13425 SW NAHCOTTA DRIVE N
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13425 9W Nshcotte Drive
\ CITY O F T 6 G A R _MASTER PERMIT
PERMIT#: MST2002-00467
DEVELOPMENT SERVICES DATE ISSUED: 1/9/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13425 SW NAHCOTTA DR PARCEL: 2S105DD-03700
SUBDIV'31ON: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 013 JURISDICTION: 1 I(')
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 1.345 of SAS EMEf 1 EFT: SMLAE DETECTORS: Y
TYPE OF usr. SF FLOOR LOAD: 4c1 SECOND: 2,027 of GARAGE. 745 sf FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITSI 1wn0 F. RIGHT:
OCCUFANCY,;RP: R3 BORM ,I BA1H: 4 TOTAL: 3.°.3 al VA..UE: 731461 00 REAR:
PLUMBING
SINKt: 1 IVATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS.
LAVA,-ORIEu. 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CAI CH BASINS.
TUBISHOW,-:RS: 4 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS.
OTHER FIXTURES.
MECHANICAL
_ �F3 FURN<100K: BOIUCMP<3H': VENT FANS: 5 CLOTHES DRYER: 1
LPG FURN>•100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 2
MO blu FLOOR FURNANCES: VENTS: 1 WDODSTOVES: GAS OUTLETS- 4
ELECTRICAL
PESIDENI IAl.UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -200 snip: 1 0 - 200 amp WISVC OR FOR PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 7 201 400 amp: 201 - 400.anp tet W/o SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 - 500 amp- EAADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 1000 amp: 601+amps-1000v: MINOR LABEL.
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: SVCI1 9R>-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: X VACUUM SYSTEM: X AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGINO: OUTDOOR LNDSC LT:
BURGLAR ALARM: X 0TH: ALL BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL:
GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: X DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,482.57
D Ft HORTUN HOMES DR HORTON INC PORTLAND This permit is subject to the regulations Contained in tho
51."5 SW MACADAM AVE STE 145 5125 SW MACADAM AVE Tigard Municipal Code,State Specialty Codes and
PORTLAND,OR 97201 SUITE 145 all other applicable laws. All woo rkk will he done
PORTLAND,OR 97201 accordance with approved plans. This permit will expire If
work is not started within 180 days of Issuance,or If the
work Is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 50-2224151 Phone: 503-222-4151 Oregon Utility Notification!;enter. Those rules are set
forth in OAR 952-001-0010 through 952-001-0080. You
Reg" '_,iC 130859 may obtain copies of ihese rules or direct questions to
OUNC by calling(503)248-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post Beam Mechanica Plumb Top Out Exterior Sheathing Ins; Rain drain Insp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Draln/Backwater Electrical Rough In Gas Line Insp Water Service Insp Final Inspection
Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp
�Fost/Bean1 Structural Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
/ l
IssueBy: _ Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
SEWER PERMIT
C�wr1 OF "�"IGARD
DEVELOPMENT SERVICES PERMIT#: SWOU313
13125 SW Hall Blvd., Tigard, OR 97223 (503) lr39-417 i DOTE ISSUED: 1/9/0033
PARCEL: 2510`iDD-03700
SITE ADDRESS; 13425 SW NAHCOTTA DR
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: ()l; — _JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE_ UNITS:
CLASS OF WORK: NEW DWELLING UNITS: I
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF.
Owner. -------- -FEES
_---------
U R HORTON HOMES Description _ Date Amount
5125 SW MACADAM AVE STE 145 — — - —
PORTLAND, OR 97201 �SWUSAJ Swr Connect 1/9/03 $2,300.00
1SWUSA]Swr Connect 1/9/03 $0.00
Phone: 503-222-4151 1SWINSPI Swr Inspect 1/9/03 $35.00
ISWINSPI Swr Inspect 1/9/03 $0.00
Contractor:
--- — — — --- Total $2,335.00
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distanoe given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm
ri
Issl by: � 42 �L Permittee Sit
ure:,1,7
fi
Call (503)839 175 by 7:00 P.M. for an inspection needed the next business day
Building Permit Application
City of Tigard Date received: Permit n., ;
Project/appl.no.: Expire date:
CirynfTigard Address: 13125 SW Hall Blvd,Tigard,OR 9723 -- f
Phone: (503) 639-4171 Date issued: 4y, Receipt no.:
Fax: (503) 598-1960 Case file no.- Hymenttype:
Land use approval: _ 1&2 family:Simple Complex:
\�j
J 1 &2 family dwelling or accessory U Commercial/industrial 0 Multi-family XNew construction 0 Demolition rN
J Add idon/alteration/replacement 0 Tenant improvement O Fire sprinkler/alarm 0 Other:
JOB SITE INFORMATION
Job address: _ Bldg no.: Suite no.:
Lot: Block: Subdivision: 14 ) ,' � Tax map/tax lot/account no..
Project name: jA1 _ — \
Description and location of work on premises/special conditions:
- - V
FOR SPECIAL INFORMATION,
Name: v.�' f'�01'1 b CL7 l '
Mailing address: 125 5VI M ri. htt.jiW I &2 family dwelling:
City: Statc:0 ZIP: Valuation of �........... $
Phone: y 71 Fax: - -b7 -mail: No.of bedrooms/baths................................1. _ _ _ 1-7.Owner's representative U ( to V1 Total number of floors................................. _ "J
Phone: 1-,3;, Fax: E-mail: New dwelling area sq.ft.
Garage/carport area(sq.ft.).........................
Name: �7• Y''f"�Y 1�► Covered porch area(sq.ft.) .........................
Mailing address: VVI c Deck area(sq.ft.) ........................................ —
City: I I I State: ZIP: Other structure area(sq: ft.).........................
Phone: Fax: E-mail: Commercial/industrial/multi-family:
Valuation of work........................................ $
Business name:
I"I n Existing bldg.area(sq, ft.) ..........................
Address: New bldg.area(sq.ft.)............I...............
Number of�..
Cit State:p ZIP: � ..... .. —�
City: Type of con
Phone: - Isl Fax: M._12 E-mail: ---
-- Occupancysting: ^
CCB no.: p --+� New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
r licensed with the Oregon Construction Contractors Board under
"Name: to kt provisions of ORS 701 and may be required to be licensed in the
ddress: t Ljs �� jurisdiction where work is being performed. If the applicant is
City: State: Zip: exempt from licensing,the following reason applies:
Contact person: 61.4ki hw(ci
Phone: / I Fax: E-mail:
Name: .0 _ontact person: �.[atZ= Fees due upon application ........................... $ _
Address: _5L1g:�g�h Date received: _
City: State:p/� ZIP: / Amount received .................................. ..... $_
Phone: Fax:!/,fx -of q E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all tunsdictions accept credit cards,plea¢call jurisdiction tot mere o Vimtomuuon.l
attached checklist. All provisions of laws and ordinances governing this Visa :3MauterCard
work will be complied with, whether specified herein or not. Credit card number
_�—
n><pnes
Authorized signature: _ Date: '� Name of cardholder is shown on credit card
Print name: Cardholder signture Amount
Notice: This permit npplicauon expires if a permit is not obtained within 1 go days after it has bcsn accepted as complete. 4404613(6W/COM)
Mechanical Permit Application
Date received: Permitno.: Z-66
City of Tigard Project/appl.no.: Expire date:
Ciryn(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Reeeipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Building permit no.:
❑ 1 &2 fan ly dwelling or accessory ❑Commercial./industrial ❑Multi-family ❑Tenant improvement
0 New construction q Addition/alteration/replacemenl J()rbrr• a_
O; t t
Job address: Judicate equipment quatutucs in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials.equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision: 006C., ern;f" 'See checklist for important application information and
Project name: jurisdiction's Ic• schedule for residential permit fee..
City/county: 'LIP: _ I &2 FAMILY DWELLING
Description and oration of work on premises:
Fee(ea.) Total
Est.date of completion/inspection: Description Qty. Res.unly Res.only
Tenant improvement or change of use: 11i AC:
Is existing space heated or conditioned?❑Yes ❑No Air handling unit _ CFD I
Is existingspace insulated?Cl Yes ❑No Air condi'roning(ste plan required)
P A terauon o existing HVAC system
1 oiler/compressors
Business name: State boiler permit no.:
HP Tons BTU/H
Address: "? Fire/smokedampers/ uctsmo edetectors _
City: A Tstate: ZIP:pill 0 1 lien,pump(site plan required)
Phone: Fax: _ E-mail: Install/replacefurnac umerTOO BTtl/Ht
CCA no.: Including ductwork/vent liner C3 Yes L3 No
nstall rep ace/relocateheaters-suspended,
City/metro lie.no.: wall,or floor mounted
Name(please print): Vrnr ti,r'IVliance other than turnace �, O
Rcfril;erauon:
Absorption units _ BTU/H
Name: N(&Or/G p Chillers_ _ HP
Gj �y� Com ressora III,
Address:
n oamenu exhaust anU ventilation:
City: ti State: I ZIP D Appliancevent _
Phone6A_-4;; / Fax.-503-=,j47/'j E-mail: Dryerexhaust ,
194
Hoods,Type res.kitcheN azm—at
hood fire suppression system
Name: t-1i#wsJ Exhaust fan with single duct(bath fans) 5 (o, 80 3 ,60
Mailing address: Z �� _ Exhaust s stem a art from heating or AC
ell?
T-uef p ptng an st ton(up to outlets)
City: �r Q _ State:QlC ZIP Alto Ty)e e�
_LPG NG C1il ��� .5,40
Phone: /S Fax: E-mail: -tie )n in cac ad itiona overztoutcts
Process piping(schematicrequired)
Name: fl�y easy*/h t umber of outlets
t-i`i-Wffited appliance or equipment:
Address: �n( 5(" /y f.' _ ecorativefireplace _ X0,00100,60
City: ,: State: ZIP: :7/ nsert-type
Z�— oodstovc/p:let Phone: - Fax: t E-mail: —
Applicant's signature: t,_ Date:
Name (print): � /�
Not UI jurisdictions accept credit cards.pleat call jurisdiction for more rdorrnauon. Permit fee..................... I —�
❑Visa ❑MasterCard Notice:This permit snot obtained
-IQ
Minrmum fee................S
�__ _���_ expires if a permit is not obtained plan review fat — %) 3 _--�
Credit card number.
rxp„et within 180 days after it has been State surcharge(8%) ....S 3
Name of cardholder as shown on credo card eted as complete.S accepted p TOTAL .......................$ �
c:ardi,7lder sisrtsture amount 441x O(6MICOM)
Plumbing Permit Application
Date received: Permit no.:AL-yTZ60Z—C, [ -e
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.:
Cin,ofTigard phone: (503) 639-4171 Project/appl.no,: Expire date:
Fax: (503) 598-1960 Dote issued: By Receipt no..
Land use approval: Case file no.: Payment type:
O 1 8c 2 family dwelling or accessory ❑Commerciallindustrial ❑ Multi-family 0 Tenant improvement
New construction O Addition/alteration/replacement _J Food service ❑Other:
JOkSITS INFORMATIONr
Job address: 72Desscri rtion . Eee(ea.) Total
Bldg. no.: I Suite no.: New I-and 2-family dwellings only:
Tax map/tax lot/account no.: (includesl0oft.for each utility corurection)
SFR(I)bath
Lot: Block: Subdivision: tl�i�' SFR(2)bath
Project name SFR(3)bath
City/county: rd 1 ZIP: Each additional badVkitchen
Description and Itlention of work on premises: Siteutllities:
Catch basin/area drain
Est.date of completion/inspection Drywells/leach line/trench drain
CONTRACTOR Footing drain(no. lir. ft.)_ _
Manufactured home utilities
Business name: �� �, P1KM1Qi" _ Manholes
Address: Rain drain connector
City: 6 L4 Sanitary sewer(no. lin.ft.) _
Phone: - p34 IF..u: E-mail: Storm sewer(no. lin. ft.)
CCB no.: Plumh. bus.reg.no:"34- Water service(no.lin.ft.)
r'.ity/metro lic.no.: Fixture or Item:
Contractor's representative signature: Absorption valve
ti Back flow reventer _
Print narne: fI Date. Backwater valve _
PERSONBasins lavatory
Name (�D Clothes washer _
/2�- /i��' Dishwasher
Address:
Cit :y Drinkingfountain(s)
I Statev<_ Z1P: 7
_�.��� Ejectors/sump _
Phone: -111 / Fax: r7l E-mail: Expansion tank
Fixture/sewer ca
Name(print): Hrrf-vi �t7wws Floor drains/floor sinks/hub
Mailing address: Com-7 Garbage disposal
-� Hose bibb
City: State: ZIP: Ice maker _
Phone: Fax: 2 9/,7 E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employe-on the property I own as per ORS Chapter 447. Sink(s), basin(s), ays(s)
Owner's signature: Date: Sump
Tubs/shower'shower pan _
Name: Y%ek ' ''076U11'W4Urinal
Water closet
Address: yS-z./ 5F 1 afar heater
Citv: l 5 tate.120,1 Z IP: Other
Phone: Fax: _1,&�E._rnarl_ Total /�
Not
ail tunarLcuom accept credit card,,please call junidicuon for moa mtormawn. Mint muni fee................$ _ r 6�.)
Notice:This permit application Plan review(at
❑Visa 7 MasterCard expires if a permit is not obtained — c�—
Credit cord number:_ —1 � State surcharge 18%) ...$
3 �-
rav 1ti within 180 days after it hes been L 9 '
---- -— accepted as complete. TOTAL .......................$ _ .,a z-
Nune of cardholder u abown on credit cud
Cardholder signature v mount 4(14h16 UvWtt:0111+
Electrical Permit Application
Datereceived: Permit no.:kA5.
City of Tigard Project/appI.no.: Expire date: _
CirynjTigurd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receiptno..
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
1
❑ I &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑Tenant improvement j
New construction ❑Addition/alteration/replacement ❑Other: ❑Partin:
JOB SITE INFORMNY11ON
Job address: Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: _ ubdivision:
Project name: t, Description and location of work on premises:
Estimated date of completion/inspection:
1CONTRACIOR I at a
Job no: Fee Max
Description Qty. (ea) Total no.insr
Business name: New res.idential•single.ormulti-family per
Address: dwelling unit.Includes altarlsed garage.
City: State: Z1P: Service included:
Phone: - Fax: E-mail: 1000 sq.ft.or less
Each additional 500 sq.ft.or portion thereof Z
CCB no.: Elec.bus. tic.no: l0 Limited energy,residential 2
Cil)'/metro lic.no.: Limited energy,non-residential 2
Each manufactured home or modular dwelling 2
i
Snarrlr[o supervising eiactrkian(required) Date Service and/or feeder
Sup.elect.name(print): License no Services or feeders—Installation,
alteration nr relocation:
200 amps or less 2
201 amps to 400 amps
Name(print): S 2
401 amps to 600 amps
Mailing address: 601 amps to 1000 amps 2
City: ArnoN State: ZIP: Over 1000 amps or volts -- 2
Phone: I Fax: I E-mail: Reconnectonly I
Owner installation:The installation is being made on property 1 own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,er relocation:
200 amps or les 2
ORS 447,455,479,670,701. 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 ams 1
Branch circuits-new,alteration,
or extension per panel:
Name: s V {Z A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: State: ZIP: Q B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit:
Phone: 1=ax(jIj - E-mall: Each additional branch circuit.
Misc.(Service or feeder not Included):
J t,ice over 225amps•commerad U Health-care facility Each pump orirrigation circle _ 2
U Service over 320amps-rating of I&2 U Hazardous location Each sign or outline lighting _ 2
family dwellings ]Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel.
U System over 600 volts nominal more residential units in one structure alteration,or extension*
O Building overthree stories U Feeders,400 amps or more •Descn uon:
U Occupant load over 99 persons 0 Manufactured structures or RV park. Fsch additional inspection over the allowable In any of the above:
J Egres Jlightingplan U Other Per inspecuon
Submit—sets of plans with any of the above. Investigation fee
ore are not applicable to temporary construction service. Other
Permit fee.....................$ 3r
Sint all iudu .sept credit cards,plum call)unrdicuon lot more inlormi uun. Notice:This permit application
❑visa J MasterCard expires if a permit is not obtained Plan review(at _ %) $
Credit cord number' -- __L—L_ within 180 days after it has been State surcharge(8%) ....$
Expires accepted as complete. TOTAL ..........$
!June or cudhol r ae thaw0 on credit cud
S
Cudholdet signature Amount 4s0.1615(6MCOM)
CITY OF TIGARD 24-Hour —
BUILDING Inspection Line: (503)539-4175 _a
INSPECTION DIVISION Business Line: (503) 639-4171 MST
� ,,�� SUP
Received .. / Date Requested ,2v AM_ _. PM BUP _
Location 1.C �) Suite__ _ MEC
Contact Person ----- — pill—) l 7J�fit/ PLM _---
Contractor__---_--.-- --- -- --- Ph( ) SWR
BUILDING Tenant/OwnerELC
Footing
Foundation Access: LLC
Ftg Drain ELF!
Crawl Drain _ --- - --
S!.ib 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 — -
SS_� PART FAIL ---- --- --- -
Post& Ream
Under Slab
Rough-In
Water Service
Sanitary:ewer -
Pain Drains
Catch Basin/Manhole
Storm Drain - ---
Shower Pan
Other: -- ---__ -
Final
PASS PART_ FAIL — --- -- - -
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
anal - -
_-VAS'3��. PART FAtI -- - - ---_-_
�E_t_£@TRICAL-
Service -- -
Rough-In
UG/Slab -
Low Voltage .-.----
- - -- - ---
ire Alarm
Final
PASS PART FAIL Reinspection fee of$__-_____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE E] Please call for reinspection RE:_ Unable to inspect--no access
Fire Supply Line
ADA `)'
Approach/Sidewalk Daft 0 U Cnppector - �/-�/ `� Ext
Other:
Final QU NOT REMOVE this Inspection record from the doh site.
PASS PART FAIL
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CITY G'r=TIGA►RD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION B-isiness Line: (503) 6394171
BUP _
Received Date Requested S AM __ PM __ BUP
Location 122 aZ ! ( Suite MEC -- --
Contact Person -��' Ph( ) . S !cl"�J'�l_ PLM -_-
Contractor. _ ._ Ph(—^_) _ --. SWR
BUILDING Tenant/Owner - -_-__-- — ELC
- -�-
Footing--
Foundation Access: ELC
Ftg Drain
ELF!Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ---- ----- -
Ext Sheath/Shear C
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing - - --
Firewall
Fire Sprinkler -�--_-
Fire Alarm
Susp'd Ceiling - - -
Roof
Other: - - - -
Final
PASS PART FAIL
"PiCUMBIN
--rieam
Under Slab -- _
Rough-In --
Water Service
Sanitary Sewer
Rain Drains ---- �—
Catch Basin/Manhold
Storm Drain
Shower Pan
Oth -- - --___ - - —
WS
S PART. FAIL
`MECHANICAL_
Post&Beam
Rough-In
Gas Line
Smoke Dampers
?PA'S
PART FAIL -
_
Service
Rough-In
UG/Slab r
OW vdii-ap p" —
re.:alarm -
",e4TtFAIL� 1:1Reinspection fee of$ _—required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
S _ ❑ Please call for reinspection RE:__ - -__ _ ❑ Urable to inspect-no access
Fire Supply Line
ADA _57' Z-(j Inspector _
Approach/Sidewalk date -- p -/ +� Ext
Other:
Final OO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL.