Permit 1 MASTER PERMIT
C ITY OF T I G A R D PERMIT #: MST2003 -00465
il; DEVELOPMENT SERVICES DATE ISSUED: 12/8/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
SITE ADDRESS: 10022 SW 70TH PL PARCEL: 1S136AA-08900
SUBDIVISION: VENTURA ESTATES ZONING: R - 4.5
BLOCK: LOT: 011 JURISDICTION: TIG
REMARKS: Construction of new SF detached residence.
BUILDING
REISSUE: MAS22109BB STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,551 st BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,075 sf GARAGE: 1,165 sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 273
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,626 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMPNRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/F DR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>=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: OTH: BOILER: HVAC: LANDSCAPERRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,049.27
This permit is subject to the regulations contained in the
WINGATE CORP. WINGATE CORPORATION Tigard Municipal Code, State of OR. Specialty Codes and
15840 S. POPE LANE. 15840 S POPE LANE all other applicable laws. All work will be done in
OREGON CITY, OR 97045 OREGON CITY, OR 97045 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 than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503 657 - 3300 Phone: 503 793 - 8895 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952- 001 -0080. You
Res #: LIC 94680 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 Water Service Insp
Grading Inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final
Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Storm drain lnsp Mechanical Final
Foundation Insp Footing /Foundation Dr; Electrical Rough In Gas Line lnsp Water Line lnsp Plumb Final
Issued By : � � C�iT.{/(aiQ Permittee Signatures
Call (503) 639 -4175 by 7:00 p.m. for an inspection neede • - • : ..• u ess day
?a p-r 1 / -s -c-3 / ,-
o 3 -do
Building Permit Application
City of Tigard C E IV E p Date received: tea Permit no.: 1718/ 3 -to ci&i5
!_ ' � Project/appl. no.: Expire date:
CiryofTigard Address: 13125 SW Hall lv , Tigard, OR 97223 -
Phone: (503) 639 -4171 D ate issued: By I Receipt no.: _
Fax: (503) 598 -1960 SEP 1 5 20 03 w
( ) Case file no.: Payment type:
Land use approval: CITY OF TIGARD 1 &2 family: Simple �'t( Complex: /
a G DIVISION
T1'I'E OF PERMIT
01 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family f New construction O Demolition Z_
O Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other. —
Job address: (00 2-V 6a.) V Bldg. no.: Suite no.: {
Lot: 1 ` I Block: 'Subdivision: JN4TV� E& er , I Tax map/tax lot/account no.: \`�
Project name: �- c/. ,b
Description and location of work on premises/special conditions: 4 S# R 14
•
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: t r,i ( v q. r e C a-0 ( Floodpl: rin, septic capacity, solar, etc.)"
Mailing address: j St% O S, e. LA 1 & 2 family dwelling:
l
City: Op. O r4 C i r9 1 S tate4(L'ZIP: Cr - �jt�C Valuation of work $
Phone: G51- 3300 lFax: 'E - mail: No. of bedrooms baths
Owner's representative: Scorr. 17E.Sg t��si Total number of floors
Phone: 3-Q$ Fax: E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: SRN► t✓ Covered porch area (sq. ft)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
Valuation of work $
Business name: SAtrNnE, Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.)
City: I Ste: IZIP: Number of stories
Phone: I Fax: I E -mail: Type of construction
CCB no.: Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARC' Il l EC I /DESIGN Lit licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: IZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.:
Phone: Fax: E -mail:
Name: Contact person: Fees due upon application $
Address: Date received:
City: 'State: IZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not au jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied with w the specified herein or not credit card number: / / r
Expires
Authorized signature. Date: t i Name of cardholder as shown on credit card
Print name: `S cn t L id S Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6130R)OM)
'\
Electrical Permit Application
Date received: Permit no. inS ,_, a 3 - DOS
" ".°'''' Project/appl. no.: Expire date:
,�, � I• City of Tigard RECEIVED
City of Tigard Address: 13125 SW Hall Blvd, TiAiLd OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 - 4171
Fax: (503) 598 -1960 20( Case file no.: Payment type:
Land use approval: CI TY OF TI GARD
• SUILuING . . ,
T\'I'E OF PERMIT
O 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi- family 0 Tenant improvement
g New construction 0 Addition/alteration /replacement O Other: O Partial
JO11 SITE INFORMATION
Job address: %CO3'L?, ,cvj "-to l C_, Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 1-1 I Block: I Subdivision: \JN £STEP - [ - ES
Project name: 1 Description and location of work on premises: S 1.4e 2 A,)
Estimated date of completion/inspection:
CONTRACTOR APPLICATION FEE SCIIEDU,E
Job no: Fee Max
Business name: —X Re., me p..., E.E.C.--' I (...., Description Qty. (ea.) . Total no. imp
/� New residential - shtgle or mufti- family per
Address: lob Se P R...i ' - k)LL€1 1w dwelling unit. hrcludes attached garage.
City: fi I ,4b I State:cg.4 g 7-L1Z Service included:
Phone: - 1-94. --WM& t Fax: 1E-mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB no.: 4311 l S I Elec. bus. lic. no: 24, 3 Z 1 c, Limited energy, residential 2
City /metro lic. no.: Limited energy, non- residential 2
J _ 1 11 t4D Each manufactured home or modular dwelling
Signature of supery i g electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): Qqye. 17 ElLa}l set G License no: 32,4t: Servi orfe der — insta llation,
alteration or relocation:
200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: Fax: (E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701.
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 am s 2
Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: 1 ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E -mail: Each additional branch circuit:
PLAN REVIEIV (Please check all that apply) Misc. (Service or feeder notincluded):
O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1&2 0 Hazardous location Each sign or outline lighting 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extensions _ 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan 0 Other. Per inspection 1 1 1 1
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards. please call jurisdiction for more information. Notice: This permit application Permit fee $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number. / / within 180 days after it has been State surcharge (8 %) .... $
Expire` accepted as complete. TOTAL $
Name of cardholder as shown on credit card •
$
Cardholder signature Amount 440 -4615 (6/00/COM)
MechanicalPermit Application
Date received: permit no.: 1,2.0/7 '004
- 1 . i..' 'Y Til City of Tiga>i F Q E I V E ® Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW HTh1 v igard, OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171 , SEP 15 20111 Fax: (503) 598-1960 , Case file no.: Payment type:
Land use approval: Building pemut no.:
CITY OF TIGARD
T1 PE OF PERM I1
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0• Multi- family Cl Tenant improvement
%New construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMA'l'l0N COMiMERCIAL VALUATION SCIIEI)ULE
Job address: t OO .z Sue ' (c_ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $
Lot: t IBlock: I Subdivision: \J *.1 £S TfjSee checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county :0.D y+/Asd', I ZIP: 4/1•223 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and locatica of work on premises: (SM. r►bt.J AND COMMERICAL/INDUSTRIAL EQUI I'MENTSCIIEDULE
Fee(ea.) Total
Est. date of completion/inspection: . Description Qty.. Res. only Res.only
Tenant improvement or change of use: IIVAC:
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
Business name: r 'k (e ) �kk C.11 1-.4 l State boiler permit no.:
HP Tons BTU/H
Address: {boot, se E.xiEL`j 1.1 Fire/smoke dampers/duct smoke detectors
City: C -Ae_gc -Ar4AS 1 State:a .. j ZIP: Heat pump (site plan required)
Phone:65b-5t) 4 f Fax: I E -mail: Install/replacefumacelburner BTU/H
Including ductwork/vent liner 0 Yes 0 No
CCB no.: 1 -15ri-Q • Install/replace/relocate heaters - suspended,
City /metro lic. no.: wall, or floor mounted '
Name (please print): E22-1 iL(N S, 'PP - ei:4 12. 1(-44- Vent for appliance other than furnace
CON•I'ACT PERSON Ref lg on:
Absorption units BTU/H
Name: 5q.ry.,it._ Chillers HP
Address:
Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type I/ II/res. kitchen/hazmat
hood fire suppression system
Name: Exhaust fan with single duct (bath fans)
Mailing address: Exhaust system apart from heating or AC
City: I State I ZIP: Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: Fax: E -mail: Fuel piping each additional over 4 outlets
Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert-type
Phone: I Fax: E -mail• Woodstovelpelletstove
Other.
Applicant's signature j I Date: (ioIn5 Other:
Name (print): c� F , 6, l F,t iic
No a0 jurisdictions accept credit cards, please call jurisdiction for mom information Permit fee $
O Visa O MasterCard Notice: This perm appl Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at %) $
E within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
Cardholder signature Amount 440-4617 (6100/0OM)
Plumbing Perms _ nn
Date received: Permit no.: 11, iC % _ 05
. �14 - E ;.,� i City of Citf Tigard SE ( , 'j r , � Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, AR 9'Y;13
City of Tigard Phone: (503) 639 -4171 CITY Project/appl. no.: Expire date:
Fax: (503) 598 -1960 BUILDI D CARD Date issued: By: I Receipt no.: Di V ISION
Land use approval: i/6\ Case file no.: Payment type:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
"% New construction 0 Addition/alteration /replacement 0 Food service 0 Other:
JOB SITE INFORAIA'17ON FEE SCIIEDULE (for special information use checklist)
Job address: IIIMMINeltiat t 0O2,2— c..4.) `14scs. Description Qty. Fee(ea.) Total
New 1- and 2- family dwellings only:
Bldg. no.: I Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot: I I Block: j Subdivision: Ni et 1 6,-,-A S (2) bath
Project name: SFR (3) bath
City /county:17 f t/ A pt I ZIP: el l-223 Each additional bath/kitchen
Description and location o work on premises: ,cp--e_ 1 4E-..1 Site utilities:
Catch basin/area drain •
Est. date of completion/inspection: Drywells/leach line/trench drain
Footing drain (no. lin. ft.)
PLUMBING CONTRACTOR Manufactured home utilities
Business name: ' A A , P fAr 0.,t M.1 b Manholes
Address: i II 14-0_,,w,.4 L4111 Rain drain connector
City: N(Yt,1 c-b01' j c--9_, 1 StateiA( I ZIP: g g(p (=,) Sanitary sewer (no. lin. ft.)
Phone:' re,42,- -P.5j/ I Fax: j E -mail: Storm sewer (no. lin. ft.)
CCB no.: l 1 S Z (. Z 'Plumb. bus. reg. no: 31-7351M Water service (no. lin. ft.)
City/metro lic. no.: Fixture or item:
Absorption valve
Contractor's representative signature: Back flow preventer
Print name: c-c, r-4- ■. ' i — Date: r t Backwater valve •
CONTACT PERSON Basins/lavatory
Name: Clothes washer
Dishwasher
Address:
Drinking fountain(s)
City: I State: I ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank
Fixture/sewer cap
Floor rains/floor sinks/hub
Name (print): Garbage disposal
Mailing address: Hose bibb
City: j State: ( ZIP: Ice maker
Phone: ( Fax: 1 E -mail: Interceptor /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), basin(s), lays(s)
Owner's signature: Date: Sump
Tubs/shower /shower pan
Urinal
Name: Water closet
Address: Water heater
City: I State: j ZIP: Other: .
Phone: 1 Fax: I E -mail: Total
Not all jurisdictions accept credit cards, please call jurisdiction for more information N otice: This permit application Minimum fee $
Plan review (at _ %) $
O Visa MasterCard expires if a permit is not obtained
Credit card number: / 1 within 180 days after it has been State surcharge (8 %) .... $
Expires TOTAL $
Name of cardholder as shown on credit card accepted as complete.
$
Cardholder signature Amount 440-4616 (6N0WCOM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection ne: 639 -4175 MST al 403 — � o 4(6-}
INSPECTION DIVISION Business Line: ( 3) 639 -4171
BUP
/
Received Date Requested / AM PM I/ BUP
Location /DU - 7 / Suite MEC
Contact Person Ph ( )19 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access: /
Ftg Drain / ( 4
` ELR
Crawl Drain L�, a 5.#' /� /- � '
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors Q ''
Ext Sheath/Shear l
Int Sheath/Shear -� /wow/
Framing /_1r/ - \ S
►
Insulation • C
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
ma
PASS PAR 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
4'
PASS PART FAIL
E CTRICAL 0
Service F,4rtrc1
Rough -In c /3 o Y
UG/Slab
Low Voltage M 5
Fire Alarm
Final ❑ Reinspection fee of $ required before ne • pection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADPAoach/Sidewalk Date ' Inspe `� Ext
P
Other:
Final DO NOT REMOVE this inspection recor m the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST �DD 3 Jeb
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
—
Received Date Requested /0 /' BUP
Location l D U 2 2 7) eL Suitte p MEC
Contact Person /4 —CC Ph ( ) / / -3 - 2?7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain b6 2 ( ELR
Crawl Drain /\ SIT
Slab Inspection Notes: Z4LOG- — /n 1 N �•
Post & Beam
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
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final L Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE L Please call for reinspe tion RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date ! • Inspector Ext
Other:
Final ' 0 NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CIT 1F TIGARD 24 -Hour
4fflt.100 ( Ka 5
DING ip Inspection Line: (50 639 -4175
INSPECTION DIVISION Business Line: (5 4 ) 639 -4171 MST3 `
BUP
Received Date Requested 0 — � -' AM PM BUP
Location 66 2 - 2_ D 1 - Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
1311EQQ Tenant/Owner ELC
Footing
ELC
Access:
l
Ft Drain ccess:
9 /-60X ✓ 3-(° ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear K -- FORT- di-, /o - /q / c 7 S 1
Framing / /
Insulation C-06� PC
Drywall Nailing P
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _ / .
Roof c5 7 K.. 1- �C .:=7
3 /% .4'13oVl , ( I g (.
Other:
rree ------ e °T. SAtit . - 1 --- wm-s e_
4 PART FAIL
BING iL D _ S __ _ _ All" , ...._
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
PA PART FAIL
CAL
e
Rough -In
lt ELK Z0O ,f o sg,
Low Voltage
Voltage (�(� /
-lam
, 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
� F ART FAIL
S 0 Please call for reinspection RE: ID Unable to inspect - no access
Fire Supply Line / / .
FDA / D ZZ ' O
Approach/Sidewalk Dam 666 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record om the Job site.
PASS PART FAIL
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(PLEASE PRINT) (PERMIT HOLDER)
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• l and use and development standards for street tree installation. •
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