12735 SW MARIE COURT-1 WOO 91JOW MS 9£LZ 6
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12735 SW MARIE CT
��D MASTER PERMIT
CITY OF TIGA � -
PERMIT#: MST2003-00098
DEVELOPMENT SERVICES DATE ISSUED: 11;24/2004
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
SITE ADDRESS: 12735 SW MARIE CT PARCEL: 2S104AD-00500
SUBDIVISION: BELI_WOOr ZONING: .1-4.5
BLOCK: LOT: oto JURISDICTION: TIG
REMARKS: Addition of 100 square feet of space to front of house.
11/24/04: This permit is reinstated for purpose of final inspection for a period of 30(lays
BUILDING
REISSUE: CUSTOM STORIES: I _ FLOOR AREAS REQUIREO 3EIBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 1 I FIRST: 80 of BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y
TYF OF USE: SF FLOOR LOAD: 40 SECOND: of GARAGE: of FRONT: IS PARKING SPACES:
TYPE OF CONST: NONE DWELLING UNITS: I rHRIY a/ SIGHT. 5
VALUE: 9,90400
OCCUPANCY GRP: RJ BDRM: BATH: TOTAL: 80 ofREAR: 15
PLUMBING
SINKS. WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN Dk`1N: TRAPS.
LAVATORIES: DIRHWASHFRS: FLOOR DRAINS: SEWER I,INES: SF RAIN')RAINS: CATCH BA31NS:
TUBISHOWFP.S: GARBAGE DISP: WATER HEATERS: WATER LINES: BC1'FLW PREVNTR: GRE,%SE TRAPS:
OTHER FIXTURES:
MEC HA 41CAL —�
FUEL TYPES FURN<100K: BOIUCMP'3HP: VENT,ANS: CLOTHES DRYER:
FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS-
MAX
NITSMAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
_ ELECTRICAL
RESIDENTIAL UNIT _3ERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS_ ADU'L INSPECTIONS_
1000 SF OR LESS: 0 - 200 amP: 0 - 200 amp: WISVU OR FOR: PUMP/IRRIGATION: PER INSPECTION.
EA ADD'L 500SF: 201 400 amP: 201 -400 amp, tet V/OSVOFDR: M SIGNIOUT LIN LT: PER HOUR-
LIMITED ENERGY: 401 8GJ amp. 401 -a00 wnp: FA ADDL OR CIR: I w SIGNALIPANFL: IN PLANT:
MANU HM/SVC/Fl-R: 801 1000 amp: 901+amps-1000 v: MINOR LABEL:
1000.amplvolt
PLAN REVIEWSF.CTION _
Reconnect only:
>•4 RES UNITS: SVCIFDR>=225 A: >800 V NOMINAL CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL S.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAr ALARTM: OTH: BOILER: HVAC: LANDS(.APEIIRRIG: PROTECTIVE SIGNL•
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: D.ATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 401.27
This permit is subject to the regulations contained in the
ABRAHAMSON, BRUCE Q OWNER Tigard Municipal Code, State of OR.Specialty Codes
AND SHERRY L and all other applicable laws All work will be done in
12735 SW MARIE CT accordance with approved plans. This permit will expire
TIGARD,OR 97223 if work is riot started within 180 days of issuance,or if the
d' work is suspended for more than 180 days.
��.. Phone: Phone: ATTENTION Oregon law requires you to follow rules
N adopted by the Oreqon Utility N•)tification Center, Those
Rep N: rules are set 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.
m REQUIRED INSPECTIONS
W Footing Insp Shear(Nall Insp Final Inspection
Foundation Insp Exterior Sheathing Inst
Slab Insp Insolation lnsp
Electrical Rough In -Rain drag.Insp
Framing Insp Electrical Final
s > a Permittee Signature :. -0 ^f7161�L�
Issued By : `�_�i�= _,�_ _
Call 503)639-A175 by 7:00 p.m, for an inspection needed the next business day
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Building Permit AiDolicatiun
Received Building �y
Dale/By. 7 / r7 J I ` Permit No.: 1/S�j CC�3-QCt'3'?s
Planning Approval Other
City of Ti and
g F Dale/ : Permit No.:
3125 FEC::, D D�
SW Ilall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: M.6V 5'a -Q3 Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review I,rmd Use � (7
Datc/By_ _case No.
Internet: www.ci.tigard.or.us r/jA(} Contact __ontact Juris.: See Page 2 for
24-hour Inspection Request: 503-639-4175, OF TIUARD Name/Method: r Supplemental Information
BUILDING DIVISION
TVI'E OF WORK REQUIRED DATA:
New construction _ _ I El Demolition 1 &2 FAMILY DWELLING —
Addition/alteration/re�ilacement Other: — ..
_ _C_A'1 EGORY OF F CONSTRUCTION _ Note: Pcrmit fees*are based on the total value of the work Performed. Indicate
I &L 'itrltl dvvcI n�-- Coirlmerclal/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
----Y---- - overhead and profit for the work indicated on this application.
Acceo Building _ Mufti-Family _ ��� '0
ss
Ma;ter Builder Other: Valuation......................................................... S
JOB SITE INFORMATION and LOCATION No.of bedrooms:— No.of bathe:
.lob site address: I L• 55' �w /►'1�l 1 E GT" Total number of floors.....................................
-- New dwelling area(sq.fl.).......ONO..............
Suite#: Bld ./A t.#: Garage/carport area fl.
Project Name: A x14 ti Aw--00 Covered porch area(sq.fl.).............................
Cross street/Directions to job site: Deck area(sq. ft.)............................................
4 1? Other structure area(sq.A.)............................
REQUIRED DATA: -
COMMERCIAL-USE CHECKLIST
Subdivision: _ Lot#: -
Tax map/parcel #: Note Permit fees*nre based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application
d Fac N7 o _Bas.5E
Valuation......................................................... S
�— Existing building area(sq.ft.).........................
New building area(sq.ft.
Numberof stories. ..........................................
ROPERTY OWNER TENANT• ,. Type of construction.......................................
e: SpjLLe l G14C-e«•1 (Abrt,pRrt-,14A) Occupancygroup(s): Existing:
I`!ew:
Address: lZ4gS -3r^igz4f c-T' --
City/State/Zip ,-r;y A�c0? CO- T}7-2 3
Picone: o O Fax- S I p_y p(o NOTICE: All contractors and subcontractors are required to be
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name from licensing,the following reason applies:
Address: �- --- -- --
a
City/State/Zip: ---- — —__. --__----- --- --- ---
_ - —
Phone: Fax:
W,.
_-— -_ — BUILDING PP MIT FEES*
J_.._.T--
E-mail: CONTRACTOR Please refer to fee schedule.
.J —— -- —
mBusiness Name: (,"w J/E Fees due upon application.............................. S
WAddress:
-� City/State/Zip -- Amount received.............................................
Phone: — �ax:— !—_ Date received:
CCB Lic. #: _ --- -
Authorized Notice: This permit application expires If a permit Is not obtained wkhtn
Signature: _ ti ^w �- -_, Dater Igo days atter It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
(Please print name)
ODsts\Permit Forms\BldgPermitApp.doc 01103
One-and Two-family Dwelling
Building Permit Application Checklist 7Reference
f.
no.:ed per
mits
CiryoTigard Of Tigard ical
U Plumbing U Mechanical
Address: 13125 SW(loll Blvd,'hpard,01R 97221 UOther
Phone: (503)639-4171 --
Fix: (503) 598-1960
'I IIF I 0110WING fl-ENIS Ai4E IRFIQUIRF][11i 1`01UPLA NIIIA 11 ROLM
t
1 Lind use actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
1 Verification of approved plotllot.
4 Fire district approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Solis report.Must carry original applicable stamp and signature on file or with application. _
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc. _
10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable icc+il and state
building codes. Lateral design details and connections must he 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 completed
If copyright violations exist.
I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is more Ulan a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and
driveway;footprint of strucurre(including decks):location of wells/septic systems;utility locations;direction indicato.,!ai
area;building coverage area;percentage of coverage;impervious arra;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and detalls.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc. _
15 Elevation views.Provide elevations for new construction;minimum 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.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards
17 Floor/roof framing.Provide plans for all fl(x)rs/roof assemblies,indicating member sizing,sl.acing,and bearing
locations.Show attic ventilation. _
i 8 Basement and retaining walls.Provide cross sections and details showing placement of rrbar. For engineered
systems,see item 22,"Engineer's calculations." _
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
a I over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas piping schematic is require(+
for four or more appliances. __
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
_J architect licensed in Oregon and shall be shown to he applicable. to the project under review.
m
W 23 Five(5)site plans are required for Item I I above. Site plans must be 8-1/2"x 1 I"or l i"x 17".
W
J 24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 4404614(~'OM)
Electrical Permit Application Received Electrical
Date/B : Permit No.:
CityCit of Tigard C _ V L Planning Approval Sign
g Date/By: _ Permit No.: _
13125 SW Hall Blvd. R C�J Plan Review Other
Tigard,Oregon 97223 Datenl : Permit No.:
Post-Phone: 503-639-4171 Fax: 503-598-1960 1h( 1(J.� Datc/ y. Case No.:I` - Date/D Case No.:
Internet: www.ci.tigard.or.us D Contact loris.: See site 2 for w
24-hour Inspection Request: 503-639-4175 CI I Name/Method: _ Supplemental Information.
BUILDING DIVISION
_ T1TF,OF WORK PLAN REVIEW Iwse check sill thatilippI
New construction _ Demolition Service over 221 amps- LJ health-care facility
— — commercial ❑Hazardous location
El Addition/alteration/re lacement Other: ❑Service over 320 amps-rating of ❑Building over 10,0(10 square feet,
CATEGORY OF CONSTRUCTION 1 &.1 family dwellings four or more residential units in
1 &2-Family dwelling Commercial/Industrial System over 600 volts nominal one structure
— ❑Building over three stories Q Feeders,400 amps or more
Aeeess0 BUlldln Multi-Family 0 Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder F1 Other: ❑Egmss/lighting plan ❑Other:
JOB SITE INFORMATION and LOCATION Submit sets of plans with any of the above.
— ---- The above are not applicable to tem orar construction service.
Job site address: 11 13-,- 5 /h A►?r' ' CT __ _ M6SCHEDULE
Suite#: Bld ./A t.#: w Number of Ins ectlons per permit allowed
Project Name: ASO t/ Description Qty Fee(ea.) Total
New residential-single or multi-family per
Cross street/Directions to Job Site: dwelling unit.Includes attached garage.
W in, 1 N + I $ " Service Included:
1000 sq.n.or less 145.15 4
Each additional 500 sq.fl.or portion thereof 33.40 1
LOt#: Limited energy,residential 75.00 2
Subdivision: _ Limited energy,non residential 75.00 2
Tax map/parcel #: Each manufactured home or modular dwelling
D CRIMON OF WORK service end/or feeder 90.9(1 2
Services or feeders-Installation,
alteration or relocation:
200 amps or less _ 80.30 2
2
106.85
401 amps to 670 amps 160.60 2
PRP OWNISR TENANT a01 amps to 1000 amps 240.60 2
Over 1000 amps or volts 454.65 2
. Narne: . 54i,/LLd S+I Ya�� w w a verso u Reconnect only 66.65 2
Address: 12--A 31L -5 1r4!r E C T Temporary services or feeders-Installation,
7 p alteration,or relocation:
City/State/Zi Q� le. T 2z 7 200 amps or less 66.85 1
Phone: t F3X: 201 am to 400 amps 100.30 2
Xyea— ?-� b 401 to 600 amps 133.75 2
APPLICANT CONTACT PXRSON Branch circuits-new,alteration,or
Name: extension per panel:
A.Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 6.65 2
City/State/Zip: Y _ B.Fee for branch circuits without purchase of
service or feeder fee.first branch circuit 46.85 _ 2
Phone; aX: Each additional branch circuit 6.65 2
E-mail: Misc.(Service or l-eder not included):
d CONTRACTOR Each um or irrigation circle 53.40
Each sign or outline lighting _ _ 53.40 _ 2
I— Job No: _ _ Signal circuit(s)or a limited energy panel,
Wo --- alteration or extension P 2 2
Business Name: _�^ Description: -- --
Address:
Each additional inspection over the allowable In any of the above:
m —City/State/Zip: Per inspection pef hour min. I hour 62.50 1 _
t7 Phone: Fax: -investigation fee: _
CCB Lie. #: Lic. #: — Other:
,,.
Supervising electrician Subtotal S
signature required: Plan Review(25%of Permit Fee) $
Print Name: �ic. #: _— State Surc_h_arge(8%of Permit Fee S
TOTAL PERMIT FEE S
Authorized (� Notice: This permit application expires If a permit Is not obtained within
—
Signature: '� Dali _G. 180 days after It hes been accepted as complete.
n „
*Fee methodology set by Trl-County Building Industry Service Board.
(Please print name)
is\Dsts\Permit Forms\FlcPermit%pp.doc 01/03
Electrical Permit Application -City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
F.?SIDEN l7A WORK ONLY:
Vrefor all systen. ............................................................ S75.00
Check Type of Work evolved:
ElAudin and S co Systems*
EJ Burglar Alarm
Oarage Door Ope.
Ileafing,Ventilation and Air Conditioning System*
LI Vacuum Systems*
COMMERCIAL WORK ONLY:
Fee for each system.......................................................... $75.00
(SEC OAR 918-260-260)
Check Type of Work Involved:
ElAudio and Stereo Systcros
ElBoiler Controls
El Clock Systems
El Data Telecommunication Installation
U hire Alarm installation
CI HVAC
instrumentation
ED Intercom and Paging Systems
landscape Irrigation Control*
Medical
Nurse Calls
tL
fY ❑ Outdoor Landscape Light:ng*
I—
tn
Protective Signaling
n Other
Number of Systcros
W
—j No licenses are required. Licenses are required for all
other installations
is\Usts\Pcrmit forTm\ElcpermitAppPp2.doc 01/03
CleanWater Services
RECEIVED
MAR 12 2003
CITY OF TIGARD
March 5, 2.003 BUILDING DIVISION
Bruce Abrahamson
12735 SW Marie Ct.
Tigard, OR 972.23
RE: Addition to single family residence located at 12735 SW Marie Ct.,
Tigard, OR
CWS file 2755 (Tax map 2S104AD, Tax lot 00500)
Clean Water Services has received your Sensitive Area Certification for the
above referenced site. District staff has reviewed the submitted materials
including site conditions and the description of your project (see attached site
plan). Staff concurs that the above referenced project will not sigi.:ficantly impact
the existing sensitive areas found near the site. In light of this result, this
document will serve as your Service Provider letter as required by Resolution
and Order 00-7, Section 3.02.1, and your Stormwater Connection authorization
from Clean Water Services as required by Ordinance 27, Section 4.B. All
required permits and approvals must be obtained and completed under
applicable local, state, and federal law.
This letter does NOT eliminate the need to protect sensitive areas if they are
subsequently identified on your site.
If you have any questions, please feel free to call me at 503-846-3553.
Sincerely,
a
J Chuck Buckallew
9p Environmental Plan Review
0
W Site plan attached
FADevelopment Svcs\SP 00-7\('oncurrencc Letters\2SI04AD00500-no impact to water gwdity.doc
155 N first Avenue, Suite 270•Hilfsboro, Oregon 97174
Phnno. m n71 R4F_RF?1 • Far mn71 R4F-iq?r 6%AnnnA$rloanusAtPrcorviroc nrn
Permit #: m6r;;p0.3`0009 9
Adrdby:
—
Isst Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note. Oregon Law, ORS 701.055(4), requires residential construction permit appli-
carr,N who are not registered with the Construction Contractors Board to sign the
follo►ring statement before a building permit can be issued This statement is required
fir residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt.from registration under OR,S 701.010(7),
need not submit this statement. This statement will he filed with the permit.
Fill in the appropriate blanks and initial boxes i and 2,and either box 3A or 3B:
1. 1 own., reside in, or will reside in the completed structure.
2. 1 understand that i must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
(� 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
313. 1 will be my own general contractor.
a
at if 1 hire subcontractors, i will hire only subcontractors registered with the Construction Contractors
N Board. If I change my mind and hire a general contractor, F will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
m
hereby certify that the above information is correct and that I have read and do understand the Information
Notice_ta,Property Owners about Construction Responsibilities on the reverse side of this form.
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
1 �
RECEIVED
i MAR 12 2003
_ CITY OF TIGARD
BUILDING DIVISION
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (50 )639-4175 INSPECTION
INSPECTION DIVISI6N Business Line: (5 )639-4171
BUP
Received _Date Requested �� — �' _ M—r— PM— BUP
Location Suite.--- - MEC —
Contact Person ____ — Ph( _) _. PLM
Contracto __ Ph( ) __ SWR _
Tenant/Q%Vner) � ��-e S_3!�- 7/ aC�_. ELC —
Footing ) ELC - -
Foundation ACcesa: �. "14 L /VV-r
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: s c-' - SIT —
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear , �' �,Cti. 1
Framing - - -
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceilin� - ----
Roof 4/,_ -_ --
PASS- PART FAIL
LU INGt -__-- - _
Beam
Under Slab - -
Hough-In
Water Service - -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain ` --
Shower Pan F!
Other: �-
Final _
PASS PART FAIL - -
M_ECHANICI,'_ A --
Post&Bearr
Rough-In ---- ---
[L Gas Line
Smoke Dampers - - --- - ------
Final
N PASS PART FAIL -- --
ELECTRICAL __ ---__---- -- --
J Servi-e
Ln Rough-In
0 UG/Slab
W Low Voltage
Fire Alarm
i-inal Reinspection fee of$ -__ required before next Inspection. Pay at City Hall. 13125 SAN Hall Blvd.
PAS. PART FAIL
SITS__ F1 Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA Date Z' Z--40• C::)
Approach/Sidewalk -7-- -- -ffxt----
Other: _
Final — DO NOT REMOVE thls inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour #
BUILDING InspectloJn (503) MST
INSPECTION DIVISION Busine (503)639-4171
BUP _
Received - Date Requested_ a`�AM PM BUP
Location 7 3 ,2 — - —Suite MEC ---
Contact Person Ph( ) 3 —4• ��Q PLM
Contractor Ph(— ) SWR —
BUILDING
_ Tenant/Owner - ELC
Footing ELC
Foundation Access: ELR
Ftg Drain ��y` � ,K -�
Crawl Drain Sr _
Slab Inspection Notes: -
Post&Beam
Shear Anchors
ExtSheath/Shear ----' -�-
Int Sheath/Shear -_—
FrF.ming
Insulation
Drywall Nailing -----r -7�-
Firewall -
Fire Sprinkler _
Fire Alarm — _ -
Susp'd Ceiling --
Roof --
Other: ----------
Final --Final _
PASS PART FAIL
PLUMBING —
Post&Beam
Under Slab - -
Rough-In —
Water Service --- --�
Sanitary Sewer —_
Rain Drains -
Catch Basin/Manhole -
Storm Drain
ShowerPan ---
Other:
Final _
PASS PART FAIL
_MECHANICAL — ---�-
Post&Beam _
Rough.-In ---
a Gas amine ------
aC Smoke Dampers -
F- Fint.l
U) PASS PART FAIL --
ELECTRICAL --
-j Service
PD Rough-In —
UG/Slab
J Low VoltageFire-Alarm
Wn - F] Reinspection fee of$ required before nex!inspection. Pay at City Hall, 13125 SW Hall Blvd.
RT FAIL Please call for reinspection RE: _ Unable to Inspect--no access
Fire Supply Line
ADA pato Inspector_ Rixt
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record m the job site.
PASS PART FAIL