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10499 SW NAEVE STREET �� -- NEW HOUSE, 4/23/02 MSG. ?i� �-• LR,IeTtj Sh/ -- 20 RIGHT SETH/►CX PER CLIENT, 4/24/02 MSC. UM Slj ��qD Y MARION DRIVE L=10. 53' o R==5025. 00 N 89.58'34" w 73.05'ell � �7 3 g o a o N 1 � ^ w J 36,33' j..L� 37.3 s.Qe� y,T7E•,,� M f� LO LTJ 4.00' V) ' c0 w7 LL1 :' C-4 > r----------- L1,J O 4.00, + 2.0Q O ---� t i r.J �t- z t Ln - 3-7T o 36.33' t 20 0' N 89'57806m W 101.62' 3.17 < N > �1ti2 � //(3 Irk S SCALE DRAWING L 0 T 19 S.E. SEC. 1(?, T.2 s. ERICKSO.N H�IG.H'�'S ' RAW, VY.M. _ _A 2•5' LANDSCAPE EASEMENT SHALL EXIST ALONG ALL STREET Fr'NCNTAGC CITY OF TIGARD A 7.5' �� EASEMEN T SHALL EXIST WASHINGTON COUNTY, OREGON ABIJT'nNG T}iE ALL LANDSCAPE EASEMENT A1.0 STREET- FRONTAGE. NG APRIL 1 fi, 2001 DRAWN 8Y: MSG CHECKED 8Y: WGDIII Gen ter--1 ire e Concepts Inc . SCALE 1 '0 =Z0ACCCUN.T 115 EMAI www. CCIE7MAILdMA 640 82nd Drive Gladstone, Oregon 97027 M M: _ .. .. � . —.___ ._-_ __ .- -• \ML'\L18ERICK 503 650--0188 fax 503 650-0189 NOTICE: IF THE PRINT OR TYPE ON ANY �I-' j ' I ' � I � IrI � � � � i � l � � I � l .rl�. � Il , rl � 11111 -[TI.T1-r' lfT[fi[Tj-F[-1 -rl-r ill Ili Ili Ili il � lil � ililili il � il � ! li 111 111 Ili i1i 11 � rili i i w i i � Ili i i i f -I l- i r r i i i i I I I I i IMAGE IS MOT AS CLEAR AS T 1 I t I I I I I I I I I I III I I I I I HIS NOTICE, 1 2 3 4 ( I I I 11 T IS DUE TO THE QUALITY OF THE - -_-_-. --__--__ -_ 12 /�� G�MYS.uNO C+ — —r-- No.36 ORIGINAL DOCUMENT E 6Z 8Z LZ 9Z 5Z fiZ E7 Z TZ OZ 61 8t LT 9T 9t fiT EI Z � ii `T 6 Lim � — Z T ��ri3w IIII IIII IIII 61;11 IIII 11 IIII IIII IIII III. IIII 111 lll( Illl III! Illi IIII IIIL Illi 1111 I � � � til IIII 1111111{ 1111 IIII IIII lllitllll :IIII IIII IIII IIII IIII IIII II(I�III� (III l '111 1 Illl�l,lllllll LII! 11I111ll 1111 �� IIIIJII 1 c� c� 10499 SW Naeve Street CITY OF TI G A R D ELECTRICAL PERMIT R PERMIT#: ELC2000-00207 DEVELOPMEN i SERVICES �,Y` ATE ISSUED: 4/27/00 13125 SW Hall Blvd., Tigard. OR 97223 (503) 63 �` PARCEL 25110DA-EH018 SITE ADDRESS: 10499 SW NAEVE ST JOB SHACK SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT : 018 JURISDICTION: TIG Proiect Description: Temporary electrical service for construction trailer on this project. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): __ SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect ons__ ___ SVC/FDR >= 225 AMPS _ CLASS AREA/SPEC OCC: T Owner: Contractor: RENAISSANCE CUSTOM HOMES INC GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST LINN, OR 97068 CLACKAMAS, OR 97015-1429 Phone: 557-8000 Phone: 503-657-0142 Reg#: SUP 618s LIC 34544 ELE 3-126C FEES _ _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 4/27/00 $53.50 0001743 Elect'I Final 5PCT DEB 4/27100 $4.28 0001743 Total $57,7$ This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved olans 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 by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies c4these rul2s oi dhect questions to OUNC at(503) 246-1987 PERMITTEF'S SIGNATURE �" ! ,� ISSUE[ BY: _ OWNER INSTALLATION ONLY The installation is being made on property 1 own which is not intended for sale, lease, or rent. – OWNER'S SIGNATURE: _ _—_—_ _ __ DATE:_ CON I RACTO INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ' ~ DATE- LICENSE NO: - - — ------ – Call 639-4175 by 7:00pm for an inspection the next business day CITY 7F TIGARD Electrical Permit Application Plan Che 13125 SW HALL BLVD. Recd Date Recd TIGARD OR 97223 Date to P E. Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit Fax (503) 598-1960 Incomplete or illegible will not be accepted Called_ 1. Job Address: —twor- (,OLj 4. Complete Fee Schedule Below: Name of Develcpment Esti k-4iw7 1 #, 1+td Number of Inspections per permit allowed Name(or name of business)�1i:4e/c.dNce Cwtar_ 2io-w Service included: Items Cost Sum Address_ /VV yj -SLu/ ark a J'� 4a. Residential-per unit City/State/Zip "r,<;/eW �2. 9722 y _ l000 sq n or less $ I 75 _ e - Each additional 500 sq ft or portion thereof $ 26 145 1 Commercial ❑ Residential ❑ Limited Energy _ $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). . Installation,alteration or relocation Electrical Contractor GTL •3 ; L w. v-�.� _ 200 amps or less $ 64.25 2 Q j 201 amps to 400 amps $ 8550 _ 2 Address P. 401 amps to 600 amps $ 128 Y) 2 City S }`s -%AL State 0,- - Zip -4 ? 0 1 601 amps to 1000 amps $ 192.50 2 Phone No. 6 d 2 —t_1 y 1 � Over 1000 amps or volts _ $ 363,75 2 Job No _ Reconnect only ��- _ $ 53.50 2 Elec Cont Lice. No -3— IXV-C— Exp.Date .10 Q Temporary Services or Feeders OR State CCB Reg No. 3ys',oj ij Exp Date 9.I n.Lo• i Installation alteration or relocation COT Business Tax or Metro No. Date 200 amps or less �_- $ 53.50 3, SN 2 — p -n— 201 amps to 400 amps $ 8025 2 Signature of Su r. Elec'n _��ii .�—�{� 401 amps to 600 amps — $ 107.00 2 g P -- Over 600 amps to 1000 volts, see"b"above. License No G l 8 s Exp.Date 4d.Branch Circuits Phone No CA •j —0 i�']�___ ___ New.alteration or extension per panel a)The fec.for branch circuits 2b. For owner installations: with purchase or service or feeder fee. Print Owner's Name teach branch circuit $ 535 2 Address b)The fee for branch circuits --- - - without purchase of service City State __Zip _ or feeder fee. Phone No. - _ First branch circuit $ 37.50 -- - Each additional branch circuit $ 535 The installation is being made on property I own which is not 4e.Miscellaneous Intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 4275 Owner's Signature Each sign or outline lighting _ $ 4275 Signal circuit(s)or a limited energy t panel,alteration or extension a 60.00 3. Plan Review section (if required): Minor Labels(10) $ W40 Please check appropriate item and enter fee in section 58. 4f.Each additional inspection over 140 e 4 or more residential units in one structure the allowable in any of the above Per Inspection _ $ 50.00 _ Service and feeder 225 amps or more Per hoar $ 50.00 System over 600 volts nominal in I 11,111t _ $ 5900 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: t3a.Fnter total of above fees E S + Submit 2 sets of plans with application where any of the above apply. e Surcharge(0&X molal fees) lei $ Not required for temporary construction services, Subtotal if $ _ `-` — 5b.Fnter 25%of line 6a for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ - IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust llcceunt 9 I AT AN Y TIME AFTER WORK IS COMMENCE? Total balance Due $.5 L iAdsts%i rm-00caric dor- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP —_„ Date Requested S Z C� 1 _^AM _PM BLD Location _ !-� — I Suite MEC Contact Person :Ire(,k) I S Ph ? l� PLM Contractor_ LG,f �' Ph — SWR BUILDING Tenant/owner ELL Z� Z0� Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes Slab ----- J)" A— SIT Post& Beam Ext Sheath/Shear •1 Int Sheath/Shear Framing ----- ------ - -- - - --- Insulation Drywall Nailing --- . . ------ ---- -- -_- __—._ Firewall Fire Sprinkler ---- Fire Alarm 77" Sur=p'd Ceiling -- - -- -/-- - - -._.--------- -- - - Roof Misc. Final PASS PART FAIT_ ------ PLUMBING Post Beam - _ --- Under Slab Top Out Water Service ---_— Sanitary Sewer Rain Drains Final PASS PART FAIL - - MECHANICAL Post& Beam - - --- Rough Ir Gas line -_ - - - - - _ -_ ----- -------------- -- Smoke Dampers Final - ----- -- PASS --- --PASS PART FAIL ECTRIC Zilli - - - UG/Slab ---- Low Voltage Fire Alarm - - -- - -- ----- Fjnal PA4� PARI FAIL. -- _ --- _ -- Backfill/Grading — - --��.----- ---- ._-- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ i equired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin inspect-no access Unable to ins Fire Supply Line [ ]Please call for reinspection RE _ [ 1 P ADA � , Approach/Sidewalk Date /a,,-2. Inspector -L Ext Other _ ._ Final ------ PASS PART FAIL 00 NOT REMOVE this ins f c-ction record from the job site. CITY OF TIGARD MASTER PERMIT PERMIT M MST2002-00231 DEVELOPMENT SERVICES DATE ISSUED: 5/23/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6,-,9-4171 SITE ADDRESS: 10499 SW NAEVE ST PARCEL: 2S110DA-05700 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 018 JURISDICTION: TIG REMARKS: New SF detached, Path 1, BUILDING REISSUE: STORIES. FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. .., FIRST. 1]91 sl BASEMENT. of I FFT: 7 SMOKE DETECTORS: Y TYPE OF USE: BF FLOOR LOAD 40 SECOND, 17 I sl GARAGE .1, sl 111ONT 20 PARKING SPACES 2 TYPE OF CONST. SN DWELLING UNITS: ' FtNBSMENT: el RIGHT 20 VALUE. $ OCCUPANCY GRP: R3 BDRM. a BATH: TOTAL. I Q Q 01'' >I REAR 31 PL UMBING SINKS: I WATER CLOSETS, 3 WASHING MACH LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES 11 DISHWASHERS. ' FLOOR DRAINS SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: I UBBHOWERS: "1 GARBAGE DISP WATER HEATERS. I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<TOOK: BOIL/CMP<3HP. VENT FANSCLOTHES DRYER: 2 '..tA FURN>•100K: 1 UNIT HEATERS HOODS. OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS. - WOODSTOVES GAS UUTLETS I ELECTRICAL. RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amu 0 200 amu: W/SVC OR FOR I PUMP/IRRIGATION PER INSPECTION• FA ADD'L SOOSF: B 201 40n amp. 201 400 auur 1st W/O SVC)FDR. 70 SIGN/OUT LIN LT. PER HOUR. LIMITED ENERGY: 401 6011 amp. 4J7 600 amu. EA ADDL BR CIR. SIGNAL/PANEL IN PLANT MANLI HMISVCIFDR: 601 • 1000 ann) 601.ampe-1000V: MINOR LABEL: 1000-amplvolt PLAN REVIEW SECTION Reconnect only: -=4 RES UNITS: SVCIFDR>•223 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING. OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC.- LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICALOTHR: HVAC. DATA/TELE COMM: NURSE CALLS TOTAL M SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,901.97 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the 1672.SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS OR Tigard Municipal Code,State Specialty Codes and all other applicable laws. All work will be done WEST LINN,OR 97068 WEST LINN,OR 97068 accordance with approved plans. This permit will expire H work is not started within 180 days of issurnce,or if the work 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 Reg a LIC 130449 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 Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Pll nit. Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final i 1 Issued By : LTi C Permittee Signature Call (503) 030-4175 by 7.00 p.m. for an inspection needed the n6t business CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00154 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/23/02 SITE ADDRESS; 10499 SW NAE VE ST PARCEL: 2S110DA-05700 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 018 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE LIN TS: CLASS OF WORK: NEW DWELLING 1,11i'JI"S: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL. TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF. Owner: _ FEES RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR — WEST LINN, OR 97068 PRMT CTR 5/23/02 52,300.00 2.7200200000 INSP CTP, 5/23/02 x;35.00 27200200000 Phone: 503-557-8000 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all thr rules and regulations of the Unified Sewage Agency. The permit expirGzj 180 days from the date issued. The total amount paid will he 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 shall purchase a "Tap and Sidi wer" Perm Issued by: � G t.. (� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the 4x/t business da — -:94 T ICY / Building Permit Application Date received: / '� Permit no.:r11 j;' A_Ol City of Tigard � � �.�- Projecdappl.no.: Ex ire date: C'iryr!/Tigard Address: 13125 SW Hall BIv Igor . 2 3 — Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no. Payment type: Land use approval: Ll i Y ur 1 WARA) I&2 family:Simple Complex: 1 pQ I &2 family dwelling or accessory U Commercial/industrial U Multi-family )(New construction 0 Demolition J Addition/alteration/replacement U Tenant improvement U Birt tihnnklt ri,tl.tnn J()thcr: .1011 SI I FINFORMATION Job address: Q (,./ �i. Bldg. no.: Suite no.: _ Lot: ;uhdrvision: ��r/�,p,, //,; �, fax map/tax lot/account no.:,,;7,110bA •-4n5- 2V Project name: .��/eW" ` J5 P iJ Description and location of work kpremises/special conditions: _ se-10 41,/r - New_ f -I , USE CHECKLIST liFOR SPI'( IAL INFORNIA1 ON Name: r✓i a,rlu.rCe solar,(Floodplain,septic capacity, Mailing address: /6 7Z k/Ile,.-, Fs 11r ,•,,,7No. 2 family dwelling: City: L I i f 1,-10 State: ZIP: ............. '�7.T uation of work....... ................ _ 2 s Phone: �r J��•�� Fax: CSC /Ec+/ E-mail: of bedrooms/paths................................. Owner's representative: 5-'-v,n qW..T I Total number of floors.............. Z f Phone: G 7rg ?05(11 1Fax, (707 1, 1;3 E-mail.• New dwelling area(sq,ft.) .................1r...... +� .— r Garage,/carport area(sq.ft.)..........7...?..I,c!... Name: SuA"It Covered porch area(sq. ft.) ..................... .. Mailing address: _ Deck area(sq. ft.) ........................................ City: State: ZIP: Other structure area(s .ft.)......................... Phone: Fax: E-mail: Commerclal/Industriallmulti•family: �,l.011 ilia IL11 Valuation of work............................ .�........ $ Existing bldg, area(sq.ft. ........ .............. Business name: S°""' New bldg.area(sq. ft.) Address: '... Number of stories............... .......... ... — — Type of construction....... .................. .....City: �=Ip: . Phone: I ax: E-mail: Occupancy group(s): Existing: CCB no.: _ New: City/metro lic.no. 2 Notice:All contractors and subcontractors are required to be 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 City: ~ State: Z1P: exempt from licensing,the following reason applies: Contact person! Plan no.: _ --- Phone: Fax I E-mail: — Name: Contact person: Fees due upon application ........................... S Address: Date received: _ City: State: ZIP: Amount received ..............................•.......... $ Phone: I E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all lunubcnons steep credit cud,,please tail junsciicrton lot inure to mmmon attached checklist. All provisions of laws Ad ordinances governing this ❑Visa ❑MasterCard work will be complied with.w e ers C Of pOt. Credit cold number. y Authorized signature: AA7I Date: 0 / �� Now or cwdhokkt u shown on credit card Print name: � aipuime � •lmoam Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. worr i i(tv,IWOM) One- andTwo-Family Dwelling Building Permit Application Checklist Refemncenu.. -- -- —�� Associatedpertnns In(if Tigard City of Tigard U Electrical U Plumbing J Mechann:1 Address: 13125 SW Hall Blvd,Tigard,OR 97223 J(Wier Phone: (503) 639-4171 Fax: (503)(503) 598.1960 THE FOLLOWING r FORAAN I Land use actions completed.Sec jurisdiction uitena for concurrent reviews. 2 Zoning.Flood plain,solar halance points.seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Eire 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 U plan U 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 he incorporated into the plans or or a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright violations exist. _ I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property c.rmer elevations tit there is more than a 44 elevation differential,plan must show contour lines at 2-ft.in-crvals);lo.ation 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 dr-amage. 12 Foundation pian.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,vocation of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross sections)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 he 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 hearing 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 heam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code. :npllance, Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or snore appliances. _ 22 Engineer's calculations.When required or provided.(i.e.,she ,%all,roof tni,�)shall be starnpd. by ac engineer or architect licensed in Oregon and shall he shown to he applilahlr i,,the project under review 23 Five(5)site plans are required for Item 11 above Site plans roust he x-I v I I .n I I \ 1 24 Two(2)sets each are required for Items 16. 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 "Reversed"building plans must meet criteria outlined in the Permit& System Development Fees document. 27 No "mirrored" building plans will he accepted. 28 "Drawn to scale" indicates standard architect or engineer scale. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 4410-4614(~OM) Electrical Permit Application F No -�� Date received:"ME-wpm, I; ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: _TYPE OF WORK INVOLVED -RESIDENTIAL ONLY ----- -- ------ Restricted Energy Fee...... ............... ................................ $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq,fi or less __ $145 15 _ 4 Audio and Stereo Systems' Each additional 500 sq ft.or portion thereof $33.40 _ 1 Burglar Alarm Limited Energy _ $75.00 _ Each Manurd Home or Modular Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 Vacuum Systems" 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system......................................... . .. ........ $75.00 200 amps or less _— $66.852 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 — 2 401 amps to 600 gimps _ _ $133.75 _� 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circults ❑ New,alteration or ex'.ension per panel Boiler Controls a)The fee for brv,nch circuits with purchase of service or Clock Systems feeder fee. Each bunch circuit $6.65 Ej Data Telecommunication Installation b)The fee for branch urruits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 _ Each additional branch circuit $6.65 E] HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or inigation circle $5340 Each sign or outline lighting - $5340 - ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $75.00 Landscape Irrigation Control" Minor Labels(10) $125.00 _ Each additional Inspection over ❑ Medical the allowable in any of the above ❑ Per inspection $6250 Nurse Calls Per hour $6250 in Plant __ $73,75 Outdcor Landscape Lighting" Fees: Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ - ----_—Number of Systems 25%.Plan Review Fee Sen"Plan Review"section on $ No i rem,es are required Lice nsF.s are required for all other installations front of application -- -------•- Fees: Total Balance Due - Enter total of above fees =� UTrust Account tt 8%State Surcharge = Total Balance Due $ i Wsts\formsWc-fees.doc 06/07/01 Plumbing Permit Application _ IDaic received:�j / rl'r Permit no.; City Of Tigapermit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Cup of 1 igard Phone: (503) 639-4171 Project/appl.no: Expire date: Fax: (503) 598-1960 Dale issued: By: Receipt no.: Land use approval: Case file no.: Payment type: I I PF OF PERMIT I &2 family dwelling or accessory U Commercial/industrial U Multi-Iarnrly U Tenant improvement New construction U Addition/alteration/replacement U I,,,,,I .rrvn m' U other. SCHEDULEJOB SITE INFORMATION FEE t t Job address: j 0 .j w $�J _ Description (?ty. fee(ea.` I 14,(a Bldg. no.: Suite no.: _ New I-and 2-family dwellings (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR (1)bath _ Lot: Block: Subdivision: E /� ,� �,� l SFR(2)bath T Project name: -� / ,.,, , //,., !, SFR (3)bath -_ City/county:•„ .r Each additional bath/kitchen Description and location of work on premises: —C/, fir* Site utilities: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footingdrain(no. lin. ft.)PLUMBING CONtRAUTOR Manufactured home utilities _ Business name: L,aT Manholes Address: 7 7 sW 44, Rain drain connector _ City: /5,..,,,r�.,, State: kmK JZIP: 97100,9r Sanitary sewer(no, lin. ft.) V_ _ Phone:SJ5-6 q hl Fax: I E-mail Storm sewer(no. lin. ft.) CCB no.: 79660 Plumb.bus.reg.no: Z�_/y �o�, eater service( lin. ft.) City/metro lic.no.: Z�/CONTAVT PERSON fixture or item:: tlbsorption valve Contractor's representative signattIlt, -- Back flow preventer Print nacre: file .,//. Date: Backwater valve Basins/lavatory Name: •fie Clothes washer - — Dishwasher Address: Drinking fountain(s) City: State: ZIP: Ejectors/sumo Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): /� / Floor drains/floor sinks/hub _ e'�Urtta�fcP �u� ��t / 'n�rt Garbage disposal Mailing address: 16 7Z S7 / d • ;14 Hose bibb City: tm/p,f ,uN State: ryC ZIP: 1 7,M� _ Ice maker _ Phone: s'tS3 sS �y.+^'C fax: Email: Interceptor/grease trap Owner instal lation/residential maintenance only: The actual installation Ptimer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chaptar 447. Sink(s),basin(s),lays(s) Owner's si nature: Date: I Sump Tubs/shower/shower pan _ Urinal Name: Water closet _ Address: Water heater City: State: Z1P Other: Phone: Fax: I E-mail: otal Not all junj&ctions accept credit cards,please colt jurisdiction for more information Notice:This permit application Minimum fee .... . ........$ ❑Viso U MasterCard expires if a permit is not obtained Plan review(at _ %) $ — Credit card number _� / within 180 days after it has been Slate surcharge(8%) ....$ ExpiresTOTAL Name of cudhlder u oshown on credit card accepted as complete. ....................... _ S CardholAmount W4616 160m'omt PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual QTY ea AMOUNT_ (includes all plumbing fixtures In PRICE TOTAL Sink. 16,60 -- the dwelling and the first100 ft. QTY (ea) AMOUNT for each utility connection —_ _ Lavatory --- -i 16 6U One 1 bath _ _ $249.20 _ Tub or Tub/Shower Comb 1660 Two_(D bath _ $350.00 Shower Only 1660 — Three 3 bath $399.00 Water Closel 1660 - --- SUBTO1,L Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _^ Garbage Disposal - - T6-6 6 ----_- - TOTAL Laundry Tray 1660 Washing Machine - — 16.60 Floor Drain/Floor Sink 2" 16 60 ,l•- -- 1660 - - PLEASE COMPLETE: 4" 1660 Water Healer O convorsion O like kind 16 60 _ QuantltLr b ir Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit _ _ _ _ _ - -_— Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 4640 Lavatory _-_--. -- Tub or Tub/Shower Hose Bibs 1G 60 Combination _ Rocf Drains �— 16 60 Shower Only Drinking Fountain - 1660 Water Closet - - Other Fixtures(Specify) 16,60 Urinal Dishwasher _ Garbage Disposal Laundry Room Tray__ -- -- - Washing Machine Sewer- 1 sl 100' J 5500 Floor Drain/Sink: 2"3,. ---�-- — Sewer-each additional 10Y 46.40 _ 4" Water Service-1st 100' - - 5500 YJaler Heater Water Service-each additional 200' 4640 Other Fixtures Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 4640 Commercial Back Flow Prevention Device 46.40 -- - - --- Residential Backflow Prevention Device' 27 55 Catch Basin 1660 Inspection of Existing Plumbing or Specially 7250 --- Re uested Inspections -- per/hr _ _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65,25 — Grease Traps ------ - 16 6n -- -- _--__---. _—_-- --- QUANTITY TOTAL - ----- ----- ---- --- --- Isometric or riser diagram is required i1 -- �uantitY Total is >9 --- —�_�'—`-'-`-'�---- 'SUBTOTAL -- ---- - ---- - 8%STATE SURCHARGE --- ------ - -- - - ---------- "PLAN REVIEW 25%OF SUBTOTAL Required only d ruture r t total s -9 TOTAL $ "Minimum permit tee is E72 50-8%state surchary oxcepl Residential Backflow Prevention novice,which is$30 25+8%state surcharge "All Now Commercial Buildings require plans with isometric or riser diagram and plan review i\dstsUorms!plm-fees.doc 10/10/00 Mechanical Permit Application Date received: > / 4;0, �Permitno.: or City of Tigard ProJect/appl.no.: Expiredate: CaYof7igntd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued; By: Receipt no.: Fax: (503) 598-1960 Case file no.: Paymenttype: Land use approval: _._ Building permit no.: TYPE OF IX I &2 family dwelling or;ccesso,y U Commercial/indutiulal U Multi-family 'J Tenant improvement New con6truction U Addition/alteration/replacement 13 Other: 'INFORMATION 1 1WIEDULE- Job address: /Q q cu $t.✓' N %/Z. S?-` Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, 'Tax map/tax lot/account no.: profit. Value$ Lot: Block: Subdivision: Fr�Y•I sit+ 'e, b 'See checklist for important application information and Project name: it'i,e s s+ ,/r. G l`t jurisdiction's fee schedule for residential penin fee. City/county. G/a �, �,,,1 ZIP: 1 Description and location of work on premises: 1ywTc A,•� A., __ 1 s✓ Nee l ea.) 'I otal Est.date of completion/inspection: INL%crifidon Qt . Res.only I Res.only Tenant improvement or change of use: Is existing space heated or conditioned?LI Yes ❑No A;r handling unit CFM Air conditioning(site plan required) Is existing space insulated'>U Yes U No Iteration of existing nVAMystem oiler/compressors Business name: State boiler permit no.: f' ¢---�-217 HP Tons BTU/14 _ Address: 4990 S, A4g( f-4 Al Firetsmoke dampers/duct smoke detectors City: ', State:Of ZII' {j 7�/; eatpump(site plan required) Phone: 164 Z1/ Fax: 2(,( 7 g E-mail: nsta /rep ace furnace urner_—_ CCB no.: t $i Including ductwork/vent liner D Yes O No — --- osis rep ace.?e orate heaters-suspen e , City/metro tic.no.: //3 Z wall,or floor mounted Name(r,;rIse print): /(a" t^ �.`—`- Crit for appliance other than fumace of gerat on: Absorption unitsHTU/}f Name: ��,,� Chillers __ HP Address' Com ressors__ _ HP nv ronmental ex must anti ventilation: City: - State: IZI P 7- Apphancevent _ Phone: Fax: E-mail: Dryer exhaust no s, ype U I I/res.kite en/ azmat / hood fire suppression system Name: /1loo, PAL t�w f�r, ,PJ Exhaust fan with single duct(bath fans) Mailing address: 167Z $w },',jIIt,... ly? `n//s 4 Exhaust systema art from heating or AC Fuelp p ng an stn ut on(up to ot.t etst City: {t/. N,, State: :}!v' ZIP: 7 7m 6 Ir Ty LPG NG Oil Phone: S S 7 frive G+ Fax' 6 S G/6 v+/ E-mail: Fuel pipingeach a ;tions over outlets Process piping(schematic require ) Name: Number of outlets _ ter listed appliance or equipment: Address: _ Decorative fireplace City: State: �IP: _ Insert-type Phone: I ax. E-mail: Woodstovelpellet stove _ er: Applicant's signature: Other. Name (print): 5'7'#we Nu,,f Not all Jurisdictions accept credit cards,plena call jurisdiction for mar information Permit fee.....................S O Visa 0 MasterCard Notice:This permit application Minimum fee................S —L L expires if a permit is not obtained Plan review(at _ %) S Credit card number ,._� _ within 180 days after it has been F.x{+ties y State surcharge(896) ....S Name of cardholder as shown on credit card — accepted as Complete. TOTAL Cardholder signature Amount _ 4404617 lrtArVCOM1 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: D-=ription: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Ory (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents 14 00 fraction th •eof,to and Including 2) Furnace 100,000 BTU+ $10,000.0U. including ducts&vents 1740 $10,001.00 t-i$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 1 14 00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14 00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliaice permit $1.45 for each additional$100.00 or 680 fraction thereof,to and including 6) Repair units $50,000.00. 1215 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7.11,a" Comp Pump Cond fraction thereof. footnotes below. Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit a to 100K BTU 1400 8°/.State Surcharge $ -- 8)3-15 HP;absorb 25 60 unit 100k to 500k BTU 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb Required for ALL commercial permits onlyunit.5-1 mil PTU 35.00 TOTAL COMMERCIAL_ PERMIT FEE: $ unit301.7 mil absorb 5220 unit 1-1.75 mil BTU 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM _ 10,00 Value Total 13)Air handling unit 10,000 CFM+ Deacri Uon: Off_ Ea Amount 1720 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnare> 100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace including vent 955 16)Ventilation system not included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served mechanical exhaust d by hst Vent not Included in applicance 445 1000 eimit 18)Domestic incinerators Repair units 805 1740 <3 hp;absorb.unit, 955 to 100k BTU 19)Commercial or industrial type incinerator 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501k io 1 2,310 21)Gas pirlog one to four outlets mil.BTU _ 5.40 30.50 hp;absorb.unit, 3,-'00 22)More than 4-per outlet(each) 1-1.75 mil.BTU _ 1.00 _ >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU _ Air handlingunit to 10,000 cfrn 656 8%State Surcharge $ Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 858 _ TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not Included in 656 appllan _permit _ Hood served b mechanical exhaust 656 o th r Ins at 1� and Fees: - 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic incinerator+ 1,170 $72 50 per hour Commercial or industrial incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hourl Other unit,including wood stoves, 656 $72 50 per hour Inserts etc. 7 Additional plan review required by changes,additions or revisions to plans(rrinimurr Gas piping 1-4 outlets 360 charge-one-half hour)$72 50 per hour Each additional outlet! 63 "State Contractor 9oller Certification required for units>200k BTU TOTAL COMMERCIAL $ Residential A/C requires site pian showing placement of unit VALUATION: All New Commercial!Buildings require 2 sets of plans. iAdstslformslmech-fees doc 08/29/01 SEE 35MM ROLL # 20 F' OR OVERSIZED DOCUMENT CITY GF ?IGARD 24-Hour BUILDING Inspection Line: (503)u39=4175 MST ��X31 INSPECTION DIVISION Business L ine: (503) 639-4171 BUP Received __ —Date Re uested_ I� /0� _ AM PM BUP L� G� - Location _____-_1� / � ( o ma=— - Suite MEC _ Contact Person �,�� Ph(-I _air_0Z--PILM Contractor _._ Ph(--) _ SWR -_ BUILDING TenanUOWner -_ - --- - -- ---- FLC - - Footing _ ELC Foundation Access: Ftg Drain ELR Crawl Dra!n _ --- --- Slab 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: a ART FAIL 4G Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: -- Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers <I, ma PART FAIL - ELECTRICAL Service Rough-In — UG/Slab Low Voltage -- Fire Alarm Final �� Reinspection fee of —required before next Inspection. Fay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspech, i i?[ — _._ F U�iable to Inspect-no access Fire Supply Line I Ai proach/Sidewalk Date--&f'---- -_V —` Inspector .1LL� --- ------E-- Other _ Find DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL aI � � O � ► ► . b pop. � V 10, 4 p_ tTl n ► cr . ► H ► > 00 CD )Qk rim \ h ► ! w � Q � a Ni _ ti Q 1 n G � w� 1 b O ` v `' OA h O �lot F_ 5 Q ' •e F ro_ a' x CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST ') INSPECTION DIVISION Business Line: (5031639-4171 -- V, BUP Received ________--_ _Date Requested � - AM___-_ - PM BUP Location ^� -��`-' - Suite.- _ MEC Contact Person -_-_ _ Ph (- ) _ l -316 Z'' FLM Contractor__-.._. — -------- Ph (� ) — _-� SWR BUILDING _ Tenant/Owner - _ __. _ ELC - - Footing Foundation ELC Access: Fig Drain ►LR Crawl Drain - Slab Inspection Notes: SIT _ Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing - - - Firewall Fire Sprinkler - --- Fire Alarm 97 Susp'd Ceiling - _----- Roof Other: - —- - Firal PASS PART FAIL_ PLUMBING_ Post& Beam - ----- - Under Slab ___�___-_- ----.----------_------ _-- Rough-In Water Service -------------- ------..___._...___.., ---- Sanitary Sewer Rain Drains -- .--_-- Catch Basin/Manhole Storm Drain --- ---- ----- Shower Pan PA _PART FAIL HANICAL Post& Beam Rough-In ------------------ ------__ - - Gas Line mo a Dampers -------- --- -- -- -__._. - - Final PASS PART_ FAIL - - - ELEC_THICA_L. Service Rough-In UG/Slab Linn+Voltage Fire Alarm Final Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hadi Blvd. PASS PART FAIL_ SITE __ -� Please call for reinspection RE: _ ,_ _ Unable to inspect no access Fire Supply Line ADA � Approach/Sidewalk Date - - Inspector - _Ext Other: Final 4 N 7 itEM01iE this Inspection rocord from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received -_ _Date Requested_ C _ AM__ _ PM BUP Location - -- - L Suite _ MEC Contact Person _. . _ — Ph(_ ) y c�� PLM Contractor_ -_ �f %[ Ph( ) - SWR - -- - --_ BUILDING Tnant/Owner - - ELC Footing —�_- Foundation ELC Access: Ftg Drain ELR Crawl Drain - Slab 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 PASS_PART FAIL - ---- --- PLUMBING Post& Beam Under Slab — Rough-In Water Service - ---- ---- --- - ------ -- .__. Sanitary Sewer Rain Drains — — — - Catch Basin/Manhole Storm Drain ----- Shower Pan Other: Final PASS PART FAIL MECHANICAL__ _ Post&Beam Rough-In Gas Line Smoke Dampers ---- ---------- - — Final PASS PART FAIL - ELEC7RICAL Servi.3 ------ --- ----- -- Rough-Ind UG/Sia � -- — _---- --- - - - w of _ re A larm L PART _FAIL u Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ 0 Please call for reinspection RE:_ _ Unable to inspect-no access Fire Supply Line ADA ( f ,� Approach/Sidewalk Daft(--- ata .- Inspector _-1—��_E}� lnc,41 Ext _ Other: �C Final 00 NOT REM O%E this Inspection record from the Job site. PASS PART FAIL