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Permit A ' CITY OF TI D ELECTRICAL PERMIT PERMIT #: ELC2002 -00429 1 DEVELOPMENT SERVICES DATE ISSUED: 8/29/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S115BA -00500 SITE ADDRESS: 16035 SW PACIFIC HWY SUBDIVISION: ZONING: BLOCK: LOT : JURISDICTION: KIN Project Description: Conversion of residence into a dental office. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 25 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TOIVA SEPP OWNER 16035 SW PACIFIC HWY KING CITY, OR 97224 Phone: 503 - 620 -2185 Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 8/29/02 $246.55 2720020000( Wall Cover Rough -in 5PCT CTR 8/29/02 $19.73 2720020000( Elect'I Final Total $266.28 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or dired questions to Permit Signature: Issued B ��✓( y 12 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: ( ]7,c1)7 O� Call 639 -4175 by 7:OOpm for an inspection the next business day Electr ical FOR OFFICE USE ONLY ical Permit Application Received q Electrical /l Date /By: 0/ 2- L Permit No.L OM -d f Clt of Ti and Planning Approval Sign Y g Test Form Date /By: PermitNo.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: 43a Post - Review Land Use / t'O 2 —0-36. 9 Phone: 503-639-4171 Fax: 503-598-1960 I Date /By: Case No.: Internet: www.ci.tigard.or.us e .' I� Contact Juris.: ❑ See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: , Supplemental Information. TYPE OF WORK IPLANREVIEW (Please checkall that apply ❑ New construction 11] Demolition ❑ Service over225 amps- ❑ Health -care facility I p �e '/ go P2 commercial ❑ Hazardous location Rb(,�G Lk.,nJ ® Addition/alteration/replacement ❑ Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square fee 16Ifr CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in r' ❑ 1 & 2- Family dwelling 12 Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more n Accessory Building n Multi - Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park n Master Builder n Other: ❑ Egress /lighting plan ❑ Other: JOB SITE INFORMATION and LOCATION Submit sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: /Z�Q 3 S _Sp �4-ci c 14,7 FEE* SCHEDULE Suite #: Bld /Apt.. #: Number of inspections per permit allowed Project Name: / 0,,,,,,,,, a h w, / (' er7 , v e L-5 / e a Description Qty Fee (ea.) Total 1 Cross street/Directions to job site: JJ New residential - single or multi - family per dwelling unit. Includes attached garage. / /C„ r Service included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 I Subdivision: Lot #: Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling pESCRIPTION OF WORK service and/or feeder 90.90 2 7 / / �? d A_-4 Services or feeders - installation, (; Li c. -v `-C Ac?C,.,, r ✓ C ," It 5 /- alteration or relocation: pp 3 9 _ �� 3" , c 200 amps or less / 80.30 VU 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 ErPROPERTY OWNER ❑ TENANT 601 amps to 1000 amps 240.60 2 �} Over 1000 amps or volts 454.65 2 Name: 0 . F 2, Reco nnect only 66.85 2 Address: /Co _ se--/ / i(C I- A.,7 Temporary services or feeders - installation, CitCity/ State/Zip: alteration, or relocation: y p: A', ti G 7 7 Z 2 j 200 amps or less 66.85 I Phone:(so (p2U - 21 $ S Fax: 201 amps to 400 amps 100.30 2 ErAPPLICA RC PERSON 401 to 600 amps 133.75 2 // Branch circuits - new, alteration, or Name: 7k7, L 4) !} t- ( f ?d /_, iv extension per panel: Address: )) o 0 4 S w .. " 4- VE A. Fee for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 / i,C- 2S 2 City /State /Zip: ..>X f 7 Z / '1 B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: (sea) 2'l y 66, g S Fax: (7s'c 3) , z.1_5" -- - ? 2-7 c, Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation circle 53.40 2 Job No: ®rte 0,..) Each sign or outline lighting 53.40 2 , fit--- Signal circuit(s) or a limited energy panel, Business Name: alteration, or extension* 75.00 2 *Description: Address: City /State /Zip: Each additional inspection over the allowable in any of the above: Per inspection (per hour - min. 1 hour) 62.50 Phone: Fax: Investigation fee: CCB Lic. #: Lic. #: Other: Electrical Permit Fees* Supervising electrician Subtotal $ a '4: C s signature required: Plan Review (25% of Permit Fee) $ Print Name: Lic. #: State Surcharge (8% of Permit Fee) $ / 9, - 23 TOTAL PERMIT FEE $ .2 ea . 02 ee • Authorized ��jjJ� Notice: This permit application expires if a permit is not obtained within Signature: / ���L%//L e - 4 - e,r--) 7 ,,--te: ZS ' z 7 180 days after it has been accepted as complete. 41/e vl iy C,, ( t.e' /r" , 1 a 90' *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) v . _ 4 Permit #: �L- C6200a — UY `j Address: /6 035 „Si /f}-G i/i C. ff w y Issued by: 415 Date: d -0---9 -69 ---- Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: "KO 1. I own, reside in, or will reside in the completed structure. iw' e 2. I understand that I -must register as a construction contractor if the structure is sold or offered for sale I I before or upon completion. J N • 3A. My general contractor is . (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR . 3B. I will be my own general contractor. ^3-,v i If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I.have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. X — — 7 6 7 - 2 ? C7e__ (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) • • Information Notice to Property Owners About Construction Responsibilities Note: Thts h Jw me llo/t Notice to l 'rope riy Owners about Cons %t`uct ior7 hc,Pr)unsi1 i1iiios WOS dove / by the Ctrtlstructiun C'rc'ntrocror°s Bourd ire accordance with 016 701.055(5). !f you are acting as your own contractor to construct, clew home or make a substantial improvement to an existing structure, you can prevent many problems by being; a Ware ot'the Following responsibihti,. s and areas of concern.. EMPLOYER RESPONSIBILITIES: If von hire persons not re2ioered.with the Construction Contractors, Board to do labor in constructing or assisting in the construction or iniproven:entot a r:esidentiat structure. you will in most instances, he ruled to be Jr <i employer the people you hire will be ern ployees..As the employer, you mast c orn fr",,.y''With the following: - Oregon's withholding tax law: As an employer, you must withhold income tax es from employee wages at the time employees are paid. You will be liable for the tax payme,nrsioven if you don't actuallv•W- ithhold the tax front your em.plovees. For more information, call the Oregon Dept. ot'Revenueat 945 -8091. • Unemployment insurance lax: As an employer, you are required to pay a tax for unemployment insurance purposes on the • wakes ()fall employees. For more information, call the Oregon rim ploy:rnent .D.cpzirtrnent at 378 -3 S24.. • Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' ker s' Compensation Law, and must obtain workers' compensation insurance for your employees. it you fail to obtain workers' compensation insurance, Von may'. be subject to penalties and will be liable for all claim costs if one otyouremployees is injured on the job. For more information, call the °•\%orkers' "Compensation Division at Ole Departinera alConsunt..r 1 Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wa «es. You vvill be. liable forthetax payment even ifyou didn't actually withhold the tax. For more information, cal{ the Internal Revenue Service at 1- 800 -829- 1040. • OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resoiying any failure to meetcode requirements that may be brought to your.attcntion through inspections. Liability and property damage insurance: Contact your insurance agent to see i fvou have adequate insurance coverage for accidents and ornissions.such as falling tools,.paint oversprav, water damage from pipe punctures, tire, or work. that must be re -done. Time to supervise employees: Make sure you have e strfl icient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and tornotify building officials at the appropriate times so they can perform the required iit"spectibns. If you have additional questions. =,Write or call the Construction Contractors Board (P.O Box 141 =10, Salem, OR 97309 -5052. 503/378- X621). • The Board -is located at 700 Summer St NE Suite 300, in Salem. _ • prop- own. pm4 1/94 • CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2002 -00429 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2002 Phone: (503) 639 -4171 � 'tl ' "' �'' l i h Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/5/2005 TIME: 7:12AM PAGE: 38 SITE ADDRESS: 16035 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SEPP PROFESSIONAL OFFI DESCRIPTION: Conversion of residence into a dental office. OWNER: SEPP, TOIVA PHONE #: 503 -620 -2185 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message X 199 Electrical final 010724 -01 503620 -2185 N Corrections /Comments/ Instructions: T ' w\� C, n. \), ) Sm ? 14,L( cO__ e1, p9_ VV? f Rb 9 0 Db ZNI PA 7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2002 -00429 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2002 Phone: (503) 639 -4171 i ,,� 1IE9,C: i0\ Inspection Requests (24 Hrs.): (503) 639 -4175 _ -_ 1_.. INSPECTION WORKSHEET FOR DATE: 6/29/2005 TIME: 7:08AM PAGE: 41 SITE ADDRESS: 16035 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SEPP PROFESSIONAL OFFI DESCRIPTION: Conversion of residence into a dental office. OWNER: SEPP, TOIVA PHONE #: 503- 620.2185 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/29 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 010427 -01 503- -620 -2185 N Corre tions /Comments /Instruc ions: ogcvo Es E o b v rib Von (a N-Folo 144 -- Tyt u91 - i - mo\ 1-).,/ ,) w p P-Dk a a, v y 1,1 01A\): ,) rlY L- • ❑ PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J /�,� / l Date: 4 '-2-7`--0 ne #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2002- 04129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2002 Phone: (503) 639 -4171 /p 'h�,�� �� Inspection Requests (24 Hrs.): (503) 639 -4175 y- `: INSPECTION WORKSHEET FOR DATE: 6/27/2005 TIME: 7:09AM PAGE: 67 SITE ADDRESS: 16036 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SEPP PROFESSIONAL OFFI DESCRIPTION: Conversion of residence into a dental office. OWNER: SEPP, TOIVA PHONE #: 503- 620 -2185 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message V199 Electrical final 010187 -01 503 -620 -2186 N Corrections/Comments/Instructions: I I \- MI i h A Lc - M c i ci, ;;\,, 1:c4; , v lz WI iz,‘t v cif tea WM k 1 \' oFF ..% -1g*glitY WO AT '0 2 o TAI R1 r4 , RMS 1 \t.iriii4it.D? . ),)M o \Ms (' U o , 0)' `'�L ®� Wows, L \ . \c 51 11).s �z--A � .o� i 0 E 1) G V\L.A V\I - 1( \1 Ii k,1 VIAL L\ G (4 72---- ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �liLI, �`j Date: b 2 �V Phone #: (503) 718- CITY OF TIGARD fa - . LC_, DIVISION P ERMIT #:� 000.s 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 „_,.. I- �o� — °C) f, INSPECTION WORKSHEET FOR DATE: 3 ____ TIME: PAGE: SITE ADDRESS: I (P 0 3 5 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: 07) ' p ,04fi PHONE #4,a0 — I p5 Inspection Request Scheduled For: Date: Pour Time: Code # p Inspection Descript %p Confirm # Contact # Message lI Corrections /Comments /Instructions: I • IX ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED J Inspector 1 . L �'� . Date: 3 �� - C<5 Phone #: (503) 718 - CITY OF TIGARD 24 -Hour BUILDING Inspection L,9rie: '(503),639 -4175 . INSPECTION DIVISION Business Line: (503) 639 -4171 MST 1 BUP Received Date Requested) 1 Sj Li AM PM BUP 0 Location 6z) SV`c p ��C� � Suite MEC Contact Person Ph ( ) PLM Contractor Ph (. ) SWR BUILDING Tenant/Owner ELC Footing ELC V ev o d J - _,y Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation • Drywall Nailing Firewall s h� 1 ` (� V � ��� e �`� 1Y T o i�1� s 4 �' V\1 k 0 LJ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof /-, 1 ( �, Other: � C Vl ( '� �( �, A � � L, 11 5-- , 10\ PASS PART FAIL 1)441C1 J 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 EC7 Rough -In UG/Slab Low Voltage Fire Alarm Fi al Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date � Inspector U i rom Ext Other: Final DO NOT REMOVE this Inspection record t ob site. PASS PART FAIL CITY OF TIGARD 24 -Hour . . BUILDING Inspection Lifter (503) 639 -4175 MST INSPECTION DIVISION Busines§ Line: (503) 639 -4171 BUP Received Date Requested , /f /a AM PM BUP Location / o 0 3 S / P � Suite MEC Contact Person wY QUA -cv—e .P. Ph ( ) 7 — 7.3 (PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC — 4 Footing ELC Foundation CCe \ Ftg Drain 7 : U _ /D O �) ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam , `. Shear Anchors Ext Sheath/Shear .ia Int Sheath/Shear V Framing Insulation C v\-11•11D. y� l Drywall Nailing v �1 Firewall Fire Sprinkler � ] I � Fire Alarm , f Susp'd Ceiling Roof Other: Final PASS 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 P�.S,c P RT FAIL Service Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PA FAIL SITE Please call for reinsp-ction RE: 747 j Approach/Sidewalk Date Inspector 111 Unable to inspect — no access Fire Supply Line ADA • e ZS Z- _ � Ext Other: Final DO NOT REMOVE this inspection recor from e Job site. PASS PART FAIL • mc to ,mifv\ , o,\ 04AN � �� O )0*() 2 • (0\ C1 Q LS -- ., 0 _ C �n be h -'c.ow r)7.'- Vc s QN G' 1 6O-1 J M 4 S \AA ° Oq "- fl c--, � � � I:l �� L' A `Y\ )\), .3N00 1 1 9 o r 51tl AL. `:; ;Tidemark Advantage [Hurshel Young - HFY] IN © File Edit Options Window Help • J:1141 i 17E Exit New open Tagil List QBE GIS • 1 0 a n x. z a p Close View Add Delete Sign Off Print Documents I n l y I _ �J Name:TOIVA SEPP Updated: 0/29/2002 OLD General Address:16035 SW PACIFIC HWY Jur: FEIN Description: Master # IBUP2002 -00369 Project: ISEPP PROFESSIONAL OFFI service Feeder Conversion of residence into a dental office. - _ -- Misc. r. Activity for ELC2002-00429 M E J . Aenu Code' Description Date.' Date2 Date3 Disp Done By Notes - A500 (F) Issue permit 812912002 DONE BB C001 Application received ' 8/29 /2002 DONE DLH - C003 ■Permit created _ _ T __8r29 /2002 ;DONE DLH Manufa TC510 (F)Reprint permit - 9/29 /2004 .DONE GVVL for Clair Company 1 - C510 j (F)Reprint permit i 2!1712004 DONE 1 BB Reprinted by reque: C700 'Ceiling Cover C720 ;!Nall Cover 1 9t1 6 /2002 PART HFY Plugs under electric, ,C730 Elect'l Service ; - 1115)2004 PASS HFY — — C730 Elect'I Service - - - - - - - - — - -. - 9/10 /2002 PASS HFY C775 Rough -in 9/10/2002 PART HFY _'plugs under panel r' t l.��uu�+ C799 Elect'I Final __— — - I - -- — ELC2005_ I1 I View /Add Activities 1 Start! I ® Tidemark Advant... .« qt. 7:37 AM CITY OF TJGARD 24 -Hour BUILDING • 0 Inspection Lille: (503) 639 -4175 0 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received / /_ Date Reques d • e AM PM BUP Location d �' 3 • Suite MEC Contact Person Ph ( ) 7 s - 73x5 / PLM Contractor Ph ( ) SWR L� �^ BUILDING Tenant/Owner ELC r a " Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain t Pos & Beam Inspection Notes: 0 � >s� � r � W b SIT e Shear Anchors � 1„� Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall C \)) i)s6 -)) Fire Sprinkler V5 t Fire Alarm Susp'd Ceiling Roof Other: • Final PART FAIL , q0)1,\> A� 1 1W PLUMBING P(= VLv\ S CAY Post & Beam (9 CA 1 C, ,D� m A- J (I o N 6 W Under Slab T Rough -In 1 r� V I,( ( U " t h \ � 177 Water Service ! Sanitary Sewer L\ A G �a G 1 i (1 � ' Rain Drains "\ f'� �" Catch Basin / Manhole Storm Drain k / ` I `' Shower Pan S LL n W1 S ¥∎ C \l� ' I t 3 ) oN Coo Q Other: W 1 l 1 V 6 1" J I \ �i Final •\F � � /� � , -4YY\ rl ,pLr� PASS PART FAIL �` (' U ' �•'l` MECHANICAL ALL. ��I OW N `I� � C 1 L U9S Post & Beam Rough -In Gas Line Smoke Dampers Final . PASS PART FAIL ELECTRICAL ervra:i oug ab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for rei pection RE: ❑ Unable to inspect — no access Fire Supply Line / ADA 4 0 Approach/Sidewalk Date �� Y Inspect �" G/ dr Ext Other: Final DO NOT REMOVE this inspection record from e Job site. PASS PART FAIL •