7855 SW FANNO CREEK COURT ADDRESS:
Crea -
i:lrecordslmicrcrlmltargetslbuilding.doc
AEPARTME.ff OF LAND USE A TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES 15DIVISION5 NORTH FIRST,HILLSBORO,OR9
• COUNTY, INSPECTION REQUEST'S: 503/840-35611693-4415
C PHONE: 503/848-8761
OREGON Page : 1 of 1
Date : iib/29/j4
Time . 16 : 34
Permit 'Type Residential Electrical ermit Permit # : 05055161
Permit Status APkjRUVEV Applied U6/"Z9/94
6itus Address /85b SW t'ANNO CREEK C'1' 'T1 Issued 06/29/ 94
Permit 'Title 5t'k - ELEC/3URCGLAk ALARM Completed
Permit Uescr . LIMITED ENERGY To Expire 12/26/94
Project Title SFR - ELEC/b�_RGLAR ALARM. Project # P0041'/06
Pro_lect Uescr ,. : LIMITED ENERGY E'R051ON
Parcel Number Z61'Tl - Land Use District
Valuation U
Legal Uescr,
Uwrier INS'JECTI ON - T. GARD construction U'1'H
Applicant Name BRINKS HOME SEi:URl'1'Y classification 900
Applicant Addr. : bob9 SW CIRRUi UR Occupancy R3
6E:AVEk'1'UN, UR 4 ,'UUb Validated by KN
Applicant Phone : 641-Ub'/4 Inspector Area
CUNl'IiAC'TUR : 8HiNKS HUME St�C.URITY Liu . is 34-1.660 641-01.96
tee descrilotion Units Fee/unit Ext tee Data
----------------------------
Limited Energy/Alter. . /Extension 1 4.0 . 00 40 . 00
Subtotal Electrical tees : 40 . 00
State Surcharge of bt 2 . 00
'Total Electrical tees : 4Z . UU
** � tees Required *** *** tees Collected 6 credits **
Method Check # Receipt No. Date Payment
CK 1403 06/29/94 42 . 00
I'U'TAL 'THla DA'Z'E ****fr>r*** 42 . 00
Fees : 42 . 00
AdJustments : . 00 'Total Credits : . 00
Total Fees : 4Z . 00 'Total Payments , 4Z . 00
Balance Due: . U0
NOTICE: This permit becomes null and void If the work or construction for which"Is Issued Is not commenced within 190 days. Once construction has atarled,
the permit becomes null and void If construction Is Interrupted for a period of 190 days. 1 certify that the Information presented by the applicant and
his agent or agents in support of this permit Is tris and correct to the best of our knowledge. I acknowledge that the Building Department's reilanre
upon false and misleading Information may Invalidate this perms. All provision*of applicable Is"anrr ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or need on the plans correction sheets. I acknowledge that
the granting of a permit domes not grant authority to access private property or to nse easements. 1 further acknowledge that the use or ocrupancy of
the structure or building permitted depends upon my ca!ling for Inspections al various times during Iris process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of The building or structure permlNed prior to spprovP1 by the
Building Department!s solely at the risk of the applicant and rich use or occupancy Is revocable until all Inspection requirornenta are satisfied end
approval Is given by the Building Official. I further acknowledge that a Ilan may be rlaced on the title of the preperty upon whlrh the permit Is Issued
specifying that the use or occupancy or the building or structure Is prcwlslona!rnd revocable until the satisfaction of all inspection roqulremenls.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY
Department of Land Use & Transportation RESTRICTED
Electrical inspection Section ELECTRICAL ENERGY
155 North First Avenue, !1350-12 a
Hillsboro, Oregon 97124 AP P LI CA' ,10 N
Information: (503)X640.3470 Fax: (503)693-4412
PLEASE PRINT
�-
• - complete sections, , , Permit No.
1. Location of installation Date ^-
Address -7855 S4 FAQ
city_r�card_. _ zip code_Q 722 __-_ 4. Type of work:
Map No. _ Tax Lot
RESIDENTIAL Restricted Energy Fee $40.00
l homes Map Book: Page 655 Section
(, (for all systems)
Directions_ " Check type of work involved:
-- -- — Audio and Stereo Systems*
Commercial [] Residential Burglar Alarm
Tenant Name Telephone Systems'
(if con.mercial) Garage Door Opener'
This permit becomes.lull and void if the work authorized by the Fire Alarm
permit Is not commence,within 180 days from slate of Issuance Hna`ng,Ventilation and Air Conditioning Systems"
of such permit or If the Nork 4uthorized Is sueNended or abandoned
at any time after work Ib commetreed for a period of 180 days. Vacuum Systems"
Electrical Perrnits are non-refundable and non-transferable. Other ,
2. Contractor application: -----
Electrical Contractor rt s o t ec r,1N _ COMMERCIAL Fee for each system $40.00
►� S u-_ (sde OAR 918-260-260)
Address x059 SW C_irn s DrLve _ _
Date ZILJ.± _ Job Number coLQ61,L__ Check type of work Involved:
Property OwnerMar�Be lb KrQ,�_ _
Contractor's License No, _3-!6L CIE Boiler controls
Contractor's Board Reg. No. �4►�'t�-i _ Clock systema
Phone No. ioL}I- X14 Data Telecommunications installations
Fire Alarm Installation
3. Owner application: HVAC
_ V�p instrumentatlon
Intercom and Paging System
r'rint Owner's Name Phone No. `
Landscape Irrigation Control"
Address P Medical
Nurse Calls
State Outdoor Landscape Lighting"
This permit Is issued under OA 918-320-370. The applicant sprees Protective Signaling
to make only restricted energy Installations(100 volt amps or less) Other
under this permit end 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 dcensing. Thess hove aster1sh s("). All others need 11cens-
2. Call for an Inspection when elf the Insta(lotion a under this permit "No licenses are required. Licenses are required for ell other installotions.
are ready for Inspection.
9. Purchase separate permits for all Installations that are not reedy 5. Fees
for Ir. pec Non when the inspector Is out to inspect under this
permit Enter fens $
4. Assume responslblllty for assuming that all corrections required _
by the inspector are dons,and 5% Surchai ge (05 X total above) $
S. ANsllme responsibility for calling to,a flnel Inspection when of/of
the corrections aro completed.
The person signing this permit must be the app4cont or a person To $
,authorized to bind the applicant.
Signature Spare below reserved for validation.
Authority it other than applicant4_L-?�artZ___—» `
For inspections cad
646-3561 or 693-4415
24-hour recorder,one working day In advance alga