Permit BUILDING PERMIT
~ . CITY OF TIGARD
PERMIT #: BUP2004 -00172
��A DEVELOPMENT SERVICES DATE ISSUED: 5/25/2004
.,� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14227 SW VISTA VIEW CT PARCEL: 2S1106A -06300
SUBDIVISION: SHADOW HILLS NO.2 ZONING: R -2
BLOCK: LOT: 046 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: POOL : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 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: $ 28,000.00
Remarks: In- ground pool. Plumbing, elec., and mec. permits required and are not part of this permit.
Owner: Contractor:
BROWN, KEVIN R AND MARY E BLUE MOUNTAIN POOLS
14227 SW VISTA VIEW CT 14235 SE STEELE
TIGARD, OR 97224 PORTLAND, OR 97236
Phone:
Phone: 760 -4554
Reg #: MET 228 0 0 00011054
FEES LIC REQU INSPECTIONS
Description Date • Amount Ersn Cntrl 681 -4444
[BUILD] Permit Fee 4/16/2004 $305.80 Misc. Inspection
[TAX] 8% State Surchari 4/16/2004 $24.46 Final Inspection
[BUPPLN] Pln Rv 4/16/2004 $198.77
[ERPRMT] Erosion 5/25/2004 $26.00
(additional fees not listed here)
Total $611.93
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: _ /
Permittee
Signature: 1' i■ .1i 40
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit • 1� II ' Xtion FOR OFFICE USE ONLY
` g �`
CI of Tigard `" 1* !iew' p(O D /t>/ perrm tNo , ` � � / / 13125 SW Hall Blvd, Tigard, OR 97223 1G A• �
Phone: 503.639.4171 Fax: 503.598 1� h( Li D`` i `ii ' � I +I Date/B J °. % sftf � Other Per
Inspection Line' 503 639 4175 Cj G � Date Ready/By El See Attached Checklist for
Internet: www ci.tigard or us BO \1 - D Notified/Method Iffin Supplemental Information
_ z` . . ✓ i'c. ; ` Y W 'RK, - '" - - ``"',' "RE U'IRED'DATA::•1 -,MD 2' -FA' ILYDWEL°LING•
•-- -. ' «, � .. _...n L .-. " . '�'� -'v im " - . a -. .. _ l .... - _ ... _ � - . ..... ... - .
[3 New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, matenals, labor, overhead, and the profit for the
.;,' ~'' '' ~ - ' '''' - '' =_' work indicated on this application.
;' i , • ; ::,,,:,-,,:,.Le;
• ' 'CAT EGORY''OF .
C , CTION+ , : : - ; i '
��
Valuation. $
❑ 1- and 2- family dwelling ❑ Commercial/tndustrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
.'' ,. .. • - - -• ��K..; �. . _. .._, . - ,. r:- �r,P
" �'s � SOB SITE .` INFORMATION: AND' L;QCATION "" T Y ' ' ��� ;;�',- < Total number of floors:
Job site address: /II 2 Z 7 5 11t. v 1 5 1�, v 1 Eg,0 ,,Q 1 New dwelling area square feet
City/State /ZIP. j 1 0 AP-I) 02, '77724-1 Garage /carport area. square feet
Suite/bldg. /apt no.: Project name: MAg j/tiw4 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area square feet
' ^REQUIRED_ DATA: COMMERCIAL =USE CHECKLIST -
Subdivision: Lot no.. Permit fees* are based on the value of the work performed
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, matenals, labor, overhead, and the profit for the
= ''' : I DESCRIPTION OF WORK - t a work indicated on this application.
TA 6120IA t/0 1200/,
Valuation: $
Existing building area: square feet
New building area: square feet
,$, z . . ®z-" PROPERTY 'OWNS j1:-"-=',''4-',.. , . ` '
�'- t ° ®TTNANT Number of stories:
Name: MAZY 1320(47/ / Type of construction:
Address: / Ili ZZ 7 six) O N A U' &ID (ic itT Occupancy groups:
City/State /ZIP: 11 e..44?„ 0 C2JQ. 9 772 y Existing:
Phone:( ) Fax:( )
New:
; ': ;; '',. ® APPLICANT ''' - ' P ';CUNT CT:RERSON - ;:;:ii; -,1::..
Business name: 3(.14/7, 04 7- p All contractors and subcontractors are required to be
Contact name: izosr 5 �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
City/State/ZIP: r V��� �D ,J 236, applicant is exempt from licensing, the following reasons
apply:
Phone: (b3) 710 — cfi. t,`t f Fax: : (sj ) 76,0 ` 2 Des,
E -mail: ee.(4J: Mem rfli! FEr ls. 997 - °co l
'c ';''-=' CONTRA
ONTRACTOR,- _ : `l, :, - _'; ;'-`
Business name: JR L` til. 7 /4 ! -� .
/ w�- a ,BUILDING FEES * ';' =-1- - "r
Address: / !a7 3„ �� 51 h ,:,7E. schedule.
1� Please refer to fee schedule
City/State/ZIP: �a /J 0 7 2 3 t ' Fees due upon application
Phone: ( e ) ( y 3 ) 7 ( d 9 - 7 Fax: (.5-D3) 76 697
Amount received
CCB lic.: 2, 3c 4
I ,
Date received.
Authorized signature: f We/4e This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J 5'1'( p 4.�j / Date: * Fee methodology set by Tn- County Building Industry
Service Board
1 \Building\ Pemuts \BUP- PermitApp doe 12/03 440- 4613T(I 1 /02 /COM/WEB)
One- and Two- Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received Permit No
13125 SW Hall Blvd , Tigard, OR 97223 Date/By
Phone 503.639.4171 Fax 503 598 1960 Associated permits
24- Hour Inspection Line: 503.639 4175 � f I�'+ ❑ Electrical ❑Plumbing 0 Mechanical
Internet: www ci.tigard.or us -' ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction cnteria 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. Name of district: ❑ ❑ ❑
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 3 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 Of ❑ ❑ ❑
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 matenal, 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 Ore: on and shall be•shown to be applicable to the •ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious siirface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1
\ 1.\Building\Pemiits \One- Two- FamilyChecklist doc 12/03
/./° - Cro 1 72-
IN22 5,...i ✓s fc.\/` c±
GWAVA_ - 1.TXT
,,, Let me try this again.
Original Message
From: McDaniel, Ryan
Sent: Monday, May 24, 2004 8:10 AM
To: 'kim @ci.tigard.or.us'; 'blmtnpools @aol.com'
Subject: 8 inch concrete pipe under block wall
Please rename the attached file with a .ZIP extension. Extract the enclosed
pdfs.
I will fax what I can.
»Original message
Kim,
Per our phone call I understand that an 8 inch unreinforced concrete pipe
will be buried under a 4 foot high block retaining wall. The wall is tiered
so that the pipe may be buried as much as 12 feet between walls. An
occasional utility truck may drive over this pipe as it has in the past.
I am attaching fill height table provided by the American Concrete Pipe
Association (ACPA). The fill chart provides information for 12 inch
diameter pipe and above. But a quick check of 12 inch pipe for Type 3
bedding (third worst of 4 bedding types) with 12 feet of cover and AASHTO
HS - 20 loading will produce only 1,125 pounds per linear foot of pipe.
The attached ASTM C14 for non - reinforced concrete pipe shows the thinnest
walled 8 inch pipe is capable of supporting 1500 lbs per linear foot.
This shows that for the worst case loading applied to the thinnest walled 8
.. inch pipe in the worst installation allowed for the northwest, the pipe will
still support the load.
Ryan McDaniel, P.E.
Hanson Pipe and Products
755 NE Columbia Boulevard
Portland, Oregon 97211
503.240.3507
503.708.5852 cell
503.286.0603 fax
5 z1 - o1
TOT Te.- n 6-c, (tits Tou6 6
O f) ��D iv� ,„
l�
, 4 „:„ ..\ I
[ - FEe O(!( S GQ
Pt ict- ,
c..j>4(
i H iul,fri to
Page 1
c.
2
�Gt 4 1 ° o2.02 O� / 7a
/1227 sw Ko V c
MHJA
MATT(
(OUR 1111114111
" Miran Exclusive Manufacturer of the HYDRA1vfATIC Hydraulic Swimming Pool Safety Cover
•
cif
RE: ASTM F- 1 346 -91 CERTIFICATION
To Whom It May Concern,
The pool cover fabric used by Aquamatic Cover Systems for all the safety
cover systems consists of a 16 oz, sq. yd. solid vinyl, including a polyester
substrata scrim reinforcing layer to enhance,tear strength and prevent tear
propagation.
The material used substantially exceeds ASTM requirements set forth for
safety covers of the type manufactured and distributed by this company.
ASTM F- 1346 -91 requirements are as follows;
The cover and fabric installed on the swimming pool filled to its normal water
level shall be capable of supporting the weight of 485 lbs. This total weight
shall be composed of one 210 lb., one 225 lb,, and one 50 lb. weight, each
distributed over a one square foot area and all three contained within a three
foot radius. The test weights shall be placed at the center of the cover system
(or at least 4 ft., but not to exceed 6 ft.) from the edge of the swimming pool.
The above test shall not cause damage to allow any of the test objects or the
persons to pass through the cover.
The Aquamatic Cover Systems have, in fact, been independently tested by
two testing agencies including Underwriters Laboratories to exceed the above
listed standard.
Sincerely,
Harry J. Last, BSME, MBA
President
dm:hjl
Corporate Offices: 200 Mayock Road, Gilroy, CA 95020 • 800 - 262 -4044 • Fax 800 -600 -7087
Branch Offices: Alhambra, CA • Sterling, VA • Houston ,TX
, t
{!y 1
yy '
Er r . ..
! I . _ : 1
9
408/247 -4937 FAX 408/247 -7540 v)
U.1 , c
" V
AUTOMATIC SWIMMING' POOL COVER CERTIFICATION . v
sz: Q
ECS® File: #059T3030 -2
Date Tested: May 20, 1993 y
Date Reported: May 21, 1993 o
Specification: ASTM Designation: F 1346 -91 `
Tested Unit: Built -1n, Under- Deck - Track, Automatic Swimming Pool Cover
System a o
Sourcc: Manufacturer: AquaMatic Cover Systems z
Address: 441 Aldo Avenue, Santa Clara, CA a
* J..ABORATORY ANALYSIS * U
REFERENCE: Standard Performance Specification and Labeling z E
Requirements for Safety Covers for Swimming Pouts,
Spits and Hot Tubs (ASTM Designation: F 1346.91). a Q
(6'
I. SCOPE H
Requirements for safely per ASTM F 1346 -91. z
0
2. As slated in referenced standard. °»
3. As stated in referenced standard.
4. CLASSIFICATIONS & MINIMUM CRITERIA
4.1 Power Safety Cover (PSC):
Provides a high level of safety for children under the age of five
by inhibiting their access to the water.
4.1,1 As stated in referenced standard.
5. MATERIALS AND MANUFACTURE
Test unit complies with the 5.1, 5,2 and 5.3 requirements.
AUTOMATIC SWIMMING POOL COYER CERTIFICATION
(Puge 2 of 4)
LCS® File: #059T3030 -1
6, GENERAL REQUIREMENTS FOR SAFETY COVERS
6,1 Installation/Use of safety covers. Unit complies with requirement.
6.2 Label attached to the cover meets, and /or exceeds the general
requirements as required by the 8.5.1, 8.8, 8.8.1 and 8.8,2 guidelines.
6.3 Markings for safety covers.
6.3.1 Unit lists manufacturers name. Unit complies with guideline.
6,3.2 Unit lists date manufactured. Unit complies with, guideline.
6.3.3 Manufacturer provides instructions to consumers to inspect the
cover for premature wear In consumer packaging, Unit
therefore complies.
6.3.4 Label attached to unit meets the general requirements
described in 8.4.1, 8.7, 8.7.1, 8.7,2., 8.7.3, 8.8, 8.8.1 and 8.9.-
Unit complies with guideline.
6.4. Fastening Mechanisms or Devices. Fastening devices remained in their
intended, secured positions when the lest unit was subjected to the load
and perimeter deflection tests performed as called for under the 9.1
and 9.2 guidelines. Unit complies with all requirements.
6.5. Openings. No openings were allowed, when tested by the test method
described in 9.4. Test object did not gain access to the water, nor was
it subject to entrapment. Therefore, unit complies with this guideline.
6,6, Seams, ties or welds in the cover showed no signs of damage when
tested by the methods described in 9.1, 9.2, 9.3 and 9.4. Unit met all
requirements under this guideline.
f
1 7. PERFORMANCE REQUIREMENTS FOR SAFETY COVERS
Refer to Test Methods as described in the 9,1, 9.2, 9.3 and 9.4 guidelines.
AUTOMATIC SWIMMING I'oOL CQVuitstotTincATION
(Pg. 3 of 4)
ECSm File: #059T3030 -1
8. MINIMUM LABEL REQUIREMENTS FOR ALL COVERS
Unit complies with requirements.
9. TEST METHODS FOR SAFETY COVERS
9,1 Static Load Test. Test Unit was subjected to 490 -lbs (composed
of one 150 -lb, one 160 -lb and one 180 -lb weight) slightly
exceeding load required per Standard. Test objects were
applied at two different points (the center point of the cover;
and between attachment points at a distance of 4.5 feet) and
remained in each test position for a period of 5. minutes or
greater. Although, normal deflection was observed, no passage
through the cover was possible, Test Unit complies with
requirement.
9.2 Perimeter Deflection Test, Applied 50 - lb weight at a distance
of four -and- one -half feet from side of pool. Applied 36.6 -lb.
ellipsoidal shaped test object. Test Unit did not allow the test
object to pass through, gain access to, or be subject to
entrapment between the cover and the side of the pool. Test
Unit complies with requirements,
9.3 Surface Drainage Test. Applied a 36,G -lb, torso shaped test
object in a supine position, faceup, at a distance of two -and-
one -half feet parallel with edge of pool. An even water spray
was applied at a rate of 10 gallons per minute. After 3 minutes,
minimal water collection was observed around test object.
Continued applying water with no unsafe water pooling, Alter
30 minutes drain lime, re- applied 36.6 -lb test object with no
unsafe amount of water pooling. Test Unit complies with
requirements.
9.4 Openings Test. Applied solid faced spherical test object with a
• breadth of 4.5 in. at a force rate of 40 -lbs., steadily, to the top
surface of the pool. No allowable passage ,was observable, Test
Unit complies with requirements.
10. OPERATING CONTROLS, SAFETY COVERS
10.1 Unit complies with requirements.
AU_TOMATIC SWIMMING POOL COVER CERTIFICATION
(Pg. 4 of 4)
ECS® File: #059T3030 -1
10.2 Unit complies with requirements.
'
10.3 Unit complies with requirements.
10.4 Pool cover operating controls,
•
10.4.1 Controls comply with requirements. Unit complies with requirements,
10,4,2 Unit complies with requirements,
CONCLUSION:
Tested unit has poet all requirements of this Standard.
UNIT COMPLIES WITH ASTM F 1346.91 REQUIREMENTS.
Resp - ";': .. ! e d,
I� ►; • .1FO• • h LUNG SERYICES
C.) ,' ' -' ` T ' ii A
ANA NIGH , ?
� - . ).,h . "' P.E.
93.05.2OCKK
Northbrook, Illinois • (847) 272 -8800
Melville, Now York ' (516) 271.5200
Santa Clara, California 4 (498) 985-2400
Research Triangle Park,
North Carolina .(919) 549-1100
Underwriters Laboratories Inca Camas, Washington •(J60) 817 -5500
AQUAMATIC COVER SYSTEMS
200 MAYOCK RD
96020
mu p a cen a o
A' vo411c safe
GILROY C
esL 1896
Your most recent listing is shown below. Please review this information and report any
inaccuracies to the UL Engineering staff member who handled your UL project.
WBAH July 14, 1998
Covers For Swimming Pools And Spas
AQUAMATIC COVER SYSTEMS E113958 (S)
200 MAYOCK RD, GILROY CA 95020
Power Safety Coven, Models 600, 400.U, 550, 550 -U, 800, and 800 -U Classified in Accordance wilt'
ASTM F 1346 -91,
LOOK FOR CLASSIFICATION MARKING ON PRODUCT
18955)001 Underwriters Laboratories Inc.. Fit /034e906
83
For information on placing an order for UL Listing Cards in a 3 x 6 inch card format,
please refer to the enclosed ordering information.
UNDERWRITERS LABORATORIES INC.
A nol- for•prolil organizaiion
dedkalad to public safely and
r, mrniII 4 In n.i.III., .,.n...._
CITY OF TIGARD -Hour
BUILDING Inspection Lin,:. (503) 639 -4175
INSPECTION DIVISION Business- Lin; (503) 639 -4171 MST
4 0 avo e)al7Z
Received Date Requested 4 - --// , AM PM BUP
Location _ _ . Suite 11:66 L w 36 S
Contact Person Ph ( ) PLM
Contrac or Ph ( )
B ' 1 ' G Tenant/ ne ---- /�" / �`'`2) / v LC �,3 `�' 60 3 33
Footing 6 3 g 7" a- ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain 1 c J
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear •
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm bay .
Susp'd Ceiling
Roof
Oth 1
PASS PART FAIL
- • ' = ING f
Post & Beam
Under Slab
Rough -In :ff■IIIITZ`
Water Service =
Sanitary Sewer `
Rain Drains
Catch Basin / Manhole s = `'
Storm Drain -
Shower Pan
Other:
Final
P T FAIL
ECHANI L '
PoslTWeam 0 __
)
Rough -In
Gas Line 0,614— .
Smoke Dampers
( ` RT FAIL
-a'AL
Service
Rough -In 1 .5
UG/Slab
Low Voltage �
Fire Alarm �, L (
i+� Reinspection fee of $ required before ne 'section. Pa at City Hall, 13125 SW Hall Blvd.
'- • PART FAIL p p spection. ry
SITE ❑ Please call for reinspection E Unable to inspect — no access
Fire Supply Line
ADA 6-0
Approach/Sidewalk • Date 0 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record fro the Job site.
PASS PART FAIL