11047 SW ESCHMAN WAY-1 ADDRESS:
i:'recordslmicroflm\targets\building.doc
• If DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND 55 NORTH FIRST,DEVELOPMENT
LLSBORO,OR 9SERVICES 5124
COUNTY, INSPECTION REQUESTS: 503,/640-3561/693-4415
OREGON xXxxxxX>�x--Page1
U. 340of 1
Date 10/27/94
Time 16 : 39
Permit 'Type Residential Electrical Permit Permit # : 05060149
Permit Status APPROVED Applied : 10/27/94
Situs Address 13.04'/ SW ESCHMAN WA T1 issu,-td 10/27/94
Permit Title LIMITED ENERGY - BURGLAR ALARM Completed
Permit Uescr. To Expire 04/25/95
Project Title LIMITED ENERGY - BURGLAR ALARM Project # P0045057
P? o ;ect Uescr.. * EROSION
Parcel Number 2SITI - Land Use District :
Valuation U
Legal Uescr. .
Owner 1NSPE'-TIQN - TIGARD Construction OTH
Applicant Name BRINKS HOME SECURITY Classification 90U
Applicant Addr. : 8059 SW CIRRUS UR Occupancy R3
BEAVERTON OR 97005 Validated by MJF
Applicant Phone: b41-0514 Inspector Area :
CONTRACTOR : BRINKS HOME SECURITY L.ic . C 34- 136C 641-0196
Fee description Units Fee/Unit Ext fee Data
--------------------------------------------------------------------------------
Limited Energy/Alter . /Extension 1 40 . 00 40 . 00
Subtotal Electrical Fees : 40 . 00
State Surcharge of 5% 2 . 00
'fetal Electrical Fees : 42 . 00
*** Fees Required *** *** Pees Collected & Credits ***
Method Check # Receipt No. Date Payment
CK 1550 1U/2'//94 42 . 00
TOTAL THIS DA'I d ********* 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 constriction Is Interrupted for it 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 ben!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 stricture will be compiled with whether or not sFacified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to—coos private property or to line easements. I further acknowledge that the use or occupancy of
the structuro or building permitted depends upon my calling for Inspection$at various tlmes during the process of construction and the building
inspection staff verifying compliance whit the various codes. Use or orruponcy of the building or structure permitted prlor to approval by the
Building Department Is solely at tho n:k of the applicant and such lien or occupancy Is revocable until all Insppcticn requirements are satisfied and
approval Is given by the Building 01110M. I further acknowledge that a lien may be plsu+d on the title of the property upon which the permit Is Issued
speclfylnq that the use or orcupancy of the building or structure Is provisional and revocable until the satisfaction of ail inspection requirements.
APPLICANT'S SIGNATURE
- WASHINGTON COUNTY
Depart RESTRICTED
Department of !_and Use & Transportation
Electrical Inspection Section ELECTRICAL. ENERGY
155 North First Avenue, X350-1?_
Hillsboro, Oregon 97124 APPLICATION
(503)640470 Fax: (503)6934412
PLEASE PRINT
Please complete all sections, 1 through Permit No. 5-
1.
---1. Location QfInstallation Date
Address `l .5�/ —I�tY p I
l
City. Tit_IFN 11 I, Zip Code 1- j-
4. Type of work:
Map .vo. 1'S I V/ Tax Lot _
RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page 6'C D Section ) (for all systems)
Directions 'E:�T-. Check type of work Involved:
A„dio and Stereo Systems”
Commercial ❑ Residential - Burglar Alarm
Tenant Name Telephone Systems"
(if Garage Door Opener'
This perms,becomes null and void If the work authorized by the Fire Alarm
permit Is not commenced within 180 days from date of Issuance
of such permit or If the work authorized Is suspended or abandoned Heating,Ventilation and Air Conditioning Systema"
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: COMMERCIAL Fee for each• stem $40.00
Electrical Contractor _ rJK=� ua ��E� _ y
(see OAR 918-260-280)
Address
Date I`{ - ,)r— `1�ob Number _(c9q r-1(0�- Check type of work Involved:
Property Owner Vt�t l�c�r-� J_a rlr.1
Contractor's License No. - ln iI-- Boiler Conhols
Contractor's Board Reg. No 'ZI+ Clock Systems
Phone No. 4
Data Telecommunications installations
_< ]!+ Fire Alarm Installation
3. Owner application: HVAC
162` 4 _- aq C>-;E-5 Instrumentation
Print Owner's Name _ Phone No. Intercom and Paging System
Landscape Irrigation Control"
Address Medical
Nurse Calls
.i -��IaTQ �._i�p Outdoor Landscape L ghting"
This permit Is Issued under OAR 918-320-370. The applicant agrees Protective Signaling
to maks only restricted energy Installations(100 volt amps or less) Other
under this permit and to do the following: "^
I Only use electrlcrd licensed persons to do Installations where
required. (Certain residential and other transactions are exempt _ Number of Systems
from licensing. These have asterisks e). All others need livens- —
Y. Call for an Inspection when all the Installations under this permit "No licenses are required. Licenses are required for all other installe0ons.
are ready for Inspection.
3. Purchase separate permits for all Installations that are not ready 5i" Fees
for Inspection when the Inspector Is out to Inspect under this { } =
permit. Enter fees $
d. Assume responsibility for assuming that all corrections requiredr n
e
by the inspector are done,and 5% Stlrchar .05 X total above) $ .Ci-
5. Assume responsibility for calling for a final Inspection when all of g (the corrections arc completed. r7C7
The person signing this permit must be the applicant or a person Total $
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 4/94