Permit CITY OFTIGARD MASTER PERMIT
.a,� ll,,�t� DEVELOPMENT R SERVICES PERMIT # MST97 -0089
DATE ISSUED: 05/02/97
I
PARCEL: 26104DD -07000
SITE ADDRESS•..:12799 SW RIDGEFIELD LN
SUBDIVISION •MOUNTAIN HIGHLANDS NO.3 ZONING: R -4.5
BLOCK LOT •028 JURISDICTION:
Remarks: New SFD - Special Note - All footings must have a minimum depth of 4'0° - See Carlson report for this site.
BUILDING
REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 904 sf REQUIRED SETBACKS— REQUIRED
CLASS OF WORK.:NEW HEIGHT • 26 FIRST • 1847 sf GARAGE • 638 sf LEFT : 15 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LORD • 48 , SECOND...: 1040 sf FRONT • 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 5
OCCUPANCY GRP. :R3 BDRM: 4 BATH: 4 TOTAL------: 2087 sf VALUE..$: 163189 REAR : 25
— PLUMBING
SINKS • 2 WATER CLOSETS.: 4 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS : 0
LAVATORIES : 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1'.0• SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1'.' BCKFLW PREVNTR: 8 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN (108K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1
GAS FURN ) =1084( ..: 1 UNIT HEATERS..: 0 HOODS : 0 OTHER UNITS...: 1
MAX IMP.: 150000 BTU FLOOR FURNACES: 0 VENTS • 1 WOODSTOVES : 0 GAS OUTLETS...: 1
— ELECTRICAL
— RESIDENTIAL UNIT— — SERVICE /FEEDER -- —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS— -- MISCELLAN:OUS— - -ADD'L INSPECTIONS -
1'.'.! SF OR LESS: 1 0 - 200 alp..: 8 0 - 208 amp..: 0 W /SVC OR FOR..: 0 /IRRIGATION: 8 PER INSPECTION: 8
EA ADD'L 588SF•: 6 201 - 400 alp..: 8 201 - 4' alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 8 PER HOUR • 0
LIMITED ENERGY.: 8 481 - 688 alp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 8 IN PLANT • 0
MANF HM /SVC/FDR: 0 601 - 1080 amp.: 0 601 +asps- 1' v: 0 MIN1R LABEL -10: 0
1888+ amp /volt.: 0 — PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 688 V NOMINAL: CLS AREA /SPC OCC:
- ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL ---
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER HVAC LPNDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: X CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL if SYSTEMS: 0
Owner: Contractor: TOTAL FEES:$ 4968.41
FOUR D CONSTRUCTION CO FOUR D CONSTRUCTION
PO BOX 1577 P0 BOX 1577
BEAVERTON OR 97075 BEAVERTON OR 97875
Phone N1: 590 -8885 Phone (i: 590 -0805
Reg A..: '
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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.
REQUIRED INSPECTIONS —
Erosion Contol Post /Beam Struct Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Final
Grading Inspecti Post /Beam Meehan Plumb Top Out Low Voltage Rain drain Insp Mechanical Final
Footing Insp Underfloor insul Electrical Servi Gas Line Insp Water Line Insp Plumb Final
Foundation Insp Ftg Drain Bsm't ectr'cal Rou Gas Fireplace Water Service In Final inspection
Wtr Proofing Bsm PLM/Underfloor ,/ g Ins / Insu .tion Insp Appr /Sdwlk Ins - Building Final
i
Permittee Signature: ri- ,� �, ,� Issued By: (-----,
Cal f or in pet ion - 639 -4175
r Plan Check 4- 79 ' ` _
!TY OF TIGARD Residential Building Permit Application Recd By 1,--
*1 25 SW HALL BLVD. New Construction Additions or Alterations Date Recd S_
7IGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
(I 503- 639 -4171 Date to DST 125147
503 -684 -7297 Permit # MST ci - 7 — OT ?9
Print or Type called `Mg/
Incomplete or illegible applications will not be accepted ' ="`
Name of Project . ;S‘ Nam ye t9
Job /7y/nu 37 /,) q.2/L,givdS' "� Mailing d d res� a /
Address Site Adddress Architect 7� R. . -/ A 9 l , ->iA ) 2 idf. , 2 .49 � . City/ ta F / Zip Phone
Name 7 97 2.23 _ 42f1-92 /
���,�
Owner Mailing Address Nam —
City/State Zip Phone Engineer ailin Address
9767.5 f -oo�os 5 f .C,'4,) /,.9, 7wu .s
City/State Zip Phone
Name
--- F/4#.11 / 7 nc. 97223 l�2ll 7 s-
General F'pce�t:. Describe work New R Addition 0 Alteration 0 Repair 0
Contractor ing Address to be done:
Q 2 / 77 Additional Description of Work:
CA/State Zip Phone
Ra z-ee,". 97v7S ,moo -Dr
Oregon Const. Cont. Board Lic.# Exp. Date
Attach Copy of 7/o17 /-7 7? PROJECT /l g
Current COT Business Tax or Metro* Exp. Date
Licenses 9 7- ,5-�� 7 42-3/-77 VALUATION
$ 1
Na � NEW CONSTRU TI ONLY: .
Mechanical
Sub- Malin �� Sq. Ft. House: 2 o d'7 iN Sq. Ft. Garage •
Contractor 9s ' S'� bu 7777iy" S/ Corner YES N F Q / Flag o �� YES O
City/State Zip Phone �/ �(
0a. 9 7 .2 3 G2 a ---C4/3 Restricted one) (check one)
Oregon Const. Cont. Board Lic.# Exp. Date Restricted Auu dio /Stereo Burglar
Attach Copy of 4 6S 7 ? S- //- 97 Energy System Alarm
Current COT Business Tax Metro Exp. ate Installation Garage Door HVAC
Licenses /49 /79? Opener _ Systems
1 Name - (check all that Other.
Plumbing - 2 (? w ,,,,i. Jo , apply)
Sub- Mailing Address V Will the electrical subcontractor wire for all YES NO
Contractor a 2 /2 6 restricted energy installations?
1 Ci /State Zip Pon Has the Subdivision Plat recorded? N/A � Y�s NO
/2Z-Os ' 7 / 2 . 6O - , S7 A )
regon Const. Cont. Board Lic.# Exp. Date Reissue of MST #: 1 Solar Compliance
Attach Copy of // 907 - 7-2 - 9 , (Calculation Attached)
Current Plumbing Lic. # Exp. Date - I hearby acknowledge that I have read this application, that the
Licenses 34t- egg G-30 -77 information given is correct, that I am the owner or authorized
COT Business Tax or�t i�ietro 9 Exp. D to agent of the owner, and that plans submitted are in compliance
,1)/ 7 /�� with Ore•on State laws.
Name
Signal e 0 er /A n Date
Electrical �L�y,2<c // � 2 �- 32f4S7
Sub- Mailing Address CM Phone #
Contractor s 7.57 S; w 4 cre2 Person ame ` R0-9- `la,/ /;-, bk./ „c",o -ogq•r
City /State Zip Phone FOR OFFICE US' •
� / � t
1 �Z7Z,i�vJ 97-22 / Plat # 6., C /TL #: Q�
Oregon Con t nt. Board Lic.# E{� D t I � r s10 yD0- me 3 c�
I Attach Copy of 2 d �/7 Setbacks: Zone: ci Solar:
Current Electrical Lic. # Exp. Date L '
Licenses 3(L - ,2_3 /0- 77 ring pprov Planning Approval: TIF:
COT Business Tax o Metro Exp. Date J Q "3
9s� /2 / �2 — 7 7
- / i:\sfapp.doc (dst) 1/97
T
`.,
Permit # Account Description Amount Amt. Pd. Bal. Due ' - '
/11,579 " 0-(7gf t ST. • Permit (BUILD) 5q3 - - Iv
Plumb. Permit (PLUMB) ' 243 -0., 4
Mech. Permit (MECH) A3 6z)
ELC /ELR Permit (ELPRMT) Q,� – X9,40 ✓
State Tax (TAX) '508i <ss a
Bldg: g•1.
Plumb: Ia / ✓
Mech: i� /
ELC /ELR: r ' 0
• ..-
Plan Check ' - F MST: (BUPPLN) �J� 1 3 ��
Plumb: (PLMPLN)
Mech: (MECPLN) 10 g 10 a ✓
� - cDCgL-D zc-
CDC Review - ,i (LANDUS) G-v CcaLICI zo
' `/ ewer Connection (SWUSA) G � ,p -- ( 3- -- G
Reimbursement District ( )
Sewer Inspection (SWINSP) - - S5 ..
Parks Dev Charge (PKSDC) 10 ') /o `�
Residential TIF (TIF -R) I� '7 D /570
Mass Transit TIF (TIF -MT) / V /Pe)
Water Quality (WQUAL) ISO /2D /
Water Quantity (WQUANT) i0 /a
Erosion Control Permit (ERPRMT) (o /
Erosion Planck/USA (ERPLAN) 20 ,° ssa
Erosion Planck/COT (EROSN)
- g`' �a .e ./-
Fire Life Safety (FLS)
TOTALS: I'
i:\sfapp. oc (dst) 1/97
6/30/99 Activities for Case #: MST97 -00089
1:27:12 PM
Assigned Hold Updated' •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 3/28/97 3/25/97 JSD PASS JD 3/28/97
MSTA008 Permit Created 3/28/97 3/28/97 , JSD PASS JD 3/28/97
MSTA010 Check for prd. restrict. 3/28/97 3/28/97 JSD PASS JD 3/28/97 The geo-tech report is up in the
air as we've received conflicting
. information from
Dave /Jim/applicant... jsd
MSTA012 Plans routed to Plans Examiner 3/28/97 3/28/97 JSD PASS RDP 4/9/97 Application is on hold. We are •
waiting for Jim Embrie to give
•
, us information on the Tie
Beams - BobP - 04/09/97
MSTA026 Plans approved by RPE 4/25/97 4/25/97 RDP APPR RDP 4/25/97
MSTA030 Reviewed plans routed to DSTS 4/25/97 4/25/97 RDP RDP 4/25/97
MSTA700 Erosion Contol 4/25/97 • RDP 4/25/97
•
MSTA703 Grading Inspection 4/25/97 4/7/98 PI PASS DGW 4/8/98 note: grading permit required
with slope greater than 20 %.
• note from inspector: prior to
grading - looks okay. •
MSTA705 Footing lnsp 4/25/97 • 5/9/97 KS A/N KBS 5/9/97 #-1- see inspection notes
MSTA706 Foundation lnsp 4/25/97 5/23/97 RC PASS ROC 5/23/97
MSTA710 Post/Beam Structural 4/25/97 3/24/98 KS PASS J *H 3/25/98
MSTA711 Post/Beam Mechanical 4/25/97 3/24/98 KS PASS . J'H 3/25/98
MSTA712 Underfloor insulation 4/25/97 3/24/98 KS PASS J'H 3/25/98
MSTA714 Ftg Drain Bsm't Walls 4/25/97 6/4/97 RAB AP J'H 6/5/97 PERIMETER RAIN DRAIN
ONLY
MSTA717 PLM /Underfloor 4/25/97 3/24/98 KS PASS J *H 3/25/98 Ken advised that there is an
approved slip on job, but not
the inspector or date.
MSTA720 Mechanical lnsp 4/25/97 8/22/97 KS FAIL J *H 8/25/97 1. Provide 1 1/2" clearance at
side of fireplace. 2. Extend
insulation shield above
insulation line and secure. 3.
B -vent touching wood at attic.
4. Provide information regarding
max. height of b -vent vertical
• with three 45% elbows. 5.
Insulate all exposed sections of
. heat ducts at attic. 6. Support
rds heat ducts at lower level at
ten ft. intervals at each change
of direction. 7. Fireplace not
installed at lower level. 8.
Remove insulation touching
• fireplace at main level and
secure F.S. paper. 7.
Page 1 of 7
•
•
6/30/99 Activities for Case #: MST97 -00089
1:27:12 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated. Notes
MSTA722 Plumb Top Out 4/25/97 7/31/97 RAB PASS J *H 8/20/97
MSTA723 Electrical Service 4/25/97 8/20/97 BRP PASS B`P 8/20/97
MSTA724 Electrical Rough In 4/25/97 8/20/97 BRP PASS B *P 8/20/97 • Rear receptacle to be installed
in accordance with article
250 -52 NEC. Verify amount of
wires that can be under one
wire nut. Check setback
allowance for all outlet boxes.
•
•
•
•
•
Page2of7
•
6/30/99 Activities for Case #: • MST97 -00089
1:27:12 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing Insp 4/25/97 8/22/97 KS . FAIL J *H 8/25/97 1. Positive connection trimmers
to header at garage. 2. Strap
plates to glulam at garage also
• post to glulams. 3. Nail king
• studs to glulam at garage. 4.
• Block floor joist at garage as
shown. 5. Add stud at off wall at
garage adjacent to half -bath,
extend double top plate. 6.
Support under hips at garage. •
7. Add nailers at mechanical
soffits at garage. for attachment
of gypsum. 8. Wall around
mechanical at garage. 9. Nail
each of triple floor joist at utility
• room. 10. Add stud under
•
• double joist at utility room and
•
• strap across notch at
plate/waste. 11. Provide hanger
at double header at storage rim .
•
•
adjacent to stairs. 12. Strap
each end of glulam to post at
kitchen. 13. Plans (show) 6 3/4
x 13 1/2 glus lam at dining
room. 14. Add studs each side
• of fireplace header to carry roof
• load. 15. Post connection
glulam beam at great room &
studs each side. 16. Strap post
to post same location. 17. Add
ledger under (notched rafters at
great room). 18. Strap plates to
header at den and add
trimmers right side. 19. Add
nailers at bay den. 20. Fireblock
• at jacuai. 21. Full bearing
under 4" x10" beam suOporting
roof load and positive
• connection #4 x 6 post
supporting suspended garage
at each end, provide full
bearing. 22. Post caps and post
brackets not installed. 23. Stud
• missed at lower garage wall.
• 24. 25% of stud at bearing wall
allowed /recover plywood
• interior side of load bearing
suspended garage floor. 25. Tie
plates together exterior/interior
wall at garage. 26. Block
• subfloor at suspended garage
floor per detail at #13. 27.
Firahlnrk at Inwar huh nn NOT
Page3of7
6/30/99 Activities for Case #: MST97 -00089
1:27:12 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
REMOVE HARD CARD. .�
MSTA726 Shear Wall Insp 4/25/97 7/29/97 RB FAIL J *H 7/30/97 1. Nail shear panels where
- missed. 2. Straps missing
MST48 - requires 17 -16d nails
in each. 3. HDSA's sub'd for
HTT22's - ok. 4. Upstairs gyp
shear 4/4 nailing. 5. Rim
connection needed at "E" wall
locations.
MSTA727 Low Voltage 4/25/97 RDP 4/25/97
MSTA735 Gas Line Insp 4/25/97 8/22/97 KS PASS J'H 8/25/97 Gas piping pt = 25 psi
MSTA740 Insulation Insp 4/25/97 9/10/97 KS PASS _ J`H 9/15/97 Approved as noted: 1.
Underfloor not insulated at this
time. 2. Insulate mechanical
return supply.
MSTA745 Gyp Board Insp 4/25/97 9/16/97 TB FAIL J *H 9/17/97 1. Install drywall shear walls per
approved plans. All edges are
required to be blocked and
nailed. At bedroom #3 on 2nd
floor. DO NOT MUD & TAPE.
NOTE: BASEMENT
UNFINISHED. CALL FOR
REINSPECTION.
MSTA761 Water Service Insp 4/25/97 11/10/97 MS FAIL J *H 11/11/97
MSTA765 Appr/Sdwlk Insp 4/25/97 3/24/98 PI PASS J *H 3/27/98
MSTA790 Electrical Final 4/25/97 12/19/97 BRP FAIL B *P 12/19/97 No receptacle in kitchen island.
Cover plate missing. Kitchen
plugs dead.
MSTA795 Mechanical Final 4/25/97 3/11/98 KS FAIL J*H 3/11/98 See bldg final this date.
MSTA797 Plumb Final 4/25/97 12/19/97 MS FAIL MRS 12/19/97 no hot water no underfloor
plumbing insp.
•
Page 4 of 7
•
6/30/99 Activities for Case #: MST97 -00089
1
1:27:12 PM
•
Assigned Hold Updated
Activity Description • Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
I MSTA799 Building Final 4/25/97 3/11/98 KS FAIL J *H 3/11/98 1. Need final erosion control
approval. 2. Seal (void) above
furnace at ceiling line. 3.
Support gas piping adjacent to
water heater at horizontal
section. 4. Post insulation
certificate. 5. Kitchen range not
•
• functional. 6. Support gas pipe
at range cabinet. 7. Provide
guardrail at front entry. 8. AC -
Unit not installed at this time. 9. •
_ Basement unfinished at this
time. 10. Need to locate low
point drain at garage. 11.
Provide access to crawl, too
tall. 12. Seal unused rain drain
• at side of structure. 13. Slope
finished grade away from
structure at side and rear. 14.
Seal around penetrations at
exterior.
MSTA032 DST Post - Review Completed 4/29/97 B PASS BON 4/29/97
MSTA080 (F) Ready to issue 4/29/97 B MEMO BON 4/29/97 Need copy of electrical
supervisors license in database
before issuing.
MSTA092 (F) Issue combination permit 5/2/97 JSD PASS DST 5/2/97
MSTA095 Issue plumbing signature form 5/2/97 JT RECD - JT 1/5/98
•
MSTA097 Issue electric signature form 5/2/97 JMT RECD JT 5/4/98
MSTA713 Crawl Drain 6/5/97 6/4/97 RAB AP J *H 6/5/97
MSTA755 Rain drain Insp 6/5/97 6/4/97 f RAB AP J *H 6/5/97 PERIMITER RAINDRAIN ONLY
MSTA726 Shear Wall Insp 8/19/97 KS APP - KBS 8/19/97
MSTA755 Rain drain Insp • 7/29/97 MS PASS J *H 8/20/97
MSTA713 Crawl Drain 7/31/97 RAB PASS J *H 8/20/97
MSTA720 Mechanical Insp 8/25/97 KS FAIL . J *H 8/25/97 Corrections incomplete at this
- time.
MSTA725 Framing Insp 8/25/97 KS • FAIL J *H 8/25/97 Corrections not complete at this
time. 1. Need to provide letter
from structural engineer
eliminating blocking at
suspended garage floor
(subfloor), also letter indicating
what ( ?) size of glulams are
required at main floor.
Page5of7
•
6/30/99 Activities for Case #: MST97 -00089
\ I s
1:27:12 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing Insp 8/27/97 KS FAIL J *H 8/27/97 Received approved
engineering. Okay to insulate,
call for reframingfinsulation
inspections. 1. Add studs at
each side of fireplace and nail
to adjacent studs. 2. Positive •
connection at 4 "x10" beam
supporting partial roof load. 3.
Strap plates at bay /den. 4. Add
studs at lower level wall
supporting partial suspende'd
garage floor. 5. Support post at
garage (lateral).
MSTA720 Mechanical Insp - 8/27/97 KS FAIL J *H 8/27/97 See framing notes (3rd
inspection) this date.
MSTA720 Mechanical Insp 9/3/97 GS PASS J *H 9/3/97 1. Protection posts for
equipment in garage required.
2. Gyp boar nailers needed at
garage soffet around front and
side of fumace ducts and
b -vent. Previous corrections
approved.
MSTA707 Slab Insp 9/3/97 GS PASS J *H 9/3/97
MSTA725 Framing Insp 9/3/97 GS PASS J*H 9/3/97 Previous corrections approved.
MSTA740 Insulation Insp 9/17/97 KS FAIL J *H 9/17/97 1. Lower level unfinished. 2.
Seal void behind fumace at
ceiling either with gypsum or
sheet metal. 3. Nail shear wall
at great room and bedroom #3.
Nailing applies to both sides of
• wall. Where 1/2 sheathing is
not applied to wall it needs to
be blocked as indicated at
bedroom #3 side. NAIL PER
SCHEDULE.
MSTA745 Gyp Board Insp 9/19/97 KS PASS J'H 9/21/97 1. Basement unfinished at this
time. 2. Seal (void) at ceiling
behind furnace (WILL CHECK
AT FINAL). 3. Extend gypsum
to garage floor slab to provide
complete separation between
garage and crawl space. 4.
• Adjust insulation at b -vent (no
contact).
MSTA760 Water Line Insp 11/10/97 MS PASS J *H 11/12/97
MSTA797 Plumb Final 12/30/97 TLP FAIL J'H 12/31/97 Key missing from lock box,
unable to inspect.
MSTA790 Electrical Final 12/30/97 BRP PASS J'H 1/1/98
Page 6 of 7
6/30/99 Activities for Case #: MST97 -00089
1:27:12 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA797 Plumb Final 1/6/98 MS PASS MRS 1/6/98 down spouts in front of house
need to be hooked up
MSTA799 Building Final 3/24/98 KS PASS J *H 3/25/98 Approved subject to: 1. Need
final grading approval. 2. Install
nuts & washers missed at pony
wall at crawl space. 3. Stuff
insulation (tight) at void above
fumace.
MSTA795 Mechanical Final 3/24/98 KS PASS J *H 3/25/98 See bldg final this date.
MSTA799 Building Final 4/15/98 KS PASS J *H 4/16/98
MSTA960 (F) Issue Cert. of Occupancy • 4/15/98 VN • MAIL VLN 6/11/98 MAILED 6/11/98
•
•
•
Page7of7
/ 635:
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 'V — i '_ 7 O A. M P.M. MST: 9 7 av /9
Location: i'2 ! 7 9 ,,j-t,0 sc� i ' �/, ? L/ BUP:
Tenant: / Suite: Bldg: MEC:
Var.
Contractor: . V � , Phone: PLM:
fa i : Phone: ELC:
/I IL .L � / //t API _/ 4-i / ! . /.. ' / R:
R:
J /,:■ iii .ILEA! / SIT:
BUILDING BLDG 1 n't) PLUMBING MEC • • (• C • ELEC • . 'AL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
O K— 3M 9/1' I . • .. ov Approved Approved Approved Approved
Appr /Sdwlk . • _ • . oved Not Approved I � lqr Not Approved " / Not Approved 2 fq 7 Not Approved
Qt FIN • . FINAL D 4 — l FINAL 6 91.' FINAL MCI FINAL
,e-� —' ni,/ -& 3 V 6.-P P RO v &n 7
•
O Call for reinspecti Cl Reinspection fee of $ required before next inspection Cl Unable to inspect
Inspector: i Date: y--/.5 Page of