Permit A CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2002 -00061
:y„-, i DEVELOPMENT SERVICES DATE ISSUED: 2/20/02
`�I I� 13125 SW all B vd Tigard, OR 997223 50 39 -4171
SITE ADDRESS: ,..1.3 3 SW SANDRIDGE DI4 375 PARCEL: 2S105DD -PCO30
SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R -7
BLOCK: LOT: 030 JURISDICTION: TIG
REMARKS: SF dwelling. Model home. Path 1
Receive TIF credit for demo of an existing residence.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: '30 FIRST: 1,454 sf BASEMENT: 066.00 sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,133 sf GARAGE: 720 sf FRONT: 24 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 355,824.00 .
OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 2,587.00 sf REAR: 42
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 31-IP: VENT FANS: 6 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
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: 7 201 - 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: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL:
1000+ ampNolt :
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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,339.26
This permit is subject to the regulations contained in the
D.R. HORTON HOMES D R. HORTON INC Tigard Municipal Code, State of OR. Specialty Codes and
5125 SW MACADAM AVE STE 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 8 Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Water Line Insp
Grading Inspection Post/Beam Mechanical Ftng Drain Bsm't Walls Framing Insp Gas Fireplace Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insr Gyp Board Insp Mechanical Final
Foundation Insp Footing /Foundation Dr; Electrical Service Low Voltage Rain drain Insp Plumb Final
Issued By : i� .4i Permittee Signature : . JP l t i) 0ILUcIo�ner r
Call (50339 -4175 by 7:00 p.m. for an inspection needed the next • mess day
F V• •
sa ' a o2 - 007 `
Building ;' .' ii. - I •
. A d � Permit no.: HSr oa, , DDOf
. ��''1y.: City of Tigard �� 6 ,.. Date received: 2 6 p /�
Project/appl. no.: Expire date:
Address: 13125 SW Hall IFEBTiga131, 0/72
City ofTigard Phone: (503) 639 - 4171 / y Receipt no.:
at e issued: B
Fax: (503) 598 -1960 ary OF TIJ P. %% j
BUILDING D • ® y ase file no.: Payment type: /
Land use approval: 1 &2 family: Simple Complex: a/
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family Xfslew construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm U Other:
JOB SITE INFORMATION
Job address: ; � �1m grim, /1 gil Bldg. no.: Suite no.:
Lot: NM. Block: Subdivision: q fi .nru1.i.►:at irM isiiinett.a,a. A .S3ap M 0
Project name: Old .L J. -
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 'p..12-• 11141'7) r A (Floodplain, septic capacity, solar, etc.)
Mailing address: 12t kL /, MM 1 & 2 family dwelling:
Inir/ L/, �,,
i State: Q' ZIP: ' • Valuation of work 353124. $
Phone: ► -- Z - ' 61 IZEMPEINIMINIMMINIM No. of bedrooms/baths y' 3.2
Owner's representative: k t •( if Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.) 724
Name: 17 • r k-I in Covered porch area (sq. ft.)
Mailing address: A t i A, le 0 Y Deck area (sq. ft.) II 7y
City: ' ' State: ZIP: Other structure area (sq. ft.)
Phone: r 112==1 E - mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name: ► . ' Y'1 h New bldg. area (sq. ft.)
� iw Number of stories
r Al 1 . II ��
I � State: p ' ZIP: � �
Type of construction •
Phone: •�. • /y LEM= E-mail: Occupancy group(s): • Existing:
CCB no.: p; - New:
City /metro lic. no.:
• Notice: All contractors and subcontractors are required to be
AItCI I II EC 17DLSIGN ER licensed with the Oregon Construction Contractors Board under
IME lan provisions of ORS 701 and may be required to be licensed in the
Address: �S es--• where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: k Plan no.: / MAE.
Phone: _ - / • / Fax: E-mai:
ENGINEER
,/� /I� , y � i ; ontact person: L a Fees due upon application $
Address: „„Mei Date received:
Hug / �� �� State:O ZIP: / 0/ Amount received $
Phone: 6j- - ; - 4 , r ax: //4,' 4!/ 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 0 Visa 0 MasterCard
work will be complied with whether specified herein or not. Credit card number: / /
Expires
Authorized signature: D ate: l ��51 ��'-' Name of cardholder as shown on credit card
• NW)/ Print name: � D1�1
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 (M)O/COM)
Electrical Permit Application
E Date received: Permit no /tf�j�� �v00 ( I
e'r titi) I'► •
.•� �� City of Tlga>IECEIV Projectiappl. no.: Expire da te :
City of Tigard Address: 13125 SW Hall Blvd, Tigard, O 23 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171 FEg - 6 0�
Fax: (503) 598 -1960 �� ��� Case file no.: Payment type: GA
Land use approval: I MI,DING . 114
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory ❑ Commercial /industrial 0 Multi- family ❑ Tenant improvement
bn New construction O Addition/alteration /replacement 0 Other: Cl Partial
• - • JOB SITE INFORMATION
Job address: 131s5' / T 3' , Bldg. no.: Suite no.: Tax map /tax lot/account no.:;4 1 11 -
Lot: ' Block: Subdivision:. //' i f f6 j ?'T r i— P
Project name: A idle, elm f/c, I Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACTOR APPLICATION , FEE SCHEDULE
Job no: Fee Max
Business name: Vt/ e le & - r 1(..' Description Qty. (ea) Total no. insp
New residential - single or multi - family per
Address: �Z ) 4u -pa.r,e, dwelling unit . Includes attached garage. '
City: [-ht ' state: op ZIP:q -71 2 '3 Serviceincluded:
Phone: O D I Fax: (? ` E mail: 6 1000 sq. ft. or less 4
l l f t
CCB no.: • Elec. bus. lic. no: 1,4.. 0,wo Each additional 500 sq. ft. or portion thereof
Limited energy, residential 2
City /metro lic. no.: Limited energy, non-residential 2
�� • Each manufactured home or modular dwelling
Signatu of supervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): License no: Services or feeders — installation,
alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): 27l R • 81 h /y 201 amps to 400 amps 2
�" 401 amps to 600 amps 2
Mailing address: rj/ 6W �fl ��S 601 amps to 1000 amps 2
City: f /'t7q M ( State: dA ( i.p: ' ti , / Over 1000 amps or volts 2
Phone: /4Z- 14 (55/ IFax: „Z- "7/ - / IE- mail: "` °`� Reconnect only I
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 Installation, alteration, or relocation:
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: He i f Gohs IN a&n4 A. Fee for branch circuits with purchase of
, 3
Address: 6-zt 5g - /R ii, i fy e service or feeder fee, each branch circuit 2
City: /1 /a (,(G0mar< I State: OK I ZIP: pig- B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: A. ; _ , Fax .#' f - ' Avt 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: I / 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 4411.4615 (6/00/COM)
•
Mechanical Permit Application
44' D ate received: Permit no. � y�T
City of Tigar 1,1 ECEIVED .2DOe2 /
Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 FEB - 6 2002 Date issued: By: l Receiptno.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
CITY OF Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 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: Lj2ri -i'L 7 / iIL/, / r irrill Indicate equipment quantities in boxes below. Indicate the dollar
• f value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ .
• Jo t *See checklist for important application information and
Project name: , au ./p Gy -- jurisdiction's fee schedule for residential permit fee.
City /county: 4 S1 ZIP: 1 & 2 FAMILY DWELLING PERMIT ELT, SCHEDULE
Description and "ocation of on AND COMMERICAL /INDUSTRIAL EQ IPII' ENTSCIIEDULE
Fee(ea.) Total
date of completion/inspection: Description Qty. Res. only Res. only
HVAC:
Tenant improvement or change of use:
t • conditioned? • Air handling unit CFM .
Air conditioning (site plan required) `
Is existing space insulated? 0 Yes 0
No Alteration of existing HVAC system
MECIIANICAL CONTRACTOR Boiler /compressors
Business name: State boiler permit no.:
� HP Tons BTU/H
Address: , / antillEZMIIIIM Fire/smoke dampers/duct smoke detectors
1151EM / L i State: ( ZIP: 00 Heat pump (site plan required)
Phone: (pq 1 - P ; Fax: E -mail: InstalUreplace furnace/burner BTU /H .
CCB no.: O Including ductwork/vent liner 0 Yes 0 No
Install/replace/relocate heaters - suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): jAd, wiz, A Vent for a r r liance other than furnace
CONTACT PERSON Re ' gets ton:
Absorption units BTU/H
Name: N(G D I G tfoalS on Chillers HP ■
Address: i / 0) Q /� `yj , 5 , Ns-- Com. ressors HP
G f 3 En • 1 nmental exhaust an . ventdat on:
City: R/�luti I State: I ZIP: 97 Appliance vent .
Phone. ,, -742,— / / Fax. i 5 E - mail: Dryer exhaust
OWNER Hoods, Type U 11/res. kitchen/hazmat
hood fire suppression system
r Exhaust fan with single duct (bath fans)
Mailing address: S 4 w 1/ L A i 4 Exhaust system a . a heating or AC
City: r6/'t(ah State: QR ZIP: /JD tie p p g an billion (up to 4 outlets)
Type: LPG NG Oil
Phone: , If Fax: ''AO / I E -mail: Fuel piping each additional over 4 outlets
ENGINEER ' rocess piping (schematic required)
G
Name: e ,�/ e� /� Number of outlets
O 1 er hst -. appl . ■ ce or eq pment:
Address: J3y5y 5E /LL& ,414- Decorative fireplace
City: / , 1, , State: i ' ZIP: '10/fr Insert- type
Phone: ,' - M„y / L4 E -mail: Woodstove/pellet stove
� Other:
Applicant's signature: hi /�L Date: N Other
Name (print): ii i ZPA .
Not all jurisdictions accept credit cards, please call jurisdiction for more information- Permit fee $
❑ Visa 0 MasterCard Notice: This permit application Minimum fee $
Credit card number:
/ / expires if a permit is not obtained 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 (6/00/COM)
Plumbing Peififf l i ; offal
Date received: Permit no.: //ate /V 40,6 ,ti 61
City of Tigard
� , n [[ 6 o�2 Sewer permit no.: Building permit no.:
-
Address: 13125 SW Hall Blvd, k aru, OR 9 23
City of Tigard Phone: (503) 639 -4171 c ' y OP BARD Projecdappl. no.: Expire date:
Fax: (503) 598 -1960 Bull DING D NISION Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type: .
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 CommerciaUindustrial ❑ Multi- family ❑ Tenant improvement
)4 New construction ❑ Addition/alteration/replacement 0 Food service ❑ Other:
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: , / 3/ I. / � , /
Description Qty. Fee(ea.) Total
Bldg. no.: Suite nil. New 1- and 2 -family dwellings only:
Tax ma /tax lot/account no.: (includes 100 R. for each utility connection)
p SFR (1) bath
Lot: /v Block: I Subdivision: 66/.66., GVI' + SFR (2) bath
Project name: �G( Kr e , 54-- SFR (3) bath •
City /county: -rj 4 (rd I ZIP: • Each additional bath/kitchen
Description and ld ation of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line/trench drain
PLUMBING CONTRACTOR Footing drain (no. lin. ft.)
Manufactured home utilities
:3
Business name: w; PILkmb iv(I Manholes
Address: (gq$ y 4v4 4h kv'J Rain drain connector •
City: A loot I State: ( I ZIP: G110() 1 Sanitary sewer (no. lin. ft.)
Phone: (p(,+�- 1Q34 I Fax: (p( -yn32I E -marl: _Storm sewer (no. lin. ft.)
CCB no.: 11 b0 IPlumb. bus. reg. no: -3(j- / 3b po _Water service (no. lin. ft.)
City /metro lic. no.: Fixture or item:
•Contractor's.representative signature: ^=-1� Absorption valve
Back flow preventer
Print name: , Date: Backwater valve
CONTACT PERSON Basins/lavatory
Name: All LD It, tfasoki Clothes washer
Dishwasher
Address: /2 z, / / „ / / r. „ #i • Drinking fountain(s) •
City: 'p/I//h Stateo< ZIP:' 7,d/ Ejectors/sump
Phone: . - 71Z / Fax: , .- r7 E -mail: Expansion tank ,
OWNER Fixture/sewer cap
Name (print): p. K . ! - t r / - rr! -r �kne's Floor drains/floor sinks/hub
Mailing address: 67yr iatil !� A1� , Hose bibb
disposal
S _ Hose bibb
City: f�n/ Ad State: p ZIP: "nu / Ice maker
Phone: 742.. - '/ /S/ I Fax: 277 -37 /71 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 •
Tubs/shower /shower pan
Name: OlimGk /16u / �jy Urinal
r
Water closet
Address: /3N.Sy SE /w it — 4 Water heater
City: ept, State: n( I ZIP: /r Other:
Phone: 03.. 6,19,23,A Fax: (old i 0g.•.I E -mail: Total
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $
Notice: This permit application
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at %) $
Credit card number: / / State surcharge (8 %) .... $
Expires within 180 days after it has been
TOTAL $
Name of cardholder as shown on credit card
accepted as complete.
$
Cardholder signature Amount 440 -4616 (6/00/COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 2 00®6o
INSPECTION DIVISION Business Line: (503) 639 -4171
:Up
Received /2.41 F c Date Reques ed a/ k5z AM PM BUP
Location /37s cbi -isR/ Suite L. f 2 - 7 MEC
Contact Person P h ( ) �S� q — qa(121 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain
Crawl Drain
Slab Inspection Notes: T l
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
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
T FAIL
LECTRIC
rvrae
Rough -In
UG/S ab
Fire arm
•
i PART FAIL
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
❑ Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /0 �� � Inspector 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) 639 -4175 Gip 2 -0006
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Z5 F' Date Requessed 2 /2li /O S AM PM BUP
Location /3 7 f5 / i _ _ � Suite Lam* 2 4 MEC
�Sl
Contact Person � �. _� �i�. �. Ph (�3) .93 � / PLM
Contractor `2� e • h ( ) ! SWR
BUILDING Tenan • , ' ner
Footing
Foundation /
Access:
Ftg Drain L_ � Zg
�s R
Crawl Drain vL /
Slab In spection 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:
Fi
PART FAIL
- • - ING
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
Fi
PART FAIL
TRICAL
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: ID Unable to inspect - no access
Fire Supply Line / y�
'P ADA D �( I V I ns actor Ext
Approach/Sidewalk P
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL