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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTYINSPECTION REQUESTS: 503/640-3561/693-4415
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OREGON PHONE: 503/648-0751
Page i of 1
Uate. U1/U4/93
'1'ime 12 : bb
eermit 'Type ktesiuential Electrical hermit Permit # 050JP.)4'/1
kexin.►t 5tatu ; AJ?P11.UVEU Applied I U1/04/9J
6itus Address 11LbO 5W HALL, 61, '1'1 issued 01/04/93
ve-rrni.t 'Title bl•'kt. - 130kkULAR ALAl1M Completed
eermtt Uesct . 'lb Expire I U'//UJ/91
pz:u'Iect. 'Title I be'k - BURGLAR ALAkM Project # PU028'L49
Pro Ic+c:t Uescr .. * EN0510N
Prlrce l Number 2b i') .1 Land Use District
VdluatlOtl l)
LI- a Ueacicr .
Uwner UktAHAM, DUN Construction (.)TH
Applicant Name 8RINK' S HOME SECURITY Classification 9UO
Apt.').1 icar►t Addr . : 1 L 1 bU SW GARDEN NL Occupancy t H3
PL)W 'LAND, Oil 9'/22',) Validated by Pli
Ap�)iicant Phone : b84-3b'/') Inspector Area
I,uN'1ktAL1'Ukt t 13k1NK5 HOME SECU< iTY LiC. C 34-166C 6H4-3Y/9
Fee description Units h'ee/Unit Ext fee Uat:a
-------------------------------------------------------------------------------------
1,imit.ed L11(il qy/Alter ./Exter►sion 1 4U . U0 40 . U0
.Dubtotal Electrical h'ees : U 4U , 00
:'.,tate Liurc:hargre of "116 U 2 . 00
1'vtai. Electrical k'ees : U 42 . 00
A RE!quiteti *,r *,► Fees .'ollected & Credits xw*
------ -------------------------------------
Receipt No . Uate Payment
U1/04/93 4r . 00
kUTAL, Thib OATS 42 , 01)
4d . 00
tidIUJtIMC10..SI , 110 'Total Credits : . UU
vial k'eL!r : 42 . UU 'Total Payments : 42 . 00
balaric:e 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 tins started,
Ilia permit 6,-comes null and void If construction Is Interrupted f a a period of 1 RO days. I certify that the Informatlon presented by the applicant end
his agent or agents In sup"ri of this permit Is true and correct to the best of ow knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All p,ovlslons of applicable laws and ordinances governing the construction and use
of this building o•structure will be compiled with whether or not specified on the plans or noted on the pians correction sheets. I acknowledge that
the granting of a permit does not grant authorlly to access private property or to use easements. I further arknowledge that the use or occupancy of
Ihr structure or building permitted depends upon my calling for Inspections at various times during the process of construction and Me 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 of 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. 1 further ar.knowtedge that a lien may be placed on the titin of the property upon which the permit Is issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfac!lon of all Inspection requirements
APPLICANT'S SIGNATURE
WASHINGTON COUNTY RESTRICTED
Department of 'and Use & Transportation
�., Electrical Inspection Section ELECTRICAL ENERGY
155 North First Avenue, I1350-12
Hillsboro, Oregon 97124 APPLICATION
Information: (503) 640470 Fax: (.503) 693412
PLEASE
RINT
•w - Project No.�rl Permit No.
Label No. Date -'V43
1. Location of Installation Issued By Office
Address � �2 (cr 0 L)l � H n� ( psiyd.
City `t`i AR r c 0C. zipcode �—
. -12�
-t 3_ 4. Type of work:
Thomas Map Book: Page Section RESIDENTIAL Restricted Energy Fee $40.00
(for all systems)
Directions _— . __— ___---- Check type of work involved:
Commercial ❑ Residential ( Audio and stereo Systems*
Tenant Name Burglar Alarm
(if Commercial) Telephone Systems`
This permit becomes null and void If the work authorized by the GarFirage Door Opener"Alarm
per mil Is not commenced within 180 days from date of Issuance Nesting,Ventilation and A,r Conditioning Systema'
of such permit or if the work authorized Is at-ipended or abandoned
at any time after work is commenced for a pk.rod of 180 days. Vacuum S;stems•
Electrical Permits are non-refundable and non-transferable. Other
2. Contractor application:
COMMERCIAL Fee for each system $4Q.00
_
Electrical Contractor "(rel La C ' ALJ (see OAR 918-260-260)
Address 2 r ' .1 -_ . —
Check type of work involved:
Date t '11.2 Job Number _moi1I`L__
Property Owner Dc)n F,r_1Itri yr _
Contractor's License No, 1 _ _ Boiler Controls
Contractor's Board Reg. No. +- 1 clock systema
Phone No. L74 ` 3S ��1 Data Telecommunications Installations
Fire Alarm Installation
3. owner application: - Cci-3rt 7
16T_7
6 I Inst rotation
Intercom and Pagirg System
Print Owner's Name 'i Phone No.
I–Ue N WLandscape Irrigatt,m Control•
ddress Medical
Neuse Calls
71_P Outdoor Landscape Lighting*
This permit is Issued under OAR 918.320-370. The applicant agrees Protective signaling
to make only restricted energy Installations(foo volt amps or less) Other
under this permit and to do the following: I
1. only use electrical licensed persons to do Installations wkere
required. (Certain residential and other transactions are exempt Number of Systertts
from licensing. These have esterisku(`). All others need licens-
Ing•) rn. �iia utiiui ere l,,rvi:<s are required for all other rnsfallations.
2. Call for on Inspection when all the Installations under this permit
are ready for Inspection.
3. Purchase separate permits for all Installations that are not ready 5. Fees
for Inspection when the Inspector Is out to Inspect under this Enter fees $ `—
permit.
4. Assume responsibility for assuming that all corrections required
by the Inspector are done,and 5% Surcharge (.05 X total above) $ 2
S. Assume responsibility for calling for a final Inspsctlon when all of
the corrections are completed.
The person signing this permit must be the applicant or•person Total $ r"
authorized to bind the appllcsnt.
ncdurc i Space below reserved for veli lotion.
S1y
Authority 0 other than applicant ---
For Inspections call
640-3561 or 693-4416
24-hour recorder, one working day In n advance of need