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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUE37S: 503/640-3561/693-4415
t7 PHONE: 503/648-8761
OREGON Page 1 of 1
Date U3/23/94
Time 13 : 38
Permit 'Type residential Electrical Permit Permit # U5U51280
Permit Status APPROVED Applied 03/2I/94
Situs Address 10560 bW 65TH AV 'TI Cssued 03/22/94
Permit Title SF'n - EJ,E('/SERVICE & 10 CK'TS Completed
Permit Descr . To Expire 09/18/99
Project Title SFR - ELh;C/SERVICE & 10 CKT5 Project # P0039069
Project Descr. EROSION
Parcel Number 2SITI - Laria Use District
Valuation U
Lc:ga2I Descr.
Owner INSPECTION - rTIGARD Construction O'TH
Applicant Name (.,A(-;E EN"'ERPRISES Classification 900
Applicant ,ddr. : PU BOX 1429 Occupancy R3
CL'ACKAKAS, OR 97015 Validated by KF
Applicant Phone: 6�7-0141 inspector Area
CONTRACTOR : GAGE ENTERPRISES Lic . C 3-128C 657-U142
Fee description Units Fee/Unit Ext fee Data
------------------------------------------------------------------------------
Service/F'eeder: 200 amps or less 1 60 . 00 60 . 00
Each branch W/ Feeder fEnter #j 10 5 . UU 50 . 00
Subtotal Electrical Fees : 110 . 00
State Surcharges of 5`9 5 . 50
'Votal Elertrical Fees : 115 . 50
* Nees Required ** * +e ** F'eeo Collected & C'redl.ts ***
----------------------------------- --------------
Method Check # Receipt No. Date Payment
CK 1105 03/22/94 115 . 50
Fees : 115 . 50
Ar1-justmeents : . 60 'Total Credits : . OU
i'otal Feen - 115 . 50 'Total Payments - 115 . 50
ba lance Due : . 00
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JNOTICE: This permit becomes null and void If the work o construction for which It Is Ir.Auer.Is not commenced wflhl•r 100 da,s. Unce constriction has staled.
Ihn parmil becomes null and void If construr.tio t Is Interrupted for a period of 100 days. I certify that rte 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 acknowl wigs that the 8uilding Department's reliance
upon false and mislead`ng Irform-tion may Irrval!date this permit. All provisions of applicable laws%.id orrilnances govt ming the conotructlon and us.
LLf of this building or structure will be cumplind 01h whether or not specified on the pions or noted on the pip.-is correction sheets. 1 acknowledge that
the granting of.permit does not grant auti;•rrlty to access private property or to use easements. I lurcher sclaiowledge Thar,the use or occupancy of
the structure or 5ulldinq permitted depends u"n my railing for Inspections of various times during the prnc,ess of constnicllon and the building
Inspection staff verifying compliance with the rslous codes. Use or occupancy of the building or structure permitted pflor to approval by the
Building Oeparlment In solely at the risk of the sonllcant and such use or occupancy Is revocable until all Inspection requirements are sat!sfied and
approval Ie g en by the 8ullding Otflc!af. I further at:.rnwledge that alien maybe placed on the,title o"the proporly u, _h whlch the permit Is issued
speclfyh.;tha the use or occupancy or the building or stoke..:!s vrovlslonal and revocable until the satisfaction of all...spectlon requirements.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT E R M IIT
Department of Land Use & Transportation ■111i
Electrical Inspection Section APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 97124
Information: 503 640.3470 Fax: 503 693-4412
Project/Permit C
Nl;r;her / Date
Please complete •ns" I t1ircr 0, 1
4. Complete Fee Schedule below
-
1. Location of installation it
c-� `-. Number of Inspections per permit cllowed
Address /6 S 6 0 '-__-�_ )
Building Services included: Items Cost(ea.) Sum
City - � q�.,d _ Suite No.
Tenant Name A. Residential - per uric
(if commercial) -- - -_ 1000 sq.ft.or less __. $110.00 __. 4
Each additional 500 sq.ft
Tax Lot Map No. -- or portion thereof -- $25.00 _-
Limitod Energy $25.00 _-- 1
Thomas Map Book: rage:_s1 Section: - Z- Each hlanuf'd Home or Modular
Directions-- - low:lint Service or Feeder $68.00 2
-� -
H. Services or Feeders
Commercial ❑ Residential kN Instanation,alterations or relocation
200 amps or less $60.00 _L L-�� _ 2
2a. Contractor I istallat/on only: 201 amps t400 amps $80.00 -_ 2
401 amps to
600 amps $120.00 - _ 2
Electrical Contractor601 amps to 1000 amps $180.00 2
Address Over 1000 amps or volts -- $340.00 2
Date 3 61 Job umbar �__ Flenonnect only $50.00 ---.-- 2
Property Owner ._R�b�'--1.? �S �-� �- C. Temporary Services of Feeders
Contractors License No. 3 I �- K- �� Installation,alteration or relocation
Contractor's Board Reg. No. 3 Q-s- -:k H. - 200 amps or less $30.00 2
_1A 201 amps to 400 amps $'15.00 �-�_ 2
Signature of Supr. Elec'n _ �` /= ''�' 401 amps to 600 amps $100.00 s
License No. /_24. ,L Phone No. e gz--1 _gel` _ Over 600 amps to 1000 volts see'B'above
2b. For owner installations: D. Branch Circuits
New,allorntion or extension per panel
Print War's Name --- ---..- --- - 3) The fee for branch circuity with
n
aurcr'fess or service or feeder fes.
Addr ss t Ear branch circuit _za $5.00 iC90 2
b) The lee for branch circuits without
airy tate Zip purchase of servfcs or feeder lee.
First branch circuit ._- $35.00
The installation is being made on property 1 own Each add'nl branch circuit $5.00 -
Wibt:'h is not intended for sale, ileare or r of it'. E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 2
Owner's Signature ___________-- -_ Each sign or outline lighting $40.00 _--._ 2
---- - Signnl circuit(s)or a limited
3. Plan Review section (if required) energy panel,alteration
Please che,:k appropriate Hein and enter fere In section 5B. or extension __ $40.00
_ 1 &2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable
4 or more residential units in one strucL ire in any Per inspee pthe above
CL ction _ $35.00 --
•- - Service over 225 amps; feeder 400 amFs or more Per hour $55.00
N System over 600 volts nominal In Plant -.-. _- $5500
Building over 3 stories in he!ght
Building over 10,000 sq. ft. 5. Fees
Occupant load over 99 persons A. Enter total of above fees $ t
Manufactured Structure's Park or Recreational 5% Surcharge (.05 X total fees) $ S v
LD Vehicle Park; new, addition or alteration
Subtotal $ -
L' Classified area or strum ul t contafi ling special B. Enter 259 of line A for
occupancy as described In N.E.C. Chapter 5 Plan Review if required (Section 3) $ -- -
:.ubtotal
Submit 2 sets of plans with app Ilration where any of the Less Sulk Label Fee $
above apply. Not required for temporary, construction /1 �
servlces._ Bai:artce Due
For Inspections call �y This permit I ecow4s null and void M the w.-.k suthorir-d by the permit In ncl commenced
640- 5Ei S or 109.3-Ci 4 5 within 1e0 day from of issue •w such permit or"the work s,dhorir.rd Is
suspended or■bandoned a any Myna that work Is comrienced far s korlod of 1.0 days
24-hour recordar,one worklrlp day In advance of need Electrical Permits ara non far meabl•a nd non-tranefatsb'a
5,'93
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON % LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLjBORO, OR 97124
^�" COUNTY, PHONE: 503/640-3470
OREGON �/ INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
lerrnit # (15051280 Project # : F-0039069 Status APPROVED Pa 9e 1 c'f I
pplied 03/22/94 Issued 03/22/94 Expires 09/18/94 03/29/94 06 : 0.1
c 3�u �I RESELEC
ermit. Title SFR - ELIC/SERVICE & 10 CKTS i')')q OTH
escr.iption a KW.Dl'' Begun : 09/22/94
ars A.idx•esG 10560 I;W 65TH AV TI &55 N' Y J
"lwner Name INSPECTION - TIGARD Region D
pplicant Name GAGE ENTERPRISES
home number 657--01 2 Valuation : 0 Approved
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inspector CorflrilElltS �;,:? �>.. ,,� ✓ ''
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....pcted by . ___ _ Date _3
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03/29/94 RI PM PATIO DOOR OPEN
• DEPARTMENT OF LAND USE & TRANSPORTATION
1 �
WASHINGTON // LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY', 155 NORTH FIRST, HILLSBORO, OR 97124
V PHONE: 503440-34%
0REGON INSPECTION REQUESTS (24 hours. 503/640-3561 or 693-4415
21ermi t # : 05051280 PrL,J-ect # : P0039069 S, atus APPROV'D Page 1 of I
applied : 03/22/94 Izsue3 03/22/94 Expires 09/18/ 94 03/3U/94 06 : 01
RESELEC
ermit Title SFR - ELEC/SERt'IGE & 10 CK: gegen : 03/22/94
"�eo criptinn �/Oq/
Jab Address 10560 a G5T AV TI
>wner Name INSPECTIU - TICIARD Regioi I!
pplicant Name GAGE ENTERPRISES
hone number 657-01.42 Valuation . 0 Approved
Inspect,�)r Comments Reje�-d ----,
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Inspected h Y ._ ._.._r _.---.._.._ Date :
1 777
Inspection Requested :
Cover & Service
03/30/94 RI (.".S WILL CALL DIR AM 657-0) 42
03/29/94 RI PM PATIO DOOR OPEN
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