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CITE'OF TIGARD BUILDING INSPECTION NOTICE
Inspaction Line: u;,�-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sneath Framing M
Plbg.Und/Flr/Slab Plbg.Top Out Insulation - lect.
Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: 1 I -� '�- A.M. P.M. Entry:
Address- —
Tena � �,..— -9!k `'te:_ MST:
y .4K BLIP:
---—
Con/Uwn:rx MEC:
THE FOLLOWING CORREt?IONS ARE REOUI ED: i
Inspector - ��.t�� —
Date: -
APPROVED _DISAPPROVED%CALL FOR REINSP. C CO
CITY CSF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 ELECTRICAL PERMIT --
RESTRICTED ENERGY
PERMIT #: ELR96--0321
DATE ISSUED: 10/18/96
PARCEL: eS112AB-00300
SI�E ADDOESS. . . : 07350 SW LANDMARK LN
SUED I V I S I ON. . . . : ZONING: 1-1A
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
Pr,o.ject Desct-iptivii : INSTL PROTECTIVE SIGNALING
A. RESIDENTIAL–--- B COMME RC I AL.----
AUDIO 8. STER01. . . : AUDIO & STEREO. . INTERCOM & PAGING. .
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . a LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . ., . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . ..
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . NURSE CAULS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRC ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . PROTECTIVE SIGNAL. . : X
INSTRUMENTATION. : OTHER— :
TOTAL # OF F', ,- -EMS s I
Owner-: FEES
ARTEK INDUSTRIES INC type amount by date -. ecpt
7350 SW LANDMARK LN PRMT $ 40. 00 10/18/96
5PCT $ 2. 00 TAT 10/1.8/96 96-285374
I'lGARD OR 97223
Phone #: 646-2700
Cont Tact or:
AAA ALARM CO OF OREGON $ 42. 00 TOTAL
7865 SW CIRRUS DR REOUIRED INSPECTIONS -------
BEnVERTON OR 97008 Ceiling Cover, Elect' l Service
Phone #: 771-7572 Wall Covet, Elect' l Final
Reg #. . t 93892
This pervit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itee r'ignat ut,e
applicable laws. All work will be dr- . in accordance with
approved plans. This pervit will Lxpire if work is not started
within 180 days of issuance, or if work is suspended for wore
than IN days. Issl_46J E1 y
INSTALLATION ONLY----
The installation is being made an property I own which 0; not intended for-
sale, lease, or, rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION
SIGNATURE OF' SUPR. ELECIN: DATE-
LICENSE NO:
Call for- inspection – 639-075
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 # L- --
Phone(503)639-4171
FAX(503)684-7297 DATF ISSUED _
TDD No. (503)684-2772
C..dY OF TIGARD Inspection (503)639-4175
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INS►ALLATION 4. TYPE OF WORK
X3,50 S w La nd ma k-k LQ n e.
Address RESIDENTIAL—Restricted Em v ". . . . . . . . . $40-Ug
"T�"3a rd OR C�r� If(�R AIL SYS
Cily �J StateZip Lf eck Tyne of Work.I nvolved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Atilio and Stereo Systems
IS NOT STARTED WITHIN 181)DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS Burglar Alarm
2. CONTRACTOR APPI(CATION ❑ Garage Door Opener"
nn tt I Cir qUL. �+ ❑ Beating,Ventilation and Air Conditioning System"
ContractorAAA aI'M Cd�Typ6 Ujl9 ycT_ ❑ Vacuum Systems'
❑ Other
Address "79"�(�1 Cl I"r" IUrty e.,
B 42avv2/` n, d p, cI�l og
Date ��1-5��Z�_-___ —_ _ COMMERCIAL—Fee for each system . . . . . . . . . $40,0,0
- (SEE OAR 918-260-260)
Property Owner �F'�f? ___
Check Tyne of Wurk InvolvgtL
Contractor's Board Reg. No. ` —1 -68 9 Q. ❑ Audio and Stereo Systems
f ❑ Boiler Controls
Phone# C� C-' _.. -_ -__ _ ❑ Clock Systems
i. OWNER APPI_ICATM ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Ownet's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City Stale lip ❑ Medical
1 his permit is Issued under OAR 918.310.370.This ap)licant agrees to make only ❑ Nurse Calls
restricted energy installations 000 vnit amps or less)un ler this permit and to do the ❑ Outdoor Landscape Lignting"
following
1. Only use electrical licensed persons to do installations where required.(certain ® Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other.
asterisksM,All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for Inspection at 503-639-4175. ® Number Of Systems
1 Purchase separate permits for all installations that are not ready for inspection
when the inspector is cut to inspect under this permit. •No licenses are required. Licenses are required for all other installations,
4. Assume responsibility for assuring that all corrections required by the inspector
arc done,and
i. k,sume reslxmsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
I hr person signing for this permit must he the applicant or a person a. Enter Fees $ 140.QQ
authorized to hind tplirant.
b. 5% Surcharge(.05 x total above) S� .0 C
Signature
TOTAL $ 14�
Authority if other than applicant
ENERGAP.CHP
CITY OF
II G RD _ PLUMBING PERMIT _
DEVELOPMENT SERVICES PERMIT#: rLM2002-00432
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/12/02
SITE ADDRESS: 07350 SW LANDMARK LN PARCEL: 2S112AB-00300
SUBDIVISION: ZONING:
BLOCK: LOT: JU.;I'SDICTION:
CLASS OF WORK: O?-R GARBAGE DISPL SALS: MOBILE HOME SPACES:
'TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: UNK FLOOR DRAINS: TRAPS:
STORIES: 'VATER HEATERS: CATCI BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GRCASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: 100 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of less than 100'of sewer line outside of building.
SEES
Owner: -
Description Date Amount
PRENT HICKS 111I.Uh11;l 11crnnt Fee 11/12/02 $72.50
PO BOX 23633
TIGARD, OR 97281 11 UMlil Permit I�ee 11/12/02 $0.00
11 AXI 8%,State Tax 11/12/02 $5.80
11/12/02 $0.00
Phone 1: 503-702-1716 - - —'i
Total $78.30 �J
Contractor:
WOODPUPN PLUMBING
/_ELAND FOSTER
PO BOX 252 REQUIRED INSF-CTIONS
WOODBURN, OR 57071
Sewer Inspection
---
Phone 1: 981-4053
Final Inspection
Reg#: MET 0000176x1
LIC 51140
PLM 24-1561113
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
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 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rales adopted by the Oregc,rl
r ! �
/r W i Permittee Signature:
Issued By: _ - --
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day
Building Fixtures
Plumbing Permit Application /
Date received: Permit no.: c/
% City of Tigaral Sewer permit no.: Building permit no.:
Address: 13125 SW IL11 Itivd,Tigard,OR 97223 -- -
City of Tigard Phone: (503) 639.4171 Projecdappt. no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
1
Land use approval: �F�D2�sn. 8 J Case file no.: Payment type:
-
I TYPE 1 '
Q I &2 family dwelling or accessory U Commercialnndustrial U hlulu-family U Tena,tt improvement
7J Nei+ constiucii„n UAddition/alteration/replacement U food tirrvicc U Olh,--r.
1 1 1 1 : • 1 . r
Job address: Oy1A Description Qty. i�ee(ea.) 'Total
Suite no.: )Zp ew 1-and 2-fsunily dwellings only:
Bldg. no.: 1
(Includes 100 ft for each utililt connection)
Tax map/tax lot/account no.: SFR(1)bath _
Lot: Block: subdivision: _ SFR(2)bath
Proje:t name: SFR(3)bath —
City/county: — ZIP: Fa,,,:additional bath/kitchen
Description and location of work on premises- Site utilities:
Catch I asin/area drain _
Est,date of rompletion/inspect ion: — Drywells/leach line/trench drain
Footing drain(no.lin. ft.).. PLUMBING _
CONTRACTOR Manufactured home utilities _
Business name .��_ b,�"` Marholes --
Address: 0"Y) Rain drain connector
City: State: ZIP:0 _Sanitary sewer(no.lin. R_) - —
�'
Phone: q 53 Fac _ E-mail: Storni sewer(no.lin.fl.)
Plumb.bus.re no: (� Water service no.lin. ft.)
CCB no.:
�4 a g Fixture or item:
City/metro l,c.no.: Absorption valve
Contra.,or's representative signt.ture: - y' _Back flow preventer
Print name: � Go „a Date: // t c,7- Backwater valve
Basins/lavatory
Name: S'A N?(, A 5 CGc-.)NC(Z Clothes washer
-- Dishwasher
Address: Drinking fountain(s)
City: _ _Mate: ZIP: Ejectors/sump
Phone: ► Expansion tank
1 Fixture/sewer ca
i Floor drains/floor sinks/hub
Name(print): f� if!: Garbs a dis oral
Mailing address: - UK hose bibb
City: r, (,AP11 State: I ZIP- 7 Ice maker _
f none: 'w3 701 (7l Fax:')A /•/£'t Email e.1 r i j. io 4interceptor/grease trap _
Owner installation/residential maintenance only: The actual installation Primer(s)
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. Sink(s) lays(s)
Owner's signature: _ —Date: Sump _
-In lin a Tubs/shower/shower pan
Urinal
Name: Water closet _
Address: _ _ Watrr heater _
City: State: ZIP: Other:
Phone: Fex:— _ `
IF-mail:
otal
— Minimum fee................ S -7 Ste_
Not all jurisdictions accept credit cards,please call jundiction for more information. Notice: This permit application S
U visa U MasterCard Plan review(et °%)
expires if a permit is not obtained
Credit cud number _.� — --L-L— within 180 days after it has been State surcharge(13%)...
Expires ecce OTAL. ............
--- ted as complete. """""'
Name of cardholder a shown on credit card P P �J^A 11
S
Ca holder ai`iutute Amount /4/ 1 110-4616(6MCOMI
ot y_/5���8 .7he/
' J
PLUMBING PERMIT FEES:
T PRICE TOTAL New 1 and 2•famlly dwellings only:
FIXTURES (Individual) _ _ G1TY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL
Sink 16.60 the dwelling and the farst100 ft. QTY (ea) AMOUNT
16.60 for each utility Connection) _
Lavatory One 1 bath $249.20 _
Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 _
Shower Only 16.60 Three 3 bath $399.00
Water Closet 16.60 SUBTOTAL
Urinal 16.60 80% STATE SURCHARGE
Dishwasner 16.60 PLAN REVIEW 250,a OF SUBTOTAL
Garbage Disposal 16.60 TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60 PLEASE COMPLETE:
3" 16.60
4• 16.60 __ -
Water Heater O conversion O tike kind 16.80 4uantity b or Performed
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
permit. Ca ed
MFG Home New Water Service 46.40 Sink
MFG Home New San/Storm Sewer 46.40 Lavatory
Tub or Tub/Shower
Hose Bibs 16.60 Com_hinatlon _
Roof Drains 1660 Shltwer On!
Drinking Foun'ain 18.80 Water Closet
16.60 Urinal
Other Fixtures(Specify) Dishwasher
Garbage Disposal
LaundryR2om Tra
--
Washinp Machine
Floor Drain/Sink: 2"
n Sewer-1st 100' 51.00 3„
Sewer-each additional 100' 46.40 1 4"
Water Service-1st 100' 55.E J Water Heater
Other Fixtures
Water Service-each additional 200' 46.40 (Specify)
_
5!orm&Rain Drain-1st 100' 55.00
Storm&Rain Drain-each additional 100' 46A0 --
Commercial Back Flow Prevention oevlce 46.40 -
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 62.50
Requested Inspections _per/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25 --
Greise Traps 16.60
QUANTITY TOTAL I _ _-
Isometric or riser diagram is required If
OuentN Tolai Is �9 ..
'SUBTOTAL
8%STATE SURCHARGE E
-�
"PLAN REVIEW 25%u, SUBTOTAL
Required only If fixture qty total is>9
TOTAL
Minimum permit fee Is$72 50•s%state surcharge,except Residential Backflow
Prevention Device,which is$36 25 4 8%stale surcharge
"All New Commercial buildings require 7 sets of plans with Isometric or riser
diagram for plan review.
!:\dsts\fonns\plrii-fees doc 12/26/01
JL 'CITY OF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00433
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUF..D: 11/13102
SITE ADDRESS: 07350 SW LANDMARK LN PARCEL: 2S112AB-00300
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCLUPANCY GRP: UNK FLOOR DRAINS: TRAPS:
STORIES: WA ER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 1?tNALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 200 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of 200ft. water sarvicE
_ FEES _
Owner:
Description Date Amount
PRENT HICKS
BOX 23633 II'LUMItI I'crmit Fcc 11;13102 01I1�1.40
PO
PO BO , 36 97281 , LUMB) Permit I�cc 11/13102 $0.00
i AX] 89/,Statc Tax 11, 13/02 $8.11
1 I'AX]80/,Statc Tax 11/13/02 $0.00
Phone 1: 503-702-1716
Total $109.51
Contractor: `
WOODBURN PLUMBING
LEI AND FOSTER
PO BOX 252 REQUIRED INSPECTIONS
WOODBURN, OR 97071
Phone 1: 981-405' Water Line Insp
Final Inspection
Reg #: MET 00001769
L:C 51140
PLM 24-156PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. Ai: work will be done in accordance with approved
plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended
for nwre than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
rnaturb-.
Issued By: Permittee Si� - ---- g -
Call (503) 639-4175 by 7:00 P.M. f-r an inspection needed the next business day
Building Fixtures
Plumbing Permit Application
Date received: a,Q 7Bui�ldjin�g
o_���-t�
Cit of Tigard Y � Sewer permit no.: permit no.:
Address: 13125'VV [tall Blvd,1 ip.;id,OR 97223 --
Ctrl,ol Tigard Phone: (503) 639-0171 Projcet/appl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no
Land use approval: Case file no.: Payment type:
LII &2 family dwelling or ac,-essory U Commercial/industrial 0 Multi-family U Tenant improvement
I Nr, construction J Addition!alteration/replllcement U Food service J Other
n �dV_ Description Qty. Fee(ea.) Total
JobadJ'ress: /S �c �;c c.ZN(��1'I�f?k Ne" I-and 2-family dnvellings4'nly:
Bldg. no.: Suite no.: (include.:100 ft.for each utility c•onnt uon)
------.
Tax map/tax lot/account no.: SFR(1)bath
Lot: 1131ock: _Subdivision: SFR(2)bath
Project name: SFR(3)bath
City/county: ZSP: Each additional bath/kitchen
Description and location of work on premises: Siteutilities:
Catch basin/area drain
-- - -- Drywells/leach line/trench drain —_
Est.date of completion/i11speclioil Footing drain(no.lin.fl.)
PLUMBING CONTRACTOR Manufactured home utilities _
Ruttiness na te: L t1/ Manholes
Address: C �3 ___ Rain drain connector
City: 1k I ' ; State:of" I ZIP: Sanitary sewer(no.lin. ft.)
Phone:r mail: Storm sewer(no.lin. fl.) _
CCB no.: 1/ci Plumb.bus.reg. no: Al `�" J
Water service no.lin..A. 5'c
J• . �— - Fixture or Item:
City/metro lic.no.: Absorption valve _
Contractor's representative signature_ ^_ Back flow preventer "
Print name: I��11t- Backwater valve
Basins/lavatory
Clothes washer
Name: --- Dishwasher
Address: Drinking fountain(s)
Ejectors/sump
Cit `,tatC: !IP _ _— --
__
Phone: Fax: E-snail: Expansion tank _.
Fixture/sewer cap
Floor drains/floor sinks/itub
Name(print): -�/j/V /' K 1' Garba a dis osal
Mailing address: 3 [lose bibb
City: (4, /�Q State: ZIP. 2 Ice maker
Phone: 7cl / 7/ Fax:,'�cj/ '/h E-mail: 1re,tTln t+.�Mrr, Interceptor/grease trap
Ow71er installation/residential maintenanc-, only: The actual installation Primer(s)
will be made by me or the maintenance and rtpair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 44 V Sink(s),basin(s),lays(s)
Owner's signature: Date: _ Sump _
Tubs/shower/shower pan
Urinal
Name: Watercloset —
Address: _ Water heater
City: State: ZIP: Other:
Phone Fax: E-mail: Tom
-- Minimum freS �•��. �cf' Kr
s
Not all jurisdictions accept credit canis,pleacall jurisdiction for more information. Notice: This permit application
0 via 0 Maste{ud expires if a permit is not obtained Plan review(at ) $ /
Credit card number — within 180 days after it has been State surcharge(8%)h
.
....S C 5/
p accepted as complete.
Nin TOTAL............... ....... S
of urtlholder w.hown on cre it w•1
S _
Ca�holdct st`nature Amount IIOvt616(6rt10/COMI
PLUMBING PERMIT FEES:
-- -- PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES +,individual QTY ea AMOUNT (includes all plumbing Cxturos In PRICE TOTAL
Sillk 16.60 the dwelling and the first100 ft. CITY (ea) AMOUNT
169 0 for each utility connectio
I walon
ry — One(1)bath _ $249,20
Tub or Tub/Shower Comb, 16.60 Two 2 bath $350.00
Shower Only 16.60 Three 3 bath $399.00
Water Closet 16.60 SUBTOTAL —
U051 16.60 _ 8%STATE SURCHARGE
Dishwasher 16.60 Plr`N REVIEW 25%OF SUBTOTAL �i_
Garbage Disposal 16.60 _ TOTAL _l_ _
Laundry Tray — 16.60
Washing Mach.le — 16.60
=1oorDrain/Floor Sink 2" ,s.so PLEASE COMPLETE:
3" 16.60
4" 16.60
Water Heater O condarsion O like kind 16.60 Quantit 4b Work Performed
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
CaFiped
oerrnll, --
MFG Home New Water Service 46.40 Sink
MFG Home New San/Storm Sewer 4640 Tubato _—.
Tub or Tub/Shower
Hose Bibs 16.60 Combination
Roof Drains 16.60 Shower Only
Drinking Fountain 1660 Water Closet —
16.60 Urinal
Other Fixtures(Specify) _ Dishwasher
Garbage Disposal —
Laundry Room Tray _�—
Washing Machine
55.00
Floor Drain/Sink: 2"
wer
Se -1st 10o' - 3" —
Sewer-each additional 100' 46.40 4"
Water service-1st 100' 55.00 natar Heater _.—
Other Fixtures
Water Service•each additional 200' 46.40
(Specify)
_
Slomt&Rain Drain-1st 100' 55.00
Storm 8 Rain Drain-each additional 100' 46.40 —
Commercial Back Flow Prevention Device 46.40A_ ----- --
Residential Backflow Prevention Device' 27.55 - "—
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 62.50
Requested Inspectionsper/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 6525
Grease Traps 16.60 — —
QUANTITY TOTAL _ �—
Isometric or riser diagram Is required if f
Ounritity Total is >g
'SUBTOTAL
8%STATE SURCHARGE --
"PLAN REVIEW 25%OF SUBTOTAL
Required only II fixture t total Is>9 v _�__-
TOTAL $
"Minimum permit tee is$72 5o*8%state surcharge,except Residential Backflow
Preveition Device which is$36 25 4 8%stale surcharge
"All New Commercial Buildings require 2 sets of plans with Isometric or riser
diagram for plan revie-
1:\dstsvorms\plm-fees.doc 12/26/01
CITY OFTIGARD 24-Hour
BUILDING Inspe.: ,ion Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4•i71
BUP
Heceived Gate Requested_ JI / 3 AM_ ._ PM---__- BLIP
Location b 1�1 Suite MEC
Contact Person —-__-
/AVL. Ph(_ —_) �02 PLM
Contractor --- Ph- __-- — Ph SWR
BUILDINGS Tenant/Owner _�.._ __ ELC
Footing
Foundation [LC
Access:
Fig Drain ELR _
Crawl Drain
Slab Inspection Notes: �1.-- '- SIT .—
Post&Beam
Shear Anchors I � -
Ext Sheath hear x
�t Sheath/Shear — -- _- —�
F.;ming _
Insulation
Drywall Naming -
Firewall
Fire Sprinkler
Fire Alarm ,, '%• � ,., I y:r
Susp'd Ceiling
✓� r w
Roof /J _ r ),..� : rte. `. •• ? --- ---
Other
Final
PASS_PART FAIL
-
PLUMBING e2
Post& Beam
Under Slab ----------
fit ary Sewer_
awl_ ns — —
Catch Benin/Mant:ole
Storm Drain --- - _
Shower Pan
Other: -- -Final
PASS
-— ---- -
PASS PART__FAIL —
MECHANICAL__
Post&Beam
Rough-In - - -------- -----
Gas Line
Smoke Dampers -- ----- — ---- ------ ---
Final
PASS PART FAIL. -----
ELECTRICAL
Service -
Rough-In -----
UG/Slab
Low Voltage
Fire Alarm
Final L_1 Reinspection fee of$____--- required before next inspection. Pay at City Hall, 1317.5 SW Hall Blvd.
PASS PART FAIL
SITE — F] Please call for reinspection RE:—_____ —__�... _.. ._- -- F] Unable to inspect-no access
Fire Supply Line !
ADA
Date - `_\` Inspector - f /I Ext
Approach/Sidewalk ----- - -
Other: _ ___
Final CO NOT REMO VE this Inspection record from the Job site.
PASS PART FAIL