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11326 SW 84TH AVENUE PROVIDE A MINIMUM 5' DEEP GRAVEL BASE FOR ALL DRIVEWAY AREAS. 2. MAXIMUM DRIVEWAY SLOPE SHOULD BE VERIFIED WITH THE 3UILDING DEPARTMENT PRIOR TO CONSTRUCTION, E 3. PROVIDE A MINIMUM 4' DEEP GRAVEL BASE FDr2 ALL U SIDEWALK AND PATIO ,4 REA5. a 4. cn PIPE ALL STORM DRAINAGE FROM T!-IE BUILDING TOA -a DISPOSAL POINT APPROVED BY THE BUILD!NG DEPARTMENT. ,� a IS'-PJ' WIDE x 4' THK. �� o 5. PROVIDE AND MAI�JAIN POSITIVE DRAINAGE AWAY CONC. DRIVE 05131 SQ. FT.) �""' a _� Z FROM BUILDING ON ALL SIDES. 3c til3c6. THE BOUNDARY AND TOPOGRAPHY INFORMATION � HAS BEEN PROVIDED TO POLLARD - HOSMAR DESIGNERS, INC. BY THE CONTRACTOR, OWNER OR 8'-0' ACCESS _ 30'-O� _ 3� '6" (� 49) t �- ENGINEERING CONSi;LTANT. POLLARD - HOSMAR EASEMENT N DESIGNERS, INC. WILL NOT BE HELD LIABLE FOR THE iFr w ACCURACY OF TH!5 INFORMATION. IT IS THE SOLE � 8 _ N 85'41'49' W �� � Q R�y.ESPONSIBILITY OF THE CONTRACTOR TO VERIFY 111 - - — - '- llfo2(a' - '- wit -� - -- - -- - - CD .ALL SITE CONDITION,5 INCLUDING ANY FILL PLACED ® L,� x. ON THE SITE. THE CONTRACTOR MUST INFOR!'l THIS '�" .y ; ' X85, - ¢ OFFICE OF ANY POTENTIAL FIELD MODIFICATIONS r- ;� ! :::.:.,:.:.: :::::NOT SPEr!F!Ei7 ON THE PLANS. CIAd1 1� L: ... :\.. L ......... ..... .............. t ' + �' • .CsARACsE::. I: i .PATIO`. •- NON-STABILIZED FILL MUST NOT EXCEED 2.-1 SLOPE , - ,� •. ......•• -l< cn ut EXCAVATION MATERIAL REMAINING QI.l SITE IS TO `. ' ! , t-•:'=t / I :0 N - cn " :f { . I..:............. ......./. ..(...::..._I I 0 ca BE CONTAINED BY AN APPROVE[) SErIMENT BARRIER. ` ' _ " """•••" (FILTERFA RIC TENSILE, ST E� .L .......:.........:,.....:. ..�.... . .......... . I 9 BRAW BALE SEDIMENT BARRI 2 C,� ��� ', rn i a �........ .. c1. 1" I • O OR EROSI(Jt�a BLANKET WITH ANCHORS) THE CONTRACTOR J . . ..... .....I::.:.:.:. .. I 'a' 0 U u �. .. ..... ... ..... ... ...f..... . N I MUST VERIFY LOCATION WITH APPROPRIATE BUILDING 30_0. VISI f - FI /� /,., I • OFFICIAL. CLEARANCE � � I �::: .::.. FF.E. ■ 21650��'LLJty' f Z o N PROTECT STOCK PILES FROM OCTOBER Ist THRI,J :- - J rn APRIL 30th PER THE EROSION CONTROL HANDBOCKK �� - - - CONC. WALK ( o SI1_T (23 SQ. FT.) NO CUTTING OR FILLING SHALL TAKE PLACE WITHIN /�` `�`FENCE THE DRIP LINE OF AN EXISTING TREE UNLESS THE _ DEPT_ EXCEPTION 15 APPROVED BY THE BUILDING, 86 B0' CID SEWER CONNECT TO '8' W 4 N SEWE84852 �6 • AFTER COMPLETION OF CONSTRUCTION, THE CONTRACTOR CITY APPROVED � o MUST EITHER LANDSCAPE THE SOILc-,, MULCH THE SOIL OR $, o 3' ABS STOR'1LINE CN CONNECT TO `-I' PVC WATER LINE �J i CITY APPROVED en STORM DRAIN 4 ERO51 ON CONTROL PLAN ( I ,1. SILT FENC -w- FAF 5700 E TO BE INSTALLED AT LOW � � � SIDE OF LOT o Z. DRIVEWAYS AND SIDEWALKS TO RE GRAVELED. cri cc N_ T E F 1 ILI LOT I ASH CREEK. MEADOWS LOT CITY OF TIGARD, OREGON MAP t TAX LOT 15136CB©Ifd00 ZONE R-1 5,181 SQ. FT. BUILD(NCs FOOTPRINT = 1,112 5Q. FT. = 2296 COVERAGE CONTRACTOR AREA OF LOT 5,18 SQ. FT. E5LINGEfUI INC , F:1$421-052ROOF AREA - 1,256 5Q. FT. 115'15 SW PACIFIC HW'Y. PMB tbP� TIGARD, OR. g/6/ml KAK P y s'. f :Wt fl - _ .. .. ..-....._, _.-, .,, ,k � GA �J�'# ° .. .rr....,�.,,.....�..�_^...............—.,._....,..^ gM@+ •;an.e �r 7 k.....-.... ..w.,,..,p,..�.—_.. . ._. ... ,.. .. ,y� ., t .. mr ... NOTICE: IF THE PRINT OR TYPE ON ANY r�l � r rlllrll � llll111 IIlI11t � 111 ( lt III 1 � r� >��� � � rrT � •III .� jI tll III III ' III III ' 111 � III I � I III III III III �_ll_ � � � 111 III III III IJIIIII Crl III IIII I ► I I I I I I I - IMAGE IS N I OT AS CLEAR AS THIS NOTICE, _ 1 2 _3 4 _ 7 g g 1® 1 I _ 121 � IT IS DUE TO THE QUALITY OF THE No.36 ��«���vyu_ ORIGINAL DOCUMENT — -- - -- - E 6w 8Z Lr1111111,111 5Z81 LT 9T 21 vI E 6 8 L 9 4{II11111191 1111111111111111 iill.1111111!_ 11111111 IIIII11111111 illlilllllillllllllllll .lllllillllillllllilllllllllllllllllllllll lllllllll. Llllilllll-1111 1 I� IIIIII�111 > a a W N CN C 00 A C fD 11326 SW 84"' Avenue CITY OF TIGARD MASTER PERMIT 1 _ PERMIT#: POST2001-00500 DEVELOPMENT SERVICES DATE ISSUED: 10/5/01 13125 SW Hall Blvd.,Tigard, OR 9722.3 (503) 639-4171 SITE ADDRESS: 11326 SW 84TH AVE PARCEL: 13136CB-ACM01 SUBDIVISION: ASH CREEK MEADOWS ZONING: R-7 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: New SF detached. (model home) Path 1 BUILDING REISSUE STORIES: , FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: ,,^3 FIRST: 709 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: .t0 SECOND: 892 of GARAGE: .4:3 at FRONT: :) PARKING SPACES TYPE OF CONST: 514 DWELLING UNITS: I FINBSMENT: a' RIGHT: 12 OCCUPANCY GRP: R3 BDRM: 3 BATH, l TOTAL: 1,801.00 of VALUE: $154,880 00 REAR 4F, ._.. PLUMBING SINKS. I WATER CLOSETS: 3 WASHING MACH. 1 LAUNDRY TRAYS: RAIN DRAIN: ll]Q TRAPS: LAVATORIES: 4 DISHWASHERS. I FLOOR DRAINS: SEWER LINES: - SF RAIN DRAINS: I CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: I WATER HEATERS I WATER LINES: 100 BCKFLW PREVNTR: 1 ;REASF TRAPS: MECHANICAL. OTHER FIXTUREZ FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP. VENT FANS: 4 CLOTHES DRYER I FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP. hlu FLOOR FURNAIICE3: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDF_R TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 ar: WISVC OR FOR: I PUMP/IRRIGATION. PER INSPECTION: EA ADD'L 500SF: :1 201 400 amp. 201 400 amp: tat WIO SVCIFOR: 01, SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 ri60 amp: 401 •6011 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HMSVCIFUR. 601 • 1000 amp: 601+ampo•I000y: MINOR LABEL: 1000s amplvolt: Reconnect only: PLAN REVIEW SECTION — >•4 RES UNITS: SVCIFDR>•228 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,490.29 ESLINGER BUILDERS INC ESLINGER BUILDERS INC This permit is subject to the regulations contained in the 11575 SW PACIFIC HWY 11575 SW PACIFIC HWY Tigard Municipal Code,State of OR. Specialty Codes and PMB 160 TIGARD,OR 97223 all other applicable laws. All work will be done in TIGARD,OR 97223 accordance with approved plans. This permit will expire If work is not started within 180 days of issuance,or If the work Is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requil as you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg 0: LIC 62363 forth in OAR 952-001-0010 through 952.001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 81 Underfloor Insulation Plumb Top Out Exterior Sheathing Insf Rain drain Insp Final Inspection Sewer Inspection Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Footing Insp Footing/Foundation On Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Mechanical Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Plumb Final Issued BY ,_, /'< , ' r :� ,_r ff r,^. Permittee Signature31"dU Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day SEWER CONNECTION PERMIT CITY OF TI BARD DEVELOPMENT SERVICES PERMIT#: S /5/01 00266 DATE ISSUED: 10/5/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136C8-ACM01 SITE ADDRESS; 11326 SW 64TH AVE ZONING: R-7 SUBDIVISION: ASH CREEK MEADOWS BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new SF residence. _ Owner: _ FEES ESLINGER BUILDERS, INC. Type By Date Amount Receipt 1 1575 SW PACIFIC HWY. 160 PRMT CTR 1 r�- $2,300.00 27200100000 PMF3 PMB 16, OR 97223 INSP CTR $35.00 27200100000 TIGARDPhone: 503-620-9515 $2,33500 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days frorn thu date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sews laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Perm Issued by: . Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application �-19t23 Date received: ;1'J Permit no.:Project/appl,no.: Fxpiredate: �'1ty Of j I dII�Ti aril Addtc,,,: 13125 SW Ifall Blvd,"Tigard. V K I'hnnc. (503) 039-4171 Date Issued: liy: Receipt no.: I:ax: (50;) 598-1960 Case file no.: Payment type: Land use approval: / M21arnily:Simple Complex: `\n TYPE OF PERMIT Islas U I X 2 family dwelling or accessory U Cornmercial/uldustiull U Multi-family XNew•construction U Demolition U Addition/alteration/replacement U Tenant improvement U I irc.brim lcr/;Harm U Other: 3011 SITE INFORMATION Job address: I31dg.no.: Suite no.: r----- Tax ma /tax l it/accountilo.: _ �--P�ro�jjecln�anie f311wk: Subdivision: GJe; - 1ptUG p _ w 3?(0 j:-� ' � - - _ Description and location of work on premises/special condlt n m . r I l _ .�1M e o -- 1. 1 Name ' t._. f it sy1d. Mailing address:�/ ate"'- !(' gai-ca nril} dwelling: n�G 1"1'4110- City: Statc: '/..IP: _ n of work........................................ $ 7! Phone:DVFax -mail: edrooms/baths................................. _ Z Owner's representative: w1 F t^ mber of Ilcxlrs........................I........ -- Phone: Fax: E-mail: elling area(sq.ft.,) .......................... -- carpoli area(sq. ft.)......................... Name: ��t�r�P t u(ICl e'+�:. porch area(sq. fl.) ......................... Mailing address: yV1 CA(sy. IL) ........................................ city: , ) Stale: l.IP: Other structure area(st. ft.)......................... JQ °— __ _ Phone: 1I: 'mil ('ommerciaflindustrial/multi-family: 1 1 Valuation of work........................................ $ Existing bldg.arca(sq. ft.) . B usinessame: r+•' x ✓ _ G New bldg.arca(sq.ft.) t Number ofstories State: 7.IP_ .............. --- -- I'ypr of construction.Fax: t nulil: ()ttupancy group(s): isling: 3t� New.lir n, : / tG' Notice:All contractors and subcontractors arc required to hr licensed with the Oregon C'onMtuction Contractors Board under 05 11 t -, la, \kions of ORS 701 and may be required to be licensed in the Ad,ln•�,�: i I � �--�_�, lunsdictiun where work is being perfornlcla. If the applicant is Z, exempt front licensing,the.following reason applies: Contact Iwr.on:$>r __— I'hunc: Fax: I? mail: Nanu•:DO ` y' C'onlacl person: 'bjjjj� I ccs due up,In apphtnutul _ ........................ $ Addtc,. ZW1 �, ��_ ► -l' Date received: — ('mh State:, I Amount received ............................ _--��_---.- I'hlnu_�_^_ Fax: 1:-nulil: Please refer to Ice schrJnlr I ht•rt•liN certily I have read and examined this application and the Noa ati pltiutr•rionr accept credit canis.Plrasr rill Jul lull, 1^ moll inrormaliou allarhed(hCJh,,l. All provisions o H s;uul urdinanccs gorrrnulg Ihls U Visa U Masu•r<'ard / N,ak %fill he tuII1l1111 t, 1, le'1 s lnc�rein lir not. 'akin Laid l,nn,hrr j rsPirrc �llllurrl7ld `It'11o111re Nanx•of cmdhaldet a%spoon nn credit cord l�1 rVVV.VVV lel_ ._ .._- dhnldrliiRnaiuir_�---- _---- Amount I'lull 11ame: ('ul v nits Ibis pennit application etpires it it penl"not obtained within 189days alter it has been accepted as complete, 4a11410t tr,nnnCoxll One-and Two-Tamily Dwelling Building Permit Application Checklist "- — City ofTigard — Aasucialedpermits: City of Tigard )I.Iectrrcal U Plumbing U Mechanical Address: 13125 SW I fall f31vd,'1'igard,OR 97224 J()cher: Phone: (503) 639-4171 --- - - Fax: (503) 598-1960 1 land use actl.;ns =See criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platllot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. t 8 Soils report.Must carry original applicable stamp and signature on file or with application. , 9 Erosion control U plan U pennit required.Include drainage-way protection,silt fence design;mrf location of atch-basin protection,etc. 10 1- Complete sets of legible plans.Must be drawn to scale,showing confonnance to applicable local and State cz building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he complete(, if ca yright violations exist. Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if ere is more than a 441.elevation differential,plan must show contour lines at 2-11.intervals);location of casements and d 'veway;footprint ul structure(including decks);location of wclls/scptic systems;utility locations;direction indicator;lot area;building coverage area;Ivi-centage of coverage;impervious area;existing structures on site;and surface dr►ivage. 1-2 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent site;Intl location. 13 Floor plans.Show all dimensions,room idrnlitication,window size,iucation of rmoke detectors,water heater. furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 1.1 Cross section(s)and details.Show all frruning-member sizes and spacing such as floor tx.ams,headers,joists,sub-fluor, wall conslnk Ion,roof construction. More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,rout slope,ceiling height,siding material,frxotings and foundation,stturs, fireplace construction, thermal insulation,etc. I ti Elevation views. Provide elevations for new construction;mini;num of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. I r, Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details andlocallons;lot nun-prescriplive path analysis provide specifications and calculations to engineering standards. _ 17 Floor/roof framing.Provide plans for all flo ors/roof assemblies,indicating urenhber siring,spacing,and hearing locations.Show atticventilation. 18 Basement and retaining walls.Provide cross SecOons and details showing placement of rebar. For engineered systems,see item 22,'Trigincer's calculations." 19 Beam calculations.Provide two sets of calculations using current axle design values for all heams and multiple joists over 10 feel lung and/or any beanUjuisl carrying a non-unifornh load. 20 Manufactured floor/roof truss design details. - 21 Energy Code compliance. Identity the prescriptive path or provide calculations. A gas-piping schematic is required for four or nwre;rp1plrulres. 22 Engineer's calculations. When required or provided,(i.e..shp,ra wall,roof truss)shall be stamped by an engineer or architect lcenh('d in()tcgnn:Ind 01311 hr shown to lx applic;f le to the project urnler tri tuts Raw= + F1%c t5)"Lir plans are n•ynned lit Ile111 I I AN ore. Site plans tnwo be 8 1/2" x 11"ul I I 17". 'I l•wo t')sets each arc requirmd for Items 16, 19, 20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 "Reversed" building plans must meet criteria outlrulLd in the Permit& System i)evelopment fees document 27 No"mirrored" building plat s will tic accepted. 28 "Brawn to scale"indicates standard architect or engineer scale. Checklist must he completed before plan review start date. Minor changes or notes on submitted plans nta% be tit blue or black ink. Iced ink is reset%ed for department use onl% 4.10 1 V,14 00 1101)KI Plumbing Permit Application 7�S,,, e received Permit no.41S A,2 , - 22e) Cita` of Tigard g er permit no. Building permit no.: Address: 13125 SW Hall Blvd,Tivard,OR 97221 - City ojTigard phone: (503) 639-4171 h lect/appl.no- Expiredate: Fax: (503) 598-1960 Dale issued: By: Receipt no.: Land use approval' J Case I i I,•no.: Payment type: TYPE OP PERM U 1 &2 family dwelling or accessory U('onuttcrcial/utotusutal J Multi-family U Tenant improvement XNew construction U Addition/alteration/replaceinent U Food service U Other: 1 . 1 ' 1 Information Jon address: �L- .� t<f- Descri tion Qty. Fee(ea.) Total Bldg.no.: Suite no.: Na-" 1-and 2-family dnellings only: - (inelndes 100 ft.for each utility connection) Tux map/tax lot/account no.:: `,L3 SFTt(1)hath Lot: Block: IS, vision: LIG k SFR(2)bath Project name: e SFR(3)bath City/county: ZIP _ 7�-Z?j Fach additional h;uh/kiirhen Description and I tion of work o tremjs�s ���,���_ Site utilities: r,41e, -(-1/I i L _ Catch hasitt/area drain Est.date of completio spec1k)it Drywclls/Icach line/trench drain 1 1 Footing drain(no.lin.ft.) PLUMBING Manufactured home utilities Business name: 10141e, T ILA i1 _U.', 4--leTC-, ._. Manholes Address: / Rain drain connector City: S ate: 'LIP: Sanitary sewer(no.lin.ft.) 1'honc; Fax: o '-mail: Storni sewer(no.lin. ft.) CCB no.:_-�� Plumb.bus.reg. no:34-.2& Water service m: lin.ft.) City/metro lic.n.,.: �, 'Z Fixture or item: Contractor's representative signature: V+�. BackAbsorp raven ^-- BAck flow prevenlcr Print nant - -'j^j- ,r I tali Q Backwater valve CONTACTBasins/lavatory Nauu: � Clothes washer Address: Dishwasher Drinking founlain(s) City: StAlc: /.11': EJectors/sump Phone: Fax: Ii-mail: Expansion tank — Fixture/sewer cap T Name(print): �j moo.(' l Flax drains/noor sinks/bu —--Z — �iArbagC dIS Mailing address: it.. Ilose hihb SAl City: r State ZII': ��1 l - Ice maker Phone: r Fax:�� - E-mail: Interco tor/ reasc l�r -- owner instal lation!residential maintenance only: The actual installation Primer(s) _ will he made by the or the maintenance and repair made by my regular Rmi'drain(commercial) employee on the pn,perly I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s) Owner's Signature: I soar: _ Sump Tubs/shower/shower pan Urinal Name: - _- --- - ---- ------ WAIer closet Address: Water hcatrt - ---- - _ 7. Uthct City slate: _ _ Phone: Fax: �Ii-moil: -- otal No all lutisdictittnt rcepi rtedil cnida.pleas call IunalicUnn f v rube inl,ttntalVoo lvll ll[C%r tt lot ..............$ — Noticc ibis permit application , Uviss U MasterVard Imes i1 a permit is not obtained 1 Ian rcvieH lav -____ 7G) $ Cowin card number tsittun Igo days alter it has been Slate surcharge(8`X 1 ,... iApu, �i -cold -- accepted m complete TOTAI, ....................... Name of ra�iofJrt ae.hnwn on urdu S ('tudholTrrupnauur Anouni 4404616(hAlO 4IM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individuate- QTY lea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the ftrst100 ft. QT`! (ea) AMOUNT Lavatory 16.60 for each utility connection) One ath _ $249.20 Tub or Tub/Shower Comb 16.60 1 bTwo Mbath $350.00 Shower Only 16.60 Three(3)bath —� $399.00 Water Closet 16.60 -- SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 1660 TOTAL Laundry Tray 16.60 gashing Machin,) 16.60 Floor Drain/Floor Sink 7." 16.60 �- 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water Neater O conversion O like kind 16.60 Quantity b for Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 4640 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 Combination _ Roof Drains — 16,;;u Shower Only _ Drinking Fountain 16.60 Water Closet 3 Other Fixtures(Specify) — 16.60 Urinal _ Dishwasher _ Garbage Disposal Laundry Room Tray Washina Machine Floor Drain/Sink: 2" _ Sewer-1st 100' 5500 3" Sewer-each additional 100' 46.40 4" Water Service-1 of 100' 5500 Water Heater Water Service-each additional 200' 46.40 Other Fixtures SeG _ Stdrm d Rain Drain-lot 100' 55.00 Storm 6 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 4640 --- Residential Backflow Prevention Device- 2755 — Catch Bashi— 16.60 J Inspection of Existing Plumbing or Specially 72.50 Requested inspections perthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65,25 — Grease Traps 16.60 -- QUANTITY TOTAL `— Isometric or riser diagram is required If Ouanthy Total Is >9 _ 'SUBTOTAL - - 8%STATE SURCHARGE — - ------- "PLAN REVIEW 25%OF SUBTOTAL T _Required only if fixture city total Is>9 TOTAL S 'Minimum permit fee Is$72 50•8%state surcharge,except Residential Sackfiow Prevention device,which Is$36 25•8%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. I\dsLs\furms\pim fees.doc 08/29/01 Mechanical Permit Application Date received. Pernut no.:#jK4 j City of Tigard ProjecUappl.no.: Expire date: CityojTignrd Address: 13125 SW Hall Blvd,Tigard,OR 9722; Uarelssuccl: By: Receipt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land Use approval: - Building permit no; TYPE OF PERMIT U I &2 fancily dwellint or accessory U Commercial/industrial iJ Multi-family U Tenant improvement New construction U Addition/alteration/replacement J t tiller: t . t , t t Job address: ', Indicate equipment quanutjcs In buxcs below. In(Itcatc the dollar Bldg.no.; I Suite no.: -_ value ul all mechanicai materials,equipment,labor,overhead, Tax map/tax loUaccount no.: pri)ht Value$ 'Sec checklist for important application information and Lit; Black: subdivision CIf� jurisdiction's fee schedule li,r n sidlcntiul rrnnit fee Project name: City/county: TC,(X Ire Dcsc ' tion and h tion c work n prcmj,es: r t t t _s�`i�t E' Taw, U ��,,..__ 1'a•t(-.) total I:sl•date of completio illspecti(n: 1�2Z Ile;�ri (inn 1)h. Rdw.Dull Illy.unh Tenant improvement or change of use: At'-- ---^P ----- Air handling unit Is existing space heated or conditioned?U Yes J Nn -Ali conditioning(site plan required) Is existing space insulated?U Yes U No Alteration of existing I ('system CONTRACTOR toiler/cornpressors State boiler permit no.: Business name: Rp lip _ _Tuns BTUAI _ Address:?, ?QX. _ Dire smo c dampers uct smoke erectors City: ipyl{�j State ZIv: _ lei pump(site plan require ) _ I-ax: Ti o:til: �^ Install/rep ace furnac urner i" Including ductwork/vent liner U Yes U No CCB no.:: /y.p nsta rcp ace rc ovate ie tt•rs suspend ed, Cityhnelro lie.no.: 13=1- —_ wall,or flour mounted N:Inu (pleesc print): t C 1 c� "�' n rnl for a„smcr of wi t Ian furnace cfr Rcrrtl on: Ahsurplutn units ___.__-_ lit (j Chillers___ III' Name: ( .)m,ressnr,_ r — Address: V ;n ronuilental ex rand and rent rc on: City: State Appliance vent Phone: I•ax:--- 1' mail )rycrex Dust - out s, ylie res. tc ie laamat hood fire suppression system Name: j yl Q y 'sem Exhaust fan with single duct(bath fans) Mailing address G _ K,(�� (� Exhaust system apart from licating or AC State: P: Fuelpiping andistribution(up to out ccs) City: ►� Tyle - -_LI'(i _-_ NG Oil Phone: I.-td �,9 i-ntuil: lie piping each additional itiona over out ccs roemipiping(schematic rcipitred) -.- Number of outlets Name: , ter dr appliance or equipment: Address: _ _ Urcorarivcfueplatc oily �-elate: ZIP: nsert type _ I'Itone:i- vl is mail: oodslove/pel let stove _ 1 H ter Applicant's signature: Date: Name (print): 1M rl I & _-- _- ----- Permit fee . $ Not all pnlwartinns nrcepi cttdu cords,pleme call jum,lit tlon fm mme tn[„ru,atlnr, Notice his perinil upplicatioll UVisa UMaslrlVald f�lnnnnnnlre................$ . r / cvpirrs it a(xrnlit is not uhtaulcd flan t, %low(al t'n•dit cmd nwr t�t _—___-_ ithin 1811 days alley it has been ttpurs Slilll` tillfChargl'(14%).... _-_ __f atce,ted:le coni lett Nau a of caldhnl•ki as, own nn arS ratd � I P - - 4m,i ni Ul•N�I1 11AINt 1 Wl Cudhu Be—,n djtnature MECOHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: - Price Total $1.00 to$5,000.00 v Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Fu,;ace to 100,000 BTU $1.52 for each additional$100.00 or includh.g ducts&vents 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Fumace --- $1.54 for each additional$100.00 or Including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall healer $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for tha first$25,000.00 and 5) Vent not Included In appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units _$50,000.00. 12.15 $50,001.00 and up $742.00 for the first$•'0,000.00 and i Check all that apply. Boiler Heat Air $1.20 for each additionai$100.00 or For items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp* ** 7)<31AP;absorb unit Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU 14.00 8'/.State Surcharge 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 _ 254j,Plan Review Fee(of subtotal) 9)15- HP;absorb s � unit.5--11 mil BTU 35.00 Requlred for ALL commercial permits only 10)30-50 HP;absorb TOTAL COMMERCIAL PER FEE: S unit 1-1.75 mII BTU 52.20 11)>50HP:absorb - - unit>1.75 mil BTU 8720 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,000 CFM Descrption: _ Qty Amount 17 20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents _ _ 10.00 Fumace>100.000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents _ 6.80 Floor furnace including vent ^_ 955 _ 16)Ventilation system not included In Suspended heater,wall heater or 955 appliance permit 10.00 _ floor mounted heater 17)Hood served by mechanical exhaust Vent not included In applicance J445 10.00 _ permit 18)Domestic incinerators Repair units _ T 805 _ 17.40 _ <3 hp;absorb.unit, - 955 19)Commercial or Industrial type Incinerator to 100k BTU _ _ 6995 _ 3.15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 1101k to 500k BTU 1000 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU _ _ _ 5.40 30-50 hp;absorb.unit, 3,400 22)f ore than 4-per outlet(each) 1-1.75 mll.BTU 1.00 >50 hp;absorb.unit, _ 5,725 Minimum Permit Fee$72.50 SUBTOTAL $ >1.75 mil.BTU Air handling unit to 10,000 cfm 656 _ 8%State Surcharge _ $ Air handling unit>10,000 dm 1,170 Non-portable evaporate cooler _^ 656 _ TOTAL RESIDENTIAL PERMIT FEES S Vent fan connected to a single duct 446 _ Vent systam not Included in 656 ----- --- 8 pliance permit ._ _ - Other Inspections and FM: Hood served by mechanhcoal exhaust 656 1 Inspections outside of normal business hours(minimum charge-Iwo hours) Domestic Incinerator -_-.�.� 1,170 $72 5o per hour Industrial Indner Commercial or ator 4,590 2 '-iRn-tions for which no fee is spxifically Indicated (minimum charge-half hour) Other unit,Including wood stoves, _ 656 .72 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimus -- ------ - --- charge tine-half hour)$72 50 per hour Gas piping 1-4 outlets _ _ _ 360 _ Each additional Outlet -__63 'Stale Contractor Boller Certification regtdred for units 3-20ok BTU. *.Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL s VALUATION: I\dsts\forrns\rnech-fees.doc 08/06/01 I�lectrica.l Permit Application Ihme received Permit no.: City of Tigard Project/appl.no Isxpiredate: Cit,yn('1-i:;ord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 6_i94171 Date issued: By: Receipt no.: -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval VPE-0F PERMIT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U A(fditiotV;i]tcrltinn/rcl)la,,•nu nl U Other: _ U Partial 1 ' INFORMATION Job address: tiurle n 7'ax map/tax lot/account no.: Lot: I 1131ock: Su ivision: Pr�jcct name: fhscnption and location of work on premises: .U� 5 t��� Gstimaled date of coinploion/inslx•ctom* — --CONTRACTOR 1SCHEDULE Job no: Fee Max Business name: r �_�� .�y IM.criplion Qlv. (ea.) total no.irn - Address: Nen midrnlial-NinRk ur nofli ramily per dnellittg emit.InrlurW�altaclKd gnrn!e•. City: ffiildlloaroSlate: ZIP: 7nirroulutlyd: Phone: Fax: F.-mail: 11xN1sq n .a b•, 4 Tach additional 500 sq.ft.or portion thereof CCB no.: p Flee,bus. lie.no: / Lnoiied energy,residential 2- City/metro Ilc.no.: Limited energy,non-residential 2 Fach manufactured home or modular dwelling sTigomiworsupervising electrician(required) fate Service ond/or feeder 2 Sup.elect.name(print): License no: Services or feeders-Installation, PROPERTA OWNER alteralion or reloar ton: 200 amps or Ices 2 Name(print): f ri C�? '"` zol ampsl�taalamps - z i G �lOi� 401 amps to 6(x)sopa 2 Mailing address: ( "75' 1 601 amps to 10(10 amps _ -- 2 City: v^[ _ �ilatc 7.1 P. Ovri IINN)amps or volts --_ - 2 Phonc: Fax' ,Q mail: Racnmtcctonly -.- - I Owner installation:'1 F, installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to I!vdallstlon,alleralIon,orrelocation! ORS 447,455,47 670,701. 2W anqu or less 2 201 maps las 400 amps 2 Owner's sl nature: f)a!r 401 In 600tis - 2 ' Branch cirrul's-nevi,aBeralion, of extenslon per panel: Natnt' A I-ce for branch circuils with purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: l III B Fee for branch circuits without purchase — -- of service or feeder fee•first branch circuit: 2 Phone: I at I{-mall Nachadditional branch circuit: Misc.(Service or feeder not Included): UService over 225anq,sconnlrcnutl Ulle:ddtcaicfacil,to Fachpumpntirnganuncuclr 2 UService over 120umps-rating of 1&2 U Ileamdouslocation F:achsign tit millorelighting 2 familydwelfings U Building over KIM square feet four or Signal circum sl or a limited energy panel. U Sys:am over 600 volts nominal more residential units in one slnvcmre Alteration,mr extensum' 2 U Building over three stories U Feeders,400 amps or)tore •I,cscn,non U Occupant load ovrr'K)peni'm U Manufactured structures or RV park Tach additional inspection over the allowable In any of the above: U I•.glessillghnngplan U(hher -- - --- ----- Pernnspccunn � rT�" T+ tiulnull .rtn of pians with env of the above. Investigalionfee I he al$tt,c are mol r ppiit able to Icnrporar)construction service. Ofhcr Not all putvllruno.weeps credit,nal,,111-,xcall iumultctinn fill$time in6mmalion Notice: Ilnis permit application etftllt fee.....................$ _ U Visa U MasleWard expires if a permit is not obtained Plan review(at ` 14) $ Cred0 raid nomlwi --- _----�--_. _L_ a tihin 181►dai,s after if has been Slate surcharge(89b)....$ hAni'es Ic.epled;Kenlllplete TOTAI. - Narnr of car-il-itohirr u ihown nn rel rr�i _.___ -- S t'ardhobkr siRnaturc -- Amount 440 Jrt 1 S t Mrlll't nM t ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: @77r TYPE OF WORK INVOLVED -RESIDEN_TIAL ONLY............................ .......... 575.00 �ete Fee �ChedU�e igr?�OW: Restricted Energy Fee. ........Number of Ins ections er permit allowed) (FOR ALL SYSTEMS) included: Items Cost Total `I' Ghec:<Type of Work Involved: tal-per unit $14` 1' 4 Audio and Stereo Systems' t u�less --.-- - --�- itional 500 sq ft or $33 40 �____ 1 burglar Alarm thereof $75.00nergy — ❑nufd Horne or Modular 2 Garage Door Opener' Dwelling Service or Feeder _ $90.90 Services of Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation $80.30 _ 2 200 amps or less __--- 2 L� Vacuum Systems' 201 amps to 400 amps _ $106.85 401 amps to 600 amps _ $160.60 L� Other 601 amps to 1000 amps $240.60— Over 1000 amps or volts $454.65 Reconnect only _ $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 'remporary Services or Feeders Fee for each system.......................................................... $75.00 Installation,alteration,or relocation $6685 2 (SEE OAR 918-260-260) 200 amps or less _ $100 30 _ 2 201 amps to 400 amps $133 75 2 Check Type of Work Involved 401 amps to 600 amps over 600 amps to 1000 volts. Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The tae for branch circuits ❑ Clock Systems with purchase of service or feeder fee. $6 6'. ❑ Data Telecommunication Installation Each branch circuit _ -- - h)The fee for branch circuits w;fhout purrhase of 80E] Fire Alarm Installation rvice or feeder fee. $46 65 First branch circuit ❑ HVAC E ach additional branch circuit _ $6.65 Miscellaneous ❑ Instrumentation (Service or feeder not included) 40 ❑ Each pump or irrigation circle $53. Intercom and Paging Systems Each sign rn outline lighting $53.40 Slyn:�l circui!(s)or a limited energy $7500 ❑ Landscape Irrigation Control' panel,alteratlon or extension $12500 ____ Minor Labels(10) - ❑ Medical Each additional inspection over ❑ the allowable In any of the above $62.50 Nurse Calls Per Inspection '— $62.50 _ Per hour - $73.75 ❑ Outdoor Landscape Lighting' In Plant - Fees: ❑ Protective signaling En1r'r total of above fens $ 8%State Surcharge 5 _- ------Number of Systems 25%Pian Review Fee $ ' No licenses are required Licenses are required for all other installations See"Plan Review"section on _ front of application --`— FAQs: Tofal Balanre Due $ $--.— --. Enter total of above tees ❑ 11uSt Account d 8%State Surcharge s-----"-- - Total Balance Due $------- All New Com,nercial Buildings require 2 sets of plans. I klstj\fums\cic-fres doc O8/101t)I SEE 35MM ROLL # 21 FOR OVERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC: PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2001-00500 Date Issucu: 1015Jv i Parcel: 1 S136CB-AClk101 Site Address: 11326 SW 84TH AVE Subdivision: ASH CREEK MEADOWS Block: Lot: 001 Jurisdiction: TIG Zoning: R-7 Remarks: Now SF detached. (model home) Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: EL ECTRICAL CONTRACTOR: ESLINGER BUILDERS INC DAVID JEROME ELECTRIC '11575 SW PACIFIC HWY PO BOX 751 PMB 160 HILLSBORO. OR 97123 TIGARP, OFA-620 915 03Phone #: 648-5144 Req #: LIC 36051 SUP 2877S ELF 34.119C AN INK SIGNATURE IS REQUIRED ON THl FORM Imo'" Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 r, i,AAAAA♦A♦AAeAAAAAAAAAAAAAAAAAAAAAAAAAAAAA♦A!r Iii r ► H-1 ► ► �. ► Poo � a ► ► CP y ► cn S_ A ► d rD ► ► ►-3 �-; ► —� crq , lo.QO ► pol tTl � �-1 y � 4 � � o p, ► A ► ► ► 1 r �-44 '� ► 414 loo. 414 pool ` y 44 '1 O � ► �, y ► ► ► FVVVVVVVVVVVVVVVVVVVVvvvv'vvvvvvvvvvvvvvvvvvi\ H � O COO) R � � � o � ro a ti w CL Er `ti+•� o Vl ^q1 O _ Q a o � a R. x n CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 _ BUP Received Date Requested— � � �'�• ,, AM PM PUP Location ' L- ✓'�-t Suite MEC Contact Person Ph PLM _--- -- - __ Contractor Pn (- ) - SWR BUILDING Tenant/Owner - _-_ - ELC Foc,ting ,[ FoundationAccesstLC _ ---- _ : 0 Ftg Drain I ;' ( L- ! ELR Crawl Drair -- Slab Inspection Notes: SIT -_- Post&Beam ---------- -- -- ---- -- Shear Anchors —. -_- --_ Ext Sheath/Shear Int Sheath/Shear - Framing Insulation — Drywall Nailing ----.-- -- — Firewall Fire Sprinkler - �b - vire Alarm Susp'd Ceiling -- -- - - —- - Roof Other: 1 I,•, ASS ART FAIL - PLUMBI Post& Basin Under Slab {1 Rough-In - - - Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Stony Drain -- Shower Pan Other Final T FAIL --- -- MECHANICAL_ -- -- Post& Beam Hough-In Gas Line - -- --- Smoke Dampors *'EMCTRICA__'____,PART FAI! L erVICP Rough-In UG/Slab �. - -- Low Voltage _ Fire Alarm - -- -� Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Ple ase cell for reinspection RE:___ r C� Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk pate - L �"—` Inspector Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST " INSPECTION DIVISION Business Line: (503) 639-4171 --- --"---- BUP Received -___. Date Requested J Z�� _ AM _.- PM ______ BUP Location __ �� 3 Z 4� y �T�� Suite MEC Contact Person _ ______�� Ph( �) Y PLM Contractor _ _- -- Ph( ) SWR ----_ --_-- -_ - BUILDING Tenant/Owner - ELC Footing Foundation ELC Access: Ftg Drain L C6 `/ �, ELR -- - - - -_� Crawl Drain l� Slab Inspection N5: SIT _ Post&Beam _- - Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing ,2.� _ti l/ Insulation Drywall Nailing _./ N'" r a �-i �►`f'C �rC 4/�� Firewall i Fire Sprinkler /�-- �' �C ��•�� �G���/t• Fire Alarm Susp'd Ceiling —-- Roof Other: Final PASS _PART_ FAIL --- - -' -- _PLUMBING` Past& Beam Under Slab Hough-In Water Service —------ ---------,- 5anitary Sjwer - Rain Drains -- ------__-_..�_-- -_-- _ Catch Basin/Manhole Storm Drain -- --- - - -- -- - —__ __—� Shower Pan Ot ins -.,---- ----- SS PART FAIL - --- --��_-� -_� ANICAL Post 8-Beam Rough-In -.--- --- -- - - Gas Line —_- Smoke Dampers Final PASS PART FAIL ---- -- ---- -- - _ELECTRICAL_ Service _._- — -------._._.--_---_- -- -.-- Rough-in UG/Slab Low Voltage Fire Alarm Final r-1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE:-__- __ _ - Unable to inspect-no access Fire Supply Line ADA !/`/ �r-� --- Ut Approach/Sidewalk 11it� 2 �_ Inspector ZQ Other. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL J CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -6 ) INSPECTION DIVISION Business Line: (503)639-4171 - 1—�-- BLIP Received Date Requested_______.___1 -r _ AM —__ PM -_-- BLIP Location &: --_Suite ­-_– - __-___ MEC - _-__- ----- -_ Contact Person _ Ph( ) - ---__ _ -__ PLM - -- - Contractor- -�...k/"!� ,_��'� ;,r-�r _ Ph ( ) �^ �' .�/ SWR -- -- Yf- BUILDING Tenant/Owner _ __- - ELC - Footing - -- El C Foundation - ` Ftg Drain Access: , L 7 ELR _ - ---- --- Crawl Drain � =1� __ G Slab Inspection Notes: SIT Post&Beam Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - - - -- -- Fire Alarm Susp'd Ceiling Roof ` l 4 - Other: - Final .^-'- ----_ PASS_f ART FAIL - PLUMBING _ Post& Beam Under Slab -- Rough-in Water Service -- --- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pen Other: 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 Roola m m PAR? FAIL Reinspection fee of$-- _. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd _ [] Please call for reinspection RE. Unable to Inspect-no access Fire Supply Line ' ADA Approach/Sidewalk Date L_=�,1 - Inspector -_._ "" '( l �� Ext Other: _ '_' ' Final DO NOT REMOVE thCs Inspection record from the job site. PASS PART FAIL