16600 SW 88TH AVENUE 1
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16600 SW 88TH PL
Community Development ELECTRICAL_ PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit #
PhonE M3) 639-4171 __ -7_ —
FAx (503) 684-7297 Date Issued (� , r� �S
CITY OF TIGARD TDC No. (503) 684-2772 Issued by
Inspection (503) 639-4175
1. Job Address: r`—
��( 4. Complete Fee Schedule Below:
Name of (development 1����C�'��f' c.-:�I/Q� Number of Inspections_ p per permit allowed —
/ /� �' / U
Address COc"q a G(/ S.,rnce Included
Items Cost(ea) Sum
City/State/Zip rJ'}§A
4a. Residential- per unit
1000 eq If or fear; $1 to 00
Name (or name of business)_ Fach addAlonal s00 arl II or
portion thereof $2500 SQ• t 1
Commercial[] Residential Limited Energy $2500
I Fach Manufd Home or Modular 9
Dwelling Service o,Feerlar 1168 JO
2a. Contractor installation only: -- -
4b.Services or Feeders
Electrical Contra o .>', rL1l'D"+,/ »tallelran,alteration, relocation
200 amps or lees SIX)00
Address-Z:/C), C;, `j j --_ 201 amps to 400 amps $8000 z
City_ rk r'�� State&- Zip_�, G I 401 amps l0 800 amps $120 00 2
Rhone No. 801 amps to 1000 amps $18000
Over 1000 amps or VON& $340 00
Contractor's License No. 3-,;�5<<)�,— —� Reconnect only $5000 -- --
Contractor's Board Reg. No. 4,1 1,,S- 4c. Temporary Services or Feeders
•1 Installation,alteration or relocation
Signature of Supr. Elec'r rn� 200 amps or lase $5000 2
License No,;2/ ji J 201 amps to 400 amps $75 00
401 amps l0 800 amps $100 00
over 800 IV-*to 1000 Vons
2b. For ON nor Installations: see W t1bP.
Print Owners Name 4d. Branch Circuits
Address "— --_ New.altbialton or extension par panel
a)The fee for branch crtculla IWfh
City _ State Zip pmehaaa or aarvin or bads,Am. 2
P. 1-ie No Each branch circuit $500
"— b)The fes for branch crrcints wfffieW
The installation is being made on property I own which is purcha,a of Service Of AmAer be 2
not intended for sale, lease or rent. Fest branch circuit $3500 2
Each additional branch circuit $500
Owner's Signature—__— _- _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): E 1101 Dump or Irrigation ands $4000 2
Each sign or outline lighting $40 00
Please ch,,ci appropriate item and enter lee in section 58. Signal circuit(s)or a limned arsrgv 2
4 of more residential units 1n one stntcturcz Wnsl, els(1 ) rn extension 10000
— Minor Labels(10) $10000 —
Service and teenier 225 amps or more -- --
System over FJ0 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E C Chapter 5 Pat Inspertion $3500
Per hour $55 00
Submit 2 sets of plans with application where arty of the above In Plant $5500
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a, Enter total of above fees $ d t
5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b,Enter 11%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED.
❑ Trust Account N 3
Balance Due
$
ccp,r',FJCATE OF
CITY OF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #t, . . . . . . :
13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)639-4171 DATE ISSUED: 11/13/95
2S 11 4AE)--0 1800
SITE ADDRE.�j,,. 16600 SW 88TH PL
SUBDIVISION- -- WAVERLY LSTA1ES Z CIN I NO:R---12
SI-Ock. . . . . . . . n LOT. . . . . . . . . . . . . :017
L.1-ASS OF WOW. :NEW
I'YPE OF USE. . . :c
P'�
OCCUPfINCY GPP. :5
OCCUPANCY LOW).2
marks : PATH 1,
; lwner.
IIELVIN WAYMIRF-..
P ID 103X 231164
TIGARD OR 97281
Phone #r 639-674,il
MIELVIN WAYMIRE
PO SOX 231164
VIGARO OR 972-81
Phunp'#a 639--6742'
Pet] i*. . : 'a'5976
Jer--tjfj(::jkte gr-atlt % OL-upipricy of the e')OYP viefereliced bl.tIldillig POtt301-1
ihereor and confirms that tt-e bUilding hAts been inspp(+.tpd far- compliance wi.th
1 h Stakto of Oregon Speciolty Cod*$ for the gt'�oup' occorlo'ncy' e p nd e r-
In p refe V'Mit Vl.AS illSfAed.
P-I L T1:11
PO',T I t4 CONS;P I COOL 12; P1. :'I(L
CIN OF TIGARD MASTER PERMIT. v
F'�RMIT #. . . . .. .. . .: MST95-02���:
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/10/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL:
SITE ADDRESS. . . : 16600 SW 88TH PL
SUBDIVISION. . . . : WAVERLY ES'T'ATES ZONING: R-12
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :017
BUILDING --_—_._____--____--_.---___.--_.—_---..
REISSUE:MST95-0114 DWELLING UNITS: 1 BASEMENT. .. . . . . . . :0 sf
CLASS OF WORK. :NEW DE:DRMS:4 BATHS:3 GARAGE. . . . . . . . . . 416 sf
TYPE OF USE. . . c SF FLOOR AREAS--._-- ---- ---- REOU I RED —
TYPE OF CONST. :5N F I RST. . . . :958 sf LEFT. . :5 ft R I GHT. : 1 Q• ft
OCCUPANCY GRE'. :R3 SECOND. . . :979 sf FRONT. :30 ft REAR. . :3.3 ft
STORIES. . . . . . . :2 F I NSSMENT:0 s f
HE IGHT. . . . . . . . .....'3 ft TOTAL---------: 1937 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . is 132047 PARKING SPACES. . : 1
Remarks: PATH I
PLUrYIDINC;
:INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :'r BACKrLOW PRE"VNTR3. . : 1
L.AVn"ORIES. . . . . .4 WATER HEATERS 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . .0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . .0
DISHWASHERS. . . . : 1 WATER LINO~ (ft ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISP. . . : 1 RAIN DRAIN (-Ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAIN5. . : 1
MECHANICAL, -._._. ._______._._.__._._____..._._.._._.____—__._._ FEES
FUEL TYPES-•----.-------- UNIT HTRS. . :O typF_ Amount tay date 1 :vc:pt
/GAS/ / / VCNTC. . . . :0 TIF $ 1F512+. 00 SW 06/1Z'/95 -
MAX INPUT:O STU VENT FANS. . : SWM $ 1101. 00 SW 06/18/95 -
r**URN ( 100K . . : I HOODS. . . . . . sl SWM $ 100. 00 SW 06/12/95
FURN ) =100K . . :0 WOODSTOVE-S. :O OPRT ? 515- 5111 SW 06/12/95
r-LOOR FURN. . . , :0 CLO DRYERS. : 1 EAPLC 50- 00 JA 06/06/95 95-266321
C1ClTl_/CMT ( ,'�,1IP:0 OTHC'R UNITS: 1 1%5'PC: i. 25. 78 SW 06/-' 2/95 _.
GAS OUTLETS: 1 PARK $ 500. 00 SW 06/12/95
MPPT $ 43. 50 SW 0C,/12/95
MELVIN WAYMIRE MPLC $ 10. 68 SW 06/12/95 —
P 0 LOX 2231164 M5r'C t. 2. 10 SW 1X6/10/95
3BTH t 225. 00 SW 06/12/95 -
I-IGARD OR 97281 P5PC t 11. 25 SW 06/12/95
'hone #: 639-6742 EROS; $ 64. 00 SW 06/12/95
20. 80 SW 06/12/95
,"ELVIN WAYMIRE ERPC 010. 80 SW 06/12/95 -
PO BOX 2::11164
71BARD OR 97281
hone #:
6,39-6742
35976
f 3319. 69 TOTAL
This perait is issued subject to the regulations contained in the --- -- -- REQUIRED INESPECTIONr, -------
'igard Municipal Code, State of Etre. Specialty Codes and all other Footing Insp Vll umb Top Out
applicable laws. All work will be done in ■.cordance with approved Foundation Insp Ft-mming Ir sp
clans. This permit will expire if work is not st r ed within 180 Past;Peam Struct Fireplace InsF
days of issuance, or if work is suspe r e an 188 days. roost/:Team Merharl Gas Line Insp
Crawl Drain Tnsul�ation Insp
c'e;,mittee ::ign,:ai: .l, tr ; _ _ ._ '1 / ndds,1insp EIp ar 1 rs
issued Py . Mechanical Insp Water- 1_.irio I,i,p
Call for, inspection 639--4175
CITY OF TIGARD SEWER I� ION
PERMIT-�
PERMIT #. . . . . . . : SWR95 _0c's0
COMMUNITY UEVELOPMENT DEPARTMENT DATE ISSUED:
13125 SW Hall Blvd.Tigard,Oregon 9721;f9319,# (503)639-4171
SITE ADDRESS. . . : 1660-I7 SW 88TH RL PARCEL: 2S114AD-01800
SUBDIVISION. . . . : WF;VE.R LY ESTo"4TES
FLOCK. . . . . . . . . , . ZONING: R-12
TENANT NAME. . . . _...__._.__-.-___-_----_-_-_________________--
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE: OF USE. . . . . :SF NO. OF RU I LD I NGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . :
:sr
Remarks : PATH I
I
Owner,: -__...._____.._.__ _..... ._._
._.....__.... FEES
MELVIN WAYMIRE type amol.Ant by date__ r,ecpt
E=' U FOX 231 164 F RMT $ 2. 00. 00 SW 06/12/95 -
TIGARD OR 972-81 IN''r.' 1 35. 00 SW 06/12/95
I-'home #: 639-6742
('ontractpr`:
,..ONTRACTOR NOT 061 FILE
Phone #: t 2`35. 00 TOTAL
Reg #. . :
This Applicant agrees to coeply with all the rules .nd regulations SewF rY Inspection
REQUIRED I INSPECTIONS - - --of the Unified Sewage Agency. The perr.t expires 1&2 days frog
the date issued. The total aeount pai, will be forfeited if the ------
pereit expires. The Agency does not guarantee the accuracy of the �—
side sewer laterals, if thv sewer, is not located at the aeasument "—' --
given, the installer shall prospect 3 feet in all directions frmethe distance given. If not to located, the installer shall plrchase _ ------ -
a "Tap and Side Sewer" Persit and the Agency will all a lateral.
t c>> mittee S1 gnat'.rr,e :
Coill fpr^ inspection - 639-417
CO 01
2�
Ve
Resi ntial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 16600 S.W. 88th Place
Subdivision: Waverly Estates Lot # 17 Office Use Only
Contact Date I / Initials
valuation: 2 r.--__ Result —
Planck'Rec #
New Construction Only: (Square rootage) Permit # /_Y/s F
House. Garage: J/rA Reissue of �'�`�"T ' CIS - VI ►`-/
Map & TL
Zone 1
Plat #Z�cr- ri+ toll��
C• rner Lot? Y N Flag Lot? Y N
Approvals Required
Owner: �I�11.itL[�aymire — ___._� •°� a„eF r r+
Planning Setbacks ^`' Solar('/
Address: --p-0, lox 23l jC,L1 _ - - Engineering
Other
Tiyiird,_ OR 972tlI --!
Items Reguired
Phone. ( 50:�L�.;1.2-b.7� --
Subcontractors —
Contractor: Mel yi n wa=i r. Truss Details
Other - _ -
Addres; -_game - -- ---
Notes __-
Phone: j_�_ 61q-674; _ — ----- —
Contractor's License # 35g7F, _--- - -`
(attach copy of current Oregon liceose) �
Contact Name: Mel Waymire
Contact Phone: 639-6742
Subcontractors: Architect/Engineer: Alan Mascord Desjun Assoc.
Plumbing. Harpny P1umhing 1nf-- _ Address: 1305 NW 18th Ave.. Portland 27209
Mechanical: General Furnace Inc. _
(attarh copy of current OR Contractor's License)
Phone: ( ) 225-9161
JOB DESC P ION: Construct single family home - Path "A”
` --- -
( 503 ) _ 639-6742
Appllc nt SignatA Applicant Phone number
Received by: �- _ D3 a Received:
'1npndhVM.M
Permit Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
-- r
Plumb. Permit (PLUMB)
Mech. Permit (MECN)
State Tax (TAX)
Bldg:
4
Plumb:
c
Mech:
Plan Check (PLANCK)
Bldg:
!"lumb:
Mech:
..Suw��'j Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) �'
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _ U
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) .FZ'
Erosion Planck:COT (EROSN)
TOTALS: �_�� r `3G' SSO .(gyp
u
a i
2146
e BY
y MEL WAYMIRE
J ,0 V) CITY OF TIGARD
v v WAVERL ESTATES
tl Q LOT 17
z rQc
J
00
L
33.0 �__op
�---
—.�- - 164'
02' E � w
a
do 4" CONC
6' � •+�"' DRIVEWAY � 166'
• GARA 13500 P911'
I b; EL.�T67.0,
30'-3'
L 66
_ - (
MAIN..FLOOR
166) :33,-10,.
8'w
1-0--25' ESMT •
alu I
z
17/
rORIGINAL
I
op
• -" 05/10/95 MPR
— O
A L A n f1Af 0 D D DC / icon AIIOCIATC / IP
1305 N VV 18TH AVENUE PORTLAND, ORE(:+(-)N 9720'4 (503I 225.9181 S C A L E 1 '�
PLUMB I I DEF.iyl T
CITY OF TIGARD PERMIT #. . . . .NL3 Irl1'3�iSt-5-0 36
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUE,): 06/12/95
F13125 S1N Hall Blvd.Tigard,Oiagon 97223.8190 (503)839.4171
PARCEL: 23114AD_01800
SITL ADDRESS. . . : 16620 SW 88TH PL
SUBDIVISION. . . . : WAVERLY ESTATES ZONING: R-12
BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . :(117
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTR5. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . ., . . . :2 TRPPB. . . :0
STORIES. . . . . . . . :2 WA''ER HEATERS. . . . . . : 1 CATCH BASINE"t. . . . . :0
I"IXTURES-------•--- - -.--..- LAUNDRY TRAYS. . . . . . :0 5F RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . . I GRE=ASE TRAPS. . . . . . . :0
LAVATORIE . . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . ., 3 WATER LINE (ft) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remar-ks : PATH A
OWNER:
MEL V I N WAYM I RE TIF $ 1550. 00 SW
0 BOX .231164 SWM $ 180. 00 SW 06/18/95 -
SWM $ 100. 00 SW 06/12/95 -
TIGARD OR 97261 BPRT $ 515. 50 SW 06/12/05 -
t,hune #: 639-6742 HPLC $ 50. 00 JA 06/06/95 95-2663,28
BSPC $ 25. 73 SW 06/13/95 -
Plumbing Contractor:------____---_ PARK $ ;00. 00 r-'.` 1216/12/95
Name :
f 43. 50 SW Crib/12/95 -
hlame : .fix q �, r1 �p� _ MPLC $ 10. 130 SW 06/12/05 -
Address : y. M5r'C $ :. 18 SW 06/12/95 -
City. _ tate : ,I)TEI $ �_;'S. 00 SW 06/lc:/9S _
Zip: F'hnne#k: P5PC $ 11. 25 SW 06/12/95
Additional flees not shown here. . . . . . . . .
This permit is i.ssu-:d subject to the reg—
REQUIRED INSPECTIONS
ilatiolis contained in the Tigard Municipal F'ootirlg Insp Insulaltion Insp
Code, State of Ore. Specialty Codes and al. l Foundation Insp Gyp Board Insp
other applicable laws. k111 wor-k will be done Post/Seam Struct Barin drain Insp
in .accordance with approved plans. This Post/Beam Ihechan Water Line Insp
permit will expire if wor,,< is not started Crawl Drain Water Service In
within IBB days of issuance, or if work is IIlm/undslab Insp Appr/Sdwlk Insp
suspended for more than 180 days. PLM/Underfloor Mechanical Finn)
Mechanical. Insp Plumb Final.
Plumb Tap Out Building Fin6,1
Framing Insp Erasion Contra
Fireplace Insp10-4 _-
-0...�..___ Gas Line Ins,)
r-1uth rite F'? �.�nb ng o ractor' Sigf)atore
Call for- inspection 6.39-4175
Contractor Nut.. HS :
CommunityDevelopment p RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. `
Tigard,OR 97223 PERMIT#— L L
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_ '-
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUFD By /f
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Addr-ssn RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40.00
`/ r' � '� ,?� (FOR ALL SYSTEMS)
City State Zir, e of Wnr- Involved; ,f� l Q n LD��'1�✓e_ S`t1'1Gl
PERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK J
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR Gd Audio and Stereo Systems*
180 DAYS. YBurglar Alarm
2. CONTRACTOR APPLICATION ��Garage Door Opener*
LI Healing,Ventilation and Air Conditioning System"
Contactor tylx 3/hu uum Systems'
L:J f)Ihcr
Adder •— _ —
fi -
Date
COMMERCIAL—Fee for each system . . . . . . . $40.0
�jj0
rS • !I z - ----_
--- (SEF OAR 918-260-260)
Props _��+!'►'�
G 728 . I I ( :+ t t'• Check Type of Work lny(?h%,;
Contraclor's Board Reg. No, ❑ Audio and Stereo Systems'
❑ Boiler Controls
Phone# -� _-�- ---�- ❑ Cluck Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ 1 ire Alarm Installation
Print Owner's Name Phone No 11 1IVAC
❑ Insirumrnlatiun
Address ❑ Intercom and Paging Systems
__ 1:1l andscapr,Irrigation Conlrol`
City Stale lip ❑ Medical
Ihls Iw snit Is Issuevl under(tAk ell H-t1n..t?n ihls applir and ago rs In make nal) ❑ Nurse Calls
restricted energy installatinns(mi)roll,unps or best undw this Iminil,end In rin till, ❑ OIlldr tt tr I Jnllsl,117r t.Igh1111g"
following:
1 ()nly ust+rlvorical licensed prrsrrns In do ins6dltlions whom rrrluurd It rrt.no 1:1Trull,,live Signaling
tmidential and other trtnsaciinns are eterytt from lit onsing these hour' ❑ Other
asterisks(') All nihrrs nerd licensing)
2. Cali for an Inspection whrn all of the installations under this permit art,ready
for Inspection at 501-634-417, 1:13. Purchase separale pernits for all Installations that are not marfy for Inspection Numher of Systems
when thr imprctor rs nut to Inspect under Ihis permit.
Nn In rnsl,s,ur nvprirrd I arena s ter required or all ether installations
4. Assume o•spi nnrhiht,for asauuag Iltat all mrmrtinns rrrptlrrrl by the inspr.I.it
Are tione ,111,11
5. Assume rrsponoiilrly it acalling Inr-11`01,11 inspta hon,alien all rot Ihr r urmr nuns 5. FEES
art,r injileled
11r person signing in•this permit Inusl hr the applii.int ora prrsuna. Enter Fees $
"
aulhorimd to hind Ihr appli(ant. _.
h. 5% Surcharge f 05 x total above) $ ,�
UC,
Signature --- -
TOTAL -r/V5 -7 $ Ydtx1
Authority if other than applicant
ENFRGAP.CHP
r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water -ine Insulation -Mech.
Underflr. Insul. Shear W d Gyp. Bd.
Date Requested: I _ Time: AM PM
Address: C>t�> S g �- �--
Builder: _2-R3Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
T < .K _
-j-z
Inspector: d/ i m c: 1l Date: �7
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Relnsp. 1,7
J i
CITv OF TIGARD ^.JILDING INSPECTION NOTICE/
Inspection Line (Rec-O-Ptoune): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceilir
9 Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab
Post/Beam Struct. Plbg. Top Out Mech. Rough-in Fireplace
Elec. Rough-in INAL:
Post/Beam Mech. San. Sewer Gos Line
Plbg. Underfloor •Bldg,
Rain Grain Framing -Plumb.
Alarm Water Line
Insulation C7 EVec .
Underflr. Insul. Shear Wall
Gyp. Bd. ect.
Date RequestedZ/ ��
Time: AM PM
Address: in S- �
Builder:�p y�y,4►C -
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�--
Insp r:
Date:
APPROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
`Call For Reinsp.