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Home My WebLink AboutALL DOCS & CO - 10-00306 - Henderson Apartments - Bldg #2, 24 Units0 o CI'T'Y O F REXBURG Americas Ewy ihr community Certificate of Occupancy City of Rexburg Department of Community Development 35 N. 1st E. / Rexburg, ID. 83440 Aria 359 -3022 Building Permit No: 1000306 Applicable Edition of Code: International Building Code 2006 Site Address: ** No Situs Address Information On File ** Use and Occupancy: Henderson Apartments Building #2 Type of Construction: Type V, non -rated Design Occupant Load: N/A Sprinkler System Required: No Name and Address of Owner: Henderson W R Etux P O Box 190 Rexburg, ID 83440 Contractor: Headwaters Construction Company Special Conditions: Occupancy: Residential - 3 or more units primarily permanent in nature (apts) This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that was inspected on the date listed was found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. to Date C.O. Issued: C.O Issued by: There shall be no further change in the existing occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Plumbing Inspector* Fire Inspector: Electrical Inspector P8Z Administrator - 4 1 n )n� r-mk, oQ � a. o � — an 1 �e_� __" 0X Building Official .�tsut ;R, C1 V OF �. i. REXBURG ;lry ?eriut Fi1F' lily C'c +entrr;avrit� COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION 35 N l st E, REXBURG, ID 83440 208 - 372 -2326 PARCEL NUMBER: SUBDIVISION: _(We will provide this for you) UNIT# BLOCK# LOT# i s b ased on the info rmation - must be OWNERNAME• BVH I LLC (W. R. Henderson) CONTACTPHONE # (208) 356 -0764 PROPERTY ADD PHONE #: Home ( Northeast Corner of 7th Sout and 2nd West N/A OWNER MAILING ADDRESS Work (208) 356 -0764 Cell PO4 351 -2674 P.O. Box 51298 EMAIL kelly @wrheon.com FAX (208) 356 -9972 CITY: Idaho Falls STATE: ID ZIP: 83405 APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act APPLICANT INFORMATION: ADDRESS STATE; ZIP PHONE #: Home ( CONTRACTOR Headwaters Cons MAILING ADDRESS: 175 So.. 2n PHONE: Cell# (208) 313 -1058 EMAIL lbingham @headwaterfi5 _eo,3 W How many buildings are located on this property? Please Com the Entire Application! If the question does not apply fill in NA for non applicable must accompany this application.) CITY: Cell ( CITY Rexbur 208) 787 -8040 TION # & EXP. DAT Five TATE ID ZIP 83440 Fax# (208) 787 -8017 F RCE2339 12/14/2010 Did you recently purchase this property? No Yes (If yes, list previous owner's name) M Is this a lot split. NO YES (Please bring copy of new legal description of property) PROPOSED USE: Henderson BYU -I Approved Student Housing (i.e., Single Family Residence, Multi Family)A artments Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb certif that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The building official y revoke a permit on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the application or the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. L - - - - - 08 / 12 / 2010 ur Signate of Owner /Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING - BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning )annarvL 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear** Building Safety Department City of Rexburg 35 N 10 E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 C t C Y O F R ERG C%V Americas family (byn iTiff nit) Affidavit of Legal Interest State of Idaho County of Madison I, W. R. Henderson , Name Rexburg , City Being first duly sworn upon oath, depose and say: P.O. Box 376 Address Idaho State O�'' �4,SBUkO 7 U r (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herin or as to the ownership of the property which is the subject of the application. Dated this 13th day of August , 20 10 Signature Subscribed and sworn to before me the day and year first above written. 0 .•e �„ ° �'� Not ry Pulic of Idaho 4 w ♦ _ R r� u of q Residing at: Rexburg, ID � My commission expires: 02/28/2012 Building Safety Department City of Rexburg 35 N 1s E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 REXBURG COW ii71rCY}Ct7Y TYI75t: )l' :,dl /1YFiCQ Y32t }' Property lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these lines in reference to the public right -of -way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal descriptions should be checked. The best way to identify property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. Signature W. R. Henderson Printed Name August 13, 2010 Date 2 B ut - >1 NC-7 --ti 2-- Building Safety Department cE�tix� . ci•rt 0 City of Rexburg RE AW i 35N ISLE Phone: 208.372.2326 , ,y'' Americas FhmiiyComimmity ID 83440 www.rexburg.org Fox. 208.359.3022 Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE. • (Shall include the exterior wall measurements of the building) First Floor Area q 1 8 S lP Unfinished Basement area Second floor /loft area G � Finished basement area Third floor /loft area 9 i 799 Garage area Shed or Barn Carport /Deck above grade)Area Water Meter Quantity: �l Size: Requiredlll .I'LZIMBING Plumbing Contractor's Name: Contact Phone: (26�) 5 09 — Email A 0- - 1 7A FIXTURE COUNT (includin_ roughed fixtures) Clothes Washing Machine ZL Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sprinklers '41�3 Tub /Showers Toilet /Urinal - Water Heater _ — Water Softener 12D Sinks (Lavatories, kitchens, bar, mop))�y Plumbing Estimate $ # C X (Commercial Only) e- 0�3C�3 Require Signa a of censed Contractor License number 6 -11 -16 Date 5 Buflding Safety Department City of Rexburg 35 N Is' E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 { 8 J I OWNER'S NAME C,2 '� - • X � ' permit# 10 00306 I ROPER I Y ADDRESS N _ 1 C0 - SUBDIVISION PHASE _A j L � - OT BLOCK- pro - — - �� Bldg #2, 24 Units Permanent Power Electrical Contractor's Name � G LJI-t^. Business Name . �– Address�l t3 ~ ? City '�r i r - State "�'�_ 7ip–S--�, j Cell Phoned %) — Business Phone I'ax,�) —/y =.- r E-mail " 1 9cxti 60f!2t ? iectrical V stimate (cost of wiring & labor) $ 9 3, o8n.. _ (COMMERCIAL ONLY) flncludes the cost of nznterials installed regardless of the party supplying it). TI'I'ES OF INSTALLATION (Mliv Residential includes everything contained within the residential structure and attached garage at the same time) RESIDENTIAL ONLY ❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120 ❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216 ❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total ❑ Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit: # of circuits ❑ Multi- Family Only: # of units per building - $120 /bldg + $60 /unit El Services: Alterations /Repairs that require utility disconnection. (Estimate applicable for commercial). ❑ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40 ❑ Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable ❑ Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit and no additional miring) - $40 ❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit • Other Installations: Wiring not specifically covered by any of the above: Cost of IY/izing & Labor~ $ (Includes the cost of materials installed regardless of the par6y supplying it). • Pumps (Domestic Water, Irrigation, Sewage): horse power 17 Requested Inspections (of existing wiring) - $40 /hr (1 hr minimum) plus $40 /hr thereafter ;I f ❑ 'Temporary Amusement/ Industry - $40 plus $10 per ride, concession or generator 'Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Includes a maxiunum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour. <<- y Signature of Licensed Contractor License number Date 7 Henderson Apts Heather Dowd 435 -563 -1414 (3/7) 12/16/2010 13:53:48 -0700 Building Safety Department City of Rexburg 35 N 1 E Phone: 208.372.2326 Rexburg, 1D 83440 www.rexburg.0rg Fax: 208.359.3022 xLx"Uq �: CC 'T v ri 0 ��CIITYT0 FF Atver)rns Pinny Col nmumtY NAME PROPERTY ADDRESS �CD SUBDIVISION Permit# ` c) — &Q `p Required �?! MECHANICAL Mechanical Contractor's Name: _ 6" Cry- Qr 1usiness Name: s ou ' ceag Address 3115 � C�J City N �. k — State OT Zip Cell Phone: ( } Business Phone: (� Sta? -loa to - 1 Fax: (�1�5) StQ3 -S+l Email VQm_ dowd� . c am,, Mechanical Estimate $ Family Only) FIXT URES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace L2 Exhaust or Vent Ducts Furnace /Air Conditioner Combo Dryer Vents t-{ Heat Pump Range Hood Vents Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. c -C moo �k _ Signature of Licensed Contractor License number The City ofRexburg's permit fee schedule is th as the State Cook Stove Vents Bath Fan Vents Date r ~ " Procedure Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor or faulty material, poor workmanship, or failure to comply in authority's requirements or local ordinances. Property name: Henderson Apartments uilding II _ _Date: Property address: NE corner 2n West 7' South Rexburg, ID 83440 Accepted by approving authorities (names): City of Rexburg, Idaho Address: 35 North l East, Rexburg, Idaho 83440 Installation conforms to accepted plans ® Yes ❑ No Equipment used is approved ® Yes ❑ No If no, explain deviations: Has person in charge of fire equipment been instructed as to location of control valves and care and maintenance of this new equipment? ® Yes ❑ No If no. explain? Make Model Year of Manufacture Orifice Size Quantity Temperature Rating Globe GL -5610 Residential SSP — GL5610 POTTER /2" 412 155° Time to trip through test connection Water pressure Air pressure Trip point air pressure Time water reached test outlet Alarm operated properly Minutes I Seconds psi psi psi Minutes I Seconds YES NO Without Q.O.D. ❑ ❑ With Q.O.D. ❑ ❑ If no, explain (PIPE AND FITTIG1 Type of pipe: NFPA 13 Type of fittings: NFPA 13 ALARM VAY.V ,,nr, IWL(1W IN-IIVATO Alarm Device Maximum time tooperate through test connection Type Make Model Minutes Seconds FLOW POTTER VSF -R 0 30 Time to trip through test connection Water pressure Air pressure Trip point air pressure Time water reached test outlet Dry Valve Q.O.D. Make:= Model Serial No. Make Model Serial No. Time to trip through test connection Water pressure Air pressure Trip point air pressure Time water reached test outlet Alarm operated properly Minutes I Seconds psi psi psi Minutes I Seconds YES NO Without Q.O.D. ❑ ❑ With Q.O.D. ❑ ❑ If no, explain r Operation ❑ Pneumatic U Electric U Hydraulics Piping supervised ❑ Yes ❑ No Detecting media supervised ❑ Yes ❑ No Does valve operate from the manual trip, remote, or both ❑ Yes ❑ No Control stations? Is there an accessible facility in each circuit If no, explain For testing? ❑ Yes ❑ No Make Model Does each circuit operate Does each circuit Maximum time to Supervision loss alarm? operate valve Operate release release? Minutes I Seconds ❑ Yes ❑ No ❑Yes ❑ No MMURE REDDUCING .VALV) TES Location Make Setting Static Pressure Residual pressure Flow rate And floor and Model (flowing) Inlet (psi) Outlet (psi) I Inlet (psi) I outlet( psi) Flow (gpm) Hydrostatic: Hydrostatic tests shall be made at not less than 200 psi (13.6 bar) for 2 hours or 50 psi (3.4 bar) above static pressure in excess of 150 psi (10.2 bar) for 2 hours. Differential dry-pipe valve clappers shall be left open during the test to prevent damage. All aboveground piping leakage shall be stopped. Pneumatic: Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 1 '/z psi (0.1 bar) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1 '/z psi (0.1 bar) in 24 hours. Tromp All piping hydrostatically tested at 200 psi ( bar) for 2 hours If no, state reason Dry piping pneumatically tested n Yes n No Equipment operates properly ® Yes ❑ No Do you certify as the sprinkler contractor that additives and corrosive chemicals, sodium silicate or derivatives of sodium silicate, brine, or other corrosive chemicals were not used for testing systems or stopping leaks? ® Yes ❑ No Drain Test Reading of gauge located near water Residual pressure with valve in test Supply test connection: psi Connection open wide: psi ( bar) ( bar) Underground mains and lead in connections to system risers flushed before Other Connection made to sprinkler piping Explain: Verified by copy of the U Form No. 85B ® Yes ❑ No Flushed by installer of underground Sprinkler piping ® Yes ❑ No If power- driven fasteners are used in concrete, has If no, explain Representative sample testing been satist completed? ❑ Yes ❑ No BLANK TESTING GAMI Number used: Locations: Number removed: C - - . . Y LDS Welded Pipine 5� Yes n No IF YES . Do you certify as the spi Inkic, contracior tiiai welding procedures compiy With the requirements of at least AWS B2. P ® Yes ❑ No Do you certify that the welding was performed by welders qualified in Compliance with the requirements of at least AWS B2. P ® Yes ❑ No Do you certify that the welding was carried out in compliance with a documented Quality control procedure to ensure that all discs are retrieved , that openings in piping are smooth, that slag and other welding residue are removed, and that the internal diameters of piping are not penetrated? ® Yes ❑ No ICUT Do you certify that you have a control feature to ensure that All cutouts (discs) are retrieved? ❑ Yes ❑ No RAILIC DAT NAMEPLATE Nameplate provided? ® Yes ❑ No If no, explain: MARK Date left in service with all control valves open: SIGNAT Name of sprinkler contractor: Phoenix Fire Protection (208) 468 -9115 fax: (208)461 -9117 TESTS WITNESSED BY For inspector (signed) Title Date For sprinkler contractor (signed) Title Date Additional explanations and notes: qj% r Receipt Number: 1 1 -OOZ4 avulopmwn wm CITY OF REXBURG )8) 359 PAID BY: J.M. MECHANICAL oidentio|pixturea $470.00 $470.00 BLB /O121/�M|x 47O. OD DATE� O1/21/11 RECEIPT NO: 171648 TIME 11:55:43 REF NO: 34662 BP MECH. PEN- CHECK 34682 $470.00 Total: $470.00 Ic JAN 2 1 2011 pune 1 m1 genpmtrreceipts oidentio|pixturea $470.00 $470.00 47O. OD , Tota $4TV$470.00 CHECK AMOUNT PAYMENT 47O.00 O.00 CHANGE FOR PERMIT 141O 003O6 at Fee $14 1000306 THANK YOU AND HAVE A NICE DAY .cio| Plumbing Permit Fee $2 1000306 .opoct $1.666.32 1000306 10-0*52 09/1312010 MmokupFee/Qexver o322.55 1000306 10'0580 11/32/2010 HppkvpFee/Sewn, $30.767.05 1000306 10'0580 11/22/3010 MoohwpFee0moh*r $9.708.48 1000306 10'0580 11/22/2010 Park Impact Fee $36.813.04 1000306 10'0452 09/13/2010 Permit 'Electrical $1.560.00 1000306 10'0452 09/13/2010 Plan Check Fee $1.433.59 1000306 10'0580 11122C3010 Police Impact Fee $1 1000306 10'0580 1102/2010 Street Impact Fee $16.599.84 1000306 10-0452 09/1312010 Water Meter &Parts $1.518.20 1000306 CHECK 34682 $470.00 Total: $470.00 Ic JAN 2 1 2011 pune 1 m1 genpmtrreceipts CI i " 0 R EA B !' R PAID BY: HEADWATERS - ONSTRUCTION %O DAIEt 11 ''23'.(!0! BLB /1123/11.NTR 1 !ME . 6'!;4.1_ R E [" E' 1 F T NO. 1`405? I J.0 REF NO: 16866 FTRE DEV. IMPACT FEES WATER f' ,, .FTTAi CONNECT 9 SEWER CAPITAL CONNECTIO 10 PARKS DEV= IMPACT FEES 11 POLICE-DEVELOPMENT 1MPA STREET DEV". IMPACT FEES A 9.708.48 30,76 26.813.0-4 1.,3 =6.:4 10 ;39. c? e 8 4 f"HEF"K AMOUNT 81 6-. 8) 80 9 PAYMENT 8 66 880 9 CHANGE 0.00 FOR PERMIT #10 00306 ivelopment Receipt Number: W40 )8) 359-3024 THANK YOU AND HAVE A NTN7 Ti Fee $1,666.32 $1,666.32 $0.00 ewer $31,089.60 $30,767.05 $0.00 later $9,708.48 $9,708.48 $0.00 De $26,813.04 $26,813.04 $0.00 Fee $1,326.24 $1,326.24 $0.00 Fee $16,599.84 $16,599.84 $0.00 CHECK 16866 $86,880.97 Total: $86,880.97 Total: $86,880.97 THANK YOU AND HAVE A NTN7 Ti Fee $14,335.90 1000306 mbing Permit Fee $2,550.00 1000306 ver $322.55 1000306 10-0452 09/13/2010 Permit - Electrical $1,560.00 1000306 10-0452 09/13/2010 Plan Check Fee $1,433.59 1000306 10-0452 09/13/2010 Water Meter & Parts $1,518.20 1000306 CHECK 16866 $86,880.97 Total: $86,880.97 NOV 2 2 Pr y OF BEY-5 ienpmtrreceipts Page 1 of 1 Receipt Number: ep nwve/o9mwnt [TTY OF 08) 359-3024 RE�BURG 'AID BY: HEADWATERS CONSTRUCTIONS UAJE: O9/13/10 MG /O913/CNTR TIME: 15-46:26 RECEIPT NO: 156838 31 0P ELEC, PERMIT OVER 2 1,560.00 32 BP BUIL DEP PLANCHECKFE 1,433.59 33 BP PLUMB. PERMIT OVER 2 2,550 .0 0 34 SEWER CAPITAL CONNECTIO 322.55 35 WATER METERS & PARTS SA 1,518.2O � BP BUIILD. PERMITS OVER 14,3� 0 4ECK AMOUNT 21,720.24 'MENT 21,72O.24 'GE O.0 0 L I lT # 1O 003O6 T0 AND HAVE A NICE DAY � � Total trical ��0.00 ��0.00 $0.00 ee o1�33.59 $1,433.59 moon Plumbing Permit Fee $2.550.00 $2.550.00 $0.00 Sewer $31.089.60 $322.55 $30.767.05 &Rmrto *1.518.20 $1.518.20 $0.00 nit Fee $14.335.90 $14.335.90 $0'00 Total: $21,720.24 It 91 720 2A ��p3?0 � °^` � CITY OF REXBUEG v &'.'&".— genpmtrreceipts p000 1 m1 INSPECTION TICKET ❑ Bldg. ❑ Plumb. E Elect. ❑ Mech. ❑ Fire Inspection Request: Rec'd By Date I 5 Req. By Phone No. O— Proiect Z Permit No. JO 3C-Cz_____ Address �• Inspection Type Day /Time Req. Inspector's Report ❑ Res. U Comm. Nrr&,a,- J?�S (A.et jk C &,—, INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑Y ❑ N N/A INSPECTOR'S ACTION Ej APPROVED DISAPPROVED FINAL ❑ C.O. (FINAL) ❑ NOT APPLICABLE ❑ DID NOT INSPECT ACTION REQUIRED: n.�O Signed Inspector Rec't Acknowledged wtwe - 01ke Copy *Now • Job Copy PVA - h spec M is Copy F- FIR -CO03 INSPECTION TICKET ❑ Bldg. Plumb. ❑ Elect. ❑ Mech. ❑ Fire ,� � Inspection Request: Rec' By Date n� \N I h ►ne No v ' Req. By ^� 1 Projec� � ^ 0 '' '�c � ,permit No. Address �. Inspection Type Day /Time Req. Inspector's Report ❑ Res. ❑ Comm. INSPECTED ITEMS CONFORM TO APPROVED DWGS INSPECTOR'S ACTION nAPPROVED [j DISAPPROVED VC.O.(FINAL) [I NOT APPLICABLE ACTION REQUIRED: Signed ReCt Ackn04 yy►Me - office Copy F- FIR -CO03 VeNow Job Copy I] Y El N ❑ N/A O FINAL ❑ DID NOT INSPECT Pink - Inspector's Copy INSPECTION TICKET ❑ Bldg. ❑ Plumb. ❑ Elect. Iti Mech. ❑ Fire Inspection Request: Rec' By , y Date Req- By ; �,.,yy r Project L-- ,A4 2 p ermit No. Address .� L Inspection Type Day /rime Req. C - Inspector's Report ❑ Res. ❑ Comm. / INSPECTED ITEMS CONFORM TO APPROVED DWGS INSP CTOR'S ACTION APPROVED ❑ .O. (FINAL) ACTION REQUIRED: ❑ DISAPPROVED ❑ NOT APPLICABLE Signed° ReCt AcI M-0 • on F- FIR•0003 ❑ Y ❑ N 0 N/A ❑ FINAL ❑ DID NOT INSPECT PV* - waged" CO" [NSPECTION TICKET ❑ Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. Of Fire Inspection Request: Rec'd By jfv�'m Date Req. By Phone No. ZQj� Project Z Pennit No. �JIJ�o Address Inspection Type Day /Time Req. Inspector's Report ❑ Res. ❑ Comm. 0 I SPECTED ITEMS CONFORM TO APPROVED DWGSJ DY D N D N/A INSPE OR'S ACTION C PROVED D DISAPPROVED D FINAL .0. (FINAL) El NOT APPLICABLE D DID NOT INSPECT ACTION REQUIRED , Signe <)VL Rec't Acknowledged Whoe - 01ke Copy F- FIR•CO03 *Now - .roe Copy Pink - hmpww s copy INSPECTION TICKET v Bldg. 1. Plumb. ID Elect. CI Mech. ❑ Fire Inspection Request: Rec'd By ,..\.e►J Date c 1,3t. \ i Req. By Pt r Phone No. Z01- J%'7 Project 14- PAr..A e',2..Se• +J Permit No. L 0 — 5F)3/Ac) Address i� ii Inspection Type r 1 N 4 2, MM.� Day /Time Req. — i I L 1 0 30 Inspector's Report Res. a Comm. Ga -( /'eo t.spe ari cps ,,1 .-1.--e,e9i INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑Y ❑ N ❑ N/A INSPECTOR'S ACTION trrIPPROVED ❑ DISAPPROVED O FINAL ,0. (FINAL) ❑ NOT APPLICABLE ❑ DID NOT INSPECT ACTION REQUIRED: Signed 2/cg# Inspector Rec't Acknowledged White • Office Copy Yellow Job Copy Pink - Inspector's Copy F- FIR-0003 INSPECTION TICKET >11, Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire Inspection Request: Rec'd By Date 21/ Req. By Mfk Phone No. Project i Q E f iJ Permit No. 6 Address 'A -1:4 / 2 Inspection Type _ 73/c4 �1d / Da /Time Req. 04. Ai Y q Inspector's Report Res. 1/ Il. 6 d , m •sA7 . - _ rexe- ` / ,..._, n ,w Metz-/ - . 1.' A 'IL --• • 1 / i 11.• 0 ai . INSPECTED ITEMS CONFORM TO APPROV _D c WGS 0 D N N/A INSPECTOR'S ACTION 0 APPROVED 16ISAPPROVED D FINAL D C.O. (FINAL) ✓ D NOT APPLICABLE D DID JV SP CT ACTION REQUIRED: 2. t Q 3 5`IN1/Dk% 1 ,20D/c _e wfrr . l / '> ' � o6 _7,t24- Signe •.....—....■ Inspector Rec Ack owled.ed while. OU ropy Yellow . Job C . • Pine - Inspector's Copy f- HR-0003