UL Classification:
T(c -,sr -r J 1121-'1 I �il.o -L7 eI.
Roofing Name i (-- n r■ _ Listed UL Building Materials Directory Page #:
Contractor _ Ca3 C P45j,L »h ✓� • (OR)
(Prior to issuance Mailing Address } *3b Warnock Hersey :
applicant must <<( o•S S` - .
provide a copy of City/State - Zip . - - . Listed Warnock Hersey Directory Page #:
all contractor _ Tic Og- q y . - *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
- ' expired in COT < 3) Lo 4- 2$q Z- B. ICBO Research #:--
database) State Constr.Contr. Board # Exp. Date
\ 31 - -7.`i. - DATED: _
} 2;: 2 r:•°.•: h::: i.?:> . <, ^;j''! <':::::: ?;.y::l <: ?: %`: ii ji ?;i`:ktiif:; : {R::: %•r•;
. i. .< %' %<: ;::zot::>s:a >. >: x:::;::<: >: >.. :; >.:>:: >•; >.;:.:t :v:.:;:.i::;;; >•:; _ C. SPECIAL-PURPOSE ROOFING: WOOD SHAKES
• �` � .. N ' ice:
Building - Type Of Use: (circle one) - _- (review 'required by plans examiner)
- SF • SFA COM _‘4
Building : Type of Construction: ' . `'" • . - . -. --- VALUATION OF PROJECT $ ,
-- . r- _ sq. ft. 0 °9 of roof area - 9-yo •
Existing Deck Type: / - Permit fee based on valuation*
.- 7 Combustible ( , - • - - - - Non - Combustible ( ) _. * see chart on back $ - - - - • -
s - r.7 +
; i.. I*f�?'tAIR ::.. .. ..: i .. ,�:: :.�:: .:v::: r::�:.., .::: n .:::�:�i::;;:i} j_�:_? iiiii: <! ?: i.:i::�:: }i ii:�
..,.. .....:......:,:.t?Ii,. : ,1a?s :....4f' .t+�..... •,•:. ........:...: _0 e.. fi •.
. u ]Vr+]Wvva 2.JYS:hun,1.:,CJ..W... J4...:)fALdwY. �..W! .'wi,Lw,.d�C��.iw. .� .�.:: �� \CJ. 7.tl] ::::I.�.��. �::. �.� ��::.::::f:.�:::::,�. ..�....... �..: r.
O- REPAIR MAJOR v
Iew Ir plans u ed by ans ex m
a Iner
.) ( ro4 Y P ; ;.;;;;;;;;;. B.. P`<= :::<' > >> ::: UBLII L.''.<` >;::;:;;:. . >:
- Permit required ONLY when spaced sheathing is covered by - • ..
solid sheathing. Changes to roof line require Building Permit - - 5% State - Surcharge' $ •'' ' _ . •
li n
ratio . �
APP �' "
`LAS •
L .:�
':':::.:: i::ri'::......: v':: i:::: L �: ` :i-':ii"::.:; :.;'.i.ii:;iiii:- i'i::: • i:n• is i::;: ,<, +. ::::::::i:i�i:
SUBMIT TWO - 121 - SETS-OF PLANS SPECIFYING.
. ... ::. :.: ::: : :.:.::...:::::.::::::::.
...........:.::::::::.:::.::,:,.::::::..:......... ........
_ A: . Roof area & nearest street. • 1 . - *Required for major repairs of Residential
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or "C above , • 65% Plan Review $ • -
space. ace Vents shall located orated in upper the e 1 of
/3 the roof.
P -
Provide 1 s . ft. for -
ea ch 300 s . ft. when eave ea e & attic
: :: >:<: > :: > :�BU.:R... N.):::. �.::::::.(t �13U.P...LN.).:.:.;:.;:.:<: :.;:..:.:.: :.:::.::.:::.:.i': >:::::::;.::;:;<:.:<
venting is provided.
TOTAL $ 71-)02--3
^.� �:- Y�:fi..'n .. S: •�{�l`�«,M � lii� '. . . � ii: %4iiii'�`: j:::� ?::
...: � :; ..... ...... ................. �. 4. '
...:.. : L3 )rte' ><::�: »s: >:: ><:: :. ... I acknowledge that I h
:::: . :: :.::•.,:•:::: a: ::.;:.;:v;:•.;•:; :::: :.i:;;;; : : : : : : :: : : : ;:. : : ::: have read this application and that the
� �. v: � {::iiii:Li'r'•:ti :iii :: �i: +:i':i: -
:r �rIHS , .......::; i�:`:::::;:: C:: %.;: ; <::::::::::::i:: :,,,::; ;.::::::;:•:: ?.:5:.;: �:a':: •.'•:•:5::::'•:
:o-i: information -
. nfo on Ivan I
rrrtatl is correct that owner at l am o er or a
�ADes . M , :b .. '- work o ::;:<:�' .. _ ...:..: ...........
the authorized-
e to be done: (check appropriate box) • _ - agent of the owner, and that the plans (if applicable) are in
RE - ROOF (circle A ,B or C) compliance with Oregon State law.
'sting built -up roof covering to be REMOVED and deck -
repaired - ' • Signature of Owner /Agent Date - --
• B. Existing built -up roof covering to REMAIN: note applicant.
must submit an engineer's review of the roof structural �� / "'
elements. Review shall bear the seal (or stamp) of the u__ V'"'� � 3. -/C-q? .
architect or engineer licensed in Oregon. - . Contact Person Name Telephone • •
C. Asphalt or wood shingle /shake 1
(PROCEED TO STEP 2) C .e VA e 1\ t o af 62-0 - Z'1(
•
i :.dstslforms%roof.doc
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL , • '
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
, PROJECT . FEES (65 %) (5 %) FEES
1 -1500 25.00 16.25 1.25 42.50
1,501 -1600 26.50 "17.23 1.33 45.06 ,
1,601 -1,700 28.00 18.20 1.40 47.60
1,701 -1,800 29.50 19.18 1.48 . 50.16
- .- 1,801 -1,900 31.00 20.15. 1.55 52.70
1,901 -2,000 32.50 • " 21 . 1.63 , 55.26
2,001 -3,000 38.50 . .25.03 .." 1.93 65.46
3,00.1 -4,000 44.50 _ 28.93 -2.23 -• 75.66 -"
4,001 -5,000 50.50 32.83 - 2.53 85.86
5,001- 6,000" - 56.50 36.73 . 2.83 - . . - 96.06 ".`•
6,001 -7,000 .. 62.50 40.63 . ' 3.13 106.25.. -
7,001 -8,000 68.50 .44.53 ' - 3.43 116.46
8001- 9,000. . 74.50 48.43".::. 3 :73 126.66 - . •
9,001- 10,000 80.50 52:33 4.03 - 136.86 __
10,001 = 11,000 86.50 56.23 4.33 - 147.06
11,001- 12,000 92.50 60.13 4.63 - 1 57.26
- 12,001- 13,000 98.50. - 64.03 4.93 - =167.46
13,001- 14,000 104;50 67.93 -. 5.23 1-77.66 . • .
14,001.45,000 110.50 71.83 - 5.53. 187.86 . _ .. .
15,001- 16,000 116.50 -. 75.73 5.83 - 198.06 - -. . ..
• 16,001 - 17,000 122:50:: -. -79.63 _ .6.13 - 208.26. - . ,..
17,001- 18,000 128.50` . 83 -.53 6.43 218.46
18,001- 19,000. 134 87.43 6.73 - - . 228 :66_ = .
• 19,001- 20,000 ` I , 140.50 . 91.33 7.03 . -238.86 .-
-" ' • 20,001 - 21;000- 146.50 " • 95.23 7.33 - . . - - 249.06 - . _ . .
-21,001- 22,000 152.50- • 99.13 - - • 7.63 259:26 : - - --
" 22,001- 23,000 . . '158.50 • . 103.03 7.93 . 269.46 ._" • - -
__ - = 23,001 = 24,000 ' . 164.50 -- . 106.93 8.23 _ - • : 279.66 - - -: ---
- 24,001- 25,000 '. • 170.50 • ' 110.83 • 8.53 .289 :86 . 1 • • . .. ' - •
_
- 25,001- 26,000 175.00 . 113.75 • - -8.75 -. 297.50 -
. , " 26,001 - 27,000 .179.50 116.68 " 8.98 _ . _
27,001-28,000 184.00 119.60 -9.20 . 312.80
28,001= 29,000 188.50 122.53. 9.43 320.46
29,001- 30,000 ` 193.00 125.45 -9.65 _ •- -" 328.10 - -
30,001- 31,000 197.50 1128.38 - - 9.88 - . 335.76 - -
31,001- 32,000 202.00 131.30 - - 10.10 •i- 343.40 -. . --
32,001- 33,000 206.50 . • . 23 -10.33 - 351.06 - -
- 33,001 - 34,000 211.00 . 137.15 10.55 • • 358.70 .
34,001- 35,000 215.50 140.08 10.78 - 366.36 , •
35,001- 36,000 . 220.00 • - 143.00 ' 11.00 374.00
36,001- 37,000 • 224.50. - • 145.93 _ . 11.23 381.66 •
37,001- 38,000 229.00 148.85 11.45 389.30 -
i :ldstslfomukoof.doc
•
rlIALS (TENT)
U)— Continued ROOF COVERING MATERIALS (TEVT) 203
3� ROOFING SYSTEMS (TGFU)— Continued
Incline: 1/2 t
ud fiber, hot mopped or mechanically far ' 1#4".011C, perlite /phenolic composite, glees fiber, wood fiber or partite. or
• •rutted with a min 1/2 in. thick layer of glass fiber, wood fiber or perlite. Joints 111 l
mopped. One or more plies of Type r•hert 6 in. with joints in deck.
1
J 70'" (modified bitumen), heat fused. ' "' - Sheet at 1 gal /sq. t Y' t tsa Sheet". mechanically fastened or hot mopped.
Ib /eq), "MB Base Shoot" (26 Ib /sy) or "SBS
Incline: 2 DP
o
wane: "SBS Glass FR" (modified bitumen), hot mopped in place.
may be used with no max thickness. C -6/8 TG
,er, glass fiber, polyisocyanurate, *sae Sheet: One or more layers Type Incline: 1/2
polyura Y YDe G - (23 Ib /sit min). "MB Base Sheet" (23 'Wert mm) or '
raw." (23 Ib /aq min) hot mopped or mechanically attached.
1", 1/2 In. thick or "Fibertop C", 1/2 in ti" Membrane: One or more layers of "APP 160 ", "APP 170" or "APP 180" (modified bitumen),
teat fused.
r 60 mil. },.lacing: Karnak Chemical Corp. "No. 97AF ", 1.1/2 gal /sq or "No. 97 ", 1.1/2 gal/sq.
Class C - Fully Adhered
.
Incline: 3
Deck: NC
I '`�
,r "Firestone Fibarto Incline: 1/2 '
p E" or "'Fibertop C", ? • OrsulatIon: RMax "Multi- Max ", Manville "UltraGard ", Celotex "Hy -Tec ", Celotex " "Ener
,nil - ax 'Thermex Hy-Tee Plus Celotex "Thermex HyTec Plus 2", Manville ItraGgy-LOk", •
�;.r m
S• otex 'Top -R•II" or RMax "Thermaroof Plus" (printed side down), any thickness. "UltraGaid SP
t rail, metaly two weeks, "PC -100 Coat. "Standard RubberGard "' (EPDM), 45 or 60 mil.
,nd (sieve size of 60 to 100) may be ap Clack: C•15/32
Incline: 1 /4
Incline: 1/4
- *isolation: Celotex "Hy- Tec /EnergyLok", any thickness, joints in insulation offset 6 in with
tonically fastened. "n in deck.
mil Membrane: "Standard RubberGard" (EPDM), 45 or 60 mil,
' 1/2 Clock: NC Incline: I/4 *reputation: "ISO 96+GL", "ISO 95 +GW Atlas Energy Products "AC Foam I" or "AC Foam
•
ailed. t NRG Barriers, Inc. "E'NRG'Y I G" or " "E'NRG'Y I A" or Celotex '"Celo•Foam Ultra" or "Tri-
or "'Monoply Plus". heat fused. "S
1 s�'. any thickness.
Membrane: 3 Standard RubberGard "' (EPDM), 45 or 60 mil.
I at 1-1/2 gal/sq. Fields Products "No '
i 1 Y
P • hot applied at 8 gal /sq or Gibson-No- gggg�,�,� Deck: C•
Sas* Sheet: OCF "No. 28 Permaply" mopped nailed
1
pped or na
'cline: 1/4 Membrane: "Firestone APP 160 ", "Firestone APP 170" or "Monoply Plus" (modified bitumen),
"Rhoflex Isocyanurate ", urethane or Costinsed.
• Costing: Western Colloid "No. 296 Emulsion ". applied at 1-1/2 gal /sq, Fields Products "No.
/0X ", applied at 8 gal /sq, Gibsonite "Durakote No. 151", applied at 6 gal /sq or Gibson -Ho-
ir Manville "No. 28 ", or any UL Class,. ` - ° + ^s "No. 8192.900 ", applied at 5 to 7 gal /sq.
d with 1/2 tit. min wood fiber board, ':. Wrfacing: No. 11 roofing granules applied at 50 lb/sq.
/16 t ^ min glace fiber may be subsu r Dock: C•15/32
�° paler Board: Regular or water resistant wallboard, 1/2 Inclin nom, joints in wallboard of fset 6
"Monoply Plus" (modified bitumen). '); ., with joints in deck.
x
insulation: RMax "Multi•Maic Manville "UltraGard ", Celotex "HyTec Celotex "Ever
,
;plied at 1 gal /sq or "No. 97 AF ap ., t
Colmar( Plus Celotex 'Thermex HyTec Plus 2 Manville "UltraGard SP
•uotex 'Top -R -II" or RMax "Thermaroof Plus" '
(
fine: 1/4 Membrane: "Standard RubberGard" (EPDM), 45 or 60 side down), 1 in. min thickness. I "
te, min 1 in thick. if • Dock: C -15/32
Incline:
4rtler Board: Regular or water resistant wallboard. 1 /2 in nom, joints in wallboard offset 6
cot, hot mopped or cold application
with joints in deck.
Insulation: " 95 +GL ", Atlas Energy Products "AC Foam I" or "AC Foam II". NRG Barriers,
r "Monoply Plus" (modified bitumeni ; ^c "E'NRG'Y I G" or E•NRG'Y I A", Celotex ""Celo•Foam Ultra" or "Tri-Star", any thickness.
•
_. Membrane: "Standard RubberGard" (EPDM), 45 or 60 mil.
, applied at 1 -1/2 gal /sq. .. Dock: C -15/32
hie: 2 fluffier Board: G Incline: Unlimited
, cyanurate, r- Gypsum board, Georgia-Pacific "Dens- Deck" or water resistant wallboard, 1/2 •
Rhoflex Isocyanurate nom, joints in wallboard offset 6 in. with joints in deck.
taco or .GAF- k ; Membrane: "Standard RubberGard" (EPDM), 45 or 60 mil.
Glas, hot mopped, cold r Deck: NC
Insulation: (Optional) Any UL Classified, any thickness l (EPS m st with 1/2 in min
"ply Plus" (modified bitumens .00d fiber, glass fiber or perlite).
, or Base Sheet", mechanically fastened or hot
Mono Sese Sheet: Type G -1, G -2 or G•3 "SBS "
GA � G LAS Mineral SuAaca4 L .` mopped. .
id with Karnak Chemical Corp, co � Ply Sheet: (Optional) One or more plies "SBS Smooth ", mechanically fastened or hot mopped.
te. 1/2 � Class A - Mechanically Fastened
or GAF "GAF -Gies" (Type G -2) hot • naulation may be mechanically fastened to the deck with screws and metal or plastic discs,
I. . :ring asphalt or combination of screws /discs and hot roofing asphalt,
'Monoply Plus" (modified bitumen se an alternate, the insulations may be used in combination to fulfill thermal barrier requirements
- "s total insulation thickness may not exceed the maximum insulation thickness of the classified
• q;• at an alternate in all assemblies except those incorporating "Fire Retardant (FR) RubberGard" or
a: 1.1/2
' + :N dec to establish a c
.g • layer of UL Classified '
nts in wallboard offset 6 in. w.t.. 9 YPeust board, 1/2 in. thick, may be placed between the insulation and
combustible deck (15/32) Classification.
A `e insulation is covered with one layer of "RubberGard " ", 45 or 60 mil EPDM membrane, me-
'Llano "Fibertop E ", " "Flbertop C �- +• catty fastened with one of the following
j a. Firestone "RubberGard" Mechanically Anchored System (MAS) metal batten strips (not
• UL Classified) or "Firestone Plastic Batten Stn
mutely two weeks, "PC -100 Coat t" Strip" may be applied over the batten strips. P and screws. "Quick Seam Batten Cover
dove size of e s 100) may Ida b. Firestone "RubberGard" Batten -In -Seam Mechanically Anchored System )MAS) metal
• 1/4 batten strips (not UL Classified) or "Firestone Plastic Batten Strip" and screws.
;i+` -'. above mechanically fastened systems shall be installed in accordance with the manufacturer's
in thick min. ;4'" r..1 'cations. The EPDM len splices are aonlud with "SA IOBb, SA 106bS or SA IU65U Splicing _
I thick
VI" ply sheet, machanics.'t '. x-e. s '°v me" (contact adhesive) applied at a rate of approximately 150 to 175 in ft per gal (3 in. lap
•
• both mating surfaces) or 131 to 150 in ft per gal (4 in. lap coated both mating surfaces).
•
M coos may also be sealed with "puick Seam Splice Tape" (510/9/92A) or "puickSeam Splice
oil bitumen), heat fused.
/s q. • 0.,,. ST•3087 ". The edges of the laps are sealed with a 3/A in. by 1/4 in. bead of "LS- 3029A1. LS-
1/2 ,:.' • Ik ;S or LS•30296S Lap Sealant" ( use of la
lire/ of to oati
D sealant with splice tapes is optional).
P Y e composra ^ otherwise indicated, the EPDM may be surfaced with "PC -I00 coating" at 1
• M aptton of applying general purpose or silica sand (sieve size 50 to 100) into the we9coating
ocyan
JCT
rn: LOOK FOR MARK ON PRODUCT
•
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 46V
)40 6.1314 Date Requested 3 � �� AM PM BLD
Location /.�4(D(p f / 7 Suite MEC
Contact Person Ph .3 e- ,434. PLM
/
Contractor / i . ■ Ph SWR
BUILDING Tenant/Owner ®k 2 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: j �J /
Slab X l?L� �lv SIT
Post & Beam UU
Ext Sheath /Shear
Int Sheath /Shear (�
Framing _ !� ��_ �..� 1 ! t►' i
Insulation
Drywall Nailing
Firewall
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Misc: - reof 1 i rot
Final
PASS FAIL
PLUMB! -
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
't ELECTRICAL
Service •
Rough In
UG /Slab
Low Voltage
Fire Alarm e
Final
•
PASS PART FAIL
SITE
Backfilt /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 ) l
Other Date ` I Inspector 0 1 0 ----Y. N. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.