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Permit CITY OF TIGARD PERMIT PERMIT #: BUP2000 -00323 � DEVELOPMENT SERVICES DATE ISSUED: 8/9/00 `� „ I " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 200 PARCEL: 1S1346C -00401 SUBDIVISION: ZONING: C -N BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 81,000.00 Remarks: Commercial T.I. Owner: Contractor: SISTERS OF PROVIDENCE IN OR IN LINE COMMERCIAL CONSTRUCTIO BY STEVE FOSTER PO BOX 5837 PO BOX 13993 ALOHA, OR 97006 P OR Phone ND, OR 97213 Phone: 642 -5117 Reg #: LIC 51880 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT GWL 8/9/00 $575.65 0004375 Electrical Permit Required Sprinkler Permit Required 5PCT GWL 8/9/00 $46.05 0004375 Plumbing Permit Required PLCK GWL 8/9/00 $374.17 0004375 Framing Insp FIRE GWL 8/9/00 $230.26 0004375 Firewall Insp Gyp Board Insp Total $1,226.13 Susp Ceilng Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable law. 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 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 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. . Permitee Signature: if ' ' dive Issued By: Call 639 -4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check# ,13125 SW HALL BLVD. Tenant Improvement Rec'd By Date Recd - irIGARD, OR 97223 Date to P.E. (503) 639 -4171 Date to DST Print or Type Permit #gu p 2 ood -60 3�3 Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Pr Existing Building tJ 'Jew Building ID Job SCA- 10UlS T - . il P,ej Address Street Address Suite Building 12442IU. 200 Data Bldg # City/State Zip Existing Use of Building or Property: City/State cia. 9m223 tiblcPrt... ciG' Name Property 11 ictlIm AArio 5rti'1 Proposed Use of Building or Property: Owner Mailing Address Suite MtC-41/4L C- 4iap (i S j . 101 No. Of Stories: 2. City/State Zip Phone B' n*b 9121 215 -661°) Sq. Ft. Of Project: I t 2 'C, . Occupant Name 1 u rx f 1 , I,..., i itsic J i m , Occupancy Class(es) Name -. 1�►�� Tk7 t, Contractor 10 L1Nk. C ,1011 • Ciki, Type(s) of c onstruction Prior to permit Mailing Address Suite 14aW 1 issuance, a copy //�� y�y Cem Will this project have a Fire Suppression System? of all licenses . Ll'/� `'� -h�� Yes ga No ❑ are required if City /State Zip Phone Americans with Disabilities Act (ADA) expired in C.O.T. n database A . �ri otz- q1p t 5 in Valuation X 25% = $ Participation Oregon Const. Cont. Board ic. Exp. Date Complete Accessibility Form 5.080 614 11"13-°3 Project $ • Name Valuation BI Architect ti Nibtl ` ' li rrY(, Plans Required: See Matrix for number of sets to submit Mailing Address Suite , on back 1231 L -Y r- 102 _ City/State Zip Phone I hereby acknowledge that I have read this application, that the information � n , (Jc lo c3�20c J LL�7 4 Q �/I " , -. given is correct, that I am the owner or authorized agent of the owner, and Q l�- + f � that plans submitted are in compliance with Oregon State Laws. Engineer Name Si• • -ture o +weer /Agen Date Mailing Address Suite ■ i ' / ` _ A Sir. r C• =7' •erson - - Phone City/State Zip Phone FOR OFFICE USE ONLY Indicate type of work: New 0 Addition 0 Demolition O/ Map/TL# Land Use: Accessory Structure 0 Foundation Only 0 Alteration O (S , 3[ M 49010 Repair 0 Other 0 Notes: Description of work: " ,1��+1.�t 1 , t tLrt T aF �► )2 TIF: Note: Site Work Permit Application must precede or accompany Building Permit Application I: \COMNEWTI.DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX ; ;. 1 . t::: 5rt.subr ' ei:: n :000. lan0<:AND::::a.:: Ompt :::..::: tli tl:: the >::<<: >::::» » >.: >: _ >: . �i potot�> Fdt�ar�#1�i�tr�cal :.v.ggb�rrtta� ::th. e...a ..[ t0a�on:: �n a0t. rt.. a .::.:...: .....:�.::...:::::::..� >..:...: After .l'an revi a pprova.l, Plans Exami er will contact t 6:Applfc rat to req€lest ... v:::: �. . . ...:::::::::: ... .. :• +: .. :.. ..:: .: 1....v.. 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B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition • B & F & M & P & E 3 • Alt. = Alternation to Existing (New , Add) Building }{ }¢••To4yiii +Yt- - :iik ':` }::% �:: ?:v} }.i }u.}i'• - ii' 0:41 . :L:y ?"t�'i�� n3:k• ..f3:::if?rijv: ?: :;'';� � ^3'.: tip' .:�: {:: i:{'tF :;Y;;i {: i ?i+C: i:! }. J�.%• ..• L• }:i$:i : iii :: ':v..'f,.;:; .. . v::�:Y y:k i � & }:4'•:: {:�5�:�:n+ �..# is _ 4';3:•::14\... ::�:. �:.�..' 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SITE ADDRESS: (42 C _ AL1 P- ( VD. FAX # 50?, 2.2A oz=r (P 1. SITE PLAN (Fully dimensional, drawn to scale) labeled with: ❑ map & tax lot #, ❑ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the matrix on back of application for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details _ - C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project i:\dsts \forms\comtiapp.doc 10/30/98 7 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty -five per -cent (25 %). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1] $ multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ In choosing which accessible elements to provide under his .ection, priority shall be given to those elements that will provide th gr-atest access. Eleme s sha be provided in the following order: (a) Parking $ (b) An accessible en\ ance: $ (c) An accessible rou e to the altered :re- $ - - (d) At least one accessible restroom for $ each sex or a single unisex restro• (e) Accessible telephones: V $ O ( (f) Accessible drinking fountains: an• $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall equal line 2 of Value Computation $ is \dsts \forms \access.doc 10/11/2000 Activities for Case #: BUP2000 -00323 9:35:13 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC005 Application'received 08/09/2000 GWL DONE No Hold GWL 08/09/2000 BUPC008 Permit created 08/09/2000 GWL DONE No Hold GWL 08/09/2000 + • BUPCO24 Plans checked /approved by PE 08/09/2000 GWL DONE No Hold GWL 08/09/2000 OVER - THE - COUNTER PLAN REVIEW BUPC520 Mechanical Permit Required No Hold RB 09/07/2000 MEC2000 -00341 BUPC530 Electrical Permit Required No Hold RB 09/14/2000 ELC2000 -00510 (R- Status)- 9 -14 -00 (RB) ELR2000 -00202 and ELR2000 -00204 BUPC540 Sprinkler Permit Required No Hold RB 09/14/2000 BUP2000 -00381 (REC Status} 9 -14 -00 (RB) BUPC565 Plumbing Permit Required No Hold RB 09/07/2000 PLM2000 -00302 BUPC740 Framing lnsp 09/07/2000 RB PART No Hold RB 09/07/2000 Walls Only! bathroom ceiling not installed. • " Do you have a sprinkler permit? " Electrical fees need to be paid... BUPC758 Firewall lnsp 09/14/2000 RB FAIL No Hold RB 09/14/2000 Main entry- nailing not in accordance with WP design. BUPC760 Gyp Board Insp 09/14/2000 RB FAIL No Hold RB 09/14/2000 BUPC762 Susp Ceilng Insp No Hold GWL 08/09/2000 BUPC799 Final Inspection No Hold GWL 08/09/2000 BUPC100 (F) Issue permit 08/09/2000 GWL DONE No Hold GWL 08/09/2000 BUPA090 (F) Reprint Permit 08/17/2000 ZZZ DONE No Hold ZZZ 08/17/2000 BUPC760 Gyp Board Insp 09/15/2000 RB DONE No Hold RB 09/15/2000 . Page 1 of 1 8/17/00 Activities for Case #: BUP2000 -00323 _ 3:55:54 PM Assigned Hold Updated : joi Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC005 Application received 8/9/00 GWL DONE No Hold GWL 8/9/00 BUPC008 Permit created 8/9/00 GWL DONE No Hold GWL 8/9/00 r i BUPCO24 Plans checked /approved by PE 8/9/00 GWL DONE No Hold GWL 8/9/00 OVER - THE - COUNTER PLAN REVIEW BUPC520 Mechanical Permit Required No Hold GWL 8/9/00 BUPC530 Electrical Permit Required No Hold GWL 8/9/00 BUPC540 Sprinkler Permit Required No Hold GWL 8/9/00 BUPC565 Plumbing Permit Required No Hold GWL 8/9/00 BUPC740 Framing Insp No Hold GWL 8/9/00 BUPC758 Firewall Insp No Hold GWL 8/9/00 BUPC760 Gyp Board Insp No Hold GWL 8/9/00 BUPC762 Susp Ceilng Insp No Hold GWL 8/9/00 BUPC799 Final Inspection No Hold GWL 8/9/00 BUPC100 (F) Issue permit 8/9/00 GWL DONE No Hold GWL 8/9/00 BUPA090 (F) Reprint Permit 8/17/00 ZZZ DONE No Hold ZZZ 8/17/00 r s i Page 1 of 1 `V ' , ,,1 1 I CITY OF TIGARD BUILDING INSPECTION DIVISION ms5 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �c U Ae-v x0323 Date Requested 9- 7 AM PM D Location / Z 4 /(1 2.- - w 5c' 1/ 4' P-7 Suite o7GO MEC Contact Person Ph 9 y9 - /Z 04, PLM Contr On `�Ph SWR B Tenant/Owner - D� • I —8-7 "� `� ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear f Q5) 0 (k " / 9k---c) & — i d rmin('.> V 0 l C `I y` �`J•. Insulation N'�'IQ : Ir1�G( n oo — 0 034- t /Z .Q� p P Drywall Nailing LU V 7 �-7 . Firewall ( 9t IA 2.6 0 b _ © 0 3 b Z ( - rI Fire Sprinkler Fire Alarm Susp'd Ceiling Roof W OJJ■ /'„ Misc: V / Final PASS FAIL -- PLUMBI Post & Beam Under Slab i � (, A . A ■ s `�/L� Top Out • - Water Service . Sanitary Sewer Rain Drains C9 re — c t!JvN, -L1L Cxv\-� , Final v PASS PART FAIL MECHANICAL D �� � "/ �`�J 11%, ? Z-/ Post & Beam S Rough In Gas Line Smoke Dampers Final PASS 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 /� \• l % Other Date Inspector \� (� E xt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ,. MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP ° " ° L Date Requested It) 3 " AM PM BLD Location /2, Z- .54v' .- Ad Suite 2o0 MEC Contact Person y - � � , Ph V 4 9/2-Z(/ PLM Contractor / Ph SWR BUILDI > Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing a/TSTia9l» /tt/ Insulation Drywall Nailing I) &IP 7.eUb -Q'S — Re-e -T ATPP Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling �— Roof c: Fin PART FAIL P I MBING 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 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk / Other Date 10 ! 07) Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD pUILDING INSPECTION.DIVISION MST °. 24 -Hour Inspection Line: 639 -4175 Business Line• 639 -4171 � -� Sz23 BUP a -6 0 3z- Date Requested /o — /1 AM PM BLD Location /1- # w 5'614/5 vv Suite lUG MEC Contact Person J �j Ph 50 3 .90_4 1210P PLM Contractor Ph SWR BUILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain • SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath/Shear -- m0-3 4 t,i ' F /ME.E" 04 `obsla Insulation Drywall Nailing Firewall \ ezoot-Dir- //�� � Fire Sprinkler I.�''I'� E GrAse i o tit 41111 Ce Fire Alarm Susp'd Ceiling ��pp /' � Roof iP1Zt4U t D D -" DP Ii.OS -4Z. d n1 ,Ott -A 14rlC ■ i PASS PART 40) /� PLUMBING 3 L rutr-z fk�4�.�D1� c).\) ,4vA co -k4 ciecigr cc t%CDROA Post & Beam - �,/ Under Slab S t: D4 N�X -4 t26_ oz 24 S/ ae , 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 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 / Iry Q� Approach /Sidewalk D I Q ` i" l v u A) Ext Other I nspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OFTIGARD,BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Butiness Line: 639 -4171 MST +� BUP pGU —G U 3Z3 Date Requested (— /) AM OM PM BLD Location / 2 atf 7- A/ / 4 MEC Contact Person Ph 9C1 f / PLM Contractor Ph / SWR ILDI Tenant/Owner / ELC Re a� i ning Wall p�,m5 Cetie/ / Alaed h 14 / h%6^ ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Fire a prinkler Fire Alarm Susp'd Ceiling Roof Misc: Final __6101 PART FAIL — • ' BING 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 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 Hail, 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 ��� Inspector �� C_/l Ext> 9 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . .'" OF TIGARD BUILDING INSPECTION DIVISION MST . ' ' nspection Line: 639 -4175 Business Line: 639 -4171 4 10,2z -0 0 5 e - 5 Date Requested 9.-i y AM PM : D Location /Z 4 y.- 3 w 5c d/1 jl to i MEC Contact Person fr...e Ph Pq f f Z Z PLM Contractor / Ph SWR 03UIL Tenant/Owner41 U t • (V c. A 1) Lae--___ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear r I //WO s ,^ T 0 // (Z " l_ S 0 • C „/ ,. • Framing Insulation Co Q z000 0 6 3' I " ii2E G' S \" al-S ' / • % U i . ` ire prinkler ( ■. • f Pt" A ■-'e./ K1 O y1■1 5 ee___ w \ lie_A Fire Alarm Susp'd Ceiling / eci-v•-e5L-:- WI 0l i �� 0 - 0 0 -4 1 '--- � �� Misc: Zi/vi st: ,..,`/\ V/ r rv1Y/■ P � \ cc' C � S 1 Final - L/1/1. / "i S �t S w 2 PASS PART FAIL ■�n^' 1A-4A 1 "'�` � � _ ` �` n PLUMBING -� S ' U :c�C Post & Beam , Under Slab 1 S6 NA—Q, , Top Out Water Service Sanitary Sewer A,i3Lkivti�l / S Rain Drains • Final PASS PART FAIL - A, v v v2 S c X "0 si,r a..1 Q TF' t`cs( MECHANICAL 9 • Post & Beam Rough In 19.) 1 — vQ— Gas Line Smoke Dampers "P&S S S zdb Final ry� PASS PART FAIL '.•••'"( r /', ,_C„... y \ 2 0 , OM6-'\ j l \ ELECTRICAL V _ / Service L 3 roz�� c� L� v.S 4- Rough b In a 1; = J+ _,� K1 0 UG /Slab I/\ Low Voltage / O l (-�. / Fire Alarm G. -Q/ 1 101--c--- � S �S C -� SSG Final PASS PART FAIL ) �/ S ' 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 Date ' / k7' 0 v Inspector Ex l- ) j Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Ms • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 :Up .o -00 3z3 Date Requested /0 AM PM : ; - 3 e / Location / ZV/Z " -.5c4// Orr 7 L $Stite— "aw MEC Contact Person Ph 2ti y / Z z 4 PLM Contractor Ph SWR : UILDI Tenant/Owner L f t ,, le _ 1 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam / Ext Sheath /Shear b Int Sheath /Shear I i / � _ (1 / Framing Np\ 0:1 _[I ∎ • . ∎ ��∎ vV � C-y � / Insulation ��j e / Drywall Nailin Vy�_ -A •"--"- S = - , s r 6 Firewall Cam` o�) '/ i ire Sprinkler ` mo Fire Alarm -, - / 1 \ _ r � us 'd Ceilh �y r p S �-'� "�W • • • Al.'s.' • — Roof l PART AIL PLUMBING r.-41 I ` A ..... ` �('� Post & Slab V f f 7 • Under Slab Top Out Water Service Sanitary Sewer Rain Drains .A- V IZ- - %.---k-- Final d 1 PASS PART FAIL " ` A i v 0 ' _ I __...a. ' t �! MECHANICAL 5 � SC 4c � 1 Post & Beam Rough In ------- Gas Line aOce- / Smoke Dampers v \� i 4 Q c-- ±(1--/L � �‘ [_Q Final _ y �o ,,, ,� PASS PART FAIL C • . T L.JIi 1 Vv ELECTRICAL —^ Service -11) ` ` ' S "\ G j Q4 �_ Rough In UG /Slab i Low Voltage Pr , 5 1 Fire Alarm v v � Final PASS PART FAIL 6 I G Z 4 C. SITE \ 4i. I Backfill /Grading 1/ w 1/`s L am', . .\ •C"' -- C . _ - f 4 ( S Sanitary Sewer '�) r, ` u Storm Drain [ ] Reinspe -'•n 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 Date 16/‘?/7 a Inspector Ext 1, C Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.