Permit CITY OF T MASTER PERMIT
•�e , A\ DEVELOPMENT SERVICES PERMIT # • MST98 -0316
==i1J e•L i! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08 / 67 / 98
PARCEL: 2S109AB -05900
SITE ADDRESS...:13103 SW STARVIEW DR
SUBDIVISION •FORAN ZONING: R -7
BLOCK LOT :001 JURISDICTION: TIG
Remarks: Path I - Single family detached dwelling.
-- BUILDING - -- - — --- - - - - --
REISSUE: STORIES : 2 FLOOR AREAS - - -- BASEMENT...: 629 sf REQUIRED SETBACKS - -- REQUIRED------- --
CLASS OF WORK.:NEW HEIGHT • 30 FIRST : 1228 sf GARAGE • 572 sf LEFT • 21 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 888 sf FRONT • 20 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 28
OCCUPANCY 6RP.:R3 BDRM: 3 BATH: 3 TOTAL : 2116 sf VALUE..$: 193754 REAR • 33
— - - -- - PLUMBING - —
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 1'' TRAPS • 0
LAVATORIES • 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1m SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1'' BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- - - - -- - - -- — MECHANICAL - - - -- — ----- - - - - --
FUEL TYPES — FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 5 CLOTHES DRYERS: 1
6AS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1
- - - -- - -- - - - -- ELECTRICAL - -- — - - ----- - - - - --
- - RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS -- -- MISCELLANEOUS — — ADD'L INSPECTIONS- -
1m SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 4m amp..: 0 201 - 4'.m amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1m amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 ---------------- ---- -- PLAN REVIEW SECTION - ---- - -- - - --
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
----------------------------- ELECTRICAL - RESTRICTED ENERGY ----- -- — ----- --
A. SF RESIDENTIAL- — B. COMMERCIAL - -- - - -- — -- ---
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ::
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL B SYSTEMS: 0
Owner: ---------- - - - - -- Contractor: --- - - - - -- -- TOTAL FEES:$ 5308.60
CLIFF WAIBEL C C WAIBEL CONSTRUCTION CO This permit is subject to the regulations contained in the
879 NW 10TH 879 NW 10TH Tigard Municipal Code, State of Ore. Specialty Codes and all
HILLSBORO OR 97124 HILLSBORO OR 97124 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 6: 640 -3110 Phone 0: 640 -3110 not started within 180 days of issuance, or if the work is
Reg 0..: 25454 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 - You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
-------------------------- -------------- --- REQUIRED INSPECTIONS —
Erosion 844 -8444 Post /Beam Mechan Electrical Servi Gas Line Insp Electrical Final
Grading Inspecti Crawl Drain /Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLM /Underfloor raining Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp _Shear Wall Insp Water Service In Building Final
Post /Beam Struct Plumb Top Out Lo tage Appr /Sdwlk Insp / / j �,��
/
IL � �
Issued By: �/�� Permittee Signature: _ / /_�/ -�
+ + + + + + + + + ++ j ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + ++ + + ++
Call 639 - 4175 by 7:f p.m. for an inspection needed the n business day
I
Plan Check # / - 7 / A
_ CITY OF TIGARD Residential Building Permit Application Rec'd By 19
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 21 l
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 9 a7/ A
V 503- 639 -4171 Date to DST 7 /3o) 5 V
F 503 - 684 -7297 Permit # �ST9 ?
Print or Type ( � Called 7 -9 '
Incomplete or illegible applications will not be accepted
ScoA? - 0 /R6
Name of Project Name
Job F PG4ce - ao Mailing Tip �t l�s
Architect n res
Address Site Address �+ / Add y � S Lc) / ,
13103 S W 4 ity /Statte j _ p Zi Phon C
Na CL I r r 1/ �, U t°i- Name TAU D� / �Q�� ��/ - ��
Name
Owner Mailing � Ad ess �/ 10.1"- , r Coy ^,�.,�,..
/ Y i r 7 En ineer Mailing Ti-) c ea
Cty ate ��p Phone g
/ -t1 ORE Y 711L -1 49o-311,0 , 3 ) /D7-4- Ph �.e (0 2
General Name F st, n Opp, ��U2I
Contractor C (C . V Y / .1 ), i. G CO - Describe work New Addition 0 Alteration 0 Repair 07 l0
Mailin Address , to be done:
Prior to permit VT N 4) f l/l' Additional Description of Work:
issuance, a copy / tate ip Phone TT
of all licenses ff I S , 0 7 L70 - 3f !r/
are required if Oregon Const. Cont. Board Exp. Date •.✓ PROJECT
expired in COT Lic.# Z5_�Sy l 2 _ Z � no VALUATION $ / f 3 , 753
database 70 i
Mechanical Name NEW CONSTRUCTIOIW NLY:
Sub W L-r Shed ,fld L I So. Ft. House: S . Ft. Garage
Contractor Mailing Address _ 1 d S 21/ ../� e- "
Prior to permit 113 O `V /4 2,3 Corner Lot YES NU Flag Lot YES st
issuance, a copy city/ State � Pr r on� e (check one) K (check one)
of all licenses Ai ils ()IX 7/12 q L 7ir 45 ✓ Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board Exp. Date vi A,� 9 Energy System Alarm
expired in COT Lic.#
database 1--i3 $ 8. 5 12- Installation Garage Door HVAC
Plumbing Name A Opener Systems
Sub- W ki-ed Pi../4/29 k w . ? (check all that Other:
Contractor Mailing Address apply)
Will the electrical subcontractor wire for all Y,S NO
0d L25 Me_J Lost' PAe,k . 02_ restricted energy installations? f
Prior to permit ty / c Zi Phone p Q Has the Subdivision Plat recorded? N/A Y.E NO
issuance, a copy j .)Pfi o ! 227 L210 /b/3 ✓ x
of all licenses are Oregon Const. Cont. Board Exp. Date / D//7/9
required if Lic.# / R eis sue of MST# Solar Compliance
expired in COT 3 11-92 - • ' �7 0324 (Calculation Attached)
database Plumbing Lic. # Exp. Date // I hearby acknowledge that I have read this application, that the
`? 7 / 4,3 P i7 // _ information given is correct, that I am the owner or authorized
Name 6 agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Electrical � do L� � Sig - .. zwn /A nt Date p
Sub- Mailing Address !/ ' 7-2
0
Contractor 5Q tate /V Zip id 01.40 o4/ *,) Mi &L. Conta r CLt TT me K//�7 U� (O7 ne s�L D
Prior to permit � i/ FOR OFFICE USE ONLY:
issuance, a copy Fopo+ G2i f 974 35 Plat #: Map/TL #:
of all licenses are Oregon Const. Cont. Board Exp. Date r - /4 ,p_ /3 / y a 5/09/9g-45-900
required if Lic.# 357 /
expired in COT 3J 7 ,3 /-// -oo Set Cks:
4-1‘-- Zone: /e _ 2 Solar:
f/
database Electrical Lic. # Exp. Date
Engineering Approval: Planning Approval: TIF:
3 - 0 c /U -0 / 78 P. , ZA-T 7/21 /9k
1:SFREM.DOC (DST) 4/97
•
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + 2 ft 2-Y
4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - O ft
deduct nothing. .
5. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. - / ft
6. Total figure for box B: ft ______/___
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near,the L--/ 5 - ft 3 3
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + i_1 ft
3. Total figure for box C: / 1) ft 2
It is most useful to draw a vertical line to represent the appropriate figure found in box "A" and a horizontal line to represent the
appropriate figure found in box "C ". The intersection of the vertical and horizontal lines determines the value found in box "D ". The value
in box "D" should be compared to the value in box "B "; if the value in box "B" is less than or equal to the value found in box "D ", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance to North -south lot dimension (in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line 9
from northern ,
Jot line (in feet)
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40
45, 30 30 30 3T 32 -- 35- 36__37_38 39 __
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 :16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24 X
I Box D. Maximum allowed shade point height: 04 Se, feet I
h : \dots \n a n cy\ve n to ra\so l a r. ch p
Revised 2/26/96
Solar Balance Point Standard Worksheet
Address 13/(3 4) <S v /ev
Box A calculations: North -South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing ,L621- is s
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line S pecI f
with the smallest angle from a line drawn east -west and intersecting the northern most U/IC i,�s (tP
point of the lot. _ )
ho/6 e r S l b
t t A NN _ �
N - IUO(1 North -South
of 5 ee2/' Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
WS feet 9 b
1
N
1<==NORIH-SOU1H OWENSION
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
1a: If the roof line runs North - South, measurements will fib (circle one)
be based on the peak of the roof 0 0 0 0
„I'l
NORM 1A 1B
1 b: If the roof line runs East -West and the roof pitch is
less than 5/12, measurements will be based on the
6 II kw Men
eave.
SHADE POINT PAVE
1c: If the roof line runs East -West and the roof pitch is
5/12 or steeper, measurements will be based on the o d Root Pitch
peak.
SHADE PONT RIDGE
CITY OF TIGAR
OREGON
INTENT TO HAUL EXCAVATION
( /� //� ,be _ (print name), hereby certify that all excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back -fill the foundation ONLY. I understand that
failure to remove the excavation material will result in the requirement to remove the
material or obtain a grading permit by submitting grading plans prepared by a licensed
engineer accompanied by a geo- technical report regarding the placement of the
excavation material as fill.
Sign- ire Date
Job Address: /, 5 /D. 3 S StAgei, e/
Subdivision: // ) / 41C- ' Lot:
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 •
I:haul.doc (DST) 6/97
8/23/99 Activities for Case #: MST98 -00316
1:19:00 PM
Assigned Hold Updated
Activity • Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 7/23/98 DLH RECD DLH 7/27/98
MSTA008 Permit Created 7/27/98 DLH DONE DLH 7/27/98
MSTA010 Check for prd. restrict. • 7/27/98 DLH PASS DLH 7/27/98
MSTA012 Plans routed to Plans Examiner 7/27/98 DLH SENT DLH 7/27/98
MSTA026 Plans approved by Pln Examiner 7/30/98 RT PASS BT2 7/30/98
MSTA030 Reviewed plans routed to DSTS • 7/30/98 JHF APPR JHF 7/30/98
MSTA032 DST Post - Review Completed DLH 7/27/98
mum 55 Development conditions met DLH 7/27/98
MSTA700 Erosion 844 -8444 • DLH 7/27/98
MSTA703 Grading Inspection BT2 . 7/30/98 22% SLOPE HAS SIGN
•
INTENT TO HAUL FORM
MSTA•05 Footing Insp 9/9/98 RC PASS J'H 9/11/98 Need engineering for footing
too close to vertical cuts. Ufer
approved.
MSTA706 Foundation Insp 9/18/98 RC . PASS J *H 9/20/98 Need engineering approval for
non -set verticals in 3 -ft retaining
wall. All other rebar approvd.
MSTA710 Post/Beam Structural 1/5/99 RB PART RB 1/5/99 Not including the under -floor
area of the garage...ONLY
habitable space at lower level. •
MSTA711 Post/Beam Mechanical N/A RB 1/5/99 Overhead heating at location of
lower floor. Check under -floor
of garage.
MSTA713 Crawl Drain /Backwater valve 10/7/98 GS PASS GES 10/7/98 underfl areas between ftgs are
•
drained. backwtr valve is at rear
of bld approx 34' from nw
corner and 5' from ne corner
_ [access will need to be provided
to valve, approx 4' of fill to go
over
MSTA717 PLM /Underfloor 3/9/99 RB FAIL RB 3/10/99 Unable to view plumbing within
the under -floor crawl space. No
lighting!
MSTA720 Mechanical Insp 4/2/99 KS FAIL AKJ 4/5/99 See framing notes
• Page 1 of 4
8/23/99 Activities for Case #: MST98 -00316
•
1:19:00 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA722 Plumb Top Out 3/9/99 RB FAIL RB 3/10/99 Plumbing under - floor - crawl
space. None to be installed at
lower level, except that stubbed
out venting /drain lines are
noted. Inspections not yet
• - performed: Water Service, Rain
Drain and Sanitary Sewer. 1.
Structural conditions- To be
corrected prior to framing. 2X4
•
walls housing plumbing need
• support. 2. Clean -out required
at kitchen sink. 3. Nail plate
protection needed at kitchen
sink. 4. Roof jacks missing-
make water tight. 5. Secure •
tub /shower enclosures. 6. Shim
tub /shower enclosures for
• support. 7. Insulate water lines
• below floor level in crawl space.
INSPECTION TERMINATED !!! '
• Unable to view crawl- no
• lighting.
MSTA723 Electrical Service 3/22/99 BRP PASS AKJ 3/23/99 •
MSTA724 Electrical Rough In 3/22/99 BRP PASS AKJ 3/23/99
•
MSTA725 Framing Insp 4/2/99 KS FAIL AKJ 4/5/99 1) Under floor plm need
approval prior to framing and
mech
MSTA726 Shear Wall Insp 2/18/99 RC FAIL ROC 2/18/99 1. NUTS NOT TIGHT
- SEVERAL PLACES 2. DETAIL •
•
SHOWS SOLID BLOCKING AT
• HDS IN FLOOR. 3. RENAIL
• WHERE NAILS ARE
OVERDRIVEN
MSTA728 Low Voltage 3/22/99 BRP PASS AKJ 3/23/99
•
MSTA735 Gas Line lnsp 3/26/99 • RC PASS AKJ 3/28/99
MSTA740 Insulation Insp 4/13/99 KS PART AKJ 4/13/99 See framing notes
MSTA752 Rain drain Insp DLH 7/27/98
MSTA761 Water Service Insp 4/20/99 TLP PASS AKJ 4/20/99
MSTA765 APPr /Sdwlk Insp 5/3/99 MW PASS AKJ 5/3/99 Dig out asphalt to 6" in depth
and replace w/ concrete
MSTA790 Electrical Final • 7/27/99 . CD FAIL AKJ 7/27/99 1) install missing outside light
fixture
•
2) wire a.c unit
MSTA795 Mechanical Final 7/28/99 RB FAIL AKJ 7/28/99 see bldg final 7/28/99
MSTA797 Plumb Final 7/26/99 MS FAIL - AKJ 7/26/99 no record of a rain drain insp
Page 2 of 4
8/23/99 Ac tivities for Case #: MST98 -00316
1:19:00 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA799 Building Final 7/28/99 RB FAIL AKJ 7/28/99 1) gas fireplace not working
2) range, ext baffles need to
• operate
3) provide drainage away from
front of house
4) seal all penetration in the
• utility rm
5) connect downspout in front
• of house liv rm side
. 6) provide insul cert
7) affix man. instructions to
heater/water heater
MSTA080 (F) Ready to issue 7/31/98 DEB DONE DRA 7/31/98
MSTA092 (F) Issue combination permit 8/27/98 JSD PASS JSD 8/27/98
•
MSTA095 Issue plumbing signature form 9/3/98 JMT RECD JT 9/3/98
MSTA097 Issue electric signature form 9/3/98 VLN RECD VLN 9/3/98
MSTA726 Shear Wall Insp 2/22/99 KS PASS KBS 2/23/99 #-1- app per RC correction list
dated 2/18/99
MSTA722 Plumb Top Out 3/16/99 TLP PASS TLP 3/16/99
MSTA725 Framing Insp 4/5/99 4/5/99 4/5/99 WDJ FAIL No Hold AKJ 4/5/99 1) Stud near elec panel is over
notched
• 2) Strap top plates above elec
. . panel
3) Beam M2 is missing at
stairway
4) Beam M5 requires min 3.43"
. bearing
5) Strap top plates in bearing
wall between fam rm and util mi
OK to insulate
Ensure adequate combustion at
_ _ final for meth equip in
basement
MSTA726 Shear Wall Insp 4/5/99 4/5/99 4/5/99 AKJ DONE No Hold AKJ 4/5/99 Pass WDJ
MSTA720 Mechanical lnsp 4/5/99 4/5/99 4/5/99 WDJ FAIL No Hold AKJ 4/5/99 see framing notes
•
MSTA71 7 PLM /Underfloor 4/5/99 4/5/99 4/5/99 AKJ DONE No Hold AKJ . 4/5/99 Insulate under floor water pipes
• Passed GS
MSTA725 Framing lnsp 4/13/99 4/13/99 4/13/99 KS PASS No Hold AKJ 4/13/99 1) Framing approved per WDJ
. correction list dated 4 -5-99
' 2) Under floor not ins at this
time
MSTA720 Mechanical Insp 4/15/99 4/15/99 PASS No Hold WDJ 4/15/99 Will Check combustion air at
final
MSTA704 Sewer Inspection 4/20/99 TLP PASS No Hold AKJ 4/20/99
MSTA797 Plumb Final 7/27/99 7/27/99 7/27/99 . MS PASS No Hold AKJ 7/27/99
Page 3 of 4
•
8/23/99 Activities for Case #: MST98 -00316 •
1:19:00 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA790 Electrical Final 7/28/99 7/28/99 7/28/99 CD PASS No Hold AKJ 7/28/99
MSTA795 Mechanical Final 8/3/99 8/3/99 8/3/99 RB DONE No Hold RB 8/3/99
MSTA799 Building Final 8/3/99 8/3/99 8/3/99 RB DONE No Hold RB 8/3/99
MSTA960 (F) Issue Cert. of Occupancy 8/2/99 TIG RB DONE No Hold JMT 8/23/99
•
Page 4 of 4
CITY OF TIGARD BUILDING INSPECTION DIVISION MST WO 6 366
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested l � _ AM PM ��s� BLD
Location ) / 0 3 X9-7 . '2,fi� -��uJ ' L Suite MEC
Contact Person Ph PLM
Contractor j/(/' Ph / - 3 77/ 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
Mils_ • ll
l� J
PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASSS� PART FAIL
HitCAAL
Post & Beam
Rough In
Gas Line
S e Dampers
na
ASS PART FAIL
LECTRICAL
Service
Rough In
Low Voltage
b
Low V
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 VZ/9 ` Other Date 9 Inspector �► C am+ v � - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.