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10640 SW SUMMER LAKE DRIVE-1 • N f.. w . t �i N. i DEPARTMENT OF LAND USE b TRANSPORTATION , i LAND DEVELOPMENT SERVICES DIVISION #350-12 WASHINGTON WASHIY, 155 NORTH FIRST, HILLSBORO, OR 97124 COMPHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 ar 693-4415 Permit 1+ USU40459 Prc> )ef-t # P00312.34 .1:'tatus APPROVEL., Page 1 of Applied 05/18/93 ISEllel 05/16/93 Expires 11 /14/91 05/21 /93 07 : 51 RESELEC y Permit Title SFR ELEC/C)NE CIRCUIT OTH Description Job Address 10640 SW SUMMERLAKE DR TI Owner Name INSPECTION TICARD Region App) icant Name HEHERLE ELECTRIC Ph�,rtie rvurnber 524-7059 Valuation : 0 Approved_. _ 4 Inspector Cr_mments Re ject.ed__ - I nspec t.ed by . __ Date :— Inspection ate :—Inspection Requastpd / * Final Electrical 05/21/93 RI MJF .y loll , ' DEPARTMENT OF LAND Un&TRANSPORTATION WASHINGTON LAND DEVELOPMERT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTYt INSPECTION REOUESTS: 503/640-3581/893-4415 s1 PHONE: 503/648-8761 OREGON Page s 1 of 1 a� Date 1 05/18/93 Ti.me 1 16 : 27 Permit 'Type : Residential Electrical Permit Permit 0 1 05040459 a Pr;rmit Status APPROVED Applied 05/16/93 Situs Address 10640 SW SUMMERLAKE DR TI Issued 05/18/93 Permit Title SFR - ELEC/ONE: CIRCUIT Completed : Permit Descr , s To Expire s 11/14/93 Project Title SFR - E;LEC/UNE: CIRCUIT Project # I P0031234 x Project Descr, * EROSION Parcel Number 2S1"TI Valuation - Land Use District : 0 Legal Descr. Owner : INSPECTION - 'TIGARD ; Construction UTH Applicant Name : HE:BERLE ELECTRIC Classification 1 900 Applicant Addr. : 11610 SW 135TH AV Occupancy r R3 TIGARD, OR 07223--1K�,5 Validated by KF Applicant Phone: 524-7059 Inspector Area : CONTRACTOR : HEBERLE ELECTRIC Lic. C 34-1600 524-7059 Fee description Units Fee/Unit Ext fee Data ----- - ------------- - 1st branch W/out Feeder [Enter #1 1 35 , 00 35 . 00 - r. Subtotal Electrical Fees : 0 35. 00 State Surcharge of 5% U 1 , 75 rotal Electrical Fees : 0 36 . 75 k** Fees Required *** *** Fees Collected & Credits ------ Receipt No. Date p ------- Payment 05/18/93 36 , 75 TOTAL THIS DATE ********* 36, 75 Fees : 36 , 75 Adjustments : , OU Total Credits : . 00 Total Fees : 36 , 75 Total Payments : 36 . 75 Balance Due: . 00 NOTICE: This permit becomes null and void If the work or construction for which If Is Issued Is not commenred within 18n days. once construction has storied, the permit becomes null and void If construction Is Interrupted for a period of 100 days. 1 certify that the Information presented by the applicant and h hit spent or agents In support of this permit Is Ina and oortect to the bast of our knowledge. I acknowledge that the Eullding Department's reliance upon false and misleading information may Invalidate this permit. All provisions of apPIleable laws and orrnnances governing the coasirucilon and,roe of this building or structure will be compiled tvfth whether or not specified on the plans or noted ort the ptan a correction shoats. I scknowladg@ that the granting of a permit does nd grant authority to access prlvs%property or to use easements, f further acknowledge that the use or occupancy o: the structure or building oormftted depends upon my calling for Inspections at varNws times during the practise of oondrvctbn end 3r building 1 Inspection daft verifying compliance with the vsrlous codas. Use o'occupancy of the building or during �ro permitted of prior fl approval by the Building Department Is solely d the risk of the applicant and such ties,or occupancy Is revocable o struntil all Inspection ,L app�e Is given by the Building official. I further acknowledgef requirements are satisfied and specifying that the use or ocr:upsncy of the building or structure b provisional and placed on the title the satisfaction„of upon which the permit Is Issued inspection requirements. APPIMANT'S SIGNATURE s -J WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use b Tranaportation Electrical Irion Section 155 North First Avenue, #30-12 APPLICATION PPL'CAT'ON 0 Hillsboro, Oregon 97124 Information.- (503)640.3470 Fax: (503) 883-4412 Project/Permit ' I Q' PRINTPLEASE Number �'' 7 � / Date 5 4. Complete Fee Schedule below Number c:Inspections Per permh allowed 1. Location of Installation Service Included: Items Cost(ea.) Sum � Address,�O�yO .�W 5�1r••�t� t.�t ick �?___0 9 Building A. Residential-per unit !1p City iY _Suite No._ _ 1000 sq.It,or lose $85.00 4 'Tenant Name Each additional 500 sq.it or portion thereof $15.00 (if commercial) Umited Energy $20.00 — 1 Each Manufd Home or Modular Directions Dwelling service or Feeder 1:40.00 2 B. Services or Feeders Installation,alterations or relocation 200 amps or less $50.00 2 Commercial ❑ Residential 201 amps to 400 amps $80.1'n 2 40', amps to 800 amps $I00,00 —. 2 601 amps to 1000 amps $130.00 2 2a. Contractor Installation only: Over Reen000psorvolts $300.00 2 Electrical Contractor t >Gf2l �� only $40.00 - 2 Address 11 %O W. IzS -tl _ C. Temporary Services or Feeders Date -FT•_. .1__ Job NumberInstallation,alteration or rebcation Property Owner KftKL_ -}�A-L-� Mzfvim_ _ 200 aurae or less $40.00 __ Contractor's Ll gel 3e No. —� — ((gyp C, 201 amps to 400 amps $55.00 _ _ 2 401 amps to 800 amps _� $80.00 2 Contractor's ^.!d Reg, No. t — Over 800 amps to 1000 volts see•B'above ------ Signature ofSupr. Elec' b. Branch Circuits License No.' _ N •- l 4 New,alteration or extension per panel —T' e) The fee for branch circuits with purchase of swvko or feeder fee. 2b. For own insta ns" Fach branch circuit $2,00 2 ��_ b) The fee for branch circuits without Print ;•e Name purchase of circuit a or �' First branch circuit $35,00 ..�.�.� 2 Wiese -- Each add'nl bran&.circuit $2.00 2 _ E. Miscellanea:a (Service or Feeder not included) City State Zip - Each pump or Irrigation•.i,:4+. 140,00 2 Each sign or outline lighting $40.00 —_ 2 The installation is being made on property I own `final energy panel, al a limited which is not intended for sale, lease or rent. or xte panel,anaration $4000 2 or extension ., CWner's signature �i_ F. Each additional Inspection over the allowable In any of the above, per Inspection 3. Plan Review section (if required) --- $35.00 5. Fees A. Enter total of above fees $ t 5% Surcharge (05 X total fees) $ r;'� Subtotal $ B. Fnter 25% of line A for For Inspections call Plan Review if required (Sec_lon 3) $ 640-3561 or 693-4415 Subtotal $ 24-hour recorder, Less Bulk Label Fee $ one working day In advance of need Balance (due $► _Z •:,7 This permit becomes null and void If the wot horizod by the permit is not commenced withir.180 days from date of Issuance of such permit or N the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 180 days. Electrical Permits are non-refundable and non-transferable. 10/91