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10425 SW MEADOW STREET-2 1S moaV3W M:. GLM cn 3 0 a IK w F- wW N LnJ N W r J 10425 SW MEADOW ST r CITY OF TIGARD MECHANICAL,PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00103 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 3/15/02 PARCEL: 1 S135CC-01000 SITE ADDRESS: 10425 SW MEADOW ST SUBDIVISION: THE MEADOW ZONING: R-4.5 BLOCK: LOT: 015 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPr-: VENT SYSTEMS: STORIES: BOILERS/C0 APRESSORS HC'`DS. FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNI";S _ OTHER UNITS: FURN >=100K BTU: <=10000 cfm: GAS OUTLETS: 1 > 10000 cfm: remarks: Install gas furnace, duct work and approx. 301f gas line. Owne,-: _ _ _ FEES HOLLAND, Si-!ARI + SCOTT Type By Date Amount Receipt 10425 SW MEADOWS ST PRMT CTR 3/15/02 $72.50 2720020000 TIGARD, OR 97223 5PC1 CTR 3/15/02 $5.80 2720020000 �~ Total $78.30 Phone: � —" Contractoi: _ ABLE HEATING + COOLING INC 12420 SW SUMMERCREST DR TIGARD, OR 97223 _ _ _ REQUIRED INSPECTIONS _ Gas Line Insp Phono:579-2250 Mechanical Insp Reg#:LIC 00108535 Duct Inspection Final Inspection a r U) m F9 This permit is issued subject to tho regulailons contained in the Tigard Municipal Cede, State of Ore. Specialty Codes and all other applicable laws, All work will be done in accoj-.iar-;e with approved plane This permit will expire if work is not started within 180 days-&-igsuan,a, or if work is suspended tc, more than 180 days. ATTENTION: Oregon law require Ou Ouilo les adopted in the Oregon Utility Notification Center. Those rules are set forth in OA 52-001 through OAR 952-001-0080. You may obtain copies of these rules or it t q11-1 ue io t OUNC by calling Issue By: at-ti z�� Permittee Signa f Call(503)6394175 by 7:00 P.M.for Inspections n ded he nex business day MechaWkai'PerWt Application L1 "Datcn"eived::: J,;�Z/0-�, Permit no.: City 9f Tigard Project/appl.no. Expire date: oo 3 Addre3s: 13125 SW Hall Blvd,Tigard, 9722 City(f;igard - Date issutd: B �a Receipt no.: Phone: (.503) 639-4171 Fax: (.503) 598-1960 Case file no.: Plymerd type: Land use approval: _ _ Building permit no.: =New dwelling or accessory U C'ornmcrcial/industrial U Multi-family U Tenant improvement ction U Addition/aller:tliort/,cplacentcnt U Other: 11 1 ,w Job address. ,Z Lff�` ,e _ Indicate equipment quantities in boxes below.Indicate the doi!v Suite nc.: _ value of all mechanical materiels,equipment,labor,overhead. Bldg.no.: Tax map/tax lot/account no.. J profit. Value S _ Lot: Block: Subdivision: *See checklist for important applicatiot, '�formation and Project name: jurisdiction's fee schedule for residential permit fee. City/county: l ) �� ZIP: 2-2-1 Descriptiond a' of work u premises: ft 7Q CZA 2_ Fee(ea) Total Est. sp date of completion/inection: e.+c Dri Res.only Rra.ord Tenant improvement or change of use: Air handling unit CFM _ Is existing space heated or conditioned?ZYea U No tr c m nuon ng(site Is existing space insulated?aYes U No Altersuon o extaur of er compressors State boiier permit no.: Business t+nm_e: HP Tone BTU/H _ Address: Firelsmoke damperaiduct smoke etectors City: State ZIP: Z eat pump(site p an unre Phone: Fax: E-mail: -� Insistrep ace urnac urner 3'I`T71Ff Including ductwork/vent liner iV.Y7es U No CCB no.: If Installfrep ac re ovate eaters-suspended, City/metro 'c.no.: _ — wall,or floor mounted Vent fora lance o er an umace Name(please.print): ern Absorption units BTU/H Chiller_ HP Compressors � _ HP Address: r n ronnrsnta ml• v ow City: Slate: ZIP: Applian:^vent Phone: Fax: E-mail: i)ryirsxTiaua: s, ype rc-. rte en azmat hood fire suppression system 7ame _ Exhaust fan with single duct(bath fans) g address: aust system a art rom eat n or CL State: Z[P: piping e r ton up to meets _ -__ Ty LPG NO Phone: — Fax: E-mail: ue n to each as tt ons over out its Nmm piplax(schematic requ ) �. Number of outlets Name: _trierlfsi a e or . J Address: Decorative fireplace m - �— State: ZIP: nsert-t Clty: atov pe etatove Fax: E-mail W Phone: tether: J D>te: Applicant's signatures t Name(print) Permit fee Na an juriadictlatu accep credit cards,&sw edl jurMdictlon I&rnore inrumM WIN., .............. Notice:This permit application Minimum ffere. $...............S O Visa O Mastercard expires if a permit is not obtained ('redly card number: _�._ Plan review(dl � 96) $ Lp� within Igo days after it has been State surcharge(11%) $ Name a on card -- accepted as txmnalete. TOTAL $ --Car A 44DA17(6W11LX" MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: Price Total TOTAL VALUATION Table PERMIT FEE: Table 1tltxl: $1.00 to$5,000.00 _ Minimum fee$72.50 1A Mechanical Code OtY ((Es) � t 55:001.00 to$10,000.00 $72.50 for the first$5,000.03 and 1) Furnace to 0 1400 $1.52 for each additional$100.00 or intruding ducctsls&&vents a �T fraction thereof,to and Including Including Furnace 100,000 Includin ducts&vents 17.40 $10 _ 1110-1-000.00. rce -- - ,001.00 to$25,000.00 48.50 for the first 510,000.00 and _ 3) Floor Furnace 14. Indudln vent W _ $1. for each additional$100.00 or 4 Suspended heater,wall heater fractio�ei.-eof, o and includinu ) 14.00 __ _ _ _5250or floor mounted heater 25,001.00to 550,000.00 5379 rst$25,000.00 and 5) Vent not induded in appliance permit 680 $1.45 for each a 'tonal$100.00 or fraction thereof,to a Including 6) Repair units $50,000.00. N.00 + 1 ,5$50,001.00 and up $742.00 for the first$ Check all that apply: Boiler eat Air $1.20 for each additioFor Items 7-11,see or ump Cond fraction thereof. footnotes below. �9;'v7)<3HP;absorb unit Mlnimum Permit Fee$72.50 SUBTOTALto 100K BT'J 14.00 6%State Surcharge s 8)3 15 HP;absorb 25 80 unit 100k to 500k BTU 325.6 Plan Review Fee(of subtotal) Iv9) 30 HP;absorb nit. .5-1 mil BTU _ - 35.00_ - Re uired for ALL commercial permits only30-50 HP;ab rb TOTAL COMMERCIAL PERMIT FEE: >� urn 1-1.75 mil U 52.20 _ � 11)>. HF� sorb - --�------- - unit>1. mil BTU 87.20 - 12) h d!Ing unit M 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: __ ;3.0Value Total 13j Air handl unit 10,000 CFM+ Descri tion: _ l] (Ea) Amount _ 17.20 _ Furnace to 100,000 BTU,Including 955 14)Non-portable aporale cooler duds&vents 10.00 - Furnace>100,000 BTU Induding 1,170 15)Vent fan oonnede a single dud duds&vents _ 8.80 Floor furnace Including vent_ 955 16)VentilationKIndnerp not i uded in Suspended heater,wall heater 955 a liance _ 10'W - floor mounted heater _ 17)Hood ser -1�anical laust Vent not induded In applicance 445 �- 10.00 unit 805 -i 8)Domestic tors 17.40 Ropalr units <3 hp;absorb.unit, 955 19)Commercial or lndustrtal type indnerat to t00k BTU _ 69.9`5 3-15 hp;absorb.unit, 1,700 20)Other units,Induding wood stoves 101k to 500k BTU _ 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU _ y s.ao r 30-50 hp;absorb.unit, 3,400 22)ML,a than 4-per outlet(each) 1-1.75 mil.BTU 1.00 IL >50 hp;absorb.unit, 5,725 Minim ur..:ermit Fee$72.50 SUBTOTAL: $ X >1.75mil.BTU N Air handling unit to 10 000 dm 658 8%State Surcharge U) Air handling unil>10,000 efm 1,170 Non-portabis evaporate cooler _ 656 TOTAL RESIDENTIAL PERMIT FEE: : Vent fan connected to a single duct 446 J Vent system not InClUded In 656 - - - m a fiance ennil Other Inspections and Fees: 0 Hood served by medtanipl exhaust _ 656 _ 1, Inspections outside of normal business houns(minimum chargo-two hours) W Domestic incinerator _ 1 170 _ $62.50 per hour. Commercial or Industrial 4,590 2. Irapections for which no fee is spedfirstly indicated (minimum charge-half hour) Other unit,-including wood stoves, 656 $62.50 per hour VEach etc. 3 Additional plan review required by changes,addNionF a revisions to plans(minimum piping-T4 outlets 360 charge-one-half hair)$s?50 per hour ditional outlet 63 "81tte Contractor Boller CertHlcatlon required for units>200k BTU. "•Residential A/C req"ires site plan showing placement of unit. COMMERCIALVALATION: All view Commercial Buildings require 2 sats of plans. IAdsts\forms\mech-fees.doc 12J26/01 " CITY OF TIGARD MASTER PERMIT PERMIT#: MST2002-00212 DEVELOPMENT SERVICES DATE ISSUED: 5/1/02 13125 SW Hall Blvd.,'Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10425 SW MEADOW ST PARCEL: 1S135CC-01000 SUBDIVISION: THE MEADOW ZONING: R-4.5 BLOCK: LOT:015 JURISDICTION: TIG REMARKS: 512 sq. Ft. addition - Path 1 BUILDING, REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK. AUD HEIGHT: 12 FIRr': 512 at BASEMENT: of LEFT: 13 SMOKE DETECTORS: Y TYPE OF USE: Sr FLOOR LOAD: 40 SECOND: of GARAGE: of FRONT: PARKING SPACES: 2 TYPE OF CONST: SN DWELLING UNITS: FINBSMFNT. of MIGHT VALUE: S 48,387.20 OCCUPANCY GRP: R3 BORM: 1 BATH: 1 TOTAL: 512.00 of REAR: 35 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS, RAIN DRAIN: TRAPS: LAVATORIES: 1 CISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 LATCH BASINS: TUB/SHOWERS: 1 G7RBAGE DISP: WATER HEATERS: WATER LINES: SCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ _ FUEL TYPES FURN<t00K: BOIUCMP<3HP: VENT FANS: t CLOTHES DRYER- GAS FURN>-100K: UI11T HEATERS: HOODS: OTHER UNITS: MAX INP, btu FLOOR FURNANCES: VENTS- 3 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS u BRANCH CIRCUITS MISCELLANEOUS ADVL INSPECTIONS- 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FUR: I PUMP1IRRIGA TION• PER INSPECTION: EA ADD'L S00SF: 1 201 - 400 amp: 201 400 amp: let W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 800 Alvin. EA ADDL OR SIR: SIGNAUPANEL: IN PLANT: MANU HMBVCIFDR: 001 . 1000 amp: 1101ampa•1000v: MINOR LABEL: 1000+amp/volt: PLAN REVIEW SECTION Raconn*rt only: --_ E� —� 5.4 RES UNITS: SVCIFDP>Q225 A.: 800 V NOMINAL: Cl a ARENSPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO It STEREO: FIRE ALARM: INTERCOMMAGING: OUTDOOR LNDSC LT: BURGLAR AARM: OTh: BOILER- HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL M SYITFMS: Owner: Contractor: TOTAL FEES: $ 1,253.84 This permit is subject to the regulations contained in the HOLLAND,SHARI+SCOTT FORDE ENTERPRISES T'gard Municipal Code,State of OR. Specialty Codes and 10425 SW MEADOWS ST 12855 SW 113TH PL ,A other applicable laws. All work will be done In TIGARD,OR 97223 TIGARD,OR 97223 acoordancu wNh approved plans. This pennN wnl expire If work Is not started within 180 days of Issuance,or if the L work Is suspended far more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to ftellow rules adopter+by the Oregon Utility Notification Center. Those rules are set Reg 0: LIC 103042 forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to 3 OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Ll Erosion Control Insp 8, Underfloor insulation Plumb Top Out Exterior Sheathing Inst Mechanical Final -I Footing Insp Crawl Drain/Backwater Electrical ServlL: LOW Voltage Plumb Final Foundation Insp Footing/Foundation Dr Electrical Rough In Insulation Insp Final Inspection Post/Beam Structural PLM/Underfloor Framing Ir jp Rain drain Insp Post/Bea-,-•lvlechanica Mechanical Insp Shear Wa, Insp Electrical Final t-- Issued By: _ . �0- Permittee Signatur :� Call (503) 639-4175 by 7:00 p.m.for an Inspection needed fhe next business day Building Permit Application Datereceived: O.2, Permitno.: 6 0a-00-r y City of Tigurbr; �rr® City nj'/igurd Address: 13125 SW Na 4bd# ddVV �oject/appl.no.: Expire date: Phone: (503) 639-4171 /. r,t Date issued: Ry: Receipt no.: Fax: (5u.,) 598-1960 p Case file no.: Payment type: Land use approval: 1 1&2 family:Simple Complex: '>1 U I &2 family dwelling,or accessory U Commercial/industrial U Multi-family U New construction U Demolition Addition/alleration/replaccment U Tenant improvement U Fire sprinkler/nlarm U Other: _ T� its Job address: 104tj3 Sw rAr.Ac;o� .tr-i, _ Bldg.no.: Suite no.: Lot: _ Block: Subdivision Tax map/tax lot/account no.: Project name: p _ Deacriplior and location of work on premises/special conditions: Name: t?C.pt-� �►Si�.Ary fl _ 3 Mailing address: ip 't„5 •tjµ,) I &2 family dwelllnR: } y: zQ1 Istatc:e^ IZIP: �� - Valuation of work $ Phone. (� 3 Fax: .-mail: No.of bedrooms/haths................................. Owner's representative: 1�,� /'l _ Total number of floors................................. Phone: i Fax: 9 11-1 E-mail: New dwelling area(sq. ft.) .......................... Wil_ '.,arage/carport area(sq.ft.)......................... _ Name: frc)fct r- EP-3-TrA 0z6 fS_ Covered porch area(sq.ft.) ......................... Mailing address: 12&SS S f--%- . Deck area(sq.ft.) ........................................ City: Statc:CG2 I ZIP: Other structure area(sq.ft.)................. -- Phone:(* Fax: c-_ I E mail: CommereinUindrtatrinUmalti-family: do Valuation of work....................................z. $_ r Business name: Ser- /1.s(lyE Existing bldg.area(sq.ft.) ...... ........ ...... Address: New bldg.area(sq.ft.).................... . ....... _ - ---- - Number of stories......................... City: State: ZIP: -- Phone; Fax: E-mail: Type of construction................,1................ i _ CCB no.: 1G3 `- Occupancy group(s): Existing- New: -- _ New: City/metro lic.no.: Notice:A;I contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: - provisions of ORS 701 and may'a required to he licensed in the tl Address: qC3 (e- fy�.l_�1��,JQ� "�3 _ jurisdiction where work is being performed.if the applicant is City: t� State: ZIP: ( exempt from licensing,the following reason applies: F- N Contact person: , t: Plan no.:_ Phone: 3 Fax: -Z) ! mail: J_ m Name: Contact person: Fees due upon application ........................... $ Address: Date received: trU - -a City: State: ZIP: Amount received ......................................... $ ................ Phone, Fax: F-mail: Please refer to fee schedule. — 1 hereby certify I have read and examined this application and the No all judaictioaa accept crrAl cart.,please call lmidictinn for mrxe iMcxmminn. attached checklist. All provisions of laws and f rdinances governing this U visa U Mastercard work will he complied withywhe_ ,pelired herein or not. credit cant nnmtrr � / Fcpirca Authorized signature-rL' % bate: 'ZZ Name of cedholter as rutwn on ctedli card C Print name: - $ �� —=5 - —C:rdhol�er,igiMure Amoum Notice:This permit applieption expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-1613(MlYCOM) ��1. N rtev • �i�s1. � One-and Two-Family Dwelling Building Permit Application Checklist Refereneeno.: -- Associated permits: ciryofTlgard Cit f Tigard Y g U Electrical ❑PlurrbinR ❑Mechanical Address: 125 SW Hall f�lvd.'fikard,O12 97221 UOther: Phone: (503 639-4171 Fax: (503) 59 1960 1 Land use actions completed. a jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balan N. points,seismic soils designation,historic district,etc. _ 3 Verification of approved plot/lot. 4 Fire district _approval re ired. 5 Septic system permit or authorization _ r remode;.Existing system capacity 6 Sewer permit. _ 7 Water district approval -- 8 Softs report.Must carry original applicable hamp and signature on file or with application. 9 Erosion control U plan U permit required.11.1 Jude drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must bed n to scale,showing conformance to applicable local and st building codes.Lateral design details and connecti s must be incorporated into the plans or on a separate fu size sheet attached to the plans with cross references bet en plan location and details. Plan review cannot be pleted if copyright violations exist. I I Site/plot pan drawn to scale.The plan must show lot an building setback dimensions;property co elevations(if there is mon Uran a 4-ft.elevation differential,plan musts w contour lines at 2 ft.intervals);loc n of easernents and driveway;foe tprint of structure(including decks);location o ells/septic systems;utility loc s;direction indicator,lex area;building coverage area;+page of coverage;impervi s area;existing structures site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold- wns and reinforci pads,connection details,vent size and location. I I Floor plans.Show all dimensions,room identification,window XZe,l ton of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks lqxrches above grade,etc. 14 Cross sedlim(s)and details.Show all framing-member sizes at l ing such as floor beams,headers,joists,sub-floor, wail construction,roof construction.More than one cross sect' n may required to clearly portray construction.Show details of all wall and mof sheathing,toofing,roof slope, ing height,.'ding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. _ 15 Elevation views.Provide elevations for ne �coction; minimum oft elevations for additions and remodels. Exterior elevations must reflect the actual ge change in grade I. g ter than four foot at building envelope. Full-size.sheet addendums showing foun ion elevations with cross teferen s are acceptable. 16 Wall bracing(prescriptive path)a or lateral analysis plans.Must indicat details and locations;for non-prescriptive path analysis ide specifications and calculations to engine 'ng standards. _ 17 Floor/roof framing.Provqirf lans for all floors/roof assemblies,indicating mem r sizing,spacing,and bearing locations.Show attic v_cpfflation. 18 Basement and ret.4161ng walla.Provide cross sections and details showing placeme t of rebar. For engineered systems,see rte 2,"Engineer's calculations."_ 19 Beam calcu ons.Provide two sets of calculations using current code design values thr all beams and multiple joists L over 10 feet long and/or any beant/joist carrying a non_-uniform load. _ Y 20 Manuf lured floor/roof truss design details. n 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-pipi schematic is required s- for four or more appliances. 73 22 Engineer's calculations,When required or provided,(i.e.,shear wall,roof truss)shall he stam d by an engineer or n arc hitcc, licensed in Oregon and shall be shown to be applicable to the project under review. 7 �nm Eglume"wal ELI U& "Fivesite plans are rcqu:red for Item 1 I above. Site plans must be 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are inqui .Items 16, 19,20&22 above. 25 Building plans shall not co• d lines or tape-ons. 26 "Reversed"building plans mu..,meet criteria outlined in the Permit&System Development Fees document. 27 No"mirrored"building plans will be accepted. 28 "Drawn to scale"indicates standard architect or engineer scale. Checklist must be completed before Ilan review start date. Minor changes or notes on submitted plans may he in blue o.black ink. Red ink is reserved for dep-irtment use only. 440-46141e OCOMt ' Electrical Permit Application Dale received: Permit no.: City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: — 4`— By: Receipt no.: �- Phone: (503) 639-4171 — — Pax: (503) r98-1960 Case file no.: Payment type: Land use approval: U I &2 f dwelling or accessory U.�_Wnmcrcialhndustrial U Multi-family U Tenant improvement U New :tion AAddition/alteration/re.placement U Other: _ U Partial Job address: ©-A'L,6' S%A,) Bldg.no.: I Suite no.: ITax ma tax lot/account no.: Lot: I Block: Subdivision: _ --- Project name: I Description and location of work on promises: G4timated date of com letion/ins ction: F1ee Mor Business name: '[t,/I► r.) RKJ�. 4'�rJC"i ter+ loo est Total oo. -- �- New realdearlbrl-artaie or waMl-rawBr Per Address: © i->, dwellbe adl.Inchi losehersnap. City:Cj , State: ZIP: �� Service lnchde1 Phone:4.&S -Lfi- Fax: Email: 1000 sq.ft or less _ 4 Hach additional 500 sq.ft.or portion thereof CCB no.: — Elec.bus.lic.no: Limited energy,residential _ 2 City/metro lie.no.: Limited energy,non-residential 2 Exch manufactured home or modular dwelling Signature of supervising elect ician(required) Date Service and/or feeder 2 Sup.elect.name(print)- Li -nae no: Services or feeders–hsetilleftan, alteration or relocation: 200 amps or less 2 Name(print): �'t•-� rj`l�V C. 201 amps to 4(0 amps 2 Mailing address: �— 401 amps to 60o s 2 - 601 amps to 1000 amps 2 City: Slate: - ZIP: Over 1000 amps or vn!,: Z Phone: Fax: I E-mail: Reconnect only1 Ownet installation:The installation is being made on property I own TeMporaryserrlcesorree&n- which is not intended for sale,lease,rent,or exchange according to Installation,afteration,or rellocatiow ORS 447,455,479,670,701. 200 amps or less _s— __ 2 1201 amps to 400 amps _ 2 Owner's si nature: Date: 401 to 600 amps 2 Ranch circuits•new,alteration, Name: or extension per panel: A. Fee for branch circvuts with purchase of Address: _ service or feeder fix,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,tint branch circuit: 2 Each additional branch circuit: Mlse.(Service or reeler not Inchsded): I U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 ❑Service over 120 amps-rating of 1&2 U Flarardous Incation Each sign or outline lighting 2 family dwellir gs U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, I U System over 600 volts nominal more residenti.vl units in one structure alteration,or extension* IU Building over three glories U Faders.400 amps or more •Descri don: U Occupant load over 99 persons U Manufactured structures or RV park Each atl/Nioad Inspection over the allowable b i any of the tabovs� U Egres0ightingplan U other. _ ...... Perinn!e on r v Scbmk_aero of piano with any of the abort. Investigation fee The above arc not applicable to ttempomy constnctlon service. other N-all Jurisdictions accept credit cards,please call jurdMktion for more hdormrion_ Notice:This permit application PCtml[fee.....................$ I U Visa 07 MasterCard expires if a permit is not obtained Plan review(at _ %) $ Ordit card number: �L.a within 180 days after it has ix:en State surcharge(8%)....$ _ Expires accepted as complete. TOTAL Name of cardholder u Shawn on credit cud —--- S _ Cardholder sipnatae Araoaat 4464615(~"M) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ------- ---- -- Complete Schedule Below: Restricted OF WORK INVOLVED-RESIDENTIACONLY . rgy Number of fns Restricted EneFee...................................................... 575.00 Inspections per permit Allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq &or less \� $240.6 $ ___ 4 ❑ Audio and Stereo Systems' Each additional 500 sq ft or portion thereof $ 1 United Energy $ ❑ Ourplar Alarm Each Manurd Home or Modular Dwelling Service or Feeder 2 Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,aheratlon,o,rnccatio200 amps or less 2 201 amps to 400 amps 2 Vacuum Sys ms' 401 amps to 800 amps 2 801 amps to 1000 amps 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WOR INVOLVED-COMMERCIAL ONLY Installation,alteration,or relocation Fee for each syst $75.00 ......................................................... 200 amps or less _ — $66.852 (SEE OAR 91 60-2r-91201 amps to 400 amps $100,30 2 401 amps to 600 amps _ $133.75 _ 2 Check Type of ori(Involved: Over 600 amps to 1000 volts, see"b"above. ❑ A to and S�ereo Systems Branch Circuits Now,afieration or extension per panel ❑ oiler Controls a)The fee for branch circuits with purchare of service or Clods Systems feeder No. Each branch cbroll 58.65 _ 2 Data Telecommunication Installation b)The fee for branch circuits w/thout purchase of service or feedw roe. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65" HVAC Miscellaneous ❑ (Service or feeder not included) nstrurrh�niallon Each pump of tnigation circle $53.40_ Each sign or outline lighting $53.40 ❑ Int can and Paging Systems Signal cimxull(s)or a limited energy panel,afteration or extension $75.00 ❑ Lands Irrigation Control' Minor Labels(10) _ $125.00 _ Each additional Inspection over ❑ Medical the allowable in any of the above Per Inspection .50_ ❑ Nurse Calls Per hour 62.50 ~� In Plant _ $73.75 — ❑ Outdoor Landscape L 1tin j" Fees: ❑ Protective Signaling �. Enter total of above hes / $ ❑ Other d �_ 8%State so,rct", $ Number of Systems 25%Plan Review Fee See"Plan Review"section on 5 No licenses are required Licenses are required for all other installations front of application. --- Fees: Total Balance Due $ _ Enter total of above fees ; ElTrust Account N ----— --- 8%State Surrharge All New Commercial Buildings require 2 sets of plans. Total Balance Ove -- i:\d \fonns\ele-fees.doc 08/30/01 I Plumbing Permit Application Date received: Permit no.: (City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Wall Blvd,Tigard,OR 97221 — CirvrrfTigard phone: (503) 639-4171 Ptolect/appl.no.: Expiredatc: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: — _ Case Tilt:no.: Payment type: U T A 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New constriction ,,idfAvf htion/alteratiort/rep!,icement LJ Food service U Other: Job address: lea-j'LS 4w (WCP.C::,p 4--7Deserip�m Qt • Fee ea. Totpl Bldg. no.: Suite no.: 7(2)bath i-■ndTffandly dwelling only: udes 100R.for each idlUty connection) Tax map/tax lot/accouni no.: (1)bathLot: Block: Subdivision: Project name: VknLLr,> SFR(3)bath City/county: f�Gr�/t� ZIP: 7223 Each additional bath/kitchen Dee s, and location of work on premises: Siteutllitles: 1-7 t pru Catch basin/area drain Est.t+ate of completion/inspect— — Drywells/leach line/trench drain Foolingdrain(no.lin.fl.) Manufactured home utilities Business name: —�1 �► _ ,, GQ_ Manholes Address: I Z1 (Z C> Rain drain connector City: (_r=d�c State: (�4 KIP.. JD7,ro Sanitary sewer(no.lin.R.) Phone:Z3 , Fax: Email: Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(nn.lin.ft..) City/metro lie.no.: Fixture or Nem: Contractor's representative signature: Absorption valve Back flow preventcr _ Print name: Date: BP;Awater valve _ Basins/lavatory Name: PA.ZT(z L IL 14c>C,Rf' t cjef Clothes washer Address: Dishwasher Drinking fountain(s) City: State: ZIP: E'ectors/cump Phone: 15Z' Fax: E-mail: Expansion tank Fixtatre/sewer cap Name(print): LaLp�} ? k p((/��� Floor drains/floor sinks/hub i p�j �. �w Garbage bis sal Mailing address: Hose bibb _ City: State: ZIP: Ice maker Phe ie: Fax: L-mail: Interceptor/r--ase Imp owner installation/residential maintenat.:-• .ml,/: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sin ;s),basin(s),lays(s) Ownces si nature: Date: Sum Tubs/shower/shower pan Urinal Name: — Water closet Address: Water heater City: State: ZIP: Other: Phone: Fax: E-mail: - Tom-Nix all)urisdic ions reser credit carne,please call Jinioction roc more inforrnetion. Minimum fee................$ Notiin•This permit appl=c"!ion Q Visa U MiLsterCard expires if a permit is not obtained Plan review(at _ %) $ _ crMir card number:____ / I within 180 days af'.er it has been State surcharge(8%)....$ Name or cartQiolde a shown on crrdi,cmd r•.><piree accepted as complete. TOTAL .......................$ _ _ _ S �_ Cedhotder siRru tirre Amouol W4 16(W)COM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-famlly 1weilinge only: FIXTURES (individual_ QTY (g) AMOUNT (includes all plumbl,,ig fixtures In PRICE TOTAL Sink 16.60 the dwelling and t!ae fir9t100 ft. QTY (ea) AMOUNT Lavatory 18.60 for each utility connection One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 -i"�--- Two'7LbathA• $350.00 _ Shower Only 11.60 Three 3 barb $399.00 Water Closet 18.60 _ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 _ _ TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 18.80 PLEASE GOMPLETE:� 3" 16.60 4" 16.60 Water Heater O conversion O like kind 16.60 Quanll b i Work Performed Gas piping requires a separate mechanical Fixture Type: New Mov Replaced Removed/ ermu. Capped MFG Home New Water Service 40 Sink MFG Home New San/Storm Sewer 48. Lavatoq _ Hose Bibs 16 80 Tub or Tub/SI,�wver Combination Roof Drains 16.80 Shower Only Drinking Fountain 16.80 Water Closet Other Fixtures(Specify) 16.60 Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Sewer• tat 100' 55.00 oor DraiNSink:3' Sewer-each additional 100' 46.40 q" - Water Service-tat 100' 55.00 Water er Water Service-each additional 200' 46.40 Other xt s �) Storm b Rain Drain-1st 100' 55.00 S Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 - --- Residential Backflow Prevention Device' 27.55 - - Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 - Requested Inspections r/h COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling . 5 Grease Traps 16.60 - -- QUANTITY TOTAJ- a Isometric or riser diagram Is requir d if -- _ Ousntlty Total Is >9-. 'SUBTOTAL -- U) 3%STATE SURCHARGE I•- _ J "PLAN REVIEW 25%OF SUBTOTAL m --Required orgy If Ibduro city.total Is>9 TOTAL $ J "Minimum permit tee Is$72.50+6%state surcharge,except Resklentlal Barkllow Preverdkm Device,which Is$38 25+8%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. I:tdsts\ferrns\pim-fees.dor. 08/29/01 OnDPOINT " SIGN PHONE NO. : 503+460►9317 Apr. 02 2002 09:40AM P2 FA CleanWater Services our C01,111111111C111 14 r 1clar, Sensitive Aloe PrA-Screening Site Assessment Jurisdiction Map & Tax Lot �- ODat Owner ��w�1 aZ Is/ -3-1-CC 01000 r,Site Address Ip 2 C'"t 9s/ Contact y Proposed Activity _ V Address - �>B� 4s Phone YY N NA Y N NA. tL'J ❑ ❑ Sansitivo Area Composite Map Map#_� IV 1� © ❑ Stomnwater Infrastructure maps - QS# -`fes Y N N 'l N NA ❑ ❑ Lomiiy adopted studies or reaps Other 7specIfy- -- SpecifyA^ -o 9 d on a review of the above information and the requirements of Clean Water Services rDa .gn and Construction Standards Resolution and Oder No. 00.7: I Sensitive areas potentially exist on sits or wrlthin 700" of the site. THE APPLICANT UST PERFORM A. SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATiFR CONNECTION PERMIT. If 80neltive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Sensitive areae do not appear to exist on site or within 200'of than site. This re screening site assessment doSSMENT OR SERVICE PROVIDrs NOT eliminate the need to eval�ate and protectwater quality sensitive areas If they are subsequently discovered on your property FURTHER SITE AS3FER LETTER 18 REQUIRED. THIS No FORM IAILL SERVE AS AUTHORIZATION To ISSUE A SZTORMWATER CONNECTION PFRMfT. The proposed activity doesnot meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER 18 REQUIRED. Comments: 1 t',5 7b C �0 ' >G9 1 -✓'_ Reviewed �( By' Date: Returnf A to Applicant 155 N First Avenue,Suite 270. Hillsboro,Oregon 9R EOC E I V E®Haat/,A Fax Coroner Ph.,#e: (503)84&8821 . Fax: (503)846-3525 Datr_ Y C11 Y UI' 1 IUARU 13M.T DING DMSIQN NOTE: 1) LCX-.ATE 4 VERIFY POSITION OF ALL UTILITIES, INDICATES PROPERTY LINE ----- — — UNL�f=RGRGUND TANKS; SPRINKLER SYSTEMS, SEPTIC SY5TEM5 A DRAIN FIELD5 IBEFORE INDICATES EYIST'G. BLDG. LINE PROCEEDING WITH AN'Y' EXCAVATION. INDICATES NEW MLDG. LINE —————__——` — NOTIFY ALL UTILITIES EFFECTED FOR rJOf�TN 5 INDICATES NEW ROOF O.L. LOCAL REQUIREMENTS 4 LOCATES. INDICATES NEW ROOF O.L. ---------- -------- PROVIDE 511_7 FENCE IF REC.AJIRED ll I INDICATES Ey15T'G. SETBACK .- 3) RiN 1400E DRAINS TO APF'Ft��vEG SYSTEM. UJ INDICAI-E5 2'-0' CrONTOU" .1? U.SA 5ERvICE PROVIDER 'RELEAAE' LETTER INCLUDED. 158' — — ---- — 151 1 4 �I I 5'61DE ffT04GK - 1 MOTE __ y t PROJECT —ADDITION OIWER SCOTT a SWERFtIE 1'OLLAND ADORE55 10425 S.W. MEADOW ST. If'x i'CONC.PATIO TIGARD, OREGON 91223 WI00W. PWONE " _ 503-G�20-93�E F°ROJ. ADDRESS ---SAME SUBDIVISION TWE MEADOW i" LOT • IS �_ 0/00VF1!tkTApKLOT 512E 1,243 5C. Ft.)FOOTPRINT --- *50 SQ-FT. Ex15TINGf =0OTPRINT ---- 540• NEW (INC, ROOF)TOTAL 2150 SO, FT o'INC. NEW 1 LOT COVERAGE / � Io 1 , PROP05ED ONE F— STORY ADDITION 00 / ' I w 10 rjwTwl 1 1 l, I > to 1 E a �nabt IL _ � EXIST'CI.GONG. [zl �. y txlstnl DRIVEWA'r sia w. ------------------------- �L---_ RECEIVED - I SITE 1 1'SI Lily ut DIV�S?L�` S 15a' SITE FLAN ecete. r . is r� CpPYRIGNI' 200ED 5PSNC R, Designer CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PORTLAND ELECTRICAL CONST INC PO BOX 586 OREGON CITY, OR 97045 Electrical Signature Form Permit#: MST2002-00212 Date issued. 5M102 Parcel: 1 S135CC-01000 Site Address: 10425 SW MEADOW ST Subdivision: THE MEADOW Block: Lot: 015 Jurisdiction: TIG Zoning: R-4.5 Remarks: 512 sq. ft. addition - Path 1 Your company has been indicated as the electrical contractor for the permit indicbted above. In order for the electrical permit to be valid, the signature of the supervising electrician is require,.". Please have the appropriate individual from your compary sign below and return this Electrical Signaiure Form prior to the start of the work to the add,ess above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form Is received OWNER: ELECTRICAL CONTRACTOR: HOLLAND, SHARI + SCOTT PORTLAND ELECTRICAL CONST INC 10425 SW MEADOWS ST PO BOX 586 TIGARD, OR 97223 OREGON CITY, OR 97045 Phone #: Phone #: 655-2251 Reg #: SUP 34619 IL ELE 3.246C F- N AN INK SIGNATURE IS REQUIRED ON THIS FORM m Lu x -a Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PARAMOUNT PLUMBING COMPANY 6019 SE 23RD AVE PORTLAND, OR 9; '02-0000 Plumbing Signature Form Permit M MST2002-00212 Date Issued: 511!02 Parcel: 1 S135CC-01000 Site Address: 10425 SW MEADOW ST Subdivision: THE MEADOW Block: Lot: 015 Jurisdiction: TIG Zoning: R-4.5 Remarks: 512 sq. ft. addition - Path 1 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 recRived OWNER: PLUMBING CONTRACTOR: HOLLAND, SHARI + SCOTT PARAMOUNT PLUMBING COMPANY 10425 SW MEADOWS ST 6019 SE 23RD AVE TIGARD, OR 97223 PORTLAND, OR 97202-0000 Phone M Phone M 239-7516 Reg #: LIC 125438 d' PI M 26-627PB F- y a AN INK SIGNATURE IS REQUIRED ON THIS FORM LU X a Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 24-11our BUILDING Inspection Line: (503)639-4176 MST INSPECTION DIVISION Business Line: (603)639,4171 SUP — Received .—` —Date R nested AM-- PM— BUR --- v— Location a' S_ � 1�- -G� -� Suite_— MEC -- Contact Person C-� .. Ph(- - ) -7.BIL- PLM —_— Contractor _ —__ Ph(___—_) ___ SWR BUILDING _ Tenant/Owner — ELC — Footing - Foundation Access: ELG Ftg Diain ELR —_ Crawl Drain -71 Slab Inspecti otes: SIT -- Post& Beam — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- - ---- - --- Insulation Drywall Nailing — -- --_ -- - -- Firewall Fire Sprinkler - - -- Fire Alarm Susp'd Ceiling - - - Roof -- Final PASS PART FAIL - - — PLUMBING Post&Beam Under Slab -- - Rough-In Water Service — - Sanitary Sewer Dain Drains — - Catch Basin/Manhole Storm Drain - Shower Pan Other: ---'—[PA PART FAIL_ _ — _ _CHANIC_AL Post A Beam - Rough-In - - ---— - Gas Line 1, Smoke Dar.tpers -- -------- Final n PASS PART FAIL --- -- - - ELECTRICAL_ Service - � — — --- ----- -- J Rough-In a UG/Slei, - - — - - LLow Voltage �- J Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL S C� Please call for reinspection RE: _ Unable to inspectno access Fire Supply Line a 711Ext ADA Approach/Sidewalk _ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hcjr BUILDING Inspection Lint: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)6304171 BUP Rc;;rived __—_ _ Date Requested I M _PM. — BUP Location ----� S a — r e Suite__ MEC — Cortact Person _ -� — Ph(—) 16 PLM Contractor — Ph( ) _ __ SWR BUILDING_ Tenant/Owner _ ELC — Footing ELC _ Foundation Access: ---- ---- Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT — Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear FramingN - Insulation Drywall Nailing ---- -- -- - Firewall Fire Sprinkler ----- - Fire Alarm Susp'd Ceiling — — 90of Other: Final - PASS PART FAIL - - - --- - PLIJMBING --.- — — _--- -- __-- Post&Beam Under Slab Water Ser.ice ---- �_-L�L ----- - Sanitary Sewer - Rain Drains Catch Basin/Manhole Storm Drain - - -- --- --- - Shower Pan Other: �- Final PASS PART FAIL -- - MECHANICAL Post&Beam - - - ---------- --- - Rouyh-in -- -- ------ ---.-_ Gas Line p, Smoke Dampers - -- - -- -- - - p� Final PASg PART FAIL - -- — ---- - ----- N _ ELECTRICAL. -- Service Rough-In m UG/Slab _� _ �-_ ------------ - WLow Voltage - -i Fire Alarm ma D F1 Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _PART FAIL SITE Please call for reinspection RE: I j Unable to inspect -no access Fire Supply Line ADA AnvroachiSidewalk Qat yG - IinePector - Other- Final DO NOT REMOVE this Inspection r000rd from the job sits. PASS PART FAIL CITY OF-TIGARD 24-Hour BUILDING Inspection Line: (603)639-4176 MST ;2 INSPECTION DIVISION Business Line: (503)639.4171 _ `., BUP Received Date Requested_ J AM PM _ BUP Location _ `{ ID, _ _ r Suite MEC Contact Person _ �- " Ph( _) ._�Y=14 '13 PLM Contractor Ph( ) SWR BUILDING Tenant/Owner _ ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SR rost&Beam Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing �;- E'GC /C.4�__,'��i,✓ —'7/-/Z, Insulation Drywall Nailing Firewall Fire Sprinkler - ----- Fire Alarm Susp'd Ceiling — —-- - Roof Other. — ----- ---- S ART_ FAIL-PEUNM �� -- ---"— ��— ING_ Post&Beam --- Under Slab —_ Rough-In Water Service — Sanitary Sewer Rain Drains -- —Y Gatch Basin/Manhole Storm Drain -- Shower Pan Other: ----- — - Final -- - PASS PART FAIL _ -- MECHANICAL Post&Beam Rough-In Gas Line a Smoke Dampers _ Final N PASS PART_ FAIL -- ELECTRICAL Service m Rough-In UG/Slab _ W Low Voltage _j Fire Alarm ---- ------___� _--- -- _ _ Final [j Reinspection fae of S required before next inspection. Pay at City Nall. 13125 SW Hall Blvd. PASS PART FAIL SITE _ ❑ Please call for reinspection RE: — L ] Unable to inspect--no access rirP Supply Line ADA Approach/Sidewalk Dab '_3' �— hl @Pootw Other: Final DO NOT REMOVE this Insperden mord from the job sib. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST , 24-Hafunnspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested Z_ AM� PM BLD Location— Suite MEC Q P0,R-001 D Contact Person _ _ Ph PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC -- Retaining Wall ELR —� Footing Access: FPS Foundation Ftq Drain SGN Crawl Drain Inspection Notes: Slab — SIT Post R Beam Ext Sheath/Shear Int Sheath/Shear Framing InsulationT' Drywall Nailing -- --�� — Firewall Fire Sprinkler —�--- Fire Alarm Susp'd Ceiling — Roof Misc: — Final PASS PART FAIL — — PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final P PART FAIL am rin ' a_ mpers i A PART FAIL CTRICAL IL Service Service Rough In I— UG/Slab N Low Voltage Fire Alarm —� J Final _m PASS PART FAIL — C9 SITE UJI Backfill/Grading ----' Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _require.'before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )PI'ase call for reinspection RE: [ ]Unable to inspect- no a ►ss ADA s Approach/Sidewalk ' Other Date Inspector Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.