7023 SW BARBARA LANE i
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7023 SW BARBARA LANK
CITY OF TIGARD BUILDING iNSPECTION DIVISION MST
24-1-Iour Inspection Line: 639-;115 Business Line: 639-4171
BUP _
— Date Requested �J '"��� AM_ PM BLD
Location— 6��bn"l -ok, Suite _ MEC
Contact Person 1 ��� ` Ph 7 %' PLM
Contractor I-Ph SWR
BUILDING — Tenant/tnw Kco t, -) C��i _ ELC —
Retaining Wall ELR _
Footing ACCESS.
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: —
Slat _ ---. sur
Post& Beam �
Ext Sheath/Shear 1' W I
Int Sheath/Shear —w
Framing
Insulation /J
Drywall Nailing
Firewall �-�-_------
Fire Sprink;er _-
Fire Alarm
Susp'd Ceiling --
Roof - ----- ---.-__-__.—--- -- --- - i
Final
PASS FART FAIL ----- - ---- — --------
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer - - - ---- -
Rain Drains
Final
PASS PA RT FAIL
MECHANICAL
Post& Beam ---------- ------- ----- ----- ------ - _
Rough In
Gas Line - - --
Smoke Dampers
Final --------_-.-
PASS PART FAIL
LECTRI -- ---- ------ - � --- ----
Service
Rough In
UG/Slab -- - - -------- --- - -- ---- —
Low V.)Itage
Fire.Alarm ----- ---- ------- - — --- ---- __
r- -
�?Kllsv PART FAIL
Backfill/Grading --- -- -- --- - - —._--- — --- --------
Sanitary Sewer
Storm Drain ( j Reinspection fee of$— _required before next inspection Pay at City Hall. 13125 SW Hall Blvd
Catch Basin ( ] Please call for reinspection RE — ( ]Unable to inspect- no access
Fire Supply Line - ----- — --
ADA
Approach/Sidewalk
Other Date — ��'`t-� - Inspector — ---_—_ —_'Ext _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP
_ Date Requested Z l _AMPM BLD — —
Location �/C ! ��ll d ��ia �7 _� !_ Li , Suite ---- ('I' EC)
C�i
Contact Person _ Ph �U :,`��`' _ PLM
Ph Sw'-'
Contractor _
V ELC
BUILDING Tenant/Owner l '� �' '" ��' /�:
Retaining Wall ELR
Footing A FPS _
Fo
Ft�lDrain n NOT REQUESTED /C-' SGN
Crawl Drain Ir FOUND DURING RESEARCH -
Slab - NO INSPECTION(S) FOUND IN FILE t /Y/� sIT --- —
Post R Beam
Ext Sheath/Shear �-
Int Sheath/Shear
Framing -- —
Insulation
Drywall Nailing '
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Misc; _ _----
Final
PASS PART FAIL
PLUMBING �`` 1 G1.��'� 71
G
Post&Bearn
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains --
Final
P c pT FAIL — ---- —
MECHANI
Post ;Hearn
Rough In --- ------� --
G;is Line ---
Sr ioke Dampers --_
F' ��
1 ASS;' PART FAIL
E-',' TRICAL
Service — —
Rough In
UG/Slab __---
Low Voltage —
Fire Alarm — --- - ------ ._ —_ --
Final —
PASS PART FAIL _ --- -- -- - --SITE — --
Backfill!Grading
Sanitary Sewer
Storm Drain I I Reinspection fee of$ required be`.ore next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ]Please call for reinspection RE: __ I I Unable to inspect-no access
Fire Supply Line
ADA r
Approach/Sidewalk Date 1 <� ' —__Inspector (/� V" Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD ELECTRICAL
LECPERMRICALEPERMIT406
DEVELOPMENT SERVICES DATE ISSUED: 07/20/98
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL: 1 S 125DC-03900
SITE . . . :070c3 SW BARBARA LN
SUBDIVISI(IN. . . . :'iHF RA`LRERRY PATCH ZONING: R-4. 0
BLOCK. . . . . . . . . . LOT.. . . . . . . . . . . . . :03' JURISDICTION: TIG
Project Description: Alteration to single family residence.
--------------
__..._RESIDENTIAL UNIT------- ----TEMP SRVC/FF'FDERS-----.. -----MISCELLANEOUS——-
1.000 SF OR LESS. . . . - 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTL;. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL-. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
RVICE/FEEDER--- - ----BRANCH CIRCUIT'S---.--- ---ADD' L INSPECTIONS-•--
0 - 200 amp. . . . . . : 0 W/SERVICE UR FEEDER: 0 PER INSRF_C:TION. . . . . : 0
c.'01 - +OQ1 amp. . . . . . : 0 1st W/1"i SRVC OR FUR. : S PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : ZI EA ADD' L BRNCH CIRC: (A ?KI PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ------------------PLAN REVIEW :i, F. T OIV------------ --
1.000+• amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 30a VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC./FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ---______ __------------------ -_..___ FEES
KAREN AUBE type amoi-int by date recpt
7023 SW BARBARIi LN PRMT $ 35. 00 DLH 07/20/98 98-307473
TIGARD OR 97223 SPCT $ 1. 75 DLH 07/20/98 98--307473
Phone #:
Contractor: -----------------_-------------
WEST SIDE ELECTRIC CO INC $ _3,6. 75 TOTAL.
1834 SE 8TH AVENUE
- --- --- REQUIRED INSPECTIONS
-- --
PORTLAND OR 97214 Rough-in Elect' 1 Final
Vlhene #: 231-1548 Elect' 1 Service
Reg #. . . 000133
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregor Specialty Codes and all other
applicable laws. 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 99101--0010 than,y` OAR 952-01-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
I-lermittee Signati.lr•e : /"-/ LE-/ lssl.led By:
_____---_-------.--------____---OWNER INSTALLATION ONI..Y- ---- -__._ --------------___--
The installation is being made on property I own which is not intended for-
sale,
orsale, lease, or rent.
OWNER' S SIGNATURE: _ v` —__ DATF:
_. ___.______..________..----.•____--CONTRACTOR INSTAL.L.AT I ON
S I GNATURF: OF SUPR. ELEC' N: 4�✓ '�7"/pL/C�4770A/ DATE: _ 7/:;? _-
LICENSE NO:
++t4+++4.++++++++++++++.f'+++++4++++++++++++4++++++++++++++++++++++++++++++++•4.44•++
Call 639-4175 by 7:00 p. m. for an inspection needed the next b1_1siness day
+++++++++++++++++++++++++++++++++++++++•++++++ ++++4-+4++++++++++++++++++++++++++
CITY OF TIGARD Eir.ctrical Permit Application Plan Check q
13125 SW HALL 9LVD. Recd By. � Gt�
Rer,'d
TIGARD OR 97223 JUL. 2 ( Dale
' �99� Date Recdto -��
Phone(503)639-4171, x.304 /(�' Gate to DST
Inspection (503) 639-4175 CO'"�t1UNITY I''`'f t"' Pont Of Type I Permit a
Fax (503)684-7297 Incomplete or illegible dulll not be ac pted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed -h
Name(or name of business) �� /� v _ _ Service included: Items Cost Sum
Address -��`'� �G'�`� ��� 4a. Residential-per unit
City/State/Zip rG �i� 1000 sq It or less i_ $110.00 4
Each additional 500 sq.ft.or
Commercial ❑ Residential portion thereof $25.00
Limited Energy $25.00
Each Manu,'d Home or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation' only:
(Attach copy of all current Ice 9s ( 4b.Services or r'eeders
Electrical�Jgnt actor 7 r T/( �/ 1�C_ Installation,alteration,or relocation f
/ 200 amps or less $60.00 2
Address 201 amps to 400 amps $60.00 2
Clty r State /C. Zip- �._ 401 amps to 600 amps $120.00 - _ 2
Phone No. z �� c� 601 amps to 1000 amps _, $160.00 2
Job No. 71S - (')/_f Over 1000 amps or volts $340.00 - _ 2
Elec.Cont. Lice. No. - -SC Exp.Date Reconnect only $50.00 _- 2
OR State CCB Reg. No. /3 3 06 Exp.Date- 'r' _ri 40.Temporary Services or Feeders
COT Business Tax or Metro No. _ ___Exp.Date� Installation,alteration,or relocation
200 amps or less $50.00
201 amps to 400 amps $75,00
Signature of Supr. Elec'n _ - --- 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts,
License Nr Exp.Date � se e"b"above.
Q
Phone Nr � S r Z--- /0�
- 4d.Branch Circuits
New,a teration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder lee.
Each branch circuit 5.00
Addr,sSb)The fee for branch circuits
state- _ Zip- without purchase or
PI lone No. service or feeder fee.
- - - -- First branch c:rcud $35.00 _ 2
1'he instal'ation is being made on property I own which is not Each additional branch circuity $5.00 2
intended fcr sale,lease or rent. 4e.Miscellaneous
!Service or feeder not included)
Owner's Signature__ Each pump or Irrigation circle $40.00 _
Each sign or outline lighting $40.00
3. Plan Review section (if required):* Signal cfrcult(s)or a limited energy
panel,alteration or extension $40.00
_
Please check appropriate Item and enter fee In section 5B. Minor Labels(tot $100.00
_ 4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the alloweolo in ami of the above
^_System over 600 volts nominal Per inspection $3500
Classified area or structure containing special occupancy Per hour - $55.00
as described in N.E.C.Chapter 5 In Plant $55.00
Submit 2 sets of pians with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ _-
5%Surcharge(.05 x total fees) $ - -
NOTIGE Subtotal 5
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reguired(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. 0 Trust Account s_ 13 30 _
$ -�
Total balance Due r
Plan Check#
CITY OF TIGARD Mechanical Permit Applicatipip 4ED Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd1' I <
TIGARD, OR 97223 1111 1998 Date to P.E.
(503) 639-4171, x304 _ Dans to DST
Print or T,pe C(;;:'au!:1Ty PEIJELOPM.ENT Permit# 10
Called
__
Incomplete or illegible applications will not be accepted
Name of Development/Pmlect r Description
Table 1A Mechanical Code QTY PRICE
Job Street Address — 3ude# A) Permit Fee -0- -0- 10.00
Address 7F�2 .3 $�a� )_11_
Bldg# C.tyrSiate, Zip 1.) Furnace to 100.000 BTU 6 00
RJL���.I includingducts_&vents {I
Name(or name of business) 2.) Furnace 100.000 BTU+ 7.50
Owner KZ(/Lgn i d4.k�� including duds&vents
Mailing Address 3.) Floor Furnace 6 00
U 2_ � W F1_6V l! �`�r — _ includi�vent I
CdyrState Zip I Phone 4.) Suspended heater,wall heater 6.00
or floor mounted heater
— Name I nems of bus.ness) 5.) Vent not inUuded In appliance permit
Occupant Mailing Address 6.) Boiler or comp,P R heat pump,P,air road. 6.00 (�
•���_ -L, __ to 3 HP;absorb unit to 100K BUi" _
City state / Zip Phone i) Boiler or comp,heat pump,air Gond. 11.00
c 1 Ni d ) }15 HP;ab�•orb unit to 500K BTU" i
Contractor N—smem— 8.) Boiler or comp,hetet pump,air cond_ 15.00
&C_."e 15-30 HP,absorb unit 5-1 and BTU"
Prior to permit Mailing Address ' 9.) Boder or comr,heat pump,air cond. 22.50
issuance,a copy I ' C ;' �� ,CJ o� 30-50 HP-absorb unit 1-1.75mil BTU—
of all licenses Cityf t to Zip Phone c
,!f / 10) Boiler or comp,heat pump,air Gond. 37..,0
are required 4 -yY!t„.A,p y 7e- 454-1194f >50 HP;absorb unit 1 75 mil BTU"
expired in COT Oregon Const.Cont Board Lic# Earp Dare 11.) Air handling unit to 10,000 CFM— _ 450
database lDD
Architect Name 12.) Air handling unit 7.50 —
10,000 CTM+
or Mailing Address - 13) Mon-portable evaporate cooler 4.50
Engineer GityrSmte Zip Phone 14) Vent fan connected to a sinale duct 3.00
Describe work New O Addition W Alteration O Repair O 15) Ventilation system not included 450
to be done Residential O Non-residential O in appliarce permit
rAdditional Description of work: 16) Hood served by mechanical exhaust 450
�/'
i� 17) Domestrc incinerators 750
G'--�.e,
Ex-sting use of 18) Commercial or Industrial 30 00
pudding or property —_ —_ type incinerator
19.) Repair units 4.50
Proposed use of 20) Wood stove 450
budding or property
r -
1 ) Clothes dryer,etc. 450
Type of fuel-oil O natural gas O LPG 0 electric 0 22) Other units 450
I hereby acknowledge that I have read this,application,that the Information 23) Gas piping one to four outlets 200
given is correct,that I am the ovmer or authorized agent of _
the owner,that plans submitted are in rx)mnliance with Oregon State laws. 24) More than".r outlet(each) — 50
Signature of Owner/Agent Date 'SUBTOTAL
�5°� SURCI LARGE
Contact Person Name Phone P-AN REVIEW 25%OF S!IBTOTAL
�— Required for all commercial pannits on . y
TOTAL
'Minimum permit fee ars$25+5%surcliarge f-�
"Residential AIC requires site plan showing placement of unit.
I`mechprmt doc rev 4/15/98
7,5 2. 1 o( 61tX Fl L_N
Y` MECHANICA._ PERMIT
CITY OF TIGAR®
DEVELOPMENT SERVICES PERMIT #: MEC2004-00160
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 HATE ISSUED: 4/1/04PARCEL: 1S125DC-03900
SITE ADDRESS: 07023 SW BARBARA LN
SUBDIVISION: THE RAZBERRY PATCH ZONING: R-4.5
BLOCK: LOT: 03',' JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENT'S W/O APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
l PG 3 '15 HP- COMNML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 _AIR HANDLING UNITS
OTHER UNITS:
FURN —100K BTU: <= 10000 cfm GAS OUTLETS. 1
> 10000 ctm:
Remarks: I urn,:� ;uul gay hilus,
Owner: _ --FEES _
MICHAEL HALL Description Date _ Amount
7023 3W BARBARA LN IMECIJ] Permit Fee 4/1/04 $72.30
TIGARD, OR 97223 I'AX H!;,State SurCh;.rL 4/1/04 $580
Total $78.30
Phone: 503-245-3621 "--
Con'tractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503-640-3607 Heating Unt Insp
Reg #: LIC 66578 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. 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 rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001.0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-
Issued Bce �y , _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechadcal Permit Application- '.FOR ' '
Mccltaniaai
a,td>a Pe OO/ J�
Planning Ap o ���
val -'-'
City of Tigard Date/B : A( P�tltNa.,
13125 SIV Ha 1 Blvd, plan Review Other
Tigard,Orcgo 1 97223 ort Potsnit No.
Phone: :03-(i;9.4171 Fax: 503 598-1960 Post-Review land Use
Datc/S : C o:
Interne[: wwv ,C;.tiSisrd,Or,US Contact �r�i 3cr Page2for
14-hour 1 nspel tinn Request: 503-639-1175 NarnefMelhod: 941, Icn,eutrl lurorntrtion.
�� TYPE OF WORK � COMMERCIAL FEE*SCUNDULK-USE CHECKLIST
New Cori:traction _ Demolition Mechanical permit fees'are based on the total value of the work
,Add,tioly illtt ration/re lacement I LJ Other: performed. Indicate the value(rounded to the nearest dollar)of all
_
CATEGORY Or, CON SIRUCTIUN mechanical materials,equipment,labor•overhead and profit.
1 Sz 2-Flu nily dwelling T[� Cotnm_erciaUlndustrial Value: S_ See Page 2 for Fee Schedule
Acccmor/Building Multi-Famil i2ESIDENTIAL.EQCfIY'MENT/SYSTEMS FEE-SCIIIEDi1LE
IvISS:ef B 111der Other' �— nescri Hnn Fec ca.
Heatin CooH
JOB SITE INFORMATION and LOCATION rumac •add-on s;r conditioning' 14.00
Job site addr:ss: -2.- ' r3 r-- L• eat Pump 14.00
Suite # I Bldg/Apt.#: LA--). Duct work 14.00
Proj ect Nan1-:: H dronic hot waters stem 14.00
Residential boiler
Cross strcci0irections to job site:
fat radiator of hydronics stem) 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,sus ended,etc.) 14.00
Flue/vAnt fnr any or above) 10.00
Subdivision: Lot#: Re a;r units I t2.ts ,
Tax mat/ at;el#: Other Fuel Appliances
�_ Water heater 1 10,00
OESCRLPTION OF WO Gas re ace I LUAU
♦R y�p..L4_. __ Fluc vent water healer/ os the lacel I 10,00
Log lighter wl) 10.00
�- wood/Pcllct scoot: 10.00
Wood fireplace/insert 10.00
Chimnc /liner/fludvcnt 10.00
PRO'?ER1 Y OWNER �T-[�TEIYANx Other:
Name; ���{ �,.L.i Environmental Exhaust dt ventilation
Range hood/othcr kitchen equipment 10.00
Address: Clothea dryer exhaner 10.00
CitV/Si ate;,'ip: Single duct exhaust
Phone: t-�� (o: l Fax: Single
toilet compartments,
APPIACA.gT _ _ C 1VTACT PERSON stili rooms) 6.30
Natne: Anic/crawl s acc fans 10.00
Other: 10.00
Addre:ls: Fuel Piping
Cit /5:ate/.rip: 11(55.411 for nrst 4.31.00 each addltivarl
Phone _ Fax: Furnace,etc. ••
Gas heat pump •'
E-mail: Wnl1/3us cnde&unit hontnr `•
CONTRACTOR water heater ••
Husincss'N atne: S +e C--lir xr, Firciplace ••
AddrP ss � I+Z,v r K f. Ran — ••
o f3
..
Ciy/State/?ip: 14, r lSIC V r. " Clothes dryer( as ••
Phone tt,• ( t� Y l Fax: LA- f 5 Other: rr
CCB lit.. 1!-. f o- 1 oral:
Authori::ed
- Mechanical Permit Fee-0
signntute j ���-��t "�-� Date: Salo Subtotal: I S
Minimum Permit Oce S72 SO 1 S
•,{. t� L l �'r"� Plan Review Fee(25'r6 of Pcrrrut Fee) S__
(Please print name) State Surchar c 8^io of Permit Fee) S
TOTAL PEP-MIT FEE 1 $
Notice, This p-rmit application expires If a permit is not obtained within *Fee methodology set by Tri-County Building Industry s r. ee oars.
180 dAys after t has been accepted as complete. "Site plan required for exterior.VC units.
1 tpsts\P:rmit f atm,kWccPermitApp.doe 01,03
Z 'd eiLD 865 E05 au >;leaH *0 DE Jew
CITY OF TIGARD 24-Hour
E;UILuiNG Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP
Received _Date Requested- _ - AM `�� QM _ --_ — BLIP
Location 76 ;;L 3 d2z, Suite_ — MEC
Contact Person Ph( ) .w ;3(2 PLM
Contractor_. — Ph( ) — — SWR -
BUILDING Tenant/Owner _._ -__- ELC
Footing ELC - - --------
Foundation Access: A-f
Ftg Drain ELR _
Crawl Drain - --
Slab I Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing - __ ----- ---- __�- -- -- ---- --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Other:----- - �
Final i
PASS PART FAIL --
PLUMBING -----
Post& Beam - -
Under Slab
Rough-In
Nater Service - - --
Sanitary Sewer
Rain Drains - - -------- -_
Catch Basin/Manhole
Storm Drain
Shower Pan
Other. - --- -
Final
PASS_ PART FAIL
MECHANICAL _—
Post&Beam J �
Rough-In ---- —
Gas Line
Grapke Dampers - ---
A PART FAIL -
t CTRICAL
Service —
Rough-In fr%.'___-kbjaAn F=LEX Tb iTR�?T�N G�
UG/Slab
Low Voltage ---
Fire Alarm
Final Reinspection fee of$._ required before next inspection. Pay at City Hall, 13125 SW Hal'Blvd.
PASS PART FAIL
SITE [] Please call for reinspection HE: I Uaeblvilo-lnsped-no access
Fire Supply Line
Ay
DA
Approach/Sidewalk Date. -�_ Inspector Vt!--
Other:
Final DO NOT REMOVE this Inspection rec rd from the Job site.
PASS PART FAIL