Permit CITY OF TIGARD MASTER PERMIT
Att° DEVELOPMENT SERVICES PERMIT # : MST98 -0255
01NI!�d1 DATE ISSUED: 06/26/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4174
® PARCEL: 28114BC -01200
SITE ADDRESS...: 1 0050 SW RIVERWOOD LN
SUBDIVISION °PICKS LANDING NO.1 ' ZONING: R -4.5
BLOCK LOT,.... ........ :067 JURISDICTION: TIG
Remarks: 566.50 sq foot addition.
- -- - BUILDING ----- ____ —_____ --
REISSUE: STORIES • 1 FLOOR AREAS-- ---- -- BASEMENT...: 0 sf REQUIRED SETBACKS ---- REQQUIRED---- --- ----- -
CLASS OF WORK.:ADD HEIGHT • 12 FIRST • 566 sf GARAGE • 0 sf LEFT : 5 SMOKE DETECTRS: V
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSNENT: 0 sf RIGHT • 5
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 1 TOTAL : 566 sf VALUE..$: 41129 REAR • 15
____ _ ____ ------------------------ PLUMBING — -- ------------------
SINKS • 1 WATER CLOSETS.: 1 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 1 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 1 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
_ — _ ____— __-- ___— ________— MEICAL - -------- - -_ -- _____
FUEL TYPES FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 1 CLOTHES DRYERS: 0
GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 2 WOODSTOVES • 0 6AS OUTLETS...: 0
— ELECTRICAL - - -- -------- - - ----
-- RESIDENTIAL UNIT— — SERVICE /FEEDER -- —TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS— ---- MISCELLANEOUS — - -ADD'L INSPECTIONS- -
1,.',; SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 ist W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR - • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0
14m,+ amp /volt.: 0 --------------------------- PLAN REVIEW SECTION ------------ _____ __—
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
____ -- ------------------- ELECTRICAL - RESTRICTED ENERGY - - -- - - -- --.--______—_—_—_—
A. SF RESIDENTIAL - B. CERCIAL - - -----
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: •• BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR:
HVAC : DATA /TELE COMM.: NURSE CALLS TOTAL # SYSTEMS: 0
Owner: ------------------ - - - - -- Contractor: ------ - - - - -- TOTAL FEES:$ 536.98
KENFORD HOWELL OWNER This permit is subject to the regulations contained in the
1•'50 SW RIVERWOOD LANE Tigard Municipal Code, State of Ore. Specialty Codes and all
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: 620 -4462 Phone 0: not started within 180 days of issuance, or if the work is
Reg 0..: ara5';54 suspended for more 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 OAR 952 - 001-0080. You may obtain copies of these rules or
direct questions to ODIC by calling (503)246 -1987.
- ---- -- - - - -- - - -- REQUIRED INSPECTIONS ------------- --- --- ---- --------- — _ —____—
Erosion 844 -8444 Crawl Drain /Back Electrical Rough Rain drain Insp
Footing Insp PLM /Underfloor Framing Insp Electrical Final _
Foundation Insp Mechanical Insp . Shear Wall Insp Mechanical Final
Post /Beam Struct Plumb Top Out I Low Voltage Plumb Final
Post /Beam Median Electrica .• I nsulation Insp Building Final
Issued By: 4�� Permittee Signature :,�,. A)P a
+ + + + + + + + + ++ - - - eirc +++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by OF p.m. for an inspection needed the next business day
1.. t,_ . Plan Che • (4 _7
•
','tTY OP TIGARD Residential Building Permit Application Recd BW -
t3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd - %
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. l - f
V 503- 639 -4171 Date to DST 6- z 1 ` f •
•
F 503- 684 -7297 / r Permit # It O 0 f- Print or Type / Called
Incomplete or illegible applications will not be accepted
Name of Project Name
Job e t - K d o s ssoc aks - &A IPeccic. !y
Address S ite Address q Architect 60 lulcmr\ SA
10050 SW 9i Verw0cd Lome_ City/State Zip Phone
Name .
Kex 4'nrol \hcio, \ousell (Yearn C i ' i0 97045 (055-Y..133
Name'
Owner Mailing Address rJ.P
(Of1a Sim RI ver ,3 cod Ln Engineer Mailing Address
City/State Zip Phone
MacArc g1Z2y (oZO I)(0 City/State Zip Phone
Name)
General Owr\ A -- Describe work New 0 Addition Alteration 0 Repair 0
•
Contractor Mailing Address to be done:
Additional Description of Work:
City/State Zip Phone 5 l s:F. Fa+v,x%■ room cic9d+'1'ora Oct .s 5 : uTi'Fy
rcor -, expo.r,s ton . Pdict Ilz iao-+h , (Z&Aoca:-!•e. ( (�
Oregon Const. Cont. Board Lic.# Exp. Date tit tc�,�
Attach Copy of 41 r
Current COT Business Tax or Metro # Exp. Date PROJECT T / tth •
Licenses VALUATION $
Name NEW CONSTRUCTION ONLY:
Mechanical ®v-) nt?)r. Sq. Ft. House: Sq. Ft. Garage
Sub- Mailing Address c 6 9 r 12_,ce
Contractor _
Corner Lot YES NO Flag Lot YES NO
City/State Zip Phone (check one) (check one)
Oregon Const. Cont. Board Lic.# Exp. Date Restricted Audio /Stereo Burglar
Attach Copy of Energy System Alarm
Current COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC
Licenses Opener Systems
Name (check all that Other.
Plumbing 6Wner apply)
Sub- Mailing Address Will the electrical subcontractor wire for all YES NO
Contractor restricted energy installations?
City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
Oregon Const. Cont. Board Lic.# Exp. Date Reissue of MST #: Solar Compliance
Attach Copy of (Calculation Attached)
Current Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
Licenses information given is correct, that I am the owner or authorized
COT Business Tax or Metro # Exp. Date agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Name i nature o gent / Date
Electrical O� r Ulle)gg
Sub- Mailing Address Con ct Pers o n N ame Phone #
Contractor K Nowei I (D20.-114(6
City/State Zip Phone FOR OFFICE USE ONLY:
. Plat #: A Map/TL#:
Oregon Const. Cont. Board Lic.# Exp. Date � 'l- vf� a S /// 6 e -6 /".
Attach Copy of - Setbacks: Zone: Solar
Current Electrical Lic. # Exp. Date , /'C p - yi N/�
Licenses Engineeriffg proval: Planning Approval: TIF.`
COT Business Tax or Metro # Exp. Date
r
P 4 ,/s'NG— Az2 > — Le7 v 6:7
1 :SFAPP.DOC (DST) 4197
f //9, & o /°/ Cc
Permit # Acct. Descritpion COT WACO Amount Amt. Pd. Bal. Due
MST. Permit (BUILD) (UBUILD)
Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MECH) (UMECH)
ELC /ELR Permit (ELPRMT) (UELPMT)
State Tax (TAX) (UTAX)
BLDG:
PLUMB:
MECH:
ELC /ELR:
Plan Check
MST: (BUPPLN) (UBUPLN)
Plumb: (PLUMB) (UPLUMB)
Mech:
(MECPLN) (UMEPLN)
CDC Review (BUILD) (CDCBLD) (UCDC)
CDC Review (PLN) (CDCPLN) N/A
Sewer Connon (SWUSA) (USWUSA)
Reimbur. District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Charge (PKSDC) N/A
•
Residential TIF (TIF -R) (UTIF -R)
Mass Transit TIF (TIF -MT) (UTIF -M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) (UWQANT)
Erosion Control Prmt (ERPRMT) (UERPMT)
Erosion Planck/USA (ERPLN) (UERPLN)
Erosion Planck/COT (EROSN) (UEROSN)
Fire Life Safety (FLS) (UFLS)
TOTALS:
I:SFAPP.DOC (DST) 4/97
Permit #: g s
OF O � f
�~k vf..
�` � 4�� � Address: X005 0 � i oo 1%-A)
Issued by: � i■ Date: 06 0
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:
g r A. 1. I own, reside in, or will reside in the completed structure.
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
A _ 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.
( Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
. ~
I
���^6�~
��""K���� Prroperty Owneva
About ���������
-� ~'--`-`~^ ~~~��- ^~~^`^^~
Note: This Information Notice to Property Owners about Construction Responsibilities
was developed by the Construction contractors Board in accordance with CRS 70}.{55(5).
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSOEILMES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in dho
construction or improvement of 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:
Oregon's tax law: As an employer you must withhold income taes 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.
Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the
wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resources
at 378-3524.
Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' compensation insurance for your employees. If you fail to obtain workers compensation insurance, you may
be subject to penalties and will be liable for all claim costs if one of your employees is i jured on the job. For more informatictn,
call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888.
U.S. 1[nternall Revenue Service: As an employer, you must withho!d federal income tax from employees' wages. You will be
liable for the tax payment even if you didn't actually withhold the tax. For more information, call the ntemal Revenue Service
at 1-800-829-1040.
*THE� RESPONSBOLDTES AND AREAS OF COMCERM:
Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements
that may he brought to your attention through inspections.
Liability and property damage inours/`me: Contact your insurance agent to see if you have adequate insurance coverage for
accident3 and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
re-done.
Time bm supervise mmmI loyn«m: 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 l4l4O Salem, (}}{g73O9-5052,
503/978-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem.
prop-nwu.pm*
6/9/00 Activities for Case #: MST98 -00255
3:59:03 PM
Assigned Hold Updated 44h,
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 6/19/98 DEB RECD DRA 6/23/98 kb,
MSTA008 Permit Created 6/23/98 DEB DONE DRA 6/23/98
MSTA010 Check for prcl. restrict. 6/23/98 DEB DONE DRA 6/23/98
MSTA012 Plans routed to Plans Examiner 6/23/98 DEB DONE DRA 6/23/98
MSTA026 Plans approved by Pln Examiner 6/25/98 RT PASS BT2 6/25/98
MSTA030 Reviewed plans routed to DSTS 6/25/98 RT PASS BT2 6/25/98
MSTA032 DST Post - Review Completed 6/26/98 DEB DONE DRA 6/26/98
MSTA700 Erosion 844 -8444 DRA 6/23/98
MSTA705 Footing Insp DRA 6/23/98
MSTA706 Foundation lnsp 7/6/98 PDC PASS J *H 7/7/98
MSTA710 Post/Beam Structural 8/24/98 TLP PASS TLP 8/24/98
MSTA711 Post/Beam Mechanical 8/24/98 TLP PASS TLP 8/24/98
MSTA713 Crawl Drain /Backwater valve 8/24/98 TLP PASS TLP 8/24/98
MSTA717 PLM /Underfloor 8/24/98 TLP PASS TLP 8/24/98
MSTA720 Mechanical lnsp 3/16/99 TLP PASS TLP 3/16/99
MSTA722 Plumb Top Out 8/5/98 TLP PASS TLP 8/5/98
MSTA723 Electrical Service TLP 3/16/99
MSTA724 Electrical Rough In 3/16/99 TLP PASS TLP 3/16/99
MSTA725 Framing Insp 3/16/99 TLP PASS TLP 3/16/99
MSTA726 Shear Wall Insp 1/14/99 TLP PASS TLP 1/14/99
MSTA728 Low Voltage DRA 6/23/98
MSTA740 Insulation Insp 3/24/99 WDJ PASS AKJ 3/24/99
MSTA752 Rain drain Insp DRA 6/23/98
MSTA790 Electrical Final DRA 6/23/98
MSTA795 Mechanical Final 11/15/99 TLP PASS VT 11/15/99
MSTA797 Plumb Final DRA 6/23/98
MSTA799 Building Final DRA 6/23/98
MSTA080 (F) Ready to issue 6/26/98 DEB DONE DRA 6/26/98 Have owner sign Owner
Liability form prior to issuance.
MSTA092 (F) Issue combination permit 6/26/98 JSD PASS DST 6/26/98
MSTA095 Issue plumbing signature form 7/2/98 VN RECD VLN 7/2/98
Page 1 of 2
6/9/00 Activities for Case #: MST98 -00255
3:59:03 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA097 Issue electric signature form 7/2/98 VN RECD VLN 7/2/98
MSTA770 Misc. Inspection 7/2/98 WDJ PASS TLP 1/14/99 USA approved Excavation for
footing looks good.
MSTA707 Slab Insp 1/14/99 TLP PASS TLP 1/14/99 also two pier pads for exterior
porch
MSTA735 Gas Line Insp 5/25/99 5/25/99 5/25/99 TLP PASS No Hold VT 11/15/99
MSTA945 Request inspection research 5/19/00 ST DONE No Hold ST 5/19/00
MSTA1 53 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
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP / /
Date Requested // y AM PM BLD RAW"
Location /005& 54 g -64/64 to Suite MEC
Contact Person Ph C Z qf 6z-- PLM
Contractor Ph SWR
Tenant/Owner ELC
etaining 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 iLI 6 7 & 7�e i X7 &t(Ci
Fire wall 49 C
Fire Sprinkler r 77) J �'1 cir See POT) X
Fire Alarm
_ Susp'd Ceiling
Roof
Misc: r
-` `SS PART .FAIL . _ -
P 4 °_ BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer -
Rain Drains
Final
PASS PART FAIL
MECHANICAL q_ ";,`_
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab.
Low Voltage
Fire Alarm
Final • _
PASS. PART FAIL
•
ackfill /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 I r " Ext
Othe �� � — Inspector t
E
(Fina
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION . MST q - 0 7s .S
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (.0 ,3/00 AM PM BLD
Location ( COS O l� �t ,Ltd (L Suite MEC
Contact Person IC. Ph (9 ZID —1 --/c/G, 2 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall E LR
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
UMBIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
4 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 t 3'
Other Date Inspector Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
pITY OF TIGARD BUILDING INSPECTION DIVISION MST 'T - 0Z1SS
24 -Dour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (9/7;;/06 AM PM BLD
Location I ( S O 0\f - 4.1,1 `104 • Suite MEC
Contact Person tQ - Ph (Q zn -v-A02 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
;
Fire Alarm
• Susp'd Ceiling
Roof ceeD )
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
ELECTR
Service
Rough In
UG /Slab
Low Voltage
F�� larm
4i i
S•
P
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: 7 [ ] Unable to inspect - no access
ADA �
Approach /Sidewalk
Other Date c.� ' 4 Inspector Ext
Final '
PASS PART FAIL io 0 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9
24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested U) AM 9COAPA41
BLD
Location `D 2S b Suite MEC 1 00 01
Contact Person Ph�n7� �i, � . PLM /
Contractor Ph SWR
BUILDING _4` 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
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam x ri j
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
• • •T FAIL
q CHANIC.-
Post & Beam
Rough In
Gas Line
Smoke Dampers
tre (r'l�* PART FAIL \ /
'`�TRICAL 111 ///
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 j / / t'f Ins ! O Other Date 111 pector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•