13416 SW 136TH PLACE-1 1�
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Scott D. Springer a k""'her New York Stock Exchange
Associate Vice President/Investment Officer
One SW Columbia,Suite 1400, Portland,OR 97258-2094
503.295-5888 Tr,;:Free: 1-800-477-4795 Fax: 50? ')95-5891
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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
Permit �J �
Number � 3/ Date
Please complefe all sections, I through 5. 4. Complete Fee Schedule below
1. Location of installation Number of inspections per permit allowed
Address ;. -11
Service included: Items Cost(ea.) Sum
Building A. Residential-per orifi
City _;: Suite R0.
- 1000 sq.ft.or less $110.00 _ 4
Tenant Name I Each additional 500 sq.ft
(if commercial) or portion thereof $25.00
Map _— 7�L Tax Lot ���� Limited Energy $25.00 - 1
a NO. Each Manuf'd Roma or Modular
Dwelling Sorvire or Feeder $68.00 2
Thomas Mai Book: Page: Section:
Dii ections -`C t -� aj 13 s+., - r-1 B. Services or Feeders
J ! Tt� 'rt>C� Cif` i'> 1 fFL>` G C- F7 1301 l;_ Installation,alterations or relocation
200 amps or less $60.00 2
Commercial ❑ Residentla; 201 amps to 400 amps $8000 _ 2
401 amps to 600 amps $120.00 2
2a. Contractor installation only: �I (� 601 amps 10 1000 amps - $180.00 2
Over 1000 amps or volts —___ $340.00 2
Electrical Contractor Reconnect only $50.00 2
Address
Date _ Job Number C. Temporary Services or Feeders
Property Owner Installation,alteration or•elocation
Contractor's License No. 200 amps or less $50.00 _ 2
Contractor's Board Reg. No. 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 _
Signature of Sup' Flec'n
Over 600 amps to 1000 volts see'B'above
_
License No._ _ Phone No. + D. Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a) "The fee for branch circuits with
< < L , �, purchase of service or feeder fee.
7 r-rlLc k'ILLG f� Std.tz.a�.,ir S 1 h 3 y1� Each branch circuit $5.W 2
r nt wners Name one o. --
1 3 4 f L a -!;-a
` a )3(:A4 PL b) The Ice for brunch circuits without
Address —�� - purchase of service or feeder lee.
-7--7"l First branch circuit —1— $35.00 � 2
Itytat8 a tip — Each add'nl branch circuit_-,�_ $5.00 14 5 •/-L 2
E. Miscellaneous (Service or Feeder not included)
The installation is beingmade or, property 1 own Each pump or irrigation circle $40.00 2
which is not inte ded fOr Sal Mase or rent. Each sign or outlino lighting $40.00 2
Signal circuit(s)or a limited
Owner's Signature energy panel,alteration
or extension $40,00 2
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00
Fes. Please check appropriate hem and enter fee In section 5B. Per hour $55,00 __-
V1 In Plant --- $55.00
r _4 or more residential units in one structure
r-- _Service and feeder, 800 amps or more 5. Fees
_System over 1300 volts nominal A. Enter total of above fees $ J�tl7 OC:J
Classified area or structure containinc special 5% Surcharge (05 X total fees) $ .j. .5v
occupancy as described in N.E.C. Chapter w
5 Subtotal $
J B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply. Not required for temporary construction Subtotal $
services. $ —
Less Bulk Label Fee
Balance77-
Due $ Z) ,
For inspections call This permit becomes null and void If the work euthorlvad by the permit Is nal commenced
640-3561 or 693-4415 within 180 lays from dale of Issuance of such permit or"the work authorized Is
euspeoded or abandoned el any time after work is commenced for a perlod of 180 days.
24-hour recorder, one working day in advance of need Fledrlcal Permits are non refundable and non bmneferabte.
4/94
DEPARTMENT OF LAND USE & TRANSPORTATION
`WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY, 155 NORTH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
OREGON� � INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
-.4 . P004264 1. t.at.0 err':._ ,. page i
A} .i .t rt!03?/R;.e ;_.U0?d 08/08/94 Expires 02/04/95 09/02/x4. 09 : 08
RESELLC
Permit. T, i I ;: - 4G•1RCUTTS� OTH
T>er�cr1L-L' . :
Jut-, 124 L t' SW 136TH PL T1
Owner Naim. '•.N.,,1'FCTIUN - TI61ARI'! R:�<,rs , n
Apx 1. a Nam•, E'k i N 3Ei�, SCOTT
Phone I1l.it .. r X 1.4 - . 4: 4 Valuation
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, 013 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Ae2�nil� �l }.e •_ . .1` is � ."'1�. , i m'�
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
COUNTY, 155 NORTH FIRST,HILLSBORO,OR 97124
INSPECTION REQUESTS: 503/640-3561/693.4415
PHONE: 59q,, 87A7 X--> 640-34 /0
l OREGON Page 1 of 1
Date 08/U8/94
Time 13 : 55
Permit 'Type Residuntial Electrical Permit Permit # 05056831
Permit Status APPRUVEU Applied 08/08/94
Situs Address 13416 SW 136TH PL TI Issued 08/08/94
Permit. 'Title SFR - 4 CIRCUITS Completed
Permit Descr. To Expire 02/04/95
Project 'Title SFR -- 4 CIRCUITS E'ro ject # P0042841
Project Uescr. * EROSION
Parcel Number 2S1T1 - Land Use District
Valuation 0
Legal Uescr .
Owner INSPECTION - TIGARD Construction s OTH
Applicant Name' SPRINGER, SCOTT Classification 900
Applicant Addr. : 13416 SW 136TH PL Occupancy
TIGARD CR 97224 Valida.ed by EB
Applicant Phone : 524-3414 Inspector Area
Fee description Units Fee/Unit Ext fee Data
----------------------------------------------------------------------------------
1st branch W/out Feeder [Enter #] 1 35. 00 35. 00
Addl. branch W/out feeder [Enter #] 3 5 . 0U 15. 00
Subtotal Electrical Fees : 50, 00
State Surcharge of 5t 2 . 50
Total Electrical Fees : 52 . 50
*** Fees Required *** *** Fees Collected & Credits ***
Method Check # Receipt No, Date Payment
CK 590 08/08/94 52 . 50
'T'O'TAL THIS DATE: ********* 52. 50
Fees : 52. 50
Adjustments : . 00 Total Credits : . 00
Total Fees : 52 . 50 Total Payments: 52 . 50
Balance Due: , UU
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-� NOTICE: This permit becomes-iull and void 11 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 per,nit Is true and correc,to the best of our knowledge. 1 acknowledge that the Building Departmenl's reliance
W upon false end misleading Information may Invalidate this permit. All provisions of applicable laws end ordinances governing the construction and use
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—r of this building or structure will be compiled 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 occuii of
the structure or building permitted depends upon my calling for Inspections at various times during the pirocestof construction and the bl,riding
Inspection stall verifying compliance with the various codes. Use or occupancy of the building or structure Itled prior to app b' the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all In Ilan requirements s Belled and
approval Is given by the Bullding Official. 1 further acknowledge that a Ilan may be placed on the title of th roperly upon whichih1er Vt Is Issued
specifying that the use or occupancy of the blrllding or structure Is provisional and revocable until the faction of II Inapsc roqul, mews.
PPUCANT'3 ION UR /
w' _ DEPAR fMENT OF LAND USr&TRANSPORTATION
WASHINGTON TON LAND DEVELOPMENT SFRVICES DIVISION
155 NORTH FIRST,HILLSLIORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/648.8761
OREGON Page 1 of 1
Date 10/21/93
Tilme 15: 30
Permit Type Residential Electrical Permit Permit # 05046069
Permit Status APPROVED Applied 10/21/93
Situs Address 13416 SW 136TH PL TI Issued 10/21/93
Permit Title SFR - ELEC/BURGLAR ALARM Completed :
Permit Descr . To Expire 04/19/34
Project Title SFR - ELEC/BURGLAR ALARM Project # : P0035453
Project Descr, * EROSION
Parcel Number 2S1TI - Land Use District :
Valuation o
Legal Descr.
Owner rNSPECTION - TIGARD Construction OTH
Applicant Name ADT Classification 900
Applicanr Addr. : 703 NE HANCOCK Occupancy R3
PORTLAND, OR 97212 Validated by KF
Applicant Phone: 284-3265 Inspector Area :
CONTRACTOR : ADT SECURITY SYSTEMS Lic , C 26-209C 284-3265
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
10/21/93 42 . 00
TOTAL THIS DATE ***,r**ntrt* 42 , 00
Fees : 42 . 00
Adjustments : . 00 Total Credits : . 00
Total Fees : 46 . 00 Total Payments : 42 . 00
Balance Due: . 00
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J NOTICE, This permit becomes null and void It the work or cunalruction tot which 11 Is Issued Is not commenced within 1 Rn days Once construction has started,
the perms 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 bast of our knowledge. I acknowledge that the Building Department's reliance
upon falrr and misleading Information may Invalidate this permlt. All provisions of applicable laws and ordinances guvarning the construction and uvp
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of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. 1 acknowledgp Ihat
the granting of a permit does not grant authority to access privy.-,;�7oeriy or to use easements. I further acknowledge that the use or occupancy of
the struclurg or building permitted depends upon my calling lot Insr-.ctions ol various Mmes during the process of construction and the bullding
Inspection staff verifying compliance with the various codes. Use ur o:cuponcy 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 oil Inspection requirements are satisfied and
approval to given by the Building Official. I further acknowledge that alien may be placed on the title of the prope ly upon which the perinif Is Issued
specifying that the use or occupancy of the building or strumurs Is provisional and revocable until the sntisfacflon of all Inspection requirements.
APPLICANT'S SIGNATURE r
WASHINGTON COUNTY RESTRICTED
_
Department o1, Land Use & Transportation
Electrical Inspection Section ELECTRICAL ENERGY
RGY
155 North First Avenue, #350-12
Hillsboro, Oregon 97124 AP P LICATI O N
Information: (503))640-3470 Fax: (503)693-4412
PLEASE PPlAtT
ase complete dil sections, 'l • • Project No. --- Permit No.,:,e
1. Location of fel att0 Label No. DateL—
Address /� /n (� Issued By Office
Cit, r /,"t k __ Zip Code D? 4, Type of work:
T^x Map Map No. .
r ESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page f' .St Section - Z (for all systems)
Di actions 4,hQw (Q4 — y1l?_,t��, � Check type of work involved:
! 1 '\ C — Audio and Stereo Systems*
Comm�j ial L J Residential - urglar Alarm
Tenant Name Telephone Syslums•
(if commercial) — Garage Door Opener"
This permit becomes null said void If the work authorized br the Fire Alarm
permit is not commenced within 180 days from dais of Issuance
of such permit or if the work authorized Is suspenced or abandoned Healing,Ventilation and Air Conditioning Systems
at any time efter work Is commenced for a period co 180 gays. VarUUm Systema"
Electrical Permits are non-refundable and non-trans'erable. Other
2. Contractor application:
Electrical Contractor�, � T _ COMMERCIAL Fee for each ., $40.00
(see OAR 918-260--260-280)
Address 41 E 1y;4•y n e< _ X91 Z_
Date � '�_ job Num er,�/ Chec'; type of worts. involved:
P•operty Owner
Contractor's License No.z Boiler controls
Contractor's Board R I. Hp. �75
I /V Clock Systems
XL - Data Telecommunications Installations
Phc ne No. � Fire Alarm Instalintion
3, Owner application: _ HVAc
Instrumentation
Print Owner's Name Phone No. Intercom and Paging System
Landscape Irrigetion Control'
Address `— i Medical
Nurse Calls
State -7;-p -- Outdoor Landscape Lighting*
This permit Is Issued under OAR 918-320 370. Tho applicant agrees Protective Signaling
to make only restricted energy Installations(10v volt amps or Ages) Other
under this permit and to do the following• -
1. Only use electrical licensed persons to do Instoliatlono whore
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asierlsks I•). All others need Ilcons-
Ing
LA- 2. Cell for an Inspection when all the installations under this permit 'No'icensos are requir,xl. Licenses ere required for all other installations.
aro ready for Insportlon.
3. Gurchaso separate permits for all Installations that aro not ready 5. Fees
n for Inspection when the Inspector Is out to Inspect under this
>_ permit.
Enter fees $ 1
F- 4. Assume responsibility for assuming that all corrections required ,
J by the Inspector are done,and 5% Surcharge (.05 X total above) $ L
1 5. Assume responsibility for calling for a final Inspection when all of
the corrections are completed.
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The person signing this permit must be the applicant or a person Total $
autho,Ized to bind the spOlk ant.
Signature 1 -- — Space below reserved for validation.
Authority If olh9r than applicant
For Inspections call
640-3561 cr 693-4415
24-hour recorder, one working day In advance of need 11192