13040 SW CADDY PLACE 1
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1'3040 SW CADDY PL.
February 8, 2000
Brownstone Homes, LLC CITY OF TIGARD
12670 SW 68" OREGON
Portland, Oregui, 972237
RE: Model Home Permits--
MST 1999-00396-13000 Caddy Place '—
MST 1999-00397 -13010 Caddy Place
MST 1999-00398 -13020 Caddy Place
MST 1999-00399 -13030 Caddy Place
MST 1999-00400 -13040 Caddy Place
MST 1999-00401 - 13050 Caddy Place
Dear Applicant:
[Jnder the provisio,is of your Temporary Use Permit, the subject permits "re issued as model
homes only. Should these model homes be completed prior to the final sign off by our
Engineering and Planning Divisions, you will receive a final approval only, and no occupancy
permits will be issued.
Occupancy Permits will be issued at a later date, and will require your request for issuance.
If you have questions regarding these requirements, please feel free to call me at 639-4171 X392,
Sincerely,
46�ert Poskin, CBO
Senior Plans Examiner
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503) 684-2172 -- -�
CITY OF TIGARD BLI" DING INSPECTION DIVISION ,�;� /�'C>lj UV�G,
24-Hour Inspection Line: 61. - 175 lousiness Line: 639-4.. 1
BUP
_ q L Date Requested 4' 1 � PM _ BLD
Lucatiun C� _�`.�/` �-, Suite MEG
Contact Person '�'1 Ph 7�3 S� PLM _
Contractor ��7r1 �v �t/L-� S Nh SWR _
LDING - 1-enant/Owner EI_C --
Fle aining Wall ELR
Footing -- --- --
Access: FPS
Foundation
Ftg Drain SIGN
Crawl Drain Inspection Notes ---- --
Slab ---- --- --- ---- —_- - SIT
Post R Beam - - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulatiog
Drywall Nailing _
Firewall
Fire Sprinkler 1-4_ct
Fire Alarm _
Susp'd Ceiling
Roof �------ - -- --..__...------- -
Misc,-} �� ^--�-- - --- -- - -
PASS FARTFAIL —
PLUMBING
most 8 Beam ___-_— _—_�-___-- --.--._-- -------- -_--
Under Slab
TapOut -- —_..-----------..-------_------------------•----
Water Service
Sanitary Sewer - — -
Rain Drains
Final __ - -- ----------- - ----- --- —
PASS PART FAIL
ECHAN L
Post&Beam -- --- ---- --- -- - --- -- --- -- - -- -.-
Rough In
GasLine - -------- -------- -- -- ------- ----- -------
Smoke Dampers
PASS PART FAIL
F.L RICAL -- -- -- ------- - - -- -- -
Service
'tough In - -- -----
.jG/Slab
Low Voltage
Fire Alarm ------_-__--- -_. _--__---_-____
Final
PASS PART FAIL
SITE
Backfill/Grading ---_- - — - — -
Sanitary Sewer
Storm Drain I ) Reinspection fee of$ —_ required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd
Catch Basin ( I Please call for rein-pection RE
Fire Supply Line ___. _ ( )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 BU" DING INSPECTION DIVISION
2•t.-Hour Insrler.,tion Line: 63_ 4175 Business Line: 639-4. . I
BUP
Date Requested _ AM_ PM BLD
LocationSuite --- MEC
Contact Person Ph PLM
Contractor Ph SWR
rBUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain ---
Crawl Drain Inspection Dotes: SGN __-
Slab ------ --- --- SIT
Post& Beam - - ---
Ext Sheath/Shear
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 _
Sanitary -ter _
Rain Drains
Final
PASS PART FAIL ^�
MECHANICAL ---
Post& Beam
Rough In
Gas Line -- — __-
Smoke Dampers
Final ----- - --
PASS PART FAIL.
gLFCTRiCAL
Service
Rough In _
UG/Slab --__---
Low Voltage
Fire Alarm
PASS 'PART FAIL -
Backfill/Grading - ----- - - - - -
Sanitary Sewer
Storm Drain I )Reinspection fee of$___ -_required before nest inspection. Pay at City Hall, 1317.5 SW Hall Bivd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE.- ___ _ I )Unable to inspect-no access
ADA /Approach/Sidewalk
Other Date _ Inspector_ Ext
Final
PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site.
�.. .......'i"=
CITYOF TIGARD MASTER PERMIT
PERMIT fr!: MST1999-00400
DEVELOPMENT SERVICES DATE ISSUED: 10/25/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13040 SW CADDY PL MODEL HOME PARCEL: 2S104DA-14300
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4,5
BLOCK: LOT: 129 JURISDICTION: TIG
REMARKS: PATH I: New single family-attached dwelling. Quail Hollow -West, Model Home.
Unit designation (BS) Plans have been approved under Tigards Row House Policy
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED_
CLASS OF WORK: NEW HEIGHT. 30 FIRST: 144 of BASEMENTof LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 720 of GARAGE: 538 of FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 614 of RIGHT.
VALUE: S 115,383,82
OCCUPANCY ORP: R3 BDRM: BArH: 2 TOTAL: 1.478.00 of REAR.
PLUMBING _
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS.
LAVATORIES DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS 2 CATCH BASINS.
TUB/SHOWERS 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS
OTHER FIXI URFS.
MECHANICAL
_ FUEL TYPES FURN<10OK: SOIL/CMP<SHP: VENT FANS: 2 CLOT HES DRYER. 1
ELE FURN>-LOOK: UNIT HEATERS: HOODS: OTHER UNITS.
MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD4.INSPECTIONS
1000 SF OR LESS: 1 0 200 amp 0 200 amp: WISVC OR FDR: 2 PUMPIIRRIUATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: let W/O SVCIFDR: 00 SIGN/OUT LIN LT: PEP!HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVC/FDR: 601 1000 amp: 801+amps•1000v: MINOR LABEL:
1n00+amplvolt
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: SVC/FDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL e.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MFDICAI.: OTHW
HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 4 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,870,96
BROWNSTONE HOMES LLC BROWNSTONE HOMES, LLC This permit is subject to the regulations contained In the
12670 SW 68TH PARKWAY 12670 SW 68TH PKWY Tigard Municipal Code,State Specialty Codes and
PORTLAND,OR 97223 PORTLAND.OR 97223 all other applicable laws. All work
will
This
nu
be done i
accordance with approved plans. s pelt will expired
work is not started within 180 days of issuance,or If the
wurk is suspended for more than 180 days. ATTENTION
Phone Phone Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rep e: LIC 124627 forth In OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Electrical Rough-in Insulation Insp Rain Drain Insp Electrical Final
Sewer Inspection Plm/Underfloor Mechanical Insp Shear Wall Insp Water Lin sp' Plumb Final
Footing Insp Slab Insp Plumbing top Out Exterior Sheathing Insl Water Se Ice Ins Mechanical Final
Foundation Insp Underfloor Insulation Framing Insp Firewall Insp Urban Str et Tree on Building Final
Post/Beam Structural Electrical Service Roof Nailing Gyp Board Ins i pr/Sdwl Insp
Issued By : _-� f Permittee Signature
Call (503) 639-4175 by 7:00 p.rn. for an inspection needed the next busineh' day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES
PERMIT#: SWR2000-00231
13125 5W Hall Blvd., 1 igard, OR 97223 (503) 639-4171 DATE ISSUED: 10/25/00
SITE ADDRESS; 13040 SW CADDY PI_ MODEL HOME PARCEL: 2S104DA-14300
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R•4 5
BLOCK: LOT: 129 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner: — FEES
BROWNSTONE HOMES, LLC Type By Date Amount Receipt
12670 SW 68TH PARKWAY
PORTLAND, OR 97223 PRMT CTR 10/25/00 $2,300.00 27200(00000
INSP CTR 10/25/00 $35.00 27200000000
Phone: 598-7565 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer sh I purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 th u h R 952-001-0090.
You may obtain copies of these rules or direct questions to OUNC by calling (503 46-19
( �[�v
Issued by -1 Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Credit No.:
Date Issued: June 8, 2000
i Engineering
Authorization
Date: June 8, 2000
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: 97-517-PD/S/DHA
In accordance with Ordinance 379 Cypress Ventures
(na"a a.'*-xW)
is entitled to $ 292,254.91 in Traffic Impact Fee Credits that can be applied to TIF
charges for development on lot(s) all of the Quail Hollow" WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
Date Permit Numbers `Lot Numbers _ Credit Used Balance
Beginning Balance $ 292 754.91_
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary.
1ppin\vblaUilQ9�
CITY OF TIGARD Residential Building Permit Application Plan check# l�--72-P=
13125 SW HALL BLVD. Additions or Alterations Rec'd By- +l
Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 7 .?
V 503-639-4171 Date to DST
F 503-684-7297 ►`- Permlt#/r/��/9 9-da
Print or Type Called d.14
Incomplete or illegible applications will not be accepted
Name of Project Name �+
-- -- -- Ar..hitect Mailing Address
Address site Address lcJL SecoA)p AuE• kci5b
10�00!Ao CAD 04QL- City/State Zip Phone
Name I WIL. CM0
Name
Owner aiungAddr fs �wu,,•- M't K• T7�E!_1CA E lug
r-Zco ° S•`'•'• 6`1:6111Engineer Mailing Address
City/State Zi Phone (09(09 4j,(,J• awx�r% -A;
oW- LA0n 41W11 594-7sc. City/State ziPhone
General Name 11 �Qp Ute, 9�Z25 1 G - Dos
Contractor L.L.C. Describe work New Addition O Alteration O Repair O
Mailing Addre s to be done:
Prior to permit MG70 S-c,w, (Pb+J o,l2%C.LA'Q, Additional Description of Work:
issuance,a copy City/State Zi Pho�}�
of all licenses POQ�AaU 47223 Jr''9-7S405-
are,
S(0
are required If r- regon Const Cont.Board Exp. Date PROJECT = ' � � O
expired in COT uc.# -��- , (,5 ZQ u VALUATION
database � � ------� - ---
Mechanical Name NEW CONSTRUCT ION ONLY: - _—
Sub- S I F,6-4 EL S» I AX Sq. Ft. Hous
e: 11� Sq. Ft. Garage
k"Address ��
Contractor g
Prior to permit P. 0• R��I0X I,L1 I Indicate the restricted energy installation by the electrical
Issuance,a copy City/State Zip Phonc subcontractor in the followin areas
of all licenses LJILLAW111�A �. S• 131 Restricted Audio/Stereo
are required it Oregon Const.Cont.Board Ex .Date Energy 1J0 _yslem^ _ 0 Alarms
expired In COT LIc.# /f q�� I 11 I 12c),
Installations Vacuum 0 Irrigation
database ( I � 0 System System _
Plumbing Name (check all that Other:
Sub- LRO ML,JELL PLIAW15111L11 aPpi )
Contractor Mailing Addressf Corner Lot YES NO Flag Lot YES NO
b�Ss `J._�1a FF I'I'1 A�.1 Q� _(check one) check one
Has the Subdivision Plat recorded? N/A YES fVD
Prior to permit Cit /State Zi Phone x
issuance,a copy C.Axi e' OK, X1'1013 _2JAI(e►''Q 7`�d
of all licenses are Oregon Con t.Cont.Board Exp Date
required if Lic* -
expired In COT "I'l� 2 _ 3'3 I b I hearby ackno ledge that I have read this application,that the
database Plumbing Lic.# Exp. Date information giv n is correct,that I am the owner or authorized agent
31 - 167F _3O-by of the owner, d that plans submitted are in compliance with
Oregon St ws._
Name Signature of er/Agent �D��te
Electrical � Y"tL-kof� � CAL-' '�
Sub- Mailing Address Contact Pe n Nan Phone#
C.
Contractor 6Q6l'7 - e) fT Ie;t �'.
City/State Zip Phone -4,60
S`IS-75Zo5
Prior to permit V W WUYet, WA.. 115..5DY0
issuance. a copyFOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp.Date Plat#: Map/TL#:
required 9 Lic.#
expired In COT I(�St 6^213-200 /3� y: •f3 >y vs y�,�/7 y� .,S
ks: Zone: Solar:
database Electrical Lic.# Exp.Date Setbacks:
6AJ— Z400
Electrical Supervisor Lic.# Exp.Date Engineering Approval: Planni g Approval: TIF:
Z1g-15 Ib-I-2001 _ _ '�
''Z�•AUA 1110 w J.2.L..,c /,� � i klsts\formsWaddalt doc 11/18/99
�„a
CITY OF TIGAr,',D
13125 S.W. HALL BLVD.
TIGARD, OR 97223 !9ECFIVED
IMF IRTANT PERMIT NOTI r'.,E NO'/ F3 20002000
cor WNITY DEVE op".,
STREAMLINE ELECTRICAL
6717-B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit #: iAST1999-00400
Date Issued: 10/.25/00
Parcel: 2S104DA-14300
Site Address: 13040 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW - WES'r
Block: Lot: 129
,Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family-attached dwelling. Quail Hollow - West, Model Home.
Unit designation (BS) Plans have been approved under Tigards Row House
Policy
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN.- Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 96
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #: LIC 116514
E1.E 34-422C
SUP 21975
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature c.Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL_ BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
,'lumbing Signature Form
Permit #: MST1999-00400
Date Issued: 10/25/00
Parcel: 2S104DA-14300
Site Address: 13040 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW - WEST
Block. Lot: 129
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family-attached dwelling. Quail Hollow - We;t, Model Home.
Unit designation (BS) Plans have been approved under Tigards Row House
Policy
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTW Building Dept.
No plumbing inspections will be authorized until this completed form is rece;ved
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PARKWAY PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 57030
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: I_IC 00023847
PLM 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X '
Signa tlfhcied Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
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CITY OF TIGARD BUILDING INSPECTION DIVISIONQvi�av
24-Hour Inspection Line: 6;.9-4175 Business Line: 5�9-4171
BUP
Date Requested_ f AM -_PM E BLD
Location QA D
r Suite �— MEC
Contact Person Ph --___ PLM _.
Contractor Ph _ SWR _
ILD
Tenant/Owner ELC
Relaininq Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ SIT
Post& Beam -
Ext Sheath/Shear —_
Int Sheath/Shear - z7
•--./
Framing
Insulation
Drywall Nailing
Firewall nx
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — —
Roof
Misc: -- - -
ma
SSS PART FAIL -------- ----— -- - -- ---
BING
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
FireAlarm ------------_--___.________--------_ _--
Final ---------__�-
PASS PART FAIL _._. —.____.----.-------._------------
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ _ —required before next inspection. Pay at City!call, 13125 SW Hall Blvd
Catch Basin I ]Please call for reinspection RE — [ I Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk ! Inspector �^ <
Other Date ' Z \ — -
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
// -BUP
Z� Requested—Date Re ted 4 Z Q E AMS L PM
� BLD
Location_ % � Vj
y� r- - Ael uitC MEG
Gontact Person l r�/'�� _ \ l'� S _ PLM
Contractor _ �I} " i1 `�}-y✓� _ lc � Ph —� SVV 'zv C�a� j t
c
UILDIN Tenant/Owner
laining Wall Et R /,- 1
Fo ting Access
Fo dation FPS
Ftg rain SGN
C
raw Drain Inspection Notes
SIT
& ear
heath/ ear
eath/ hear t<
ing
t,o 1
al ailing IIprinkler \larm \'d Ceiling - -- - --- -- - r�---�__
incl%
PASS PART FAIL ---- _ - ------ - ---.-.. - -- -------------- ---
LUMBI
,� Post&Beam
Ca► Under Slab
D)k Top Out ---- -- -------------------_------------»
Water Service
Sanitary Sewer i Ll
v t( Rain D i�
2�it
ASS75 PART FAIL
CHANIgIlL
Flo. earn - - -- .. -- - _ ._._
Roug n
Gas Lin r( ---------- ---- ----
Smoke Da rs
c Final -
PPAR FAIL
Service
Rough In
UG/Slab _
Low Voltage
Fire Alarm --- ------_-__-__-- -------____ �-
Final
PASS PART FAIL _--.-
SITE
Backfill/Grading
Sanitary Sewer
Storm brain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
Catch Basin
Fire Supply Line [ )Please SII for reinspection RF: ( J Unable to inspect-no access
ADA
Approach/SidewalkZ a i �/ 4 J7 —
Other Date _— ` Inspector-^_ L C. Ext .
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.