Permit CITY OFTIGARD
? , . d , MASTER PERMIT
�� DEVELOPMENT SERVICES PERMIT it • MST97 -0153
- _W- A 13125 SW Hall Blvd., Tigard, OR 97223 503 639.4171 DATE ISSUED: 06/04/97
PARCEL: 2S104DB —AH045
SITE ADDRESS...:13142 SW ROCKINGHAM DR
SUBDIVISION •AMESBURY HEIGHTS ZONING: R -4.5
BLOCK LOT •45 JURISDICTION: TIG
Remarks: Path 1
BUILDING
REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED
CLASS OF WORK.:NEW HEIGHT : 20 FIRST • 1830 sf GARAGE : 613 sf LEFT : 16 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 839 sf FRONT • 20 PARKING SPACES: 2
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 7
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2669 sf VALUE..$: 189394 REAR • 28
PLUMBING
SINKS • 2 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 1' TRAPS • 0
LAVATORIES • 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1w SF RAIN DRAINS: 1 CATCH BASIL..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1' BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN t 100K ..: 0 BOIL /CMP t 31.0): 0 VENT FANS : 4 CLOTHES DRYERS: 1
GAS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1
ELECTRICAL
— RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — --- MISCELLANEIXIS— -ADD'L INSPECTIONS —
1v SF OR LESS: 1 0 - 200 app..: 0 0 - 200 asp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 8
EA ADD'L 500SF.: 5 201 - 488 app..: 0 201 - 408 app..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 481 - 600 app..: 0 401 - 600 app..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM/SVC /FDR: 0 601 - 1w amp.: 0 601+amps- 1'.1Y v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR) =225 A.: ) V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COOERCIAL
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X BOILER HVAC • LANDSCAPE /IRRI6: PROTECTIVE SI8NL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ::
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL I SYSTEMS: 0
Owner: Contractor: TOTAL FEES:$ 4867.70
CLOSE HOMES CLOSE HOMES
4214 SW KAMAN DR GREG SIMMONS
PORTLAND OR 97221 4214 SW KAMAN DR
PORTLAND OR
Phone 0: 244 -5616 Phone 0: 224 -0697
Reg I..: 'ir.1091
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 188 days.
REQUIRED INSPECTIONS
Erosion Contol Post /Beam Meehan Electrical Servi bas Line Insp Water Line Insp Building Final
Grading Inspecti Crawl Drain Electrical Rough Gas Fireplace Rppr /Sdwlk Insp
Footing Insp PLM /Underfloor Framing Insp Insulation Insp Electrical Final
Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp Mechanical Final
Post /Beam Struct Plumb Top Out ((Low Vol age Rain drain Insp ! b Final
Permittee Signature: .1" „b.oQ Issued B : ,_ . ._1'
_
Call for inspection — 639 -4175
Plan Check 4 Cc R
- Y OF TIGARD Residential Building Permit Application Recd By1
•
3125 SW H»LL'BLVD. New Construction Additions or Alterations Date Recd cv5"
"'•ARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.
• .03-639-4171 Date to OS
03 -684 -7297 Permit 4 V TT) - 1 W eqi
Print or Type calied5 -Z7 -97 ^ .. A.r.5 i
r
Incompl r it gibl,�applications will not be accepted
Name i f Protect Nair
Job A Al v) 6 u . ' 1- q Y ( , (IC - Sf Via/LAC .
l k- Architect Mailing Address
Address Site Address /� . l Uo S` � . -R u 41-- LEO
SW • Jw.cita, 0 ,-. ity /State Zip Phone
Na e d 4 • ` FA (3)\-t i�''12 23 (a 24 923 C� . iev nit.abJ S Cl.o.sE NvM�a Na
Owner Marlin A dress y) N (E- / � Ul t-( S 1A) Kan r n D,- - I c
City t to zip Phone Engineer Mailing Address
� c r12 2 -1 la U SI,
-, 232, S,. 4
Name II�t��te Zip Phone
+t�1 2-2 2 ' 4 S - Sq - 17
General Lb sE. v■ () Describe work New Addition 0 Alteration 0 Repair 0
Contractor Mailing Address to be done:
SA - 7'1"1_._ il et iA , Additional Description of Work:
City /State Zip Phone
Or on Const. Cont. Board Lic.4 Exp, 0 to
attach Copy of 10q1 5 i Ol ti CI 1 P ROJECT i lS 61 ✓ �./ `l" 4 --- Current COT Business Tax or Metro* Exp. Date I �
Licenses VALUATION
Name
Mechanical C-4 TLkL (-1-6 i v NEW CONSTRUCTION ONLY:
Sub- Mailing Address Sq. Ft. Ho us� ` / q Sq. Ft. Garage
Contractor 31125 3. 71� � id Corner Lot YES NO Flag Lot YES N
City /State Zip Phone (check one)
MoLL�L4 a q7 03s- xa9 � � (check one ) • Restricted Audio /Stereo Burglar
Oregon Const. Cont. Boaro Lac.* �p Date
:loch Copy of GC 13 to 3 b2- I u s -lq5? Energy System Alarm
Current COT usiness Tax or Metro 4 Exp. Date Installation V Garage Door HVAC
Licenses (40 S -- 3 Z 12 _5 9 - ✓� Opener "- _ Systems . �
Name (check all that Other i if
"olumbing 3 PILAVI61 apply) 6,10
Sub - Mailing Aaaress Will the electrical subcontractor wire for all YkS NO
Contractor 3%-13 f3 , 3, Lk) - 2 t7 -� i dr-e re energy installations? �C
ry�State Zip Phone Has the Subdivision Plat recorded? N/A YE S NO
II/4(Jha Q
Wit l oo (o ( Wz 77 ?( (
Oregon Const. Cont. Board Lic.4 Exp. Date Reissue of MST #: Solar Compliance
Attach Copy of -/ i Ina) I 19 ( IX (Calculation Attached)
Current Plumbing Lrc. a n E. Date I hearby acknowledge that I have read this application, that the
Licenses 2L-( -21 7 D I x p 14/gA- information given is correct, that I am the owner or authorized
I COT Business Tax
dU0 (..) 2..,( Metro x (Ex � Date agent of th - - •• - et . . an• .hat plans submitted are in compliance
with Ore! .n St - a law..
Name
1 • Signa e ewner /A . ent 0j2Jq
Electrical lrl 'L2.L k le.0 vc c
Sub- Mailing Address Contact Person "` ��....PPhgqne #
Contractor 41.14 x (21 R,LI 94 0 \� �P l
City/State Zip Phone FOR OFFICE USE ONLY:
U� n Ccn st. Cont Board k # Exp 0 6 Misr Plat
O lo, r 1 M I t7�i' i%
• r ost. C. oard Lc. to
teach Copy of CON-LI 2 GI �( D 2 iii, Setbacks,�� l� I Zi < I Solar.
Current E; cal Lit:. # Exp Dat 1 1
Licenses 31 q Lilo C y /3 INS- Engineering Appr gval: Planng Approval: TIF:
COT Business Tax or Metro 4 Exp. Date ! i PIS -{o T I rn N fC I
OW 02.6 (Z (/l4 ' (94,k iAs {app.doc (dst) 1/97
Permit # Account Description Amount Amt._ Pd. Bal
�1'►l5i1 z 63 MST. Permit (BUILD) (pa- 6<s
Plumb. Permit - (PLUMB) , a� V ,25 '''
Mech. Permit _ (MECH) L..).- -yS.e --
ELC /ELR Permit (ELPRMT) 2225-- - -1,1 / J
State Tax (TAX) ' 0 0 : j.
Bldg: ('2 -q ,✓
Plumb: // K -
Mech: • :i"%ic
ELC /ELR: 1' �j,�1
Plan Check - '
MST: B PP N s'o 5 ` /-77r
Plumb: (PLMPLN)
i
Mech: ° '- 2t w (MECPLN) 11 •v In 5
CDC Review (LANDUS) 4 — C i ,/
M N G) Sewer Connection (SWUSA) 27. 0 27-oo
• Sewer Inspection - (SWINSP) .� 1,r
Parks Dev Charge (PKSDC) i. DSO (0
Residential TIF (TIF -R) I 7 0 I '(.) .�
Mass Transit TIF (TIF -MT) I 2-0 ( 2 O ,!
Water Quality (WQUAL) I J q o
Water Quantity (WQUANT) l o'h IUD .%
Erosion Control Permit (ERPRMT) (a 4- - Cb4 - V
Erosion Planck/USA (ERPLAN) .9.,o RP 20 8 v
Erosion Planck/COT (EROSN) q„.9 0.4' '/
Fire Life Safety (FLS) �
� v
TOTALS: -7 1 /0.1 x '10 (D D 52-11
i(sfapp -Coc cast) 1197
04i
\ii(44
•
Solar Balance Point Standard Worksheet
Address
Box A calculations: North -South dimension for the lot. Box
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east -west and intersecting the northern most
point of the lot.
45° —+ -
t t
w
N North -South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
Z feet
t
N
�Mow«aouM ammo*
l i r Box 8 calculations: Shade point height for your residence. Box B,
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
la: If the rocf line runs North - South, measurements will f�l\� (drde one)
be based on the peak of the roof.
'us♦uui
lA 1B 1C
1 b: If the roof line runs East -West and the roof pitch is
less t; an 37 12, measurements will be based cn the
eave. (l
10001 ;ova EP4
1c If the roof line runs East-West and the roof pitch is
5/12 or Steeper, measurements will be based on the • �^
0 -
peak.
OWN gad ma
•
Box B. continued Box B:
2. .\teisure 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 (7) ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + 0 y ft
4. If the roof line runs North- South, deduct three feet. If the roof line runs East-West, 3 _ 0 ft
deduct nothing. -
S. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. - ft
6. Total figure for box 6: Z ` ft
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the / 6 ft
affected peaWeave.
2. Measure the distance from the foundation to the affected peak or eave. + 21 ft
3. Total figure for box C: ft
•
it is most useful to draw a vertical line to represent the appropriate figure found in box 'A' and a horizontal One to represent the
appropriate figure found in box C. The intersection of the vertical and horizond Ones determines the value found in box O. The value
in box 'O' should be compared to the value in box 'B'; if the value in box's' is less than or equal to the value found in box 'O'. then -
the building is in eomplance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the
- Community Development Counter.
MAXIMUM PERM1 TED SHADE POINT HEIGHT (In Feet)
• Disanoe to North -south lot di Gn feet!
shade 100+ 95 90 85 80 75 65 60 SS 50 45 40
reduction One
from northem
Jnr rint (in fern
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 - 34 34 35 36 37 38 39 10 41
30 32 32 32 33 34 35 36 37 33 39 40
43 30 30 30 31 32 33 34 35 36 37 38 39
23 23 23 29 30 31 0 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 '= 22 22 23 24 25 26 27 23 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 2 .2 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 2 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: 3 2._ feet
h: ‘solar.chp
Revised 22696
l.
Page No. 1 CASE HISTORY FOR CASE NO.: MST97-0153
GREG SIMMONS
13142 SW ROCKINGHAM DR
04/10/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- - -- -- - - - - -- - --
MSTA005 Application received / / / / 05/07/97 RECD JD 05/08/97 BON
MSTA008 Permit Created • / / / / 05/08/97 PASS B 05/08/97 BON
MSTA010 Check for prcl. restrict. / / / / 05/08/97 PASS B 05/08/97 BON
MSTA012 Plans routed to Plans Examiner / / / / 05/08/97 PASS B 05/08/97 BON
MSTA026 Plans approved by Pln Examiner / / / / / / PASS BP 05/20/97 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 05/15/97 PASS BP 05/27/97 BON
MSTA032 DST Post - Review Completed / / / / 05/27/97 computers down several days contributed PASS B 05/27/97 BON
to delay of getting these ready to
issue.
MSTA080 (F) Ready to issue / / / / 05/27/97 General contractor needs business MEMO B 05/27/97 BON
licensing and electrician needs CCB.
•. MSTA092 (F) Issue combination permit / / / / 06/04/97 PASS DRA 06/04/97 DRA
MSTA095 Issue plumbing signature form / / / / 06/18/97 RECD SW 06/18/97 MRS
MSTA097 Issue electric signature form / / / / 06/24/97 RECD SW 06/24/97 S *W
MSTA700 Erosion Contol / / / / / / 05/08/97 BON
„'.. MSTA703 Grading Inspection / / / / 03/16/98 Per Mike White's inspection, approved PASS DS 03/16/98 J *H
ay K. per David Scott.
MSTA705 Footing Insp / / / / 06/26/97 not ready FAIL KS 06/27/97 J *H
MSTA705 Footing Insp 06/29/97 / / 06/27/97 All untreated wood must be removed PASS RC 07/09/97 J *H
• before placing concrete.
MSTA706 Foundation Insp / / / / 06/26/97 not ready FAIL KS 06/27/97 J *H
•
MSTA706 Foundation Insp 06/29/97 / / 06/27/97 PASS RC 06/29/97 J *H
MSTA706 Foundation Insp / / / / 07/15/97 basement slab approved PASS TLP 07/15/97 J *H
MSTA710 Post /Beam Structural / / / / 10/29/97 Needs electrical cover and plumbing top FAIL KS 11/04/97 J *H
out approved prior to framing and
mechanical inspection.
MSTA711 Post /Beam Mechanical / / / / 10/29/97 Need electrical cover and plumbing top FAIL KS 11/04/97 J *H
out approved prior to framing and
mechanical inspection.
MSTA713 Crawl Drain / / / / 07/11/97 Underfloor drains to be pumped to storm PART MS 07/11/97 J *H
sewer.
MSTA717 PLM /Underfloor / / / / 07/11/97 PASS MS 07/11/97 J *H
MSTA720 Mechanical Insp / / / / 09/19/97 1. Installation incomplete at this time. FAIL KS 09/21/97 J *H
Page No. 2 CASE HISTORY FOR CASE NO.: MST97-0153
GREG SIMMONS
13142 SW ROCKINGHAM DR
04/10/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- ---- - --- ---
MSTA720 Mechanical Insp 10/26/97 / / 10/24/97 1. Gasline pressure -10 psi. FAIL RB 11/04/97 GES
2. Exhaust venting disconnected.
3. Damaged fireplace unit at living room
to be repaired on site at later date.
4. Insulate horizontal rectangular duct
at basement.
5. Dryer venting - 4 -inch - must meet
CABO requirements, which require the
dryer to be placed to meet the length
limitations.
6. Protect dryer throat /back.
7. Block and seal thru -hole penetrations
within combustion air chase.
MSTA720 Mechanical Insp / / / / 10/21/97 Note: Framing, Mech rough -in notes: FAIL KS 10/29/97 J *H
1. Need plumbing top out and electrical
cover approval prior to framing
inspection or shear wall inspection.
2. Add straps at front den trimmers to
header.
3. Nuts and washers not installed at
rear columns.
4. HTT #22 missed at lower level (crawl
space).
• 5. MST#30 straps at garage wing walls.
6. MST#48 straps not installed at rear
of structure.
7. Install MST#60 straps at upper level
at bay.
8. Nail shear panels per schedule and
block joints.
MSTA720 Mechanical Insp 11/09/97 / / 10/30/97 1. Need attic access ladders. Okay to PASS RC 11/09/97 J *H
insulate.
MSTA722 Plumb Top Out / / / / 09/16/97 PASS MS 09/16/97 MRS
/ / / / 10/29/97 7/97 KBS
I�STA725 Framing Insp 11/09/97 / / 10/30/97 1. Provide truss clips on all trusses 97 J *H
2. Fireblock kitchen column.
3. Strap walls at entry.
4. Firestop top of furred-out wall
downstairs.
5. Nail flange on I -joist hanger.
6. Need attic access ladders.
0
Page No. 3 CASE HISTORY FOR CASE NO.: MST97 -0153
GREG SIMMONS
13142 SW ROCKINGHAM DR
04/10/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTAQ'Z / / / / 11/04/97 1. Insulate foundation wall in - 0/97 J *H
mechanical room.
2. Build wall and insulate between
insulation and mechanical room.
3. Refoam north front under head in den.
4. Chink rear deck door.
MSTA726 Shear Wall Insp / / / / 10/24/97 1. Shear corrections per KS report PASS RB 10/26/97 J *H
completed.
MSTA735 Gas Line Insp / / / / 10/24/97 No test given, pressure less than 10 FAIL RB 10/26/97 J *H
psi.
MSTA735 Gas Line Insp 10/26/97 / / 11/04/97 1. Insulate found wall in mechanical PASS GS 11/10/97 J *H
room.
2. Gas pressure OK.
MSTA7 / / / / 9Z nsulation corrections complet 7/97 KBS
rc
MSTA740 / / / / framing inspection this date. 97 J *H
MSTA745 Gyp Board Insp / / / / 11/12/97 1. Nail lid at main level bathroom. PASS GS 11/14/97 J *H
MSTA755 Rain drain Insp / / / / 07/11/97 Rain drains need to be rocked (firm PART MS 07/11/97 J *H
bed).
MSTA760 Water Line Insp / / / / / / 07/11/97 J *H
MSTA765 Appr /Sdwlk Insp / / / / 03/16/98 PASS MW 03/16/98 J *H
MSTA790 Electrical Final / / / / 03/12/98 Unable to inspect, house locked. FAIL CD 03/12/98 CD
MSTA790 Electrical Final / / / / 03/13/98 Approved final inspection as noted: PASS BRP 03/15/98 J *H
1. Permit label says MST97 -0147 (job
• across the street).
2. ART210 -52, recpt. required at each
basin location. Wallplate does not cover
opening ART 380 -9
NOTE: I am passing this, with the above
non - compliance issues for permanent
record.
MSTA795 Mechanical Final / / / / 03/12/98 Pending electrical final. PASS TLP 03/12/98 J *H
MSTA795 Mechanical Final 03/22/98 / / 03/18/98 PASS TLP 03/22/98 J *H
MSTA797 Plumb Final / / / / 03/12/98 PASS TLP 03/12/98 J *H
•
Page No. 4 CASE HISTORY FOR CASE NO.: MST97 -0153
GREG SIMMONS
13142 SW ROCKINGHAM DR
04/10/98
Action Description Rea/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- - -- -------- ---
MSTA799 Building Final / / / / 03/16/98 Mech /Bldg Final Insp: FAIL KS 03/16/98 J *H
1. Post street address front of
structure.
2. Need final erosion control approval.
3. Need step at man door garage.
4. Fireplace at dining room not
functional.
5. Disregard per Hap (upflow furnace).
6. Cover foam insulation at mechanical
room/gypsum.
7. Attach insulation at heat duct /crawl
space.
•
8. Insulate wall at mechanical room,
crawl space.
9. Support condensate line and repair
screen at foundation vent.
10. Remove wood /debris and cover entire
crawl with vapor barrier.
11. Provide low point drains at ejector
pump and other.
12. Grout around water line and low
point at foundation.
13. Insulate exposed water piping at
crawl.
14. Slope finish grade away from
structure at sides.
15. Provide landing at exterior stairs.
MSTA799 Building Final 03/22/98 / / 03/18/98 Note: All corrections complete per KS. PASS TLP 03/22/98 J *H
Sewage ejector completed per rough -in,
2nd approval.
MSTA960 (F) Issue Cert. of Occupancy / / / / 03/18/98 03/23/98 JT
r
V"
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 .
Date Requested: / / _ A.M. P.M. * MST: 77 6 l S3
i
Location: rl•%v.�� � // / _z_..,, p BUP:
Tenant: Suite: Bldg: MEC:
Contractor: Phone: Z42 v os�� (c) PLM:
Owner: Phone: `�— L( (-t / ELC:
ELR:
SIT:
BUILDING 4LLD (con't) ' L 1 I: ING ELECTRICAL SITE
Site • ost/Beam - . ' :earn t/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr cat Pu , • Low Volt
may.. vs. pr)v ... - • Approved Approved
Appr /Sdwlk • .� - -... - app N. ._ • ..ved Not Approved Not Approved
FINAL (le s, FINAL FINAL FINAL
� ,i %c. fi -u. sl C ,S� J( aY7 ' 57
/ O f
71 ()K-- 031 :9E p-P aid . O 50`S 9k
. ,/ - f ' ,e /' S S.
/�'cfZ C e' /e /O - A 47/, /
a kV ,7 /e
�0 dv 4ii-
0/6 re occ.../i}?/ i
O Call for no r O Reinspection fee of $ requied before ne in � on O Unable to inspect
Inspector: ` Date: 3 / :� 9 a Page of
•
I
)°ij &31
J
\v� `1/4`\')