Correspondence f .:
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND
55 NORTH FIRST, HILLSBORO, OR 97124
�a • COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON PHONE: 503/648 -8761 m5 -r15_ O
Page : 1 of 1
Date : 04/21/93
Time : 13:22
Permit Type : Residential Electrical Permit Permit # : 05039571
Permit Status : APPROVED Applied : 04/19/93
Situs Address : 14796 SW 81ST AV TI Issued : 04/21/93
Permit Title : SFR - ELEC /NEW HOUSE & L.V. Completed :
Permit Descr. To Expire : 10/18/93
Project Title : SFR - ELEC /NEW HOUSE & L.V. Project # : P0030569
Project Descr. : * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation 0
Legal Descr. • •
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : T & M ELECTRIC Classification : 900
Applicant Addr.: 833 NE BALDWIN ST Occupancy : R3
HILLSBORO, OR 97124 Validated by : KF
Applicant Phone: 250 -1596 Inspector Area :
CONTRACTOR : T & M ELECTRIC Lic. C 34 -148C 648 -6556
Fee description Units Fee /Unit Ext fee Data
Square Footage [Enter Sq. Ft.] 3000 145.00
Limited Energy 1 20.00 20.00
Subtotal Electrical Fees: 0 165.00
State Surcharge of 5% 0 8.25
Total Electrical Fees: 0 173.25
* ** Fees Required * ** * ** Fees Collected & Credits * **
Receipt No. Date Payment
04/21/93 173.25
TOTAL THIS DATE * * * * * * * ** 173.25
Fees: 173.25
Adjustments: .00 Total Credits: .00
Total Fees: 173.25 Total Payments: 173.25
Balance Due: .00
NOTICE: This permit becomes null and void If the work or construction for which It Is Issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void If construction is interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents in support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
V aio Department of Land Use & Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue, #350 -12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693 -4412 p roject/Permit 5 ? 3} III L1,4/. �,5
PLEASE PRINT Number v ' Date
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
1. Location of installation Number of inspections per permit allowed 9
Address / 4 79C, 5 Lk) 5 / Service included: Items Cost(ea.) Sum
7-/ nn 9
Building p A Residential - per unit
City � N4 rt�UC S No. 0� .n'
Tenant Name 1000 sq. ft. or less $85.00 0 S 4
(if commercial) Each additional 500 sq. ft 6 0
or portion thereof $15.00
Limited Energy $20.00 2' 1
Tax Lot Map No. Each Manufd Home or Modular
Dwelling Service or Feeder $40.00 2
- Thomas - Map Book: Page: - - Section: - 1 - - - -- - - - - - - - _ ._ -
Directions B. Services or Feeders
Installation, alterations or relocation
200 amps or less $50.00 2
•
Commercial Residential,: 201 amps to 400 amps $60.00 2
401 amps to 600 amps $100.00 2
601 amps to 1000 amps $130.00 2
2a. Contractor installation only: Over 1000 amps or volts $300.00 2
Electrical Contractor 7 f'�'f -C C.e r - Pt/c Reconnect only $40.00 2
. Address 3.3 3 N E ,S p 41 Al A-?.)k C. Temporary Services or Feeders
Date Job Nu_ mber Installation, alteration or relocation
Property Owner 1llEtnJr✓ Jr o 200 amps or less $40.00 2
Contractor's License No. 3 ,'/ 51'8'4 . 201 amps to 400 amps $55.00 2
401 amps to 600 amps $80.00 2
Contractor's Board Reg. No. 6 3 yo2 Y Over 600 amps to 1000 volts see '13' above
Signature of Sup/. Elec'n D. Branch Circuits
License No. 42 /S Phone No. a. J -- -45 o New, alteration or extension per panel
a) The fee for branch circuits with
purchase of service or feeder fee.
2b. For owner installations: Each branch circuit $2.00 2
b) The fee for branch circuits without
purchase of service or feeder fee.
Print Owner's Name Phone No. First branch circuit $35.00 2
Each add'nl branch circuit_ $2.00 2
Address E. Miscellaneous (Service or Feeder not included)
City State Zip Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
made on roe I own
Signal energy a e or s
The installation is being g properly � energy panel, alteration
which is not intended for sale, lease or rent. or extension $40.00 2
Owner's Signature F. Each additional inspection over the allowable
in any of the above, per inspection
3. Plan Review section (if required) x.00
5. Fees • 00
A. Enter total of above fees $ ).� S S
5% Surcharge (.05 X total fees) $ $ `2-
Subtotal $
B. Enter 25% of line A for
For inspections call Plan Review if required (Section 3) $
640 -3561 or 693 -4415 Subtotal $
24 -hour recorder, Less Bulk Label Fee $
one working day in advance of need Balance Due $ �'`°
This permit becomes null and void if the work authorized by the permit is not commenced within 180 days from date of Issuance / 73 2,5
of such permit or If the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 180 days.
Electrical Permits are non - refundable and non - transferable. 11/92
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
PHONE: 503 /648 -8761
OREGON Page : 1 of 1
Date : 05/18/93
Time : 16:27
Permit Type : Residential Electrical Permit Permit # : 05040462
Permit Status : APPROVED Applied : 05/18/93
Situs Address : 14796 SW 81ST AV TI Issued : 05/18/93
Permit Title : SFR - ELEC /STEREO SYSTEM Completed :
Permit Descr. : LIMITED ENERGY To Expire : 11/14/93
Project Title : SFR - ELEC /NEW HOUSE & L.V. Project # : P0030569
Project Descr. : * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation 0
Legal Descr.
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : CHELSEA AUDIO VIDEO Classification : 900
Applicant Addr.: 7733 SW CIRRUS DR Occupancy : R3
BEAVERTON, OR 97005 Validated by : KF
Applicant Phone: 641 -3510 Inspector Area :
CONTRACTOR : CHELSEA AUDIO VIDEO Lic. C 34 -276C 641 -3510
Fee description Units Fee /Unit Ext fee Data
Limited Entegy /Alter. /Extension 1 40.00 40.00
Subtotal Electrical Fees: 0 40.00
State Surcharge of 5% 0 2.00
Total Electrical Fees: 0 42.00
* ** Fees Required * ** * ** Fees Collected & Credits * **
Receipt No. Date Payment
05/18/93 42.00
TOTAL THIS DATE * * * * * * * ** 42.00
Fees: 42.00
Adjustments: .00 Total Credits: .00
Total Fees: 42.00 Total Payments: 42.00
Balance Due: .00
NOTICE: This permit becomes null and void If the work or construction for which It is Issued Is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction Is Interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents in support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
• the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all inspection requirements.
APPUCANT'S SIGNATURE
s AN WASHINGTON COUNTY RESTRICTED
Department of Land Use & Transportation
155 Inspection Avenue, # 50 ELECTRICAL ENERGY
155 North First Avenue, #350 -12
Hillsboro, Oregon 97124 APPLICATION
Information: (503) 640 -3470 Fax: (503) 693-4412
PLEASE PRINT . \ - . ,
Please complete all sections, 1 through 5. Project No. Permit No. a t r
1. LocatiO ot( Install _ ticn st Label No. Date . IIMIE1_
Address I k - 1 (n . 1 — Issued By Office
City , ► k irtiV, Zip Code C as y 4. Type of work: •
Tax Map Map No. (0.b
/ RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page 1i4 Section (for all systems)
Directions Check type of work involved:
Audio and Stereo Systems*
Commercial ❑ Residential ❑ Burglar Alarm •
Tenant Name Telephone Systems*
(if commercial) Garage Door Opener*
This permit becomes null and void if the work authorized by the Fire Alarm
permit Is not commenced within 180 days from date of Issuance Heating, Ventilation and Air Conditioning Systems*
of such permit or If the work authorized Is suspended or abandoned
at any time after work is commenced for a period of 180 days. Vacuum Systems*
Electrical Permits are non - refundable and non - transferable. Other
2. Contractor application: ,� ' ' ,� , \ s
Electrical Contractor Oi'ldrU u 1 COMMERCIAL Fee for each sy $40.00
(see OAR 918 -260 -260)
Address 77 3" SW
Date -6 - Job Numler 51 y Check type of work involved:
• Property Owner R9d A- C, 1.1• -h t tR.- _
Contractor's License No. ?a g - aa (o C Ce B oiler Controls
—
Contractor's Board Reg. No. (p (, c l D I Clock Systems
Phone No. en U I -3-in _ Data Telecommunications Installations
F ire Alarm Installation
3. Owner application: _ HVAC
Instrumentation
Print Owners Name Phone No. - Intercom and Paging System
Landscape Irrigation Control*
Address — Medical
_ Nurse Calls
City State Zip _ Outdoor Landscape Lighting*
This permit Is Issued under OAR 918420-370. The applicant agrees P rotective Signaling
to make only restricted energy installations (100 volt amps or less) _ _ _ Other
under this permit and to do the following:
1. Only use electrical licensed persons to do installations where
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks ('). All others need licens-
ing.)
2. Call for an Inspection when all the installations under this permit. * No licenses are required. Licenses are required for all other installations.
are ready for inspection.
3. Purchase separate permits for all installations that are not ready 5. Fees oe
for inspection when the inspector is out to inspect under this Enter fees $ /4 0
permit.
4. Assume responsibility for assuming thetall corrections required O
by the inspector are done, and • 5% Surcharge (.05 X total above) $
5. Assume responsibility for calling for a final inspection when all of
the corrections are completed, °
The person signing this permit must be the applicant or a person Total $ 7 •
authorized to bind the applicant.
signature . Space below reserved for validation.
Authority if other than applicant
For inspections call
640 -3561 or 693 -4415
24-hour recorder, one working day In advance of need 11/92
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION. #350 -12
iii
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640 -3470
OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Permit : 05039571 Project #: P0030569 Status : APPROVED Page 1 of 1
Applied : 04/19/93 Issued : 04/21/93 Expires : 10/18/93 05/17/93 08:18
RESELEC
Permit Title SFR - ELEC /NEW HOUSE & L.V. OTH
Description .
Job Address 14796 SW 81ST AV TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name : T & M ELECTRIC
Phone number 250 -1596 Valuation: 0 Approved
Inspector Comments: Rejected
Inspected by: Date : e 41��
Inspection Requested:
* Cover & Service
05/17/93 RI CB
05/17/93 RI MJF
DEPARTMENT OF LAND USE & TRANSPORTATION
joil
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY,
OREGON
PHONE: 503/640 -3470
INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Perm.. 050 39571 Project
#: P0030569 Status APPROVED Page 1 of 2
Applied : 04/19/93 Issued : 04/21/93 Expires : 11/13/93 06/24/93 05:14
RESELEC
Permit Title SFR - ELEC /NEW HOUSE & L.V. OTH
Description .
Job Address 14796 SW 81ST AV TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name : T & M ELECTRIC
Phone number 250 -1596 Valuation: 0 Approved
Ins ec or Comments: Rejected
A
-(1-7.-- � s ' = 4 1 1 ,1/'''..--...011.'1.-- x ' % �00 -.,�ae� 4 ... ,,,.r ∎:� .�. -...el l� *:„
Inspected by: ... / - -- Date: 6
Inspection Requested:
* Final Electrical
06/24/93 RI JF