10385 SW HILLVIEW STREET a t.
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TY OF
T I G,w �� ELECTRICAu PERMIT!_
(� PERMIT#: ELC2002-00237
DEVELOPMENT SERVICES DATE ISSUED: 5/28,'02
13125 SW Hall Blvd., Tivaid, OR 97223 (503) 639-4171 PARCEL: 2S102CC-07700
SITE ADDRESS: 10385 SW HILLVIEW ST
SUBDIVISION: TONYS PLACE TONING: R-3.5
EL.00K: LOT : 001 JURISDICTION: TIG
Proiect Description: One circuit for exterior AJC unit
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
—1000 SF OR LESS: — 0 200 amp: T PUMP/IRRIGATION:
EACH ADD'L 500SF: '11 .100 amp: SIGNIOU-i LINE LTG'
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
PIANF= HM/ SVC/ FOR. 601'-amps - 1000 volts: MINOR LABEL (10):
---.-SERVICE/FEEDER BRANCH CIRCUIT'___ ADD'L INSPECTION_ S _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECT�nN
201 400 amp: 1st W/O SRVC OR FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC. IN PLANT:
F01 - '1000 amp: _ PLAN REVIEW SECTION_
1000+ arno/volt: >-4 RES UNITS: > 600 VOLT NOMINAL: –�
Reconnect only: SVC/FDF?>= 225 ANIPS: _ CLASS AREA/SPEC OCC:
Owner: Coatractor:
CARLTON SHARPE ELECTRIC INC
10385 SW HILLVIEW 22305 S\N RIGGS
TIGARD, OR 97224 BE:AVL RTON, OR 97007
Phone: Phone: 642-7937
Reg #: I.IC 81518
SUP 3344S
ELE 34-217C
FEES i Required Inspections
Type By Date Amourt Receipt Elect'I Final
PRMT CTR 5/28/0 $46.85 2720020000(
5PCT CTR 5/28/02 $3.74 272(1020000(
Total $50.59
This Permit is issued subject to the regulations contained in the Tgard Murndpal Code, State of OR Specialty Codes and ail )ttier n,pplicable laws
All work w11 be done in accordance with approved plans This pe,mit will expire if work is not started within 190 days of issuance,or I work is
suspended for more than 180 days ATTENTION Oregon law requires you to!cllow rules adopted by the Oregon Utility Notification Center Those
rules am set forth.n OAR 952-001-0010 thrc-inh OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246.66 ort.800.332-2344
Permit Signature: c. �_ Issued By: �_p�y�? , /V,'
4
Z �VJ
77
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SIIPR. ELEC'N: DATE:_
LICENSE NO ---___--
Call 639-4175 by 7:90pm for an inspection the next business day I
�A Metrical Permit Application
l)atereceivcd:_, cj ,2 Permit
City Of Tigard Project/appl.no.: Expire date:
Cl Address: 13125 SW Hall Blvd,Tigard,OR 9722 i Date iFsued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval-
t
72fnittily dwelling or accessory U Commercial/industrial U Mulli-family U'Tenant improvement
U ruction U Addition/alteration/replace ii r! In i U Partial
JOB-SITE INFORMATION
Joh address: /t.,� sSitJt> 131dg.no.: Suite no.: Tax map/tax lot/account no.:
L,ot: I Block: Subdivision:
Project name: Description and location of work on premises:
Fstimated date of coin plction/inspection: —tet
t ' tStHIEDULE
Job no: Prr ntax
Business name: i C �C IMscri ttlon Qt). (ca.) total nu.insp
c. `•' m%ldential-sbtgicormull-familyper
Address: v z' -� v _ dwelling wilt.Includes attached gnrnke.
City: 74E�7 ♦ State ZIP: " vl Scniceincluded:
Phone:�. 1'axc E-mail: 1000 sq it.or les,,
CCB no.: i-lec.bus, hc.no: C �' — Hoch ado iuotml`t)ll sy Ir tit pnrtinn IheYcof
r l Limited er crc y,residential 2
City/metro lic.no.: Limited(nergy,non-residential 2
0,!;- G Fach manufactured home or nodular dwelling
v' nl'supe ns ng electrl rcyu cdl''(��— Date
— — Service and/or feeder
Stip.elect nnntc(print). ' t License un, y Services or feeders—Installation,
alterin morrelocslion:
200 amps or less 2
7 201 amps to 400 ams 2
Name(print). C 11L� �.�; — ------ p p — -
Mallin address: —'—r 401 amps to 6(x1 amps 2
Mailing -� tiol arnpa lu I(XXI amps 2
City: I State: ZIP: — Over 1000 amps or volts — 2
Phone: '—�I'a%: E-mail: Reconnect only I
owner installation Thr installation is being made on property 1 own Temporaryservlcesorfeeder, -
which is not intended for We,lease,rent,or exchange according to installation,alteration,orrelocation:
ORS 447,455,479,670,'01. 2110 amps or less _ _ 2
201 amps 104W amps 2
Owner's signature: llatr. _ ---- —
401 to[(Ixl am u
Branch circuits-new,■Ilerntion.
or extenslon per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
Clly: Stale: ?IP: B Fee ror branch circuits without purchase
of service or feeder fee,first branch circuit:
Phone: - —�- I�ttx: [:-mail: •----- --
Each additional branch circuit'
Mise.(Service or feeder not Included 1:
U Service over 225 amps-commercial 1,.-alt -care facility Each pump or irrigation circle 2
U Service river 320 amps-rating of 1&2 J Harurdous location Each sign of outline lighting 2
family dwellings U Building over 10.01X)square feet four or Signal circull(s)or a limited energy panel,
U System"ver 600 volts nominal more residential units in one structure alteration,or extension*
U Bulld'ng over three stories U Feeders,41X1 amps or more •lkscri tion.
U tkcu;ant load liver 99 persons U Manufactured structures or RV park Fich additional Inspection over the allowable In any of the above:
U F rs!Jlightfig pkill U Other , I'erinspection
Submll sets of plans with any of the above. Investigation fee
.1•he above are not applicable to temporary construction service. other
Not all Judadictiom accept credit cards,please call jutisdictian for moat Information. Notice:This permit application Permit fee.....................$
U visa O MasterCard expires il'a permit is not obtained Plan review(al , %) $ __
Credit card number: within IRO days after it has been State surcharge(896) ....1+ _
'pins accepted as complete.
Name of cZaFWWr_ai_&hown on credit card
Cardholder stir lure /.mount qA0 g61S((uOdC t)MI
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
------------ ------------------ -
Com tete Fee Schedule BF:Ic>w: TYPE OF WORK INVOLVED-RESIDEMi IAL QNLY
P-
Restricted Energy Fee..................................................... $75.00
Numhe of lnspec6o,�s per permit allcwed I (FOR ALL SYSTEMS)
Service included: Items Cost Total
Check Type of Work Involved:
Residential-mer unit
1000 sq.it.or less $145 15 i ❑ Audio and Stereo Systems'
Each additional 500 sq.ft.or
portion thereof _ $33.40_ ❑ Burglar Alarm
Limited Energy $75.00_
Each Manufd Home or Modular
Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener'
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or rely-Ation
200 amps or less $80.30 2
201 amps to 400 amps $106.85 _ 2 ❑ Vacuum Systems
401 amps to 600 amps $160.60 2
601 amps to 1000 amps e $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
Installation,allwation,or relocation Fee for each system.......................................................... $75.00
200 amps or less $66.85 _ 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps _ $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"at ve. ❑ Audio and Stereo Systems
Branch Circuits ❑
New,alteration or extension per panel Boiler Controls
a)The fee for branch circuits
with purchase of service or ❑ Clock Svstems
feeder fee.
Each branch circuit $6 65 1 ❑ Data Telecommunication Installation
b)'rhe fee for branch circuits
without purchase of service � ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 "7
Each additional branch circuit $6.65 ❑ HVA0
Miscellaraous ❑ Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle $5340 _
Each sign or outline lighting $5340_ ! ❑ Intercom and Paging Systems
Signal circuits)or a limited energy
panel,alteration or extension _ $75.00 ❑ Landscape Irrigation Control"
Minor Labels(10) _ $125.00
Each additional Inspection over i ❑ Medical
the allowable In any of the above
Per inspection $62.50 Nurse Calls
Per hour $82.50
Outdoor Landscape Lighting'
In Plant $73.75 t�
Fees: (� ❑ Protective Signaling
Enter total of above lees $ r�7 ❑ Other
BY.State Surcharge $ I —_`_Numhvr of Sy:terns
25%Plan Review Fee
See"Plan Review"section on $ ' No licenses aro required Licenses are required for all other Installations
front of application —
Fees:
Total Balance Due
– Enter total of above fees $
❑ Trust Account p._ _ 0.4 State Surcharge =
Total Balanre Due i
All New Commercial Buildings require 2 sets of plans.
i:\dsts\forms\elc-fees.doc 08/30/01
1
�\ CITY O F 1 I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00223
13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/29/02
PARCEL: 2S102CC-07700
SITE ADDRESS: 10385 SW HILLVIEW ST
SUBDIVISION: TONYS PLACE ZONING: R-3.5
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: F_VAP COOLERS:
'E OF USE: SF UNIT HEATERS. VENT FANS:
CCCUr'ANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: Rr)ILERSICCiMPRESSORS_ HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 • 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -- 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP.
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OU UNITS:
> 10000 cfm: GAASS OUTLETS:
Remarks: Replacing existing furnace with sande. Add exterior A/C unit. A/C cannot be placed within the required set
backs.
Owner: _ _FEES_
CARLTON Type Ey Date Amount Receipt
103$5 SW HILLVIEW PRMT CTR 5/29/02 S72.50 272002000C
TIGARD, OR 97224 5PCT CTR 5/29/02 $5.80 272002000C
Phone:
Total $78.30
--- — --
Contractor:
GL HEINTZ HEATING & COOLING, INC
20871 SW 216TH PL.
SHERWOOD. OR 971.40 REQUIRED INSPECTIONS
Mechanical Insp
Phone:503-625-6798 Heating Unt Insp
Reg #:LIC 102831 Cooling Unt Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This peri will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in CAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by caCing (503)246.9189.
Issue B A / , ' Permittee Signature: t a
Call (503) 639-4175 by 7:00 P.M. for inspections needed the n(Ixt busibess d4y
Mechanical Permit Application
/ Date received: -aCI-0 L Permit no.t/'t )*►7
City of Tigard / Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 `
C'iryuj�'igard Addg Dale issued: By: Receiptno.:
Phone: (503) 639-4171
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: _ Building permit no.:
&2 family dwelling or accessory L;Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other: _
VALUATION'SCHEOULE
Joh address: /L),3w_5 o APITz, Indicate cgwpincnt quantities in boxes below. Indicate the dollar
Bldg.no.: I Suite no,: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Block: I Subdivision: *See checklist for important application information and
Project name: rA(,,, M,41 _) jurisdiction's Ice schedule for residential permit fee.
City/county: 4W, ZIP:
Des+csitillon and I cation of work on prept�ses: 1 1 1
NCS✓ Fcf/'NACY �r /9i K (J w r 0 4 Y rAe
- _ Fer(ea.) fugal
Est.date of completion/inspection: DeKIrIP111110111 Qly. Res.only Res.only
Tenant improvement or change of use: IIVAC
Is existing space heated or conditioned?U Yes U No Air handling unit ('FM—
Kir con itiomng(site plan required Is existing space insulated?U Yes U No Alteration of existing HVAC system ----
oi er compressors
liuslnrss name: f16 we;171/11 t (lit,, ,,, State boiler permit no.:
HP Tons BTU/H
Address: 2 0 ' / ,'4) 6 ti _
Fir snto c dampers/duct smoke detectors
cit". `� ? State: ''K ZIP: 7/ eat pump(site plan required)
Phone: 5 f Fax: E-mail: nsta rep ace unupcc/burncr d JIFF
V j I Including ductwork/vent liner U Yes U No
CCR no.: Instalrep ace re ocatc heaters-suspen et,
City/metro lic.no.: wall,or floor mounted
Name(please print): /1(" 9/y.f cnt G r a iance of er t an urnace
Ne gerat on:
AbsorptionunitsBTU/H
Name: ' ('fit" Chillers_ lip -
Address: O % ,/J /6 It Compressors _ HP
-- —
city: Stale: ZIP: snvronmenta exhaust an vedat on:
, ,
Appliancevent
Phone: 3-a Fax: E-mail: )r crexhaunt
Hoods,Type re,s. itceiT rri haimat
hood fire suppression system
Name: 62 t f"I n ,9: Exhaust fan with single duct(bath fans)
Mailing address- Exhaust system apart from heating or AC
Fuel piping an st ut on(up to 4 outlets)
City: State: ZIP: -I ype: 1.1-0 NG Oil
--
Phone: I E-mail: _
cl i in lac.a luona over out els
p p
Process ;_ (sc ematicrequire )
7Name* Number of outlets
s: ter app a orequ pment:
-:
__ Ikcorativefireplace
y: —_ -' -- State: ZIP: _ Insert- type
Phone: Fax: E-mail: Woodstove/pel let stove
Ot er:
Applicant's signature: Dnte: t
Name(print): C 1?__
NM all Jurisdictions wce(M credit caia,please call jurisdiction for moil infoonation. Notice: Permit fee.....................$ IJ
U Visa U Masterr'ard a permit application Minimum fee................$
Credit card nutr.'er _-._ expires ifa permit is not obtained
„-�n,reL within 180 days alter review(at — %) $er it has been
State surcharge(8%)....$
——Wig—m d cardholder as shown on credit c --- accepted as complete.
TOTAL
Csm"Mer oipntum — �Amouni
410617(tdl00V('OM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description.��- - Price Totel
(
$1.00 to$5,000.00 Minimum fee.,172.50 able 1A Mechanical Code Qty Amt
$5,001.00 to$10,000.6'0___'_1_72_.50 for the first$.5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or including ducts&vents 14.00
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000.00. Including ducts&vents 17.40
_110,001.001o$25,000.00 $148.50 for the fi•sl$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100,00 or Including vent 14.00
fraction thereof,to and includIrg 4) Suspended heater,wall healer
_ $25000.00or floor mounted'neater 14.00
$25,001.00 to$50,000.00 $379,50 f(,;the first$25,000,00 and 5) Vent not included In appliance permit
$1.45 for each additional$100.00 or 680
fraction thereof,to and Including 6) Repair units
_
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat K,
$1.20 for each additional$100.00 orFor Items 7.11 see or Pump Cond
traction thereof. footnotes below. Comp ••
Minimum Permit Fee$72.80 SUBTOTAL: $ 7)<3HP;absorb unit
to 100K BTU 14.00
e%State Surcharge a 8)3-15 HP;absorb
unit 100k to 500k BTU 25.60
25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb -"
Required for ALL commercial permits only unit.5.1 mil BTU 35.00
TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;absorb -I
unit 1-1.75 mil BTU 52.20
11)>50HP;absorb
_ unit>1.75 mil BTU 1 8720
ASSUME_D VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM
Value Total 10.00
al
Description: Q al Amount 13)Air handling unit 10,000 CFM+
Furnace to 100,000 BTU,Including 955 _ 17.20
ducts&vents 14)Non-portable evaporate cooler
Furnace>100,000 BTU including 1,170 110.00
ducts&vents 15)Vent fan connected to a single duct
Floor furnace In !Mdl_ng_vent 955 6.80
Suspended heater,wall heater or 955 16)Ventilation system not Included In
floor mounted heater appliance permit _ 10.00
Vent not Included in applicance 445 17)Hood served by mechanical exhaust
permit 10.00
Repair units 805 18)Domestic Incinerators
<3 hp;absorb.unit, I� 955 17.40
to 100k BTU 19)Commercial or industrial type Incinerator
3-15 hp;absorb.unit, 1,700 - 69.95
101k to 500k BTU _ 20)Other units,Including wood stoves
15-30 hp;absorb.unit,501k to 1 2,310 10.00 _
mil.BTU 21)Gas piping one to four outlets
30-50 hp;absorb.unit, 3,400 ,..10
1-1.75 mT BTU 22)More than 4-per outlet(each)
1.00
5,725
>50 hp;absorb.unit, Minimum Permit Fee$72.80 SUBTOTAL: $
>1.75 mil.BTU
Ar handling unit to 10,000 ofm_ 656 --- _
All,handlingunit>10,000 cfrn A 1,170 6%State Surcharge $
Non-portable evapoiate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 448
Vent system no,Inti-ded in 656 r
appliance permit _
Hood served by meclra11cal exhaust 656 -� Other Inspections and Fegif:
Domestic Incinerator1,170 1 Inspections outside of normal business hours(minimum charge-two hours)
$62 50 per hour
Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee Is specifically Indicated (minimum charge-hall flour)
Other unit,including wood stoves, 656 $62.50 per hour
Inserts,etc. _ _ 3 Additional plan review required by changes,additions or revisions to plans(minimum
Gag piping 1-4 outlets 360 charge-one-half hour)$62 50 per hour
Each additional outlet 83 *State Contractor Boller Certification required for units>200k BTU.
TOTAL COMMERCIAL - "Residenrtcl A/C requires site plan showing placement of unit.
S
VALUATION: All New Commercial Buildings require 2 sets of plans.
I:%dsts\formslmech-fees.doc 12/26/01
t
CETY OF TIGA► D24-Heir
BUILDING 4Inspection Line: (503)639-4175
INSPECTION DIVISIO Business Line: (503, 639-4171 MST
BUP
Received Date Requested_ S — AM--_ PM — BUP
Location _—_ z L 3&_s Suite- —_ isilEa� 00_;'a"
Cortact Person .. Ph( ) PLM
Con!:actor �.� Ph( ) a 22 -52 SWR
BUILDING TenanUOwner LC C� 3 7
Footing ELC
Foundation Access:
Ftg Drain EL R
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -"
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - - -- -- - - -- — --
Fire Alarm
Susp'd Ceiling --
Roof
Final _-__--
PASS PART FAIL
PLUMBING
Post&Beam �-
Under Slab --. —•-
Rough-in
Water Service --
Sanitary Sewer
Rain Drains — — —
Catch Basin/Manhole
Storm Drain — - ---
Shower Pan
Other: -`-- -��
Final
T FAIL
MECHANlCA
Rough-1h
Lias Line
S Dampers --
in
T FAIL
AUXCTRICAL::�t
ery c --
Roogh•In
UG/Mab
Lnwb'oltage
F arm
K
PART FAIL
in Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
-A — F� Please call for reinspection RE:— Unable to inspect-no access
Fire Supply LinaAIDA
Approach/SidewalkD�t� -f+- Inspector-
Other:
ns ector_Other:
Final -- DO NOT REMOVE this Inspection record from tho Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503; 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received - - Date Requested_.. — AM i3ra -__-- BUP
Location 3 Ex-5— " eA-�J dea Suite - MEC
Contact Terson Ph( ) PLM -_--
Contractor-- -_ Ph(__ ) SWR _
BUILDING Tenant/Owner _ - ELC 3 ' DC))
Footing 1 ELC
Foundation Access:
Ftg Drain I`LR
Crawl Drain __ -_ ---
Post& Beam ! Notes: _
Slab InspectionSIT
Shear Anchors
Ext Sheath/Shear I
Int Sheath/Shear
Framing -- -- -- - --
Insulation
Drywall Nailing _-
Firewall
Fire Sprinkler _— -----___-- -
Fire Alarm
i Susp'd Ceiling - —----- - - _
goof r
Othor:
Final
!'SSS _PART FAIL _ - ------ - - .. --- -- -
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains ----- --- -�
Catch Basin/li'anhole -
Storrn Drain --
Shower Pan
Other: - _ —
F final -�_-_--
PASS_ PART_ FAIL
MECHANICAL --
Post& Beam-- -- -- --
Rough-In _
Gas Line
Smoke Dampers - ------ ------ -
Final - - --
PASS PART FAIL - ---- ----...-- -- -
ELECTRICAL -
Sem ice ---- ---- -__- __--_
Rough-In
UG/SI,ib - - --- —�- `-'-
Low Voltage
Ftfo\larm
P �PART FAIL Reinspection fee of$_ required before next inspection. Pay st City Hall, 113125 SW Hall Blvd.
$I Please call fo roi;�spection RE:— I� Unable to inspect-no access
Fins Supply Line ` ��y � T!
ADA r� f. _ (/
Approach/Sidewalk Date �� Inane , of /;• ____v ^� - Ext ___--
Other:
Final DO NOT REMOVE this Inspection record from the
PASS PART FAIL