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8745 SW REILING STREET W J RE --- NG S AL 9 II �T - I oti ILII 0 <7 D u \ C.T1 E " I • rn \ i D \\O, W � t (D _' • n O 5._G" � 0 cf) � i _ N 98.00 SW HAII BLVD 0 0 N V �j N fn M io "' W y 1> W b ftt I t � J A 0 O r1r ma+t... w tea:r v uolr�.r aw r�o M n1+w.n r•ae.us w w�,.n dsl wee Smarlnei�'//`��' or oo VVpYr\a0/ L.L1OlS+m N6/VN.JMN IY Lp MQN�9.a0 _/ -mn.�.l,.ra'. trs NM1Hv...I t..�aar�YNa/4YhllY�r'T,7Y�r o IO.o�n�l��1.....a-.�1 W'.�•RN R.1..�"•71�RY .VCI4 MIRY Y�v s..f'�Kr�Y.IW M�A 1..4sORM~II IMO.yT Y~idY.Zv M�14 ,r�AM:�M•-.r.� RAu.vt�I..eY•.ewMmrl MrIM.. RESIDENTIAL I MULTI-FAMILY I STOCK PLANS Irpy WlMRlSi1f..T.aY•lY. •rM O.R�1•.Y Mtla►I.NlY.W10 Ntl 8117 SW SENECA ST. JUALATIN, OR 97062 503. 692.0808 Dwl,L ftappOL Li•x w ­6td6.• cm„w,, 5016y . N. C `� 1 c t 1 k"lS r T' I ) ...';..I, :.: :: ..'�'. }� y.,, 1 p•r.�. .. .�. :.. � .,... .icy, >•` � "� r ' Popp '`4 �� u�,.' ..y '�*"-�„ •°-�.ihy���'7,e- J NOTICE: IF THE PRINT OR TYPE ON ANY �I� II ` IIIIIII IIIIIII 1111111 I � IIIII II111 1 ( 11111 11111 ( 1 I ( lilll 1111111 1111111 I ( 111 ( f 1111111 IIIIIII 1111111 1111111 flllllf III 111 ( 111 I�f 1111111 1rTTri- f� IIIII III III 1111111 /f IMAGE IS NOT AS CLEAR AS THIS NOTICE 1..r2 IT IS DUE TO THE QUALITY OF THE "� 36 ORIGINAL DOCUMENT E 6Z 87, L7, 9Z 57. 'bZ EZ ZZ TZ UZ 61 Nt LI 9t 9I I � I EI Zt iT i I 6 IIIiIiIIIIIIIIIIIIIIIIIiIIIIIIIiIIII�IIIIiIII �.I�- l1 1i11III11.1I1llllLll �illll�lillliillllilllllllilllllllll (iIIIiII1IIIIIIIIIII(IIIIIIiIIIIIIiII �III �I�IIIII � �ul�lll liLl �lll ���11.1.11 l m1l1(((11��( 8745 SW Refiling Street CITYOF TIGARD MASTER PERMIT PERMIT#: MST2002-00297 DEVELOPMENT SERVICES DATE ISSUED: 7/8/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08745 SW REILING ST PARCEL: 2S111AD-09300 SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R-4.5 BLOCK: LOT: 066 JURISDICTION: TIG REMARKS: New SF detached dwelling. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASSOFWORK: NEW HEIGHT: FIRST ;'lig sI BASEMENT. sf LEFT 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 4l1 SECOND. I; CITYOF TIGARD SEWER CONNECTION PERMIT � DEVELOPMENT SERVICES PERMIT#: SWR2002-00202 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/8/02 SITE ADDRESS; 08745 SW REILING ST PARCEL: 2S111AD-09300 SUBDIVISION: SCHECKLA PARK ESTATES TONING: R-4.5 BLOCK: LOT: 066 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling Owner: �._�------ - - - - _ ___ _ FEES SUNDANCE HOMES 22554 SW VERDANT TERR Tyne By Date Amount Receipt — _– SHERWOOD, OR 97140 PRMT CTR 7/8/02 $2,300.00 27200200000 INSP CTR 7/8/02 $35.00 27200200000 Phone: 503-969-1233 A 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 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 Side Sewer" Permit and the Agency will install a lateral. ATTENTION. Oregon law r res you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 10 hrough OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 24 7. Issued by: _ Permittee Signature: Call (50?) 639-4175 by 7:00 P.M. for an inspection needed the next business day <<TS Building Permit Application .2- City 6f Date received: Permitno.:t � oo �� Address: 13125 SW Hall Blvd,'Tigard,OR 97221 Projccdappl.no., Expire date: City of Tigard Phone: (50:1) 639-4171 t (� Date issued: By: Receipt no.: Fax: (503) 598-1960 ( l� rl Case file no.: Payment type: -- — f family:Sim 1&2 le Com Land use approval: � _ y� lex:p p '1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alann U Other: Job address: Bldg. no.: Suite no.. Lot: (.( Block: Subdivision: .'C1i'c l_A 'P(Aa 1� FSTni'f , Tax map/tax lot/account no.: Project name: — — Description and location of work on premises/special conditions:—._ Name: j t,w n A '4 L J: 1.# . Mailing address: 2Z SS 4 5v\i Ve t,or+' r t c i 2 family dwelling: City: State: c ? :LIP: `t i � ;anon of work........................................ $ - y: .;(,e ewe:.:� Phone: `IC`! 17 3' Fax: E-mail: 1 of bedrooms/baths................................. Owner's representative: c. t t Total number of fl(x)rs................................. Z Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... 2"SZ—)0 Garage/carport area(sq. ft.)......................... -7?:,4- -- Name: �1 Covered porch area(sq. ft.) ............... ....... — -- Deck area(sq. ft.) ........................................ Mailing address: — ' /►'1 - -, City: State: ZIP: — — OQter structure area(sq. ft.)......................... _ E----- Phone: Fax: Ii-mail: — Commercial/industrial/multi-family: Valuation of work.... ................................... $ Business name: Existing bldg.area(sq. ft.) .......................... — ----- New bldg.area(sq. ft.) Address: , Number of stories........................................ City: State: ZIP' — �— Iype of construction.................................... — --- — Phone: Fax: E-mail: -------- - — (kcupancy gmup(s): Existing: CCB no.: I — _— --------------------------- New: _ City/metro lic.no.: Notice:All contractors and subcontractors ate required to be licensed with the Oregon Construction Contractors Board under Name: 7 i. J-1 i l•'l l provisions of ORS 701 and may be required to be licensed in the Address: 117 Skxi S.' ,Ki t ST ------ — jurisdiction where work is being performed If the applicant is Cit : T-(_t i\t,\l j State: 0.7 1 ZIP:`) `1C'( exempt from licensing,the following reason applies: Contact arson: .i Plan no.: L Phorn: Name__E ` Contact pemon: Fees due upon application ........................... $ Address: — Date received: City: ZIP: Amount received ......................................... $ — _-- Phone: Fax_ : E-mail: Please refer to fee schedule. — 1 hereby certify I have read and examined this application and the Not all iuridiction b'r'at%"edit cards,pkare call iuriuticction for mote inrormation attached checklist. All paovisions of laws and ordinances goveming this o visa U MasterCard work will be complied with;whetherpacifi9d herein or not. e•tedtt cud number -- r Authorized signatures �"c�/ e� Date:G lU `� Name or canfioidet as uawn on credil card i s Print name: 41 r ,laLNC` ---------_------ c:r;tn�tde7-.+gn:r,rrr xmoru, Notice-Ibis permit npplication expires if a permit is not obtained within 190 dors after it has been accepted as complete. 44n-413(60WOM) Plumbing Permit Application Date received: Permit no City of Tigard Sewer permit no.: Building permit Address: 13125 SW 1#all Blvd,Tigard,OR 97223 CirynfTignrA Phone. (503) 639-4171 Pro)ect/appl.no,: — Expire date, — Fax: (503) 598-1960 11Lt/~'il Date issued: fly- Recciptno.. tt n^AT! . T'!'r r'(r►h' Case file no: Payment type Land use approval: %f&2 family dwelling or accessory U Commercialfindustrial U Multi-family U Tenant improvement New construction U Addhiun/alteration/replacement U Fcxxl service U Other: '1 111 Description Qt Fee(ea.) 'Total Job address: - - --- New 1-and 2-family dwellings only: Bldg.no.: Suite no.: Tax map/tax lot/account no.: Z SI 1 ( (� cj 30c) (dudst•foreschuUlkyc000ection) _ SFR(1))bath U 6(� Block: Subdivision: 5biecklA r S1H1iE�" SFR(2)bath------ —J—— -- - Project name: _ SFR(3)bath _ v City/county: .7, ( ;�t�t� j wiK( , 71P: 77 Z 3 Each additional badt/kitchen Description and location of work on premises: _L_77 siteutilitlea: _ Catch basin/area drain Est.date of completion/inspection: Drywellsfleach line/trench drain offffiVIRUMN[IT-1 LU to Footing drain(no.lin.ft.) _ Manufactured home utilities Business name: 1 1 I NNIh 1 0(r Manholes Address: Rain drain connector City: P: 'Sanitary sewer(no.lin.ft.) Phone: 2311 Fax: E-mail: Storm sewer(no.lin. ft.) CCB no.: Plumb.bus.reg.no: Water service(no.lin.ft.) City/metro lic.no.: Fixture or Item: Contractor's representative signature: Absorption valve Y_ Back flow preventer _ Print name: _ Date: Backwater valve Basins/lavatory Name: Clothes washer Address. — Dishwasher Drinkin fountain(s) _ City_ State:-- ZIP` Ejectors/sump J Phone: -- Fax: _ E-mail: Expansion tank !� Fixture/sewer cap D/jry c C. (�M q:rin Name( S Floor drains/floor sinksthub _ P �t t� C S Garba a dis sal Mailing address: 2 7 s S- 4 S%(-( Ur-a ng),•r` T F R- Hose Bibb _City: r time IState: o-q ZIP: 10 14 Ice maker — Phone: 6`j 173=ax: E-mail: Interceptor/grrase trate_ — Owner installation/residential maintenance only: The actual installation Primer(s) _ will he made by me or Uce maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's si nature: Date: Sum Tubs/shower/shower pan Urinal _Nance:`—------ ---_ Water closet — -�- —^ Address: Water heater City: _ --- State: ZIP: T_ Other: Phone: _ Fax: � E-mail: Total Not all iurixktiom accept�t cards,pleAw coil jurirdiction rot neve infomutiort Notice: Itis pennit application Minimum fee................$ _ U Visa U MutetCod expires if a permit is not obtained Plan review(a( _ %) $State sumhar e Credit card number -------__ ._ --- _-- --_ L--�._. within I BG days atter it has been g (8%) .. rspiS ,r' TOTAL .$ Nair or c.ralmkler u ahnwn aro cRdit cTra accepted as complete. S Umcil"tlet denature Amount 440J616(ru[xN(:OM) Jan 07 02 12: 24p Giesele Sahaeon (503) 557-0919 p. l Mechanical Permit Application Dtuet'eOelved: Aermilno.�/ U%, ;✓ City of Tigard -- `J Projccd,ppl.no.: rvcpircduc CiryclfTignni ���': 13125 SW Hall Blvd.7igud,OR 97213 - — Phone_ (503)639-4171 Damusued: By: Reeeyptno.: Fix- (503)59R--,M ('_ase file no.: payment type: Land me approval: buil&ngpertnitno.: 1 U 1 do 2 family dwrlling or acccssrny ❑Conunercial/induxtrial O Multi-tinily O Tenant itrtprovemrnt Jzgcw cousbuctioo Q Adtlltion/alteradoni'mplacemrnl 0 Other, --- JOB SITE IN,i 1 e 1 t' lob address: ; q !-,,/ ,t'l N 1, lndicale equipment quanatiri in boxes below.Indicate the doper Bldg.no.: Suite no.. value of all mechanical materials,equipment.labor overhead. fax map/tas lot/account no.: Z 5 l 11 / - -- —� proftt Value S Loc (.( Block: Subdivision: `.,C I i t C V t r `s i 'Sec clicalist for imPottant appliradon mfortnation and Projeesnamcz jurisdiction's fee schedule for residential permit fce. Gty/county: '7 L-Nil O I In. 1Sl, ZIIt 7 t 1 t a Descripbon and location of wcttfc on prrmiscs: _ __ t e • at Fee(m) row ESL date of rnmpletiaolutspexsion i11sQiptittn Qty. ReLooly Res.otely Tenant imptavcmem or change of use: — t AC-- Is C113 dug space heated or conditinned°O Yes U lin u Nn _jAa b exitting ipacr itri;uhvd7 O Yes 0 No Art roar n `ate - A Lennon at"isung IVArysl"In • oiler/con Msars Businwnarne: Tri County Temp Control Srareboiler permit no: Addrems- 1 31 ; ) C l a c k a rn a s River Dr.. __ HP — _Tons_ BTUrtt - � F'urhtno�damprts/doctnmtltedeteclarx �m r.egon City Y97S� 77ZIP: 97045 �ir�tpump' �eueplanrcquitGdT_ _Phntt� 5— 2 O�uS 5�7- nu7 - -tnst ticetutwcrJfuwr`l — CCB Do.: 726,713 Iae)ttdin t�ytetwoettivcat liner 0 Yes 0 Nn Tnsall/rrplacr�rc�acatehtatees tucpenc�rd. - G7ty/metro lie.no.: 1 12 6 will,or floor vtotmmd Name(please ptnot): G 1 e 1 e S a o n - _Vent for app c otitis inaa tumors- - • Ahtnrpdontmits____ BTU/H Nanta: Giesele_Sahagon (�uflrts _ �_ 1& Addm - 13150 S. Clackamas River Dr. Cort r- on —�-- 11P t.QTttVNEWWat rX2113"toed r _Gtr Oregon Cit Stagy U R ZII' 97045 I1101.e vrot Phony. 557-2220 IF= 557-09 S.-i: Dtyrrci>1. si - oods,lVpe res_ ,Irhen/harm.t ---- nnod fin snpFtetttloa lystertt RE- flu tr r S 6xhatut fan with tingle duct(bath femx Ma17io add M, Z SS 4 S tai ( r /t'),l . �? atilt ftn wiitt spare oro t(bat .of A City: he R t. ,} Start:OR 78 ct_l 14 vevme..a ctp to•ou cY - T LPG NG oil tel Ptpm esrb uoo over 4 outlet OIL (scMn+.tir,reyttit W J _�-- Nattr4 Number M outleu Addezu Dceontive(hce pc�_._ State ZIP: �L_..__.___ i tJlJtt� r -- "- _'— tt/t len VC A Ittaatts slgr►atttre: / Date: V - N/t WO-6-Ac-ft stew a.st a.dk rk2w"d jwnaG i- •sr..w.n..« permit fee O Vita 0 Meet cCjm Notice:This permit application Minimum fee._.__..__.S rAdk cd...east expo"it a permit n not obtained pl in review(at %) S ' a wirhin 160 days after it has bete �-mune d r Im..w a ad accc)ttcd as carnplctc- State rurcharpe(9%)....s s TOTAL ........---.........S — •eoAan trtmao•o JAN-07-2002 11:45 IF-ROME ELECTRIC 5036489723 P.01 Flectricai Permit Application — — �' patereceived: f ity of Tigard Pro)ect/appl.no.: Expire date: CirykfTtgard Address- 13125 SW Hall Blvd,Tigard.OR 97223 Date issued: - vY By: Receipt no.: Phone: (503) 6394171 Fax: (503) 598-1960 Case File no.: Payment type. Land use approval: ,_..._ .., UPE OF PE11011T ❑� &2 farruly dwelling or accessory 0 Commercial/indu5in3l O Mulu-family O Tenant improvement �, cw construction O Addittutt/alteration/rvplacemcnt ❑Other. — 0 Partial INFORNIATI Job iddress: S t nr 1� 1 7( s7Bldg.no-: Suite no.: - Tax map/tax lot/account no.. . C l.ot: Block; Subdivision: c �, —_ Project name' Descri tion and location of wotk on premises: zitirnatcd date of complrlion/'tns tion: CONTRA"OKAPPLICATION L&T41IN! Job1no: Far M"` Business name: I F T R T C �'crfpttmn __ Q^ (en.) Total no.jnsp ��M��f Nes►residmtLl—sirsrk or multi-,wr Jy per Address: PO BOX 751 _ dnettutgwtk lnd,ides2rtw1w;garagc. City H I L L S B O R O SlactO R T71P 9 712 3 Seniaetncludcd Phone: 648-5144 Fax:6 4 8-9 7 2 --mai I: Fichaddition1000 sq.h or less 500 sq t — + CCB no.3 6 0 51 Elec.bus- lic.no: 3 4-119 C Lima al it ur franion thereof imitcdenergy,reaidenual 2 City/metro lic.no.: U 6 J Limtteden igy,non-residemtal 2 Each mnufacrured home or modular dwelling Signature -rn ing eleCUician_re i ad) [)ate Servide and/or feeder — 2 Sup.elect.name(print).D A V 10 A J E R O M E Lictmse no. 2 8 7 7 5 Services alteratio Or feeder—i4ftllllallUn, on or relocation: 200 amps or less 2 101 amps to 400 amps 2 �Tlrint): ,�L ItJ ,�k �}cn.lE- _ _ — _ — a0(amps to 600 amps Making address: tIV U r2 oio" l r i 601 amps to 1000 amps City: 'Lfy State: r ft I ZIP: ) 1 14 ,J Over 1000 amps or volts 2 E-mail: Reconnectoul I Owner installation:The installation is being made on property I own Temporary services or freden- which Is not intended for sale,lease,rent,or exchange accordins to Inst'llation,dle"tion,orrelontion: ORS 447,455.479,670,701. 100 amps'_0Itis 2 1 amps to ro 400 amps 1 Owpet's signature: Date; 401 to 6n0 antes �� 2 Brooch circuits•new,jitention, or extension per panel! rAddresi A rer for branch circuits with purchase of service or feeder fee,each branch circuit 2 �— State: ZIP B Fee for branch circuits without purchase of service or feeder fee.first branch circvu 2 Phone' Fat: Email: ,ch additional branch circutt rT PLAN REVIEW(Pleasie check all that apply) Mlsc.(Service or Feeder not Included): 13�'tervicewer215amptcommterciA C1Hralth-carefecrliry Eachpum�oriniguioncircle 2 ❑Service over 320ampi•ratingof1&2 OHumclouslocation Each signoroudinclighting _- — 2 family dwellings O Building over 10.000 scii—v ricer four of Signal rirruit(s)or a limited energy panel, 0Systensover 600voltanominal more residenti,dunits inone struciur. alteration.orexlension* 2 _ 0 Building over three stories O Feeders.400 amps or more *Des c i tion- _ — C3 Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable In any of the above. G EV mllightingplan 0 Other — Penins Submit_sets of plans reit)arty of the above. Invesngati_on fee The above are not applicable to temporary cotutrucilon service. other — — — --- ------ — Not all jurisdictioacxept credit cards.plea call jurisdiction For mac Infnrctaa«,. Notice:This permit application Permit fee............... .... S ns 0 Visa 0 MasterCard expires if a permit is not nbtained Plan review(at 9n) b Cr.dh.ara nymW _ ,_ J within ISO days after it has been State surcharge (3%) S _ •�"" accepted as complete TOTAL .......................S _. ��arnTpa older Y mown on tatdit[.ir S I SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE G & B PLUMBING PO BOX 1269 HILLSBORO, OR 97123-1269 Plumbing Signature Form Permit #: MS X2002-00297 Date Issued: 718102 Parcel: 2S111 AD-09300 Site Address: 08745 SW REILING ST Subdivision: SCHECKLA PARK ESTATES Block: Lot: 066 Jurisdiction: 11G Zoning: R-4.5 Remarks: New SF detached dwelling. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received 0VV;JER. Pf-UMBING CONTRACTOR: SUNDANCE HOMES G & B PLUMBING 22554 SW VERDANT TERR PO BOX 1269 SHERWOOD, OR 97140 HILLSBORO, OR 97123-1269 Phone # 503-969-1233 Phone #: 503-640-2311 Reg # I Ir. 19907 PI M 34-44PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber It you have any cluesticns, please call (603) 639-41 /1, ext. # 310 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 Cc-c� INSPECTION DIVISION Business Line: (503)63Q-4171 MST __- BUP Received — Date Requested .. AM PM BUP - Location _ _ _ - Suite- -- _ _-- - MEC Contact Person C -. �Ph(-- -_ -) - - --__ PLM Contractor__-� �-lYy� G �TI_[G'h(-- -) r SWR BUILDING Tenant/Owner -----_--------�. -__ - - -c? - _J ELC Footing - ------ -- ELC Foundation Access: Ftg Drain L� T ELR Crawl Drain Slab Inspection Notes: / SIT Post&Beam Shear Anchors -- - Ext Sheath/Shear Int Sheath/Shear -- Framing ----- --- _ - Insulation Drywall Nailing ,`��� �`� Srt._�£ o'er lseha�- Firewall - '. ., Fire Sprinkler _���`�*�" R-1L--�/ � c1 f -'T_�^ Fire Alarm I Susp'd Ceiling -- - -- - — Roof f! Other: - — - Final PASS PART FAIL -- r---- �- 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 ---- - ELECTRICAL Service -- --- _ - - Rough-In _ UG/Slab �- Low Voltage Fire Alarm SS PART FAIL Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. __-_ SI I Please call for reinspection RE:� _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �L�-`,� -�'�_ 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 MST -:2 INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received - Date Request d__ _ ____- AM ___ PM__k/ BUP Location ._- -7 zlr- _ _- _—Suite MEC - Contact Person Ph(___ ) �� r- /�- 3 PLM Contract -- -- _ _ -_ Ph( _) SWR _ UILDING Tenant/Owner ELC EI.0 Access: Foundation /)') Ftg Drain / - ' /i i ELR Crawl Drain Slab Inspection Notes: SIT - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation (-- Drywall NailingQ'—^ - -f C C Firewall Fire Sprinkler ---�./ -- - - Fire Alarm Susp'd Ceiling —--- - — Roof Other: -- sT_��L� 'TOS r_r__ C el- 1, PA_ FAIL_ P _ BANG -- —�__ C� f A P �- Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - ---- ----- — Catch Basin/Manhole Storm Drain ------- --- ----- Shower Pan i Other: - --�- __PAf4T FAIL - WE CHANIC P 1 _ Rough-In - Gas Line Smoke Dampers - - rn SS PART FAIL_ — - E TRICAL 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 _ [� Please call for reinspection RE:_ _— _ Unable to inspect-no access Fire Supply LineADA Approach/Sidewalk Date - /r /A) 2 Inspector I LL fEl[t---- Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL d O E w o 0 7 � ro Rcr G C G T o � C NJ � ri fi � `�+� � o 0 A 0 x