7140 SW CLINTON STREET 7140 SW CLINTON ST.
CITYITY O F I I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICE PERMIT#: MEC1999-00502
13125 SW Hall Blvd.,Tigard, OR 97223 (5 RLGINALDATE ISSUED: 11/19/99
PARCEL: 1 S 136D 136DC-04000
SITE ADDRESS: 07140 5W CLINTON ST
SUBDIVISION: ISAACS SUBDIVISION ZONING: MUF
BLOCK: LOT: 003 JURISDICTION. TiG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS_ HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
OD
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING_ UNITS C
OTHER TS:
FURN >=100K BTU: <= 10000 cfm:
> 10000 cfm. GAS OUTLETS:
Remarks: Replace existing furnace with like kind.
Owner: _ FEES
ALFIEPI, PHILL.IP J Type By Date Amount Receipt
14690 NW HEATHMAN LN PRMT DEB 11/19/99 $50.00 90-319917–
PORTLAND, OR 97229 5PCT DEB 11/19/99 $4.00 'd9-3199 7
Phone:
Total $54.00
—-- ---
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:284-2173 Final Inspection
Reg M LIC 00000222
N /( t
This permit is issuec subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes anc all other applicable laws. Ail work: will be done in accordance with approved
plans. This permit will expire if wor K is not Ftarted within 180 days of issuance, or if work is suspended
for more than 180 d,-iys, ATTENTION: Oregon aw requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules arf, set forth in OAR 952-001-0010 through OAP. 952-001-0080.
You m ,:�obtain cap ��s of th s/e rules or direct questions to OUNC by call' g X 246-9189.
Issue 1. �L` C�� "`7 Permittee Signature:
Call 1503) .99-4175 by 7:00 P.M.for Inspections needed the nex"usiness day rr
.rrn■rri�
Mechanical Permit A lication Plan C
CITY OF TIGARD RECEIVED pp Recd h
1312:: SW HALL BLVD. CommerciRl and Residential D;.te Recd 17- 9f/f
TICARD, OR 9722N0V 19% Date to P.E.
(503) 639-4171, x304 Date to DST
UMMUNITY UEYLLUPMLIvI Print or Type Permit#
Imnirriplete or illegible applications will not be accepted called
N me of Devolopmenu/proleci Description
\. �` T Table 1A Mechanical Code of Price Amt
Job Sheet ,ddress - gu„ A) Permit Fee 16.00
1) Furnau+to 100,000 BTU
Address
Bld�p 1 S��Cdy/State , ZIP including ducts&vents see#,otnote 1,2 ( 9.65 /u5
n 2) Furnace 100,000 BTU+
including ducts&vents see footnote 1,2 12.00
ame(or name of business) 3) Floor Furnace -
Ownerincluding vent see footnote 1,2 9.65
Mauhi Address r 4) Suspended h.ater,wall heater
-- or floor mounted heater see footnote 1,2 9.65
5 Vint no;included in appliance ermit 475
CnyfstNe zip Phone Che,;k all that apply 'Boiler Heat Air
q Rfe?n For Items 6-10,see or Pump Cond Qty P.ice Amt
Name(or name of business) footnotes 1,,2 Com -
6)<3HP;absorb unit to
r ti nn6 100K BTU 9.65 _
Occupant Ma in Address 7)3-15 HP;abaorb unit
100k to 500k BTU 1765
CRY/State Zi. Phone 8)15-30 HP;absorb
unit 5-1 mil BTU _ 24.15 _
Name 9)30.50 HP;absorb
Contractor unit 1-1.75 mil BTU 36.00
10)>50HP,absorb unit
P,ior to permit (A (ling Address >1 75 mil BTU 60.15 _
IF,suance,a tory �' 1 11 Air handling unt!!0 10 7G0 CFM
of all licensas sateZlp Phone - 7.00
L
are required if 1 1 ." I ) 12)Air handling unit 10,)0 CFM+
expired in COT Drog C It Cont Board Lie.N Exp.Date 11,75
database 13)Non-portable evaporate cooler
/' chltect Name 7.00
1A)Vent fan tonne -•-d to a single duct
Malting Addrore 4.75
or 15)Ven0ation system not Included in
appliance pem It _ 7.00
Engineer cnyfstate — zip Phorir 16)Hood served by mechanical exha..A —
7.00
Describe work to be done 17)Domestic Incinerators I
12.00
New O RepaiCommercial
Replace with like kind: 0-11? trM;t 18)Commercial or industrial type Incinerator
Residential ommercial0 _ 48.25
19)Repair units
Additional infomnntion or description of work: 8.40
20)Wood stovelgas Mother units/clo;;,e dryer/etc
7.00
NOTE: For Comr,-3rcial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets
structural gas tales. See footnote 13.75 _
Type of fuel: oll O natural gas 0 LPG O eiuctric O 22)More than 4-per outlet(eac .75 t;
_ _ Minimum Permit Fee$60.00 SUBTOTAL ) �>
I h,-,rehy acknowledge that I have read this application,that the information `�URCHARGE _
SURCHARGE-
given is correct,that I am the owner or authorized agent of "ILM REV;EW 25°x6 OF SUBTOTAL t
the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL
Signature f-pmsMl"M Date
Other Inspections and Fees:
1. Inspections outside of normal business hours(minimum charge-two
tact Pers hone hours) $50.00 per hour
2. Inspections for which no fer is-pec,Ifically Indicated (minimum
� -iharge-half hour) $60.00 per hour
Foonotes for commercial Orojecfs only: 3. Additional plan rr -iew i squired by cha.ges,additions or revisions to
1. Provide full schematic of existing and proposed gat tine and pressure plans(mir Imum charge-one-half hour)$50.00 per hour
2 F:ovide drawing-t„scale shoe-'ng existing and proposed mechanics!
units. �� '4,ate jontrector Boiler Certification required
tisl�entisl A/C requires site plan sh jwing placement of unit
Ltmechperm.doc rev 02/4/99
v4
_ ELECTRICAL PERMIT
CITYOF TIGARD PERMIT ELC1999-00704
DE'VELOPHENT SERVICES DAT-- ISSUED: 12/02/1999
13.125 SW liall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-04000
SITE ADDRESS: 07140 SW CLINTON ST ZONING: MUE
SUBDIVISION: ISAACS SUBDIVISION
LOT : 003 JURISDICTION:
BLOCK:
Proiect Description: First branch circuit
RESIDENTIAL UNIT __TEMP SRVC/f EEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 20C amp: l'UKIPIIRRIGATION. _
EACH ADD'L 500SF: 201 - 40J amp: SIGN/OUT LINE LTG:
401 - 600 amp: SIGNAL/PANEL:
LIMITED ENERGY: MINOR LABEL (10):
MANF HM/SV V FDR: 601+amps - 1 100 volts:
_
SERVICE/FEEDER BRANCA CIRCUITSADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR 7 EEDER: _ PER INSPECTION:
201 400 amp:
1st W/O SRVC OR FDR: 1 PER HOUR:
IN PLANT:
A01 600 amp: EA ADD'L BRNCH CIRC:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amplvult >=4 RES UNITS: — > 600 VOLT N7�!INAL:
ectonly.-_----- _ SVCIFDR >= 225 AMPS:— CLASS AREAISPEC OCC:
Reconn
_
Contractor:
Owner: AAA ELECTRIC INC
ALFIERI, PHILLIP J 2809 NE 58TH
14690 NW HEATHPJAN LN PO BOX 14006
PORTLAND, OR 97229 PORTLAND, OR 97214
Phone: 225-0720
Phone:
Reg #: LIC 00083526
SUN 1578S
CLE 26-795C
�— FEES Required Inspections _
Type By Date Amount Receipt Elect'I Service
PRMT BON 12/0211999 $37.50 99-320127 Elect'I Final
5PC T BON 12/0211999 $3.00 99-320127 — e L
Total $40.: 0 ORIGIN
fr"r�
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws.
All work ,ill 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 rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-01080 You may obtain copies of these rules or direct questions to OUNC at(503)
:?46.1987. 1 y
r_
PERMITTEE'S SIGNATURE * 1 1 j==' ) �"'/;�1�')� `'l ?� r ISSUED BY: I I lit 4I I tk (�
C)W_ NER INSTALLATION ONLY —
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: --__--- DATE:
CONTRACTQR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO: -----
Call 639-4175 by 7:00pm For an inspection the next business day
Community Develo WEED ELECTRICAL PERMIT APPLICATION
13125 SW Ha!I Blv� `
Tigard, OR 972�3 � Permit #
N()V G 2 99y Date Issued 11- 14-1
Phone (503) 639-41711jY DEVELUNMfIVI
CITY OF TIdARD �
FAX (503) 68A
IDD No. (503) 684-2772
Inspection (503) 639-4175 _
, -Job Adm;.,-- - 4. Complete Fee Schedule Below:
Name of Development. Number of Inspections per permit allowed
Address 42= u .—ciA� r I Service included Items Cost(ea) Sum
Cdy/State/Zip , lI T— �__ 4a. Residential •per unit
1000 sq ft. or less _— $11000 4
Name (or name of business). _ Each adddlona(b00 sq ft or r
_ _ portion thereof $25 00
Commercial �� Residential �� Limited Energy $2500 `— t
Each Manuf d Home or Modular
Dwelling Service or Feeder $68.00 2
2j. Contractor installation only:
4b. Services or Feeders
p l` t Installation,alteration,or relocation
EIBCtfiCel Contractor
`\ r I e V 1 J �q 1 200 amps or less $6000 2
Addre s ` 201 amps to 400 amps soo co _ 2
City Stated Zip`� 401 amps to 600 amps i�eo opo z
801 amps to 1000 amps 2
Phc rie N0. C Over 1000 amps or volts —_ $340.00 _� 2
Job NO. Reconnect one; $5000 2
contractor's license NO. '=A.0 I __
4c. Temporary Services or Fe,!dprs
Contractor's Board Reg I o. ' Installation,alteration,or relocation
Sign 3ture of Supr. Elec'n 200 amps or less __ 2
i_icer se No.-,f��i Phone No.� � 201 amps to 400 amps $so 00 �_ 2
401 amps to 600 an ps _— $7500
Over 600 amps to 11.00 volts $100.00 —
f 21). For owner installations: see•'b"abov,
i 4d. Branch Circuits
Print Owner's Name----..---- New,alteration or extension psr pane
11gUr@SS a)The fee for branch circuits 1 rh
City _ _s `State_ Zip purchase M service or feeder roe.
Each branch circult $500 _
Phone No.__ _ b)The fee for branch Cit"lllta without
The installaf:on is being made on property I own which is purchase of servfai or seder fee. f 1
not intended for sale lease or rent. Fire! braid nalcirbranch
—_ - 3$5.00
Each additional branch cin r.�t 35.00
IOwner's Signature_ _ 4e. Miscellaneous
II (Service of feeder not Included 2
3, Plciri Reviewsection (if required): Each pump or Irrigation circle _ 340.1)0 2
Each sign or outllim lighting $40.00
Signal circult(s)or a limited energy 2
Ni•+ase check a•rproprlate Item and enter fee In section 5B. + panel•alteration or extension _— $40.00 _
4 or more rf-Aentlal inits In one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable In any of the PI-rive
as described in N.E C. Chapter 5 Per Inspection $5500
p Per hour 355.00 _
In(hent _ $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: 1�t
5a. Fnter total of above fees $
NOTICE 5%Surcharge (0t X total fees) $
PERMITS BECOME VOID IF WORK OR CONSubtotalSTRUCTION $
AUTHORIZED IS NOT COkIMENCED WITHIN 160 DAYS,OR IF 5b. Enter 25%of Ane A for
CONSTRUCTION OR WO'4K IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec?,) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account 0 $
rvm xw
Balance Due $.
r -
l�
i\ ___ ELECTRICAL PERMIT� CITY OF T I OA R D PERMIT#: EL02000-0(1602
DEVELOPMENT SERVICES DATE ISSUED: 10/26/00
13125 SW Hall Bivr'.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S1360C-04000
SITE ADDRESS: 07140 SW OLIN-I ON S1
SUBD!VISION: ISAACS SUBDIVISION ZONING: MUE
BLOCK: LOT : 003 JURISDICTION: TIG
Protect Descrintion: Reconnect Only
—_R_ESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _+MISCELL_! ' ')U_ S —
1000 SF OR !_ESS: 0 - 200 amp: — — PUMP/IRR1r=11-
EACH ADD'L 500SF: 201 - 400 amp. SIGN/OUT LIN LTG.
LIMITED ENERG'f: 40 - 600 amp: SIGNALIPANEL:
MANF HM/ SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEE`7ER BRANCH CIRCUITS
—___- _ _ _ _ _ _ _ AQfJ`L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/'-, SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ F'-AN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _ 1 SVC/FDR >=225 AMPS T CLASS AREA/SPF _OCC__
Owner: Con'.-actor:
ALFIERI, PHILLIP J
14690 NW riEATHMAN LN
PORTLAND, OR 97229
Phone: Phone:
Keg #:
FEES Required Inspet f.lons
Type By Da,9 Amount Recelpt Elect'I Final
5PCT CTR 10/�6/00 $5.35 2720000000(
PRMT CTR 1026/00 $66.85 2720000000(
Total $72.20
L._
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with oporoved plans. This permit will expire if work is not started within 180 days of issuance,or rf work is
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 ordirect questions to OUNC cit(503)
246-1987.
PERMITTEE'S SIGNATURE
1 , !SSUED B":
OWNER INSTALLATION ON1_Y
The installation is being made on properly I own which is not intended for sale least,, or w.nt
OWNER'S SIGNATURE' ____-- -----_.—_-- __ DATE:----------
CONTRACTOR
ATE: ---- ---CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. FLEC-N: --�___��—__— __ DATE:_--
LICENSE NO: ------ -- ---- — -- - -- ------ --- --
Call 639-4175 by 7:00pm for an inspsctr;n the next Business day
Electrical Permit Application
7Daterm,,ec'ei.ved::/0G 7 Permit no �ZeCity of Tigard pl.no.: Expire date:
CirynjTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 d: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no. _ Payment type:
Land use approval: _
IU-4 &2 family dwelling or accessory U Commerci it/industrial U Multi-family U Tenant improvement
Ncw construction U Addition/al t^ration/rcplace men( Cl other. U Partial
fah address: o 3W, C1111 rail } . I:Idg. no.: Suite no.: ITax map/tax lot/account no.:
Lot: Block: Subdivision:
Project name: Description and location of work tm premises:
Estimated date of ctunhlcu,nrlinspt Tion: -----
Job no: i06 I eta,
—re'-- Iy.on Descri tiea.) total no.ins t
Busincsf name: P U ( I
- - --- - - Ne"nwi,kydial-sh,Rk or multi-family per
Address: --- -_ d>alliol;unit.InCholt-satlOClser1Kar-ge.
City: $foie: ZIP: Seri ice iocluded:
Phone: 14,x: E-mail: 1000,y tt „ less '
—' — Each additional 500 sq.ft.or portion thereof
CCB no.: Elec.bus. lic.no: - ---
- _Limitedener y,residential
City/meds Ilc.no.: _ Li mi ted energy,non-residential
Each manufactured home or modular dwelling
Signature of'supervising electrician(required) Date Service and/or feeder
Sup,elect.name(print) License no: Ser vices orfeedery--installation,
a
alteration or relocation-
7,1 amps Of Zeas z
Name (print): �}h,ll PA k�t e f t 201 amps to 400 amps 2
Mailing address: ti? , JVLQ 1 (� t/1/k� C 401 amps to 600 amps 2 _-
601 sines to 1000 antes _ Z
City: P Slate:( 1 I ZIP: 77.*'4cROver Riot)anr(it volts 2
Phone: yb 3 Vo- i,?o Fax: E-mail: 1+1_F`l3&qc, Ire, -
Owner installation:The installation is being made on property I own lemtmran orfeeden-
which is not intended for sale,'case,rent,or exchange according to Indallallon,dleratian,rr rrlocalioa:
ORS "47,455,479,670,701. 2C+)daps or less —_ _ 2
201 amps to 400 amps 2
Owner's signature: _ Dau. 401 to 600 am.s
Branch circuits-new,alteration,
or extension per panel:
Nance: — A Fee for hianch circuits with purchase of
Address: service or feeder fee,eac',branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: 2
Phone: I ar: [ .mail: Each additional branch circuit:
Mist.(service or feeder not Included):
U Service over 225 anins-conunr„i.d J I I,alth-care facility Each pump er irrigation circle
U Service over 320 amps-ralingof I&2 U liazardoushtcation Each signor outline lighting - —
familydwellings U Building over 10,000 square feet four or Signal circull(s)ora lun tvd energy panel.
U System over 6fx)voles nominal more residential units in one structure alteration,orextension• _ 2
U Building over three stories U Feeders.40(1 amps or more •Description:
U occupant load over 99 persons U Manufactured structures or P.V park FAcit additional Inspection over the allowable In any of the above:
U Egress/lightingplao U Other. _ ��- Per inspection
submit setk of plans with any of the alcove. Investigation fee
the above are not applic»ble to temporary construction servlee. Other
Noljll jumbdictlons ncepl credit cards.please call jurisdiction for more information. Notice:This permit application Permit fee.....................$
III'Virra U Mastercard pa1p,7- expires if a permit is not obtained Plan review(at _ %) $
Credit card number:.
0,3- 41��(e�7 �/ within 190 days oiler it hams been State surcharge(8%)....$ _
Expires accepted as complete. TOTAL .......................$ _
cardha r s own on credit
tstud
tii S
Car h er dgnawre Amotart 440.4615(6MC'OM)
,I
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost rota) I I Check Type of Work Involved:
Resisq
Jr less-per unit
1000 $145.15 4 ❑ Audio and Stereo Systems
1000 sq. —
Each r ,litional 500 sq it or ❑
po .on thereof $33.40 1 Burglar Alarm
Limited Energy $7:1.00
Each Manuf d Home or Modular ❑ Garage Door Opener'
Dwelling Service or Feeder 990.90 2
Services or Feeders L___I Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 ar,rps or less $80.30 _ 2 ❑ Vacuum Systems'
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2Other
601 amps to 1000 amps $240,60 _ 2 ❑ _—
Over 1000 amps or volts $454.65 2
Reconnect only �__ R66.85 2
TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Temporary Services or Feeders Fee for e,rch system...................................................•...... $75.00
Installation,alteration,or relocation (SEE OAR 918-260-260)
200 amps or loss _ $66.85
201 amps to 400 amps $100.30 _ _ Check Type of Work Involved:
401 amps to 600 amps $133.75
over 600 amps to 1000 volts. ❑ Audio and Stereo Systems
see"b"above.
Branch Circuits Boiler Controls
Now,alteration or extension per panel
a)The fee for branch circuits ❑ Clock Systems
with purchase of service or
fender foe
Each branch circuit .1665 ❑ Data Telecommunication Installation
b)The fee for branch circuits
wlttiout purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $4685 ❑ HVAC
Fach additional branch circuit — $6 65 _
Miscellaneous ❑ Instrumentation
(Service or feeder not Include :f ❑
Each pump or Irrigation circ a $53.40 Intercom and Paging Systems
Each sign n outline lighting $53.40 —
Signal circuit(s)or a limited energy ❑ Landscape Irrigation Control`
panel,alteration or extension _ — $75.00 _
Minor Labels(10) — $12500 ❑
Medical
Each additional Inspection over
the allowable In any of the above ❑ Nurse Calls
I'er Inspection $62.50
Per hour $62.50 _
_ _ $7375
Outdoctt Landscape Lighting`
In Plant $73 75
Fees: ❑ Protective:signaling
Fnter total of above fees $ �O(� ' ❑ Other --_ ---
8',o slate Surcharge $ Number of Systems
25%Plan Review Fee No licenses are required Licenses are required for all other Installations
See"Plan Rei law"section on $
( front of application. , Fees:
Total Balance Due S
r, Enter total of above tees
LJ T rust Account ff _ 8;.State Surcharge $
-
-- _ Total Balance Due
r A,'ststinlns\ck-Iccs ihx IU nor Irll
CITY OF TIGARD BUILDINr- wSPECTION DIVISION MST
24-Hour Inspection Line: $39-417 5 Business Line: 639-4171
/ / BUP
Date Requested AM PM BLD
Location Z/qU :t r Suite _ MEC
Contact Person PA t'/f Phi 3 - g��1� ��c/7 PLM _
Contractor Ph SWR
/rum C'��C�1 G �6 z
BUILDING Tenar?t/Owner FLC �ril�v-
Retaining Wall ELR
looting
Foundation Access: FPS
Fig Drain h I
SGN
Crawl Drain Inspection Notes:
Slab SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _ 'e�-L-2
Fire Aldrm
Susp'd Gelling
Roof
Misc: --__.__--
Final
PASS PART FAIL --------•— , r1 -_----.-
PLUMBING
Post&Beam '-------- -`- —�
Under Slab
TopOut -------- ----------------.__—..— —_— ___ _ -
Water Service _
Sanitary Sewer `�-
riain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam --- ----- -- - —- -- - -- - -- - -
Rough In
Gas Line
Smoke Dampers
Final ------ -- ------ ----- _��
PASS PART FAIL
TLECTRKIgAL
Service ,i P
Rough In On
UG/Slab
Low Voltage
Flre (Qrm -_
F461 �
'PASS,. PART FAIL — --- ---- ------ —--- -- ---
E _
Backfill/Grading —
Sanitary Seww
Storm Drain ( )Reinspection fee of$ --_required before next inspection. Pay 9t My Hall, 13125 SW Hall Blvd
Catch Basin ( j Please call for reinspection RE: )Unable to inspect-no access
Fire Supply Line
ADAAppr
n1heoach/Sidewalk Date // - 6%' fp Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.