Permit 4 98 � "� ° k L I� /af 4 ELE� AL PERMIT
CIT OF TI ARD
PERMIT #: ELC2008 -00148
COMMUNITY DEVELOPMENT DATE ISSUED: 3/14/2008
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DC -00500
SrrE ADDRESS: 15895 SW 72ND AVE BLDG B 220 ZONING: I -P
SUBDIVISION: OREGON BUSINESS PARK III LOT : 040 JURISDICTION: TIG
PROJECT: HAIR CLUB FOR MEN
Project Description: TI. 3/25/08, adding (6) branch circuits & submitting for plan review.
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: SIGNAUPANEL:
MANF HM/ 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 BRNCH CIRC: 11 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 10948 SE VALLEY VIEW TERR
PORTLAND, OR 97224 HAPPY VALLEY, OR 97086
Phone: Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 3/14/2008 $80.10 LIC 51539
[TAX] 12% State 3/14/2008 $9.61 SUP 2053S
[ELPRMT] ELC Permit 3/26/2008 $39.90
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $164.40
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 . • - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules =re set fo in • . • 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copie hese rules or direct questions to OUNC at
503.246.6; • 9 or 1.800.3 .2 .
Issued B • Permittee Signatu
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Electrical Permit Application P � � I (,i. u1 1 1( i.1 ■1. u.1.1
City of Tigard -C? i;' Permit Ne.: et epoe 00/4 q
13125 SW Hall Blvd., Tigard, OR 97223 `` i' ®ft�� I :N t .' Review
r.
' Phone: 503.639.4171 Fax: 503.598.1960 �� ♦ � , No Date/By: other Permit:
Inspection Line: 503.639.4175 G /0 \ I Dam Ready/By: hair 13 See Page 2 for
Internet: www.tigard- or.gov ��� Notified/Method: Supplemental Information
TYPE OF WORK . PLAN SSVffiW , ,
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit j seta of plans wine= checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other. where the available fault current ❑ Marinas and boatyards.
.. CATEGORY OF COi48T*UCT1ON exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground. or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling ® CommerciaVindustrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75 KVA or
tt ❑ Emergency system. larger separately derived system.
E. ' JOB SITE IIuIFt)R1NA7101u1 AND LOCATION ❑ Addition of new motor Toad of ❑ A. "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: 15895 SW 72nd 100I1P or more' occupancy.
❑ Six or more residential unite. ❑ Recreational vehicle parks.
City /State/ZIP: ® Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bIdgJapt. no.: 220 Project name: Hair Club for Men ❑ Service or feeder 600 amps or more.
SCHEDULE
Cross street/directions to job site: mimes FEE mimeses 1 oM. i Feu I Teal t •
New residential single or multi- family dwelling unit,
ff Includes attached garage.
Subdivision: I Lot no.: 1.000 sq. it or less 145.15 4
Tax map /parcel no.: I Ea. add9 500 sq. ft. or portion 33.40 I
Limited energy, residential .'"' 75.00 2
DESCRIPTION OF WORK ,. _ ( with above sq. ft.)
Limited energy, multi- family
Addition to permit #ELC2008 -00148 residential (with above sq. ft.) 1 75.0() 2
Services or feeders installatlon and/or relocation
Add circuits and plan review fee ' 200 amps or less 80.30 2
0 PROI'OtTY OWNER ( . O TENANT 201 amps to 400 amps i 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /LIP: Temporary services or feeders installation, alteration, and/or
1 relocation
Phone: ( ) I Fax: ( ) 1 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 1 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, der panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT j . 0 CorrrAcr PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
without service or feeder fee,
Contact name: Charlynn Leifsen first branch circuit . 46.85 2 j
Address: 10948 SE Valley View Terrace Each add'I branch circuit 6 I 6.65 3 9 . 9 C 2
' Miscellaneous (service or feeder not included)
City /State/ZIP: Happy Valley, OR 97086 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (503) 698-3417 I Fax: : (503) 698 -2486 Reconnect only 66.85 2
E -mail: johanseneleet@msn.com Pump or irrigation circle 53.40 2
. CONTRACTOR Sign or outline lighting 53.40 2
Business name: Johansen Electric Inc, Signal circuits) or limited -
energy panel, alteration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City /State/ZIP: Happy Valley, OR 97086 Each additional inspection over allowable in an of the above
Phone: (503) 6983417 Fax: (503) 698 - 2486 Per Irusp 62.50
Investigation per hour O br min) 62.50
CCB Lic.: 51539 Electrical Lic.d3C I Sup Lic.: 2053S Industrial plant per hour 73.75
A i l. .04$114+t2.et�/ ' ELECTRICAL mein FINIS_
Suprv. Electrician signature, required: Subtotal: 39.90
Print name: Carl K. Johansen . Date: 3 3/25/08 Plan review (25% of permit fee): 30
//►! State surcharge (12% of permit fee): 4.79
Authorized signaturet , �a, 1, TOTAL PERMIT FEE: 74.69
Print name: Charlynn J. Leif (/ Dec 3/25/08 This pest application expires if • permit b not obtained within 180
days after It has been accepted as compute.
- • Number of inspections allowed per permit.
L\Build.n emrits\ELC-PermitApP.doc 05/2 3q6 440.4613T(I I/OSMOMAVEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2Oth3 00148
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2003
Phone: (503) 639 -4171 h1111 •Inspection Requests (24 Hrs.): (503) 639 -4175 ��� °
INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 15895 SW 72ND AVE BLDG B 220 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 040 TYPE OF USE:
PROJECT NAME: HAIR CLUB FOR MEN
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: JOIHANSEN ELECTRIC INC PHONE #: 503 - 698-3417
Inspection Request Scheduled For: Date: 3/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 0� 66824 -01 503-969-5262 N
Corrections /Comments /Instructions: \\
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 16e) L Date: 3.11)- Phone #: (503) 718-2 -446
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC1008.00148
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 31 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 15095 SW 72N[) AVE BLDG B 220 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 040 TYPE OF USE:
PROJECT NAME: HAIR CLUB FOR MEN
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 690 - 417
Inspection Request Scheduled For: Date: 3/21/2008 Pour Time:
Code # Inspection Description onfrm # Contact # Message
105 Underground /slab cover 6 301 503969 -5263 N
Corrections /Comments /Instructions: ) �i —
S „R,o, A2€`A •
dfA V 1 4 l • RpM la *R
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1" 0 6 LE
Date: 3' al ' 0 D Phone #: (503) 718 -
CITY OF TIGARD _
BUILDING DIVISION r PERMIT #: lLC2008- 00118
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3//412009
Phone: (503) 639 -4171 MIA,
I nspection Requests (24 Hrs.): (503) 639 -4175 �__..
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 15995 SW 72ND) AVE BLDG B 220 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 040 TYPE OF USE:
PROJECT NAME: HAIR CLUB FOR MEN
DESCRIPTION: 1 3/25/08, adding (6) branch circuits & submitting for plan review.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503698 -3417
Inspection Request Scheduled For: Date: 4/18/2008 Pour Time:
i ----
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 068612 -01 503969 -5264 N
Corrections /Comments / Instructions:
x i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
v
Inspector: y Date: "i 1 () Phone #: (503) 718- i14:)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200B -00148
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: :/14/2008
Phone: (503) 639 -4171 454 I I
Inspection Requests (24 Hrs.): (503) 639 -4175 PI I..
INSPECTION WORKSHEET FOR DATE: 4/25/2008 TIME: 7:01AM PAGE: 5
SITE ADDRESS: 15895 SW 72ND AVE BLDG B 220 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 040 TYPE OF USE:
PROJECT NAME: HAIR CLUB FOR MEN
DESCRIPTION: 11. 3/25/08, adding (6) branch circuits & submitting for plan review.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC.: PHONE #: .5046913 -3417
Inspection Request Scheduled For: Date: 4/2512008 Pour Time:
Code # Inspection Description ,Co`nfirm #"\ Contact # Message
199 Electrical final 06892601 503 - 969-5262 N
Corrections /Comments /Instructions:
c.,owspo 14tviErx kvfiL.. AZ. I io . 3(A)
44) C L I O b ■A tik3R(L 0 L-p .
Co N`?tt ; bct, voe j tsi A�p"ic�l ids N .
V
(NsT Rvaio
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G • obeli Date: 412,51 06 Phone #: (503) 718- 29410
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: E C :2 3 -C' 1 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3!14/20f13
Phone: (503) 639 -4171 kinio it c
Inspection Requests (24 Hrs.): (503) 639 -4175 �11- 1
INSPECTION WORKSHEET FOR DATE: 4/3012008 TIME: 7:0 SAM PAGE: 12
SITE ADDRESS: 158:.s ", S'tr! /2N!') AVE 1:31.1.M B 220 CLASS OF WORK:
SUBDIVISION: Oi ls. :' i t3 JS N�=.S:; E >A!=il< III LOT #: 040 TYPE OF USE:
PROJECT NAME: F IAiP CLUB I R ME N
DESCRIPTION: TI, 31: tdC r, :.Adirag (C !afxIcta circuit` & svbm!tt.in; t': pl -; aeview.
OWNER: P'AC.IFl(.. I:: E ;A1..°i Y A`31 X ?a : =,1 E S,
PHONE #:
CONTRACTOR: JOHANSEN e:.l Y_;'IT, C INC PHONE #: S03- 6:. ?0 3417
Inspection Request Scheduled For: Date: 4/301 Pour Time:
Code # Inspection Description Confirm # Contact # \ssage
"1! Eleatic: fife! 0690.9 041 503-.39-5264 };
Corrections /Comments /Instructions: \)1 fJ - (1,6'152263 263
91' 00
(Z- 6
•..r A .1 ® 1L „' 1'7 A. :LI' ■ t
kg. S 1"1' 6 1 tGJ OD
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
/FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
tC( Inspector: (53.-1 Iv d Date: 41 Phone #: (503) 718- inyz,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00148
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2006
Phone: (503) 639 -4171 kv
Inspection Requests (24 Hrs.): (503) 639 -4175
_.1.4111111 ..
INSPECTION WORKSHEET FOR , DATE: 5/12/2001 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 15895 SW 72ND AVE BLDG B 220' CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 040 TYPE OF USE:
PROJECT NAME: HAIR CLUB FOR MEN
DESCRIPTION: TI. 3/25/08, adding (6) branch circuits & submitting for plan review.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOIHANSEN ELECTRIC INC PHONE #: 503698 - 3417
Inspection Request Scheduled For: Date: 5112/2008 Pour Time:
Code # Inspection Description C nfirm -# Contact # Message
199 Electrical final 069736 -02 503-969-5262 Y
^ cA o Corrections /Comments /Instructions: 1 L\ \ 53 9
N SI I ()(.* 6N) 61
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��' 6�
Y 66 ‘.V -- Date: al 14 Phone #: (503) 718 - V.11q'