Permit . ,.
Alik CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00143
,fi.��i DEVELOPMENT SERVICES DATE ISSUED: 5/12/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11430 SW GALLO AVE PARCEL: 1 S134DC -11700
SUBDIVISION: CASCADIAN PLACE ZONING: R -4.5
BLOCK: LOT: 006 JURISDICTION: TIG
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: MAS22114 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,107 sf BASEMENT' sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,437 sf GARAGE: 667 sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS. 1 THIRD sf RIGHT: 5
VALUE: 251,273 70
OCCUPANCY GRP: R3 BDRM' 4 BATH: 3 TOTAL: 2,544 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 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: BOIL /CMP < 3HP: VENT FANS: 4 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 FD R. PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 - 400 amp. 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL' 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 AREAISPC 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: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,634.20
This permit Is subject to the regulations contained in the
KEYSTONE DEVELOPMENT INC KEYSTONE DEVELOPMENT INC. Tigard Municipal Code, State of OR. Specialty Codes and
PO BOX 476 PO BOX 476 all other applicable laws. All work will be done in
LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97034 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' 503 635 - 4736 Phone: 503 635 - 4736 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 71 135 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insf Rain drain lnsp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Roof Nailing Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Line lnsp Plumb Final
Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Service lnsp Building Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation lnsp Appr /Sdwlk Insp
Issued By : Ari Permittee Signature : \ v� ,() " (j—
Call (503) 639 4175 by 7:00 p.m. for an inspection needed t e nex business day
d&-*-,a 3-ee)d
Building Permit " " eplication
N ( � Date received. fi o, Permit no.: i•'� j3 f.YI
:1, City of Tigard c '
Projecdappl. no.: Expire date:
Address: 13125 SW Hall Blvd, Tigard OR 972 ;:
City of Tigard Phone- (503) 639 -4171 OR 1 "x Date issued By: Receipt no.:
Fax: (503) 598-1960 C/rt, O ?O / Case file no.• Payment type:
F
Land use approval: / �O //fir r � GA \J r ail 1&2 family: Simple Complex:
' . TYPE OF PERMIT ;
n 1 & 2 family dwelling or accessory O Commercial/industrial ❑ Multi- family to 1 ew construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
. - JOB SITE INFORMATION
Job address: I I q P 3 0 -hW &A.L(,O AV Bldg. no.: Suite no:
Lot: CO Block: 'Subdivision: C 17 P Tax map /tax lot/account no.:
Project name:
Description and location of work on premises /special conditions: N Spy
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: K FiY511:10 Vi DNP. i (Floodplain, septic capacity, solar, etc.)
Mailing address: frpc, li??(p 1 & 2 family dwelling:
City: L(V 0 IState:cI3. - 'ZIP: CA Valuation of work $ 2
Phone: ?,, - o( 'Fax: W--11411E-mail: No. of bedrooms/baths
Owner's representative: .A M E pO L -- Total number of floors 2
Phone: A 11 e.... Fax: • Me. E -mail: New dwelling area (sq. ft.) '2 6 44
APPLICANT ; p Garage/carport area (sq. ft.) (G'20
Name. SA M Fi Covered porch area (sq. ft.)
Mailing address: , Deck area (sq. ft.)
City: ' State: ' ZIP: Other structure area (sq. ft.)
Phone: Fax: E - mail: Commercial/industrial /multi family:
CONTRACTOR Valuation of work $
Business name: >A1�1/ Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.)
City: 'State: 'ZIP: Number of stories
Phone: Fax: _' E -mail: Type of construction
�11� - Occupancy group(s): Existing:
CCB no.:
New:
City /metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: I/'SCr-+n) provisions of ORS 701 and may be required to be licensed in the
Address: Gt-s .e._ 102,W Junsdiction where work is being performed. If the applicant is
City: POP-MAW State: 012- ZIP: OVI2aCI exempt from licensing, the following reason applies:
Contact person: Plan no.: 22( I i#-
—
Phone: 2. ' lib( Fax:22 -0133 E -mail: eiA
,` ENGINEER .
Name: 0g Contact person: Fees due upon application $
Address: .15 � 102_,Op Date received:
City: phPeCtAt`113 'State: p12-'ZIP: c`i 2,1c, Amount received $
Phone 2,-1-( : Fax: E -mail: Please refer to fee schedule.
I h eby ce f ?7 I3fave read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist All provisions s a . e d ordinances governing this 0 visa ❑ MasterCard
work will be complied wit hetler spe.'' d herein or not Credit card number I /
Expires
Authorized signature t ',.„,,i •1e Date: to b Name of cardholder as shown on credit card
Print name: JA , 0 , ,: Cardholder signature $ Amount
Notice: This permit applic. on expires if a permit is not obtained within 180 days after it has been accepted as complete. a4o 4613 (6/00/COM)
06/23/2003 11:23 5036254455 LIGHTHOUSE ELECTRIC PAGE 04
1
A0 Electrical Permit Application
Date received: Permit no.: s7204 3 ^ %
_ ` 14 City of Tigard Projcct/appl. no,: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: k
1 & 2 family dwelling or accessory 0 COM mercial/industrial U Multi - family 0 Tenant improvement
New construction O Addition/alteration/replacement 0 Other: 0 Partial
.1011 SUIT: INFORI1IAT1ON
Job address: , , it. - Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: aim Block: Subdivision; w -
Project name: Description and location of work on premises: g 5 ,
Estimated date of completion/ins. - don: .
CONTRACTOR APPLICATION FEE SCI1ED1.Eli
Job no: Fee Max
Business name: j / � m' f/ Description qty. (ea.) Total no, hap
' �"� New residential -sloes or multl- famlly per
Address:
usi 'fl, l (J6/ S r. 4 '5 4. 2- dnettlugtmk . Included attached garage.
City: .,, • . iii , State: ,+ % ZIP: 4 , , ' Service included:
LO��" 57 nti (�.� t00 8 n- or tear
Phone: Fax % E - mail: 4 4
/ 5? 8, Bach additional 500 so,. R. or portion thereof
CCB no.: f E lec. bus. lie. no�pZ� — Limited energy, residential 2
etre lic. no.: - Limited energy, non- residential 2
• .s, : - r _ „ -23 -013 Bach manufactured home or modular dwelling -
' ign re of su. ising elec c an (required) Date Service and/or feeder 2
Sup, elect. name (print): / . �r a� License no: Services or feeders — Installation,
1'1tO ?R'I'B' 031'IRH'R alteration or relocation:
200 amps or less 2
Name (print): y S P .e6/1_ 3 ry f 201 amps to 400 amps 2
401 amps to 600 amps 2
Maihri address: 601 amps to 1000 amps - 2
City: tate:
1 S 171P: Over 1000 amps or volts 2
Phone: 'Fax: I 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 Iii Hatt °'t +'tteration, orrelocattou:
ha
ORS 447, 455, 479, 670, 701. 200 amps or teas 2
201 amps to 400 amps 2
Owner's signature: Date: - 401 to 600 am. 2
ENGINEER 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: IState: IZIP: H. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Serviceor included):
O Service over 225 amps-commercial O Health -care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1 &2 Cl Hazardous location Each sign or outline lighting 2
family dwellings O Building ove 10,000 square feet four or Signal Circuit(s) or a limited energy panel.
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* _ 2
0 Building over three stories 0 Feeders, 400 amps or more *Description ,
❑ 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 I I ]_ I
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 mews inrornamim:' Notice: This permit application Permit fee $
Cl 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%) . :.. $ . , �il
Name or cardholder u shown on credit card Expires accepted as complete. TOTAL $ 11111.1 v
S
■.---- Cardholder signature kmount , 4404615 (6,00/COM)
Mechanical'Permit Application . •
� x Date received ��� Permit no 9 i� - , / 3
FY City of Tigard Projcct/appl no. Expire date
I v (i f To: aTa Address 13125 SW Hall Blvd, Tigard, OR 97223
Phone (503) 639-4171 Date issued By Receipt no
I .ix (503) 598-1960 Case file no. Payment type
Land use approval Building permit no
' TYPE OF PERMIT
I i • 2 family <I ~tiling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
1 - construction ❑ Addition /alteration /replacement ❑ Other.
JOB SITE INFORMATION . COMMERCIAL VALUATION SCIEDULE
Joh address • ( 1 SUJ GALA) Alta, Indicate equipment quantities in boxes below. Indicate the dollar
. Bldg no Suite no ' value of all mechanical matenals, equipment. labor. overhead
Tax map /tax lot /account no profit Value $
I Lot & Block Subdivision 6A l)jl-V CI-A - i *Sec checklist for Important application information and
I Pioloci name jurisdiction's fee schedule for residential permit fee.
City /county iL-\:%\7 NI,AISO • I ZIP '? 2' 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises AND COMMERICAL /INDUSTRIAL EQUIPMENTSCHEDULE
L (/ r Fee (ea.) Total
I
Est <late of completion/Inspection: [2 102 'TG 4. (0 Description Qty. Res. only Res. only
I Tenant improvement or change of use. HVAC:
Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM
Air conditioning (site plan required)
Is existing space insulated O Yes ❑ No Alteration of existing HVAC system 1
MECHANICAL CONTRACTOR Boiler /compressors
Business name "rp_∎ -Cew:, e 69 o� State boiler permit no
HP Tons I3TU/H
I Address C) V-S , l (...AGI /M. VII ' 1
Fire /smoke dampers /duct smoke detectors
. I t;' O)'("f-G1, " F State Q1 - 5 ZIP 6 1 - 70 Heat pump (site plan required)
Phone 7S1 - ).:2:2-C C Fax 55 — Onq E - mail Install/replace furnace/burner BTU /H
I Including ductwork/vent liner ❑ Yes ❑ No
CCB no — 126`2 - Install /replace / relocate heaters suspended,
City /metro lie no I j2CP wall, or floor mounted
Name (please print). fr, wI- SAN C.f{ � -2i vent for appliance other than furnace
, CONTACT PERSON Refrigeration:
I/ Absorption units BTU /H
Name V ) '' DN \14c- Chillers HP
Address )0 (7b) 1 -li-s, ( G Compressors HP
f Environmental exhaust and ventilation:
City IA (;) V` :' � State: (1?-- �� -- ZIP C ?) 4 Appliance vent
Phone. '/ -t-c Ii: Fax. HC1 -- 1141 ' E -mail Dryer exhaust
Y OWNER Hoods, Type I/ II /res kitchen /hazmat
hood fire suppression system
Name' 5A iAe., Exhaust fan with single duct (bath fans)
Mailing address Exhaust system apart from heating or AC I
City Fuel piping and distribution (up to 4 outlets)
State: ZIP -
Type LPG NG Oil
Phone Fax. E -mail: Fuel piping each additional over 4 outlets
Process piping (schematic required) I
Number of outlets
Name Other listed appliance or
equipment:
i Address Decorative fir pllace
City State ZIP: Insert — type
Phone 4 ' ' t Email. Othcr dstove/pellet stove
I Applicant's signature: eery- • (,6 Date. (1( - 1I�
Other:
Name (print) \ WMti? IA- blikr--
l
Not all iunsd,cuons accept credit cards, please call Junsdicuon for more information.' Permit fee $
Notice This permit application
1 Visa ❑ MasterCard Minimum fee... $
expires if a permit is not obtained
- redo card number Plan review (at %) $
Expires within 180 days after it has been
State surcharge (8 %) $
Name of cardholder as shown on credit card accepted as complete TOTAL $
Cardholder signature Amount
140 4617 (6/p0 /CObt)
11/07/ 20C.:Q 07:134 5033314581 ASSOC PLBG PAGE 01
TEL NO .6354735 May TO,<0 6 :45 P.01
Plumbing Fermat Application g
y pa o reeetved: A d Q 3 Pontnt na: I
mit rat1% —Gto 3
at t‘k , "0.am 67 �� Sewer porrolt no.: Building per ne.:
� � Addrent: 1) I2'1 SW Hall Blvd. Tigard, OR 97223 Pro}ocVappl.no„ gllptrn
Phan (563) 639 -4171
Fat: (503) 598.1960 bnie'MUM! by: I Receipt no.:
- Land use approval: - Caw file no.: Payment type:
aril uu l'I' HMI I
J4 2 family dwelling or oecesaory CI Commercld/lnduatrlal Q Multi-family 0 Tenant Improvement
Whiny oowauedan 0 Mdltion alter atlonheplacement Q Food ttervloo 1 0 Other _.
atm SIII IStf)1('I ItI1\ I'II •'(I11. III 11 11.•1'.i,.a i ins m/nnllnIll!.I•l'l1I'l't.li.tI
Job addresel 0 a rte. L f7 Total
B • no.! Suite ne.:
r ew e I) '' y . fity•
Tax maphaxlotfaboountno,: SPR () bath Ibrascfi/IUIy • .
T jJ )Block 1Subdlvision: SFR(i
• .. not name: IMOLZEIMMINNIIIIIIIIIIMIMIN
Ci /Dort . t •1.. 'Q!31•2 de'+a:=1 •'4MI 'TT6ttr.,T1ITl+r ,. ,, , iimisr
DoacripIJon slid Iocall• of etOrk on pretnloel :_ _ - Cho ntllittoot
III
• Catch bast darea drain , ' '
L of ed doe: Ilr302lrM t [.MMIIIII
I l I Mill \ /. I tl\ III 41 UM A no• n, n. -
' Addrae ! iZi7 • •rtn . n eon .....r
City! a '„`IL.lOC'c C=Eatd1 +i�f:L'm �
Poona! —.n L �ijja '.1 : storm ne no, n.
GCB no.: ,, tatill. tat Plumb. bus. to • no: eigr aS t " - uLaC 111
CI, /metro I c. no.: 11-/A1111111102 1Fbdar'a or Item,
C
MI
ontaactor'a wotaUvo s • • t If /� e Al_'� A ' .. ors valve
r I � - .. Haoow V- ter IMIIIIMIIM
■ IIN 11(1 PI Itk.1 ►\ Buln avatory
IRNIIIIIIIIIIIIIIIIMIIIIIIII Cl oth wal ber
i)ishwa ahee
CIT Stow; ZLP;
Phonon 'at: It-rnd : 1111111 III —
(ii%\IIt BE REE SECI=1337111■111111111Mini
Name • n4: • yrr . pi:.e Q. \NL. f � , i .., . Eli r3i3fIRT'I: iit:Ilrw"' l [ ' .�
d, : *a rc ..:' ' �L�. , ZIP: 1. 'M ce m —UM
Phnom 5-71Liatifilill4ili {I ' imim—
owner Instal Mi. •ant •mallrhnaneeony: ecru installation • �
will ba made by me or the mIJntenutoo and repair made by my ta6Ular
employoo on the pmpotty i own ma per ORS Chapter 447,
Ownda . ..: Date! . EigjigillIllIlIll
1 a:Ia 1•It -r
Name:
Address: ' _ M I
a.•[ ate[
Ci . • Statn: 1331.111111.1 a . MN
• one! Fax: ILmai : eta
Ha rl l.taww awns 44b44d.,i u.0 j o d a 4 4 c o i n s mon h,haealan Nol This it appl iealion Minim f e ................ $ .
0 Vba 0 Ma 01rd Plan - ow (at _ S6) $
ri g expire" Ira permit Is not obtained
` Ho! muse — withln 100 der! alter it has been S
obit ra ttl • OM °•. $
a ccepted as omelets. IOTA $
Harr d eardmtfer u p4644 bl WI 40/41 pieta.
Amoud - 44e4616 (MOW)
4
.
44 to-
E TREE TIFICATION C
414 0-
.i.
R
STREET
® As
® 0 * ro O ne r /A ent for '— S` l �N P f - � NC-.
® I , J � S I g
Al (PLEASE PRINT) (PERMIT HOLDER)
® KEYSTONE DEVELOPMENT
1 / P.O. Box 476
® Lake Oswego, OR 97034
® Do hereb. k c tla�tAth follow location
®
il meets . City of: Tigard / County
® land use and development standards for street tree installation. 0.
Al 1 Or-
® • ADDRESS: � I VI �0 'i L'I J 1k . ..
.® LO
S UBDIV ISION: G ( AP rn' " I G ..
44 06 0-
® • BY: '7 b DATE: q>163 0.
R
• RECEIVED BY: 9 -,, 4.1 - , / DATE: p6 3
CITY OF TIGARD 24 -Hour
•
BUILDIN
fi ' • Inspection Line: (503) 639 -4175 '_moo /4/3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /I / / AM PM BUP
Location Wit t 3 0 //d f7'v e• Suite MEC
Contact Person jinn �� i< Ph ( ) 6 3 " "1 73 cc PLM
Contractor Ph ( Ceti) 577 — D-1 4 SWR
UILDIN Tenant/Owner ELC
ing ELC
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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
er:
in
ASS PART FAIL
BING .,
Post & Beam
Under Slab
• Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
FAIL
. MECHANICAL
cost & eam
Rough -In
Gas Line
•ke Dampers
S PART FAIL
EL CTRICAL _
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ri Reinspection fee of $ required before next inspection. 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
ADA
Approach /Sidewalk Date /1— Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 1 24 -Hour 4 i
BUILDING Inspection Line: (503) 639 -4175 _ 3— 00/
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / - 0 -53 - AM PM BUP
Location / /`f.3 G-ecIlo Ave. Suite MEC
Contact Person / i lie_ Ph ( ) 4 ° SG D (' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain 34407 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam _
Shear Anchors s b`� • C61\77 1 b ; ,S
Ext Sheath /Shear
Int Sheath /Shear
Framing 1
Insulation ); NRLyRi, . ^ 91 , 1n 1 (Q S . �i�: �'�� II , 1, Drywall Nailing 1 � ,! � !i ��1
Firewall -e ' t. 1 1 \ V F� Nli1, J \
-- 11. \,
Fire Sprinkler N,
Fire Alarm Z S 1 4 <1■J ,. I\ •
Susp'd Ceiling
Roof i-vb 0 Vit)164/I
Other: 1
Final j A U \ /
PASS PART FAIL -
PLUMBING'', ' -p1 Si ' ■, ! d ix o\,)(0 te �c .
Post &
Under Slab
\JV �r iir :;` (N
Rough -In V
Water Service
Sanitary Sewer j Pa) `/J h`g g Pr-j
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL . `
Post & Beam
Rough -In -
Gas Line � Smoke Dampers ° �' 1 °-�
Final
PASS PART FAIL
.- LECTRICA ,
Service ��/
Rough -In fV
UG/Slab
Fi e Alarm -V
r + Z �"'' w El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
.
PART
SI " - . Please call for r-inspection RE: ❑ Unable to inspect — no access
Fire Supply Line / /
ADA Date /G) d - Inspect , . ;// %
L I ‹ ,-.--- " ,111 ' - t
Approach/Sidewalk
Other:
Final DO OT REMOVE this Inspection record fr, m the job si e.
PASS PART FAIL