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Permit ' 'CITY OF TIGARD 4' P ERMIT #: BUP2000 -00105 1y DEVELOPMENT SERVICES / 4/ BUILDING PERMIT DATE ISSUED: 4/5/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S126C0 -01107 SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD SUBDIVISION: H -12A ZONING: C -G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 85 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 23,100.00 Remarks: Commercial TI. Owner: Contractor: PPR WASHINGTON SQUARE LLC MARK A. MOORE BY THE MACERICH COMPANY " DBA PRECISION INTERIORS WISCON ATT/TNNN: JANET FISHER, ASSET MGNT 111 RD SiPNTA ONICA, CA 90407 M O SHA 63a6T- . 2D8 Reg #: LIC 141870 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp 5PCT DEB 4/5/00 $20.28 0001165 Gyp Board Insp Susp Ceilng Insp PLCK DEB 3/30/00 $164.78 0001059 Final Inspection FIRE DEB 3/30/00 $101.40 0001059 PRMT DEB 4/5/00 $263.50 0001165 Total $549.96 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Permitee '/ Signature: Issued - _ ,_ i.i # u /"w" __ Call 639 -4 75 by 7 p.m. for an inspection the next business day :� 4 P l an Check # CITY, . F T IGARD Commercial Building P erm it A — 9 13125 14 V BLVD. Tenant Improvement Date ed Redd 3 -30 - TlT AkD O Date to P.E. 41 '(5 :) 6S9 -4171 Date to DS ? ii da Print or Type Permit# u &Op— ___ S • elated SWR # Incomplete or illegible applications will not cepted Called Name of Development/Project Existing Building 13 New Building ❑ Job Natural Wonders Address Street Address Suite Building Washington Sq. MaLl AGA Data 9534SW ashingtnn Sri_ Rr1_ Bldg # City /State Zip • Existing Use of Building or Property: Tigard, OR 97273 Retail sales Name Property Proposed Use of Building or Property: Byron K. Ahina Owner Mailing Address Suite Retail sales 72 Ave . NE No. Of Stories: City /State Zip Phone 1 (425)861-5991 - Sq. Ft. Of Project: Redmond, WA 98052 -4496 Occupant Name 2,732 Occupancy Class(es) Natural Wonders • Name . Contractor Mark A. Moore DBA Type(s)ofConstruction prer•iion Int Wis __ _ Tenant improvement __ Prior to permit Mailing Address uite issuance, a copy Will this project have a Fire Suppression System? of all licenses 1 1 1 Lothe Rd. Yes [r No ❑ • are required if City /State Zip Phone expired in C.O.T. Americans with Disabilities Act (ADA) . database Marshall, WI 53554 ( 630 ) 561 - 3Valuation X25% = $ Participation Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Fo /z7//8 /70 3 / /b Li Project $ 3/ jCX�. (�O Name Valuation . - . - . Architect Hayashida Architects Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back 1250 45th St. • 340 City /State. Zip Phone I hereby acknowledge that I have read this application, that the information Emeryv i 11 e , CA 94E, 6 510 )428-2491 given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in com.liance with Oregon State Laws. Engineer Name See attached Signatur' . ; I /./ Date Mailing Address Suite ./ \,. % �� 3 /C Contact •'-rson Name Phone C.e_( ( Pt„ Q • City /State Zip Phone /( �/ j / ' `j _ 5 6/ .- 2-' FOR OFFICE USE ONLY Indicate a of work: New 0 Addition 0 Demolition 0 ' ' -• tyP 'tulaprrL# = =" :; "Laridtlse:. _ Accessory Structure 0 Foundation Only 0 Alterations Repair O Other b Notes:' :... Description of work: ' TIF: Tenant improvement Note: Site Work Permit Application must precede or accompany Building G/��L,U /64. Permit Application ! U l ! � U i • F I S ! ; 4 '. I: \COMNEWTI.DOC (DST) 5/98 ., .q. : :: •.. iii Mf. . "s „,. , . ._.,.. ,J1_, , COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX e lidatio?1::!Fae.ah electrical submittal, the application must contain the signature of the supervtsin electrician before plan review will be conducted After plan review approval, Plans Examiner will contact the rifett.: qpri94p • o .. r... additional plan sets for distribution purposes (Copy for Contractor City. .......... Total # of TYPE OF SUBMFTTAL Plans KEY: SubmittedA ...„ ......... S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building • ••:. • . .... • •• ...."..• NOTES: *Sh I: \dsts Worms\rnatrxcom.doc 10/30/98 OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: r CLASS OF WORK: AA FLOOR AREAS: EXTERIOR WALL CONSTRUCTION TYPE OFJ)SE: FIRST SQ. FT. N: S: E: W: TYPE OF CONSTR: SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: 44 THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET: STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE / '•,FIRE SMOKE HANDICAP SPRINKLER: �C ALARM: DETECTOR: ACCESS: • i • COMMERCIAIONSPECTIO"N ACTIONS ;' °:' ........: n `FEE MENU -: ? - Foot/Found Post/Beam $ L Fee Masonry r•- ing ' $ l6q Plan Review Insulation s Shear Wall $ Surcharge ,1,, 8% State Surchar Firewall ,gyp Boar $ /01 FLS Plan Review Suspended eilin Sprinkler Rough -in $ Add'I Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pln Smoke Detector Approach /Sidewalk $ Inspection Miscellaneous $ MIS Fee FOR OFFICE?USE ONLY: COM= comm ercial CMS= commercial f d manuacture structure)„, T�YPEOS USE OPTION ..� ........�:..� ..::�.:�; ):� " a CLASS OF: WORK OPTION& FOR ALL. PERMITS. (NEW' new;Add. = ALT =alteration; ACS= accessory,FND foundation; .:. OTR= other;:DEM demolition; REP - = repair; FPS =fre s /stem; NOTE: USE OTR,FOR FENCES, RETAINING WALLS •DETACHED DECKS, SIGNS, AWNINGS, ~ANOPIES.) I: \ovrcntr2.doc (DST) 9/99 4 41 ov , art** .11 0 Form 5b a 01 Project Name: `i. — ' ; ,` Page: INTERIOR LIGHTING POWER - Occu aac Method (a) (b) (c) (d) (e) (f) (9) Lighting Max Budget Power Lighting Power Floor Density Budget Group Occupancy Use Area (ft (W /ft ((c -d) x e) + f Retail or If area is less than 2,000 ft enter Merchandise area in (c), this row 0 3.4 0 (Group M only) If area is between 2,000 and 6,000 • ; W ' ; 2,000 �.� ft enter area in (c), this row 2.5 6,800 ,s '--, If area exceeds 6,000 ft enter area in (c), this row 6,000 1.7 16,800 (a) (b) (c) (d) (e) (f) Other Occupancy/ Floor Max Power Lighting Power Use Types Area Density Budget See page 5 -11 for Group Occupancy Use Ceiling Height (ft (W /ft d x e instructions. under 15 ft 15 ft or more under 15ft 15 ft or more under 15 ft 15 ft or more under 15 ft 15 ft or more 1. Total Interior Lighting Power Budget (Watts). Add amounts in column (g) ?) Building's 2. Total length of track lighting (ft) Power g 3. Multiply line 2 by 37.5 Watts/ft 53 Track Lighting 4. Amperage of circuit breaker serving track lighting (amps) 100 5. Voltage of circuit breaker serving track lighting (volts) 120 6. Wattage of circuit breaker serving track lighting (multiply line 4 by line 5) I ICC° 7. Track Lighting Power (enter smaller of line 3 or line 6) 5'15 All Other Lighting 8. Total Interior Lighting Power from Worksheet 5b +1. =DO 9. Total Control Credit from Worksheet 5c - 10. Total Adjusted Lighting Power (Watts). Add lines 7 and 8, subtract line 9 = I:ZS Compliance Test 11. Does design meet budget? S Enter " YES" if line 10 is less than line 1. Otherwise redesign. 5 - Forms & Worksheets (10 /98) • I c- Worksheet 5a Project Name: N .i; ^ice --'c.> Page: 5 LIGHTING SCHEDULE Lum. ID is the identification (a) (b) (c) (d) (e) (f) number or letter used in your plans Lamp' Ballast Luminaire • or specifications Lum. Power Table 'Enter the number and type of lamps in ID Luminaire Description No. Description No. Description (Watts) 5b the luminaire. See �I r r ^ ' Table 5b for typical A ! "' GCf4 C' ` - '✓ l ~ J=` �� lamp codes. - 2 Enter the number C and type of ballasts _ r in the luminaire. For G r L,� iT _ Z ""' l �� E.,-._-,T al X fluorescent and y�� rr-��,,��..�� y- _ high intensity �- I E 1 r 1 i riC $1 1 t i '� F ij C discharge lamps, typical ballast - ..----.77r....' • abbreviations are: 4 MAG STD for i‹, Z SQL j_, 1:9_13 l• r..241-R. 1 ji G CiD SC X Magnetic Standard •MAG EE for Energy Efficient Magnetic •ELECT for Electronic ' See Table 5b for other ballast abbreviations. EI I ! i ' I '' , ' 1 JI∎ I:', ` 1 5 - Forms & Worksheets (10/98) • • Wo *sheet 5b Project Name:1 td . Cit, = -- Page: INTERIOR LIGHTING POWER 'Enter the quantity for every non- (a) (b) (C) (d) (e) (f) exempt luminaire. Do not consider Luminaire Lighting track lighting on this Room or Luminaire Quantity of Power Power worksheet. Track Sheet No. Room or Plans Designation ID Luminaires' (Watts) (d) x (e) lighting is ac- +^ counted for on G • I e44--F-5 Si Form 5b. • • , Cp 11G 5 • • • r. (Q' ca 2 Additional pages may be necessary if building has more 1. Page Total. rooms than there 2.6 Q are lines on this Total the amounts in column (f). Add the sum of all pages on Form 5b, line 8. form. (10/98) Forms & Worksheets 5 - 5 : i t p .. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line 639 -4171 CBU� 21? '0O1OS Date Requested S� 0 / DO AM ( 46 PM BLD Location "1 S C I Lit) atc '/Y1 JySuite MEC Contact Person ✓ Ph S g g -q 9 L g PLM Contractor Ph SWR IN`G) Tenant/Owner (1 MU 4 /130jA J4 S ELC F;et in Wall ELR Footing Access: • Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: - , I Slab �� S O%�.. SIT Post & Beam Ext Sheath /Shear Ina ming /Shear •> Arty 74 \ c CAN- i ( ,� Framing 7�� �- Arty �� ^ 1 � Insulation Drywall Nailing Firewall Fire Sprinkler ( 5 e C n Fire Alarm R Ceiling Roof oof / 1 n Cluj T' ' .9-,,\ • A jr4130 FAIL II -- ,A� i MBING '� v� `T S. (,`� w �' �J-� Post & Beam Under Slab ••s", / 4 0 • 3 4_ Z Top Out Water Service ��� ►� � �.P/� n Sanitary Sewer c ^ � Rain Drains ✓ `� ( 2: (ZS S v � J `G` �}\ / i--��yy ' 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 07 Cs V Inspector Ex Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MS 24 -Hour Inspection Line: 639 -4175 / _ Business Line: 639 -4171 _ 00 ) S Cr 1 CO Date Requested LQ 11 (4 0 / AM PM r Cr 2.6M )71 Location q (4 fs S (,0 a sk- , 1,L4/l2- Suite ( 7,®Oo- 0017 Z, Contact Person YTh - Ph (P2D - Sco 1- 7 2,M PLM Contractor Ph SWR � � P o _ '; ELC 0— BUIL Tenant/Owner (� y llJ"`' F'etetmrrefWall ELR Footing Access: E �i �� 0 , 0- J >31 �/i Woo Foundation C , FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear i Int Sheath /Shear Framin Insulation \ Drywall Nailing �, Firewall �■C ire Sp in Fire Alarm t j r i s �, A p Q L s � f Susp'd Ceiling �4 � 1 (��� � `-< ."\- ."-t.9\ Roof I (^ 9 5 Misc: l/ � SS PART FAIL PLUMBING -r) c-e-e 2).-3 f 617 .Q S (1.--- U .9 -‘ Post & Slab ` � (, � j ` O—, S ' � Under Slab 4 - ) ���� �� Top Out Water Service j 5 cL.-S —W 5 , Sanitary Drains Sewer L6t S A ; C)-4) ' - , ^ _ a [ _ n . Rain Drains � V L-Q YjJC Final PASS PART FAIL . V / b > `7 A .I1 ■ - ' ' • HA I Q � (� Post & Beam (0) ��s ^-'� C � ^ ` �° �f -Q__,56:, Rough In / • ,■-D X2.1 -�� ✓ 'a Gas Line t- - ' Smoke Dampers - �; i �► a L >L .' _ _ PART FAIL / la 1 l b c) C ��� ELECTRICAL Service —.Al Rough In ` UG /Slab 1- > . — .... ,,- - " Low Voltage _ q -C 0 a r ,( ) A , - s -0 Fire Alarm �LJ l/� 1 ✓ �1/, �0( € Final PASS PART FAIL U \ G { C �-• �� 9--- d :)--- Ei., SITE g OS- ^ X4 1 L Backfill /Gradin �J Sanitary Sewer ? -21^ of 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 ] n Approach /Sidewalk Date ( 0�� ?Wes( Inspector �1 ,vJC�'� - Ext -9°I Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. I• CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested CV AM PM BLD Location q Q, S Lci.Sk G A"..C, Suite MEC Contact Person S Ph (p gCI— 2) � ,� PLM Contractor Ph SWR : UILD ► Tenant/Owner V\a. A 9"Of1 g ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT ,� . , Post & Beam J W0.( T/ Ext Sheath /Shear 1 Int Sheath /Shear Q Framing D0170 "0617 ( FPl Inulati D on Nailing W � /C /9I a j� Dwall / a Li 4 0‹ .. Fir -wall OS Roo 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 [ ] 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 & 7 7 7/O /' other Date V Inspector / c) 44 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST • 24 -Hour Inspection Line: 639 -4175. Busir ess Line: 639 -4171 �� � BUP � /4r. Date Requested p i�� A�PM BLD Location ' (./ Suite MEC • Contact Person Ph l , PLM Contractor Ph ; SWR BUILDING Tenant/Owner 14/, 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 C� A t - S LOW &A / oc.c.Ag Drywall Nailing / S Firewall Fire Sprinkler '46 r / f115 1 Fire Alarm Susp'd Ceiling f Roof � \ /V D ae..gc 4 diP SS PART FAIL PLUMBING • Po & Slab G /moo 6 h1.44 I t OC_ 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 I Approach /Sidewalk Date az31 Inspector p,S�i�/ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Ms 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 0o -CX�I bS Date Requested 5 /S100 a AM l) S BUP' PM BLD Location - I `-1 b bpi S � 'n ) 14 / LSuite MEC Contact Person 1 " c1Uk Ph PLM Contractor Ph SWR 1 �//�� ,�, UILDING� TO Owner F.', L(a= j f Z4 J(}�cJ L S " ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear I eath /Shear ^ ,��-� , , Framin t �/ caw ` , nsu anon 15_ wall Naili Lti R 'i , Firewall . Fire Sprinkler �� � ∎ _ Fire Alarm ' e r. Susp'd Ceiling AL - ' ..-5C3 - ��./L..` • ■ Roof _ Misc: Final - _ ` PASS FA ,.: PLUMBIT� - u_■Lr b • Post & Beam Under Slab k----N,-4Z_ / S' __ Top Out Water Service ‘..,"-- ■r S ,QivA0 ..—€___ , Sanitary Sewer 7) Rain Drains Final .12-1—C. �- I PASS PART FAIL MECHANICAL ` Post & Beam o 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 ins pect - no access ADA Approach /Sidewalk J Date 0 !- 31 Other / / Inspe ctor v f� C Ex t Final • PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION __ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ST BUP 2enh -OD/ (DS 5 Date Requested 7 CO AM�- PM BLD Location 9 Li q, S 1 &5A I Sq 14 L Suite MEC Contact Person 01, aV l) . Ph PLM Contractor . Ph SWR LD IINj `'1�1-i?'l Tenant/Owner � (/COI 0 h Lc '..9 ELC Retaining Wall ELR Footing Access: Foundation i FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam • Ext Sheath /Shear Int Sheath /Shear • 0')&i - -J S ' ra mie ,1 / � y�'N�� -�, �+ 1 rywa l l n 1.) `� � U V — ) O - 7/ ( J f v✓` \C- -,� / Drywall Nailing Firewall n 0 v o o i1 Z ( 4 � . 4- a \ Fire Sprinkler �j ! ° `' � / � Fire Alarm k �.�f/ v —e- -r L .t i � 1 �.� ► `Q Gj i Susp'd Ceiling `M �� q ,^ � C � Roof (-/) ►/ 1 ( C � -o0 — 00 -1 Z ( v �' \ eJ- . r1) Misc: Final Ge.-, i a PASS FAIL PLUM: _ l _ › 1 _ _ _ -�`' ' Post & Beam /� Under Slab <) ( 6 ( - C --,�.Z L( - Top Out Water Service 1(.0 ( S \ I , ■ 101 Sanitary Sewer - Rain Drains 0 0 't._. V\ 0 Final \ ) N. PASS PART FAIL Y/ 0 k ---r + S MECHANICAL tki Post & Beam � �A� n Rough In C. ) v /\ i _ n ^ C� �` r/v --e t✓�� \ Gas e D ` �/ ] ( -�$ Smoke Dampers - .-/ ■ r Final — - PASS PART FAIL c S t___ —__ __ ,C.1 A ELECTRICAL Service Z 3 CQ � Rough In UG /Slab ' T _ ` r / t �...,–J Low Voltage Fire Alarm 1 ; C Q-v- l!) Final D • 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 / J . 15 Approach /Sidewalk Date S12,4 61 a Inspector ' Ex3 Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.