Permit r
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00478
4 DEVELOPMENT SERVICES DATE ISSUED: 11/30/2000
r- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09815 SW VENTURA CT PARCEL: 1S125DD -04300
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 ZONING: R -4.5
BLOCK: LOT: 051 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 4,000.00
Remarks: Repair dry rot in garage floor.
Owner: Contractor:
JUTTELSTAD, PHILIP & HOLLY OWNER
9815 SW VENTURA CT
TIGARD, OR 97223
Phone: Phone: 579 -9125
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PLCK CTR 11/22/200C $53.11 27200000000 Foundation Insp
Post/Beam Insp
PRMT CTR 11/30/200C $81.70 27200000000 Framing Insp
5PCT CTR 11/30/200C $6.54 27200000000 Final Inspection
Total $141.35
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. •
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center., Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe rm itee 1' _
Signature: y ✓/
Issued By: <6,1111, 1 .
Call 639 -4175 by 7 p.m. for an inspection the next business day ,
to 9$r /1-z-)-- gi
Building Permit App
Date received: //,2„2/0z) Permit no.: BuPaooa —00 5/7F ' s
,;,,, -;, City of Tigard
. l,l -' ^:_. Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard -'\".'N
Phone: (503) 639 - 4171 4 ,1 6, Date issued: By:Lj j Receipt no.: tv
Fax: (503) 598 Case file no.: .
Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
I & 2 family dwelling or accessory l] Commercial/industrial 0 Multi - family 17 New construction ❑ Demolition
Addition/alteration /replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
x Job address: g8 I S SKJ 1/5/m 124 G7 Bldg. no.: Suite no.:
Lot: 4-'560 I Block: Subdivision: j,jq- S/1- /A/6iVAJ 5a G ST • 1 Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: Q 6P4 /2 C( /S r/ /1/ 6a 6442,4-66
Z/2/ • 2c 7 /&/ JGCf v
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: P/7 JGf r7EL S - D (Floodplain, septic capacity, solar, etc.)
Mailing address: 9 8 /s' S w 1/E&VTUrZ4 C7T - 1 & 2 family dwelling:
2/ City: V6.420 I Statep/.. I ZIP:9 7 2 23 Valuation of work $ % Oda
J� Phone: 5O Z 95 731 'Fax: 1E-mail: No. of bedrooms/baths
/ Owner's representative: $.#M E Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: 'State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
CONTRACTOR Valuation of work $
Existing bldg. area -(sq. ft)
�f Business name: Q a AIE/& New bldg. area (sq. ft. v
�` Address: Number of stories
City: 'State: I ZIP: Type of construction ...
Phone: Fax: E -mail: Occupancy group(s): - 'sting:
CCB no.: •
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
A RC' IITECE /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason applies:
City: State: 'ZIP:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $ S3 / 1/
Address: Date received:
City: (State: (ZIP: Amount received $
Phone: I Fax: 1E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provi 'ons . laws and ordinances governing this 0 Visa O MasterCard
work will be complied w' , w th- . - ; r- • herein or not. Credit card number: / /
Z Z Expires
Authorized signature: ' > i Date: ( Name of cardholder as shown on credit card
Pfl /4 /P ✓ uT - r�sn0 -v — $
Print name: 1 Cardholder signature Amount
Notice: This permit app 'cation expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o -4613 (6100/CoM)
One- and Two - Family Dwelling
Building Permit Application Checklist Reference no.:
r a Associated permits:
City of Tigard
City of Tigard Li Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TILE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No . N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc.
3 Verification of approved plat/lot.
4 Fire district approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of
catch -basin protection, etc.
10 _ Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed
if copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and
driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot
area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent
size and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater,
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor,
wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show
details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs,
fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for
non - prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above.
24
25
26
27 _
28
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be blue or black ink.
Red ink is reserved for department use only. 44oa614 (6!00/COM)
Permit #: ,,11L1
4. F /
�'• �` � �iV7Z129
�, Address: �1�/� ��
Issued by: Date: /_.s/0--e
•
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. ✓
_ 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
•
before or upon completion. t Ori
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
3B. I will be my own general contractor. 71
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 t above • it ormation is correct and that I have read and do understand the Information
Notice to Property wners : bout Cons, uction Responsibilities on the reverse side of this form.
i II Z Z - crt.)
i: ignature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
. 'Inform atithi Naice t Properly Owners
Abor ConstcucUon ResponsilbiNes
_ .
Note: This Information Notice to propert Owners about Construction Responsibilities
was developed by the Conslriiction Contractors Board in accordance with ORS 701.055(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 aware of the following responsibilities and areas of concern.
ERIPLOYE RESPONSMLOTIES:
If you hire persons not registered with the Construction. Contractors Board to do labor in constructing or assisting in the
construction or improvement of a residential structure, you vill, in most instances, be ruled to be an employer and the people
you hire will be employees. As the employer, you rriUst comply with the following:
Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees
are paid. You will be liable for the tax payments even if you don't 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 required 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.
VVorkers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may
be subject to penalties and will be'liable for all claim costs if one of your employees is injured on the job. For informatinn,
call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888.
U.S. haternal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be
liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service
at 1-800-829-1040.
OTHER 'ESPONSIIMUTES AND AREAS OF CONCEP*3N:
Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements
that may be brought to your attention through inspections. `., '
•
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools, paint overspray. water damage from pipe punctures, fire, or work that must be
re-done. •
Time to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the 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 ha e additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052,
503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem.
prop-own pm4
l/94
•- , e:TrOF TIGARD BUILDING INSPECTION DIVISION MST
24 -H6ur Inspection Line: 639 -4175 Business Line: 639 -4171
412, 0 ,7 1. )) —66 y7 er
Date Requested I —30 AM PM BLD
Location ( 7:/) Sw UQ-nu Suite MEC -
Contact Person /A r// Ph .0949 ' - PLM
Contractor Ph SWR
Tenant/Owner ELC
Re -'1'n' Wall ELR
oundation Access: FPS
Ftg Drain SGN
Crawl Drain Inspection Notes
•
Slab ' t--°' SIT
Post & Beam
Ext Sheath /Shear. �'� G' :
Int Sheath /Shear
Framing - L u // J.-- c3f Pc. 4Q^
Insulation
Drywall Nailing '
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final •
PASS PART
PLUMBING
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 Date /� ��— 0/ Inspector E
Other p
Final
PASS PART FAIL - DO NOT REMOVE this inspection record from the job site.
CI 'OE TIGARD BUILDING INSPECTION DIVISION
MST '
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
f ? "
BUP
Date Requested A" 3� AM PM BLD \ • j ljd - C2o 77./y O p
Location � l3 .5 Ugn >47 v a- - Suite MEC Am
Contact Person Ph PLM A
Contractor Ph SW - W
DIN Tenant/Owner ELC
etaining Wall ELR
F ootin Access:
oundation FPS
t. _•
•
� -' Inspection Notes: SGN
ab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing _
Insulation
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: .
(( ,,'ART FAIL
NG
Post & Beam
•
Under Slab
Top Out
Water Service -
S anitary 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 a te " / U Ins ecto i h Ext
- Other P
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST AI. • it 4
24-Hour Inspection Liner 639 -4175 Business Line:- 639 -4171
G BUP l✓re -f� � � 7�
Date Requested „2— / AM PM "4417 BLD
Location ?f/ / - Suite MEC
Contact Person Ph (( Ph 571.-8/ y -b' f 3) PLM
Contractor Ph SWR
BUILD G Tenant/Owner ELC
Retaining Wall ELR
Footin Access:
t♦ea FPS
. rig Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing i CAN�`GC.cw •Sy - eC�7�&
Insulation
Drywall Nailing
Firewall
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART
PLUMBING
Post &Beam " "
Under Slab •
• TO 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
Other Date . 2 — ? Inspector Ext
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 �� � e-
Date Requested O? —/ 7 ✓ AM ao, i 7 PM BLD
Location q 0 i c 54-/ Suite MEC
Contact Person Ph '/? 9i f3 f PLM
Contractor Ph SWR
CBUILD1 Tenant/Owner / () 0,W ELC
Retaining Wall ELR
- Fo• 'n• Access: 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
- • Misc:
Fin
• AS PART FAIL
PLUMBING
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
• Other Date 2 - / - U/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
/3
`CITY OF TIGARD BUILDING INSPECTION DIVISION t.,
24 =Hour Inspection Line: 639 -4175 Business Line: 639-41 MST
•
Date Requested 2- Zl,. AM PM BLD
Location _9/5 .54/ 4 ;4 VI— 1, Suite MEC
Contact Person Ph 5V) cif J 33 – PLM
Contractor Ph SWR
UILDIN6, Tenant/Owner Pow‘-- / Pt" ELC
1Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain V SGN
Crawl Drain Inspection Notes:
Post & Beam SIT
Ext Sheath /Shear _
Int Sheath /Shear
Framing .
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
• Susp'd Ceiling
Roof
Misc:
Final
410P11 PA - V FAIL
PLUMBING
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 V
Storm Drain • V [ ] 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 2 - �`' "/ Inspector _ E xt
Other P
Final
PASS PART FAIL ' . DO NOT REMOVE this inspection record from the job site.
- 'CITY OF TIGARD BUILDING INSPECTION DIVISION
MST A •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP jUe 00 (
Date Requested AM ca4 PM BLD
Location /_ ?/ ) 5u ot,ivirP,� Suite MEC .
Contact Person Ph e( f -09 3 s PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab l Drain Inspection Notes: "# Post & Beam \� �` SIT
Ext Sheath /Shear
Int Sheath /Shear - -
�r ning� - 7 J, S9l' c7Zo"-/ o fiace../
Insulation
Drywall Nailing
Firewall •
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:._
Final
PASS - FAIL
PLUMB
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 Date D/ Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this- inspection record from the job site:
'CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
6 4//o ) Date Requested 67 AM PM BLD
Location qg /5 Sa) (J��� � Suite MEC • f
Contact Person Ph PLM
Contractor Contractor Ph - Rig - gg3 SWR
Tenant/Owner ELC
O.N6' Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ` e.. CL ,
Slab `I� SIT
Post & Beam -- 0 ��
Ext Sheath /Shear w\ �- — 1
^Z
Int Sheath /Shear
Framing
Insulation
Drywall Nailing .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
Misc: .
• ASS PART. FAIL
LUMBING /06
Post & Beam
Under Slab ` Q i
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
Other Date / df Inspector 7, Ext
Final
PASS PART. FAIL DO NOT REMOVE this inspection record from the job site.