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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON 155
DEVELOPMENT SERVICES DIVISION 8350-12
155 NORTH FIRST, HILLSBORO, OR 97124 `
°y COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 ar 693-4415
Permit. # : 05055:367 Project # P0041875 :5f APPROVED Page 1 of 1
Applied : 07/05/94 Issued 07/05/94 E. 01/01/95 07/07/94 05 • 31
RESELID ■
Permit Title SF'R - (4) CIRCUITS ''TI{
Description2 BATHROOM REMODELS Begun 07/05./94
i Job Address 12200 :;W MAIN ST TI
Owner Name INSPECTION - TIGARD �� Rf'g1( r ■
Applicant. NArne ROBERTS ELEC'T'RIC
Phone nurnbex- 244-7754 Valuation : <APP
rcve _�_ ......
Comments . Rejected-1----
IVR-RESULTS
ejected-- ____.IVR-RESULTS
REQTIEST ERROR
i
Inspected by . f .(�'� .. _ . Dat.
Inmpo,.ctiU:: Requested
* Cover 0404 EAP
V4 LN �k
07/07/94 RI JS ,:;AP AM
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTONLAND DEVELOPMENT SERVICES DIVISION I'
155 NORTH FIRST,HILLSBORO,OR 97124
COUNT)",", INSPECTION REOUESTS: 503/640.3561/693-4415
l' V��! i PHONE: 503/648-8761 Page : 1 of 1
OREG0N Date 07/05/94
Time 14 : bo
Permit 'Type Kesiuential L•:le:ctrical Permit Permit # U5U5538'/
Permit Status APPROJt:;U Applied U'!/U5/94 '
Issued 07/05/94
61tus Address; 1ZZU�) LiW MAIN 6'T '1'1
Permit 'Title ( 4 ) CIRCUl'k'S Completed
Permit Descr . 6ATHHUUM REMUDELS To Expire U1/01/9b
L-'ro ,jec:t 'Title St'H - ( 4 ) ClH(:ILJI 'S Project # PUU418'/5
Pro,)ect Uescr. Z 8ATHHUUM HEMUL)ELS * E14USIUN
Parcel Nunwer 151'1'1 - Land Use District
Valuation U `
Legal Uescr . a
uwrler INSPHC .LUN - 'TIGARD Construction U'TH
' AppJ.icant Name HUtis'H'Tb ELECTRIC: Classification 90U
Apwlicatst Addr. . : 5 /b9 bW 48TH occupancy
H3 -
Validated b MJ b,
PURTLANU UR 9'/Z L 1 Y
Ap,,,11c:ant Ptwrle : 244-7 /b4 Inspector Area
C :14 /.3C bZU-0383 .:.
l„UN 1'HAC'i'UH s 1(UuEj-( ' ' S ELECT . INC . ( '
Foe description Uni,-• F-e/unit Ext fee Uata
------------------------------------------------------------------•----------- I;
ist B.f.anch W/out h eerier Ltriter #j 1 3b . UU 35 . 00
Addl. branc,a W/out t'eeder LEnter #] 3 5 . UU 1b . UU
aubtotal Electrical k'ees : 50 . U
State Surcharge of b% 1 . 50
'Total Liec'tr ical Fees : b"L , bU
*** Nees Heyuired N'ees Collected 4 Credits ***
---------------------------- -------------------------------------• ------
Method Check # Receipt No. Date Payment
CK b2b8 0'//Ub/94 5'L , 5U
TUTAL 'TH16 UATL: ********* 52 . 50
Fees : bZ . 50
Adjustments : . 0 'Total Credits : . 00
Total Fees : b2 , bU Total Payments : b'L . 5U
Balance Duet . UU °
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NOTICE Title permit becomes null and void If the work or construction for which II Is issued Is not commenced vd 190 days. Once construction has started,
the permit becomes null and void II construction Is Intornrpted for a period M 190 days. I certify that the i. rmallon presented by the applicant and
his agent or agents In support of this permit is true and correct to the r rst of our knowledge. 1 acknowledge that the Building Department's reliance
upon false and misleading Informatlon may Invalidate this permit. All provision@ of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not spe•Ifted on the plans or noted on the plpn•correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. !further a.knuwledge that the use or occupancy of
the structure of building permitted depends upon my catling f---.Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with Ih t various codes. use c•occupancy of the building or structure permitted prior to approval by the
Building Department Is soleh.,at the risk of u•e applicant and such us,,a'occupancy Is revocable until all Inspection requlrements are satisfied and
approval 1@ given by the Building Official. i farther aaknowfadge that a+Ian may he placed on the title of the property upon which the permit Is Issued
specifying that the usu or occupancy o'the building or structure Is provisional and revocable until the satisfaction of all Ire r me
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WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
�,.l Electrical Inspection Section APPLICATION
- 155 North First Avenue, !1350-12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 6934412 Permit
Number �. J._
PRINT
�__l- Date
• complete a sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections per permit allowed
1. Location of installationService included: Items Cost(ea.) Sum
Address IZZ 0_ Su', ���11 -
Building A. Residential- per unit
City c - Suite a.- 1000 sq.n.or less $110.00 4
Tenant Name Each additional 500 sq.ft
1f commercial) or portion thereof $25.00 1
;fod Energy $25.00 -- - 1
MapTax Lot f.k4nnrrYrt Hmm�nr kAn-Ii --
Ma No.. - -� - ;,
,oiling Service or Feeder $68.00
Thomas Mpp Book: Page: . Section:_
Direction,,__ ____-_- ^____ ___-- B. Services or Feeders
Installation,alterations or relocation
-`- --- 200 amps or less $60.00 2
Commercial Residential F1 201 amps to 400 amps - _ $80.00 _ 2
/// 401 amps to 600 amps $120.00 2
: 601 amps to 1000 amps - $180.00 2
2a. Contractor Installation only: Over 1000 amps or volts $340.00 - - 2
Eler;trical Contractor ��}� �S ; Reconnect only --- $50.00 -•-
Adaress ,S--25,7_ LU, v-* C. Temporary Services or Feeders
Da;e Job Number
Property Owner _ Installation,alteration or relocation
__._ 200 amps or less $50.00 - 2
Contractor's License No.
.201 amps to 400 amps $75.00 - 2
Cnntractor's Board Reg. No. Ak Kms____ 401 amps to 600 amps $1oo.00 2
Over 600 amps to 1000 volts see*W above
Signature of Supr. Elec'n K-4
License Phone No. r 7 7 D. Branch Circuits
I Now,alteration or extension per panel
2b. For owner installations: n) The fee for branrh circuits with
purchase of service or feeder fee.
- _ Phone No. Each branch circuit $5.00 -- - 2
rint Owner's. ams b) The fee for branch circuits without
_ purchase of service or feeder fee.
Address A� First branch circuit 1 $35.00 - 2
Cly---- -State -- 7ip -�-� Each odd ril branch circuit_ $5.00 2
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property 1 own Each pump or Irrigation circle v- $40.00 _ 2
which is not into dad tar a or rent. Each sign or outline lighting $40.00 - 2
/� . Signal circuit(s)or a limited
�Owner's Signature -G-' -`' _- energy panel,alteration
or extension $40.00 -- 2
F. Each additional inspection over the allowable
in any of the above
3. Plan Revi%w section (if required) Per inspection $35.00
Please check appropriate hem and enter fee In section 51B. Per hour $55.00 �-
4 or more residential units in one structure In Plant $55.00
_Service anu feeder, 800 amps or more 5. Fees
---System over 600 volts nominal A. Enter tots! of above fees $ - ---
__Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $ ---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 $
Balance Due $ 5.=
For inspections call This permit becomes null and void If the work authorlred by the permit is not commenced
640-3561 or 693-4415 whhii 190 days from date of issuanr a of such permit or It the work authorized Is
suspended nr sband�nad at any fim,r after work Is commenced for a period of 190 days.
24-hour recorder, one working -lay in advance ct need rlselrical Permits are non refundable and non-transferable.
4/94
SIGN PERMIT
DATE ISSUED. . . . . 07/23/92
PERMIT $: SGN92-0115 �
j EXPIRATION DATE: 05/,23/9X
PARCEL. . . . . . . . . . 26102AA-02302
ZONE. . . . . . . . . . . . CBD
BUSINESS NAME. . : INSURANCE ASSOCIATES r
SIGN LOCATIOV. . : 12200 SW MAIN ST
APPLICANT/AGENT: JERRY SCOTT
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY
TEMPORARY ( ) WALL (X) ELECTRONIC ( ) f
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 2 X 8+2 X 8
TOTAL SIGN AREA. . . . . . : 32 sq.ft.
WALL AREA. . . . . . . . . . . . . 1584 sq.ft.
WALL FACE (DIRECTION) : NE
SIGN HEIGHT. . . . . . . . . . . 9 ft.
PROJECTION FROM WALL. : 10 Ln.
ILLUMINATION. . . . . . . . . : INT
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DESCRIPTION OF SIGN:
PERMANENT WALL Sic-N. 2' X 8' + 2' X B' = 32 SQ.FT
MATERIALS. . . . . . . . . . . . . ILEX/METAL
EXISTING SIGNS. . . . . . . . 0
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 25.00
APPROVED BY: �_ 1 10-v (_
DATE: 07/23/92
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Permit IJo_
CITY OF TIGARD —
SIGN PFJ3JRT APPLI(1MON
The applicant hereby applies for a permit for the work indicated or as shown in the
accoapanying Plans and specifications-
SIGN LOCATION ADDRESS: �Q� W 1�V��-(N - ZONING:
NAME OF BUSINESS: ce As,,GocIATa_"- �s�- yy Imo' ■
APPI.Ir.ANr/AGFNr: `� � om"ANY:'�C�y
The City of Tigard impx-,es an annual Business Tac which must be kept current: on all ■
persons doing business in the City. Do you presently have a current business tax?
YFS ) NO ( ) U.L. label I _
PRDPOSFD SIGN: (Clieck as many as apply)
PE1QtM4r (ya FREESTANDING ( ) FRF Y ( )
TF24PORARY ( ) WALL (�c) F1.rxzRcx TC ( )
I3IU ) ( ) BALLOON ( )
p o
SIGN DIME2I.SIONS: 1-v_''��U P 2°X _ \ EXPIPJ ION DATr:
TUML SIGN AREA, (:q_ Ft.) : -
WAU. AREA (Sq- �_Lb C H
WAIL )FACE: -Q�Lhl- S _.� _--- 1
IMEGJff (Ft) ---
PRDJBCIION FIM W9L:
ninuNmoN: YES (y NO ( ) TYPE:
MAT DAIS: (E t n��! _
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ACMINISrRATIVE F-XCEPITON: N/A APPROVE) ( ) im mum .
ARFA ( ) Ii aIT ( )
OQ�IMEJJ�:
i PLANNING DF-PARTHERr �- .All sic3n�permit-s must be acxxarpanied by a scale
Permit drawing arra Plot plan. If work authorized urxier
Receipt No: `�a-��2 2,1 rYC, a sign permit has not been completed within ninety
-By: 4,4 days after the m->snamn of the permit, the permit
Date:i-Jy,/�3!9-L, shall becxxm null aryl void.
ELDCIRICIU, PETOWr I CI!ZrUY 711KI' I Art IF. PJ)W.,DFD (XVFR OF 711FRWJ1Rh1): YES (4---No ( ) PROPFIM OR AP AGEWI' AiURIZ• PY `Tiff•: OWNF t.
WrinLNG PE r-UT
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SIGN PERMIT
s PERMIT 1): SGN92-0116 DATE ISSUED. . . . : 07,23/92
EXP I RAT ION DATE: S_.
PARCEL. . . . . . . . . . 2S102AA-02302
ZONE. . . . . . . . . . . . CBIi
BUSINESS NAME. . : SIR SPEEDY PRINTING Q
SIGN LOCATION. . : 12200 SW MAIN ST
APPLICANT/AGENT: .TERRY SCOTT
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 2 X 8+ 2 X 8
TOTAL SIGN AREA. . . . . . : 32 sq.ft.
WALL AREA. . . . . . . . . . . . • 1.581 sq.ft.
WPLi, FACE, (DIRECTION) : NE
SIGN HEIGHT. . . . . . . . . . . 9 ft.
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PROJECTION FROM WALL. : 10 in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
PERMANENT WALL SIGN. 2' X 8' + 2' X 8' = 32 SQ.FT
i
MATERIALS. . . . . . . . . . . . .. PLEX/METAL
EXISTING SIGNS. . . . . . . : 0
�1.
i ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTTONS. : N/A
PERMIT FEE: $ 25.00 /
1.
APPROVED BY.
DATE: 07/23/92
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Prxmit No_
CCf)( OF TIGARD
SIGN PO]MCr APPLICATION �
The applicant hereby applies for a permit for the work h- icated or as shown in the
aooccipanying plans and specifications_
SIGN IOCATION ADDRESS: IQ-'O2 S.U. , � ���� Zoumu:
NAME. of BUSINESy_ � c� P 1��� ----
APPLICAIMr/AGE T: COMPANY: 1 PHONE:
The city of Tigard imposes an annual Bi.m nes_s Tax which must be kept_ current on all
persons doing business in the City. Do yai presently have a current business tax?
YES v�O NO ( ) -_ U.L_ Ia} el '_--
wDrA-)sl7m�SIGN:- (Chuck as marry as apply)
Pm4ANwr ( FRE MI'ANDING ( ) k MKNY ( )
T04�rxzAlzY ( ) VALL hU FLE)CMWI_C ( )
(THER ( ) BILIJaARD ( ) E3.�1MOON ( )
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r ;IGN D11QN.s10NS: Z°�x E PI-PATION DATE:
ZvrAFA L SIGN AR (Sq- Ft-) = -�1, (-0
YAId. AREA (s3_ I t_ 2-0 =/&NT
PMJ=ON MCM WALL.: I1 r•
I r MMTION: YEv (X) No ( ) TYPE: A NQS
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COPY: �,e �i `7"�1_ ��1VG—SS Pt2w TINI (/� �i S(6yj&)
E}CISTING SIGIS:
AIMINISIRATIVE H(CEPrION: N/A ( ._ ~'rPMWED ( ) HOW K"I
AREA ( ) IIF IQfr ( )
Ca-MIM:
P'IANN]NG DEPAIZII*Nr _ AU sign permits mast be aczoatpanied by a scale
Permit Fee- -�1S�' -- drawing and plot plan_ If work authorized tffder
E2eoei.pt a sign. permit: has not been couple—ted within ninety
Approved 1 days after- the issuance of the permit, the pernit
5 Date: _-201 Zq 2- _— slial-1 b3ocnr_ null and void.
TI.EX` RICAL PEM ri r = I CERTIFY MAT - Art 71E RBCORPID OkVFR OF 711E
UKJIRED: YI5 PROPETM OR All Ar -NT At ZIz BY WE (x?M- .
BUIII)ING PFRttrr
RFMIRMm: YES ( ) No ( Q/fl Applicurtt: s i.gnata�re - - - -----
�/t3.�•1PI7Z.r l.lEres.' ��� � r ,,
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SIGN PERMIT
PERMIT N: SGN92-0117 DATE ISSUED. . . . s 07/23/92
EXPIRATION DATE:
PARCEL. . . . . . . . . : 2S102AA-02302
ZONE. . . . . . . .. . . . CSD
BUSINESS NAME. . : SIR SPEEDY / INSURANCE ASSOCIATES
SIGN LOCATION. . : 12200 SW MAIN ST
APPLICANT/AGENT: JERRY SCOTT
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING (X) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( ) ■
t SIGN DIMENSIONS. . . . . . : 6' X 7' X 2
TOTAL SIGN AREA. . . . . . : 84 sq.ft.
v. WALL AREA. . . . . . . . . . . . . sq.ft.
WALL FACE (DIRECTION) : NA
SIGN HEIGHT. . . . . .. . . . . 15 ft.
PROJECTION FROM WALL. : in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
PERMANENT FREESTANDING SIGN. 6' X 7' X 2 = 84 SQ.FT
MATERIALS. . . . . . . . . . . . . PLEX
s
EXISTING SIGNS. . . . . . . . 0
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
f1,
PERMIT FEE: $ 25.00
F APPROVED BY: F —
DATE: 07/23%92
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CITY OF TIGARD
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SIGN PEf41= APPLICATION
jbp applicant hern_.by applies for a permit for tfie work ndicated or as shown in the
acaunpanying Pians and speCifi.cations. I�
SIGN L CATION ADDRESS: ( 2, t �� ► ` I/�� , ZON NG:
11 N 2!Q4d V
NAME OF BUSINESS: 7 6L. ' 2 ■
APPLIGINT/AC'FNT' _ COMPANY: �Z�L.LL_`' FIRM:
ibe City of Tigard roses an anm-A Business Tax which must be kept current on all ■
persons ing businessin the City. Do you presently have a current busuy-.!Ss tax?
YES ( No ( ) U.L. Label
PTdD>?osEo SIGN: (clicaok as ma„y as~apply) e
ES 1 n0 EY)C7 WG (f
PFI IFNT ( II2F�STANDIIQG (>(j FREEWhY
TEMPORARY ( ) BIZ., ( ) ELF)CIRONIC ( )
OTHERBIIJBOARD ( ) BAA OON ( )
� v
€ SIGN DINENSIONS: X 1 _ F
� ECPIRAZ'ION DATE:
JUM, SIGN AREA (Sq. Ft-) :
NAIL AREA (Sq. Ft.) _
WALL FACE: _
11EI(9fr (Ft)
PR37T7CrION FROM WALL:
IIJ110 TION: YES TYPE:
MAZ'ET2IALS: --
EKISZ7NG SIGNS: _ ----
ALT=-.'TRATM E}CCEPTION: N/A (✓} APPI.'ONM ( ) IiOw r1iJCfI��o
ARE 1 ( ) IffuGhT ( )
1 5(�
MANNING DF.PAlumm All sign permits mast be ac ccupanied by a stale
Permit Fee: . 02 3 drawing and plot plan_ If work , - tori7ed toric3-
Et��i�No:�j,��- lib a si-gn permit h�� not bet11 ca aplete�cl within ninety
A roved By_ days �
after the i. sanoe of the permit, the permit. ,
Date_�.�. 3 "��_ shal-1 became vall and void.
ETJ)=CAL PEl3KI I (L�'IIY 7IIAT I t 'II{E RFIDDRDFD 0� 7t OF T1iE
RF7QUIt2F1): YES NU ( ) PRDPII7i'Y OR AG AUII Z ZE D BY 711F C%M-' t. r
BUM)ItJG PF?Z•Ir r
RIMIRI73: YFS ( ) JR) AIA �r� -'s S1 3bu;'e
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CITY IIF 'T I CARL? RECEIPT OF PAYMENT RE"CF I P'T NO. :94 0
CHECK AMOUNT a '75. 00
NAME a SIGN CRAFT
CASH i AMCIUNT 0. 00
ADDRESS : 9033 SW BURNHAM ROAD PAYMENT DATE: a 07/07/92
(�TIGAPD, OR SUBDIVISION
iaLJRP SE, OF PAYMENT AMOUNT PAID PURPOSE OF PIAYME<Ni" PMOUN"f PATI)
�.;If�lV C�fRMIT 15 ..`......._.._. .,.__..._._ _...._....._ ._...�._._.__ ..,. _.�...� __..__...,...._ _..__....�..
y25. 00 SIGN P'E'RMIT F 98, 116 2� 00
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SIGN E'IT.RM'I"T' F 92-- 11-7 4: '. 00
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TOTAL_ AMOUNT AA I D 75. 00 '
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