Permit CITY OF TIGARD
DEVEL0PMENT SERVICES F'ERMBUILDING PERMIT
TF'98 —Qi225
Tigard, OR (503)639-4171 DATE ISSUED: 08/03/98
PARCEL: 25101DC -03900
SITE ADDRESS...: 07150 SW SANDBURG ST
SUBDIVISION • SALEM FREEWAY SUBDIVISION ZONING:C —P
BLOCK LOT •004 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST : 23562 sf N: S: E: W:
TYPE OF USE•..:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:SN ••.: 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL : 23562 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 540 BASEMENT.: 8427 sf AREA SEP. RATED:2HR
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD •100 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE. $ : 300000
Remarks : Interior tenant improvement
Owner: FEES
PROGRESSIVE INSURANCE type amount by date recpt
6300 WILSON MILLS RD PLCK $ 606.45 B 06/08/98 98- 306361
MAYFIELD VILLAGE OH 4 FIRE $ 373.20 B 06/08/98 98- 306361
PRMT $ 933. JSD 08/03/98 98- 307899
Phone #: 440 - 446 -3044 SPCT $ 46.65 JSD 08/03/98 98- 307899
Contractor:
MCCORMACK PACIFIC CO
7190 SW SANDBURG ST
TIGARD OR 97223
Phone #: 624 -2090 $ 1959.30 TOTAL
Reg #..: 000631
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other St r u c Steel Insp
applicable laws. All work will be done in accordance with R e i n f Steel Insp
approved plans. This permit will expire if work is not started Framing Insp
within 180 days of issuance, or if work is suspended for more Insulation Insp
than 180 days. ATTENTION: Oregon law requires you to follow the Shear W a l l Insp
rules adopted by the Oregon Utility Notification Center. Those F i rewa l l Insp
rules are set forth in OAR 952191 -0010 through OAR 952-00101987. Gyp Board Insp
You many obtain a copy of these rules or direct questions to OUNC Susp Ce i l n g Insp
by calling (503)246 -1987. SMRF concrete fi
SMRF welds final
/ Structural weldi
Permittee Signature / iggrm, U. Issued By: �_�_
Y•
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ et + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
tf m J el a 9C°_
L
CITY OF TIGARD Commercial Building Permit Rec'd By
13125 SW HAIL' BLVD. Tenant Improvement Date Recd 6-- q"
TIGARD, OR 97223 Date to P.E. i — l / /
Date to D, _Z Id .2z
(503) 639 -4171 Permit # ) — if 7
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called . /._:L(mac. / / / , / , _ ' S - . / 1 / 4 / / .
7i7/96P
Name of Development/Project Existing Building$.. New Building ❑
Job Fiteo21,5aUe t
Address Street Address I Suite Building
1 MO 1 . SAIN ga Data
Bldg # City /State Zip Existing Use of Building or Property:
4/4; ' RED, o .y'I �z3 8 — Office
Name
Property FR tVI� Proposed Use of Building or Property:
Owner Mailing Address -- __ Suite l _
G (R�l FA • No. Of Stories:
City/State ( T t1t1wj o. Phone I * 1 ta'taeW� Sq. Ft. Of Project:
Occupant Name 2.x 2 - matt& F✓ �
Oulkot (440)444-SO44- Occupancy Class(es)
Name
Contractor V,L c j tG Type(s)
Prior to permit Mailing Address Suite V -1.1
issuance, a copy 11909 Will this project have a Fire Suppression System?
of all licenses l ��+ +•�+•• Yes ❑ No fgt.
are required if City/State Zip Phone Americans with Disabilities Act ADA
expired in C.O.T. f L� W4421/2093 ( ) l
database Valuation X 25% = Participation
OregoConst. Cont. Board Lic.# Exp. Date Complete Accessibility Form 1
Aggigt ei✓It I Project $
Name Valuation k 3001 000
Architect M rn(xol,(t�k,(� Plans Required: See Matrix for number of sets to submit
�Ma a il li in � g � Address Suite on back
(5 ?'2L S.W. YYlaea t * (00
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
Chi
91n t9 1 •(„ �� given is correct, that I am the owner or authonzed agent of the owner, and
L.L � that plans submitted are in compliance with Oregon State Laws.
Engineer Name I _
C . Si nature of Owner /Agent Date
Mailing Address r Suite I A , _ ‘7e )
f1& Sklibtao 1314.42225 Contact Pe i , 'a e Phone
City /State Zi Phone k/ 00144
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# /7 ' r y Land Use:
Accessory Structure 0 Foundation Only 0 Alterationpt: _ C.�'" ��
Repair 0 Other 0 Notes:
Description of work:
TIF:
Parks: Estimated # of Emp r Th
Note: Site Work Permit Application must precede or accompany Building
Permit Application
l:\COMNEW.DOC (DST) 8/97
k
1
I,
r -, t 4,
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
SubtradePlan :Review.is:dependent: i :i l of B OTH : ,plans AND a:COMPLETE }..;:. :.
-.. For an electrical submittal, the application: must contain :the':: ;.::;::.,:
- the: supervising :: electrician'before: plan.:., review will be conductec€.::;.::•: :"•:.:
DISTRIBUTION TO PLANS! . *• . • . • . OJJT•• TQ DST
EXAMINERS (Note a.) _
TYPE OF SUBMITTAL TOTAL CPE PPE • EPE • • - ':CI'E • ' PPE EPE
SITE • .. . - 1 1 •,'. ... ; -• ' `3 (,o,u) -- --
B (New or Add) 1 1 : ", • -- ; 3 (j. :o,w) t ' -.- .. --
F (New or A dd or A lt.) 3 3 --
-r 3, (;o,f) '
,
1(4' • New o; Add. or•Alt } ' - 1 1 -- •-,- ,. 2 (j,o) . • • ' - -. --
1 &"M :(NeW or Add) - • 1 1 -- •' • -- * 3 (j,o,w) . -- --
P (New, Add. or Alt) - • 2 -- 2 . -- . . -- • • , • 2(j,o) --
B & M & P (New or Add ) 2 1 1 -- 3 (j,o,w) 2(j,o) --
E (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B & M & P & E (New, Add) 3 1 , • V • 1` • 3 (j,o,w) ' ' 2(j,o) 2 (j,o)
B -:I S > &: Alt : -< :3 :1: >' ' . : ?2::*. :- ' ;: 2 '
& & E.. Alt ' .- . ... . - : - _;' :: . <•:?'t; :;'', '::.::' ::':`
... fi ..:; .:..,. ::• ; `:.
NOTES: • ' '• ' KE1?: ' • '
a. Before returning to DST, Plans examiner gets appropriate j = Job , , B = BUP
number of revised plans from applicant, stamps and • • ' o= • Office - • ' • M = MEC
completes, updates and adds actions. . , •, f = Fire .. P = PLM
• u =OSA ' -' E =ELC
: b<.. Shar#e0:areas .eesigriaife R T.subniittOs' only: ;,:,,::.::: w = Wash. CounA .. F = FPS
..
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exc' ption, continue to forward a copy of approved ,fine sp and fire alarm plans with. • , •
calculations. .
I.lmatnx.Doc
•
OVER THE COUNTER OTC
ER ER ( _ )
(attachment to Submittal Criteria)
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 %).
THEREFORE; Each submittal for a building permit shall include this form providing the following
information. [Excluding re- roofing, mechanical and electrical permit applications]
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ '70 , 00
multiply; 25% Barrier removal requirement _ .25_
BUDGET FOR BARRIER REMOVAL [2] $ 7' f ddb
The dollar amount of the BUDGET established on line (2) in the computation above shall be spent
providing the accessible elements in the following order.
1. An accessible route connecting the building to accessible pedestrian &� ))
walkways, and the public way. $ I� 4
(including but not limited to curb ramps, detectable warnings,
marked crossings, ramps handrails and landings).
2. Not less than one accessible parking space. $ 5 NO
(including but not limited to adjacent access aisle, signs and curb ramp
connecting with the accessible route).
3. Accessible entry or entries. $ . I • (
(including but not limited to ramps, handrails, landings,
door sill height, door width and door hardware).
4. An accessible interior route to the altered area. $ K f A
(including but not limited to door -ways, maneuvering
clearances, door hardware and stairways).
5. At least one accessible restroom for each sex. $ £�
6. At least one accessible telephone where public phones 1
are provided. $ 1`+ A 1X )
7. When drinking fountains are required, fifty per -cent but
not less than one shall be accessible. $ i `► �.t�
8. Additional accessible elements such as storage, reach ranges,
alarms, etc.. $ 1-
TOTAL; Shall equal line 2 of Value Computation $ 7 C 1 Ott
is /otca.doc(DST)
•
UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY
FIXTURE UNIT RATINGS
TOTAL TOTAL
FIXTURE VALUE NUMBER NUMBER
BAPT I STRY/ FONT 4
BATH - TUB/ SHOWER 4
- JACUZ /gHPL 4
CUSPIDOR /WATER ASP 1
DISHWASHER - C06114ER 4
DOMEST 2
DRINKING FOUNTAIN 1 //
FLOOR DRAIN - 2 I NCH 2 •r
- 3 I NCH 5 II / �-
- 4 INCH 6
GARBAGE DISPOSAL
- DOM (TO 3/4 HP) 16
- COMM (TO 5 HP) 32
- IND (OVER 5 HP) 48
OIL SEP (GAS STA) 6
SHOWER - GANG 1
- STALL 2 {{�cc /J � !�
SIf ( - BAR 2 /1/7
` //I / G��
- BRADLEY 5
- COFIMERC I AL 3
- SERVICE 3 /// %/
WASHER, CLOTHES 6
WATER EXT 6
WATER CLOSET 6 A J 1 � 72
UR I NAL 6 ///
v
- ,„ - a
664 g7n A/0. 61 631
DATE 4/5/9 I NSP TOTAL
BUS I NESS ( aL/1 kc c./ -cft e ( ,/ - EDU
ADDRESS 7 Z5 y ) �/7lJlXA/'1'7 PERM i T ND . /
TAX MAP /LOT COUNTED FROM l� -,s
ion /.90x7 9a/
73 -25 R83
1/21/00 Activities for Case #: BUP98 -00225
2:18:34 PM
Assigned Hold Updated _
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received • 6/8/98 GEO RECD. TLP 8/6/98
•
BUPC008 Permit created 6/9/98 B DONE BON 6/9/98
BUPC012 Plans routed to Plans Examiner 6/9/98 B SENT BON 6/9/98
BUPCO26 APProved Plans routed to DSTs 7/9/98 RDP APPR RDP 7/9/98 -
BUPC520 Mechanical Permit Required 7/9/98 RDP 7/9/98
BUPC530 Electrical Permit Required 7/9/98 RDP 7/9/98
BUPC540 Sprinkler Permit Required 7/9/98 RDP 7/9/98
BUPC565 Plumbing Permit Required 7/9/98 RDP 7/9/98
BUPC705 Foot/Found Insp 7/9/98 8/6/98 TLP PASS TLP 8/6/98 Notice - This is a steel momemt
frame - All work regarding this
frame is by Speaal Inspection
interior footings grid d to f line 2
BUPC715 Struc Steel Insp 7/9/98 RDP 7/9/98
BUPC716 Reinf Steel lnsp 7/9/98 RDP 7/9/98
• BUPC740 Framing Insp 7/9/98 8/27/98 RDP NOTE RDP 8/27/98 There is an amendment to the
permit for the structural
changes required in the roof
• framing to support the new
• mechanical system. See
addendum attached to sheet
S -1- ?s see Bob Poskin
BUPC750 Insulation Insp 7/9/98 RDP 7/9/98
BUPC757 Shear Wall Insp 7/9/98 8/25/98 TLP PART J *H 8/30/98 WALL GRID LINE E SHEAR
NAILING FROM 3 -5.
BUPC758 Firewall Insp 7/9/98 10/12/98 RC PART J *H 10/15/98 1ST LAYER ON RATED
CEILING & FRAMING
BUPC760 Gyp Board Insp 7/9/98 8/24/98 TLP PART TLP 8/24/98 ceiling only 50%
BUPC762 Susp Ceilng lnsp 7/9/98 10/22/98 RC PART ROC 10/23/98 BASEMENT SYSMIC APP.
. NEED FIRECAULK AND
DAMPER INSP BEFORE
COVER
BUPC766 SMRF concrete final report 7/9/98 11/20/98 RECD J *H 11/23/98 fax routed to file Carlson
Testing Final Summary Letter
• of 111998: Reinforced Concrete
. Epoxy Anchors Structural Steel
- Shop & Field
BUPC767 SMRF welds final report 7/9/98 RDP 7/9/98
BUPC768 Structural welding final reprt 7/9/98 RDP 7/9/98
BUPCO29 DST Post Review Completed 7/9/98 DLH DONE DLH 7/9/98
BUPC090 (F) Ready to issue 7/9/98 DLH PASS DLH 7/9/98
•
• Page 1 of 3
•
1121/00 Activities for Case #: BUP98 -00225
2:18:34 PM
Assigned Hold Updated .
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC100 (F) Issue permit 8/3/98 JSD PASS DST 8/3798
BUPC760 Gyp Board Insp 8/25/98 TLP PASS TLP 8/25/98 2nd layer,ceiling room 501
BUPC740 Framing Insp 8/27/98 9/1/98 TLP PART TLP 9/1/98 SERVER ROOM /AND MPF
ROOM NO ELECTRICAL TO
BE COVERED
BUPC760 Gyp Board Insp 9/1/98 TL' PASS TLP 9/1/98 SECOND LAYER CEILING
BUPC760 Gyp Board Insp 9/11/98 TLP PART J*H • 9/11/98 rated ceiling at 2nd floor - 1st
layer of 2 -hr ceiling approved.
BUPC740 Framing lnsp 9/11/98 TLP PART J *H 9/11/98 1st floor framing
BUPC740 Framing Insp 9/18/98 GS PASS J*H 9/21/98 1. Framing complete except
mech chases at corridor 109
and grid E6 - PASS. NOTE:
Note to electrical contractro:
non - dedicated outlet boxes
need to be kept 15- inches min.
above FF insulation paper to
bottom of box.
BUPA740 Gyp Board Insp 9/18/98 GS PASS J*H 9/21/98 1. Gyp board grids B -C 1 -7 and
training room #28.
BUPA730 Insulation Insp 9/18/98 GS PASS TLP 10/2/98 1. Plenum insulation paper
approved. 2. FS paper
complete, wood framing
• • members need to be wrapped.
BUPC760 .Gyp Board Insp 9/23/98 RC PART J'H 9/23/98 Basement section 2 - 9 feet on
walls.
BUPC760 Gyp Board Insp 10/1/98 TLP PASS TLP 10/2/98
BUPC758 Firewall Insp 10/2/98 TLP PASS TLP 10/2/98 second layer area seperation
wall
BUPC760 Gyp Board Insp ' 9/30/98 RC PART J*H 10/5/98 Area in orange
BUPC760 Gyp Board Insp 9/28/98 RC PART J'H 10/7/98 areas in orange
BUPC760 Gyp Board Insp 10/9/98 RC PART ROC 10/9/98 LIDS IN ALL 4 BATHROOMS
• 2ND LAYER IN JANITOR
• ROOM
BUPC758 Firewall Insp 10/13/98 TLP PART J*H 10/13/98 BOTTOM LAYER CORRIDOR
#109
•
Page 2 of 3 .
1/21/00 Activities for Case #: BUP98 -00225
2:18:34 PM
•
Assigned - Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC802 Final Inspection 11/19/98 RC FAIL J'H 11/23/98 thisT.l. has
plumbing /fps /elec/mech
Inspection of 111998: 1. Needs
final reports (welds /concrete). 2.
• Place handicap signs at parking
spots. 3. Place handicap
directional sign to accessible
entry and parking. 4. Need
handicap rail at entry. 5. Needs
hardservice 24- inches from
toilet/urinal. 6. Doors to rated
corridor must be self - closing,
self - latching. 7. Need smoke
gaskets several places. 8. Need
fire extinguisher mounted. 9.
• Need test on fire curtains. 10.
Need to test magnetic release
• on fire doors. 11. Need
unloading zone for handicap
BUPC758 Firewall Insp 10/26/98 10/23/98 RC PART . J'H 10/26/98 Downstairs corridors - check
over duct at final in bathroom.
BUPC762 Susp Ceilng Insp 10/26/98 10/23/98 RC PART J *H 10/26/98 Downstairs corridors, check
over duct at final in bathroom.
BUPC740 Framing Insp 11/2/98 10/29/98 RC NOTE J *H 11/2/98 FIRECAULKING NOT READY
BUPC757 Shear Wall Insp 11/2/98 J'H 11/2/98
BUPC758 Firewall Insp 11/2/98 10/29/98 RC FAIL J'H 11/2/98 FIRECAULKING NOT READY
BUPC762 Susp Ceilng Insp 11/2/98 10/29/98 RC PART J *H 11/2/98 OPEN OFFIC, 505 COMPLETE
& NW OFFICE 301 -307.
BUPC762 Susp Ceilng Insp 11/2/98 11/4/98 RC PASS J'H 11/4/98 all suspended ceilings entire
bldg.
BUPC762 Susp Ceilng Insp 11/4/98 J'H 11/4/98
BUPC758 Firewall Insp 11/4/98 11/4/98 RC PASS J *H 11/4/98 firewalls approved complete
both floors.
BUPC802 Final Inspection 11/24/98 RC PASS J *H 11/24/98
BUPC070 HOLD FOR (Note in Action Memo) 12/4/98 JT 12/4/98 hold c/o; e1r98 -0257 has not
had a final inspection, e-mail to
ron/hap/jean/chuck
BUPC950 (F) Issue Cert. of Occupancy 11/24/98 MAIL VLN 12/29/98 mailed 12/29/98 Plans to
• Records for microfilming
12/29/98.
•
•
Page 3 of 3 •
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
14 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q L 0 p [ ta
, C, 170z-- , Date Requested AM PM BLD ` ^ 1 �
Location 7150 c3 - ( � ( n ) ) � Q/h Suite r MEC
Contact Person ( W/ v Ph NOT 6 1let PLM
• '
Contractor I _ ,ii IL' ' 1. � Ph SWR
II
BUILDINj) Tenant/Owner P ' G,SS( V I- // J3' ELC
inmg Wall ELR
Footing ACC S:
Foundation .l p , FPS
Ftg Drain • —. ii.. ..�i ..c�_., = =' �W l
Crawl Drain Inspection Notes: SGN
Slab SIT
��__,,��,,�� /g�j
Post & Beam i�t(.�'/VLU�� � 1 (//C•
Ext Sheath /Shear
Ina Sheath /Shear rr ��
Framing fir pii n , ,0 , ee
Insulation D _ / 4_
Drywall Nailing 9 P�.cs.f ��.." /.) .f c f^-e
Firewall 1 �
Fire Sprinkler •
Fire Alarm / i(] ,,, _ ) 1 . I _.- /
Susp'd Ceiling C9 �J�L_ y -.1..-..- -.1..-..- ....-._• ....-._• I : � '- - ..f if � _
Roof
r M StS
Fi /� , - D `0 / , 1 i
PART FAIL ` `� {J �� /
PLUMBING ( . 0 C : t4- . / .., • C . ti
Post & Slab o- v v (Mt
Under Slab ► lt �
Top Out ( a_0 -t/ % ti f " .0/ e-- / . -1.-e—
Water Service
Sanitary Sewer _
Rain Drains C_ Visari_2.1-‘47 / , � , -
Final
PASS PART FAIL _
MECHANICAL
0 _ / I
Post & Beam
Rough In Ot)6P0 - 0 G:-
Gas Line
Smoke Dampers 40 "V' n_+�1�
� "" � r /l //h
Final ' �-' ■
PASS PART FAIL I .
ELECTRICAL
6 �' % � A I . Service ` .4 _ • _.4� ■ ._..' Ou A
Rough In �� 4 , �/,� !I Q / - its i I o6 a p l pte '
UG /Slab o Vim-
Low Voltage (J co ,c g - q p- --O , � /� d ce �� /'
Fire Alarm �C� q O p CA N Final l U - 5 7 /&t Q/ot&}
PASS PART FAIL
SITE
Wr
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 P P G Inspector J
1
Approach /Sidewalk `� I It
Other
Date Ext
h
Final
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.
Pr OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP MST 2 ��
i�
>r
Date Requested J) • r � A PM BLD
Location -7 l t , Suite MEC
Contact Person ,�,� ( Ph 7 q q - ‘("0 (Q PLM
• - - ..r Ph SWR
BUILDIN . Tenant/Owner e ELC
• ' • ! Tall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
4r
PAS 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D \i\ - J InS C'• Ext Other Inspector p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.