Permit . CITY OF T MASTER PERM -
i, o �.;, DEVELOPMENT SERVICES PERMIT ......: MST99— +v125
' ? ..
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 03/02/98
PARCEL: ES109AB- 06700
SITE ADDRESS...: 13'93 SW STRRVIEW DR
SUBDIVISION.. , .:FORAN ZONING: R-7
BLOCK LOT °2109 JURISDICTION: TIG
Remarks: SFD - PATH 1
- - ------ - - - - -- BUILDING ---------- - - - - -- --- - - - - --
REISSUE: STORIES • 2 FLOOR AREAS---------- BASEMENT...: 60 sf REQUIRED SETBACKS - - -- REQUIRED
CLASS OF WORK.:NEW HEIGHT : 25 FIRST : 2802 sf GARAGE • 780 sf LEFT • 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 465 sf FRONT : 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 5
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL - - - - -: 2467 sf VALUE..$: 182846 REAR : 41
------------ --- - -- ---------------- - - - - -- PLUMBING - - - - - -- --
SINKS 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS • 0
LAVATORIES • 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- -- - - -- -- MECHANICAL
FUEL TYPES FURN ( 100K ..: 0 BOIL /CIA ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1
GAS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1
ELECTRICAL ----------------
-- RESIDENTIAL UNIT - -- - -- SERVICE /FEEDER - - -- - -TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS -- - - -- MISCELLANEOUS -- - -ADD'L INSPECTIONS- -
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 asp..: 0 201 - 400 asp..: 0 1st W/0 SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 601 +apps -1000 v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 ----- PLAN REVIEW SECTION
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC CCC:
- - - -- --- ELECTRICAL - RESTRICTED ENERGY ------------- —
A. SF RESIDENTIAL - -- - - -- B. COMMERCIAL----- - -- ______ _ ___ — ____ __ ____ __ ___
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL # SYSTEMS: 0
Owner: Contractor: TOTAL FEES:$ 5157.96
RICK DAVILLA OWNER This permit is subject to the regulations contained in the
31836 SW FAIRWAY VILLAGE LOOP Tigard Municipal Code, State of Ore. Specialty Codes and all
WILSONVILLE OR 97070 other applicable laws. All work will be done in accordance
with approved' plans. This permit will expire if work is
Phone #: 694 -2125 Phone #: not started within 180 days of issuance, or if the work is
Reg #..: m000 suspended for more than 180 days. ATTENTION: Oregon law
- -- -- - -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
--- - - - - -- -- REQUIRED INSPECTIONS - -- - - -- -- - - - - --
Erosion Control Post /Beam Meehan Electrical Servi Fireplace Insp Rain drain Ipso Mechanical Final
Grading Inspecti Crawl Drain /Back Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp 0 LM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Aopr /Sdwlk Insp
Post /Beam Struct Plumblut Low Voltage Gyp Board Insp Electrical 'Final , /
Issued By: I ai ! �k � . �,,�. P'er Signature: , / li / f' �
-h ± ++-1 -4- h -h + -: + +- i-- FA--i• -.'- -:-- I- • +-h-P -4 - F4- h-: -°P 4-1 ---I- -h±- +-I- ± - -1- - i..i-A -- .i-+-F-- +--+++ -++++-1 + + ++A-- I--h+--I- +-t--F-I- 9±.±
Cal'. 639 -4175 by 7:00 p.m. for an inspection needed the next business day
• Plan Check # 1 o '
CITY OF TIGARD Residential Building Permit Application Rec'd By .•
131 SW HALL BLVD. New Construction Additions or Alterations Date Recd 1
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. GI -1-9y •
V 503 - 639 -4171 Date to DST . "/ u ` q / r
F 503 - 684 -7297 Permit # 1 - ele ) d+5
Print or Type Called 1 3((iit - iCO2 -1
Incomplete or illegible applications will not be accepted Cad 2 -
Name of Project Name
Job Foran Place
i_pj 1 1 Barclay Home: Designs
Address Site Address Architect Mailing Address
13098 S.W. Starview Drive 1()524 S_F._ St Stre t
Name City/State Zip Phone
Rick & Debbie Davilla Portland, OR 97216 252 -2323
Owner Mailing Address Name
31836 SW Fairway Village Loop Fuller Design & Engineering, Inc.
City/State Zip Phone Engineer Mailing Address
Wilsonville, 9)7.070 694 -2125 2323 S.W. Iowa
N ame City/State Zip Phone
General Portland, OR 97201 245 -5977
Contractor Rick & Debbie Davilla Describe work New o Addition 0 Alteration 0 Repair 0
Mailing Address - to be done:
Prior to permit 31836 SW Fairway Village Loop Additional Description of Work:
issuance, a copy City/State Zip Phone
of all licenses Wilsonville, 937070 • 694 -2125
are required if Oregon Const. Cont. Board Exp. Date PROJECT 174 $ y7, o'
expired in COT Lic.# owner /fir VALUATION $ .
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Champion Heating Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address gaN 2 -5 2 7 woe 7Sri)
Prior to permit 2646 SE Willow Drive Corner Lot YES NO Flag Lot YES NO
issuance, a copy City/State Zip Phone (check one) X (check one) X
of all licenses Hillsboro, 97123 629 -0292 Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board Exp. Date Energy X System X Alarm
expired in COT Lic.#
database 122088 4/29/98 Installation Garage Door HVAC
Plumbing Name Path #1 X Opener X Systems
Sub- Modern Plumbing (check all that Other:
Contractor Mailing Address apply)
11120 SW Industrial Way Will the electrical subcontractor wire for all YES NO
• restricted energy installations? X
Prior to permit City/State Zip Phone
issuance, a copy Tualat 97062 691 - 6166 Has the Subdivision Plat recorded? N/A YES NO
of all licenses are Oregon Const. Cont. Board Exp. Date X
required if Lic.# 0087906 12/19/98 Reissue of MST #: Solar Compliance
expired in COT (Calculation Attached)
database Plumbing Lic. # Exp. Date • I hearby acknowledge that I have read this application, that the
34250PB 12/31/98 information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
Electrical By Owner with re�g laws. //
Si �t CLG� /Mt /
Sub- Mailing Address L
Contractor C tact Person Name Phon #
City/State Zip Phone R l C t oe 7) � AI v l Lill ( a _ ,
Prior to permit FOR OFFICE USE ONLY:
issuance, a copy Pat #: W X 14 Map/TL #:
of all licenses are Oregon Const. Cont. Board Exp. Date 7 p,Qpru I•OT 9 rt o'O 1.) JS/ 0946-06'00
required if Lic.# Sete Zone: Solar:
expired in COT 2 7 Solari
>„-----
Electrical Lic. # Exp. Date l/
Engi eering Approval: Planning Approval: TIF:
.T H ,2--f17 - -
I:SFREM.DOC (DST) 4/97
Permit #: �'4 5 . ? .CS -Od i rj' GJ,e9 �l - p
of ,
�� ,R �� / 709 S GJ 5 F7, / Ew 2,'
�.: , 4 , ' � , Address:
N • YtI1 Z
.• ; Issued by: 670-- Date: 3----7-f8,
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
1. I own, reside in, or will reside in the completed structure.
T
„Ti . I understand that I must register as a construction contractor if the structure is sold or offered for sale
I I before or upon completion.
n 3A. My general contractor is
I I (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
4g 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Pro i erty Owners about Construction Responsibilities on the reverse side of this form.
: 1 ' GG,Ib a ‘ / / - 2e '
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
•
&Npl '�I
CITY OF TIGARD
OREGON
INTENT TO HAUL EXCAVATION
1, Rick & Debbie Davilla (print name), hereby certify that all excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back -fill the foundation ONLY. I understand that
failure to remove the excavation material will result in the requirement to remove the
material or obtain a grading permit by submitting grading plans prepared by a licensed
engineer accompanied by a geo- technical report regarding the placement of the
excavation material as fill.
�Q/I/(,2 /(lC January 27, 1998
Signature Date
Job Address: 13098 S.W. Starview Drive, Tigard
Subdivision: Foran Place Lot: #9
13125 SV N Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
•
Page No. 1 CASE HISTORY FOR CASE NO.: MST98 -0025
•
RICK DAVILLA
13098 SW STARVIEW DR
12/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- - -- -- - - - - -- ---
MSTA005 Application received / / / / 01/28/98 RECD BON 09/03/98 TLP
MSTA008 Permit Created / / / / 02/09/98 DONE DRA 02/09/98 DRA
MSTA010 Check for prcl. restrict. / / / / 02/09/98 DONE DRA 02/09/98 DRA
•
MSTA012 Plans routed to Plans Examiner / / / / 02/09/98 DONE DRA 02/09/98 DRA
MSTA026 Plans approved by Pln Examiner / / / / 02/10/98 PASS RT 02/10/98 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 02/10/98 PASS RT 02/10/98 BT2
MSTA032 DST Post - Review Completed / / / / 02/12/98 DONE B 02/12/98 BON
MSTA080 (F) Ready to issue / / / / 02/12/98 Mechanical contractor not in our MEMO B 03/02/98 DST
database.
recieved contractor info on 3/2/98.
MSTA092 (F) Issue combination permit / /' / / 03/02/98 PASS GEO 03/02/98 DST
MSTA095 Issue plumbing signature form / / / / 03/05/98 RECD JMT 03/05/98 JT
MSTA097 Issue electric signature form / / / / 03/02/98 OWNER /CONTRACTOR OWNE N/A 03/03/98 JT
MSTA700 Erosion Control Insp 844 -8444 / / / / 03/12/98 PASS USA 10/15/98 J *H
Also final erosion approval by USA
MSTA703 Grading Inspection I. / / / 07/21/98 18 %slope intent to haul form fill out PASS PI 07/29/98 DGW
and signed
MSTA704 Sewer Inspection / / / / 07/24/98 PASS RB 07/27/98 RB
MSTA705 Footing Insp / / / / 03/30/98 USA approved PASS RB 03/30/98 RB
Ufer tagged
provide adequate keyway.
MSTA706 Foundation Insp / / / / / / 02/09/98 DRA
MSTA707 Slab Insp / / / / 06/11/98 PASS WDJ 06/11/98 WDJ
MSTA710 Post /Beam Structural / / / / 07/06/98 Not required NOTE PDC 07/07/98 J *H
MSTA711 Post /Beam Mechanical / / / / 07/06/98 Not required NOTE PDC 07/07/98 J *H
MSTA713 Crawl Drain /Backwater valve / / / / 04/13/98 Low point drian installed with backwater PASS WA 04/13/98 J *H
valve in crawl area.
MSTA717 PLM /Underfloor / / / / 07/01/98 PASS MS 07/02/98 MRS
MSTA720 Mechanical Insp / / / / 06/17/98 exhaust fans need to be hooked up PASS MS 07/06/98 MRS
MSTA720 Mechanical Insp • 06/18/98 / / 07/06/98 PASS PDC 07/07/98 J *H
MSTA720 Mechanical Insp / / / / 06/17/98 Approved as noted: Exhause fans need to PASS MS 07/17/98 J *H
be hooked up.
MSTA722 Plumb Top Out / / / / 07/01/98 lav needs lateral brazing PASS MS 07/02/98 MRS
MSTA723 Electrical Service / / / / 07/16/98 PASS CD 07/16/98 CD
MSTA724 Electrical Rough In / / / / 07/16/98 PASS CD 07/16/98 CD
•
Page No. 2 CASE HISTORY FOR CASE NO.: MST98 -0025
RICK DAVILLA
13098 SW STARVIEW DR
12/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
MSTA725 Framing Inap / / / / 07/21/98 # -1- General contractor, indicated that FAIL KS 07/29/98 DGW
shear walls / holdowns
have been inspected and app. will
provide copy of approval
to city
8-2- provide full•bearing under glu /lam
right side of garage also
positive connection to post
8-3- provide king studs left side of
•
glu /lam at garage
8 -4- provide full bearing under 4/12
beam at garage and strap to plates
8-5- support hips valleys & ridge as
shown
#-6- provide TJI detail
MSTA725 Framing Inap / / / / 07/22/98 8-1- provide gussets both sides of post PASS KS 07/30/98 KBS
supporting girder under floor &
lateral support
MSTA726 Shear Wall Insp / / / / 07/01/98 1. Shearwall C's must be nailed 4" o.c. FAIL WDJ 07/01/98 WDJ
according to shearwall schedule.
2. Install blocking and clips as shown
in detail 15 of the lateral engineering.
3. Shearwalls C/2 are not strapped
according to lateral details 18 or 19.
4. Garage panels need to be nailed and
constructed according to detail #9 of
• the lateral engineering.
5. Straps for C/2 shearwalls are not
nailed to studs properly. They require
4x material, currently they are nailed
to the sheathing ohly on parts.
6. Interior shearwalls have not been
constructed.
MSTA726 Shear Wall Insp / / / / 06/30/98 Not ready, no sheathing applied to FAIL GS 07/02/98 J *H
interior shear walls yet (not ready).
MSTA726 Shear Wall Insp / / / / 07/02/98 Not - ready -- corrections not completed FAIL WDJ 07/02/98 WDJ
reinspection fee $15.
MSTA726 Shear Wall Insp / / / / 07/08/98 No plans on job site. Unsafe entry or FAIL RD 07/09/98 J *H
blocked entry. Do not cover hold -down
straps, etc.
Page No. 3 CASE HISTORY FOR CASE NO., MST98 -0025
RICK DAVILLA
13098 SW STARVIEW DR
12/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA726 Shear Wall Insp / / / / 07/22/98 # -1- call for interior shear inspection PART KS 07/30/98 KBS
MSTA727 Exterior Sheathing Insp / / / / 07/13/98 Call for interior shear panels. PASS KS 07/21/98 J *H
Exterior sheathing /shear approved
• pending the above. -
MSTA728 Low Voltage / / / / / / 02/09/98 DRA
MSTA728 Low Voltage / / / / 07/16/98 PASS CD 07/16/98 CD
MSTA735 Gas Line Insp / / ' / / 06/17/98 Gas tag 323566 PASS MS 07/17/98 J *H
MSTA735 Gas Line Insp / / / / 09/15/98 1. Contractor to pick up tag 344022 NOTE RC 09/16/98 J *H
(replacement tag).
MSTA740 Insulation Insp / / / / 07/27/98 #-1- under floor not insulated at this PASS KS 07/29/98 DGW
time•
# -2- secure FS paper at fireplace &
chimney
MSTA745 Gyp Board Insp / / / / 08/03/98 Gyp shear & nailing approved. PASS KS 08/03/98 J *H
MSTA752 Rain drain Insp / / / / 09/03/98 • PASS TLP 09/03/98 TLP
MSTA755 Rain drain Insp / / / / 04/13/98 Rain drains around perimeter of bldg PASS WA 09/03/98 TLP
. only - not extended to curb.
MSTA761 Water Service Insp / / / / 07/24/98 WORKING PRESSURE- NO GAUGE. PASS RB 07/27/98 RB
If over 80# pressure, a pressure
reducing vakve shall be req'd.
MSTA765 Appr /Sdwlk Insp / / / / 09/03/98 PASS MH 09/13/98 J *H
MSTA780 «REINSPECTION» / / / / 07/06/98 Shear inspection failed 3rd time. Not PAID DEB 07/06/98 DRA
ready for inspection. Corrections from
previous inspection not completed.
Paid 7 -6 -98, receipt #98- 307069, $15.00.
•
MSTA790 Electrical Final / / / / 10/01/98 Also includes low voltage. Also see PASS BRP 10/05/98 J *H
ELR98 -0169
MSTA795 Mechanical Final / / / / 10/06/98 PASS KS 10/15/98 J *H
MSTA797 Plumb Final / / / / 10/01/98 PASS TLP 10/02/98 TLP
MSTA799 Building Final / / / / 10/06/98 PASS KS 10/15/98 J *H
•
•
Page No. 4 CASE HISTORY FOR CASE NO..: MST98 -0025
RICK DAVILLA
13098 SW STARVIEW DR
12/02/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA799 Building Final / / / / 10/05/98 Home is occupied. Building final was NOTE 10/05/98 J *H
dropped 100198, possibly because I
didn't circle the correct final
inspection. Also, the note for welding
inspection may be disregarded as it was
one of three options and plywood shear
walls were constructed instead (per
owner). I have a note to Bob T. on this
to make sure. Look for attachment with
inspection. - jh /100598.
MSTA960 (F) Issue Cert. of Occupancy / / / / 10/06/98 12/02/98 JT
•
•
•
•
•
•
•
•
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST C#.D-0o1-C1
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
-.FE BUP
ro - 5 1{BDate Requested * -6 - [ O SI X PM BLD
Location 15 Suite MEC
Contact Person �, I LLi Ph NM 6 (`fi -5 PLM
Contractor SJ'CC- ziazi Phh SWR
BUILDING Tenant/Owner @,_,0 tteL;C,{/y ghtyt' 1 ELC
Retaining Wall A fi
A av ia/J.- / ELR
Footing Access:" O - q.' A
Foundation �- OCCUPIED H AttLeD FPS
Ftg Drain is -10 p SGN
Crawl Drain Inspection Notes: �Lij• ,n /
Slab
Post & Beam Ext Sheath /Shear (gebies �
Int Sheath /Shear /
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
PLUMBING O�
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
pecc DART FAIL
ECHANICA�
Post & Beam
Rough In
Gas Line
� _ Dampers
'VASS 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 ��
Other Date Inspector E
Final
.PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST I g --1
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q (� BUP
Date Requested / (J r i q0 AM PM BLD
Location d A,,, DA,Suite MEC
Contact Person Ph PLM
Contractor Ph 6 SWR
BUILDING Tenant/ =r 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 = J /L�iJL1 • /L_ ���� �[ '_ .
Insulation /� n
Drywall Nailing /LQp/I'(
Firewall
Fire Sprinkler � ij Lt—)(j 4 - e -leij4_ _104,
Fire Alarm
Susp'd Ceiling /17/ �� o f ."3 2 3 ^Ip
U t0
Fititt - PART FAIL
PL • BING �L G �
P
- 5 4
ost & Beam
Under Slab .•
Top Out
Water Service
Sanitary Sewer
R L ///
Rain Drains "`-� i tc.,�j '3319 � oV
Final (/
PASS PART FAIL
MECHANICAL
Post & Beam r v
Rough In
Gas Line — 1/ ,
Smoke Dampers a
Final
PASS PART FAI
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 q — I s'_ q � V �
Other Date Inspector " "������"`����"lll��i� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.