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Permit CITY TIGARD ..� MASTER PERMIT 0RIGINALATE PERMIT #: MST1999 -00226 IA?' DEVELOPMENT SERVICES ISSUED: 6/28/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13440 SW HOWARD DR PARCEL: 2S103CA - 01700 SUBDIVISION: WOODCREST ZONING: R - 4.5 BLOCK: LOT: 004 JURISDICTION: TIG REMARKS: Add 68 square feet to existing living rm. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 68 sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SFM FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 4,880.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: • LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: . OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu . FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL 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 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: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 213.35 This permit is subject to the regulations contained in the SWOPES, BRET & LINDA OWNER Tigard Municipal Code, State of OR. Specialty Codes and 13440 SW HOWARD DR all other applicable laws. All work will be done in TIGARD, OR 97223 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: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Footing lnsp Insulation Insp . Foundation lnsp Electrical Final Electrical Rough In Final inspection Framing Insp Shea r Vya1H Issu By : L v i"" u .0-6. 114A IL; Permittee Signature : �� Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY TIGARD Residential Building Perm Application Plan Cher 2 1.3125 SW HALL BLVD. Additions or Alterations Recd B TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd 7/ - 99 9 y � p � Date to P.E. 6'1 7"4V- 4 V 503 - 639 -4171 F 503 - 684 -7297 �c Date to DST - zz -4`� Permit #/NIrQQ OOo?dlo Print or Type Called Incomplete or illegible applications will not be accepted Name of Project ' Name Job 5/-0 OPE S (gee 7 6 dv_pg Address S ite Address Architect Mailing Address �3yy 5 �d�fl City /State _ Zip Phone Name �^ Owner Mailing Address `� Name • City/State ! Zip Phone Engineer Mailing Address tT�� � 3 City /State Zip Phone General Name Contractor ej j ;a pis Describe work New 0 Addition fl Alteration, Repair . 0 Mailing Address / to be done: Prior to permit /3C/c(O Soli /-16 txr/4/2-d b2 , Additional Description of Work: issuance, a copy City /State Zip Phone ,.D (of? ? 5 Qua- ee Fey_ -- Th G" Ur >v5 £oc»wt of all licenses `77 972.23 6 g are required if Ore on Const. Cont. Board Exp. Date PROJECT �© expired in COT Lic.# VALUATION $ 84 '— database Mechanical Name NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: tl' V Sq. Ft. Garage Contractor Mailing Address Prior to permit Indicate the restricted energy installation by the electric • issuance, a copy City /State Zip Phone subcontractor in the following areas of all licenses Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub- apply) • Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# expired in COT 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 owner, and that plans submitted are in compliance with Oregon State laws. Name / 9 Si 4natur wne /Agent t j Electrical — See — A — � � �— � / Sub- Mailing Address Contact Person ahl a Phone # Contractor 13 440 5'-w dousA -e cf be a r_3 2 e,� — tuc�,o�S ( i ��o� �K 62 o —aF.n, City /State Zip Phone Prior to permit issuance, a copy Lt/LcJde. 97Z-7 3 65:0-760 Da`D� �` LO �/ ! of all licenses are Ore Const. Cont. Board Exp. Date FOR OFFICE USE ONLY: W E required if Lic.# Plat #: Map/TL #: expired in COT 2.. 5 16 / -O /7O0 database Electrical Lic. # Exp. Date Setbacks: Zone: . SO, /25, Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF: Gg is \dsts \forms\sfaddalt.doc 11/20/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWNER Electrical Signature Form Permit #: MST1999 -00226 Date Issued: 6/28/99 Parcel: 2S103CA -01700 Site Address: 13440 SW HOWARD DR Subdivision: WOODCREST Block: Lot: 004 Jurisdiction: TIG Zoning: R -4.5 Remarks: Add 68 square feet to existing living rm. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: SWOPES, BRET & LINDA OWNER 13440 SW HOWARD DR TIGARD, OR 97223 Phone #: Phone #: Req #: AN INK SIGNATURE IS REQUIRED ON THIS FORM x - Signature of Su • -rvising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 Permit #: MST H I — b2-2-4 Address: t - t- 4I Sly , Issuec : at.+41/4-4.2i Date: Le--2--- Statement: 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: ( 1. I own, reside in, or will reside in the completed structure. 7 - 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ri 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 7 , , 3B. I will be my own general contractor. 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. 7 , 6 7, </5'9 (Signatur of permit applicant) (Date) • (White copy to issuing agency permit file, pink copy to applicant) • RniTorrnaUon NoUce to Properrly Owners About ConerucUon ResponsHANties Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home of make a substantial improvement to an existing structure, you can prevent many probers by being aware of the following responsibilities and areas of concern. EMPIOrf-S;', RESPONGB1LMES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement oi a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Grearoie's ria As an employer, you illt;st withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945-8091. Unerioloy22.ractr:1 Insurance fca:: As an employer, you af?.. required to pay a tax for unemployment insurance purposes on the wages of all employees. For f: e incorrnation, call te Oregon Employment Division at the Department of Human Resources at 378-3524. v•;P/orke7s' corr7einsatiton!nsr•-_.= As an employer, you we subject to the Oregon Workers Compensation Law, and must ol workers' compensatior. insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and N/V be liab!e for all claim costs if one of your employees is injured on thejob. For more information, cal; the Workers' Compensa,io,' Di vision at the Department of Consumer and Business Services at 945-7888. IR,ewerlue As an employer, yo must withhold federal income tax from employees' wages. You will be liable for the tax payment evei, if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. °TILER RESPONSMATFES AND AREAS OF CiNCERN: Carle compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient 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 to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 1/94 CITY OF TIGARD BUILDING INSPECTION DIVISION G� , 24 -Hour Inspection Line: 639 -4175 Business Line:: 639 -4171 ST j I �� Zo BUP Date Requested 1 / AM PM BLD Location 1 k.k7a/1 Gt i9Y Suite MEC Contact Person 1`I,V\Qk Ph COW - 2C ;?6? PLM Contractor Ph SWR cilumb 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 \2d)101— / / /� amil f� /��I° \ /t /� Vl i-4 D r Insulation Drywall Nailing l 111 Dywal � Firewall Fire Sprinkler / . Fire Alarm l `1< Susp'd Ceiling Q� Roof ` f � ( 1-�� Misc: � Final / n G 1 / 1 PASS PART FAIL -. PLUMBING l Post & Beam ( o / Under Slab (l (yv� sL SZ S � c �S s' Top Out ` Water Service Sanitary Sewer Rain Drains Final (� PASS PART FAIL ✓ ?6—v\--e-C2 , 5 MECHANICAL -Q • Post & Beam — rJ� 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 Approach /Sidewalk I \ V Date Inspector (J � � Other t Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Msr (f79' Oi 2 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 p BUP Date Requested (2/t1 ? / AM PM BLD Location ! } � B 0 k%/L 6( r Suite MEC Contact Person t Ph (070-221-2 c // :, 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 „0 , In ,d- c -e n (1t•(.(� -f' � J� � ► I 5p • I Int Sheath /Shear 1 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling / l h misc: Roof ` (S — /'` �°( Pt c., • Final PASS PART FAIL v - PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line . Smoke Dampers Final PASS PART FAIL CTRIC . Si -' e Rough In as Low Voltage Fire Alarm F•.- •ART FAIL 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 g ? Approach /Sidewalk Other 11( D /,2 2 f L Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION - (502Z 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _ �' BUP Date Requested - /G f AM PM '9J BLD Location /3 4'/D 5 C,/ //a Dk Suite MEC Contact Person pj 10 Ph C2,6 2.4 • PLM Contractor Ph SWR (BUILDI ) - Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: LOSc ��� FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Pos - - al Framin * C.7772:5\- C.-40js- Insulation Drywall Nailing 1G e Fire wall 1 's(2 r� Fire Sprinkler �J (�J � CZN./ Fire Alarm Susp'd Ceiling \ Roof S �—�i✓\ < tnr G� Misc: �_ Final � A^ PASS PART �;a L ' i i Y\ o _ v PLUMBING.. e■ S. r Post & Beam ( ( , Under Slab © \ �� f'� , S v a - L�� L / \ '� Top Out Water Service Sanitary Sewer • Rain Drains Final 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 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 Approach /Sidewalk / Other Dat �/ Inspector �� N Ex 9 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST / 6v cT2I 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 0 Q''' BUP Date Requested 1 �l AM PM BLD Location j 3 'P/c ,(QL_- Suite MEC Contact Person 1j t ' L Ph , Zid ' 4 7 c PLM Contractor 0 Ph SWR ELC BUILDING Tenant/Owner, Retaining Wall ELR Footing Access: 5 r Foundation ` �1 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT os T& Bea Ext Sheath /Shear Int Sheath /Shear Frami i 4!1ftr. - ��1�2 l ©mil Li • rywall Nai ' . Firewall Fire Sprinkler Fire Alarm ' Susp'd Ceiling Roof Misc: _ �► PART FAIL BING - �.- Post & Beam Under Slab . Top Out '- Water Service Sanitary Sewer Rain Drains Final 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ I Please call for reinspection RE: [ ) Unable to inspect - no access ADA Approach /Sidewalk / �) Other Date �C ��/�`� // Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Msr f 6 69 - 002 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 c� BUP Date Requested /0 -- fr . ? 7 AM_ PM BLD Location � 4/1d L 7 Suite MEC Contact Person 6re,A Ph CO 2 0 ° 2.60 ?k, PLM Contractor Ph SWR Tenant/Owner ELC Retaini Wall ELR oot Access: FPS tg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear �"'� Framing 6 ' n%e'e�S C/,i..1/74: — =/ - �/�7 7L47 16,t.) Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final P ,PART FAIL BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final 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 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 j Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date / � � ? i Inspector , Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST I gg900 240 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested V �� ` 1 ;/' AM PM BLD Location ( Ll U f--t� '� a/! Gt Suite // MEC Contact Person 4�J� Ph Le 7,(3-2/Y PLM Contractor Ph SWR 1J�D Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: C -P S 41 t Post & Beam SIT Ext Sheath /Shear Int Sheath /Shear ,� Framing a S'l, 4 - A/ A s /'110-- ,1 am ©1 i h Insulation r � 1 /144 J NS/ C77 () N 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 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 Approach /Sidewalk Date l- /3 -�,�Do Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24- Ht'fur Inspection Line: 639 -4175 Business Line: 639 71 BUP Date Requested (/ 3/Cr) AMQ PM BLD Location l 39 l -t d Suite MEC Contact Person C7re_ Ph C(4 Q '7.(40(0 PLM Contractor Ph SWR ILDI Tenant/Owner ELC • Retaining Wall • ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT • Post & Beam 10 xt Sheath e. 'e n !rip nsulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fina alp PART FAIL -ITT; BING Post & Beam Under Slab Top Out • Water Service Sanitary Sewer Rain Drains Final 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 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 3 1 Approach /Sidewalk �. Other Date I 1 6 6 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Th racy-we/ ( s J °t2 ts fi 4-- • )j�,r,�.� �an� -ems ���J ;a��I -f - - � - - - -- �, �,,�� - -� Pa CITY OF TIGARD BUILDING INSPECTION DIVISION MST • 23 C 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 J BUP ,f ( Date Requested / 2 - ' - AM PM BLD Location f 7 j `ft / U � 6 ' /4' ' 4yCL P Suite MEC • Contact Person 8t Ph 7(0 PLM Contractor SWR BUILDIN _ Tenant/Owner �.Q? /(.v ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain / SGN Slab Crawl Drain Inspection Notes: ./_ , /� f / h /`� T SIT Post & Beam Ext Sheath/Shear - 7 / / 2 /r Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 4 PART FAIL P I :ING ;Lir ' Post & Beam Under Slab Top Out Water Service Sanitary Sewer 72 c o Rain Drains Final PASS PART FAIL • MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PAS PART FAIL - rvice Rough In UG /Slab Low Voltage • F' a Alarm (t qi PART . FAIL 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 /2 Date i Ext Other ate / Inspector nspeco Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site