Permit , ` CITY OF T1GARD .
MASTER PERMIT
PERMIT # MST97 -0381
�,L ollin DEVELOPMENT SERVICES DATE ISSUED: 09/24/97
SITE ADDRESS...:11675 SW TERRACE TRAILS DR -4171 V �� PARCEL: 2S 103CD -04401
SUBDIVISION • 4+-• ING: R -4.5
BLOCK LOT • . '!*`ISDICTION: TIG
Remarks: Addition to SFD living space and garage PATH I
- BUILDING --
REISSUE: STORIES • 2 FLOOR AREAS- BASEMENT...: 0 sf REQUIRED SETBACKS --- REQUIRED
CLASS OF WORK.:ADD HEIGHT • 28 FIRST • 423 sf GARAGE • 336 sf LEFT • 24 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 499 sf FRONT : 0 PARKING SPACES: 0
TYPE OF CONST. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BORN: 1 BATH: 0 TOTAL : 922 sf VALUE..$: 67689 REAR • 0
PLUMBING
SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SRS.:.: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES - FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 1 CLOTHES DRYERS: 0
GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 3 WOODSTOVES • 0 GAS OUTLETS...: 0
ELECTRICAL
— RESIDENTIAL UNIT— — SERVICE /FEEDER --- —TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS — -- MISCELLANEA -- — ADD'L INSPECTIONS- -
1w SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 1 201 - 400 amp..: 0 201 - 400 amp..: 0 - 1st W/O SVC /FOR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MAW HM /SVC /FOR: 0 601 - 1w' amp.: 0 601 +amps- 1'.v v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 — PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY -
A. SF RESIDENTIAL B. CRCIAL ---
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALA'• °..: 0TH: .. BOILER HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ::
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL B SYSTEMS: 0
Owner: Contractor: TOTAL FEES:$ 7•,.90
GARY D SIEG OWNER This permit is subject to the regulations contained in the
11675 SW TERRACE TRAILS Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 8: Phone 8: not started within 180 days of issuance, or if the work is
Reg #..: wiw , suspended for more than 1:' days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 -N1 -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 — --
Footing Insp Mechanical Insp Low Voltage Mechanical Final
Foundation Insp Electrical Servi Insulation Insp Building Final
Post /Beam Struct Electrical Rough Gyp Board Insp
Post /Beam Meehan Framing Insp Rain drain Insp
Crawl Drain Shear Wa '1 Insp Electrical Final
Issued Ely. ' Permittee Signature--0
1 ` •
++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 1 + + + + + + + + +,+ + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
Plan Check 0,..9: 7j�/e-
. OF,T RD Residential Building Permit Application Recd By n1
25 SW HALL BLVD. New Construction Additions or Alterations 0 e Rec / � 7
d 9
.RD, OR 97223 Single Detached or Attached (Duplex) o 9 �� D , - 5dbe
*03 -639 -4171 Date to OST /3 ?
-- 03- 684 -7297 Permit # m7 6 3g/
. _ . .- ._ .. _. Print or Type Called -
Incomplete or illegible applications will not be accepted z /o/
- Name of Protect , - _ - _ --.- _ ._ _ .... _ - - _. - Name -
Job �clii-i h o ®��re�'
6�1
.Address _ Site Address _ -.____ .__ -___
Architect Mailing Address
1/6 S Te 7 City/State -_ -- • -- ----Zip Phone
Name "' p
GARY sir 6 .
Owner Mailing Address Name
//673' Sc,..) T6'2g/ACF 97841/eS •
Tirn �rY3P lick-
Engmeer Mailing Address
City/State Zip Phone g 696? S4J %7 a43i, Avb 6
7/6$40 Op 97a,23 City /State zlo Phone
Name Ti 4r.,C , oR
9 7.2,,2.t' _ x+02 , ;/- '7aoS
uc
General Oh .e,^'S Describe work New Addition( Alteration 0 Repair 0
Contractor_ M Address__ ._ _ to be done: -
Additional Description of Work: / — 5 r r
- •-- City /State • -- -- Zip -• - Phone - - -- - • � � z-/PO, S 1"" .
Oregon Const. Cont Board Licit Exp._ Date_ _.____ ' ''' - ✓ . S ,�S ,2./� � ' lit �: Yrt.: O
ttach Copy of - - 0 Q�i
Current COT Business Tax or Metro # Exp. Date PROJECT _ // ,^, �1
n Licenses -.. p VALUATION $ 74 9 LL/ , ' i %7 9 '
Name l
.:?echanical emu} -- _ _ _ __..__ _._,._ ' NEW CONSTRUCTION ONLY:
Sub - Marling Address Sq. FL House: Sq. FL Garage
`antractor Corner Lot YES NO - Flag Lot YES NO
�. City/State - Zip Phone (check one) (check one) „ -.
Oregon Const Cont. Board Lic.# Exp. Date Restricted Audio/Stereo Burglar
:Mach Copy of Energy, - , - - -.'. - System 11. ■; a - Alarm
Current COT Business Tax or Metro 4 Exp. Date Installation Garage Door HVAC
Licenses
Name - Opener _ Systems
(check all that Other.
Plumbing 0 UU - apply) .. .
Sub _ - Mailing Address - - - - • - - Will the electrical subcontractor wire for all YES NO • .
Contractor restricted energy installations? .
city/state zip (Phone Has the Subdivision Plat recorded? N/A YES NO
• Oregon Const Cont Board Lc.# I Exp. Date . Reissue of MST#: Solar Compliance
tech Copy of (Calculation Attached)
Current Plumping Lc. x Exp. Date I hearby acknowledge that I have read this application, that the
Licenses - - �- -- _._._.. -_. _._.__ .. -_ -- .__ - -•-
COT Business Tax or Metro 4 I Exp. Date information given is correct, that I am the owner or authorized
agent of the owner, and that plans submitted are in compliance •
Name with Oregon State laws
Electrical
Signature of Owner /Agent Date
5'-iz - 9 7
Sub - Marling Address
Contact Naafe P
contractor & one # 3 S (?e r
C;tyiState Zip - Phone FOR OFFICE USE ONLY:
Plat # d' V Ma /Tl#i: r
Oregon Const Cont. Board Lic.# Exp. Date i S I C 3 C-i - 0 /
Leh Copy of Setbacks: I Zone Solar
Ee�npl Lc. # Exp. Date f
Licenses
�Engi4rin ppr v�l: I Planning Approval: TIF:
COT Business Tax or Metro 4 I Exp. Date
/ v /� �
-''tEMDLDOC (DST) 3/97
rermit rx Acct. oescntpion COT WACO Amount Amt. Pd. Bal. Due
04. 0- ( MST. Permit (BUILD) (UBU(LDI 33 7 =` V .3,3 2 , 4
'u Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MECH) (UMECH) Z5 ; " i oi•.)
ELC /ELR Permit (ELPRMT) (UELPMT) /.35. cV V /3S r
State Tax / (TAX) (UTAX) q. g) v .2 V. `=
BLDG: /c. V _ .
PLUMB:
MECH: /2
ELC/ELR: T7
Plan Check _ _ _ _ _- ti!
MST: (BUPPLN) (UBUPLN) o�/q, "� �I a
Plumb: (PLUMB) - ( UPLUMB)
Mech: -
-w - (MECPLN) . ( UMEPLN) - -- - - - - - - -
CDC Review (BUILD) (CDCBLD) - (UCDC) c9'li. cy V d.—o
CDC Revie (P , i . (CDCPLN) ° ' N/A o 26 . tell V r7 '
Sewer Connon (SWUSA) (USWUSA)
Reimbur. District ( ) ( )
Sewer Inspection 1 , (SWINSP) (USWINS) • -
Parks Dev Charge (PKSDC) N/A
F
Residential TIF (TIF -R)- (UTIF -R) - - - _ _ -- -
Mass Transit TIF (TIF -MT) _ (UTIF -M) _ _
Water Quality (WQUAL) (UWQUAL)
Water Quantity ..' . ( WQUANT) (UWQANT)
Erosion Control Print (ERPRMT) (UERPMT)
Erosion Planck/USA (ERPLN) (UERPLN) / "
/
Erosion Planck/COT (EROSN) (UEROSN) -
:/47,/
Fire Life Safety • - (FLS) - (UFLS) �� 1
TOTALS: 7n, - / 5W 12 ' i
- (q , 5 .Q______--
I:SFREMOLDOC (DST) 6197
Solar Balance Point Standard Worksheet
.
Address % /G73 s4 74 #re Trq,'
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 smailest angle from a line drawn east -west and intersecting the northern most
point of the lot.
UMNIZINUMEMENEM a5°
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.
t/43 feet
N
��soua oo�eor.
•
. 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?
la: If the roof line runs North - South, measurements will ®' (cirde one)
be based on the peak of the roof. aaaa
minus
eons "'® 1A 18 1 C
•
1 b: If the roof line runs East-West and the roof pitch is . •
less ;han 5/12, measurements will be based en the ;--�
eave. — I
94/4X Pena L04
1 c If the roof line runs East—Vest and the roof pitch is _
5/12 cr steeper, measurements will be based on the s . z _
peak. ® ..aC
aw saw app[
•
•
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. + 7 ft
4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - O ft
deduct nothing.
S. 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. - a C. s- ft
6. Total figure for box 3: / 3 7 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 02 9 ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + - 3 5 ft
3. Total figure for box C: S"S `e ft •
it is most useful to draw a vertical line to represent the appropriate figure found in box °A° and a horizontal fine to represent the
appropriate figure found in box C. The intersection of the vertical and horizontal fines determines the value found in box 'O'. The value
in box 'O' 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 'O °, then
the building is in campfiance 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) 1
Distance to North -south lot dimension fin fee
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
Int /ine fin loom
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
34 34 34 35 36 37 38 39 40 41 •
50 32 32 32 33 34 35 36 37 33 39 40
43 30 30 30 31 32 33 34 35 36 37 38 39
23 23 23 29 30 31 32 33 34 35 36 37 38
35 26 25 26 27 28 29 30 31 32 33 34 35 36
20 24 24 24 25 25 27 28 29 30 31 32 33 34
2 5 22 22 22 23 24 25 26 27 28 29 30 31 32
2 0 20 20 20 21 22 23 24 25 26 27 28 29 30
73 18 18 18 19 20 21 2 2 23 •24 25 26 27 28
'0 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height 3 471 feet
h:kdozinancytventuratsolatcho
Revised 7.126i96
I , :
Permit #: /� S% 9 - O I
� ----(5-
� //6 75 S � f ( S
0 re
d.::-.• M-- Address: � �� � ��
Issued by: � haVia/
Date: J
1:
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:
/ FT 1. I own, reside in, or will reside in the completed structure.
4 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
ri 3A. My general contractor is
(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
p 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 Property Owners about Construction Responsibilities on the reverse side of this form.
(Signatufe of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
° .
Information Notice to Property Owners
About Construction Responsibilities
Note: This Information Notice to Proper' Owners about Construction Responsibilities
was developed by the Cistruction Contractors Board in accordance with ORS 70 /055(5).
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being awar of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing hng in the
construction or improvement of a residential structure, you will, in most instances, be ruled to be an eMployer uoddepcop|u
you hire will be emplyees. As the employer, you must comply with the following:
Oregon's withholding tax law: As an employer, you must withhold income iaxes from employee Wages at the time employees
are paid. You will be liable for the tax payments even if you dont actually withhold the tax from your employees. For more
information, call the Oregon Dept. of Revenue at 945-8091.
Unemployment insurance tax: As an employer you are reauired to pay a tax for unemployment insurance purposes on the
wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resources
at 378-3524.
Workers compensation insurance: As an employer, you are subject to the Or gon Worker 'ConopenxuiiooLuw.aodnuumL
obtain workers compensation insurance for your employees. if you fail to obtain workers compensation insurance, you may
be subjeet penaltieS and will be liable [o/x||c|uicncuxisifo» of your employees is i jured on the job. For more information,
call the Workers' Compensation Division at the Department of Consumer and BusinesS Services at 945-7888.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be
liable for the tax paymnt even if you didnt actually withhold the tax. For more information, call the internal Revenue Service
at 1'8()0'829`1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this p |ect,youuom:sponsib|ohnncsn\v\ogunyfaUuno0onoemooderequirernentu
that may be brought to your attention through inspections. _
Liability and property damage insurance: Contact your insurance agent to see iyou have adequate insurance coverage for
accident.; and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
re-done.
Time to su employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure ynuhuvedhe expertise to act as your own general contractor, to coordinate the work of rough-in and finish
trades, and to notify building officials at the appropriate times so they can perform the required inspections.
if you have additional questions, write or call dheConstruction Contractors Board (PO Box ]4l4D. Salem, 0}l97309'5U52.
503/378'4621). The Board is located at 700 Summer St. NE Suite 300 in Salem.
prop-own.pm4
6/6/00 Activities for Case #: MST97 -00381
2:00:07 PM trp
ig
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 9/12/97 DRA PASS JD 9/16/97
MSTA008 Permit Created 9/16/97 JSD PASS JD 9/16/97
MSTA010 Check for prcl. restrict. 9/16/97 JSD PASS JD 9/16/97
MSTA012 Plans routed to Plans Examiner 9/16/97 JSD PASS JD 9/16/97
MSTA026 Plans approved by Pln Examiner 9/18/97 RT PASS BT2 9/18/97
MSTA030 Reviewed plans routed to DSTS 9/18/97 RT PASS BT2 9/18/97
MSTA032 DST Post - Review Completed 9/24/97 JSD PASS JD 9/24/97
MSTA705 Footing Insp 11/10/97 RB PASS J *H 11/12/97 Please see inspection for
MST97 -0384, inspection
combined.
MSTA706 Foundation Insp 11/18/97 RB PASS J *H 11/18/97 1. Provide HD10A's at c -3
location of garage wing. 2.
Install HTT16 -s at rear wall of
garage and at existing wall
within living space as per B -1
and A -2 detail. 3. Add
ventilation to living space crawl
•
as per formula. Each wall
plane shall receive ventilation,
except garage rear wall. 4.
Close off existing crawl vent. 5.
Maintain anchor bolt
requirements.
MSTA710 Post/Beam Structural 12/31/97 TLP PASS J *H 1/1/98
MSTA711 Post/Beam Mechanical 12/31/97 TLP PASS J *H 1/1/98
MSTA713 Crawl Drain 12/30/97 MS PASS MRS 12/30/97
MSTA720 Mechanical Insp 12/30/98 TLP PASS TLP 12/30/98
MSTA723 Electrical Service 6/23/99 BRP FAIL AKJ 6/23/99 2 ground rods must be driven at
meter main. Rods to be 6 ft min
apart. Grounding electrode
conductor to be conn to neutral
at main.
Existing main panel becomes a
subpanel and will require sep.
of neutral and ground conn,
isolate ground and neutral at
panel by removing bond.
MSTA724 Electrical Rough In 12/30/98 TLP PASS TLP 12/30/98
MSTA725 Framing Insp 12/30/98 TLP PASS TLP 12/30/98
MSTA726 Shear Wall Insp 12/30/98 TLP PASS TLP 12/30/98
MSTA728 Low Voltage
JD 9/16/97
MSTA740 Insulation Insp 6/22/99 KS PASS AKJ 6/22/99 secure insul adj to B vent at
upper level
MSTA745 Gyp Board Insp
JD 9/16/97
Page 1 of 2
6/6/00 Activities for Case #: MST97 -00381
2:00:07 PM .
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. ' Level By Updated Notes
MSTA755 Rain drain Insp • 12/30/97 MS PASS MRS 12/30/97
MSTA790 Electrical Final JD 9/16/97
MSTA795 Mechanical Final JD 9/16/97
MSTA799 Building Final JD 9/16/97
MSTA080 (F) Ready to issue 9/24/97 JSD PASS JD 9/24/97
MSTA092 (F) Issue combination permit 9/24/97 B PASS DST 9/24/97
MSTA770 Misc. Inspection 9 /9 /98 WDJ NOTE WDJ 9/9/98 I called Gary Sieg, He said he
is still working on this project
and will write a letter asking for
an extension on this permit.
MSTAl25 PERMIT EXTENSION REQUEST 10/13/98 HAP PASS DGW 10/13/98 Extension approved effective
6/29/98 with agreement with
owner that approved framing .
inspection will occur prior to
180 days;.
. MSTAl25 PERMIT EXTENSION REQUEST • 10/28/98 HAP XTND JT 1/26/99 Permit extended for 180 days
effective 6/30/98. See letter in
file.
MSTA722 Plumb Top Out 12/30/98 • TLP PASS TLP 12/30/98
MSTA723 Electrical Service 6/28/99 6/28/99 6/28/99 BRP PASS No Hold AKJ 6/28/99 neutral is grounded for service
hook up, reconnect ground rods
as shown
Bond ground rods do not feed
separately.
MSTA1 53 Expired by limitation 6/5/00 HAP DONE No Hold AKJ 6/5/00 card sent to contractor
• Page 2 of 2
,� CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: /. - 3 _ A.M. P.M. X MST: r l Si
6 3 V
Location: 11675 LAC! .J ,ACC U.Q L (^ 1 BUP:
Tenant: I Suite: Bldg: MEC:
Contractor: ( A /..� (_e� Phone: //s / — J - PLM:
Owner: J � /� , /f / Phone: /) ) ELC:
7z: ,L/ ef/ /i .« a( X1.4 F/� ELR:
1_,66/t/ Q .51, A L__X SIT: -
BUILDING BLDG (con't) ( ( 7 PLUMBING) MECHANICAL / ELECTRICAL, SITE
Site Post/Beam ,,,--(Post/Beam—" Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling m A/C UG Slab
Shear /Sheath Fire Spklr /Ahn 'C Cr a a ound Dr ) Heat Pump Low Volt
Approved L_ Approved Approved Approved
Appr /Sdwlk Not Approved • • pproved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
-A.
fir ,r_r-c ..,._--- -- f I r 1 d 1 ,r '' _ LAY: .' .
/ ■ I e . ill 1 W. , A r - , , '°. 1 .) 1 I A I W c ' _ _ _ . A. , .1 - . 4 0 1 i , ! ' ' ' . d . . /. e . . . /.1Ai ' . . . - ''.
/ /
•
O Call for re' tion O before ne i
Reinspection fee of $ required befonspection O Unable to inspect
./
/ Inspector: Date: i Page 1. ' of