Project Number * Inspection Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021202220232024 Building * Permit Number * Location * Inspection Type * - Select -BuildingSpecialElectricalPlumbingFireHealth and Regulatory Building Inspection * - Select -Concrete Slab / Under-FloorDuct WorkFinalFire-Resistant PenetrationsFootings/FoundationsFraming (after rough elect/mech/plumb)Hydronic Pipe and Refrigeration LineInsulation wall and ceiling (when required)Insulation pipe and ductLath and Gypsum BoardMechanical/Energy EfficiencyOtherRoofing Special Inspection * - Select -SteelConcreteMasonryWoodSoils/FoundationsSpray-Applied FireproofingSmoke Control SystemsGas (Medical and other)Other Electrical Inspection * - Select -FinalOtherRough CeilingsRough WallsTemporary powerUnderground Fire Inspection * - Select -Fire Sprinkler System (CSU)Fire Alarm Rough (conduit & wiring) (CSU)Fire Alarm Final (CSU)Building Graphics/As Builts (CSU)Final (CSU) FM Fire Systems Group Only. Only submit if BIR calls out inspections by CSU FM Fire Systems Group. Plumbing Inspection * - Select -DWVFinalGas (fuel)Rough WallsRough CeilingUndergroundWater Health Inspection * - Select -Water Line SterilizationBackflow Prevention Requestor * Requestor Email * On Site Contact: * On Site Contact Phone #: * Comments Leave this field blank
