6979 SW LOCUST STREET i
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60,79 SW Locust Street
CITY O F T I G A R D MASTER PERMIT
PERMIT#: MST2002-00250
DEVELOPMENT SERVICES DATE ISSUED: 5/30/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 06979 SW LOCUST ST PARCEL: 1S136AA-09200
SUBDIVISION: VENTURA ESTATES ZOKING: R-4.5
BLOCK: LOT:014 JURISDICTION: TIG
REMARKS: Construction of new SF detached residence. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.677 of BASEMENT: of LEFT: 9 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 41J SECOND: 1,500 of GARAGE: 664 at FRONT: 20 PARKING SPACES. 7
TYPE OF CONST. 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 5
VALUE: S 305,530.20
OCCUPANCY GRP: R3 BORM: 3 BATH: TOTAL: 3,17700 of REAR
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES. 5 DISHWASHERS. 1 FLOOR DRAINS. SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS.
TUBISHOWERS 3 GARBAGE OISP: 1 WATER HEATER&, 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K. BOILlCMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1
(;AS FURN>-100K: I UNIT HEATERS. HOODS: I OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: t PUMPIIRRIGATION: PER INSPECTION
EA ADD'L 50CSF: 6 201 - 400 amp 201 400 amp: id WIG SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR.
LIMI(ED ENERGY: 401 600 amp: 401 600 amp EA ADDL DR CIR: SIGNALIPANEL'. IN PLANT:
f tANU HWSVCIFDR: 801 • 1000 amp: BOt+ompe•100ov MINOR LABEL:
1000•amolvolt
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: 9VCIFDR>m225 A.: >800 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO S,STEREO: FIRE ALARM. INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL- OTHR:
HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
TOTAL FEES: $ 7,966.66
Owner: Contractor: This permit is subject to the regulations contained in the
WINGATE CORP. WINGATE CORPORATION Tigard Municipal Code,State of OR. Specialty Codes and
15840 S.POPE LANE. 15840 S POPE LANE all other applicable laws. All work will be done in
OREGON CITY, OR 97045 OREGON CITY, OR 97045 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 requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg N: LIC 94680 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 8, Pcst/Seam Structural PLM/Underfloor Framing Insp Gas Fireplace ElectriLil Final l
Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mec lanical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing inst Rain drarn Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection
Foundation Insp Footing/Foundation On Electrical Rough! Gas Line Insp Appr'Sdwlk Insp
Issued By : r_ __ Permittee Signaturrl
Call (503439-41175 by 7 00 p.m. for an inspection needed ft bus ss day
CITY OF TIGARD ------ -
SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-OU165
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/30/02
PARCEL: 1 S 136AA-1.19200
SITE ADDRESS; 06979 SW LOCUST ST
SUBDIVISION: VENTURA ESTATES ZONING: R-4.5
BLOCK: LOT: 014 _ _ JURISDICTION: TICS
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 detached residence.
Owner: _ FEEG___�____
WINGATE CORP. Type By Date Amount Receipt
15840 S. POPE LANE. —
OREGON CITY,OR 97045 PRMT CTR 5/30/02 ;2,300.00 27200200000
INSP CTR 5/30/02 $35.00 27200200000
Phone: 503-657-3300 Total $2,335.30
Contractor:
Phone:
Reg#:
Requimd Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer 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
J'Y
Issued by: �� _ Permittee Signature:(�'�
Call (503Y639-4175 by 7:00 P.M. for an Inspection needed the next LSusin6ss day
/i t s ..moi -'�j)r U %+•M' �� O�
Building Perndt Application
City of Tigard Dateru;eivcd: ' — 1'ermrtnu.:l, � ,. , � �r �(�
Address: 13125 SW Hall Blvd,Ti ard.O1,' 97273 Project/appl.no.: _ Expire date:
City of Tigard
Pnone: (503) fi39-+1171 i. Date issued: 13y r;y') Receipt no.:
Fax: (503) 598-1960 "U e r�rir.„ Case file no,: Payment type:
Land use approval: 1&2 family:Simple Complex: c
ILUJ I &2 family dwelling or accessory O Conunercial/industnal U Multi-family 14 New construction U Demolition
U Add ttion/alteration/replacement U'Icnant impnrw-mcnt .J Fire sprinkler/alatrn F)Other:
Job address: (j C �;t � Bidg. nc.: Suite no.:
Lot: 1 N Block: Subdivision +5-URA 1T'pt�l _ Tax mapJtax lot/account no.:
Project name: )
Description and location of work on premises/special conditions:, S"
Name: t NSC pts._ _
Mailing address: - 1 &2 family dwelling: 4,
City: r4 LIT StatcDZIP: Valuation of work........................................
Phone: (fl5� -3300 Fax: E-mail: No.of bedrooms/bathe...................
Owner's representative: c—r - Total number of floors f
Plwne: 3 Fax: E-mail: New dwelling area(sq.ft.) .........................
Garage/carport area(sq.fl.).........................
Name: �.vt1F- Covered porch area(sq.ft.) ......................... —_----_-`_--
Mailing address: Deck area(sq. ft.)........................................
City: State: KL: Other structure area(sq. ft.).........................
'hone; Fax: Email: CommerelOindustriaUmulti-family:
Valuation of work........................................ $ ----
Existing bldg.area(sq.fl.) ............. . .........
Business name:1Sq � New bldg.area(sq.ft.)
Starr: gyp; Number of stories....................
City: . ........ __—_
— Type of construction....................................
Phone: Fax: ma►I: Occupancy group(s): Existing:
CCB no.: - New: --
City/metro fic,ut7ficensed
ontractors and subcontractors are required to be
e the Oregon Construction Contractors Board under
Name: ORS 701 and may be required to be licensed in the
Address: where work is being performed.If the applicant is
City: Sta'x: 21P:
exempt r^;,licensing,the following reason applies:
� �
Contact person �Plim no.:
Phone: Fax: E-mail:
Name: Contactperson: Fees due upon application ........................... $
Address: _ Date received:
City: State: ilP: Amount received ......................................... $
Phone: Fax: I E-mail: Please refer to fee schedule.
1 hereby certify 1 have read and examined this application and the Nut all iurisdicuau acnep credit cards,please call Jurisdiction for mase intarmsisim
attached checklist.All provisions of laws and ordinances governing this U Visa U Mutercard
work will be complied with,w thcr s herein or not. Credit card number: -- p/—
Authorized signaturtF,` - ��--J Date: t ___._ Name d rts
carctwlder ai nbown on credit esti
$
Print name: J — ---- Cardbuldm at are
Notice:This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. 4404613(6A)WCOM)
Mechagoical Permit Application
Date received: Permit no.:
City of Tigard Project/appl.no.; Expire date:
City ojTigard Address: 13125 SW liall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171 —"
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
t
U 18t:2 family dwelling or accessory U C'onimercial/mduslnal U Multi-family U Tenant improvement
XNew construction U Addition/alteration/replacement U Other:
Job address: al �; t_cc..v y ; Indicate equipment quantities in boxes below.Indicate die dollar
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax mall/tax lot/account no.: profit.Value$
Lot: 114 1131ock: Subdivision: 6wr•1Ty f;ri See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee
City/county. 1 A ZIP: Z,?,
Description and locatioll of work on premises:j5F0_ IN!WON 1111116
Fee(ea.) Total
Est.date of completion/inspection: Ile+cricion Q(y. Res.onl Res.onl
Tenant improvement or change of use: '
Is existing space heated or conditioned?U Yes U No Air handling unit CFM
Air conditioning site plan required)
Is existing space insulated?U Yes CJ No Alteration of existinb HVXr system
of ercompressors
Business balite: nn (1 �-, (f �.1 r J State boiler permit no.:
�—
t7 ---- --. _L HP Tons BTUAI _
Address: EiObO SF QMy_l� 4 Fire/smoke dampers/duct smoc detectors
City: C.+._Ac_*_Aj- AS I State: ZIP: Heat pump(site p an required) -
Phone:6%-75alo Fax: E-mail: Install/replace furnace/burner liTU/H
CCB no.: — Including ductwork/vent liner U Yes U No -
(gam 4 nsta rep ac re ocate eaters-suspen ed,
City/metro lic.no.: _ wall,or floor mounted
Name(please print): [A2-4 le—A 'F e-Z).I7- Vent for a i lance other than furnace
c genu on:
Absorption units BTU/H
Name: SAn Chillers. HP _
Address: Com reitsors___._ HP
nr rocunenla exhume and ventilation:
City: State: ZIP; Appliance vent
Phone: Fax: E-mzil: Dryerexhaust
Hoods,Type res.kitc 1e azmat
on hood fire suppression system
Name: Exhaust fan with single duct(bath tans) _
Mailing address: x ousts stem a an from heating or C
City: _ State: 7.1P: uel piping n oo up to 4 outlets)
Ty x; LPG NO (til
Phone: Fax: E-mail: Fuel pipingeach additional over 4 outlets
Process piping(schematic required) _
Number of outlets
Name: Other r([sled appliance or equipment:
Addis a: Decorativefire lace
City: State: ZIP: Insert-t —�
! X': Fax: E-mail Woodslovetpellet stove
Applicant's signature < IJatc,r ter
Name(print):
Nd all Jurisdkse a
tiau acrep credri cards,please jurisdiction for brave iNamation Permit fee.....................$
(3 Visa U MaticrCard Notice:This permit application Minimum fee................$ _
Credit card number: expires if a permit is not obtained Plan review(at _ %) $
Expires within 1110 days alter it has been
N�aie or rai lwrldrr asinown on crani card accepted as armpletc. Stale',Urcharge(8%)....$
s TOTAL .......................$
11 Cardbo1&i sisignature Amount 410-4617(60hC('Ni
Electrical Permit Application
Dalereceived Permit no.:iiiiT'.
City of Tigardt'tojecUappl.no.: Expire date:
CiryoJDgard Address: 1312.5 SW liall Blvd,Tigard,OR 117"I Date issued: - By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval:
111111 UxU a la
U I &2 family dwelling or accessory U Commercial/industrial U Mu1U-family U Tenant improvement
New conswcdon U Addition/allerition/replacement U Other: _ U Partial
Joh address: 4pq ,.A.) L-T%C �- • _ Bldg. Suite no.: Tax map/tax lot/account no.:
IArt: Blcxk: Subdivision: S - — —y-
Project names Descr,ption and location of work on premises: r1— --
Estimated date of co m letirnt/inspec•tion --
t I
Job no: I tr MAX
Business name_ -X��MFS �L t Description (•1ty. (ra) l utal no.in+r
New residential-single or multi-family per
Address: (� _ '_ dwelling unit.lin.ludesaltacltr•dgaragr.
City: Nr4l1 y! I Stater] ZIP: Servkvincluded:
Phone: Fax: I E-mail: I0OO sq.11 or less 4
CCB nu.: 4_3q 3 S Elec.bus.lic.no: Hach additional 500 sq.It or porn it thereat
Limited energy,residential 2
City/metro tic,no.: Limited ener ,non-residential L 2
A'►.AA,,�_ 1511Q i:. Each manufactured home or modular dwelling
Sign lure ol'supery i g electrician(re aired) 1)ule I Service and/or feeder 2
Su elect.name(print) D Qy Serricesorfeeders-installation.
P (P M/G I��a.t Gr w�C QLicense no: 3Z.IC- alteration or relucatlon:
t 2(x1 at s or less 2
Name(print): 201&trips to 400 amps 2
Mailing address: — 401 amps to 600 amts_ 2
601 amps to 1000 amps 2
City: Stale: _ ZIP: Over 1000 amps or voles 2
Phone: Fax: E-mail: Reconnectonly I
Owner installation:The installation is being made on property I own 11empo ari services or feeders-
which is not intended for sale,lease,rent,or exchange according to Installatiar,alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps or less 2
201 amps to 400 amps 2
Owner's si mature: Date: 401 to 600 ams 2
OLM 101 Branch circuits-new,alteration,
Name: or extension per panel:
_ A. Fee for branch circuits with purchase of
Address: servict or feeder fee,each branch circuit 2
City: _ dale:_ ZIP: B. Fee for branch circuits without purchase
- of service or feeder fee,first branch circuit: 2
Phone: E-mail: Each additional branch circuit
RIEKM=lMisc.(Service or feeder not Included):
O Service over 225 a ips•eommcrcial U Health-care facility Each pump or Engauun circle 2
U Service over 320 amps-rating of 1&2 U Haaardouslocation Fisch si n or outline lighling 2
fanuly dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel.
U System over 600 volts nominal more rasidential units in one structure alteration,or extension* 2
U Building over three stories U Feeders,400 amps or note •Lesch nn•:r
U(kcupam load over 99)reasons U Manufactured structures or RV park titch sAitlomd hupedlon over the allowable in any of the above:
U Egress/lightingplan U Other: . Per rrs echun
Submit`sets of plans with any of the above. Inver ti ag lion te:
11te above are tot applicable to temporary condruction service. or:ter
Nor dl junsdretioru accept credit cards,please call juna ktion for mute inlor inatitorr Notice:This pend)application Permit fee..�l........s
U Vtas U MasterCard expires if u pemtit iE not oblain+:d Plan review(at _ %) $
Craar card number _ within 180 days after it has been Stale surcharge(896) ....$
Name carulr u ahawn un c l crd _
E,piret aa .......................
;epted as complete. TOTAL $
$ _
Carrlltdrler signature Amount
W4615(MOCOM)
Plumbing Permit Application
City of Tigard Date received: Permit
Address: 13125 SW Hall Blvd,Tigard.OR 97223 Sewer permit no.: Building permit no.:
Gly of Tigard Phone: (503) 639-4171 Pro ecUa I.no,:
J PP Expire date:
Fax: (503)598-1960
Date issued:
By: Receipt no.:
Land use approval: Case file no.: Payment type:
U 1 &2 family dwelling or accessory U Commercial/indusuitd U Multi-family U Tenant improvement
$(New construction U Addition/alteration/repla(enierit U I'o(xJ service U (�rhrr
Job address: Sj L-Ue�, Ik�scn tion (r'. Fee(ea. Total
Bldg.no.: Suite no.: New 1-and 2-Willy dwelling;~only: _
Tax map/tax lot/account no.: --- (Includes 101)0.for each utltity connection)
Lot: 1 Block: Subdivision: -- - _ S►'k(1)bath —
'FR(2)bath ----- -- - —
Project name: SFR(3)bath - -
City/county: Zip: - _
additional hath/kitchen
Description and Location o work on premises: SitetlltWtles:
Catch basin/area drain
Est.date of completion/inspeclion: D wells/leach I1111Z Dench drain
40041drain(no.lin. -
Business name: Manufactured home utjliUes -
Address:
�`�rY1I�t N�-- Manholes --
-�--_�� _ Rain drain connector
City' State. A ZIP:9 RL 6 I Sanitary sewer
Phone: _4 Z I�ax: E-mail: Storm sewer(no.lin.ft.)
CCB no.: 2 fo Plumb.bus.reg.no: Water service(no.lin. t.)
City/metro lic.no.: ffillure or Item:
Contractor's representative signature: Ahso uon valve
Print name: 1 Back flc,w preventer
t�rTI�'rt`: r �' 7 74
Backwater valve
_Basinslavatory
Name: Clothes washer
Addiess: _ Dishwasher
City: State: ZIP. Drinkin fountain(s)
Phone: _ Fax: F-mail: E•ectors/sum
Expansion tank
Fixtur►/sewer cap
Name(print): Floor drainsJllcwi—sinks/hub
Marling address: (Jarba a disposal -
City: State: ZIP: Hose bibb
Phone: Fax: E-mail: Ice maker
lnterce tor/ tease try
Owr:er installatiorliresidential maintenance only: The actual installation Primers)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property 1 own as per ORS Chapter 447. Sin (s), asin(s),lays(s)
Ownces signature: _ Date: Sum _ —
Tubs/shower/shower pan
Name: Urinal
Address: �_- _ Water c oset
Cit Water heater
Y: State: ZIP: Other:
l Phone: _ Fax: E-mail: Total
Not all jwidicuw%sxgx ct"I cattle,pkM eau hrt.alctton for awe iafornutx n Minimum fee...... .........$
O Visa U MasterCard Notice:This permit application —
Credii card oamtkr i expires if a permit is not obtained Plan review(at 96)State surcharge(896)....$
_ - - within Igo days atter it has been $
Name d cardlroldu u shown m pp-1 cud accepted as complete. TOTAL ...................... s
- Cardtgldar Aawuot -
4"16(60WCiDM)
1�
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S
e C�
SCALE: 1" - 20' tea'`;
cia 00'
v�� 5
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'log
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-4
76'
S.W. LOCUST ST.
WINGATE COIRPORA11ON
15840 S. HOPE LANE
OREGON CITY,OREGON 97045
50357. 300
N, �O�IAPAS� ENQINEERING LOT 14, 'VENTURA ESTATES'
_---�--�-- CITY OF T,c:�
E1;w�.cR�NG SURVEYING PLANNING
MU U V,1Q MAD
COUNTY, ORGGf.1
8 YILWAIM F,OREGON Y'722 r pt
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST 00?-Sd
INSPECTION DIVISION Business Line: (503)639-4171
BLIP -__-
Received — Date Requested.- _ J�._._ AM_ _- PM -- -- 13UPLocation - (q -7 j Suite_. T_ MEC _
Contact Person __ .� iPh(___ �) � =' gra_. PLM
Contractor --_ Ph ( ) - -- SWR
BUILDING Tenant/Owner _ ELC
Footing ELC
Ft
Foundation
ACCP,SS: ��I,_
g `d� ,F ' IV ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -
Ext Sheath/Sheai
Int Sheath/Shear
Framing
Insulation
Drywall Nailing --_--- -- --__ __�
Firewall
Fire Sprirkler - -
Fire Alarm
Susp'd Ceiling - -- --------—
Roof
Other: —
rin )------
ASS PART FAIL -- - - - r— —
i
am
Under Slab
Rough-In
Water Service — -- -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
O �
Fin
SS PART FAIL_
- - - ---- —
ME HANICAL__
Post&Beam
Rough-In
Gas Line
Smoke Dampers
" PART FAIL
TRI_CA L
--
Service _
Rough-In
UG/Slab
Low Voltage _
Fire Alarm
Final i J Reinspection fee of$._ required before next inspection. Pay at C'+.y Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ -] Please call for reinspection RE: _ Unable to inspect-no access
Fire Supply Line ?? 11 7
ADA
Approach/Sidewalk Bate► Inspector _ _-----_-._-_Ext _-_-.-
Other:
Final DO NOT REMOVE this Inspectlon record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST G -0 L) Z
INSPECTION DIVISION Business Line: (503) 639-4171
{� BUP -- - - --
Received -___- Date Requested v S _ AM _ PM — BUP
Location?� .Scv SGS'g_- Suite__-__ - __,. MEC
( —) y - -
Cc^tact Pelson 5!C4 Ph �8 E6PLM� - ---
Contractor--. ----- Ph(—____ ) SWR
QL
N�m — Tenant/Owner _- _ - ELC _
Footing ELC _
Foundation Access:
Fig Drain ELR
Crawl Drain —
Slab . Inspection Notes: SIT
Post&Beam
Shear Anchors -
n Bath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Other -
Fire
r8S PART FAIL
Post&Beam
Under Slab -
Rough-In
Water Service -- -
Sanitary Sewer
Rain Drains - - -- - - --
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other: _ --
Final —
PASS PART FAIL -
MECHANICAL __—
Post&Beam
Rough-In ---
Ras Line
Smoke Dampers -- --- --- - -- — —
Final
PASS PART FAIL
Fire Alam _�.-------- — --- — — _
Fi ��� Reinspection fee of$_ __ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
Please call for reinspection RE:__ _ ___ __._T [— Unable to Inspect-no access
Fire Supply Line
ADA Date __ v —1_Sl!42lnsp.Ot�t:.[._ I E--
Approech/Sidewalk
Other:
Final UO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL