Permit MASTER PERMIT k/
CITY OF TIGIARD
PE ISSUED: 06/ 966— 273
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 1 S 125DA -1 1500
SITE ADDRESS...: 06508 SW TAYLORS FERRY RD
SUBDIVISION.... 1996 -005 ZONING: R -4.5
BLOCK........... LOT. — ...... — :
Remarks: PATH I
---- BUILDING - --
REISSUE: STORIES : 2 FLOOR AREAS- - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED------- --- - --
CLASS OF WORK.:NEW HEIGHT 28 FIRST 1008 sf GARAGE 440 sf LEFT 10 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 1018 sf FRONT : 35 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 10
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL - - - - -: 2026 sf VALUE..i: 138525 REAR • 30
----------- --- - -- - -- PLUMBING
SINKS • 2 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 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 /CMP ( 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- -
10Y SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: % W /SVC DR FOR..: 0 PIMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 3 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O 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 +amps -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 OCC:
-- - - - - -- 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/BRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: ---- - - - - -- Contractor: TOTAL FEES:$ 4458.46
NDC LTD. NDC LTD
P 0 BOX 1985 PO BOX 1985
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone #: 697 -3801 Phone #: 697 -3801
Reg #..: 099813
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 180 days.
--- - -- REQUIRED INSPECTIONS —
Footing Insp PLM /Underfloor Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Law Voltage Gyp Board Insp Electrical Final
Post /Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final
Post /Beam Meehan Electrical Servi Gas Line Insp Water Line Insp Plumb Final
Crawl Drain Framing Insp Gas Fireplace Water Service In Building Final r _
Per^mittee Signature: ,C L > ,/ Issued By:,
Call for inspection — 639 -4175
p
Residential Building Permit Application �,
City of Tigard L u ,
13125 SW Hall Blvd. (.0,_s .........--6 e,
Tigard, OR 97223
eipo_zr
(503) 639 -4171 ' )) pvS rt_Gkf,SVIra
Jobsite Address: .':' Sid-Taylors Ferry Rd.
Subdivision: P.P. 1996 -005 Lot # 2 Office Use Only
Valuation: $138,525 Contact Date S I3O/96 Initials - CIS
Result CAa - /es
New Construction Only: (Square Footage) �_C6��
Planck/Rec #
House: 2026 Garage: 4.4n Permit # n1 i ? » d 2 7 3
Reissue of
Corner Lot? Y N Flag Lot? Y N Map & TL # I e " f - 2:50)1 - - 11500
Zone Pl -Li,
Owner: NDC Ltd. Plat# 1'1 00b5
Address: P.O. Box 1985 Approvals Required
Lake Oswego, OR 97035 Planning Setbacks Solar •
Engineering SITE P VAA Pdu . r -;" - z'-: -'}?
Phone: ( 503 ) 697 3801 Other
Contractor: NDC Ltd. C9/ 6 6-13 - 96 • Items Required
Address: P.O. Box 1985 Subcontractors
Truss Details
Lake Oswego, OR 97035 Other
Phone: ( 503 ) 697 3801 Notes 1' e l i p - 6 °'
Contractor's License # 99813 Sw rIcscS (. `1
(attach copy of current Oregon license) (~
Contact Name: Charles Duck $' n E N�a - '<vrrn aetr—
Contact Phone: ( 503 ) 697 3801 ''"
S ubcontractors: Architect/Engineer:
Plumbing: l'ait6,0, -r's PtJm4 ',' Address:
Mechanical: 8 4e s I-lea.rinc
(attach copy of current OR contractor's License)
Electrical: T t- mP , E t e,, � i c Phone: ( )
JOB DESCRIPTION: _ ( )
Applicant Signature ' I Applicant Phone number
Received b V'�V xiry -- Date Received: 5 R2 [ -
ri:9ocin'csts,res2co
Permit 4 Account Description Amount Amt. Pd. Bal. Due 411
/3/9jk_.0213 Bldg. Permit (BUILD) 536 5 S30.37,
Plumb. Permit (PLUMB) 022) ei 2
Mech. Permit (MECH) zj tfs� i
State Tax (TAX) yG
Bldg: c Z 3 57 2-8 s I • !t-
Plumb: !/L-'
Mech: 02 • L )
,,ldctric
Plan Check (PLANCK) 3 9c'. 83
Bldg: 3 y (1.cf'
Plumb:
i
Mech: //- Z i _ , Z , 1/• Z ,
,..54,e * 0 2 -5 Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 3 J 31
Parks Dev Charge (PKSDC) / D Cl/ 7 4 5D
Residential TIF (TIF -R) / V 7 (V 7 0
Mass Transit TIF (TIF -MT) / / 2y
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL) / F /)
Water Quantity (WQUANT) /Ut/ (&
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) 6- ,, �
Erosion Planck/USA (ERPLAN) <Pt C,V j -efi/
Erosion Planck/COT (EROSN) 2n 41
TOTALS: t3. J ja q3, l
•
u
Solar Balance Point Standard Worksheet
..4
Address w eY' Fe-icy Y 0
Box A calculations: North -South dimension for the lot. Box A:
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.
4 °—+
t
t 1\
LOT UNE NC LOT UNE
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. 7 i feet
1
TI
a�
CSCUTH D'JdENSlCN ;'t._
ft
Box B 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?
1 a: If the roof line runs North- South, measurements will / wtn \' (circle one)
be based on the peak of the roof. cE
NORTt+ 1 A 1 B 1 C
0
1 b: If the roof line runs East -West and the roof pitch is
less than 5/12, measurements will be based on the
eave.
S+4, CE PC :N- _. A AE
1 c: If the roof line runs East -West and the roof pitch is
5/12 or steeper, measurements will be based on the 5 :, v z r Boot 151
peak.
sh-DE Ti: vt . :DGE
Box B. continued Box B:
2. Measure 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 3 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. + Z`t ft
4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - 3 ft
deduct nothing.
5. 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. _ i-I ft
6. Total figure for box B: 2- 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 id ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. 1 L/ ft
1 3. Total figure for box C: 2
0" ft
It is most useful to draw a vertical line to represent the appropriate figure found in box "A" and a horizontal line to represent the
appropriate figure found in box "C ". The intersection of the vertical and horizontal lines determines the value found in box "0". The value
in box "D" should be compared to the value in box "B "; if the value in box "B" is less than or equal to the value found in box "D ", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) T
Distance to North -south lot dimension (in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
or line (in feet)
70 40 40 40 41 42 43 11 44
65 38 33 33 39 40 41 �4 43
60 36 36 36 37 38 39 .0 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 1 34 33 36 37 38 39
40 23 23 28 29 30 31 132 33 34 35 36 37 38
35 26 26 26 27 28 29 60 31 32 33 34 35 36
30 24 24 24 25 26 27 68 29 30 31 32 33 34
25 22 77 22 23 24 25 66 27 28 29 30 31 32
20 20 20 20 21 22 23 � 25 26 27 28 29 30
15 13 18 18 19 20 21 p 2 2 3 2 4 25 26 27 23
10 16 16 16 17 18 19 C0 21 22 23 2 4 25 26
5 14 14 14 15 16 17 3 19 20 2 1 22 23 2 4
Box D. Maximum allowed shade point height: Z.5' feet
-1►
Solar Balance Point Standard Worksheet
Address 6508 SW Taylors Ferry Rd., Tigard, OR
Box A calculations: North -South dimension for the lot. Box A:
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 -vest and intersecting the northern most
point of the lot.
4 5 ° ..
NORTHERN NORTHERN
LOT UNE LOT UNE
ry 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.
76 feet
NORTH -50LiH CIMENSION L--.>
•
Box B 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?
1 a: If the roof line runs North- South, measurements will (circle one)
Alla
be based on the peak of the roof. o 0 0 o
maim
Na"' 1A 1B 0
1 b: If the roof line runs East-West and the roof pitch is
less than 3/1 measurements will be based on the
eave. .. .
SHADE POINT EASE
1 c: If the roof line runs East -West and the roof pitch is
x/12 or steeper, measurements will be based on the ;2 Poor
peak. ,Teepo,
SFi.:C€ .DINT PD GE
Box B. continued Box B:
2. Measure 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
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. + Z.7 ft
4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - ft
deduct nothing.
5. 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 B: 21 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 1;O ft
affected peak/eave. •
2. Measure the distance from the foundation to the affected peak or eave. + 2-9 ft
3. Total figure for box C: 3 -9 ft
It is most useful to draw a vertical line to represent the appropriate figure found in box "A" and a horizontal line to represent the
appropriate figure found in box "C ". The intersection of the vertical and horizontal lines determines the value found in box "D ". The value
in box "0" should be compared to the value in box "8 "; if the value in box "8" is less than or equal to the value found in box "D ", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) r
Distance to North -south lot dimensi n (in feet)
shade 100+ 95 90 85 80 75 i0 65 60 55 50 45 40
reduction line
from northern
lot line in feet)
-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 40 41
50 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 38 39
4Q - -23 - 28 - - -28- 29 30--- 31- - - -32? 33__ 34_35 36_3.7 - 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 2e 29 30 31 32 33 34
25 22 22 22 23 24 25 2b 27 28 29 30 31 32
20 20 20 20 21 22 23 21 25 26 27 28 29 30
15 18 18 18 19 20 21 224 23 24 25 26 2 28
10 16 16- 16 17 18 19 2 21 22 23 24 25 26
5 14 14 14 15 16 17 1 19 20 21 22 23 24
Box D. Maximum allowed shade point height: 3 Z feet $2`/(' ,
0
Page No. 1 CASE HISTORY FOR CASE NO MST96 -0273
NDC LTD.
06508 SW TAYLORS FERRY RD
12/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA005 Application received / / / / 05/21/96 PASS VBN 05/29/96 BT2
MSTA008 Permit Created / / / / 05/29/96 PASS RT 05/29/96 BT2
MSTA010 Check for prcl. restrict. / / / / 05/24/96 PASS BON 05/29/96 BT2
MSTA012 Plans routed to Plans Examiner / / / / 05/24/96 PASS BON 05/29/96 BT2
MSTA026 Plans approved by Plans Exmr / / / / 05/29/96 PASS RT 05/29/96 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 05/29/96 PASS RT 05/29/96 BT2
MSTA080 (F) Ready to issue / / / / 05/30/96 PASS CJS 05/30/96 CJS
MSTA092 (F) Issue combination permit / / / / 06/20/96 PAID JMH 06/20/96 J *H
MSTA097 Issue plumbing signature form / / ' / / 06/20/96 PAID JMH 06/20/96 J *H
MSTA098 Issue electric signature form / / / / 06/20/96 PAID JMH 06/20/96 J *H
MSTA098 Issue electric signature form / / / / 08/16/96 PASS CJS 08/16/96 CJS
MSTA705 Footing Insp / / / / 07/26/96 APP KS 07/29/96 KBS
MSTA706 Foundation Insp / / / / 07/26/96 APP KS 07/29/96 KBS
MSTA710 Post /Beam Structural / / / / 08/05/96 APP GS 08/06/96 GES
MSTA711 Post /Beam Mechanical / /• / / 08/05/96 APP GS 08/06/96 GES
MSTA713 Crawl Drain / / / / / / 05/29/96 BT2
MSTA717 PLM /Underfloor / / / / 08/05/96 PASS MS 08/06/96 MRS
i;1STA720 Mechanical Insp / / / / 09/16/96 pending- b -vent clearance- b -vent PASS RB 09/16/96 RB
upstairs; insulate duct w /in soffit in
garage; plug all holes.w /in RA
MSTA720 Mechanical Insp / / / / 09/18/96 APP KS 09/19/96 KBS
MSTA722 Plumb Top Out / / / / 09/11/96 PASS MS 09/13/96 MRS
MSTA723 Electrical Service / / / / 09/10/96 PASS TLP 09/12/96 TLP
MSTA725 Framing Insp / / / / 09/16/96 pending- mech issues; strap plates; PASS RB 09/16/96 RB
metal plate protection where needed.
MSTA726 Shear Wall Insp / / / / 09/09/96 interior shear HD's missed; tighten FAIL RB 09/09/96 RB
HD's.
MSTA726 Shear Wall Insp / / / / 09/16/96 PASS RB 09/16/96 RB
. MSTA727 Low Voltage / / / / / / 05/29/96 BT2
MSTA735 Gas Line Insp / / / / 09/16/96 #173970 PASS RB 09/16/96 RB
MSTA740 Insulation Insp / / / / 09/18/96 # -1- tub/ shower combination not A/N KS 09/19/96 KBS
installed this time cover exposed
insulation with FS paper
MSTA745 Gyp Board Insp / / / / 09/27/96 4-1- garage not included this inspection PART KS 09/30/96 KBS
MSTA755 Rain drain Insp / / / / 07/30/96 PASS MS 07/31/96 MRS
MSTA760 Water Line Insp / / / / / / TVW 06/20/97 J *H
MSTA765 Appr /Sdwlk Insp / / / / / / private street at this address, approach NA RC 09/20/98 J *H
not changed from demo house.
MSTA770 Misc. Inspection / / / / 09/17/96 4-1- slab on grade/ garage fl APP KS 09/17/96 KBS
Page No. 2 CASE HISTORY FOR CASE NO.: MST96 -0273
NDC LTD.
06508 SW TAYLORS FERRY RD
12/02/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA790 Electrical Final / / / / 06/19/97 APP BRP 06/19/97 J *H
MSTA795 Mechanical Final / / / / 06/19/97 PASS RC 06/19/97 J *H
MSTA797 Plumb Final / / / / 06/19/97 PASS RAB 06/20/97 J *H
MSTA799 Building Final / / / / 06/19/97 handrail exceeds max. 2 5/8" diam. FAIL RC 09/16/98 JT
outside porch.
9/16/98 phone call from contractor,
transferred message to Ron for followup.
Jeanne T.
MSTA799 Building Final / / / / 09/18/98 PASS RC 09/20/98 J *H
MSTA960 (F) Issue Cert. of Occupancy / / / / 09/18/98 12/02/98 JT
MSTB708 Erosion Control / / / / / / 05/29/96 BT2
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 114ST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�j BUP
Date Requested �' — (e AM PM BLD
Location l2 SO �1 / (t Suite MEC
Contact Person �/ ! � I .P L..•-- Ph 677-3/01 PLM
Contractor (1 (Id Ph SWR
UILDING-- Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post ost & Beam V401k) c Q „� „,n ���
Ext Sheath /Shear \ �X'
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi
S PART FAIL
ING �'.
'ost & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL ()IL/
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL. 0
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 Q�
Approach /Sidewalk Dat 9 18 - I, g Ins pec t or Cy - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7c,—ocii3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested r AM PM BLD
Location (.05D3 cc S Suite MEC
Contact Person Choi) r 2 �� Ph (R 7 3(rOi PLM
Contractor N DC Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation 6 /rJ`/1 / � [/ J J°v �1 e s ? FPS
Ftg Drain / i L
Crawl Drain Inspection Notes: 2 � n SGN
Slab (MAY � ° / SIT
Post & Beam
Ext Sheath /Shear Pil-gOF L-
f P
�
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service -1\140
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
� A
ach /Sidew> 9 j
Other Dat 1�� Inspecto E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.