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15795 SW GREENS WAY .r � cn V w VI cn S_ N d t i f 7 15795 SW Greens Way �\ CITY OF T I G A RD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00291 13125 SW Hall Filvd., Tig.:rd, OR 97223 (503) 639-4171 DATE ISSUED: 8/15/01 PARCEL: 25111 CC-08000 SITE ADDRESS: 15795 SW GREENS WAY SUBDIVISION- SUMMERFIELD NO.2 ZONING: R-12 BLOCK: LOT: 107 JURISDICTiON: TIG CLASS OF WORK: AL` FLOUR FURN: EVAP COOLERS: i YPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPAP,Cy GRP: R3 VENTE W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIW �— ---- —^ 3 - ?r, HP. COMML. 1NCIN: MAX INPUT: BTU 15 - 3C HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP- WOOD GAS PRESSURE. 50 , HP: DRYERS: FURN < 100K BTU: AIR HANDLING UNITS CL.O DRYER � ------ — OTHER UNITS: TURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > °0000 r:fm: Remarks: Remove existing and installing new A/C. Cannot be plocrd in requirf C setbacks. Owner: _ FcFS DAY, GURNEY W MARY LOUI SE Type By Date Amount Receipt 15795 SW GREENS WAY PRMT CTR _ 8/15/01 $72.50 272001000C TIGARD. OR 9023 5PCT CTR 8/15/01 $5.80 272001000C Total $78.30 Phone: -- -- — Contractor: BELL IDEATING (GREG MILLETT) 15550 SE PIAZZA AVE _ REQUIRED INSPECTIONS _ CLACKF.MAS, OR 97015 Cooling Unt Insp Phone:656-1184 Final Inspection Reg #: LIC 447 PLM 3-286PB This permit is issued subject to the regulaticns contained in tf-ie Tigard 10unicipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will Le done in accc.rdanue with approved plans. This pprmit will Expire ;f work is not started within 180 days of issuance, or if work is ,,,spended for more th:,n 160 days ATTENTION. Oregon law requires VOL) to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR ?52-001-0010 through OAR 952-001-0080. You may obtain Copies of these rules or direct questions to OUNC by calling (503)246-91p. Issue By: --"" , I., t L 11 1 1 Permittee Signature: i Call (503) 639-4175 by 7:00 P.M. for inspections needed ka next business day Mechanical Ferm,�t Application 7,,c,,jjvjd Pct nit no.,, 'C City of Tigard i .: Expire date: Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Phone: (503) 639-4171 -- By: - Receipt no.: Fax: (503) 598-1960 Case file no.: I Payment type: Land use approval: _ — Building permit no.: rY-2 family dwelling or accessory U('onunrrcial/industnal ; Multi-I'amlly U Tenant improvement New construction U Addition/altrratiort/replacemenl U Ocher- _ �--__— TIM M 10 al Jab address_ �,► _ � � -- Indicate equipment quantities in loxes helcw. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/accour.,na.: profit. Value$ Lot: Block: S'hdivision: *See checklist for important applicatiol. information and Project name: S :_ — — jurisdiction's fer schedule fix re:;idential ,omit fees. City/coon'1 '`f I. Des pu ,d loc run of work on(irem' cs: � `J� Pee(rq.) Total Est.date of rnmpletion/inspection: s1 Description Qfy. Rm.only Ides.only Tenant improvement or change of use: �' Is existing space heated or conditioned?U Yes U No Air handling unit CFM r con itioning(site p nn require ) _ Is existing space.insulated'!U Yes ❑No Alteration of existing HN system of cr c.,rnpressors Business name: - Stale boiler permit no.: 1 ^ j C- HP Tons BT(',11 Adr'.ress: pa) �f 1 'ir smo a amper uct smo a elect rs City: Slale ZIP: C tj a licat pump(site plan required) PhoneQ+*(oI( . Fax r�fc - t1tail:� nstufur ll rcp acenac rn uer_ 3�fUt i- 4 -S v ` C Including ductwork/vent liner U Yes U No _ CCB no.: nsta I/rep ac re orate eaters-suspended. City/metro lic.no.: 1 wall,or Boor mounted Nawne( lease print): 'ant for appliance other than furnace e r gerat on: �,, Absorption units_ _ BTU/11 Name: y �✓iv kc Chillers- --- --- - HP _- Address: - _ Compressors_--_. _ HF' conmenta exhaust a Yen t at on: Ci!y� "�- State: ZIP: Applia,cevent "none: j Fax: � E-mail-. ryere:: aui st— s, .ype res. itchen azmat _ hood fire suppression system _ Nae: � � N\10 1 Exhaust fan with single duct(hath fans) _ r�!auj'l;..ingaddress: �CZ � � ^ ?xhaust s stem a art from healin or AC►. t S ( ZIP: _ ue;piping r st Won(up to outlets) Type: -LPG ---_ NC Oil Phone: ,Q Q(.: Fax: - E-mail: ue� I i in each additional over 4 outlets ruressppnR(x emaucrequire ) Name: Number of outlets _--- ter listed appliance or equipment: Addres,,' --- Decorauve fireplace _ City: _ state: ZIP: nsT e'rt-type Phone: _ F E-mailex, stove/pe Ictstove --- Ot,mer: Applicant's signal e: Other: Name (print): --- Na all judrdkdons sitar, Lail iuriiactlon for mat inforrmnion Permit fee.......... ......... $ —. U Visa U MasterCard Notice:This permit application Minimum fee................$ - Credii cid number ---- i /�. expires if a permit is not obtained Plan revirw(at _ %) $ `-- Expire, within 180 days after it has been Stag surcharge(8%).... Nwr of cudholder u drown onc rc c,�rd accepted as complete. $ TOTASLL .............�p. $ — — Crrarotder d ore -- — Amamt /1� 4 �U .t.f4r-u,l1 Wx,q-',-Ni qua. MECO.".LAICAL PERMIT FEES COMMERCIAL FEE SCHEDULE, 1 & 2 FAMILY DWELLING FEF 0CNEDULE. FEE:_ -$72.50 Description. _ Prirs; Total TOTAL VALUATION:_ _Minimum fee Table na Mechanical Code Qty (Ea) Amt $1.00 to$5,000.00 1) Furnace to 100,000 BTU $5,001.00 to$10,000 00 $72.50 for the first$5,000.00 and - including dusts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including _ including ducts&vents 11.4_0_ _ ___ $10,000.00. 3) Floor Furnace _ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent _ ta.00 $1.54 for eac'i additional$100.00 or t) Suspended heater,wall heater fraction thereof,to and Including 14 00 $25000.00. or floor mounted heater _ _ _ $;0--06T-.U0 to$50,000.00 $379.50 for the first$25,000'10 and 5) V�:nl not Included in appliance permit f 80 $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units 12 1° _$50,000.00. _ _ $50,001.00 and up $742.00 for thF first$50,000.00 a+id Check all that apply: Boiler Heat Aft $1.20 for each additional$100.00 or For items 7.11,see or Pump Cond fraction thereof. footnotes below. 7)<3HP,ihe, unit d -• to 100K BTU _ t 14.00 ASSUMED VALUATIO_NS PER APPLIANCE: _ 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.80 Description: Qt Ea Amount 9)15-30 HP;absorb Fumace to 100,000 BTU,Including Q55 unit.5-1 mil BTU 35.00 ducts&vents _ _ 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 - ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 _ ur:it>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 i 12)Air handling unit to 10,000 CFM floor mounted heater t0 On _ Vent not Included In applicance 445 13)Ali handling unit 10,000 CFM+ permit _ 17.20 _Repair units - - 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 -_ 10.00 to 100k BTU 15)Vent fan t onnecled to a singie duct 3.15 hp;absorb.unit, 1,700 6.80 --_ 101k to 500k BTU 16)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 2,310 appilai ice permit _- 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 - 17.40 >1.75 mil.BTU 19)Commercial or industrial type Incinerator Air handlin unit to 10,000 cfm 356 69.95 _ Air handling uni:>10,000 cfm :,170 20)Other units,Including wood stoves Non-portable evaporate cooler 656 _ _ 10.00 Vent fan connected to_a single duct 446 _^ _ 21)Gas piping one to four outlets Vent system not Inducted in 656 ^- _ 540 appliance_pennit 22)Mere than 4-per outlet(each) Hood seryed by__mechanical exhau:tt 656 _100 _ Domestic incinerator _ 1,170 Minimum Permit Fee 72.50 Sl1BTOTAI: i Commercial or industrial Incinerator 4,590 Other unit,including wood stovEs, 656 -- 8%State Surcharge ` E ins3rt5,etc. -- Gas pjping 1-4 outlets 380 A planReview Fee(of subtotal) Each additional outlet 63 Re,juired for ALL commercial permits only TOTA!_ COMMERCIAL. $ TOTAL RESIDENTIAL PERMIT FEE: •-tij $ lVAI.UUATION_ _ _._--- ---- __-- Other In ctlons an0 Fee3: 1 Inspections outs'ne of nonnal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections lot which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour State Contrt.ctor Boller C,c;tification required for units 3.200k BTU. "Residential AJC requires site plan showing placoc;cnf of unit I:\dsts\formsVnech-fees.djc 10/11100 morass ,.. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line. 539-4175 Business Linp: 63°-4171 ----- —-- Blip Date Requested _ 2c7 _AM '_PM _ gLp _ Location r' S G• MEC.;2-Cl v Contact Person P _-L�3�L J P--M Contractor Ph SWR DUIi_DING— 1 Tenant/Owner ELC Retaining Wall —1 Et_R Footing Access. Foundation FPS _ Ftg Drain ----- - SGN Crawl Drain Inspection NoteE — - -- _— Slab - --- —------ ----- --- --— _ -- SIT Post&Beam ` Ext Sheath/Shear Int Shesth/Shear Framing Insulation _ Drywall Nailing --- Firewall - -�-- FireSprinkler ___ .._ Fire Alarm Susp'd Ceilin4 -- --- - - ----- Roof Misc - Final PASS PART FAIL PLUMBING Post&Beam _.- Under Slab Top OutWater Service Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - - - - -- - --- ---- ----- ---- Rough In Gas Line - -- -- - - - -- _. --- -- - --— Smoke Dampers Final ------ ----- pASS PART FAIL ( ELECTRICAL — ----- - -- - ------ Service Rough In IG/Slab _ Lew Voltage Fire Alarm Final PASS PART FAIL _SITE Backfill/Grading - - Sanitary Sewer Storm Drain [ j Relnspectirn fee of$ required before next inspection. Pay at City Hull, 13125 SW Hall Blvd Catch Basin [ ]please call for reinspection PE: [ j Unable to Inspect-no access Fire Supply Line ADA /A Approach/Sidewalk Date C`F � �' ( Inspector Ext Other -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITYOF 1 IGARD __ MECHANICAL PERiMIT DEVELOPMENT SERVICES PERMIT#: MEC7001-00332 13125 SW Hall Blvd.,Tigard, Ok 2-193 (503) 639-4171 DATE ISSUED: 9/19101 PARCEL: 2S111 CC-08000 SITE ADDRESS: 15795 SW GREENS �VAY SUBDIVISION: SUMMERFIELD NO.2 ZONING: R-12 BLOCK: LOT- 107 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE Of USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VES'IS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 3 HP: DOMES. INCIN: LI'G -- T— 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: .in-c FIRE DAMPERS?: 30 - 50 HP: REPAIR L... GAS PRESSURE: 50 + ". : WOODSTOVES: FURN < 100K BTU: 1 ^.;R, HANDLING UNITS CLO DRYERS: FURN >=1001. BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Replace existing gas furnace. New furnace has air cleane,. Owner: _ _ FEES BARBARA BOUCHF-R Typo By Date Amount Receipt 15795 GREENS VNAY PRMT CTR 9/191,01 $72.50 272001000C TIGARD, OR 97224 5PL I �,", 9/19/01 $5.80 272001000] Phone- 1,63-670-4600 — Total $78.30 Contractor: BELL HEATING (GREG MILLETT) 15550 SE PIAZZA AVE RE,.WIRED INSPECTIONS _ CLACKAMAS, OR 97 15 Mechanica; Insp Phone:656-1184 Heating Unt Insp Reg #:LIC 447 Final Inspection PLM 3-286PB This permit is issued subject to the regulations contained in th,3 Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done i nce with approved plans. This permit will expire if work is not started within 180 da of i uan e, r if work is suspended ,or more than 180 days. ATTENTION. Oregon law requires y to f I r es opted in the Orngo Utility Notification Center. Those rules are set forth in OAR 95 -001- 10 ,roug OAF; 952-001-0080. You may obtain copies of these rules or direct ues s t OUN b calling Issue Sum f Zz4 Permittee Signature: Call (507,) 6394175 by 7:00 P.M. for inspections need the next business day Mechanical Permit Application rDaterewei�vcdp:qp r Pcrmitno.:�l(�? / City of 'Tigard IG/ — Pro'ecUa 1.no.: Expire date: �� J PP P 0rvof Fid aId Address: 13125 SW Hall Blvd,Tipard,61 977.23 Date issued: — li / Re�'A I no.: I'hone: (503) 639-4171 ��_�—_ Fax: (503) 598.1960 Case file no.: Payinenl type: Land use approval: _ I Building permit no.: �(i 8t.2 fai,ily dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Additioll,'aly-�.tion/replacement U Other: Job address_` ��-,Z� � Indicate equipincnl guanttues In boxes below. Indicate the dollar Bidg.no.: _ Suite no.: value of all mechanical materials,equipment,labor,overhead, I ax map/t x lot/account no.: profit. Value$ Lot: Block: I Subdivision: •Scr�checklist for important application information rind Project name: 1- jurisdiction's fee schedule for residential permit fee. City/county: Z1P: _MFIff Description and location of-Work on premises: C `� Ci' ' ficc(ea.) 'Intal Est.date of completion/inspection: "� ` De_x*fi�� Qty. Res.only Res.nnly Tenant improvement or change of use: 7ff7vx�( Air handling unit .__CFM Is existing space hea.ed or conditioned?U Yes U No it condition _d_j — Is existingspace insulated?U Yes U ign An it— t�'onirig(siteTn „quire7j •P teration oTexlsting HVAC system of er con.presc1.rs Business reline: lY ` State boiler permit no.: HP Tons BTU/H Address: - (_ � •iso a ampers' uct mo edetetors City: V Stal eateTnregmred) - -- - - pu Phone � Fax: E-mail: ni st.Tf ep ac urnace7 u>�� In•tach twork/vcnt liner U YPs U No CCB no.: � ��`�1 `, •�)�\I( � I eci re ocate eaters-susjrel�i etT, -- City/metro lic.no,: _ µall,or floor mounted _ Name(please print): VC d for a iltance.,l let Shan furnace e gerat on: 11 Abdo,puun units Neme: ` , _ 1 V CLillcrs —--— ------ —- !IP Address: Com ressors J_ — HP _ ,nv rommental exhaust and ventilation: _0:y: 1r N_ I Str,l '1 d I ZIP: Appliance vent Phone: Fax:(�`�ly 15 ( E-mail: )ryerex ausi odds,Type r Ures. itcliea/hazmat — hood fire suppression system Name: Exhaust fan with single duct(hath fans) Mailing address: - t x ausr r stem a 4art from heatin or AC' city: 1 State �z 7.1P: C Feel nq distribution(up to out ets) Fax: E-mail: Type: — LPC _ NO _ Oil -- o ve pf iin cacti additional ovc- r�nut eta— J n rocAsp p R(sc emalicrequirM) Name: / Number of outlets --- Other listed appliance or ijs pC—ment: Address: _ Decorative fireplace I City: *e: I': Insert-type Phone: E ail: stov pe et stove - e�hTi r: Appliednt's signal rc: . ,i t Date: t igam.e(print): - L..._ L _ )„i- 'r--ti-�- Na all Jw+dktloro accept crds,p ease call juridkaon for mare Information. e:'chPormit fee.....................$ UVisa UMasterCard expires permit application Minimum fee................$ _ Credit card number — —__ —L_ xpircs if a permit isnot ohtaincd Plan review(at ___ 9h) $ Expire, within Ido days after it hes hRen ]�EE Name of cardhnldei as ahmvn In c it c actxpted as complete. State surcharge(896)....$s TOTAL .......................$ Cartlholder si`ratute Am01uN 411x.1617 169MIC'ON t MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDUL': Description: Price- Total �TOTAL vALUATIQN: FEE: - _ _ - Table 1A Mechanical Code Qty (Ea) Amt x$1.00 to$5,000.00 Minimum fee$72.50 —_ 11 Furnace to 100,000 BTU i S $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents 1- 14.00 $1,52 for each additional$100,0 �r 2) Furnace 100,000 BMJ+ fraction thereof,to and Including I including ducts&vents 1740 _ $10,000.00. _ 1 - $10,001.00 to$25,000.00 $143.50 for the first$10,000.00 and 3) Flour Furnace $1.54 for each additional 5100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended he,ter,wall healer $25,u00.00. _or floor mounted heater _ 14_00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 6.80 $1 45 for ea `;additional$100.00 or — — ; - fraction thereof,to and Including 6) Repair .rni'r $50,000_00. 12 16 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Bailer Heat Air $1.2.0 for each additional$100.00 or I For items 7-11,see or Pump Cond fraction thereof. footnotes below._ _L_02TL -- 7)<3HP;absorb unit -- to 100K BTU 14 00 — ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absort -- Value Total unit 100k to 500k BTU _ 2360 Description: of Eal Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU _ _ 55.00 ducts&veh,fs 10)4-50 HP;absorb Furnace>10(,,000 BTU Including 1,170 unit 1-1.75 mil BTU ducts&vents _ 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mil BTU 8720 Suspendad heater,wall heater or 955 12;Air handling unit to 10,000 CFM floor muu.hted heater _ Vent not induded In appllcance 4145 13)Air handling unit 10,000 CFM+ permit _ 17 20 Re airunits —_ 805 14)Non-portable evaporate cooler <3 hp;absorb.Lnit, 955 1000 to 100k BTU _ 15)Vent fan connected to a single duct 0.15 hp;absorb.unit, 1,700 — 6.80 101k to 500k BTU 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2.310 appliance permit 1000 mil.BTU -- 17)Hond served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.7.5 mil.BTU _ — ,i)Domestic incinerators >50 hp;absort).unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or Industrial type incinerator Air handling unit to'0,090 cfm 656 69.95 AI' hindllne unit>10,000 cfm 1,170 _ — 20)Other units,Including wood stoves N)n-pc�rtebl-evaporate cooler 656 __ 10 00 1 ant fan connected to a_slgle duct 446 21)Gas piping one to four outlete Vent sysl em nut induded in 656 __— 5.40 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 too Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: _ _ ��3 5 Commercial or industrial incinerator 4,590- Other unit,induoing wood stoves, 656 _ 8%State Surcharge � �� $ Inserts,etc. __ ---- _ __ Gas piping 1-4 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 . Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL. RESIDENTIAL PERMIT F'EE: �� $ VALUATION: — Oth4r In��ectlons and Fees: I Inspections outside of normal business hours(minimum charge-two hours) $72 5o per hour 2 Inspections for which no fee is specifically indicated (minion 2m charge half hour) Z 12 50 per hour 3 Additional plan review required^;changes,additions or revisions to plans'minimum charge-one-half hour)$72 50 per hour *State Contractor Boller Certiflc.ition required for cnits�?OOr.BTU. —Residential A1C requires site Flan showing pla-ement of unit. i:\dsts\formsVnech-fPesdoc 10111100 j CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 62 175 Business Line: 639-4. . 1 1---- BUIP Date 7Requested_ A) ` AM / PM —__ BLD I-ocation ! c1.� ,: "1 , L,(--- Suite MEC Contact Person _ — C.'-�. (; Ph —��- j rLM — Contractor — _— Ph SWR _ Tenant/Owner _ _ _ ELC –..___—____ Retaining Wall -- ELR Footing -Access—� ----------- Foundation F.-IS Ftg Drain _ SGN ---------- Crawl Drain In ection dotes: --- -- ISlab _�-- ) ) SIT Post G Beam Ext Sheath/Shear -- Int Sheath/Shear Framing - -- -- - ----- --- Insulation Drywall Nailing Firewall --------------- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ ---- - — — - - Final ^PASS PART FAIL_ ---__. _ - ----- ------- ------- ri_UMBING Post& Beam - - - ----- -----_ _ -- --� ------ - - - _ - - -- Under Slab — Top Out --- Water Service Sanitary Sewer ----__-- Rain Drains Final ___.. ... PASS PART FAIL MECHANICAL ---------- - ---------..--- Post 3 Beam _---_._-_---..._..__—___ __-- Rough In Gas Line - --- --- ---- - - - --------- - - Smoke Dampers A53 PART FAIL Service Rough In UG/Slab Low Voltage Fire Alarm —_-- Final PASS PART FAIL SITE Backfill/Grading ------------- -- -- ---- -- --- -- - -- Sanitary Sewer Storm Grain [ j Reinspection fea of$— required before next inspection. Pay at City Hall, 13125 SW Nall Blvd match Basin Fire Supply Line [ ]Please call for reinspection RE: ( ] Unable to insp pct- no access ADA Approach/Sidewalk other Date `cam _ Inspector — Ext _ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.