7300 SW LANDMARK LANE I
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: "39-4175 Business Line: 639-4171
BUP _
_Date Requested AM_— PM — BLD
Location—_.- L�(_)Ci L4/\-.-. Suite _ MEC !�
Contact Person Ph PLM
Conn:ctor -. � > l .+'_L Ph i� �C� SWR
BUILDING Tenant/Owner _ �� ^ _--- ELC ` 7—C _s
Retaining Wall ELiW-
Footing 'AcceS I J/L( Ver .Yl- /
Foundation �� _ FPS -
Ftg Drain -' ,., SGN
Grawl Drain Inspection Notes: --
Slab _— — — -- -- — -- SIT
Post& :am -
Ext S' .ith/Shear
Int SI- ath/Shear ----!--
Frami g
Insula ,n --- ------- -----
Dryw. Nailing ----
Firew 1
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling ---- ------_-- ----- ------_.--_-
Rnof
Misc: _-- ------------- - ---- __ _
Final
PA,So PARI -All_ -- -- - _ ----- --- ------ ----___- ---- --
PLUN,dING
Post _%Beam ------- ---- ----- --- -- - -- -
Under Sleb
Top Out - -- —
Water Service
Sanitary Sewer
Rain Drains
Final --- --- ------ ----- - ----.A-______
PASS PART FAIL
MECHANICAL
Post&Beam -- -- -- -
Rough In
Gas Line - ------ -- ------
Smoke Dampers
r inal ---------
P
-- ---Pq T FAIL
Service
Rough In -- ------ - --- ----- ------
UG/Slab
Low Voltage _`-- -- -----�--- — -
Fyi" rm ---- - -- ---- --
( ASS PART FAILSITE
Backfill/Grading - — --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City hall, 1312, V Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspectirn RF [ ]Unable to inspect no access
ADA
Approach/Sidewalk Date. InspectoPr Lu�� Ext
Other _ — _ — -- —
Final —
PASS PART Fi%IL 60 NOT' REMOVE this inspection record from th,2o job site.
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL. PERMIT
PERMIT #: ELC9 7--0259
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DA-CF_ I SSIJFI). 05/07/97
PARCEL: 2S112AN-00 ;00
SITE_ ADDRESS. . . :07300 SW LANDMARK I..-N
SUBIIIVISION. . . . : Z�7nIING: T—H
BLOCK. . . . . . . . . . . I.-OT. . . . . . . . . . . . . . JIJRISDTCTION: TIG
Project Des ar i pt i.on: ONF BRANCH AND TEN BRANCH CIRCUITS
---RESIDENTIAL...—(_INIT----��—�---TEMP�SRVC/FEEDERS-- --- __.__...._MISCEU_ANEOLIS----~—_
1000 SF OR LFSS. . . . : 0 0 — 200 amp. . . . . . . : 17, PIJMP/IRRIGOT I01\1. . . . : 0
EACH ADD' L 500SF. . . s 0 201 — 400 amp. . . . . . . : 0 SIGN/OIJT LINE 1. TG. . : 0
I_IMITF_D ENERGY. . . . . : 0 401 — 600 amp. . . . . . . s 0 SIGNAL./PANEL... . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts a 0 MTNCIR I_ABEI._ . : 0
-- ---SERVICE/FFFDFR----- ----BRANCH CIRCUITS----- - - -ADD' L INSNECTTCTION5—
171 - c::00 amp. . . . . . . 0 W/SSERVICE OR FEEDER% 0 PER INSPECTTON. . . . . : 0
r101 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . .. . . . . . . . . .. lh
401. - 600 amp. . . . . . : 0 EA ADD' L.. E'.RNCH CIRC. 1.0 IN PLANT. . . . . . . . . . . . 0
601. -- 1.000 amp. . . . . : 0 ------_- --�--PLAN REVIEW SECTION______-__-_._..___.__..
1000+ amp/volt. . . . . : 0 )=4 RES UNI'TS. . . . . . . . : ) 600 VOI....T NOM INAI, . .
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . CLASS AREA/SPEC OCC.,
Owner: --_._____.______.____________.___ ..__--
-----..----- FEES -•-__.__________.....___.
PIKF AWNING type amolrnt by date re-cpt
7300 SW LANDMARK PRMT $ 85. 00 JMH 05/07/97 97-294244
TIGARD OR 97224 5PCT $ 4,. 25 .JMH 05/07/97 97-2941.'/+4
Phone #:
Contractor:
I-EAR ELECTRIC $ 89. i--15 TO'TAI..
PO BOX 573
---•---- REQUIRED INSPECTIONS
•-- - -
GRE5HAM OR 97030 Ceiling Cover Undergroi.md Cove
Phone #: 665-9840 Wall Cover Elect' l Final
Req #. . % 00052-2:
Ilk/
This permit is issued subiect to the regulations contained in the V/✓
Tigard Municipal Code. State of Ore. specialty Codes and all other Perm i
applicable laws. All work will he done in accordanre with
approved plans. This oervit will expire if work is not started
within IN days of issuance, or if work is suspended for more 4- _ (-nu
____•__.--
than 188 days. g oa e d By
QWNFR INSTALLATION OHI_Y--- ---------- ---'_-_-_---'�-
The^installation`is-bring
_mar'.: on property I own which is nal' intended for
,al.e, lease, or rent.
DATE.
OWNER' S SIGNATIJRF: _..---__
INSTALLATION
SIGNATURE OF SI_IPR. ELEC T N s _ DATF: -- --.--------�.___.__-.
TCENSE O:
Call for insaect i.on - 639- 4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. r I /'�-]�� •,
Tgard, OR 97223 Permit #
Date Is6ued
Phone (503) 639-4171
CITY 4F TIOARD
FAX (503) 684-729'
TDO No. (503) 684-2772
InSDection (51j3) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development P'.KE AWNINC- Number of Inspections per permit allowed
Address 7300 S.W. LA'JDMARK LANE Service Included Items Cost(ea) Sum
City/State/Zip TL-iRp, OR 4a. Residential -per unit
1000 eq ft or less $11000 4
Name (or name of business) PIKE AWNING Each additional 500 sq ft or
—-- $2500
portion thereof t
Commercial Residential Limited Energy $2500
Each Manurd Home or Modular
Dwelling Service or Feeder $6800 2
2a. Contractor installation only:
4h. Services or Feeders
Electrical Contractor LEAR ELECTRIC CO. INC. Instal!ampsoeratlon,orrelocatlon $6000
200 amps or lase .__
Address P.O. BOX 573 201 amps to 400 amps $8000 _ 2
G _ State R _ Zi 97030. 401 amps to 600 amps $12000 2
City p 601 amps to 1000 amps $18000 2
Phone No. 3-665-9840 over 1000 amps or volts $34000 2
Job NO. 97-286 -- Reconnect only —_ $5000 2
contractor's license NO. L 4c. Temporary Services or Feeder,
Contractor's Board Re No. 52278 Installation,alteration,or relocation
Signature of Su Elec'n r 200 amps or less _ 2
201 amps to 400 amps $5000 �
Licence No. 3 86S� Phone No. - 401 amps to 600 amps $7500
- -- ---- 2
f),>V It' 'ALAA Over 600 amps to 1000 volts $10000 ----—
2b. For owner installations: see"b"above
.
4d. Branch Circuits
Print Owner's Name---., New,alteration or extens on per pane
Address e)The fee for branch circuits with
City State Zip_ purchase or service or feeder res.
Each branch cl,cult $500
Phone No. b) 'he fee for branch cirruds without
The installation is being made on props, y I own which is purchase of service or feeder ha.
not intended for sale, lease or rent. First branch cS$5 00
Each additional
al br branch clra,A IL $5.00
nwner's Signature 4e. Miscellaneous
(Service or feeder not Included)
3. Plan P,eview section (if required).• Each pump or Irrigation circle $4000
Each sign or outline lighting $4000
Signal circud(s)or a limlted energy
Please check appropriate Item and enter fee in section 5B. panel,alterstlon or extension $4000
4 or more residential units in cne structure Minor Labels(Io) $10000 _
_Service and feeder 225 amps or more
System over 600 volts nominal 4,`. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E.C. Chapter 5 Per hour $35 0
Inspection _ _
Per hour ___ $55 00 _
In Plant $51,00
Submit 2 sets of plans with application where any of the above
--
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ rj`Cv—
NOTICE 5% Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUS"ENDED OR ABANDONED FOR Plan Review If required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. Trust Account # F}.
am•nn
Balance Due $
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97--0369
DATE ISSUED: x7/07/97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
PARCEL-: 2SI. 12AB-00500
G i,r[-_: ADDRESS. . . .0 7.300 SW LANDMARK LN
,iUBD I V I S I ON. . . . : ZONING: I—H
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION; TIG
Pr-aject Descr-ipt ion : add I service/feeder // job # 97-286
-----R7-_SIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS-------- ------MIGCELLANEOUS------ -
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : I PUMP/IRRIGATION. . . . 0
EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT I._ INE L'r(3. . o
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . t 0 SIGNAL/PANEL.. 0
MANF. HM/ 13VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL 0
-----SERVICE/FEE DFR------ -------BRANCH CIRCUITS—— ---HDD' L INSPECTIONS—-
0 — 200 amp. . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECI ION. . . . . : 0
201. — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . .. 0
401, — 600 amp. . . . . . : 0 EA ADD' L. BRNC11 CIRC.- 0 JN PLANT. . . . . . . . . . . : 0
601 -- 1000 amp. . . . . : 0 —------------PILPN REVIEW SEO-ION-----------------
1000+ Pmp/vol : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMIS. . , CLASS AREA/SPEC OCC. :
Owner.: FEES
PIKE AWNING type amot.Ant by date t-eept
7300 SW LANDMARK LN PRMT $ 60. 00 TAT 06/12/97 97-296803
TIGARD OR 97223 5PCT $ 2. 00 TAT 06/12/97 97-295874
Phone #:
Contr-Actol—
LEAR ELECTRIC $ 62. 00 TOTAL
PO BOX 573
REQUIRED INSPECTIONS
GtiESHA." OR 97030 Ceiling Covet, Elect' 1. Set-vice
Pl-ionc, #: 665 -9840 Wall Cover- Elect9l. Final
Rey #. . : 000522
This permit is issued subject to the regulations ,ontained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN
days of issuance, or if work is sl,spendpd for more than IN days. ATTENTION: Oregon law requires you to follow tfe rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in DAR through OAR)952-@0I-J987. You may obtain a copy
of these rules or direct questions to UK by calling (563)246-1987. /,///,/ "/
Per,mittee SignatlAt-e I s s i,t e d B ACL
ev
eta
INSTALLATION
Th e installation is being made on property I own wl-i i0i is not intended for
sale, lease, or rent.
OWNER' 5 SIGNATURE: DATE
INSTALLATION
SIGNATURE r1F SUPR. ELECIN: DArF-
LICENSE NO:
++4-++4+4-4 �4++--+++++44+4........1-+++4.++4.................4++4.4-+++4,+++-I-,+++++-f......
Call 639-4173 by 6:00 p. m. for an inspertion needed the next hi-tsiness day
+++-4 4.4-+++-4++4 4•++++++++....+++++•+4.+++++++++-+....4.4.++++++++-F++......4+-+-++4++-1 ++++
ADDITIMIAL FEES TO PER',UT p ELEC 97-0269
Community De-elopment ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # �-
Date Issued � T
Phone (503) 639-4171
CITY OF TIOARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name, of Development Number of Inspections per permit allowed
Address 7300 S.W. LANDMARK LANE Lervice included Items Cost(ea) Sum
City/State/Zip TIGARD, OREGON _ .la. Residential -per unit
1000 sq. ft or less _ $11t100 -------_-___
Name (or name of business) PIKE AWNING Each additional 500 sq H or
portion thereof _____ $25 110 —_
Commercial Residential ❑� umltedEnergy $2500
Each Manurd Hon a or Modular
Dwelling Service or Feeder $69.00
2a. Contractor installation only:
4b Services or Feeders
Installation,alteration,or relocation Ll
Electricel Contractor LEAR ELECTRIC CO. . INC. zoo amps or less _ $6000 _�bf� z
",Jdress��BOX 5Z3 201 amps to 400 amps $$20
z
Cit CRESrf State OR Zi 97030 401 amps to 600ampe 2
y — p 601 amps t',1000 snips $18000
Phone No. 5��-MT Over 1000 amps or volts $34000 2
Job NO. 97-286 _ Reconnect only $50 00 2
contractor's license NO.__O-i 1 C --_ 4c. Temporary Services or Feeders
Contractor's Board Reg. No.- _ Installetlo, alteration,or relocation �/ !
Signature of Sup c q-L— 200 amps or less �_ ^CJ�
r ; 9�� 201 amps to 400 amps $50.00 2
License No. 786S _ Phone No 401 amps to 600 amps _ $7500 2
Over 600 amps to 1000 volts $100 00 --—
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per pane
Atl tressa)The fee for branch c cults with
- ---- -
(:It State Zip___ purchase o/service or leader lee.
City — ---- Each branch circuit __ $500
Phone No, b)The fee for branch circuits without
The installation is being made on property I own which Is purchase of service or feeder tee.
First branch $ 500
not intended for sale, lease or rent. branch
Each additional
al bbrranch circuit � .
Owner's Signature J_ 4a. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation circle $40 on
Each sign or outline lighting $4000
Signal circult(s)or a limited energy
Please theca- appropriate item and enter fee in section 5B. panel,alteration or extension $4606
_d or more reside;itial units In one structure Minor Labels 110) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the shove
as described In N.E.C. Chapter 5 Per inspection $35 no
p I per hour $55 no
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. ,5. Fees:
5a. Enter total of above fees $ C7Z:
NOTICE 5% Surcharge (05 X total fees) y
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ S� 1:
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of tine A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reviaw If required (Sec.3)Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED w,,r.,,,,.,,,.. U Trust Account# $ f -
J
Balance Due a
CI'T Y OF TIFA RD
(C7r�YY0F�W
COMMUNITY DEVELOPMENT DEPARTMENT OR1100"4PLUMBING PERMIT
13126 SW Hidl Blvd. P.O.Box 23397,Tigard,Oregon 9=(600)639-417t
PERMIT #. ., . . . . PL-M,
639-4171 DATE ISSUED: 03/28/92
SITE 001. 0*1317.10 SW LANDMAH;', L.N' PARCEL.:
RUBDIVISION. . . . : TONING: I-H
BIJcvl— LU'l.. . . . .. . . . . . . . .
('.LAG)S OF' WORK. . :ALT GARBAGE DIGPOGAL-S. MOBILE, HOME S-3PACES.
TYPE OF USE. . . . 3COM WASHING MACH. . . . . . . I BACKFLOW PREVNTRS. . : l
OUCUPANLY GRP. . :B2 FLOOR DRAINS. — . . . . : TPAPS. . . . . . . . . . — . . -,
STC RIES. . . . . . . . c WATER HEATERS. . . . . . ! CATCH BASINS. . . . . . . I
11:1 X TUPC�S-- LAU'\1DRY TRPYS, . . . . . .. SF-' RAIN DRAINS- -
j.,'NK6. . . . . . . . . . : URINALS. . . . . . . . . . . . I GREASE" TRAPS. . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . .
TUB/SHOWERS. . . . c SEWER L.INE ft ) . . . . I
WA'(E R C'L OSEETS. . - 14AIER LINE ft ) . . . . -
01SHWASHERS. . . . 3 RAIN DRAIN (ft ) . . . . i
;tPmA-k::. : BACKFI.-OW DEVICE
O,Ajner,: ------------------ FEL'S
PACIFIC type amount t)y rjaRt e
'7300 SW LANDMARK PRMT $ `5. 00 JIJI 05/2.'8
LANDMARK /9�.'
5PCT $ 1. 25 JLH
TI(3nRD r�R 972E.4
'-Ihcjne #:
MODE'RN Pl-UMBING
f-1
'(3 LAOX 23307
116404) UR 97e�.5
V'hOT-le #c 639- 3701 6 2,6. 25 T�'?Tnl-
Rep #. . .- 01810
-------- REOUIREL) INc3P,EC,rlrjNS
This gereit it issued subiect to the requlatirs contained in th., Top-0t.tt Insp
TiG3'-d Municipal Code. State of Ore. Soecialty Codes and all other Final Inspecti-on
40olicable laws. All work will be done in accordance with
Aourovea plans. This permit will expire if work is not started
Aithin 180 days of iss,jance, or if work is suspended fo- eort .......
-"I.r 180 days.
e* m I t t e e cai (I t)A t U I F?
d R
1 f'ti, j.nsmec:t i on 639 -•4175
CITY OF TIGARD
PLUMBING PERMIT 13125 SW HALT, BLVD.
P. O. BOX 23397
ApplicAnb must hold OregonusiReglstr.;:;,n to coo&cf a plumbing rl'I BARD f 97223
bn.ss or mire(be property owner/operator nc t hiring cwlside help.
-"- Narna f DevebpmerN _ i'503)639-4175
(,, - `�C- (. - Plumbing Permit No. --
Addrsas DescriptionDescription ---- -
Job 23C E 0l LL,1 , ORS 814-211;10- - IYJM. PRCE
Address AMT
Tax LAX Map.No
— - - --- FIXTURES
Lot
Block
Sir*
Subdrvlsbri -- ---- ---
Sink 7.50
name oTFw sress) LAvakxy_ _ 7.50
-__--- Tub or Tub/Shower Comb - 7.50
Shower Onty 7.50
Ow ler Y/Stale _ zip - WaterCbset -- - -7.50 -
a stwvasfher 7.50
-------- --_----r•i she------ -- Garbage Disposal-- - ---- -- 7.50 --
-___.. --
----- Name WashingMadwne 7.50
Floor Dram ------ --- 7.50
L7zuTirig7.tkTiess - -- - Phone -- - WaterHealn 27.50-- -----
Occ,spent (sty/State - --------Ip laurdry Room Tray --- - 7.50 --
Urinal 750
Other Frxlures(Spedfy) - 7.50
7.50
Tuv� Phone ---�- - - -- -
-------- ---- - I- 750
Contractor C11y/State ZIP _-1 7.50
I C�ITl2f7
co 2 MISCELI-ANEOUS - - -
Coy Bus Tax No Sewers 1 st 100 30.00
Sewer-ea Aftt 100 -- 15.00 - -
Sit—ala s t -- - teles xk�ers�i� Tx -- -^-_- -- --
(Residential) Water Service 1 st 10020.00
II heretry wkrrowledye tvd I haw read this applirttbn.ted the into enation Wader ;eros sa AdditXD'- - 15.00---
given
5.00 -given is oonect,that 1 am regislered with the State 8tWders Board,and also Storm 6 Rain train 1 st.100' 3000
have a State Pki n ig"is@ Mat the mxthbers given are oomxCt.ttst aM -- ----
Mumbing worse will be done in actordanoe with appicat"previsions all Ore Star 6 F._+n Drain Add t.100 _ 15.00 ---
gon Revised SiaQAes C-haprera 417 and 693 and applkeble codes and char Mobile:kxne Space 25.00
no help will be eriVAcryerf urOmt deemed under ORS W63 (It exempt tom - --- -
State registration,please gyve reason below). Bade Flow Prrvenbon
t10MEOWNERS1 hereby mrwy Cit I am tie owner of the prop"do-
Device or
Device 7.50 7 �.
aiiuibeii aboro.at wf*h beacon I propotge to nuke a pki ribkhg ino4katkn for Arty Trap cx Waab Not
MY own use and Chia peel arty to not bekhg uxutrvcfad for u►e,base or rant Go.wtocled to a Fixture 7.50
cal"Basin -- ---- 750
Inalp of Exist Pknkxng--- -- 40 00 Per He -.
Specialty Requested Inspections 10.00 Per Mr
Hain Drain,
Single Paas. Dwlg. 15.00
is AA ?:!e (rlrl 2_ ----- —-- - -- - -
A (ZED RF Otte --- --- --- ---- - -
1)6W the WfX* rWW�) additK-[ ) aftwahon Fj repalr❑ -
�be done r�i�iw,tial jl —non_n"iderttiel - -`--- - ------
Ex4&V mw of MINIMUM PERMIT FEE 25.00
blAl ling or property - _- _ SUB-TOTAL S
Propard Use ryg 51k SURCHlu2GEbtjbik2 5 -
V or PAY-- -- -----.�-,-___,_ _.._.-------- 25% PLAN REVIEW
Y?*psrrN b000mes nett and acrd f w *a oonatruallion aut hortraA M not cam TOTAL
mW106ri w1119dn ISO doykw If omto mcgrxr 0r worlr r alrapwxW or atrrldonad tux
a Period of sect deys al any Wne edtr*wort*oommertmd
aytcaAL oOf ntTlONS . _ — ----- --- - ---- —
Oetr+
j_NMCTIOM NOTICE
City of Tigard Milding Departamnt
13125 SM Hall Bled. Tigard, Oregon 97223
Inspec,:ion Line�(-Pec-O-Phone)a 639-4175 Business Phone: 639-4171
r
L G
Inspections_
Footing Plbg. Undersleh Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Pf-st/Beam Mech. Rain Drain Ineulatl3n -Plumb.
Plbg. Underfloor Water Line Gyp. gid• -Koch.
Date Requested: —�_ Times AK r_PK
/ 7
Addresssertoit �s
THE FOIIAMING CORRECTIONS ARE PEQUIREDs
Inspector= P1 A
- � Dnt - -
APPROVED DISAPPROVED APPROVED SIIHJECT TO ABOVE
Call For Aeinsp.