Permit rCITY OF TIGARD MASTER PERMIT
G = . .., Permit #: MST99 -00022
COMMUNITY DEVELOPMENT
`'`° 13125 SW Hall Blvd.. Tigard OR 97223 503.639.4171 Date Issued: 02/02/1999
, Parcel: 2S 114BC00600
Jurisdiction: TIG
Site address: 10155 SW RIVERWOOD LN
Subdivision: Lot:
Project: ANDERSON, LEIGH
Project Description: Add bedrm, rec rm & bath to and existing single family dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 2 First: 798 sf Basement 0 sf Left: 6 Parking Spaces: 0
Height: 25 Bathrooms: 1 Second 0 sf Garage: 0 sf Front: 29 Smoke
Dwelling Units: 1 Third: 0 sf Right: 6 Detectors: Yes
Total: sf Value: 50.00 Rear 70
PLUMBING
Sinks: 0 Water Closets: 1 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0
1
Tubs /Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0
Drains:
Bckflw Prevntr:
MECHANICAL
Fuel Types Air Conditioning: Vent Fans: 2 Clothes Dryers: 1
GAS Heat Pump: Hoods: 0 Other Units: 0
Furn <100K: 0 Vents 5 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 WI Svc or Fdr: 0
Ea add'I 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 1st W/O Svc /Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir:
601 -1000 amp: 0 601+amp- 1000v: 0
1000 +amp /volt:
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 Stereo HVAC: Security Alarm: Vaccuum System: Garage Opener: All
Other. Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
LEIGH ANDERSON
10155 SW RIVERWOOD LN
TIGARD, OR 97224
PHONE: 620 -1930 PHONE:
FAX
Total Fees: $869.40
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throug OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: C - 0A , ' / , Permittee Signature: < - 4f2,2.....________
CITY OF TIGARD
`�,u >N,,� i ,, , . DEVELOPMENT SERVICES MASTER PERMIT r
. j Oi 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # .......: 5T 3' - -0 022
DATE ISSUED: 0L. ( ;,,, 2 / 99
PARCEL: 26114BC -00600
SITE ADDRESS-11.10155 SW RIVERWOOD LN
SUBDIVISION....:P'ICKS LANDING NO.1 ZONING: R -4.5
BLOCK........... LOT..............:061 JURISDICTION: TIG
Remarks: Add bedro, rec rm & bath to and existing single family dwelling.
--- - - - - -- - - - - -- --- - -- - - -- BUILDING - - - --
REISSUE: STORIES........: 2 FLOOR AREAS - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - --- REQUIRED
CLASS OF WORK.:ADD HEIGHT........: 25 FIRST • 798 sf GARAGE 0 sf LEFT • 6 SMOKE DETECTRS: Y
TYPE OF USE... :SF FLOOR LOAD • 4 SECOND...: 0 sf FROM.........: 29 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT ...... ...: 7
OCCUPANCY GRP. :R3 BDRM: 2 BATH: 1 TOTAL - - - -: 798 sf VALUE..$: 55573 REAR • 70
-- PLU,48IN6 --
--------------------------------------- -
SINKS • 0 WATER CLOSETS.: 1 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS..,......: 0
LAVATORIES • 1 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
---- MECHANICAL ------------- - ----- - -- -- --
FUEL TYPES ---- FURN { 100K ..: 0 BOIL/CMP { 3HP: 0 VENT FANS • 2 CLOTHES DRYERS: 1
GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 ,
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 5 WOODSTOVES....: 0 GAS OUTLETS...: 0
------ __------ - - - - -- --- - - - - -- ELECTRICAL ------------- _-- .--- - - ---. -- -_-_- -
-- RESIDENTIAL UNIT -- -- SERVICE /FEEDER -- -- - -TEMP SRVC /FEEDERS -- —BRANCH CIRCUITS - -- ---- MISCELLANEOUS - -- - -ADD'L INSPECTIONS -
1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5r SF.: 0 201 - 400 a ®p..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 asp..: 0 EA ADDL BR CIR: 3 SIGNAL /PANEL...: 0 IN PLANT......: 0
MANF HM /SVC /FDR: 0 601 -.1000 amp.: 0 601 +amps 10' v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 ---- --- - -- PLAN REVIEW SECTION ------- - .
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A,: ) 600 V NOMINAL: CLS AREA /SPC OCC:
- - - ---- - -- ELECTRICAL - RESTRICTED ENERGY --
A. SF RESIDENTIAL---------- --- - -- B. COMMERCIAL -- -------------------------------------- - - - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .. BOILER • HVAC LANDSCAPE /IRtIG: PROTECTIVE SIGNL:
GARAGE OPENER.:: CLOCK • INSTRUMENTATION: MEDICAL........: OTHR: ..
HVAC...........: DATA /TELE COMM.: NURSE CALLS • TOTAL 0 SYSTEMS: 0
Owner: - -- --------- - - - - -- Contractor: - - - ---- -- - --- -- TOTAL FEES:$ 729.40
LEIGH ANDERSON ASHER TRADITIONAL HIES This peroit is subject to the regulations contained in the
10155 SW RIVERWOOD LN 15795 SW SERENA CT Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97224 TIGARD OR 97224 other applicable laws. All work will be done in accordance .
with approved plans. This permit will expire if work is
Phone 0: Phone #: 620 -6163 not started within 1.', days of issuance, or if the work is
Reg 0,.; 000893 suspended for sore 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 CAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
-------- - ---- --- -- ---- ---- ---- ----- - - - REQUIRED INSPECTIONS ---------------- - - ---- —
PLM /Underfloor Framing Insp Mechanical Final
Mechanical Insp Low Voltage Plumb Final
Plunb Top Out Insulation Insp Building Final
Electrical P v : min drain Insp
Electric Rough Eleci ical Final � Mr
Isue.l Hy -___� �� _ .. p'ermittee Si�n��t ____. �.
.i_..... +......y.- +- 1- i.-- 1- . - 1 --1 -+h .I-- 1 --i-°5 +-; -i -u__t-- 1-4._', -1 ;...;..a- •- 1 -, -. - ;--1..±-1-1-4--4-1-1-4-4-.1--1- 4.- ‘-+.-:..1.-1-1-4--1....1 -- t-- 1- - s-+ -1 -. -- 1- -1-a -+ :
Call 659 -4175 by 7:00 pair. for an inspection nee ed the next business day
CITY OF TIGARD Residential Building Permit Application
Plan Check # CV ,-/ /
13.125 SW HALL BLVD: Additions or Alterations • Rec'd -
Date Recd / TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. /- .7,7 -99- e-.
V 503- 639 -4171 Date to DST 1 22.-
F 503 - 684 -7297 - / 4 - Permit #, �Q9.6o,Zg_
Print or Type �'' �� "� Called / - 41 - 7,n,mr
Incomplete or illegible applications will not be accepted
16Pr pi,'s
Name Project 11'1 Zito S ,,P.- Name
Job '/
YF/e- ��D �9 ��/Y/V f1 a VA K
Architect Mailing Address
Address 2tep ` ,6.u. ` to u) odb4i _ 30 66 5 PA6P ffi r�A
City /State Zip P) oonee
Name • /44 C 97/,23 " 7,
1-15. A1t _ `Scrfv Name
Owner Mailing Address
in 15 S vt/ A /vM tivod 1,44,,a- Engineer Mailing Address
City /State Zip Phone g
- 776 - RP 0/R 9 7Z'Y 0 -a -/ --
N ame City /State Zip Phone
General _ / � G M
o��-/p�S /A c _
` f '
Contractor�/ j?Aor
Describe wart( New 0 AdditionX Alteration 0 Repair 0
li address to be done: l � 5,4 H i 4-430 p yr 7W G- ?
Prior to permit / 1 j - vr) SA'• Pi1/A C 1 DN/ - Additional Description of Work:
issuance, a copy City /State Zip Phone .
of all licenses T OR IP 723 6 � 0 -6/63 •
are required if Oregon Const. Cont. /Board Exp. Date PROJECT e
_
expired in COT Lic. #� 3 r•,
database VAL UATION f
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- f)SN,? /RA17 /roIr/t(_ /firs Sq. Ft. HHouse: Sq. Ft. Garage
Contractor Mailing Address % � - $
Prior to permit / 795 5w 5 �>� C. (- Indicate the restricted energy installation by the electrical . '-
•
issuance, a copy City /State lip Phone subcontractor in the following areas
of all licenses C/2 4 7;,2' 690 -6163 Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic. Installations Vacuum Irrigation
database J - 3/9? System - System
Plumbing Name (check all that - Other:
Sub - ( -E( (oN AA. ?G�ZSaN apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
/0/55 S' l( Has the Subdivision Plat recorded? N/A YES NO -
Prior to permit City /State Zip Phone
issuance, a copy 7 0,2, q 7p7f GX -/730
of all licenses are Oregon Const. Cont. Board Exp. Date - . _
required if Lic.#
expired in COT - 49j-1 r °wA, at I hearby acknowledge that I have read this application, that the
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent -
of the o and that plans submitted are in compliance with
Orego S e laws.
Name .f Owner / • • / Date
• Electrical 1.- f.' F/ AA So�� i - r � � � C /1l
Sub- Mailing Address Person Name Phone #
contractor JO /6-3 50. Rlv; wrci /--",
�1�/ A5/4 � 7 - �!C ) 6
City /State Zip Phone
Prior to permit 9 ��� �t X30
issuance, a copy (66720 01Z ( 7%�.�y' - FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date
Plat
q Plat #: pC "age - o o &a D
required if Lic.
expired in COT ME QwA/ j .
database Electrical Lic. # Exp. Date S,i.acks: Zonc •Solar:
�' ` i � . 5 /
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIFN74
is \dsts \forms\sfaddalt.doc 11/20/98
. \
• Date Rec'd:
.CITY'OF TIGARD Rec'd By:
SINGLE FAMILY ATTACHED OR DETACHED (New, Addition) Plan Check #:
APPLICATION /PLANS SUBMITTAL REQUIREMENTS
Applicants: Please complete _
10 796 - 6/o6
1. APPLICANT NAME: 3�} nS j0,2 PHONE #: (:)U -6/6 3
2. SITE ADDRESS: / 0 (.SS 54, FAX # ci? Sg2
1. 5 SITE PLANS (Fully dimensional, drawn to scale) labeled with:
❑ map & tax lot #, ❑ subdivision name, ❑ subdivision lot #, ❑ site address,
❑ zoning, ❑ applicant name, ❑ phone number.
Size requirement: 8 -1/2" x 11" to a maximum 11" x 17" and NOT attached to building plans.
A. North Arrow.
B. Scale (any standard, architectural or engineering only). -
C. Street Names.
D. All building plans shall reflect actual building dimensions.
E. Finished floor elevations (all levels, actual topographical). - F. Garage finished floor elevation (actual topographical). -
G. Corner lot elevations (actual topographical).
H. Driveway corner elevations.
I. Zoning setbacks (front, side and rear).
J. The location of all public and private easements.
K. The location, termination, and all invert elevations of all drainage piping (sanitary
and storm) - showing all elevations necessary to show positive gravity flow to the
approved drainage device (i.e.: peepholes, storm lateral, sanitary lateral).
L. Residential driveways, sidewalks and wheelchair ramps will be shown on site -
plans and will be in accordance with the CITY OF TIGARD standards. Drive -way
cuts shall not be permitted within 30 feet of intersecting right -of -way lines nor
within 5 feet of property lines. Weep holes /drain pipes will be installed 5 feet from
adjoining property lines. Multiple driveways on individual parcels of land must
have 30' of separation; joint use driveways require a formal agreement.
M. Show all erosion control devices proposed for site; refer to UNIFIED SEWERAGE
AGENCY (USA) Technical Guidance Handbook (Revised 1994), or telephone
USA at 648 -8621 for assistance.
N. Show location of existing facilities and new or relocated structures (mailboxes,
power poles, water meter, light pole, stop sign, etc...).
O. Indicate property slope directions.
P. Existing and finished contours when slope in any direction exceeds 20 %.
(ADDITIONAL REQUIREMENTS MAY APPLY, SEE GRADING POLICY).
is \dsts \forms \sfreq.doc 12/10/98
2. THREE(3) FULL SETS OF BUILDING PLANS (no red line revisions or
tapeons). Size requirement: up to 24" x 36" maximum, folded into eighths (9" x
12 ") with the plans inside. (no rolled, reversed or mirrored plans will be
accepted).
ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE
•
PLANS (See attached summary for regulations on slope cuts).
A. IDENTIFY THE ENERGY CODE PATH on sheet #1 with specifications in cross
sectional details (CABO, Appendix E, Table 401.1a)
B. BUILDING PLANS SHALL REFLECT CORRECT TOPOGRAPHY OF LOT. If
house is designed for a flat lot and the lot is not flat, revised drawings are
required (no red lines will be accepted).
C. FLOOR PLAN(S).
D. FLOOR FRAMING.
E. TRUSS JOISTS See section #4 below
F. ROOF FRAMING PLAN (all hips and valley supports are to be indicated and
detailed).
G. ROOF TRUSSES See section #4 below
H. CROSS SECTIONS (every set of plans shall contain a minimum of two cross
sections at mid -point of each direction and each cross section shall illustrate the
correct elevations of a sloping lot and, the building height.).
I. EXTERIOR ELEVATION all views shall show the correct height above finish
grade.
J. BASEMENT WALL, FOUNDATION AND RETAINING WALL SECTIONS for
wall height exceeding CABO, Table 404.1.1b see Section #4 below.
K. BEAM ENGINEERING CALCULATIONS for beams 10ft. and longer or beams
supporting - a - point - load - see Section below (submit one copy)
L. WALL BRACING PANELS shall be identified on the foundation and floor plans.
All design specifications (Tables) shall be incorporated within the detail sheet of
the plans. See Section #4 below when providing and alternate, engineered
system.
M. REVISION OF PLANS when required, revised plans shall be submitted. Red-
lined plans will not be accepted. Plans shall be revised by the owner and re-
submitted for review.
CORRECTIONS MADE IN RED INK WILL ONLY CAUSE DELAYS
•
is \dsts \forms\sfreq.doc 12/10/98
6/9/00 Activities for Case #: MST99 -00022
4:15:00 PM kt 4 p
Assigned Hold Updated
Activity Description Date 1 Date 2 ' Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 1/20/99 GEO RECD GEO 1/22/99
MSTA008 Permit Created 1/22/99 GEO DONE GEO 1/22/99
MSTA012 Plans routed to Plans Examiner 1/22/99 GEO SENT GEO 1/22/99
MSTA026 Plans approved by Pln Examiner 1/22/99 RT PASS BT2 1/22/99
MSTA030 Reviewed plans routed to DSTS 1/22/99 RT PASS BT2 1/22/99
MSTA032 DST Post - Review Completed 1/27/99 GEO DONE GEO 1/27/99
MSTA717 PLM /Underfloor RB 3/3/99
MSTA720 Mechanical lnsp 3/3/99 RB PART RB 3/3/99 See framing this date.
MSTA722 Plumb Top Out 3/1/99 TLP PASS TLP 3/2/99
MSTA723 Electrical Service GEO 1/22/99
MSTA724 Electrical Rough In 3/3/99 BP PASS JMT 8/5/99 replace crimp sleeves with
wirenuts, crimp sleeves are
loose. Pass rough -in
MSTA725 Framing lnsp 3/3/99 RB FAIL DGW 8/5/99 Electrical passed this date. Post
ridge(s). Rafter ties missed.
Block at studs greater than
10 -feet. Chase mech vents and
heat duct. B -vent sleeve req'd
in attic. NO WINDOW
INSTALLED AT #3 BEDRM.
SMOKE DETECTOR'S SHALL
BE INSTALLED IN
ACCORDANCE WITH THEIR
LISTING. OK TO INSULATE
inn
MSTA728 Low Voltage GEO 1/22/99
MSTA740 Insulation Insp 3/5/99 WDJ PASS WDJ 3/5/99
MSTA752 Rain drain lnsp GEO 1/22/99
MSTA790 Electrical Final 8/5/99 CD FAIL AKJ 8/5/99 1) GFCI bath plug
2) ground bath wall sconch
2nd insp this date
MSTA795 Mechanical Final GEO 1/22/99
MSTA797 Plumb Final 8/5/99 MS FAIL AKJ 8/5/99 balanced valve not opening all
the way
MSTA799 Building Final 4/12/00 KBS FAIL AKJ 4/12/00 left message with gen.
contractor to schedule final insp
MSTA080 (F) Ready to issue 1/27/99 GEO PASS DST 2/2/99
MSTA092 (F) Issue combination permit 2/2/99 DEB DONE DST 2/2/99
MSTA735 Gas Line Insp 2/24/99 KS PASS KBS 2/25/99 #-1- gas piping pt test= 25 psi
for 15 minutes (tag) # 344129
Page 1 of 2
6/9/00 Activities for Case #: MST99 -00022
4:15:00 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA720 Mechanical lnsp 3/5/99 WDJ PASS WDJ 3/5/99
MSTA725 Framing insp 3/5/99 WDJ PASS WDJ 3/5/99 - Ensure missing window in
bedroom #3 meets egress
requirements. - Ensure smoke
detectors are installed
according to listing.
MSTA790 Electrical Final 8/5/99 8/5/99 8/5/99 CD FAIL No Hold AKJ 8/5/99 no adult on site (1st insp this
date)
MSTA797 Plumb Final 8/18/99 8/18/99 8/18/99 CD PASS No Hold AKJ 8/18/99
MSTA790 Electrical Final 8/18/99 8/18/99 8/18/99 CD PASS No Hold AKJ 8/18/99
MSTA945 Request inspection research 5/19/00 ST DONE No Hold ST 5/19/00
MSTA153 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00 card sent to contractor
Page 2 of 2
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _00Z2_,
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G� BUP
4
Date Requested t� - i g / / AM )( PM BLD
Location l 01 5 I/"M L oo. i Suite MEC
Contact Person V2,31an Ph - X0 PLM
Contractor Ph SWR
BUILDING ' Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab - SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler S
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
UMBIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
40 . • 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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect.- no access
ADA p' j
�
Approach /Sidewalk Date 0 �/ 9 Inspector jExt
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9f EZ..
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
,qp BUP
Date Requested R - 1 g' t J AMPM BLD
•
Location 10/ 1 V t/LL9Q) ( c-1. Suite MEC
Contact Person 15)n`e-i Ph 'f?-le iI PLM
Contractor Ph SWR
BUILDING',`. ,r . Tenant/O wner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING •
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
r.
Gas Line
Smoke Dampers
Final
PASS PART FAIL
_LECTRI
Service
Rough In
UG /Slab
Low Voltage
Fir- a arm
e PART FAIL
E
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: - [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date ? : ' Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.