14010 SW 72ND AVENUE BLDG B C)
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14010 SW 72fld Ave B
\� CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT#: ELC2001-00528
DEVELOPMENT SERVICES DATE ISSUED: 11/7/01
13125 SW Flail Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 25101 DD-00900
SITE ADDRESS: 1,1010 SW 72ND A`✓E B
SUBDIVISION. •ZONING: I-L
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of i 5 branch circuits.
—__RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: �_—
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG.
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _— _BRANCH CIRCUITS ADD'L INSPECTIONS_ _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: _
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L ERNCH CIRC: 14 IN PLAN-.-:
601 - 1000 amp: _ _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
L_ Reconnect only: SVC/FDR >= 225 AMPS: CLASS ARF_AISPEC OCC:
Owner: Contractor:
TARKIAINEN. REINO J A AND HEBERLE ELECTRIC
MARILYN J 19680 SW NEUGEBAUER RD
20895 SW LEBEAU RD HILLSBORO, OR 97123
SHERWOOD, OR 97140
Phone: Phone: 503-628-2095
Reg #: SUP 3053S
LIC 42841
ELE 34-160C
FEES — Required Inspections
Type By _ Date Amount Receipt Ceiling Cover
PRMT CTR 10/31/01 $9715 2720010000( Wall Cover
Elect'I Final
PRMT CTR 11/7/01 $42.80 2720010000(
5PCT CTR 11/7/01 $11.19 2720010000(
Total $151.14
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notifir—tion Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 Ynu may obtain copies of these rules ordirect questions to OUNC at(503)
246-6699 or 1-800-332-2344.
Permit Signature: , Lf 1 Issuod 8 - f+—
OWNER INSTALLATION ONLY
The Hstallation is being made on property I own which is not intended for sale, !ease, or rent.
OWNER'S SIGNATURE: —_ _ _ DATE:
_CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL EC'N: a 0 ,l
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit A. > >lication
Date received: /Q 3/ Permit no.:CLG 2(j /-W5 L
c,1Ly O� �11gaI'd I'roject/appl.no.: Expiredate:
s, y � ray;U> Rceeipt no.:
(ir,of I igord
Address: 13125 SIN I lall Illvd(MIrdU Dole issued:
Phone: (503) G39-4171 Calc file nu.: Payn,cnt type.
Fax: (503) 598-1960 CITY OF rIr�AHV
Land use approval: - --_ —
c�nnmercial/industrial U Multi-family Li Tenant improvement
U ; &2 family dwelling or accessory U partial
U New construction U AtIditit rn/altoration/replice ment U Other: .
NMI R' dulm
Job nddfess:(L � – ego c ) �,�_r u —_--_ IiI I�, n't- Smit, no.; i'nx n►np/lax lot/ucroullt no.:
Lot: Block: Subdivision: __t_ z
Projert name:�N LJ�I'1.3�� - Description and location of work on +remises: ?–
Estinmlcd dah of cora/letion!in;pry li,nr
om Ice Mnt
Jolt n0: HEBEHLE EL-Eli`-TR-'C— -- Ilrsrripllun 111y. (�nJ inlnl un.Im r
Ilusille&s IIar11C: 19680 SW N all13f1{UiL------ Nrr re1li lllal•"'We ormulll-famlly per
Address: _N p Qon 97123_944f_� dwelling+mll.IncludrsxllacleelWage-
- Serriceh+clwkd:
City: Slate: Llp: _ – __ 4
I(NN)sq.ft.or Icss
rhrn,e:
628-2095 rax:6 2 8–3 0 "nail: Each additional 5W sq,ft.or porn m ll,ctcof
Elec.bus.lic.nn: 3 4–16 O C Umilcd ever ,residential 2
C' '13 no.: 42841 _ 2
City/I Or 11'.Ito.; 1072 /0 of d L Limited energy,non tesidential
1 tC- .0 Finch mmorfacn,red home or nwclulnr dwelling 2
- - --�- Dale * Service nod/or feeder
Si ria a of s sln elcctticln Serrlcaorfeeden-Insullrtdon,
Su elves.r,mne tint): J e f f r.e y 1-,. H e b e C 1.18'nse na3 0 5 3-S alteration or relocallont 2
�Jmijjj '11111011111111111 200 strips or less 2
201 snips to 400 snips 2 -
lilt!(Ill lilt): — 401 amps ro 6W amps 2
M in ad its: GUI amps to UW snips 2
City: _ Stale: 71P: over I(NN)amps Of volts I
I'nx: E-mail: Reconnectonl
I'l1utlC: Temporary wrdcea or feeder-
Owner hlstnllation:The inslnllation is I)eing made on property I own Installation,alteralIon,orrelocalian:
se,I'Clll,Il:'excllnllge accor
wllicll i9 Iltlt III1CIIlICII for RIIIe,Icnding lU 2W asps m Ices 2
(IRS 447,455,479,670,701, 201 snips Io 4Ul)amps 2
2
(),%neY'9 SIuIltlltllC; _
Dole- 4111 l0 m
(0)aps
atar+ch rlrrulls•nen,allerrtlnn,
or exlenslon per panels
_Wine: __ A Fee for branch citcuils with putchsse of 2
service or feeder fee,each branch circuit
Address: a. Fee for branch clrcults without purchase
City: -- — ZIP: of service of feeder fee,Cull branch circuit: �O�J 2
Phnnc: I ,,�' I:nail: Fachoddllloualbranchcircult:
Misc.(9ern ce ar tee er sol included)-. 2
U Ileahh-cne faclllt F.ecb pump or Irrigellon cfrclr 2
U Service river 229 amps-conmlemial y Each offin or outline Ilghtlnif
U Service aver 120 amps-rating of I R2 U I Iazard,R s lova ion Signal clicnlgs)or a Ilmited energ)pmol,
fsmllydwrllings U nuildhi .,vet 10.000syante feet four or xheratlon,orrxlension• 2
Ll System over Men volts noudnal n,nve residential units In one strvctute ---__
U Rull(ing over three stofles U Feeders,41N)sn,ps or more •Ikocrintlon. --------
U rlccupnnl loud over 99 persons U Manufactured structures or RV park Lich additional Inspection over The allowable In any of llee alert
U F.gtrss/lighlingplsn U Duret•. I'erinspection
Submit y seta of plans with any of the above. Irivesu anon fie _
'1 he above are not applicable to temporary construction service. other
----__ P-1-mill fee....... �9r 9
Nor all jrniailcllnnr are-pt cndil cards,pleas cool jutiodicnoa Inv morn infamNion. Notice:'I hit pen,dt applicallon Plan review(al _9d) $
U visa U Mastercard expires If a pernlit Is nut obtained
Cttdll cad numbs: -— —
wilbbt I Rn drays after It Ilan been Stole surcharge(8961.... --
For Fee
accepted as complete, TOTAL .......................$ y
IVin ra�rul,Tei its shown on cfl!d t ti a'—
44a4su IIiNOfCOM)9� /S
---`-----ca�liofrTer r n.ture mows .�.�
PLEASE FAX PERMIT #/RECEIPT TO 503-628--3076 ASAP. CHANKYOII,
C!TY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST -- --
BUP _
-- --Date Requested--�L- /? AM_ —_PM BLD `
Location ! -7 2- Suite
_ MEC _
Contact Person — > l,c� �� ph ? C7 PLM _
Contractor _— Ph SWR
BUILDING TenantlUwnej ELC <,%/
Retaining Wall ( /-V2 ah _6ELR _
Footing ACcess:
Foundation FPS
Ftg Drain
Crawl Drain Inspection No!-s: - SGN
Slab �L____ — SIT
Post!3, Ream
Ext Sheath/Shear
Int Sheath/Shear --
Framing _
Insulation
Drywall Nailing _.L7►1,�'}�d at ,^ ,r -cy! ���, r�j ,�t �1^-
Firewall •
Fire Sprinkler1 -.,' hpf ld d cp[(,.dot
Fire Alarm
Susp'd Ceiling
Roof r`Jf
Misc: — c'Lr."6: �IlJt F
Final
PASS PART FAIL
PLUMBING - a ,
Post R Beam
Uncier Slab
Top Out —
Water Service
Sanitary Sewer --
Rain Drains
Final
PASS PART FAIL.
MECHANICAL
Post$ Beam
Rough In
Gas Line - --------- --- -
Smoke Dampers ; -
i
Filial - -- --- � --- -
PASS PART FAIL
c '.3erviCt� _
o, lab
Low voltage
Fire Alarm
PART FAIL
Backfill/Grading - - ---- - -- -•— ---•— __
Sanitary Spwei
Storm Drain ( )Reinspection fee of$_ `_— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RIF ] ]Unpbte to inspect-no access
ADA
Approach/Sidewalk ` -., ....
Other ---- Date /! L_ U� Inspec:tor �--�p_ � Ext -
Final .
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.