8895 SW MCDONALD STREET j
;S PT■UOUOW 'MS 9689
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8895 SW MCDONA[D ST \'/
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CITY of TIGARD 4��L.1`1 IYI.. . r
COMMUNITY DEVELOPMENT DEPARTMENT
131A SW Hdl Blvd.Tigard,(Dragon 0722390199 (503)639-4171 Lei', i t._ 1,J6LJT_L):
t I :, XUNINU: IN 44. 5
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b1U 15•--1W HP. . . . : REPAIR UNITSA
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fY.au ;SCI+ HP. . . . I:LU IiHYE F25. . .
fAiR NI1"5 IJTh'IER UNI a.
(=. 1000116 cfm . GAS OUTLE 'rs. ri
type: Amcutit: by date v,ecpt;
P R M T $ c5. 00 .IH 04/tltl/y3
'.'`rPLi $ i.. :.'r ,JH 1114/01/93
-5 TOTAL
REf:.rUIRLI) INSPECTIONS
Ot S. is:'.t 5:..-jr. i tc the 'q ia.iv.c cuntai^ec in the i El 1 i rie i n5p
t2.E pf Ut'e. �peclait, (.Oyes a'C 2:i elle(' P'lecti,l C cti1i. IT15�
f,, i "• k;.i bE -011h 1 oCCG' 36C@ RIEi, F ina'11 Inspection
+tt.. expiri it wort: i5 not
it 5..c cc, i,o'•'r is su5,lended for acre
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639-4175
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SFRVICES DIVISION
n 155 NORTH FIRST,HILLSBORO,OR 97124
A"4. ! INSPECTION REQUESTS: 503/640-3561/693-4415
VOUNT�
r'" PHONE: 503/648-6761
OREGON
r; Page i of 1
Date : 04/09/93
Time 13 : 30
Permit Type : Residential Electrical Permit Permit # 05039261
Permit Status : APPROVED Applied 04/09/93
Situs Address 8895 SW MCDUNALD ST TI Issued 04/09/93
Permit 'Title = SFR - ELEC/2 CIRCUITS Completed
Permit Descr. TU: 655-E5 To Expire 10/06/93
Project Title SNR - ELEC/2 CIRCUITS Project # PU030326
Project Descr. TG: 655-E5 FROSIUN rr
Parcel Number 2S1'TI - L3nd Use District
Valuation : U
Legal Descr,
Owner . INSPECTION - TIGARD Construction OTH
Applicant Name : WEST SIDE: ELECTRIC Classification 900
Applicant Addr. : 7518 SW MACADAM AV Occupancy R3
PORTLAND, OR 97219 Validated by KF
Applicant Phone : 245-3385 Inspector Area
CONTRACTOR : WES`I'SIDE ELECT, Lic . C 26-1 ?6 : 245-3385
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 #] 1 '2 . 00 2 . 00
Subtotal Electrical Fees : U 37 . 00
State Surcharge of 5% 0 1 . 85
Total Electrical Fees : U 38 . 85
*** Fees Required *** *** Fees Collected & Credits ***
-----------------------------
Receipt No. Date Payment
04/09/93 38 , 85
TOTAL THIS DA'T'E ********* 38 . 85
Fees : 38 . 85
Adjustments : . 00 Total Credits : . 00
'T'otal Fees : 38 . 85 Total Payments : 38 . 85
Balance Due: . 00
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rr1 TICE* This permit becomes null and void It the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started,
W the permit becomes null and void If construction Is Interrupted for a period of 180 days. 1 certify that the Information presented by the applicant and
J his agent or agents In support of this permN Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this perm". All provisions of applicable lawn and ordinances governing the construction and use
of this building or structure wilt be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a perm"does not grant authortly to access private property or to use easements. I further acknowledge that the use or Occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the 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 at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements aro satisfied and
approval Is given by the Building Official. I further acknowledge that a filen may be placed on the title 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 satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURF.
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use dr Transportation
Electrical inspection Section APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412 Project/Permit
Number _ Date
completePlease • 4. Complete Fee Schedule below
1. Location of ins811.6ti Number of Inspections per permit allowed+
Address C 100") /C/ _v Service Included: Items Cost(ea.) Sum
T- Building A. Residential-per unit
City _� !7z Suite No.
Tenant Na a 1000 eq fl,or less $05.00 4
(if commercial) _ Each additional 500 eq fl
or portion thereof �.� $15.00 _—
Tax Lot Map No. Limited Energy $20.00 1
Each Manrdd Home or Modulsr
Dwelling Service or Feeder _—_ $40.00 2
Thomas Map Book: Page: b,.�� Section:��,
Directions_ _ __ B. Services or Feedefar
Installation,a"c rations cr relocation
200 amps or lees -- $50.00 2
Commercial Residential 201 amps to 400 amps $6000 2
401 amps to 600 amps $100.00 __ 2
601 amps to 1000 amps --, $130.00 2
2a. Contractor Installation nly: Over 1000 amps or volts $300.00 2
Reconnect only $40,00 _ 2
Electrical Contractor t
Address C<< C. Temporary Services or Feeders
Date Job N�ber -U � r' InstaUntio,i,alteration or relocation
Property Owner ���� _ 200 amps or lose $ao.00 __ _ 2
_ - 201 amps to 400 amps _ $55.00 2
Contractor's License No 401 amps to 600 an.pe $80.00 _ 2
Contractor's Board Reg. NO. Over"amps to 1000 volts see'l3'above
Signature of SupPper. ,E�le.�,c'nD. Branch Circuits
License No.. New,alteration or extension per panel
A) The fee fnr branch circuits with
purchase of sorvko or feeder tee.
2b. For owner Instaflations: Each branch circuit $2.00 — 2
b) The fee for branch circuits without
`� purrhase of serl�k`e or feeder fee.
Printer's Name done o-- First branch circuit $35.00 2
Each add'nl branch circuit $2.00 2
gess E. Miscellaneous (Service or Feeder not included)
city State __71_P ,_" Each pump or Irrigation circle_ $40.00 2
Each sign or outline lighting r— $40.00 2
Sig,ial circuits)or a limited
The installation is being made on property / own energy panel,alteration
which is not intended for sale, lease or rent. or extension _-- $40.00 2
C16
Owner's Signature F. Each additional Inspection over the allowable
N In any of the above,per Inspection
3. Plan Review section (if required) $35.00 -
5. Fees
A. Enter total of above fees $
W5% Surcharge (.05 X total fees) $ __�-----
Subtotal $
B. Enter 25% of line A for
For Inspections call Plan Review it required (Section 3) $
640-3561 or 693-4415 Subtotal $
24-hour recorder,
Less Bulk Label Fee $
one working day In advance of need Balance Due $ l=
This permit becomes null and void If the work authorized by the permit Is not commenced wItWn 180 days from date of Issuance
of such perm"or"the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 180 days.
Electrical Permits ars non-refundable and non-transferable. 11/92
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 1+350-12
155 NORTH FIRST, HILLSBORO,OR 97124
�•�� COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit it Or;041561 Frr:, 7ect IM . P0030336 Status APPROVED Paye I (a f. I
Applied Ob/16/93 Issued 0 " 16/93 Expires 12/13/93 05/2.4/93 W41
RESELEC
Permit Title SFR TEMPORARY SERVICE OTH
Description �
Jab Ad.dr�?ss 13550 SW PARMELF RD GA
Owner Name ? ADDINGTON, BRIAN I, 6 ROBIN L Region A
Applicar,t Naw- ADAMS , CATHY
Phony number 536-0917 Valuation 0 Approveci_
Inspector Conul)ents
Incl �ctHd by (_ - Irate :
Requested
Ints�l,e,-t. .
O6/24/93 R1 KY
O6/23/93 RI KF
06/18/93 RI M F
06/18/93 LAN MI) FILE NOTES