Permit tYiL.(sl(N I CAL
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• ITY DEVELOPMENT 'DEPARTMENT
i3125'SW Hall B lvd: Tigard, Oregon 97223.819 ( 503) 639 -4'171 =
c�,�, -- y. r i - � ,DATE" ISSUED. =: VI•J '/ 64 3 .
SITE 1- IDDRE5S� e a g 13165 SW LAURNUNr DR ' . ° P I RCE1 . ±• :',,, -18606 ' • .
SUSL`•i VISIOFdo a , ,g, VILLO E 'AT SUMMER LAKE PARK, ' ' , _ Zr]HINO.;; P'- -1
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GLASS OF WORK. eNEI.4 r- LOOP OOP FURNI. - - EVAP' COOLERS'_
TYPE, .,OF USE—. a ='SF UNIT i- l_AlERS..o VENT ;FANS..
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- REQUIRED D , •INS - EC T I•UNS. ---= '-- ',-•.-
jittl:- peroit is'iss.ued - Subject to the reoulati[ns container in the rina73''Inspectionr' •
q,ioard knicipai.iCo e, Slate of Ore. Sped tty. €odes and -all oshei�' - _ _ - - - --
aIlikica'ble laws. mill SdeiL will 5e Gone . in accordance with - - - - -__ • a oproVeri, plans.. This perni t hill' i' expire if wot'li Is not sta1'te0 , _ _�.
' within ii i&O da or issuance, or if wore( i5 susoenoeo for- cone ' ?:!'_ ; _ ' - .
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1 1
,1:, WASHINGTON DEPARTMENT OF LAND USE & TRANSPORTATION
„ LAND DEVELOPMENT SERVICES DIVISION
, ` t` ; i 155 NORTH FIRST, HILLSBORO, OR 97124
'! COUNTY INSPECTION REQUESTS: 503 /640- 3561/693 -4415
®C � PHONE: 503/648 -8761
: ' , , 1 3 1 _ ,, ,--, , ,` OREGON Page : 1 of 1
- Date : 05/11/93
Time : 11:06
Permit Type : Residential Electrical Permit Permit # : 05040235
Permit Status : APPROVED Applied : 05/11/93
Situs Address : 13165 SW LAURMONT DR TI • Issued : 05/11/93
• Permit Title : SFR - A/C UN1'1' CIRCUIT Completed :
Permit Descr. To Expire : 11/07/93
Project Title : SFR - A/C UNIT CIRCUIT Project # : P0031052
Project Descr. : * EROSION *
Parcel Number : 2S1'1'I - Land Use District :
Valuation 0
Legal Descr. •
•
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : SHARPE ELECTRIC Classification : 900
Applicant Addr.: 22605 SW RIGGS Occupancy .
BEAVERTON,-OR 07007 Validated by : PH
Applicant Phone: 642- 7937 Inspector Area :
•
CONTRACTOR : SHARPE ELECTRIC Lic. C 34- 217C'•
Fee description Units Fee /Unit Ext fee Data
1st Branch W /out Feeder [Enter. #] 1 35.0.0 35.00
Subtotal Electrical Fees: 0 35.00
State Surcharge of 5% 0 1.75
. Total Electrical Fees: 0 36.'75
* ** Fees Required * ** * ** Fees Collected & Credits h **
•
Receipt No. Date Payment
05/11/93 36.75
TOTAL THIS DATE * * * * * * * ** 36.75
F'ees': 36.75 - •
Adjustments: .00 Total Credits: .00
Total Fees: 36,75 Total Payments: 36.75
Balance Due: .00
•
NOTICE: This permit becomes null and void Ibthe work or constructlon'for which It is Issued is not commenced within 180,days. Once construction has started,
the permit becomes nultand 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,permlt: All provisions of applicable laws and ordinances governing the construction and'use
of,this building or structure will be,complled with whether or not specified on the plans or noled on the, plans correction.sheets: I acknowledge that
the granting of a'perrnit 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 t , of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure is provisional and revocable - unti „ I t sfaction of all`In . ction requirements.
'• PLICANT 7 SIGNATURE
Apiti WASHINGTON COUNTY ELECTRICAL PERMIT
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 Project/Permit !/ //_ 93
Number S -7 0a ?s Date
PLEASE PRINT
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections per permit allowed 9
1. Location of installation , Service included: Items Cost(ea.) Sum
Address /3/ 6 .5 S� Lau PMorl A. Residential - per unit
� Building
City ► / 61.rFl• Suite No. 1000 sq. ft. or less $85.00 4
Tenant NaRie Each additional 500 sq. ft
or portion thereof $15.00
(if commercial) _Limited_ Energy _ $20.00.. 1
/ Each Wired Home or Modular
Directions 6 S .l A-3 Dwelling Service or Feeder $40.00 2
B. Services or Feeders
Installation, alterations or relocation
200 amps or less $50.00 2
Commercial 0 Residential !' I ,1 + 201 amps to 400 amps $60.00 2
v n ! 401 amps to 600 amps $100.00 2
601 amps to 1000 amps $130.00 2
2a. Contractor i s tallation • nl Over 1000 amps or volts $300.00 2
y Reconnect only $40.00 2
Electrical Contractor d' • / - G i _ G
Address 0 At f C. "OA I A C. Temporary Services or Feeders
Date 3 A Job Number Installation, alteration or relocation
Property Owner / o n 56 -e,Y 200 amps or less $40.00 2
Contractor's License No. _3 f 7 C 201 amps to 400 amps $55.00 2
Y / G 401 amps to 600 amps $80.00 2
Contractor's Board Reg. No. �/ S') 6 Over 600 amps to 1000 volts see •B• above
•
4 ; D. Branch Circuits
Signature of Supr. Elec'n =� %.;; �„i
License No. y _, .S Phone No. 3'P 'M L'r r 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
Print Owner's Name Phone No. purchase of service or feeder fee. :ZS; y�
First branch circuit J . $35.00 0 0 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
Signal circuit(s) or a limited
The installation is being made on property I own 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) 00
5. Fees
A. Enter total of above fees $ 35) 00
5% Surcharge (.05 X total fees) $ /, 7..S
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 $ .34
This permit becomes null and void if the work authorized by the permit is not commenced within 180 days from date of Issuance
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. 10/91