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11679 SW Nacira Place
CITY OF TI�.7^RD MASTER PERMIT
PERMIT#: MST2002-00240
DEVELOPMENT SERVICES DATE ISSUED: 5/24/02
�-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITEADDRESS: 11679 SW NACIRA PL PARCEL: 1S135CD-NC004
SUBDIVISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT:004 JURISDICTION: TIG
REMARKS: New SF detached residence. Path 1
BUILDING
REISSUE. STORIES: 2 FLOOR AREAS REQUIHFD 5F1 BACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,402 at BASEMENT: -•f LEFT: 5 SMOKE DETECTORS: v
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,600 of GARAGE: 487 of FRONT: 30 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 5
VALUE: E 205.082 80
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,00200 of REAR. 42
PLUMBING
SINKS. I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAID DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS.
11.18I8HOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR. i GREASE TRAPS:
OTHER FIXTURES.
MECHANICAL
_PES FURN a 10OK: SOIUCMP<3HP VENT FANS: 5 CLOTHES DRYER: I
GAS FURN>•100W I UNIT HEATERS HOODS: 1 OTHER UNITS: I
MAX INP btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVClFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 4F OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION:
EA AOD'L 500SF 5 201 - 400 amp: 201 •400 amp: tat WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY. 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT.
MANU HMISVCIFDR But • 1000 amp: BOt•ampa•1000v: MINOR LABEL:
1000•ampivolt: PLAN REVIEW SECTIO
Reconnact onld: >•1 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAP"RRIG: PROTECTIVE SIGNL:
.RAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Contractor: TOTAL FEES: $, 7,532.80
Owner: This permit is subject to lhn regulations contained in the
WHITFORD/SCOTT LLC. JLS CUSTOM HOMES Tigard Municipal Code,State of OR. Speclelty Codes and
4088 NW BETHANY K5#381 17200 NW CORRIDOR CT.#110 all other applicable laws. All work will be dont4 it
PORTLAND.OR 97229 BEAVERTON,OR 97006 accordance with approved plans. This permit will expire N
work is not started within 180 days of Issuance,or If the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to followrules adopted by the
Oregon Utility Notification Center. Those rules aro set
Reg 4: LIC 13997U forth in OAR 952-001.0010 through 952-001-0080. You
may obtain copies !these rules or direct questions to
OUNC by calling(503)246.1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Electrical Service Gas Line Insp Appr/Sdwlk Insp
Sewer Inspection Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final
Footing Insp PLM/Underfloor Framing Insp Insulation Inso Mechanical Final
Foundation Insp Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Post/Ream Structural Plumb Top Out Exterior Sheathing Inst Water Line Insp Final Insp/lltion
Issued By : � h— _ ��_ Permittee Signature ,_,
39-4175 b 7.00 .m. for an inspection needed the next business day
Call (503) y p
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00157`
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/24/02
SITE ADDRESS; 11679 SW NAC IRA PL PARCEL: 1S135CD-NC004
SUBDIVISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT: 004 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarkr: Sewer connection permit for new SF detached residence.
Owner: -
_ FEES
WHITFORD/SCOTT LLC. � � —'---
4888 NW BETHANY K5#381 Type By Date Amount Receipt
PORTLAND, OR 97229 PRMT CTR 5/24/02 $2,300 00 27200200000
INSP CTR 5/24/02 $35.00 27200200000
Phone: 503-533-2255 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
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:ide 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 Side Sewer" Perm
Issued by: _ Permittee Signature:
Call (503 639-4175 by 7:00 P.M for an inspection needed the next business day
11Illl(fingPermit I ppliciltl(I�I1 �- Permitnoj,•ceiycd.
-
PrnjecUappl.no.: Expire date: C
of* "Tigard - -
Addn .. I i 125 S\V 11,111 Blvd.'1'igard,OR 97223 mile issucd: By Receipt no.:
0/Il;,lld Phone: (503) 61')-4'71
mem t r
(503) 598-1960 }} Cast file nn.: Pa Yf��
Y
' �./l�. I&2 faintly:Simple Complex:
Land use approval:
a•
'j(Nrs,'Coll-it U Demolition N
U I &l ' (artily d,arllu,l'.(II a. ",
re� ry U C'"11111CICIAIIIIdn`IlI'll U 111111-lanul _-
Addi(inn/alterautnt/repp;tcrltteltt U'I'rnanl in,pr(Ivrllteltl �Il;i • �{•In'I ,larnt UOthtr:
U _--
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Bldg. no.: Suite no.:
ax it IoUaccount no.:I3,R,4!� ..
Lat: Bhxk Subdivision: ----►�� _ - _—
projectuject tale
Iteation of work on premiscs/spccial con
Utscription and conditions:
- _ - - --
1 1
, I . . U 11111. ,
1 C
2 fantil}d„cllinp;:
l,II' T �'aluauoll of tcurl. f� 3
lltt �-�•.��..c_,_�C - — — - tin of hrdlu nl 7
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\t.11hnp 'O'lrr,s: — Olhct sttvculrr area(st. It.)....................... .
-----_-_-_ State• 7.IP: __ —
1.111 --�'--J --- --`-- ---
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Valuationuf work.................................. ....
I'h'nu•
irk I I1 ri-xisting bldg.arta(sq. ...... .......... ---.-ryr.-� -
I �� ' �` - New bldg.area(sq ft.) ............. .................
I)usiness name: : 1_` s -
- Z�_C _� Nuntixr of stories ....... ....
Address. _ Slat llp:
CII}': hZl�ung: -
[�� ,� I.-mail: Okcup;lnc} group
f'huttc� _� ) I --- ew: ____------
CCE3 nu _�-1 -- ---
C .metro lie.no.: Notice: All contractors and supxont
. ratto are required to be
x licemed %kill,the Oregon Construction Contractors Board under
procl�iont of ORS 701 and may be required to be licensed ill II,
Name: �x s L1� t --- )umthcu,ut where work is bring performed. If Ill('applicant
'- FJ_._1), . _�-.1. �l'4�.:.1 - - cxrn,p,l tr,nu licensing,the following reason applies:
Address: -��11 Slit 1.11':
City: t 1
Plan nu.: - ----
Contact person_yuL if-_ .---- i•nuul: -------- --
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I,rrrh\ ,rally I halve lead and rtvlunr,l Ill[%appht,ulim ,Incl(IlkJ`
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Mechanical Permit Application
-- Daterecelved: Permit
city of Tigard Projecl/appl.no.: Expire date:
('Ire(if Tigard Address: 13125 SW Hall Blvd,Tigard,OI2 97223 Datcissued: --_-- By: Receipt nu.:
Phone: (503) 639.4171
Fax: (503) 598.1960 Case file no.: Pa;meat type:
Building Permit no.
Land use approval: _
TYPE OF PERMIT
U I &2 family dwelling or accessory U C.ontmercial/industnal U Multi-fancily U Tenant improvement
New cons(naclion U Addition/alteration/replacement U Otter
Jot)address: 1 (0 CLL%\i't.� �.- Indicate equipment quanuucs In I>,ltrs Ix low. Indlralr(lie dllllal
lildf, nn. Suite na: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: Lj
It. Value$
Lot: DI(x:k Subdivision: •Sec checklist for important application information and
jurisdiction's tcc schedule for residential permit fee.
I'rojcct name:
_City/county' _
_
Description and k tion of work on premises: �_ pce(cn.) Total
I:st.(late of cuntpletion/m%pection: — — - - -- Ikurip[ion 01y. Kcs.only Kcs.onit
. C:
Tefutlu improvement or change of use: Air handling unit -__-
is existing space healed or conditioned'!U Yes U No Alf-conditioning(sue plan requ
Is exislittg space insulaletl'!U 1'i J No ATterat{on of'existing III TA_C'syste:n
tj�jl ( Boi cr compressors
State boiler permit no
Business name_ '( !(��) - 1 _ HP _ _'Tuns----- it f(1/11 _ --
A(tdress: d r irelimo a
c mper uct smut c detectors -- --- -- ---
-"� L'-� L1 t 1cat wm (sac In require _-
Crty: ----1�"i-'" -1ns1.IiT/repaccfurnacc/Irurncr
Pllottc� 1" 111'ii1 Includingductwork/vcnt liner U),usU No
CCI3 no.: Z 7i nstnll/rep acc7relocatchcaters--suspcn e
City/metro tic.no.: `2 c" 2 wall,or Moor mounted
_ r cat for app lance of Cr an furnace
Name(please print): L 1 Kefrigeratlon:
CONTACT ! Absorption units
Name: Corn ressors III'
Address: - — ,nv ronmental exhaust and ventilation:
City: Stale: 7.11': Appliance vent
Phone: fax: I: mail )rycrex gust
! Iloods,Type res its a azmat --
hood rite suppression system
Naltre: �4, L _ Exhaust fan with single duct(bath fans) -
A Aust system apart rum satin or AC:
Mailing alldrl'S5:_Llyffle-111 �_- -ue piping■n st u(on(up to 4 outlets)
City: , - spur (� ZIP- � _ - ___
1 --j - Ty{w —--Li l; NG OII
Phone Z: F;»'' a mail• uc i in ca—cdditionn over 4 uu(Tit s
process piping(schematic required)
Number of outlets
_Name - ----- ter wt—ml app (ince or equ pment: �(
— s 1 -
Address: L lkcoralivcfireplacc __
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stal '1.1 nsen type — ---- — --
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C'ily: - ± ` -- - slove/l>r el stove _
mail' (x ct: --------
Applicant's signaltlre: i =~ -- Dat' ' ! er: ---r _--_-- -
Name (print):_
— --------_-_--- I'crnul fee
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Liectrical Permit Application �x
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l.'lunebing Permit Application
_ ----- peterecaivod: Permit no. T tiU
City of Tigard Sewer pernril no.: Dulldlna pem it no:
Address: U.25 SW Hall Dlvd, Iig.•ud.UI 97113 INo t/a I.M: Expiredste:
Clryq(Tldurvl 1'htme: (303)639-4171 PP
Fax: OW) 598.1960 Dateluued 8y: Receiptno.: —
Land use approval -- - Comfile no.: Payment tyix:
6!2 family dwelling or accessory 0 Commcrcin i,ulustrlal U Muld-ramlly 0 Tenant improvement
New cottsltuction U Addition/al l.rtltinn/roplacement U Foul service U Other:
lob nddreas. ru — _ DM-rl tktn Qt'. '_ee 'M Total
Suite na:- Nen -atsd 1-rjjIl� rrI0r In nolyr -
III!!,.no.: _ _ (1erMdestson.rre.rnnliIlly con-11,an)
Tax Mop/lriA lothl= ial no.: 5fR(I)bath- --
I.nt: Block: Siobdlvl,lon: ! t 5f Ft(2) atb
Pmject mono: _ y — SrR(3)bath --
lily/county' �7.IP� __ hachaJtlit7un a tc en
_ Slteatllllkxt
Description and Ioc,ilrrrn f wt on pirm u+'__.._.�_.-
-� Catch ba,irtlaren drain
ivellS/eacTj iii ut nc t drola
List,date of crrrnpletiun6inrpection
anufev— •Wred home udilvice T _ _-
Bu'inossnance` �yrJclrcl'__L4o ,,_ --- -PLU1M14 1Y1 anoAddreaa: 2 �i'��Jd1 - —u rain connector F—�_ _ ----. —
Cily: J l r11_�
State:a r ZJf". l ranitery newer(ao. in,Il.j� ? — —�-
ffinne: Pax.(o' 4 U mail: — pmt newer(no.Ifn.(l.)
"'m' Plumd b.but.rc no: eter eery-Teo(no.1111. �
CCB no.: �(o; —_ 8__w-1-'s {ixhtre or Iteou
(`it /mrAty tic.no.: _. e" _
Akin tion valve _
Coatrnctamrn's representative ni6rrawn: fee low vomer
Print ne: G v ii�etc: CP/_1
eek flow v`7e ve
--
Nemo^ ea was r —
�_�--
Addre.+9:
MY _- Stntc: cctare/sum
plana; t'nx I±-mall: ix nsitm Ur
-•aturc iewtu cce I _
Name(print): �� u �lLt < eft' by r
11
at Spot
tvtailln addmic JILM bibb —
C ty State 7J P: ] _ `�_ '—'. er
Phone: -j.L lF rZ2 C B mail: ntetm grease trap _
Owner installation/Midendiol mai tenanoe only: The HOU 1 iredallatkmmeKs)
AM
W111 be made by me or the trtsi ince repair made b) my regular -koo( rain comma a
j
envloyca W or pMgWerty I ��r ORS(ltapter 441. 151(s. sa I(a),ISva(a) —
Uwners ai elute: Data H um
U vweNehvwer pan
_V nidi �-`
PN&nic: We_ F _ ;u- -- --_
Addreaa: L r 'ler
Cil _�z Sure: zll" 1 Atha
Ph 1 h'Wnlvt_
b N,a,a au'i en*.rwm on I.wrrM 6d ffv w` Mh revf .. .. f
Nutlrn:1LIe permit appllmllrx, plan review(at 'il) S
O Men 0 MaucrCard en,ire,if a permit it nm ubtalnKl
trr.m and mmbn a _._.- .---..-.�_ 1� widrin Igo days eller it bu been Srntc surctwge(8911 ....S
S
accepted an Complete
-ar nr,Qfn air.n +.e.in«leu ice.
50 . 63
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Garage
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concrete
a once and
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SW Nacira PL (Tract A)
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Private ST � �4
Scale V = 20'
11679 SW Nacira PL Applicant;
Whitford/Scott
Tigard, OR 4888 NW Bethany Blvd K5 381
Lot 4 Nacira Park Subdivision Portland, OR 97229
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CITY OF TIGARD 24-Dour
BUILDING [nspectinn Line: (5Q3) 639-4175 MST (1(I
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP --- -- -- ----
C'
Received — Date Requested
�__-____ Z Z 1 pAM_--___ PM __- BLIP
Location Suite_.— MEC
Contact Person _ _ -- - Ph( ) --_ _- PLM
Contractor -_ __- _- ___-_ _-_ Ph( ) -- __- SWR - -
BUILDING TenantJOwner ____T _- _ ELC
------------
Footing ELC
FoundationAccess:
Fig Drain ELR
Crawl Drain -- _
Slab Inspection Nole : 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:
T( A 5_7pART FAIL
PLUMBING
Post U Beam
Under Slab
Rough-In
Water Service -
Sanitary Sewer
Rain Drains - - -
Catch Basin/Manhole
Storm Drain "---
Shower Pan
Other:
Final
PASS _PART_. All. — -
Post&Beam —
R_ -gh-In -- -
Gas Line
.,pars - _- -- - - ----- ---
Fin
PAS PART FAIL ------ - ----- -- ..---- -- - -- _--._—_ -
ELECTRICAL
Service-- - _-�— ---- --- - .----------------- ----
Rough-In ------ ---- - --------
UG/Slab
Low Voltage -
Fire Alarm
Final Reinspection fee of$- ___— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS _PART _FAIL
SITE _ _j Please call for reinspection RE:- Unable to inspect-no access
Fire Supply LineAA
�� •
Approach/Sidewalk pa- J -1 6/ e2 Inspector _.-
Other:
Final '- p0 NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGQ^O 24-Hour
BUILDING Inspection Liras: (503)639-4175
INSPECTION DIVISIONBusiness Line: (503)639-4171 MST -
BUP
Received _-- _— Date Requested----'? AM PM - BUP —
Location i('�' Z') Suite —� MEC --_
Contact Person — - Ph(—) -ma7 y�;i- PLM —
Contractor_ —_ s Ph( ) — SWR —
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC _—
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 8 Beam
Under Slab --- -- ----- ---- - - - ---- -_ ---
Rough-In
Water Service
Sanitary Sewer -
Rain Drains -- - --- ------- --- ----
Catch Basin/Manhole
Storm Drain
Shower Pan
Other -- - --- --- - _ _ - ---- ---
PASS S _PART FAIL
-_----"-- -_ -_ -_---_ --_
A_NICAL
Post& Beam � ---__--------�--- --- --- -----
Rough-In
Gas Line ----
Smoke Dampers -` ----..- ---- - -
Final
PASS PART FAIL ----- -- --- ---------- - _
ELECTRICAL__
-
Sorvice ------- - - ----------- --- -- - - - - --
Rough-In
UG/Slab -_-_._--- --- -_-_-_- -
Low Voltage
Fire Alarm -----� - --- - v-_--
Final El Reinspection fee of�_—_ -required before next inspection. Pay at City Hell, 13125 SW Hall Bivd.
PASS PART FAIL_
'lease call for rainspection RE:-----__ -_- Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date- - ------ -_ Inspector
Other:-------__---
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST �'
BUP _
Received — Date Requested___ z- _ AM PM _ BUP
Location I �' c�-�Z�L,c� Suite —_ MEC --_—
Contact Person — _— -� -c�-� Ph(—. j �'' Z ` ��' PLM
Contractor___ Ph( j SWR —
BUILDING Tenant/Owner —^ _— ELC
Footing ELC
Foundation Access: —
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&BeamShear Anchors
Anchors - -
Ext Sheath/Shear _
Int Sheath/Shear
Framing --- __..--
Insulation
Drywall Nailing ------- - ------ -- -
Firewall
Fire Sprinkler -.--
Nre Alarm
Susp'd Ceiling -------------- -
Roof
-
Final ---- ` --.__-_
PASS PART FAIL `----- - --- - - --- --_
PLUMBING
Post&Baam--•-----. � ---__------ -------- -- ------- .-_-_----
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
ELECTRICAL
Service - ---- ---__ ------- -- --..__—_._—__.---:-
Rough-In
UG/Slab
Low Voltage ------ - -.-----------__-_ _- --
Fire Alarm
❑ Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
.QAS PART FAIL
SITE_---- L j Please call for reinspection RE: _ ❑ Llneble to inspect-no access
Fire Supply Line r
ADA /
A roach/Sidewalk Date_ - _G,�- InspectItV _. Ext _
PP
Other:-------- -
final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL