14076 SW BENCHVIEW TERRACE 14076 SW BENCHVIEW TERRACE
CITY OF TIGARD
' DEVELOPMENT' SERVICES SITE WORK
PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.41?1 PERMIT #. . . . . . . : S I T96-0009
DATE ISSUED: 11/22/96
SITE ADDRESS. . . 14076 SW BENI:HV I EW TERR PARCEL.: 2S 109BA-HSOE-0
SUBDIVISION. . . . : HILLSHIRE SUMMIT ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . 7
TYPE OF WORK: ALT PAVING?. . . . . . . . . : ^-�N-`-_--REGO. NO. :
EXCV VOLUME=: 0 r_y GRADING?. . . . . : N VALUE. . . $:
FILL_ VOLUME: 400 cy LANDSCAPING?. . . . Y
ENG FILI_.'.1. . . . . . N SITE PREP?. . . . . . : N
aOIL_S RPT REDD?: N STORM DRAT.INIS9• . . ; N
IMPERV SURFACE: 0 sf
Remarks : Placing approx. 400 yids of fill and installing a 4 foot minus retainin
9
wall. on the bark side of lot.
Owner: ----------------------------------------------------- FEES --------_----_-
Dn1-E RICHARDS type amount by date rer.pt
1.4076 SW BENCHV IE'W TERR PRMT $ 25. 00 JSD 11/20/96 96-286733
5PCT $ 1. 25 JSD 11/20/96 96--286733
T'IGARD OR 97224 EROS f 26. 00 JSD 11/20/96 96-286733
Phone #: 590--4700 ERPC $ 8. 45 JSD II/20/96 96-•286733
_ ERPC $ 8. 45 JSD 11/20/96 S'G-286733
�:ont Tact or: ---- ---___..__.._..._._----.--.--__—___.__..__ _.
WINDWOOD HOMES
14076 SW BENCHVIEW TF_RRACE.
1 1 BARD OF. 97224 -----------------_.____--
1'hone #: 590-4700 $ L7. 15 TOTAL
Reg #. . : 050196
-------- REQUIRED INSPECTIONS ------
Chis permit is issued subject to the regulations contained it the Erosion Control. _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fi 1 l Inspection _
applicable lot. All work will be done in accordance with St rm Drain I n s p _
approved plans. This perait will expire if work is not started Final Inspection _
cithin 198 days of issuance, or if work is suspended for sore
then 188 dati,
'='ermittee Signati.tres
I s s o.t e d By
Call for inspection - 639-4175
Residential Building Permit Application
City of Ty"gard
s i 11jL
13125 SW Hall Blvd. L rMf
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
r Office Use Only
Subdivision: MA i 1! Lot# .ZG
Contact Date / ! _ Initials
Valuation: jResult
New Construction Only: (Square Footage) Planck/Rec #
Permit # _5'i
House Garage: Reissue of
Map & TL# Z51U 8/1 - f Stec
Corner Lot? Y N Flag Lot? Y N Zone 1�, ' !' !
Owner: Plat #
rDA��' f`._ `,�JP�jJs - --
,4pproval,� Required
s
Addres _
r r 60�L/ Planning Setbacks Solar
Engineering
Other
Items Required
Contractor: `��r iYt < __
Subcontractors
Address Truss Details Y _
Other —__---------— ——
Notes __--------- — -- —
Phone
Contractor's License #
(attach copy of current Oregon license)
Contact Name
Contact Phone
Subcontractors: ArchitectiEngineer:
Plumbing: Address
Mechanical —
(attach copy of current OR Contractors License)
Phone:
JOB DESCRIPTION:: ` <- r N h 4/ii Yet
Applicant Signature Applicant Phone number
G�
Received by: Date Received: c2— �_—
�vopnsa�..eo
Per nit Account Oeztripticn Amount Amt- Pd. Bal. Dud!
pe
mrt- (BUILD)
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX)
Bldg-
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF MF-R)
Mass Transit TIF MF-MT)
Commercial TIF MF-C)
Industrial TIF (TIF-()
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPR,MT)
Erosion PlancklUSA (ERPLAN)
crosion Planck!CO i (EROSN)
TOTALS:
4�D w
Uc,
4i1
bt LA-�ft4
\N
(Pot
�v ow
loll
� / �
or
. . . . . . . . . . . . . . .... .
-SA
- - - - - - - - - - - - - - -
4le
O.A
Ol
4�s
e\1
. . . . .. . . . . . . .
��,� /
404
I _0V
4r
�a�
W
,•I , / ." -
I
OA
-olp ` / \
CITY OF TIGARD IIASTLR I-"ERI'IIT
I T 0. . . . . . . .. M,,:;19 4
COMMUNITY DEVELOPMENT DEPARTMENT IE-') .-;iJED- 05/1.8/94
13125 SIN Hall Blvd.Tigsrd,Oregon 97223a8199 (503)639-4171
SITL 1407E, SW PI.1,1["HV]1:7W
I RR
SUF4DIV:rSION. . . .. :: HILLSHIRE SUPIrilT ZONING. W-7 PD
PLOCK. . . . . .. , .. .. ., -. LOr. . . . . . .. . . . . . . :0 0
........... ............. 14 U I L 1)1 N()
RLISSUE C 0 W L L L.I N G U N ITS: 1 0 is f
ULASS OF WORK. :W:W EIEDRMS:3 DA FHS 13 GARAGE:. . . . . . . . . .. » ?80
TYPE C)F U co E. . . -'.*;17: F I C)C)F: RL[4UIRk:D
TYPE OF CONsT. :5N FIRST. . . :2481 s;f• L.E FT'. . 5 ft RIGHT. :5 ft
OC,CU1-'-"()N["'Y CiRl::'. -.RJ S E("'0 1,11). 1.P68 1:1 f FR(IN 1'. 2N) ft REAR. . .-30 ft:
STORIES. . . . . . . :2 THIRD., . . .. :0 sf R E:'C4 U I R E 1)
HE I GH'T . . . . . . . . :29 f 1, TO 3*749 1: S)110 K IF D ETE C'T ORS. :Y
F LUOR LOAD. . . . -.40 psi f VALW: $ 186494 PIP R K 1'111 Ci S PA C E S).
R P.s; F,0 T H 1'.
...... F-11 UMB I NG .....................
ST 1A 1/1 S I. . . . . . . . . . ..2 F:L.C.)0 R D R A I N 5. 0 H(-)L"K1--*1...OW 1'R1::.'VNTRS. -.0
LAVATORIES. . . . . :5 WATER HEATERS. . . 1. '(RAPS.
TU 11/,5 H 0 W L R 5. . . . ..3 L.()U 14 1)R Y TRAYS. 1. CATCH F.'I G)I WS. 0
WOTER CLUSETS. . -.3 SEWER LINE (ft) . »0 G R L ASE RAPS. . . .
1) 1,:iHW P SHER S.. . WWL.R LINE (ft) . : 100 OTHER FI X1 URES. . 0
UPKBAUL DISP. RWLN DRAIN (-rt) . .0
MACH. . . : ]. 5F R()I N 1)R()1.N:;. . :; 1.
Mr::(,H(4NICAL. ......- - F*E E.S - -----
(.JNFT HTRS. . *P) type 'A III r.)1.(1-1 t by date -r pt;
/GALS VENTS . . . . . ..0 TI F $ .1.5201. 00 SW' 05/18/94
MAX, I*11 P U I .W D I U VENT F-011S., . -.4 B F'R I I- G 5 0. 5 0 S)W 015/1.8/94
FURN IWOK . . *0 HOODS. . . . . .. » 1 1.4 P L L, $ 422. 83 SW 04/11/94 94 2''.'i:1,0 1
11.)R14 10 V)K . . - 1. W L)0 1)13'r(I v v,-I,:,;. .o, B5PC $ 32. 53 13W 05/1.8/94 --
L.L)OR F URN. . . :0 CLU DRYERS. : 1. '-)S V L $ e80- 00 SW Ob/18/94
311P-0 O11U':'.R UNITS.- J. POR11, 11 500. 00 (:)W (3:'`i/1.H/94
GAS OUT1-F*7S: 1 m[:,I a s 45. 00 SW 05/19/94
0 W 1-1 e-r MF,L.C., $ 11. 25 S3 W 05/1.8/`:34
MDALF" RILHARDS 115FIC $ 2. P',"j SW 05/18/94
(:-'),33 '-)W TIERR(I DLL NoR 1:11::,R r $ 1. 410. 00 5W 0":1,/1.8/`:3 Af
$ 8. 50 '.-')W 05/18/94
oLOVE14: 10N OR 91001
Phmie #: 6443657
C.mit.rcieto-r .-
A+*-,TOR W11
Req 0.. .
$ :3642. 86 T 0 T 1-
This per2it is issued subject to the Tel tlationb contained in the REOUIRLD INSPECT TUNS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fammj 111sp F.:irep1,-ic,e Irisp
applicable laws. All worP will be done in accordance with approved Post/Re.4111 st-rl.tet GAS Li.vlf- 111sp
plans. This posit will expire if wort- is riot started within 188 Pos-t/Beam llpch.%ri IIISLIlAtiQll .11-Isp
days of issuance, or if work is suspended for sore than 180 days. P1111/1.111(listab ITIS1.) (Jyp lloa-rd .111sr)
P1 M/Uv)d"'rf I oo-r Lain d-rai.vi Jimp
MecJiAviic,,A1 lrit.-:ip Water Line Errs;
Plumb Top Out Appr/Sdwll�* Iris
By:: .......... Framing I isp 11vCJI'AI-It(-AIF 1.iia I
Call fo'r iimpec-tiori 63`3-•-417'.`5
SEWER CONNECTION
CITY O►F TIGARD PERM I T
P E F%M:['T #- .. - . . . . : '3 W R 9 4
COMMUNITY DEVELOPMENT DEPARTMENT DATE 16SUED: 05/3.8/94
13125 SW Hall Blvd.Tigard,Oregon 97223a81199 (503)639-4171
P(WICEL: 2S109W-'1--W;020
A
14076 (:;W E?EN(.*1'1-1V1E:W J*E R
SUBDIVSSION. HILLSHIRE MJ1111II ZONING: R---7 PD
0 L 0 C K.
'TF."N(.)N T' NOME:. . . . . .
Wb 0 NO. . . . . . .. . . . . F'IX'TURE LJN1TG. . .
CLOS':i OF WORK. . . NE W 1)W L'.I L I NG LIN I I'S. I
TYPE_ 0 F U;i L. .. . .. .. !3 F NO. OF BIJ11 DIJIGG: 1.
Y N S T'A L L. T'Y F'E. . Ii W:)W R 111PERV GURFOCF.
0 w r)e-r FEES
III)OL.E7 RICH(IRD13 txlje 'A fill 0 U 1-1 t by (J a e -( e(7pt
693,J bW 1*1LRK'A DEL 111AR PRM T $ 2 2 0 0. 00 113 W 05/18/94
I.N P $ 35- 00 SW 05/3.8/94
BEiF1VPR,rON OR WOO!
Phaiie 0: 644365/
(.'0N1'RAC'T'OR NW ON FILE
$ 2235. 00 'T*(]I*AL
R EQ W1 R E D DISPEC"VIONE) .......
This Applicant ag,ees to comply, with all the rules and regulations l;ewe-r Ivispecti.ori
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 sever laterals. If the sever is not located at the measurement
given. the installer shall prospe,.,t 3 feet in all directions from
.......... .......
the distance giver. If not so lecated, the installer shall purchase
a "Tap and Side Sever" Permit and the Agency will install a lateral.
...................._..._---•--_..._..._ ......
... ............. ..................................
lsst.ted By:
............... ........
Call f(:)-r i1-1sj-iec-,t:iuvi 75
Residential Buildin Permit Application "
City of Tigard �l
13125 SW Hall Blvd. L
Tigard, OR 97223
(503) 639-4171
v Jobslte Address:
SubdivislonM 0 U
Office Use nnhy
lAt* -0 h
OU Planck/Rec#
Valuation: -- "�o�. �1r�/
Owner: %l 44 C /7'/) �r,�s /�1l �tjfJ,E�%31�1��-% Reissue of
Address: Map & TL #
Phone: `'��' ,3�`^ / ,�d 7S" Approvals Required
k�
Contractor: �.• ' J!a 1r�c�L% fJ; ��
-- r ,�:,Engineering
Address:
ter_ Items Required
Phone: ' ' ;�� . `3' j_ -__ �—"'_ <•'.^ _
xl Sufxontrac lois_
Contractor's License 41 ;5 y I CI t..,
(attedrdopyg current Oregon license) :;:?;'Truss Details—
�
Subcontractors: Other—
,/Plumbing:
JMechanical: �c� ra JOnJ
(attach c6py of current Contractors License)
Architect/Engineer:
Address: r ,irL
Phone:
COMMENTS: T
APp 9
nature number
Received by:/r' Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
�(7 Bldg. Permit (BUILD) -c,-•Su (0SO,sip ✓
Plumb. Permit (PLUMB) 1,70 .v u U
_ Mech. Permit (MECH) -,/J-Uu �u
State Tax (TAX) 43,z Y
Bldg: �� .S 3 �
Plumb: Y.5 U
Mech: —,2. z )
Plan Check (PLANCK) 4a,UY =2-�-6 8,y'v�
Bldg: 22. b'3 ✓ 1
Plumb:
Mech: /,/Z j
Sewer Connection (SWUSA) 2 u u
Sewer Inspection (SWINSP) 3 35-
Parks Dev Charge (PKSDC)
Storni Drainage Chg (SDSDC) a
Residential TIF (TIF-R) /V/() /y/U
Mass Transit TIF (TIF-MT) U b v
Commercial TIFIF-C
R )
Industrial TIF (TIF-1)
Institutional TIF (TIF43)
Office TIF (TIF-0)
Water Ouality (WOUAL.)
Water Ouantity (WOUANT)
Fire District (FIRE)
TOTALS: .SFI_ZZ '-5(c Z?Y6
1_
CITY GF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard.Orogon 97223.8199 (5031839-4171
PLUMBIN6 PLRMIT
I--'ERMIT #. . . . . . . : PLM9t5._-01 (
639-4171 DATE ISSUED: 02/27/95
PARCEL: =S.I Q19BA-11:irelc ti'1
T1'E ADDRESS. . . : 1.4076 SW BENCHVIEW TERR
1UBDIVItiION. . . . : HILL_SHIRE SUMMIT ZONING: R-7 PD
.0_OC.K. . . . . . . . . . . L.07. . . . . . . . . . . . . :020
WCZK. . : atA2LAC1DISFCsAL` . . :
.,LPL MOBILE HOME SPACES.
YF-E OF DSL. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVN"FRS. . : 1
)Ci:UPANC:Y GRP. . :R3 FI...00R DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
i1C)PIE:S. . . . . . . . :2 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . .
LOUNDRY TRAYS. . . . . . : SF" RAIN DRAINS. . . . .
>1 NKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . CREASE 'F RAPS. . . . . . . .
-A'VNT01dILS. . . . . . OTHER F'IX1'URES. . . . . :
U6/SHUWLRS. . . . : SEWER LINE: (ft ) . . . . :
:,JAI ER ULUGE:TS. . : WATI:-R LINE (f'c ! . . . .
L)1:.3HWPSHERt3. . . . : RAIN DRAIN (ft ) . . . . :
ZemawH_ : Ilackflow ur^evention device.
)wner,. ___...._____.___._._ .______..__,_.___.___._.__.________________.__ FEES
.)AL1=. RII:HARD5/WINDW0OD CONST. type amr,i.►nt by date rerp't
93 :jW IIERRA DLL MNFi PRM7 f 15. 00 ETON 02/27/95
51-,C1- k 0. Ia LEON O::/27/95
«LAVLRION OR 97007
'harlp #: 644,�6 i
E.1JNhi LNNDSLAP 1 NU, INC.
t;W PAIRICIFI ST.
AILLSBURO OR
-hnne #: 62R-3411 f 15. 75 TOTAL
i7eg #. . Ot)843
RLUJIREU INSPEL'T IONIb
This pereit is issued sub)ect to the regulations contained in the RFS/Lackf.low k'r^ev
ligard Municipal code, :hate of Ore, Specialty Codes and all other Filial Ins>pect i on
applicable laws. All work will be done in accordance with
approved plans. !his pereit will expire if work, is not started
within 180 days of issuance, or if work is suspended for Bore
than 1611 days.
t
i^miCt ,,�, �,ira.. a �.r•p
,all for ii.spect ion - 639--4175
e
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 11 W Hall Blvd. — Permit #
Tigard, OR 97223
(503) 6�,0-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residences Only
A'1dr " T C31 PATH HOUSE$140.00 112 BATH HOUSE$195.00
Job C� �i ❑ 3 BATH HOUSE $225.00
Address mns�� an r Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below
.m. . m..i asngy
FIXTURES QTY PRICE AMT
�G t ^/ C6y _..�1 L�'f•s+sL :c>�<' k _ 900
Myo gym... `' °"°"• Lavatory —
9.00
Owner 1 r L y > / Tub or Tub/Shower Comb.
9.00
Z'° Shower Only _ 9.00
Q Water Closet _ 9.00
N.M. °°m°°'h" l Dishwasher 9.00
Garbage Disposal 9 00
Occupant Msdno Ad& ° vraro — —
Washing Machine g 00
Floor Drain 9.00
°"rM°f° ZO Watet Heater 9.00
_ Laundry Room Tray _ - _ 9.00
Urinal 9.00
Other Fixtures (Specify) 9 Ci
MMp AWk— �/
Contractor _ A �� — 9.00
,�/ - //z ��GCGIC 9.00
_ 900
1 Sewer 1st 100' 30.00
N. �a..ra"" Sewer ea. Addit. 100' 25 00
S y� Water Service 1st 100' 3000
I hereby acknowledge that I have read this application, that theWater Service ea. Addit. 200' 2500
information given is correct, that I am the owner or authorized agent of — _..
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 3000
I am registered with the Constniction Contractor's Board, that the Storm $ Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below) Mobile Horne Space 25.00
Flack Flow Prevention - -
Device or Anti-Pollution Device 9.00
y�°�° " "° �.. �/► °i' Any Trap or Waste Not
Connected to a Fixture 9 G0
Describe work new addition U alteration Q repair Q Catch Basin
9.00
to be done residential (8j non-residential O Insp. of Exist Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
budding or property Rain Drain, single family dwelling 3000
Residential backflow prevention +
devices 1500 t 1
Proposed use of -- — — —
building or property -
*(Except residential backflow
- prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —
AUTHORIZED IS NOr COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED —
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
Special Conditions TOTAL
--- __-- -- Date issued _ f`` 4_ I by
rv ,#
A N OF TIGARD CERTIFICATE OF
OOMMU`'ITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)639.4171 PERMIT #. . . . . . . : MST94--0167
tar DATE ISSUED: 03/01 /95
II 4 5109RA-"I-IS�20
I T I f 1DDRL`-.:SS. . . s 14076 SW DENC;HV I EW TERR PARCEL:
Sur,bIVISION. . . . : MILLSH IRE SUMMIT ZONING:R-7 PD
. . . . . . . . . . . LOT. . . . . . . . . . . . . :0214
IFN PE:: OF USE. . . :-F.
Of-,CUP'ANCY GRP. e R3
01 V A IANC V LlAI :229 4
TENAI ' NAME. . . :
Remarksi PATH I
�'�I)Al..f_ f1 I i�i ii CRDs
`zW TIE"RRA DUL MAP
BEAVE::RTON OR 97007
=hone Hs 64436! 7
WINDWOOD CONST INC
SW TIERRA DE:.L. MAR
%-'l- "1.RTOIV OR 97007
111honee #s "7170-4375 M
50196
Jecupancy of the above referenced building i% hereby given, And certifies
Ite compliance with the State Of Oregan Spe=cialty Codes for the group,
Ict_upancy, and use under wttich the referenr.ed per t W;is issLieci.
BUILDING INSPECTOR IaLIIL G C f IAT_
POST IN CONSPICUOUS PLACE
...: : . i
,r
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-;2
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # : 05064460 Project # P0047901 Stat.aE APPROVED pac{e 1 of I
Applied U: /28/9 Irsued (12/2£1/95 ExpireEi 08/27/95 04/14/9S US : U2
RE.;ELEC
Permit Title :3FR • LV IRRIUATIC>N CONT OTII
D&E:cript.ion I4erqun : 02/28/95
;lob Addrezr. 14076 SW EEN(. HVIEW T?
Owner Name INSPECTION - T I GARD Region 1.)
Applicant Name CEDAR LAND.11CAPE INC:
Phone member 628-3411 valuation . 0 Approve-3
Inspector Carnrnentr : kejr�- -
_
I V R-R E.0 f L T3..../
REQ(FF.OT ERROP
P 1 umb i ng
Mec-hanicaJ
Electric^:�.1
Zt.z'zc.t.ruaI
f3eneral _
' (�L
I r,spert ed by ._ � I'Nt_E
f
Inspection Requerted
Low Voltmge Final 0411 E AP t,N 1V14
04/14/95 RI MAS" 628--3411
/�a�S4 A Evef!vat w_1rO,9/c
0 '
fLl
Fr1u� �^
Alm
f
rf4R�t Stip r� t .i'
�. I
�.�l H P!l 1:��►7 E jet E T
G
S S S L✓
R
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line. 639-4175 Business Line: 639-41712'�7 --.� B&
--
Date Requested 7 0 AM PM BLD
Location_ N 6 7(j ��{,O ,� y( e�e: I Suite MEC _,_.-----
Contact Person PLM —
Contractor Ph SWR
BUILDING Tenant/Owner EI_C _
etaoimg � -- ELR ---- --` �. —
Access:
Foundation FPS
Fig Lriri
— �-f /,,t _.
Crawl Drain Inspection Nates '—T\ �1 SIGN __
Slab _----- r -Z �1n —,� u�'✓\. SIT coo
Post h Beam � rt „
Ext Sheath/Shear ��/
Int heath/Shear --
Framin,
Insulation --
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Suspd Ceiling
Roof
Mir FiPART FAIL � —
PLUJOING
ost 8 Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains V �C \► '� LSC".��
Final `
PASS PART FAIL
MECHANICAL — — —
Post& Beam �--- _
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL A
ELECTRICAL r� D — -(=�� '^
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PART FAIL
SITE '
Fading —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$`—_`required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to inspect-no access
call for reinspection RE: [ J
Fire Supply Line Please[ J P
ADA
Approach/Sidewalk A
Date Inspector_ v�--'� � Ext �
in
PART FAIL DO NOT REMOVE this inspection record from the job site.
TGA
ICE
LDING
ECTION
Inspedion TeU(Recl O R o�U'1s t6339-4175 S Business Phone: 639.4171 J
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab
Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out
Elec. Rough-in -
Post/Beam Mech. San. Sewer
Gas Line I 1
Plbg. Underfloor Rain Drain
Framing -Plumb.
Alarm Water Line
Insulation -Mech.
Underflr. Insul, Shear Wall
Gyp. Bd. -Elect.
Date Requested:_
Time: AM PM
Address: (�
Builder: > C
Permit #:
THE i FOLLOWING CORRECTIONS ONS ARE REQUIRED:
Inspector:
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_j ,_Call For Reinsp.
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