HomeMy WebLinkAboutINSPECTION TICKETS - 05-00380 - Rexburg Surgical CenterINSPECTION TICKET
Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By C6 Date
Req. By7Rc L 1AA:?,.,D Phone No.
Project�,=gacn,t G N (FAT-C—P— Permit No.
Address
Inspection Type (—/ swro 1�1,- c_ —
Day /Time Req. („
Inspector's Report ❑ Res. Comm.
A; rJ C7 �F7 L�
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
JfAPPROVED,� ❑DISAPPROVED
XC.O. (FINAL) NOT APPLICABLE
ACTION REQUIRED:
Signed
Rec't Acki
White . ottice
F-FIR-CO03
❑Y ON ❑N/A
❑ FINAL
❑ DID NOT INSPECT
Yepow - Jot Copy ) Wnk - hwector's Copy
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INSPECTION TICKET
Bldg. 0 Plumb. a Elect. Mech. 0 Fire
Inspection Request: Rec'd By Date Le y &
Req. By . && Phone No. 35 7' 36ef.3
Project Permit No. f)5 00380
Address 3E ( zfl:� /t) <--v« 1 � l 64-ki
Inspection Type &Lsur-
Day/TimeReq. &L
Inspector's Report a Res. Comm.
7*
Da
INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑ Y ❑ N ❑ N/A
INSPECTOR'S ACTION
APPROVED ❑ DISAPPROVED ❑ FINAL
❑ .0. (FINAL) ❑ NOT APPLICABLE ❑ DID NOT INSPECT
ACTION REQUIRED:
Signed I
ReCt Acknowl ed (0000-
White • ON e C Yellow . roPfnk . Mapector's Copy
F•FIR-CO03
INSPECTION TICKET
Bldg. ❑ Plumb. ❑ Elect. ❑ �Mech. ❑ Fire
Inspection Request: Re -CA By _ Date �I I Lae
Req. By'P, i�aM rAV IS Phone No. �7o 1�
Projccl (7llliQi,jj( i9 OP,JR-A, Permit No. '5 -5W
Address �'� i z ¢"-,? N
low
Inspector's Report .ru Res. ❑ Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECT R'S ACTION
PPROVED
[J C.O. (FINAL)
ACTION REQUIRED:
❑ DISAPPROVED
❑ NOT A PPLICA B LE
[]Y (:)N ON/A
❑ ANAL
[J DID NOT INSPECT
Recl Acknowledged
WINe • Cltice Copy
F-FIN COM
YeMw Job Copy Pir* - It's Copt
INSPECTION TICKET
Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By teIbA Date 10(e
P� e9
Req. By 12 i ilaJ Phone No. -3 q O — 1213
Prujcct 7u6;1.aJ &Alv Pennit No. 05' 00390
Address 391 C Wt� IV SP.
Inspection Type SWac,L _d{ uC
Day frime Req. Id 40
Inspector's Report ❑ Res. ❑ Comm.
&.3
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
PPROVED EJ DISAPPROVED
o C. . (FINAL) ❑ NOT APPLICABLE
ACTION REQUIRED:
[] Y ❑ N C1 NIA
L] FINAL
❑ DID NOT INSPECT
Rec't Ad
wha . ON
ft* - mot" C vp
INSPECTION TICKET
Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fuse
Inspection Request: Rec'd By I?�A Date lc) (�
Req. By + 4u rJ Ass ) Phone No. 3 q o - 329 �
Project c- nr(:j���ennif No. O "7>80
Address
Inspection TypesSUIG
Day /Time Req. q 1,5 q AM
Insuector's Reuort ❑ Res. a Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
"APPROVED [j DISAPPROVED
(] C. . (FINAL) ❑ NOT APPLICABLE
ACTION REQUIRED:
[] Y ❑ N O N/A
L3 FINAL
❑ DID NOT INSPECT
Rec't Acknowled f d
WM* . office Copy Ye%w - Job Copp pb* - MwKbes t:oq
F-FIR-CO03
INSPECTION TICKET
Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By Date S DlO
!� M
Req. Bycic� Phone No.C__R(o Le
Project Penni( No. Es :3 ?,-) C)
Addressg L
Inspection Type
Day /Time Req.
Inspector's Report
C.—--%s r P.
❑ Res. ❑ Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
APPROVED El DISAPPROVED
(] C.O. (FINAL) ❑ NOT APPLICABLE
ACTION REQUIRED:
OY ON ONIA
L] FINAL
❑ DID NOT INSPECT
WW"W. • %AWD mow,
F-FIR-CO03
rnw - wavwww i vu"
INSPECTION TICKET
Bldg. ❑ Plumb. ❑ Elect. Mech. ❑ Fue
Inspection Request: Rec'd B Date o
Req. By Phone No. 310-5553-
Projccl iC01 Pennit No.
d
Address
Inspection TyMRLI�6(0.2
Day /Time Req.-
Inspector's Report ❑ Res. ❑ Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
XAPPROVED [J DISAPPROVED
L3 .O. (FINAL) ❑ NOT APPLICABLE
ACTION REQUIRED:
.3 Y ❑ N C] NIA
L] FINAL
❑ DID NOT 1NSPECr
Rec't Ackr
F-FIR-CO03
Pm. kapscb Y Copp
INSPECTION TICKET
B Idg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By Date a12
Req. By 5?-Yb,�e
Phone No..�GI C,
Prujcct 79tA,.W1C�o� Pennit No.
Address /4 )y
Inspection Type i r
G. a
Day /Time Req. �A"
Inspector's Report ❑ Res. ❑ Comm.
INSPECTED ITEMS COI
INSPECTOR'S ACTION
*kPPROVED
(3 C.O. (FINAL)
ACTION REQUIRED:
7WE40 . %.%ULU liw"
FIR•C003
TO APPROVED DWGS
[j DISAPPROVED
❑ NOT APPLICABLE
F3 Y ❑ N n N/A
[] FINAL
❑ DID NOT INSPECT
""w" - dw %ou" rsa .wapscm 3 %OWF
INSPECTION TICKEW
Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request:
Req. By
Prujcct`
Address
Inspection Type
Day /rime Req.
Date N C V
Phone No. ��9L :�23 �
Permit No. 05 a X0
Inspector's Report ❑ Res. A Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
&PPROVED [J DISAPPROVED
(] C.O. (FINAL) ❑ NOT APPLICABLE
ACTION REQUIRED:
D Y ❑ N El NIA
(] FINAL
❑ DID NOT INSPECT
F•FIR-CO03
INSPECTION TICKET
14 Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By Q0 Date
Req. By Phone No.
Prujcct 9 LA( rM0133F.- Penni( No. o r) O -s, �5
Address
ipts
Inspection Type E).N ' r
Day (rime Req. 1 — AN
Inspector's Report ❑ Res. 0 Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
APPROVED
[] . C.OFINAL}
ACTION REQUIRED:
Signek.___,
Rec't Acknowh
White . Otke Copy
F-FIR-CO03
[j DISAPPROVED
❑ NOT APPLICABLE
YeNow - Job
I:] Y ❑ N C] NIA
C7 FINAL
❑ DID NOT INSPECT
P+Nt - I - Rp a fin 13 t:opy .
INSPECTION TICKET
�-- Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By Date 10—13 --C-2S
Req. By Phone No.
Prujcf:l Pennit No.
Address
Inspection Type 6s-
Day /Time Req. l n — 12 -
lnspector's Report ❑ Res. 0..x0mm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS []Y ❑ N 0 N/A
INSPECTOR'S ACTION
*PPROVED
(] C.O. (FINAL)
ACTION REQUIRED:
[_J DISAPPROVED Ll FINAL
❑ NOT APPLICABLE ❑ DID NOT INSPECT
Recl Acknowledg d
WhOe • Office Copy 1Row ..iob C Pink . hD+dor-3 copy
F-FIR•C003
INSPECTION TICKF`
Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By cA Date • 3 "-4=)
Req. By �G 9Ai21) Phone No. c3gd - �Z�
Proje ,2 4, I e,4-/ Permit No.
Address Al
inspection Type nhA►
Day /Time Req. �- D — /l
Inspector's Report ❑ Res. Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑ Y ❑ N ❑ N/A
INSPECTOR'S ACTION
APPROVED ❑ DISAPPROVED ❑ FINAL
C.O. (FINAL) ❑ NOT APPLICABLE ❑ DID NOT INSPECT
ACTION REQUIRED:
Signed \
Rec't Acknokle ged
White . Oto C Yellow ob Cagy Pink . Inspectors Copy r
F•FIR•C003 1
INSPECTION TICKET
4. Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection
Req. By
Address —.
Inspection Type
Day /Time Req.
Inspector's Report
R AB DateI •
ClJ 1, DA ( ,
Permit No.
❑ Res. ❑ Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPECTOR'S ACTION
NPPROVED El DISAPPROVED
❑C.O.(FINAL) ❑NOT APPLICABLE
ACTION REQUIRED:
❑Y ❑N El N/A
❑ FINAL
El DID NOT INSPECT
ReCt Acknq(vle�bged
Wnile Opice c Yellow Jo p opy Pink Inspectors Copy
F FIR C000