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15155 SW SUNRISE LANE
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( ► illl 11111 ( 1 IIIIIIIIIIIIlII 1111111 111111 ( IIIIIIIIIIIIIII 1 ( 11111 1111111 IIf1l � lllll III VIII II , 1 � � IMAGE T A L A I 2 3 4 ► 5 7 8 10 11 1 `7 E O SCE R AS THIS NOTICE 9 / IT IS DUE TO THE QUALITY OF THF No 36 �,";�'�'��u' ,,�•. 151 ct N�'*'\z �I�i� VIII II IIII IIII�IIII IL Z I ►ORIGINAL DOCUMENTtj 0- 1111 LII I I L 9 �(I I II it TZIil �li1�,1� I IIII I II II � II I , II 111 H SIIII III IIII III mIIII I,IIEII CIIII 11z1111t11 i IIIlI TI LII Il0ll iIlllI�llll 611 11I1 1 i I fI3ll i illl1lL111��1111. 911.11–f—t.l� lllllI—l_I�–�(�--- -- E-J— 1�IIIt�l1� I S 15155 SW Sunrise Lane �� O� TIGARD MASTER PERMIT _^ PERMIT #: MST2002-00379 DEVELOPMENT SERVICES DATE ISSUED: 10/21/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15155 SW SUNRISE LN PARCEL: 2S105DD-00800 SUBDIVISION: ZONING: R-7 BLOCK: LOT: JURISDICTION: UR13 REMARKS: Const. new SF detached residence. No sevder permit required. Residence to be on septic system. Demo permit for existing house to issued at later date. BUILDING REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST. 1,659 sf BASEMENT sl LEFT: 40 SMOKE DETECTORS: Y 1 YPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,050 of GARAGE. 672 at FRONT: 60 PARKING SPACES. Z TYPE OF CONST: 5N DWELLING UNITS: I FINBSME.N r. Rf RIGHT: 68 20775. OCCUPANCY GRP: R1 BORM. �. BATH: 1 TOTAL. 2,709 sf VALUE. 274 REAR: 68 PLUMBING SINKS: I WATER CLOSETS: WASHING MACH: I LAUNDRY TRAYS: 2 RAIN DRAIN: IOD TRAPS: LAVATORIES: 5 DISHWASHERS: , FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 SCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOILIr.MP<]HP VENT FANS: 5 CLOTHES DRYER: I GAS FURN>-TOOK: I UNIT HEATERS HOODS: I OTHER UNITS: i MAX INP: btu FLOOR FURNANCES: VENTS. I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 201 •400 amp: 1st W/O SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL SR CIF: SIGNALIPANEL: IN PLANT: MANU HMISVC/FDR: 601 • 1000 amp: 601-amps-1000V: MINOR LABEL: 1000+amplyolt PLAN REVIEW SECTION Reconnect only: 1>✓4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL CLS AREA/SPC OCC: _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO: X VACUUM SYSTEM: K AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: x CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA/TELE COMM: NURSE CALLS: TOTAL p SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,491.33 This permit is subject to the regulations contained in the BRANDS,MARK E LHL CONSTRUCTION INC Tigard Municipal Code,State of OR. Specialty Codes and 15155 SW SUNRISE LN 6950 SW HAMPTON ST STE 160 all other applicable laws. All work will be done in TIGARD,OR 97224 TIGARD,OR 97223 accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance,or If the work Is suspended for more then 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Phone: Phone: 624-7714 Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 -0010 through 952-001.0080. You Rep Ir: LIC 537o,) may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Grading Inspection Post/Beam Mechanlea Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Footing Insp Crawl Draln/Backwater Electrical Service Low Voltage '.Vater Line Insp Final inspectin:l Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Appr/Sdwlk Insp / I / /h��GZ Permittee Si nature{` Issued B y : �'_-- t�i.Gr -t% %v2� _ 9 ���---Call (503)(503) 639-4175 by 7:00 p.m. for an inspection needed the next business day a— no FOR Z ' ' 'Build' 9 L"- ' * ' nReccivcJ BuildingingDatc/B . Permit No Planning Anproval OtherCit Of Tl 1C UG [UlI OlC1�l Date/IJ Permit No.: 13125 SW Hall BIU6 Z ! Plan Review o Other Tigard,Oregon 972 3 Date/t; : -30• L Permit No.: Phone: 503-639- 1)t Y �0 _,� Post-Review Land Use Internet: www] I" 0 Date/l3 : Case No. Contact Juris.: Page age 2 for )� 24-hour Inspection Request: 503-639-4175 Name/Ivtethod, a�J Su Ic_mcntal Information T?FtlrOa Pr1 ,x,� TYPE OF WORK _ REQUIRED DATA: New construction I Demolition______ t &2 FAMILY DWELLING Addition/alteration/rc lacetnent I R Other: _ CATEGORY OF CONSTRUCTION Note: Permit fees*arc based on the total value of the work performed. Indicate 1 & 2-Family dwelling Commercial/Indu',trial 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 .75,x....................... JOB SITE INFORMATION and LOCATION No.of bedrooms:_ No.of baths: _ Job site address: -" 4u. Total number of floors...................................... New dwelling area(sq.n.) ........................ Suite Bld •/A t.#: Garage/carport area(sq,fl.)......................... . ].-k - -- I A- Project Name: t U(si C)C)/ _ Covered porch area(sq.fl.)............................. Cross streeypireetions to job s te: Deck area(sq. fl.)............................................ 16v `/NA& ��GC Ctr /ft' Other structure area(sq.fl.)...................... ..... REQUIRED DATA: Q-1 COMMERCIAL-USE CHECKLIST Subdivision: 2.to5vr. — o� .�ool Lot#: IKtJA — Tax map/parcel #: Note. Permit fees*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. �� Valuation......................................................... S Existing building arca(sq.fl.)....... ................ ' e, New building area(sq.fl.)................. .... .... Number of stories........................... ...... ....... PROPERTY OWNER I El TENANT Type of construction.............. ................... . Occupancy group(s): Existing: Name: ( E --- New: _ Address_ Cit /State/Zlp: PhOnC: � �(.,- - FaX: NOTICE: All contractors and subcontractors are required to be AI'I'LICAN'f CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of URS 701 and may be required to be licensed in the Business Name: 1 L(c n cn _ jurisdiction where work is being perfornied. If the applicant is exempt Contact Name: / ISN[ from licensing,the fallowing reason applies: Address: C'`7S-U S ) Cit /State/Zi z J -- Phone: 11/t -A3"13 BUILDING PERMIT FEES* E-mail: z L% tI I'lease refer to fee schedule. CWTRACTOR -- - — Business Name: Z_Ih�L 4�e s n?c-cc./1cl Fees due upon application.. .......... .. Address: City/State/Zi Amount received................... ..... ........... ....... 5 Phone: TFax: Date received:_____—___ CCB Lic. #• Si 3 7 6'1 _ - / / Authorized Notice: This permit application expires If a permit Is not obtained within Au �/ / �]� f IRII days after It has been accepted as complete. Signa re: � (yam Date: 1,6 A . 11 'Fee methodology set by Tri-County Building Industry Service Board. T (Please print name) One- and Two-Family Dwelling Building Permit Application Checklist Rcfcrenccno.: Associated permits: C'i(vofTigard City of Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW I fall Blvd,Tigard,OR 97223 — Phone: (503) 639-4171 Fax: (503) 598-1960 1 1QX REQUIRED I Land use actions completed.See jurisdiction riteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. ✓ 3 Verification of approved plat/lot. ' 4 fire district_ approval required. 5 Septic system permit or 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 confrnl U plan U permit required.Include drainage-way protection,silt fence design and location of catch-hasin protection,etc. 10 3 ('omplete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a &rate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright violations exist. I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if' there is more dtatn a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious wren;existing structures on site;and surface drtinnga 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 sire,location of smoke detectors,water heater. ✓ t'urnace,ventilation fans,pl-•mbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-membLr sizes rind spacing such as flexor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may he required to clearly portray construction,Show / details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions anti remodels, iixterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full sire sheet addendums showing foundation elevations with cross references are acceptable. I6 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations-,for / non-prescriptive path analysis provide specifications and calculations to engineering standards, 17 Floor/roof framing, Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing 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 benms and multiple joists -'' over I o feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured Boor/roof truss design details. __-c i V 21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic s required for four or more appliances. - 22 Engineer's calculations.When required or provided,(i.e.,shear wall,ro o )runs)shall he stamped by an engineer or architect liCCIISell in Oregon and shall he shown to he applicahl•to the hn,i, t under review. 23 Five(5)site plans are required for Item I I above. site plans must he K-112" w I I"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"bu lding plans will he not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "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 he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved f'or department use only. 440.0,14 a MWOM) FOR OFFICE USE ONLV Electrical Pcrillllt AmAication Received I k1111'al Dale)© Ferman Nu.11r�,� a Planning Appruval Sign City of Tigard Test Form Date/By: _ Permit No.: 13125 SW I lall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: _ I'hone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: _ Case No.: Internet: www.ci.tigard.or.us Contact Juris.: Sec fags 2 for 2.4-hour Inspection Request: 503-639-4175 Namc/Method: _ Supplement I Information. TYPE OF WORK PLAN REVIEW Please check all that apply) _ ew construction Demolition Semce over 225 umps- El I Icalth-care facility - commercial ❑I laaardous location Addition/alicration/replacement Other: _ ❑Service over 320 amps-rating of ❑Bu iding over 10,000 square feet, CATEGORY OF CONSTRUCTION i &2 family dwellings four or more residential units in 1 &2-Family dwelling COmri1l ❑System over 600volts nominal one structure —CCC1al/lndUstrla ❑Building over three stories ❑Feeders.400 amps or more Accesses Building Multi-Family Cl Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑F-gres;/lighting plan ❑Other:_ JOB SITE INFORMATION and LOCATION Submit_sets plane with any of the above. — "I he above are nota Iicable to temporary construction service. Job site address: /c-/ 53 5 ,SV �Lc��_. FEE*SCHEDULE Suite#: Number of Ins sections per permit allowed Project Name: Dcscr{ llon Qty Fee(ea.) Total �C4[�)C) ' New residential-sipgle or 111111114211111Y per CCttOSS 5ileet/U1rCCtI, ps to f Q17 S te: dwelling unit.Includes attached garage. �JLt /t 1 i i�.� <e'er a 111 S� Service Included. Ll 1000 sc.Il.or less 145 ,5 4 Scab r 2 Fach additional 5001q.n.or portion Ihcrcof 33.40 1 Limited encruy,residential 75.00 2 Subdivision: _ Lot M Limited energy,non residential 75.00 2 Tax ma /Parcel #: Bach manufactured home or modular dwelling bESCR1P'1'IUN OF WORK scrvice and/or feeder 90.90 2 Services or feeders-bnstallatlon, alteration or relocation: 200 am s or less 80.30 2 ca 201 amp+ .r 400 amps _ _ 106.85 2 401 am rs to 600 amps 160.60 2 PROPERTY OWNER TENANT 4101 ams to 1000 ams 240.60 2 Over 1000 snips or volts 454.65 2 Name: n I I &I C(,SReconnect only 66.85 2 Address' A7 S'C 5 CC: Sl 1 / Temporary servlcce or feeders-Installation, alteration.or relocation: Clt /State/Zl /(�� )# 2[: ��7�� y 200 amps or less 66.85 I Phone: Tu Fax: 201 snips to 400 amps __ 100.30 Z 401 In 000 am rs 133.75 2 APPI,ICAN'1' Ej CONTACT PERSON Branch circuits-new,alteration,or Name: Zy"Z lun-50'12UC 7)L extension tier panel: A.Fee liar branch circuits with purchase of Address: lZ S -Q IAR U71�r-1 S /StC-- service or 1"eeder fee each branch circuit 6.65 2 Clt ' 7 A L _ _— 11.Fee for branch circuits without purchase of -- service or feeder fee,first branch circuit 46.85 2 Phone: FaX: 1 v r-5513 ._ Fisch additional branch circuit 6.65 2 E-mail: - c )l 1YL' C 10'I'l Misc.(Service or feeder not included): CONTRACTOR Each um or irri ation circle 53.40 Z -- Each sign or outline lighting 53.40 Job No: — Signal circuit(s)or a limited energy panel, alteration,or extension* 75.00 2 _Business Name: / •t,cscripNon: Address: Zj.I i k Cit /State/Zi �C' L Each additional inspection over the allowable anv of the above: !'er inspection({err hour-min. I hour) I62.50 Phone: - -6 Fax: 2Z -2-c. Investigation fec. _ Other: CCB Lic. #: `7 S� Lic. M �/ -36 I C, Electrical Permit Fees* Supervisingelectrician / _ _ Subtotal S si nature re uircd: i-4- -- �e�( 1/"'_'— Plan Review 25°o of Permit FeeS ' Lic. #: ` _ State Surcharge(8%of Permit Fee $ Print Name: C! macLT -- TOTAL PERMIT FEE $ Authorized %/X ^-/_ Notice: This permit application expires Ifs permit Is not obtained within Signature+ [/�- �J�c—' '_ -- 180 days after it has been accepted as complete. "Fte methndology set by Tri-(•ounty Building Industry Service Board. (Please print name) OR OFFICE USE ONLY Plllm111 i, I�, ermit Annlieateoe� {received Permit No UU��OU�-i9 )ate/By: _ Planning Approval Sewer City Uf Figa d nest Form Plan R : - - _ OthePermr No.: -- Plan Review Other 13125 SW Hall Blvd. Date/By Permit No.: Tigard,Oregon 97223 Past-Revicw Land Use Phone: 503-639-4171 Fax: 503-598-1960 1 DUMMY: Case No.: _ Internet: www.ci.tigard.onus Contact loris: Sce Page 2 for Su lemental information. 24-hour Inspection Request: 503-631'-4175 Name/Method: - `- - TYPE OF WORK FEE*SCHEDULE(fors ecial information use checklist) Fee(ca.) I Total New construction Demolition Drscrtptfon Qty. — New ; &2-family dwellings Addition/alteration/re lacement Other: (Inciudes too ft.far each uufity connectlan CATEGORY OF CONSTRUCTION SFR I bath 249.20 1 & 2-family dwelli Commercial/Industrial SFR(2 bath 350.00 SFR 3 bath 399.00 •_Accesso Buildin _ Multi-Famil y 45.00 Master Builder Other: Each additional buth;xitchen Fires rinkler- .fl.: Pa e2 JOB SITE INFORMATION and LOCATION Site Utilities Job site address: /ti"7 S� `' �'��L�r /u- 16.60 Catch basin/arca drain Suite#: B1dA #' Dr ell/leach!inc/trench drain 16.60 Project Name: ' l l ' CAl ( _ Footing drain(no Lncar ti.) Pa c2 _ Cross street/Directions to job I10.00 1 site: Manufactured home utilities /S� 10.00 h Manholes — Rain drain connector_ e2 I L4(V Ic' I L-A, Sanitar sewer no. linear fL_ Pa e 2 Storm sewer no, fl.) linearPa e 2 Subdivision: , Lot#: Water Pa c2 seryice(no.linear ft.l Tax map/parcel#: — Fixture or item DESCRIPTION OF WORK Absor tion valve 16.60 — Backflow reventcr Pa c2 _ f/urn /1 r -Al.' / 16.60 _ Backwater valve / Clothes washer 16.oO C c Dishwasher / I6.60 Drinkin fountain 16.60 PROPERTY OWNER TENANT _ Ejectors/sum 16.60 Ex ansion lank 16.60 Name: ( 1 ( Fixturc/sewer can 16.60 Address: Floor drain/floor sink/hub 16.60 Cit /State/Zi :LLLLJL�Ur— C/W �/ ��--- Garba,cdis osal / 16.60 e 7L'l Fax: Bose bib ^ 16.60 - Phone: t - - i 16.60 APPLICANT CONTACT PERSON Ice maker 4 Intcrcc tor/ tease Ira 16.60 "'� - Medical ,as-value: S Pu e 2 Address: C C c l/f11 �t Primcr 1G60 _ City/State/Z� C t t' r ) 2- Roof drain commercialIG.GO FaX: ) Phone: ,Zi l� t-`t-?�L Sink/basin/lavato 16.60 Tub/shower/shower an E-mail: Z L. / chil" (r ). Urinal 16.60 CONTRACTOR Water clos a 16.60 Business Name: Watcr hcatc 16.60 Address: L; S r 414 C other: f✓%/ G7 Other: City/State/Zi : A Plunrbin g Permit Fees* Phone: -G Fax: t, Subtotal S CCB Lie. #: - Plumb. LlcA )q 3 t Minimum Permit Fee$72.50 S Residential Backflow Minimum Fee 536.25 Authorized Plan Review 25%of Permit Fee) S D` Signetu e: `�- i '�'c `-'�' tt` ��C � State Surchar a 8"�•of Pcmlit Fec S TOTAL PERMIT FEE S _ (Please print name) Notice: This permll applinNon esplres If a permit is not obtained Nlthln Igo days after it has been accepted as complete. All new('ammercial building require 2%,-,%of plane Kith iwmclric..r *Fee methodology set by Tri-County Building Indust n Service Board. riser diagram for pian review. NLY Mechanical Permit Application FOR OFFICE USE ' Received Mechanical Date/By: Permit No.: KTguog City of Tigard Planning Approval Building fest l-MIH Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-RevDate/By: Land use Case No.: Internet: www.ci.tigard.or.us contact Juris.: 1 29 See Page 2 for 24-hour Inspection Request: 503-639-1175 Name/Method: Supplemental Information. TYPE OF WORK COMMERCIAL FEE"SCHEDULE-USE CHECKLIST ` New construction F1 Demolition Mechanical permit fees*are based on the total value of the work Addition/alteration,ireplacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 & 2-hamil dwclhn _❑C'ommercial/Industrial value: $ _ See:b,,. for Fee Schedule Accesso Buildin ❑ Mulli-Fami _ RF.SIDF,NTtAI EQUIPMENT/SYSTE,1S FF.F.•SCHF:DUI.E Description h Fre ea- Total Mastcr Builder Other: Hratln Coo1`ai JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning _ 14.00 Job site address: /S-/ - " (-k.1 r Gas heat um _ 14.00 Suite#: I31dg./Apt.#: Duct work 14.00 Project Name: -JV'5 h' S l l L J UG I lidronic hot waters stem 14.00 Residential boiler Cross street/Directions to job site: for radiator or hydronic system) 14.00 -fit e-e "/A) A'C Ca c( !v /SZ� t�ti �� SO 4001 Unit heaters(fuel,not electric; _ in wall,in-duct suspended,etc. 14.00 Flue/vent(for any of above) 10.00 Subdivision: Lot#: Repair units12.15 Other Fuel Ap lioness _ Tax ma /parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 / 41 —Flue vent water heater/gas fireplace) 10.00 / e - Log lighter as 10.00 c Wood/Pellet stove 10.00 —_---___ Wood fireplace/insert 10.00 _ Chi mne /liner/flue/vent / 10.00 PROPERTY OWNER TENA '1' Other: 10.00 Name: /cY/}raz H ((qtr t ( _ Environmental Exhaust&Ventilation �'•-u�--S- Range hood/other kitchen equipment 10.00 Address: Z 5 / Clothes dryer exhaust 10.00 Cit /State/Zi %i ' I g a Z Single duct exhaust Phone:u: G' k, / Fax: -t j (bathrooms,toilet compartments, APPLICANTCONTACT PERSON utilityrooms 6.80 Name: L �( Attic/crawls ace fans ;0.00 _ii2LIn Other: 10.00 Address: ` 1' Fuel Piping City/State/Zip: ($3.40 for first 4,$1.00 each additional)"• _ Furnace,etc. / •• Phone: 'Z Gas heat pump «• E-mail: [-/ (AyAWall/suspended/unit heater •• CONTRACTOR Water heater / Business Name: it t Fireplace A ddress: -kL; Range . " _ Ra City/State/Zi - c r U )- Clothes dryet as •• Phone:5ti3 S3" tJ l Fax:S ACA 3 J, Other: c, ' •• CCB Lic. #: _/ Total: — Mechanical Permit Fees* 1 Subtotal: S Authorized %I Minimum Permit Fee$72.50 $ — Signatu : �/ Date: -� GL _Plan Review Fee(2596 of[omit Fee) S State Surchar a 8"/°of Permit Fee S �I .4 Cti. TOTAL PERMIT FEE S (Please print name) Notice: This permit application expires if a permit Is not obtained within 180 days after It has been acc pled as complete. *Fee methodoloR1 set by Tri-County Building Industry Service Board. Mechanical Permit AU3licalion - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: _Total Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 $72.50 for the tiisl$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and $1.54 for each additional$100.00 or fraction thcreof,to and including $25,000.00. $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per Appliance: Value 'Total Description: Qty (Ea) Amount Furnace to 100,000 IJTU,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents Floor furnace including vent 955 1 _ Suspended heater,wall heater or floor 955 mounted heater _ Vent not included in appliance perniJit 445 Re air units 805 <3 hp;absorb.unit, 955 to 100k 13TU 3-15 hp;absorb,unit, 1,700 101k to 500k QTIJ 15-30 hp;absorb.unit,501 k to I mil, 2,310 BTU _ 30-50 hp;absorb.unit, 3,400 1.1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 nail.BTIJ Air handling unit to 10,000 cfm 656 Air handling unit>10,000 cfm 1170 Non-portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 er_mit _ I loud served by mechanical exhaust 656 !)amestic incinerator 1,170 k'ommercial or industrial incinerator 4.590 Other unit,including wood stoves, 656 inserts,etc. _ Oas i ing 1.4 outlets 360 Each additional outlet 63 TOTAL.COMMERCIAL $ VALUATION: .'emlWatcr , crvu�f;s SANITARY* D n UJ155 N. First Ave.,Site 270, Hill:,l:oro, Or.,97124 SURFACE WATER 503 648-8621 EROSION CONTPOL PERMIT rr'NSUE DATE 092002 EXPIRATION DATE 091901 PERMIT 12314 STRUCTURE: ADU13E.')5 153 55 PROJECT 9499 LOT 0 STRUCTURE STREET SW SUNRISE LN TYPE OC('IJPA.NCY•- ( .1 ) :SINGLE FAMTLY PARCEL 251 `? DD ?00 WNEP LhL CONST RUCTION DURESS 69501 5W HAMPTON s,r #1h01 '. IGARD OR 97223 PHONE 503•-67.4-7714 E:ROSICIN CONTROL, FEES f.NS F'ECTION 64 . 00 PLAN CHECK 41 . 60 I'OTA:. 105 . 60 hIF NAME DICK PHONE kt'FTLI..IA'TION REP EMARK-� EC: ONLY FOR SFR Number to call f,,r .INSPECTION--846-8444 . • • • . tt1 s ) s not a SLTE GR. �11N' PERMIT-tris pArMi t covers EPOSION CONTROL (.61. / ITGNATURE _._.'` t.1.�.1�. _..!:::..t_ .: _._._... _.. ....._.._._.._._ ISSUED H'► VANUERZANDEE: Peen it Conditions: The applicant agrees to oonply with all riles and regulations of the Unified Sewerage Agenc,• When calling for a1 Inspection, please `I refer to the Permit Number The Permit expires one hurKkvd eighty (180) days Imm the date of issuance The A gency does not guarantee the amuacy of the location of side sewer laterals. I �rrrrr� I 7193 WHITE - USA, BLUE - Accounting, Of3Rtl1 -tnepeetion, YELLOW - Customer c 'ADO- 'o q' rr O f9 O t! a. ylO ? °o °r o a CO vfjj on lz�o r ^ y CD x N' c a ar ►� a ° no. WO � xCr7 r. Cl. p 00 G C > � 00 r oil A (70 wmpw� CD M b �• � � . V1 ►� �. < Y 10000 SEE 35M-T\/-I- ROL L #20 F- - OR OVERSIZED DOCUMENT SEE 3511 MM ROLL # 20 FC4 R OVERSIZED DOCUMENT CITYOF TIGARD _ BUILDING PERMIT PERMIT#: BUP2.002-00364 DEVELOPMENT SERVICES DATE ISSUED: 6/24/03 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 SITE ADDRESS: 15155 SW SUNRISE i-tJ PARCEL.: 2S105DD 00800 SUBDIVISION: ZONING: R-7 BLOCK: LOT: JURISDIC riot.: URB REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: Si: SECOND: sf PROJECT OPENINGS_? _ TYPE OF CONST: sf 147- -- S: E: W: OCCUPANCY GRP: TOTAL AREA: O st ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: B:?MT?: MEZZ?: RE_QD SETBACKF REQUIRED FLOOR LOAD: psf L_EFT: it RGH"r: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: All deris to be removed. Demo permit for existing house to be issued or completion of new residence. TIF — CREDIT only to be applied. No parks. Owner: Contractor: BRANDS, MARK E LHL CONSTRUCTION INC 15155 SW SUNRISE LN 6950 SW HAMPTON ST STE 160 TIGARD, OR 97224 TIGARD, OR 97223 Phone: Phone: 624-7714 Reg #: LIC 53769 FEES REQUIRED INSPECTIONS Description Date Amount Final Inspection 11,11il'll 01 1'ernut Fee 6/24/03 $62.50 111 I AX I fux 6/2.4/03 $5.00 Total $67.50 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 6y: Permittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application FOR OFFICE USE ONLY �— Received /Z�. DZ ��f� building : �'� t Date/B Permit No.3o _rrJ Citi Planning Approval Other Citi of Tigard Test U-01'nl — � � Date/By: Permit No.: 13125 SW Hall Bivri. Plan Review Other Tigard,Oregon 97223 -Uat&W Permit No,: �4 Phone: 503-639-4171 fax: 503-598-1960 Land Use A /t Case No. Internet: www.ci.tigard.or.us Contact J�ytis. See 1'agc 2 for 24-hour Inspection Request: 503-639-4175fi dlhrni _ U Su Icrnental Information TYPE OF WORK REQUIRED DATA: New construction _ -Demolitio t &2 FAMILY DWELLING _Add ition/alteration/re)1 lacement Other: CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate 1 & 2-family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,• terials,labor, r. overhead and profit for the work indicated on this application. Accessoa luiIding Multi-Family_ Nlaster Builder I ❑ Other: Valuation.................................................... .... S I 3013 SI'Z'E INF ORNfATION and LOCATION No.of bedrooms:_ No,of baths: B_--._ -- Total number of floors. % 1 ��-3. - wuN'R/S0--'- New dwelling arca(sq.R.)... .......................... —1: _—"_. Suite#: — 1131d r/A 1it.#: — �L�_ — Garage/carport area(sq.R.)............................ .4 A u Project Name: (Jj 'T SUS QCT 1 Covered porch area(sq.R.)............................. f —— Cross strect/Directions to job site: Deck arca(sq.R.)............................................ 3c — JJ l Other structure area(sq.R.)............................ - r��, /flUC�c� �j /�zJ � 7� Jt/(11/,'I — -- REQUIRED DATA: Subdivision: --- Lot#: — COMMERCIAL-USE CHECKLIST -- — Tax map/parcel#: _ Note: Permit fees•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 at-72121 t Valuation......................................................... S-- Existing building area(sq.R.)......................... _!2c_ sj A emNew building area(sq.R.)............................... Number of stories........................................ ... PROPERTY OWNER —r TENANT Type of construction....................................... —--- Name: �� Occupancy group(s): Existing: New: Address: / - r e, —� City/State/Zip: jef04 -v 7..L V Phone:�" - � FaX: NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under I JS provisions of URS 701 and may be required to be licensed in the Business Name: 1_11t_ c Ike« nLL I jurisdiction where work is being performed. If the applicant is exempt Contact Name: e jZ,/ from licensing,the following reason applies: _Address: L�A Ll i 9 Aw i Lyl S City/State/Zip: - G7 1,v ?,U — - — ----- Phone: .z Y 7 11,4 Fax: �,Z., i r~5`i 5313 --- -- -- {, r c r✓1 BUILDING PLL MIT FEES' E-Mail: Please refer to fee schedule. coNTRACTOR -- -- Business Name: Fees due upon application....................... .... . $ _ Address: City/State/Zip: — Amount received............................................. �+ Phone: 1 Fax: _—_ Date received: CCB Lic. #: r -7r — – _ Notice: This permit application expires Ira permit is not ab•ained rriU•1n Authorized IRO days after it has been accepted as complete. SignMyre: Date: L cti J ,raj 1 / `Fee methodology set h� Couniv Building Industry Ser%ice Board. ff�lAngy-1 i lLrU_J( — (Pleese print name) One- and "Fivo-Family Dwelling; Building Permit Application Checklist Rcferellren"- - - - Associated pet Ciry n/7'i,qurd City of Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW I I;,II hk 1 1:yard,OR 97223 UOther: Phone: (503) 639-4171 - Fax: (503) 598-1960 S111-VIA11 jolts I I 1 Land use actions completed.Sce,lunsdictlon critcrul lug rnncurrcfill C%ICW,. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. -I hire district_—approval required, _ 5�Septic system permit or 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 location of catch-hasin protection,etc. _ I(1 3 Complete sets of legible plans. Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connection,must he incorporated into the plans or on a separate full siie sheet attached to the plans with cross refcrences between plan location and details. Plan review cannot be cunlplrlyd if copyright violations exist, - 1 I Site/plot plan drawn to scale-The plan must show lot and building setback dimensions;property corner eliI(it there is more than a 4-A.elevation differential,plan must show contour lines at 241.intervals);location of eawincni"and driveway;footprint of structure(including dccks);location of weils/septic systems;utility locations;direction indicator,lot area;building coverage area;peruntage of ruvertge;my perviousarea;existing structures on site:find surface draina):c 12 Foundation plan.Show dimensions,anchor bolts,any hold-clowns lilt]reinforcing pads,connection detail,vent siir and iocalion• 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation funs,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross sections)and details.Show till framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof constrauction. Marr ilial one cross section may be required to clearly portray construction.Show details ol'till wall and roof sheathing,luobn,,,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc.--- — IS ffe tion views.Provide elevations for new con1. lCtion;n imill ill of two elevations for addition and remodels. Exterior elevations must reflect Ibr M 111;I1 i4dk • II IIW Cll,llwc if, viade is greater than four foot tit building envelope. Full-size sliest addentfullls SlION0I1L 1111,111d,011111 ClCvation"%kith cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations,show attic ventilation, _ 18 Basement and retaining walls.Provide cross sections and(II�bowint 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 forall beams and multiple joists over 10 feet long and/or any beam/joist carving a non-uniform load. 20 Manufactured floor/roof truss design details, 21 Energy Code compliance.Identify the prescriptive path nr provide call ulations.A gas-piping schematic as required for four or more appliances. _ 22 Engineer's calc•ullUions.When required or provided,u � I Car wall,f ool truss)shall be stamped by an engineer or architect hceiI III OI'egorl all[I sll(Ill I�r X11`%if In bC Ill'IdI h1C to IIIc plojort Ilrldvr Pevivw. ' 1 1 A 23 Dive(5)site pians are required for Item It above. Site plans must he 8-1/2" x 11"or 11" x 17". 24 Two(2)sets each are required fur Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not acct-pled. 26 "Reversed"building plan, ,rust meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn to scale"indii:ate.:standard architect or engineer scale. 28 Site plan to include tree site,type&location per approved project street tree plan(if applicable).and COI'Street Tree List Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved 1'or department use only. 4404n141ISAYWOsll SEE 35MM- ROL--L X20 FOR OVERSIZED DOCUMENT CITY OF TIGARiD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST L2 _ 3 7 INSPECTION DIVISION business Line: (503) 639-4171 BLIP - -- - - -- Rpceived Date Requested— L' _ AM_ _- PM -__ _ __- BUP _ Location ___ l f23 Suite -_- MEC - ContactPers,m �-� - -- Ph (-_ --). 3 _�""" - PLM ----_- Contractor_ _ - _ _- Ph (-______T) _.. SWR BUILDING _ Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELF Crawl D,-ain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ,�� Framing -�1- -_ i.��-_ r �v�i /�/��f/1� C.�/J►i>� Ll ,-'7l' -j71!,Z6V0/Q _ Insulation 24 A Drywall Nailinq faltiu�aC� c... Lc. ..j Firewall Fire Sprinkler - I�r:ter?e•.,,;�� .'�L / 1dG' -----_-- Fire Alarm /1 i0 -5;e- us Sp'd Celli g ----- --- - - Roof Other:`�- --- - - —.--- - - w- f;1 ASS' PART FAIL -- - - - PLUMBING Post&Beam Under Slab -- - - Rough-In Water Service --- - ------- ------ Sanitary Sewer Rain Drains --------- - - -- Catch Basin/Manhole Storm Drain -- -- - ---- Shower Pan Other: - - --� -- _ - Final ----- - PASS _PART_ FAIL MECHANICAL Post&Beam Rough-In ---- --_ Gas Line Smoke Dampers ----- - -- ------------- ------- --- Final PASS PART FAIL - - - ---_. -- -- ------------- ELECTRICAL Service Rough-In ---- ---- -- ---- - ------- --- --- ------ -- UG/Slab Low Voltage - - ----- - ----.,_.._.-------- Fire Alarm Final Reinspection fee of$ required before next inspectio Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:._-_ ---� __ n Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date -7 71�- `� Inspector --__ Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour �t _ BUILDING Inspection Line- (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP -- - - - - -- - Received .. 2, _Date Requested �' _-- AM__ -__ PM__ BUN -_ _ - ---- - - Location __ _—� / �-._ <a�_,4AJ2<<'' _ Suite_ _ MEC Contact Person In- - Ph(-- -) • �[ �j PLM _ Contractor— - - Ph( --) -- -- SWR - �, UI Tenant/Owner --- ___ ELC Footing --- - ELr. Foundation Access: Ftg Drain ELR -_ Crawl Drain — -- Slab Inspection Notes: SIT Post& rsearn -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Ty Framing u��r s4v- Insulation Drywall Nailing — - — Firewall Fire Fprinkler -- ------- -- Fire Alarm Susp'd Ceiling - Roof Other: nal PASS PART FAL PLUMB_INQ Post&Beam — Under Slab --- --- ---- - - ---- --- Rough-In Water Service - ------ -- Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain - - ---- - — - Shower Pan Other: ----- --- - - - ---- -- — Final PASS_PART FALL — ---- -_.__.__.- — --_—. --- --- — MECHANICAL ---- -- ----- ----- --- ----— -...-._. Post& Beam Rough-In - -- ----- ------ -- - --- -- Gas Line Smoke Dampers -- -----— -- -- — Final PASS PART FAIL - - -' ELECTRICAL _ Service — Rough-In — -... -- - ---- - - UG/Slab Low Voltage --- --- - -- --- -- -- Fire Alarm Final n Reinspection fee of$- _____-_-_ __._ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL f�1 SITE l] Please call for reinspection RF -__- _ -__ _ _T _— L� Unable to inspAct-no access Fire Supply Line ADA ,'. . ' -2 ,1� Approach/SidewalkDaft Inspector Other: Final DO NOT REMOVE this Inspection record from the',)b site. PASS PART FAIL. G►TY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639.4175 MST g 6,1)3 INSPECTION DIVISION Businesa Line: (503) 639-4171 BLIP Received r_Date Reques d �—`�— AM__ _ PM BLIP -_--_ Location Suite_ _ MEC PLM�1 - — Contact Person __ – ---.– — Ph( ) -� r Contractor _ �_ Ph(---) SWR ---- - BUILDING Tenant/Owner --- _—. - - -L - - - Footing ELC Foundation Acces.,: Fig Drain ELR - -- - Crawl Drain _ - Slab Inspection Notes: SIT -- - - Post&Beam --- -- -_ 1 Shear Anchors Ext Sheath/Shear --� - Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLU MBING Post& Beam Under Slab - Rough-In Water Service - Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain --- -ShowerPan Other: - - Final PASS PART__F_A_IL MECHANICAL [lost&Beam ---- Rough-In - Gas Lire Smoke Dampers Final PASS PART FAIL — ELECTRICAL Seriice Rough-In — UG/Slab Low Voltage c R�� ,N S j'1-- �-Z a � G �� 1A10 ��k/• V Fire Alarm F'J�" Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. � ASPART FAIL S17 Please call for reinspection RE: _ — Unable to inspect no access - -- —--- Fire Supply Line ADA (/`��-t7i Approach/Sidewalk Date U -- Inspacto Ext - Other: ' Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL .or CITY OF TIGARD 24-Hour ection Line: (503)639-4175 � BUILDING Inspection MST � —_ INSPECTION DIVISION 3usiness Line: (503)639-4171 BUP ReceivedDate Requested 5 QA�M----PM 9UP Location _ S 5Sir- �d-� A-1-,-Suite _ MEC 4) 1AA �'*dd/ PLM - - -- -— Contact Person .___ __ Ph( A'1-77141 Contractor ----- ---- --- - --- Ph( --) 1R-- SwGt - - BUILDING T Tenant/Owner ___ ELC - - - F-04ng - ELC Foundation Access: Ftg Drain ELR ----_ - Grawl Drain Slab Ins ection Notes: SIT PoFt& Beam _ P Shear Anchors Ext Sheath/Shear - - Int Sheath/Shear Framing — Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL W &Beam Un Wer lab Plough-In Water S als:�, nitary t)eyyer- ' Ram rains Catch Basin/Manho!e Storm Drain Shower Pan _.p RT FAIL --� _ANI XL _ -- r)s Rough-In ----- Gas Line Slnpke Dampers -- ci SS' PART FAIL — __ ICAC - — Service Rough-In ---- - UG/Slab ^— Low Voltage — -- - --- ---- —� Fire Alarm Final I_I Reinspection fee of$____ -______req sired before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Unable to inspect-no access SITE Please craw for reinspection RE:—__ -- ---- ❑ P Fire Supply Line ADA Date `�L1 - �J Approach/Sidewaf: Inspoetor Fxt � -, -- --- Other: Final -- DO NOT REMOVE this Inspection record from the job site. PAS: PAR" FAIL