Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2002 -00001
A * D EVELOPMENT SERVICES D ATE ISSUED: 2/20/02
�`�' .� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13805 SW SANDRIDGE DR PARCEL: 2S105DD -PCO28
SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R -7
BLOCK: LOT: 028 JURISDICTION: TIG
REMARKS: Construction of new SF detached residence. (MODEL HOME)
Receive TIF credit for demo of an existing residence.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1,552 sf BASEMENT: 924.00 sf LEFT: 8 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,426 sf GARAGE: 746 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7
VALUE: $ 382,441.50
OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 2,978.00 sf REAR: 50
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 5 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1
GAS . FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 8 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL 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: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: .
Owner: Contractor: TOTAL FEES: $ 6,583.51
This permit is subject to the regulations contained in the
D R HORTON D R. HORTON INC Tigard Municipal Code, State of OR. Specialty Codes and
5125 SW MACADAM #145 5125 SW MACADAM all other applicable laws. All work will be done in
PORTLAND, OR 97201 #145 accordance with approved plans. This permit will expire if
PORTLAND, OR 97201 work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 130859 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 84 Wtr Proofing Bsm't Wa Footing /Foundation Dr; Electrical Service Low Voltage Rain drain Insp
Grading Inspection Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Water Line Insp
Sewer Inspection Post/Beam Mechanical Ftng Drain Bsm't Walls Framing Insp Gas Fireplace Appr /Sdwlk Insp
Footing Insp Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Foundation Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insf Gyp Board Insp Mechanical Final
Issued By : t4- Permittee Signature : Vf 1.►�f,ch fir- tttCC�DMt�lr
Call (503) 6394175 by 7:00 p.m. for an inspection needed the nex i siness da
-- e0 .200oo2 - d6 ?.,,
~'
Building Permit Application
A `_ D received:/ ,'4 'O Y Permit no.:Msj ].�� - cap/
� . �E1. City of Tigard
" - --- j /6"' Pr ject/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR / 7 3
Phone: (503) 639 -4171 Date issued: By`Y Receipt no.:
Fax: (503) 598 -1960 ^^ Case file no.: Payment type:
Land use approval: () l a )0 I ' 0001 lo 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family tirNew construction 0 Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm O Other:
JOB SITE INFORMATION
Job address: 2� / e / M Bldg. no.: Suite no.:
Lot: ; Block: Subdivision: '�/�gralt Tax map /tax lot/account no.: , v I, - A,
Project name: ____ i .€ .
Description and location of work on premises/special conditions: .
/ OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
I Name: 'p. -• N"bll ■ AC (.7 (Floodplain, septic capacity, solar,etc.)
Mailing address: 1• 5 L Li 1 & 2 family dwelling: Jam
/ -- 1 - i - 3=1 - 697
i / L/, State: 0' ZIP: ' • Valuation of work Sia.zlo.
� $ '
Phone: 1 -; • ' 41 IZEMPEildatt No. of bedrooms/baths — 3 , S
Owner's representative: k ) -t IIT TRMIMIIIIMIIIIIM Total number of floors
Phone: allIBM Fax: E -mail: New dwelling area (sq. ft.) e
APPLICANT Garage/carport area (sq. ft.) - 7 7 ,
Name: p • ta • I-A-I r k-D In Covered porch area (sq. ft.) 9/
Mailing address: A t GI Gi. l! 0 V -ri Deck area (sq. ft.) S p y
City: State: ZIP: Other structure area (sq. ft.)
Phone: r Urg==1 E -mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $
Business name: op . , . , (f VI
Existing bldg. area (sq. ft.)
Address: -'• New bldg. area (sq. ft.)
S A IIIKtr Number of stories
EEIWI I I _i State: 0 ' .
T of construction •
Phone: A • Is- IMEraffrn E -mail: Occupancy group(s): Existing:
CCB no.: p; - New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARClIh1TC17DESIGNER licensed with the Oregon Construction Contractors Board under
IEIS provisions of ORS 701 and may be required to be licensed in the
Address: �S ` e...--, jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: k Plan no.: ' ■ 4 •
Phone: - / ./ Fax: E -mail:
ENGINEER
�,, ( /`� , �� .; ontact person: L 4 Fees due upon application $
Address: ,,, M KK� Date received:
now / „ � State:01_ ZIP: / of Amount received $
Phone: 03- - - 40 Fax: (/4,' 411 E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the . Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ visa 0 MasterCard
work will be complied with whether specified herein or not. Credit card number: / /
Expires
Authorized signature: • Date: / /P 2 ---- ' Name of cardholder as shown on credit card
• Print name: /V /GO/ DH $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6ro0/COM)
Mechanical Permit Application
4 , AMR . . D ate received: P ermitno.:
Y 1 1 City of Tigard = = 'J y g Project/appl. no.: Exp re date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 D ate i ssued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
. Job address: / c ,,, / Indicate equipment OS r7YV �� . Cl DY• e9 quantities in boxes below. Indicate the dollar
P 9
Bldg. no.: Suite no.. value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ •
Lot: 3)? Block: ISubdivision: /ft(/, tre t - * See checklist for important application information and
Project name: /QG(h(, oe -- jurisdiction's fee schedule for residential permit fee.
City /county: 174 r ., I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and'Iocation of work on premises: AND COMMERIC.&L/INDUSTRIAL EQUIPMENTSCIIEDULE
Fee(en.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
•
Is existing space heated or conditioned? O Yes O No Air handling unit CFM
Air conditioning (site plan required)
Is existing space insulated? O Yes 0 No Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
Business name: V k "'re 54.56 s c State boiler permit no.:
1
Address: , ^ , . ^ HP Tons BTU/H
!ivL Irmr��iiat�...t,ft • PlAie S 1 Fire /smokedampers/duct smoke detectors
City: = • r •,i 1 LissOi2.() State: 0/0- ZIP 01 Heat pump (site plan required)
Phone: - via I Fax: I E - mail: 99/23 Install/replacefurnace/burner BTU /H
CCB no.: 70
Including ductwork/vent liner O Yes O No
Install/replace/relocate heaters- suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): Aid, 4 A Vent for a. • liance other than furnace
CONTACT PERSON Refngera I on:
Absorption units BTU/H
Name: NI L D /G / 1DdSOP Chillers HP
Address: GJ /2.-5" 41/ AiQ /Ada/P • 1�,,7 Sys Compressors HP
G - Environmental exhaust and ventilation:
City /
: Rlun I State: I ZIP: 47f -al Appliance vent
Phone - •22,- / / Fax. i - ;39/ E -mail: Dryer exhaust
OWNER Hoods, Type I/ II/res. kitchen/hazmat
hood fire suppression system
Name: 0 Al . ifar ki firs Exhaust fan with single duct (bath fans) .
Mailing address: 5 1� !) 444 0 ,6, 1 1,1 4-7e,-- Exhaust system apart from heating or AC
City: firm tate: pi,. I ZIP: 4121 J Fuel piping and disMbnUon (up to 4 outlets)
Type: LPG NG Oil
Phone: , /,r Fax: / E -mail: Fuel pi ip ng each additional over 4 outlets
Process piping (schematic required)
Name: ek, v ti� /n Number of outlets
Other listed appliance or equipment: '
Address: g 5E /LL( A'j/'/ Decorativefaeplace
City: It1ftim, f/f State:IX IZIP: 4 1) /f Insert-type
Phone: ‘,4f - s7 I Fax: (.,'4 "gO ( E - mail: Woodstove/pellet stove
Other:
Applicant's signature: 1 , ylli.i Date: i Other:
Name (print): /l0 /,L f f ,
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
❑ Visa ❑ MasterCard Notice: This p ermit application Minimum fee $
expires if a permit is not obtained
Credit card number: / / Plan review (at %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount
4404617 (600/COt)
P-157 tea— c 1
•
Electrical Permit Application
� Date received: Permit no.:
,.! I , City of Tigard Project/appl. no.: Expire date:
CirynfTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
❑ I & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ Tenant improvement
New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
• JOB SITE INFORMATION
Job address: / ,' s 5 4 7,1,, r 1 / pi Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 2- Block: (Subdivision: , ��� U ii-f' i -
Project name: 'Rt /'7U li !.�c, t- I Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACTOR APPLICATION '' --... • FEE SCHEDULE
Job no: _ Fee Max
Business name: sl?&-tY' v Description Qty. (ea.) Total no. insp
•� New residential - single or multi - family per
Address:
(.,�'I `t��r��,�ZZ"i�g (D 41A) � � IN • dwellingunit .lncludesattachedgarage. •
City: i 1.41 State: � ZIP:411 Serviceincluded:
Phone: 0 D I Fax: E -mail: 9 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB no.: I f
Elec. bus. lic. no: �jlf . (a?,lp(J
Limited energy, residential 2
City /metro Inc. no.: 9J 57 Limited energy, non- residential 2
A—, - • Each manufactured home or modular dwelling
Signatu of supervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): License no: Services orfeeders – installation,
alteration or relocation:
PROPERTY O% 'NER 200 amps or less 2
Name (print): p l R , jh tzS 201 amps to 400 amps • 2
/ n " '/ y 401 amps to 600 amps 2
Mailing address: 5/ 6W O M /9S 601 amps to 1000 amps 2
City: i�J^tiR' 0 State: b/t, ZIP: �'v,� i Over 1000 amps or volts • 2
Phone: /4j- t1/5/ I Fax: Z - ,11? I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to irnstallat ion, alteration, orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 am s 2
Branch circuits - new, alteration,
or extension per panel:
Name: ?Y (.:Qyfs V1'&n A. Fee for branch circuits with purchase of •
Address: /3/16 J f,, e j , '1/' service or feeder fee, each branch circuit 2
City: ( / a �, f i gma< I State: Q)Q I ZIP: J) /5' B. Fee for branch circuits without purchase •
of service or feeder fee, first branch circuit: 2
Phone: ,, .. , Fax//4 - ' m r E -mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1&2 0 Hazardous location Each sign or outline lighting 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan 0 Other. Per inspection I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $
Expires accepted as complete. TOTAL, $
Name of cardholder as shown on credit card .
Cardholder signature Amount 440 -4615 (6/00/COM)
, 5 raeroa- o o/
Plumbing Permit Application
Date received: Permit no.:
w yr C of Tigard
�� Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Phone: (503) 639 - 4171 Project/appl. no.: Expire date:
Fax: (503) 598 - 1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
)4 New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other.
JOB SITE INFORMATION FEE SCIIEDULE (for special information use checklist)
Job address: / 2.1/6 .)) S4 ii/ halms p Description Qty. Fee(ea.) Total
Bldg. no.: Suite no.: U New 1- and 2 -family dwellings only:
(includes 100 R. for each utility connection)
Tax map /tax lot/account no.: SFR I bath
Lot: i-X Block: I Subdivision: balm., GVI t' SFR (2) bath
Project name: balm., it/ ( SFR (3) bath •
City /county: - 4 ie I ZIP: Each additional bath/kitchen
Description and ldcation of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line/trench drain
Footing drain (no. lin. ft.)
PLUMBING CONTRACTOR Manufactured home utilities
Business name: jII Pi b►ln1 Manholes
Address: (g 8 2. 4vJ 411aW J Rain drain connector
City: A lov a, I State: of,... I ZIP: A1Qb 1 Sanitary sewer (no. lin. ft.)
Phone: 1 01- 1034 I Fax: _4 j) 1.E -mail: Storm sewer (no. lin. ft.)
I 'S Or) no.: � Plumb. bus. reg. no: - q -(tgb Water service (no. lin. ft.)
City /metro lic. no.: / 3//03 Fixture or hem:
.Contractor's representative signature: Absorpt valve
Back flow preventer
Print name: r Date: Backwater valve •
CONTACT PERSON Basins/lavatory
Name: Ali GO t/tG tfasok7 Clothes washer
Address: 572.-5 /�i, fQ�j Age,. 51/./V5 -- Dishwasher
'� Drinking fountain(s) •
City: /jrf /ii d S tateP( ZIP:972o/ Ejectors/sump
Phone: -lit / Fax: , ' r7 E -mail: Expansion tank
O1VNER Fixture/sewer cap
Name (print): D. lc . Il�'Dr1-th t t -dines Floor drains/floor sinks/hub
Mailing address: 67 i...5- cfro fGRi l� Ave.. H Garbage bibbisposal
City: f y g j I State: p ZIP: ' 7ZQ/ Ice maker
Phone: "LZ - e./ /S/ I Fax: 1 0 I E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Date: Sump
ENGINEER Tubs/shower /shower pan
Name: O �/`15 / 1 ' - Water
Water closet
Address: 415-ri 5E I /lam /47,YJ Water heater
City: . ..„ i ,, /l State: /' ZIP: ,/ Other.
Phone: sD3- i p -Z Fax: (om...07 / E -mail: Total ,
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $
Notice: This permit application Plan review (at %) $
O Visa 0 MasterCard expires if a permit is not obtained
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $
Expires TOTAL $
Name of cardholder as shown on credit card accepted as complete.
$
Cardholder signature Amount 440 -4616. (6000/COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST O /
INSPECTION DIVISION Business Line: (503) 639 -4171 "
BUP
Received Date Re -7 AM PM BUP
Location 3 b - Suite MEC
Contact Person Ph ( ) .� r � 7 "g3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain i/�`���� - Ale ELR
Crawl Drain
Slab Inspectio o es: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
P_ - FAIL
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: fl Unable to inspect — no access
Fire Supply Line
ADA /4
Approach/Sidewalk Date ' / 2 Inspector Pli,4 Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 63 75 -z — de of/
INSPECTION VISION Business Line: (503) 71
�' ,6� BUP
Received : , - 6 #j L- Date Res ested 3 " - 0 VAM PM BUP
Location /3 -S - f", Suite MEC
Contact Person Ph ( ) 7 4 — 9-3 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PAS ;+, T FAIL
SAL
Post & Beam
Rough -In
Gas Line
Sm • Dampers
PART FAIL
CTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
' Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA �� t )
Approach/Sidewalk Date 31‘ V Inspector �� "' Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL