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Permit ' ' ' . • ' CIT � TIG,4RD PERMIT #.'.'..': MST93-0372 COMMUKITY DEVELOPMENT DEPARTMENT 1o1oi, Hall Blvd. Tigard, Oregon 97223.81.99 w38-i41r1 DATE ISSUED: 07/13/93 SITE ADDRESS...: 11690 SW SUMMER CREST DR PARCEL: 1S134CD-06300 S BURLWOOD NO.3 ZONING: R-4.5 BLOCK ^ LOT ^23 - ---------- ------ REISSUE: DWELLING UNITS:1 BASEMF@T :0 sf CLASS OF WORK.:ADD BEDRMS:1 BATHS:1 GARAGE ^0 sf TYPE OF USE'.'xSF FLOOR AREAS ----- REQUIRED SETBACKS---------- TYPE OF CONST' :5N FIRST ^803 sf LEFT.. :6 ft RIGHT. :8 ft OCCUPANCY GRP. :R3 SECOND... :0 sf FRONT. :0 ft REAR. . :23 ft STORIES ^1 THIRD ~0 sf REQUlRED------------------- HEIGHT ^16 ft TOTAL :803 sf SMOKE DETECTORS.:Y FLOOR LOAD ^40 psf VALUE $^ 36938 PARKING SPACES..:1 Remarks: PATH I ADDITION - --------- ---- ------- PLUMBING ---------------- SINKS. . . . . . . . . . :1 FLOOR DRAINS ^0 BACKFLOW PREVNTRS. . :0 LAVATOPIEG ^2 WATER HEATERS...:0 TRAPS :0 TUB/SHOWERS ^1 LAUNDRY TRAYS...:0 CATCH BASING ^0 WATER CLOSETS.'r2 SEWER LINE (ft)':0 GREASE TRAPS ~0 DISHWASHERS ^1 WATER LINE (ft).:0 OTHER FIXTURES ^0 GARBAGE DISP...:1 RAIN DRAIN (ft).:0 WASHING MACH...:0 SF RAIN DRAINS..:1 - ---- MECHANICAL ----- ----- - FEES --------------- FUEL TYPES----------- UNIT HTRS..:0 type amount by date recpt /GAS/ / / VENTS :3 BPRT $ 224.50 JLH 06/28/93 93-241757 MAX INPUT:W BTU VENT FANG ^3 BPLC $ 145.93 JLH 06/28/93 93-241757 FURN < 100K .':0 HOODS ^0 B5PC $ 11.23 JLH 06/28/93 93-241757 FURN >=100K ..:0 WOODSTOVES.:0 MPRT $ 32.50 JH 07/13/93 . FLOOR FURN ^0 [Ln DRYFRc:. : :.73 MPLC $ 8'13 JH 07/13/93 . BOIL/CMP < 3HP:0 OTHER UNITS:0 M5PC $ 1.63 JH 07/13/93 . GAS OUTLETS:0 PPRT $ 75.00 JH 07/13/93 . Owner: --------------------- --------P5PC $ 3.75 JH 07/13/93 . JEFF L HALSTEAD 11690 SW SUMMERCREST DR TIGARD OR 97223 Phone #: 620-5097 Contractor: - --- CONTRACTOR NOT ON FILE Phone #: Reg #'': ---- - - ----- $ 502.67 TOTAL This permit is issued subject to the regulations contained in the --- REQUIRED INSPECTIONS ------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gyp Board Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Rain drain Insp plans. This permit will expire if work is not �tarted within 180 Post/Beam Mechan Mechanical Final days of issuance, or if work is suspended ore t a 180 ys. PLM/Underfloor Plumb Final ^ v Mechanical Insp Building Final �� Permittee Signature: �^�� v=_ Plumb Top Out Erosion Control �/��-��� Framing Insp Crawl Drain Issued By: __ Insulation Insp Call for inspection - 639-4175 ' /( / • / /� PLNCK /RECT # Lo - CITY OF TIGARD PERMIT # //15 /9l3 -057 COMMUNITY DEVELOPMENT DEPARTMENT 12( s"`8°f 97223 (503) 639-4111 DATE ISSUED • JOB ADDRESS: U(J') 7L) Su,nm €r('CcS+ Ds, TAX MAP /LOT / 3if co- U4jc4) SUB: V �� 421 , / LOT: a' 3 LAND USE: VALUATION: 71 3 / 5 i o OWNER SPECIAL NOTES NAME: :te ? L. \--k Pad REISSUE OF: ADDRESS: 1 1 0 D S In) S( i/Ni ? r(' AD . LAST REISSUE: T ; y &rd r gr77 FLOOD PLAIN/ PHONE: 67 0 — 5 °1 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS: MECH: - BUS TAX: - ARCH /ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: a•14/7/t/ Z S' /C --- P T COMMENTS: APPLICANT SIGNATURE Received By: Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT / A MOUNT PD. BAL. DUE r5K3 - 10 -432 00 Building Permit Fees z !S 27 2 10 -431 00 Plumbing Permit Fees 75;au 10 -431 01 Mechanical Permit Fees 3Z.0 / 5Z..0 10 -230 01 State Building Tax (5 %) /6.0 /$ a3 3 .5 Building Lia.9 ✓ / Plumbing 3. 75 Mechanical /.103 7 10 -433 00 Plans Check Fee / _/• 1' /5 —� Building /5.9 / Plumbing Mechanical ' / 3 10 -230 06 Fire 30 -202 00 Sewer Connection 30 -444 00 Sewer Inspection 25- 448 -02 Commercial TIF Fees 25- 448 -04 Industrial TIF Fees • 25- 448 -06 Institutional TIF Fees 25- 448 -03 Office TIF Fees 25- 448 -01 Residential Traffic Fees 25- 448 -05 Mass Transit TIF Fees 52 -449 00 Parks System Dev Charge (POC) 31 -450 00 Storm Drainage Syst Dev Chrg (SSDC) 24- 445 -01 Water Quality (Fee in lieu of) 24- 445 -02 Water Quantity (Fee in lieu of) TOTAL / � � .377124 .3 nm /3587P.WPF Y t OF Permit No: ' -'" `\e Address: N • '" ' .i' : z Issued b : y: Date: \:/ 5 FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment 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 applicable blanks, and initial boxes. 1 and 2, and either box 3A or 3B: 1. I • I I own, reside in, or will reside in the completed structure. 2 . I I I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A .1 I My general contractor is , Contractor registration number . • I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. • OR 3. B. C7 I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board • and I 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 understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. L /2 Sig r e of Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES • , NOTE: This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. 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 RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the 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 Withholding Tax Law: As an employer, you must 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 Department of Revenue at 378 -3390. 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 DHR at 378 -3224. 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 injured on the job. For more information, call the Workers' Compensation Division DIF at 373 -7434. U.S. Internal Revenue Service: As an employer, you must withhold 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 Internal Revenue Service at 221 -3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code 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 punc- tures, 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 to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310 -0151 Phone 503 - 378 -4621 0244J 10/24/89 Page No. 1 CASE HISTORY FOR CASE NO.: MST93 -0372 JEFF L HALSTEAD 11690 SW SUMMER CREST DR 02/18/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 06/28/93 PASS JLH 07/13/93 BLT MSTA010 Plan check deposit paid / / / / 06/28/93 PASS JLH 07/13/93 BLT MSTA020 Plan check by 07/13/93 / / 07/13/93 PASS RT 07/13/93 BLT MSTA030 Check for prcl. restrict. / / 07/13/93 07/13/93 PASS RT 07/13/93 BLT MSTA092 (F) Issue combination permit / / / / 07/13/93 ISSU RT 07/13/93 JH MSTAl25 PERMIT EXTENSION REQUEST / / / / 08/01/96 until 8/1/96 per david Scott 04/03/97 JT MSTA705 Foot /found Insp / / / / 07/28/93 MAINTAIN 6" FOOTING DEPTH. PROVIDE PEND RB 07/28/93 RB FOOTING DRAIN B LOW POINT. PROVIDE UNDER -FLOOR ACCESS FOR CRAWL SPACE. MSTA710 Post /Beam Structural / / / / 08/24/93 SEE REPORT PEND RB 08/25/93 RB MSTA710 Post /Beam Structural / / / / 08/31/93 PIER BLOCK /POST & BEAM CONNECTION PEND RB 09/01/93 RB SUPPORT MSTA711 Post /Beam Mechanical / / / / 08/24/93 SEE REPORT PEND RB 08/25/93 RB MSTA711 Post /Beam Mechanical / / / / 08/31/93 PASS RB 09/01/93 RB MSTA713 Crawl Drain /Backwater valve / / / / 12/14/98 Provide combustion air vent within PASS RB 12/15/98 J *H 12- inches of ceiling in furnace room. NOTE: Recommend seismic strap of hot water heater. MSTA717 PLM /Underfloor / / / / 09/01/93 PASS MS 09/01/93 MRS MSTA720 Mechanical Insp / / / / 07/14/94 MASTER BATH EXHAUST VENT- CHANGE TO PART RB 07/14/94 RB RIGID; MSTA722 Plumb Top Out / / / / 09/19/94 PASS MS 09/20/94 MRS MSTA725 Framing Inep / / / / 12/03/93 partial only , too much for a complete DIS GS 12/06/93 GES list MSTA726 Framing <REINSP> / / / / 12/06/93 re- checked issues written on report dtd. FAIL RB 12/07/93 RB 12 -3 -93. All issues must be complied with. • MSTA726 Framing <REINSP> / / / / 07/14/94 PENDING- SINGLE PLATE ADDITIONAL STUD PASS RB 07/14/94 RB SUPPORT REQ'D FOR RAFTERS IN KNEE WALLS. SKYLIGHT FRAMING OK, MASTER BEDROOM FRAMING OK, LIVINGROOM FRAMING- OK....PENDING ABOVE. ELECTRICAL, PLUMBING COVER REQ'D. MSTA726 Framing <REINSP> / / / / 11/07/94 PASS RB 11/08/94 RB MSTA740 Insulation Insp / / / / 11/07/94 PENDING VOIDS TO BE FILLED. PASS RB 11/08/94 RB MSTA745 Gyp Board Insp / / / / 03/24/95 PASS RB 03/24/95 RB MSTA755 Rain drain Insp / / / / 10/01/96 PASS RB 10/03/96 RB Page No. 2 CASE HISTORY FOR CASE NO.: MST93 -0372 JEFF L HALSTEAD 11690 SW SUMMER CREST DR 02/18/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By - --- --- -- - -- - -- - -- MSTA770 Misc. Inspection / / / / 10/11/93 ROOF SHEATHING- OK. ROOF TRUSSES OVER PASS RB 10/11/93 RB SPAN- 18'5" MAX., WALL WILL SUPPORT THE TRUSSES B APPROX. 17'- OK. COLLAR TIES ARE NEEDED B 4' CTRS. MSTA795 Mechanical Final / / / / 10/01/96 exhaust vent needed at master bath; FAIL RB 10/03/96 RB combustion air for furnace req'd. MSTA795 Mechanical Final / / / / 06/05/98 SEE BUILDING FINAL THIS DATE FAIL RB 06/05/98 RB MSTA795 Mechanical Final / / / / 12/15/98 Recommend seismic strap of hot -water PASS RB 12/15/98 J *H heater. Provide combustion air vent within 12- inches of ceiling in furnace room. MSTA795 Mechanical Final 02/12/99 / / 02/12/99 PASS RB 02/12/99 RB MSTA797 Plumb Final / / / / / / OK . 02/12/99 RB MSTA797 Plumb Final 02/12/99 / / 02/12/99 PASS RB 02/12/99 RB MSTA798 Final inspection 02/12/99 / / 02/12/99 Passed by review! All prior issues re: PASS RB 02/12/99 RB this permit has been evaluated and approved. Made several visits to this site and several of the inspection notices have not been entered CASE FINAL MSTA799 Building Final / / / / / / OK 02/12/99 RB MSTA799 Building Final / / / / 06/05/98 UNABLE TO INSPECT W/0 ELECTRICAL AND FAIL RB 06/05/98 RB •PLUMBING INSPECTION APPROVALS. PLEASE RE -CALL FOR THE ABOVE MARKED (ALL FINALS) INSPECTIONS. • MSTA799 Building Final 02/12/99 / / 02/12/99 PASS RB 02/12/99 RB MSTA970 Case Finaled / / / / 02/18/99 02/18/99 JT MSTB706 Erosion Control / / / / / / PASS 02/12/99 RB MSTB713 Crawl Drain / / / / / / PASS 02/12/99 RB • • • . 1/21/00 Activitie for Case #: MST93 -00372 3:54:47 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA007 Application received 6/28/93 JLH PASS BLT 7/13/93 MSTA010 Plan check deposit paid 6/28/93 JLH PASS BLT 7/13/93 MSTA020 Plan check by 7/13/93 7/13/93 RT PASS BLT 7/13/93 MSTA030 Check for prcl. restrict. 7/13/93 7/13/93 RT PASS BLT 7/13/93 MSTA705 Foot/found Insp 7/28/93 _ RB PEND RB 7/28/93 MAINTAIN 6" FOOTING DEPTH. PROVIDE FOOTING DRAIN @ LOW POINT. . PROVIDE UNDER -FLOOR ACCESS FOR CRAWL SPACE. MSTA717 PLM /Underfloor 9/1/93 MS PASS MRS 9/1/93 MSTA720 Mechanical Insp 7/14/94 RB PART RB 7/14/94 MASTER BATH EXHAUST VENT- CHANGE TO RIGID; MSTA722 Plumb Top Out 9/19/94 MS PASS' MRS 9/20/94 MSTA725 Framing Insp ' ' 12/3/93 GS DIS GES 12/6/93 partial only , too much for a complete list _ • MSTA740 Insulation Insp 11/7/94 RB PASS RB 11/8/94 PENDING VOIDS TO BE FILLED. MSTA745 Gyp Board Insp 3/24/95 RB PASS RB 3/24/95 MSTA755 Rain drain Insp 10/1/96 RB PASS RB 10/3/96 MSTA795 Mechanical Final • 10/1/96 • RB FAIL RB 10/3/96 exhaust vent needed at master bath; combustion air for furnace req'd. MSTA797 Plumb Final OK RB 2/12/99 MSTA799 Building Final OK RB 2/12/99 MSTB706 Erosion Control Insp 844 -8444 PASS RB 2/12/99 MSTB713 Crawl Drain PASS RB 2/12/99 MSTA092 (F) Issue combination permit 7/13/93 RT ISSU JH 7/13/93 MSTA710 Post/Beam Structural " 8/24/93 RB PEND RB 8/25/93 SEE REPORT MSTA711 Post/Beam Mechanical 8/24/93 RB PEND RB 8/25/93 SEE REPORT MSTA710 Post/Beam Structural 8/31/93 RB PEND RB 9/1/93 PIER BLOCK/POST & BEAM ' CONNECTION SUPPORT MSTA711 Post/Beam Mechanical 8/31/93 RB PASS RB 9/1/93 MSTA770 Misc. Inspection 10/11/93 RB PASS RB 10/11/93 ROOF SHEATHING- OK. ROOF TRUSSES OVER SPAN- 18'5" MAX., WALL WILL . SUPPORT THE TRUSSES @ APPROX. 17'- OK. COLLAR • TIES ARE NEEDED @ 4' CTRS. Page 1 of 2 I • 1/21/00 Activities for Case #: MST93 -00372 • • 3:54:47 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA726 Framing <REINSP> 12/6/93 RB FAIL RB 12/7/93 re- checked issues written on report dtd. 12 -3 -93. All issues must be complied with. MSTA726 Framing <REINSP> 7/14/94 RB PASS RB 7/14/94 PENDING- SINGLE PLATE ADDITIONAL STUD SUPPORT REQ'D FOR RAFTERS IN KNEE WALLS. SKYLIGHT , FRAMING OK, MASTER BEDROOM FRAMING OK, LIVINGROOM FRAMING - OK....PENDING ABOVE. ELECTRICAL, PLUMBING COVER REQ'D. MSTA726 Framing <REINSP> 11/7/94 RB PASS RB 11/8/94 MSTAl25 PERMIT EXTENSION REQUEST 8/1/96 JT 4/3/97 until 8/1/96 per david scoff MSTA795 Mechanical Final 6/5/98 RB FAIL RB 6/5/98 SEE BUILDING FINAL THIS • DATE. MSTA799 Building Final 6/5/98 RB FAIL RB 6/5/98 UNABLE TO INSPECT W/O ELECTRICAL AND PLUMBING INSPECTION APPROVALS. PLEASE RE -CALL FOR THE • ABOVE MARKED (ALL • FINALS) INSPECTIONS. MSTA713 Crawl Drain /Backwater valve 12/14/98 RB PASS J *H 12/15/98 Provide combustion air vent • within 12- inches of ceiling in furnace room. NOTE: • Recommend seismic strap of hot water heater: MSTA795 Mechanical Final . 12/15/98 RB PASS J *H 12/15/98 Recommend seismic strap of hot -water heater. Provide combustion air vent within • 12- inches of ceiling in furnace room. MSTA795 Mechanical Final 2/12/99 2/12/99 RB PASS RB 2/12/99 MSTA797 Plumb Final 2/12/99 2/12/99 RB PASS RB 2/12/99 • MSTA798 Final inspection 2/12/99 2/12/99 RB PASS RB 2/12/99 Passed by review! All prior issues re: this permit has been evaluated and approved. Made several visits to this site and several of the inspection notices have not been entered ? ? ? ? ?' CASE FINAL MSTA799 Building Final 2/12/99. 2/12/99 RB PASS RB 2/12/99 • MSTA970 Case Finaled 2/18/99 JT 2/18/99 MSTA798 Final inspection 1/3/00 1/3/00 1/3/00 RB PASS No Hold RB 1/3/00 Case Final- OK ELC1999 -00644 Signed -off 1 -3 -00 BRP Page 2 of 2 CITY OF TIGARD BUILDING INSPECTION DIVISION p / or 6 37 Z_ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 kg-Walk:Tate BUP � • Requeste � 9/49 AM PM BLD , l Location // v 524 J Pvt-e-c Suite MEC err Contact Person Ph PLM Contract r Ph SWR r ILDING (Tenant/Owner ELC `Re a rnng Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ • �' T FAIL 4 • :IN Post beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains F.• fa •■■'_ FA - PiYs eam 7 Rough In Gas Line e Dampers NWT:. a . PART FAIL E TRICAL 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: [ ] U ble to inspect - no access ADA Approach/Sidewalk Other Dat a Inspector ) Ext Final PASS PART. FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ST Ci3 - p0 3i--). o sto jt, 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 1 ` Date Requested x/3/6 AM PM BLD . / , Location k, 1 U29 0 SvldM w.-_Al c"ct-S T • Suite MEC a Contact Person Ph PLM Contractor Ph SWR //++���� UILDI _ Tenant/Owner ELC �C'I" I" I 0 0 to 44 Retaining Wall ELR Foundation Access: FPS Raw Ftg Drain SGN lar Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Shea /Shear 1 1 _ r\ I L _ — d y p. Framing / l 1 0 V l i ` 06 6, �- 1 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: i ikial PART FAIL • 1 ' 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 c II for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date 1 3 6 0 Inspector V6Z. Ext -1 Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.