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7895 SW FANNO MEEK DRIVE
CITY OF TIGARD PERMITT##:BUILIPRMIT
: BLIP20U3-00215
DEVELOPMENT SERVICES DATE ISSUED: 4/30/03
13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S112BA-90000
SITE ADDRESS: 07895 SW FANIJO CREEK DR BLDG
SUBDIVISION: BONITA FIRS VILLAGE CONDO II ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
REISSUE:T FLOOR AREAS _ EXTERIOR WALL.CONSTRUCTION
CLASS OF WORK: AL'f-a� FIRST: sf N- — S: E: �W:
TYPE OF USE: Mf SECOND: sf PROJECT OPENINGS.
TYPE OF CONST: sf It: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
BSMT'?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft ^FIR SPK!-: SMOK DET:
DWELLING UNITS: FRNT: ft REAP'.. ft FIR ALRIA : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,865.00
Remarks: Remove tile roofing repair sheathing if necessary and re,uof using origir<il No.
Building 7895 1Init#2 only.
Owner: Contractor:
ASSOCIATION OF UNIT OWNERS OF CC & L ROOFING CO
BONI FA FIRS VILLAGE CONDOMINILJ 3319 SE 92ND AVE
BY STERLING PROPERTY SERVICES PORTLAND, OR 97266
TIGARD, OR 97224
Phone:
Phone: 503-774-0928
Reg#: LIC 46625
_ FEES REQUIRED INSPECTIONS
Description Date Amount _ Dryrot after tear off
I 'lLf)j I'ernul Fee 4/30/03 $62.50
Final Inspection
lil
ITAX] 89/,Slate Tax 4/30/03 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code. Sta;Q of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire .f work is
riot star ted within 1 F,' days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules idopted by the Oregon Utility No' ;ication Center. Those rules aro set forth in CAR
952-001-0010 through OAP. 952-001-0100. You may obtain a copy of these rules or dirc t_' questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344.
/0,1
Issued By: ,_Permitteelni'nsl',ection
Signature: 17Call 639-4by 7 m. for the next business day
R OFIFICF IJSF 0'N 111'
Building PermitAnWication '
— _ Received Building r
--- Date/B ,0'S b Permit No. V w3-00.2('-
City ofTigard Date/ate/ng Approval Other —
B Permit No.:
13125 SW Hall Blvd. Plan Review Other
'Tigard,Oregon 97223 ate/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use
Date/By: Case No.
Internet: www.ci.tigard.or.us Contact Juris,: N See Page 2 for
7.4-hour Inspection Request: 503-639-4175 Name/Method: _._ Supplemental Information
TYPE OF WORK REQUIRED DATA:
�PNew constru ioa_�_ Demolition 1&2 FAMILY DWELLING
dditi alteratio rplacement Q Other:
GORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate
the value(rounded to the nearest dollar)of all equipment,materials,labor,
1 &2-Famil dwellin Commercial/Industrial overhead and profit for the:•,ork indicated on this application.
❑ A__ccesso Building___ Multi-Family
Masts Builder Other: valuation.........................................................
f baths:N
bedrooms: o.o
_
JOS SITE TNT ORMATI(1N and 1, ATIf1N No.of be -----
.l� Total number of floors.....................................
S F,
Job site address: w If,
New dwelling area(sq.R.).............................. _
Suite#: — Bldg./Apt. : 7'6q Garage/carport area(sq.ft.)............................
Project Name: Ic�:J Covered porch area(sq.ft.)............................. _
Cross street/Directions to job site:
Deck area(sq.ft.)............................................ ---- - -
Other structure area(sq.fl.)............................
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: _ —!_� Lot#: -
Tax map/parcel #: Note: Permit fees*arc teased on the total value of the work performed. Indicate
ESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
-- -- , overhead and profit for the work indicated on this application.
IValuation.........................................................
———
Existing building area(sq.ft,
----- - --- — New building area(sq.fl.)...............................
----------
Number of stories............................................ _
PROP 7'Y OWNER =TENANT — Type of construction....................................... —_
atpe; uE y�q 1 Hv:K l Occupancy group(s): Existing:
New:
Address- !� 'acu S LO __-
Ciyg rte/Zip: o (rte T T I2-o
Pho•.�e: pax; �-� � NOTICE: All contractors and subcontractors are required to be
APPLICANT CONTACT PERSON licensed with the Oregon Constmetion Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: __ __ urisdiction where work is being performed. If the applicant is exempt
Contact Name: rom licensing,the following reason applies:
Address:
City/State/Zip__--�- -
Phone: BUILDING PERMIT FEES'
E-mail: _ Please refer to fee schedule.
CONTRACTOR --- — —— --
Bt,sii,,.ss Name: t ►'� �— Fees due upon app!ication......
Ad4ress: 3319 - q ZNi
—
City/St tte/ZiAmount received............. .
...
2 c��
Phone: -:�`2 pax: -1x635 Date received:-- _
CCB Lic #: —
AuthoriZe,lr( � 4 h rr Notice: Thi%permit application expires if a permit is not obtained-ithin
Signature: 1-� G Date:-0_f FpN�� 190dols after it 112%been accept cd as comptete.
*Fee set b% frl-('oonh Building Industry Service Board.
(Pleas print name)
i.\Dsts\Permit Forrrs\BldgPermitApp dcc 01103
One-and Two-Family Dwelling
Building Permit Application Checklist Referenceno.:
Associated permits:
City of Pi,gnrd City of Tigard U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 U other:
Phone: (503) 639-4171
Fax: (503) 598-1900
THE FOli,LOWING ITEMS ARE t t FOR
1 Land use actions completed.See jurisdiction criteria for concurrent reviews.
2 c uiehig.Flood plain,solar balance points,seismic soils designation,historic district.etc'---
3
tc_3 Verification of approved platllot.
4 Fire district___ approval required.
5 Septic system perm .)r 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 lavation 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 on a separate full-size
sheet attached to the plans with cross references between plan location and details, Plan review cannot be completed
if copyright violations exist. _
11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elev Uions(if
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-11.intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot
area;building coveinge area;percentage of coverage;impervious area;existing structures on site;and surface drainage.
12 Foundation plan.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,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _
14 Cross section(s)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 be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,raif slope,ceiling height,siding mi terial,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 chrnge 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 klans.Must indicate details and locations;for
non-prescriptive path analysispr(vide specificatic;.rs and calculations to engineering standards.
17 Floor/roof framing.Provide plans for all floors/mof assemblies,indicating member sizing,spacing,and bearing
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 beam/joist carrying a non-uniform load.
20 Manufactured floorlroof truss design details.
21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or
architect licensed in()regon and shall he shown to be applicable to the project under review.
23 Five(5)site plans are required for Item I I above. Site plans must be 8.1/2"x 11"or I I"x 17".
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. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
2 "Drawn to scale"indicates standard architect or engineer scale. _
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checklist must be completed before plan review start date. Minor changes or noic3 on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 440-4614 tc XWOM)
CITY OF TIOAnD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
Received —_ __ Date Requested AM— _PM _ BUP
Location - � 7✓r� l�- Suite MEC _
Contact Person __ __ �'�- � Ph 1—) :7-7 q — G `j� PLM
Contra -----__..m___-r.__.._ __- Ph ( ) SWR
lU..DIAr} Tenant/Owner _/ b� Ic ELC
Footin
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain —
Slab Inspection Notes: SIT
Post&Beam �-
Shear Anchors -- - -�T�- -�
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - ------
Insulation Iver
Drywall Nailing -- -- —
Firewall "/�
Fire Sprinkler - --
Fire Alarm
tSus 'd( ailing _
not i
er:
Final v
ASS ART FAIL
Post&Beam -
Under Slab -- -- --- ------
Rough-In
Water Service - ----- _ _ --- --- -. ---
Sanitary Sewer '
[lain Drains
Catch Basin/Manhole
S!orm Drain —
Shower Pan
Other: - -
Final
PASS PART FAIL -
_MECHANICAL
Post&Beam _ T
Rough-In ---------
Gas
-Gas Line "
Smoke Dampers
Final
_PASSPART FAIL
ELECTRICAL
Service Service
Rough-In
IUG/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: - ___ _.-.. L Unable to inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Dab Zy Inspector _ Ext
Other:
Final DO NOT RERIOVE this Inspection record from the job sits.
PASS PART FAIL
BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP2003-00193
DEVELOPMENT SERVICES DATE ISSUED: 4/24/03
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112BA-90000
SITE ADDRESS: 07895 SW FANNO CREEK DR BL.DC
SUBDIVISION: BONITA FIRS VILLAGE CONDO. 11 ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOD AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENIWNGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STUB: HT: ft
BSMT?: MEZZ?: REOD SE1 BACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,232.00
Remarks: Building 7895, Units 1, 2, 3, 4, 5, &6. Remove tile roofing, repair sheathing if necessary and reroof using original
tiles.
Owner: Contractor:
ASSOCIATION OF UNIT OWNERS OF CC & L ROOFING CO
BONITA FIRS VILLAGE CONDOMINIU 3319 SF_ 92ND AVE
BY STERLING PROPERTY SERVICES PORTLAND, OR 97266
TIGARD, OR 97224
Phone:
Phone: 503-774-0928
Reg #: LIC 46625
FEES REQUIRED INSPECTIONS
Description Date Amount Dryrot after tear-off
Final Inspection
�I31 i11_D] Permit Fre 4/24/03 $110.50
1 AXJ 8"%State Tae 4/24/03 $8.84
Total $119.34
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By.Permittee
Signature: elft/
Call 639-4175 by 7 p.m. for an inspection the next business day
Re-Roof
/ Bi111CI Permit A lleation " OFFICE Buildins 1
._ -- � Received g-
Date/By: yo2y PermitNo.i9G(/` 004 Q�
i
Planning Approval Other
City of Tigard Date/By: _ Permit No.:
13125 SW Hall Blvd. Plan Review Other
Date/By: Permit No.
Tigard,Oregon 97223 —
Post-Review land Use
Phone: 503-6394171 Fax: 303-598-1960
Dote/By: Case No.
Internet: www.ci.tigard.or.us Contact Juris.: ED See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: Su plen,cntal information
TYPE OF WORK REQUIRED DATA:
ENew construction I I I Demolition 1&2 FAMILY DWELLING
Addition/alteration/replacement JEJ Other:
_ CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work perforated. Indicate
1 &2-Family dwellin Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Accessory Building__ Multi-Family- Master Builder Other: valuation....... ..................... ...........ths:..........ess S
JOB SITE INFORMATION nnd.LOCATION No.of bedrooms: No.of baths: _
Job site address:_/ y R' Total number of floors.....................................
New dwelling area(sq.ft.).................
#: 3� �;5' d ! d�t.#: 9?r1'.S� Garage/carport area(sq.ft.)............................
- Covered porch area(s.. ft.
...........................Project Name: 41)N1Tffi/KS Deck area(sq.ft)............................................
Cross street/Directions to job site: Other structure area(sq.ft.).......................
REQUIRED DATA:
COM INERCIAL-USE CH CKLIST
Subdivision: Lot#: �-- -
Tax ma / arcel#: Note: Permit lees*are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
-- overhead and profit for the work indicated on this application.
0 F L1,5/A/(o O�r rni�/AL. T!_Es. valuation.........................................................
_- Existing building area(sq.ft.)......................... _
New building area(sq.ft.)............................... _-
Number of stories............................................
TE ANT - Type of construction......................................
t ' SPR'PF,RTY •_ ,,, ,
Occupancy group(s): Existing:
Name: &d,T* /� _y�[,e4f� New:
Address: Q — --- -
Cit /State/Zi 1, 02 97A I F _
--- NOTICE: All contractors and subcontractors are required to be
Phone: Fax: licensed with the Oregon Construction Contractors Board under
APPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: _ jurisdiction where work is being performed. If the applicant is exempt
Contact Name: - -- - __ from licensing,the following reason applies:
Address:
City/State/Zip: _—
Phone: Fax: -------------------.__-- -
hiliDING PL:IZ11 IT FILES•
E-mail: Please refer to fee,scitcdule.
Business Name: V *40/' _-- Fees due upon application.............
P PP
Address: 3 19 fi� 9a= vim_
Amountreceived.............................................
Cit iState/ZI 04 7&0 ,
Phone:"
-7V- Fax: Date received - -
CCB Lic. #: (o R5_ --
AUthoriT. t n � ' z�._(33 Notice: This permit application aspires if.permit Is net obtained,sithin
Signs re: l b�Date:
^�/_ 180 dad's otter fl has been accepted a compfMc.
J • t( C��Rre.� 1 �(J h V� V -Fee methudolop set Irl-County Building Indu%tr�Service Board.
(Pleaae print namo
i\Dsts\Permit Forms\BldgPermilApp.doc 01/03
BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP2002-00109
DEVELOPMENT SERVICES DATE ISSUED: 3/25/02
13125 SW Hail Blvd., Tiqard, OR 97223 (503) 639-0 71 PARCEL: 2S112BA-90471
SITE ADDRESS: 07895 SW FANNO CREEK DR 4
SUBDIVISION: BONITA FIRS VILLAGE CONDO. II ZONING: R-12
BLOCK: LOT: 047 .JURISDICTION: TIG
REISSUE: \'��',. _ _FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: fjlX 1'' FIRST: sf N: S: E: W:
TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS_?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: O.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT_ ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORK: PARKING:
VALUE: $ 4,043.00
Remarks: Replace and repair sections of tile roofing.
Owner: Contractor:
MONTGOMERY, MICHELE R CC & L ROOFING CO
7895 SW FANNO CREEK DR #4 3319 SE 92ND AVE
TIGARD, OR 97224 PORTLAND, OR 97266
Phone: Phone: 503-774-0928
Reg #: uc 46625
FEES `REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear-off
YPRMT C'R 3/25/02 $98.60 272002.00000 Final Inspection
5PCT CTR 3/25/02 $7.89 27200200000
Total $106.49
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if worts is suspended for more than 180 days ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6 or 1-800-332-2344.
Permittee ___� C n CO()I,LjCj
Signature:
K
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Date received:%,,-. Permit no.: �.;(,!
City of Tigard I'rojecUappl.no: Expire date:
riryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — — —
Phone: (503) 6394171 Date issued:_ By: (J Rcccipt no.: --
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval; ___-__ 1&2 family:Simple Complex:
TYOE OF PERMIT
U I &2 family dwelling or accessory U Commercial/industi ial U Multi-lanuly U New construction U Demolition
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
JOB SITE INFORMATION
Job.address: Block: / 5ulxlivls —��' e � Bldg.ao.: Suite no.:
�:
ion: - fax map/tax lot/zecount no.:
Project name: --
Description and location of work on premises/special conditions: --- --
Name: III (noodplain,septic capacitysolar,etc.)
Mailing addtr4m _ - f &2 family dwelling-
City: State: LIP: Valuation of work........................................
:
Phone: Fax: E-mail: No.of hedrooms/baths.................................
--
Owner's representative: Total number of floors.................................
Phone: Fax: - Email New dwelling area(sq.ft.) ..........................
APPLICANT Garage/carport area(.aq.ft.).........................
Name: Covered porch area(sq.ft.) ......................... -
- - -- Deck area(sq.ft.)
Mailing address: ....... ................................
-- - _- - Otter structure area(sq.ft.
Cit Stale-,. 7..11': )........................ -------
City: -- - - CommerciaUindus(rial/multi-family:
Phone: I;tx Email:
1 1 Valuation of work........................................ S E) 0(
Existing bldg.area(sq.ft.) ......................... ,--
Business nater: _ 1 New bldg.arca(sq.ft.)
Address: Number of stories........................................ _- -
City: / j- a Stat .".i ZIP: �J Type of construction
.......................1............
Phone: / /ej /''�,� Fax: E-mail: Occupancy group(s): Existing: --
4_CB no.: ��i �_ New:
City/metro lie.no.: _1 Notice:All contractor-.and subcontractors are required to be
ARCHITE.CMDUSIGNER licensed with the Oregon Construction Contractors Board ander
Name: provisions of ORS 701 and may be required to be license(' in the
-- --- --- - jurisdiction where work is being performed. If the appli-.ant is
Address:
-.--- - --- "--- - - exempt from licensing,the following reason applies:
City: -- Static: ZII':
Contact person: -- Plan no.: - --- -
F'Ihc tic: I : E-mail: --� — --
VN * Contact person: _ '�ces due upon application ........................... S
Date received:IS c: ZIP: Amount received .........................................
Phone: Faxes Email: - Please refer to fee schedule.
I hereby certify I have read and examined this application and die No all juriodictims scogn emclit cards,ple"call jurisdiction for mae ids,wioa
attached ch-^dist. All provisions of laws and ordinances governing this U visa U MasterCard
work will be complied with,whether specified herein or not. c1°ait ears^°'"�' -\ �;p ies-
a r' Authorized signature.: s✓, ��° Dale:2-y C rikr'% Z
Name or c derasdw"one it earn
$
Print name: tCA - c.rmwteer siltuwe_ — �— Ari—
Wotice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. as-eau(6MWXoM)
RE-ROOFING PERMIT CHECK LIST
�RESIDEN_TI L ONLY - Class of Work: Alteration
U REPAIR(MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and/or
changes are made to roof line.
SUBMIT TWO (2.) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic
venting is provided.
Note: No permit is required for residential re-roof if, (1) not more than three layers of
roofing will exist upon completion of the re-rooting or, (2.)sheathing is not being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied
COMMERCIAL ONLY - Class of Work: Repair
STEP 1: -------- ----— .— --- -----
❑ RF-ROOF (circle A, B or
A. Existing built-up�uof covering to be REMOVED and deck repaired.
B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineer's
review of the roof structural elements. Review shall bear the seal (or stamp)of the
architect or engineer licensed in Oregon.
C._ halt o
Aspr wood shine le/shake. (PROCEED TO STEP 2)
COMMERCIAL ONLY - Class of Work: Repair —
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation UBC Appendix 1�_ ____ _�____
Pease fill out applicable section a;id attach copy of roofing specifications_�T
Listed Assembly Circle and complete A, B or C): _
1. Specification#: J �—
2. Manufacturer:ll'1— Tti•{r -C 7 a'/� C Y 1 �! c- L��� ��-
3a. UL Classification: __ --
Listed
-- _Listed UL Building Materials Directory Page
OR
3b. Warnock Hersey:--_. _ — --
Listed Warnock Hersey Directory Pace#: _
'COPY OF ASSEMBLY REQUIRED
B. ICBO Research
Dated:
C SPECIAL PURPOSE ROOFING: WOOD SHAKES(Review required bY-plans examiner.)
VALUATION OF PROJECT: $
sq. ft.. _--of roof area _ ----..
Permit Fee based on valuation: $
see Building Permit Fees chart
8% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly item"C"above. - -
TOTAL: $
I:dsts\fortns\roofrheddist.doc 10105/00
CITY OF TIOARD BUILDING PERMIT _
PERMIT M BUP2002.00024
DEVELOPMENT SERVICES DATE ISSUED: 1/30/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112BA-90451
SITE ADDRESS: 07895 SW FANNO CREEK DR 6
SUBDIVISION: BONITA FIRS VILLAGE CONDO. II ZONING: R-12
BLOCK: LOT: 045 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REF FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS?
W:
TYPE OF CONST: sf N: S E:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT. sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft REQUIRED
BSMT'?: MEZZ?: _ REQD SETBACKS — —
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNQICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,386.00
Remarks: Replace and repair sections of tile roofing.
Owner: Contractor:
SHERARD, TIMOTHY E CC & L ROOFING CO
7895 SW FANNO CREEK DR #6 3319 SE 92ND AVE
TIGARD, OR 97224 PORTLAND, OR 97266
Phone: Phone: 503-774-0928
Reg #: LC 46625
FEES i _ REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot After Tear-Off Insp
PRMT CTR 1/30/02 $72.10 27200200000
Final Inspection
5PCT CTR 1/30/02 $5 77 27200200000
—----- Total $,7.87
This permit is issued r,_ ,-k.t to the regulations contained in the Tigard Murcripal Code, State of OR. Specialty Wdes
and all other applicable law All work wiil be done in accordance with approved plans 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344.
Permittee
Signature:
Iss jed By: ��---� — —
Call 639-4175 by 7 p.m. for an inspection the next business day
- Building Permit Application p.,
Dalcreccived: ;F',1��s)- Pemtit no.:/du�Aeo:�, �+��1
City of Tigard Projcc
Address: 13125 SW flail Blvd,Tigard,OR 97223 Uappl.no.. Expire daft:
City n/Tignrd Date issued- f3 Receipt no.:
Phonc: (503) 639-4171 --_ _ y P
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:simple
TYPE OF PERMIT
U 1 &2 family dwelling or accessory U Commercial/industrial K Multi-family U New construction U Demolition
U Addiliotl/alterauon/ieplaccntenl Li Tenant improvement U Dire sprinkler/alarm U Other.
Il SITE INFORMATION
Joh address: ��-�" � n r .eBldg. Suite no.: _--
1 ot: I Block: Subdivision: Tax map/tax IoUaccount no.:
Projee:t name:
Desc ' ti n and location 9fwork on premises/special conditions: t_h� tf
1 ' SPECIAL INFORMATION,
Mailing address: —_ I &2 family dwelling:
City: State:— LIP: V:duaiiott of work........................................ 4
Phone: Fax: Email: No.ollxdrex+ms/baths................................. --._
Owner's representa(ivc: "t'rnal number of flcx,rs.................................
Phone: Fax: E-mail: New dwelling area(sq.ft.) ..........................
Garagelcarport area(sq.ft.).........................
Name: Covered porch area(sq. ft.) .........................
-- —
Mailing address: Deck area(sq. t.) ........................................
City: �� State: ZIP: Other structure area(se.ft.).........................
--- Cercial/industrial/multi-family: p 0
Phone: lax: E-mail: omm �(1
1 Valualira.of work......................... ............. O
Existing bldg.area(sq.fl.) ..........................
Business name: C ¢ r,
- New bldg.area(sq. ft.) ................................
Address:3 /�/ — d , , -
City: -, 1, L Slate�r r L7,1 P: f G ( Nurrtber of stories .......................................
.1 _
" '- - Type of constrn�rion
Phone: ax: c f E snail:
. _ _. Occupancy gt t): Existing' -
New
City/metro lic.no.: Z <' -
Notice: All contractors and subcontractors arc required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in tile.
---, _V — ---
Address: jurisdiction where work is being p eiformed. if the applicant is
__
Cil --�-�---- - State 7.IP:
--- exempt from licensing,rhe following reason applies:
Contact person- Plan no.: ---- — -- -------.__
Phone: Fax: LE-nail. ---- -- _- _"----
LNGINEER
Name: t'ontact person: Fees due upon application ........................... -
Address: Date received: —
C'ity: State: ZIP: Amount received ......................................... $---
Phone: - Fax — E-rnaiL•_ Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all jurisdictl«s rcep credit cards,Mean can jurisdrerirn for me.e Information.
attached checklist. All provisions of laws and ordinances governing Utis U visa U MasterCard
work will be complied w' whether sp9cifred herein or not. credit card number --._---- _-- rR Rr
Authorized signature' �% `/t` t� Date: //7 �� N,me Dear�,r�nalder,�rt, ,�n ereett e.ra -- r
Print name: eh r�A , i e P� �ardhddn signature �— Anwuai_
Notice:This permit application expires if a permit is not obtained within I BO days eller it Tres been accepted as complete uct4613(wlx OM)
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration —
tU REPAIR(MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and/or
changes are made to roof'ine.
SUBMIT TWO(2)SETS OF PLANS SPECIFYING:
A Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft.for each 150 sq. ft. of attic space. Vents shall be located in
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic
venting is provided.
Note: No permit is required for•csidential re-roo,if, (1)not more than three layers of
roofing will exist upon completion of the re-roofing or, (2)sheathing is not being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
a lied). -
COMMERCIAL ONLY - Class of Work: Repair
STEP 1: — --
❑ RE-ROOF (circle A, B or C :
A. Existing built-up roof covering to be REMOVED and deck repaired.
B. Existing built-up roof covering to REMAIN. Note: Applictnt must submit an engineer's
review of the roof structural elements. Review shall bear the seal (or tamp)of the
architect or engineer licensed it Oregon.
C. Asphalt or wood shingle/shake. (PROCEED TO STEP 2)
COMMERCIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation (UBC Appendix 15)
_Please fill out ap lip cable section and attach copy of roofing specifications.
Listed Assembly Circle and complete A, B or C):
A. 1. Speci'',ation#:
2. Manufacturer:_ —
3a. UL Classification: _
Listed UL Building Materials Directory Page#:
OR
3b. Warnock Hersey:__
Listed Warnock Hersey Directory Page#: _
'COPY OF ASSEMBLY REQUIRED
B. ICBG Research#:
Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review re uired by plans examiner.)
VALUATION OF PROJECT: $
_
_ _sft. of roof area
g
Permit Fee based on valuation: $ —7,9 0
see Building Permit Fees chart _
8% State Surcharge: $ �j
85% Plan Review Fee:
(Required for major repairs of Residential or
Assemblyitem tem"C"above.
TOTAL: ? g
I:dsts\form9Voofchedd1st.doc 10/05/00
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PEPMT-F
13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 DA}.E. ISSUED: 11/1.7/98
PARCEL: 2St12BA--90000
SITE ADDRES!'-3. . . : 07895 SW FANNO CREEK DR #BL.DG
SURD IVISTON. . . . : BON ITA FIRS VILLAGE CONDO. 11 ZONING: R. 1.2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . : JURI SDICT ION:TIG
_-------------- ---------------------------------------------------------------
REISSUE: FLOOR AREAS-------------- EXTER100 WALL CONSTRUCTION-
CLASS OF WORK. AL-T FIRST— . : 0 S f 1v: 3: E% W:
TYPE OF USE. . . MF "ECOND. . . 0 S F PROTECT OPENINGS?--------- -
TYPE OF CONST. ;5N0 W:
0 S f rl: S:
OrCUPANCY GRP. - R1 0 S f ROOF CONST: FIRE RU'Tl
OCCUPANCY LOAD: 0 BASEMENT. : 0 s AREA SEP. RATED:
STOR. - 0 HT: 0 ft GARAGE. . . : 0 S f OCCU SEP. RATED:
DSMT? : MEZZry : REVD SETBACKS---------- REQU I RED.--_.________________.._
F!_OOR LOAD. . . . : 0 pyf LEFT- 0 ft RGHT: 0 ft F I R SPKL- SMOK DET. . :
DWELLING UNITS: Q-1 FRNT: I? ft; REAR: 0 ft FIR ALRM: HNDICP ACC'
8FDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO C'ORR: PARKING: 0
VALUE. $ : 1200
Remarks : install vents only an roof line.
Ot-mer: FEES
ASSOC OF UNTT* OWNERS OF type amo,..knt by date rer-pt
25. 00 DLH 11/17/98 98-31087;'_-,
Bf-)NITA FIRS VILLAGE CONDOMINIUM PRMT $ -
I 15]`_i 9W DURHAM RD 5PCT $ 1. 25 DI....H 11./17/98
TICARD OR 97L'L'!,4
Phone #:
Contractor:
CC & L ROOFING CO
3319 SE 92ND AVE
V'r)RTLAND 013 97266
Phone #: 503-774 --0928 $ 2c,. P5 TOTAL
Peg #. . : 46625 --REQ.u;iRED qCTIONS or INSPECT IONS------
This persit is issued subject +- the regulations contained in the Misr. Inspection
T)gard Municipal Code, State 01 !)re. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
-.-
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for tore
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adnpted by the Oregon Utility Notification Center. Those
rules )re set forth in OAR 952-88i-8*18 through OAR 952-88I81987.
)'nu vany obtain a copy of these rides or direct questions to Off
by calling (503)246-1987.
------------
---
rprm it t e Si gnat I.Ire 1.1 e d B y
......4...................................4-+++4-++4.......4 4..+++++++++++++++++++
Cal. 1 6313-.4175 by 7:00 p. m. for an inspection needed the ne)(t bi-tsiness day
+++++++++.++++++++++++ 4+4+++++++-++++ +..+++++++++++-F- ++4+++++++A +++++-F++++++4
CITY OF TIGARD Plan Check#:
13125 SW HALL BLVD. Recd By:
TIGARD OZ 97223 RE-ROOFING PERMIT APPLICATION Date Recd: / '
V-5123-6394171 X304 Commercial and Residential Date to PE:
F-503-598-1960 Date to DST:
Permit
Incomplete or Illegible applications will not be accepted Called:
Name of Development/Business S 1�40PIM�t.Y
o ,
Bonita Firs Village Condos f$
.
Street Address Ste# Please fill out applicable section and attach copy of roofing
Job Site 7895 SW Fanno Creek D . =-AAsambiv,
cations.
Bldg# City/State zip ClMW&_00m`leW A,B ort_)_
Tigard, OR 97224 A.
J Name 1. Specification#:
CC&L Roofing Company
Applicant Mailing Address Manufacturer:
3319 SE 92nd Avenue
CitylStafe Zip — Phone (503) '3a UL Classification:
_ Por.t,OR 97266-1924 774-0928 —
Roofing Name Listed UL Building Materials Directory Page#:
Contractor CC&L Roofing Company (OR)
(Prior to issuance Mailing Address '3b Warnock Hersey:
applicant must 3319 SE 92nd Avenue _
provide a copy of City/state Zip Listed Warnock Hersey Directory Page#:
all contractor Portland, OR 1 97266 'COPY OF ASSEMBLY REQUIRED
licenses if Phone# Fax#
-- — ------------------ -----------------
expired in COT (503)774-092 (503)774-1835 B. ICBO Research#: _
database) Stale Constr.Contr Board# ai2/01/98DATED: . —
xp.Date
46625 _ _ _ ___ _BUIWINO INPOl 111A?ION C SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building-Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM'—C F)
Bbilding- Type of Construction: VALUATION OF PROJECT
$
Woad f rarrel _— sq.ft._ of roof area 1,200.00
Fxisting Deck Type: Permit fee based on valuation'
Combustible ( k ) Non-Combustible ( ) 'see chart_on back $
RESIDENTIAL ONLY-Class of Work:Alteration City use only: WACO:
U REPAIR(MAJOR)(review required by plans examiner) (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by --
solid sheathing changes to roof line require Building Permit 6% State Surcharge $
Application City use only: WACO:
SUBMIT TWO(2.) SETS OF PLANS SPECIFYING. (TAX) (UTAX)
A Roof area&nearest street. 'Required for major repairs of Residential
B. Attic vents-Provide 1 sq. ft. for each 150 sq. ft. of attic or"C"above '65% Plan Review $
space. Vents shall be located in the upper 1/3 of the roof. City i se only: WACO:
Provide 1 sq.ft for each 300 sq ft.when Pave&attic (BUF'PLN) (UBUPLN)
venting is provided _ (I�/
TOTAL $ V�7`
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair information given is correct- that I am the owner or authorized
Describe work to be done. (check appropriate box) agent of the owner, and that the plans(if applicable) are in
LJ RE-ROOF (circle A ,B or C) compliance with Oregon State law.
A. Existing built-up roof covering to be REMOVED and deck
repaired- Signature of Owner/Agent 1 Date
B Existing built-up roof covering to REMAIN. note applicant
must submit an engineer's review of the roof structural ?
November 16, 19 8
elements. Review shall bear the seal(or stamp)of the
architect or engineer licensed in Oregon. Contact Person Name Telephone
C Asphalt or wood shingle/shake
(PROCEED TOS VEP 2) Roof tile Mike Cooper., Vice President (503)774-0928
I ROOF 1 DOC(dsts)RFV 5/1/98
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES (65%) (5%) FEES
1-1500 25.00 16.25 1.25 42.50
1,501-1600 26.50 17.23 1.33 45.06
1,601-1,700 28.00 18.20 1.40 47.60
1,701-1,800 29.50 19.18 1.48 50.16
1,801-1,900 31.00 20.15 1.55 52.70
1,901-2,000 32.50 21.13 1.63 55.26
2,001-3,000 38.50 25.03 1.93 65.46
3,001-4,000 44.50 28.93 2.23 75.66
4,001-5,000 50.50 32.83 2.53 85.86
5,001-6,000 56.50 36.73 2.83 96.06
6,001-7,000 62.50 40.63 3.13 106.25
7,001-8,000 68.50 44.53 3.43 116.46
8,^0 li-9,000 74.50 48.43 3.73 126.66
9,001-10,000 80.50 52.33 4.03 136.86
10,001-11,000 86.50 56.23 4.33 147.06
11,001-12,000 92.50 60.13 4.63 157.26
12,001-13,000 98.50 64.03 4.93 167.46
13,001-14,000 104.50 67.93 5.23 177.66
14,001-15,000 110.50 71.83 5.53 137.86
15,001-16,000 116.50 75.73 5.83 198.06
16,001-17,000 122.50 79.63 6.13 208.26
17,001-18,000 128.50 83.53 6.43 218.46
18,001-19,000 134.50 87.43 6.73 228.66
19,001-20,000 140.50 91.33 7.03 238.86
20,001-21,000 146.50 95.23 7.33 249.06
21,001-22,000 152.50 99.13 7.63 259.26
22,001-23,000 158.50 103.03 7.93 269.46
23,001-24,000 164.50 106.93 8.23 279.66
24,001-25,000 170.50 110.83 8.53 289.86
2.5,001-26,000 175.00 113.75 8.75 297.50
26,001-27,000 179.50 116.68 8.98 305.16
27,001-28,000 184.00 119.60 9.20 312.80
28,001-29,000 188.50 122.53 9.43 320.46
29,001-30,000 193.00 125.45 9.65 328.10
30,001-31,000 197.50 128.38 9.88 335.76
31,001-32,000 202.00 131.30 10.10 343.40
32,001-33,000 206.50 134.23 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,001.35,000 215.50 140.08 10,78 366.36
35,001-36,000 220.00 143.00 11.00 374.00
36,001-37,000 224.50 145.93 11.23 381.66
37,001-38,000 229.00 148.85 11.45 389.30
1 ROOF DOC(dsts)REV 511198
CITY OF TIGARD BUILDING INSPECTIOM DIVISION MST
24-Hour Inspection Line: 639-4175 � Q Business Line: 639-4171
Q (� CBt -39 ��-0�7�z
1030 L',te Requested �� "0 Y -70 AM PM BLD
Location 7S"-75 Jet) ,�'�1�� ���� c Suite MEC
Contact Person )d= Ph �j PLM
Contractor_ �� G �: Ph _ 7 7 /�� SWR
BUILDINGTenant/Owner _ ELC
Retio"Mgwall ELR
Footing
Foundation Access:
FPS
Ftg Drain i
Crawl Drain Inspection Notes: SGN
Slab — — -- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear _
Framing
Insulation —
Drywall Nailing —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —_�_—
o
r-P
ASS PART FAIL —
PLUMBING
Post& Beam —
Under Slab
Top Out — --- -- — ---- — —
Water Service
Sanitary Sewer
Rain Drains
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
Final i '--
PASS PART FAIL
SITE
Backfill/Grading -- -- — — --- ---
Sanitary Sewer
Storm Drain ( J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for -einspection RE _ _— _ — [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date __— _w— Inspector _—Ext —_—
Final
PASS PART_ FAIL p0 NOT REMOVE this inspection record ..-om the job site.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
� _ � BUP -3 - �� i q3_
Received �i Date Requested.— AM PM BUP
Location _^__�1� r1 lam_ __ Suites? 3 MEC — —
Contact Person _ ,1�, ..�- Ph(—__) PLM —
Contractor __ — _ Ph( _) SWR _
BUILDING Tenant/Owner __� /l/Y'� _— ELC
Footing ELC
Foundation Access:
Ftg Drain ELR --
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors - -_-- -
Ext Sheath/Shear
Int SheathiShear
Framing
Insulation
Drywall Nailing - - --- --
Firewall
Fire Sprinkler —- ------ — -
Fire Alarm
Sus 'd Ceiling -- -- - -
Other.—--- - --- _ ---_-- --- -- -
ASS PART FAIL _--
PEMBING _--._�`-------
Post&Beam
-Index Slab ---�-_—
Rough-In -
Water Service - - --'� f----- --- - --- - --
Sanitary Sewer
Rain Drains - -- -- -- —
Catch Basin/Manhole
Storm Drain -- - -- -
ShowerPan
Other. --
Final
PASS PART PART FAIL - --- —
` MECHANICAL
Post&Beam
Rough-In ---- --- - -- ---
Gas Line
Smoke Dampers -- ----
Final
PASS PART FAIL — — ----
ELECTRICAL
Service
Rough-Ire ---
UG/Slab
Low Voltage - -- -----_ — ----- ---� - —
Fire Alarm
Final CJ Reinspection fee of$_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS _PART_ FAIL
SITE —_ _� ❑ Please cell for reinspection RE: Unable to inspect-no access
Fire Supply line G
ADA / /
Approach/Sidewalk Date ( _ ( - Intipector-__- Ext_
Other:
Final l _ DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL