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DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REOUESTS: 503/640.3581/693-4415
OREGON XXXXXXXXX- (r40--34 /U -
Page 1 of 1
Gate s 05/18/9b
tame : 08: 19
Permit Type Commercial Electrical V, Per-mit # UbOb'/82b �
I-eLmit Status Atli' Applied Ob/17/95 Situs Address 4i'I == Issued 01./17/55
Permit 'E'itle KUY BANK 5 CIRC;UIT.I. Completed :
Permit Uescr . : Job 3550 '1'o Expire 11/13/9S tli
Pro)ect 'Title KEY BANK - 5 CiRCI-11TS Project # PUU5U069
Project Descr , JUE3 Jbbli * EROSION
Pai rel Number 2S1TI - Land Use District
valuation rl
Legal Uescr ..
(Miler 1NbPE("1'lC)N T1 GAI-w Constructlon U'i'H
Applicant Name HAC'HUFNEEI ELE("t'Hl(' Classification t 9Uo
Applicant Addr . : 55 SE MA.EN Occupancy
P0141'LAND, OR 9'/214 Validated by PH
Applicant Pirine : l:i.i-ZO06 Inspector Area
F're description Units Fe e/Unit. Ext free Data.
1st Branch W/out Feeder [ Enter #] i 35 , 1)(11 JIL) . 00
Addl . branch W/r,)ut Feedet l Enter # j 4 °, , 0 LU . UU
Subtotal. !%Iec_trical. Fees : I,5 , 00
13tate Surcharge of !i% 2 . 75
'Total Electrical Fees : 117 . 75
`r** F'eEsReC]uire�1_-_ ___
*** ** k_ Fee-, & Credits
--------------------- ------
- -
Method Check # Receipt No . Ie.4t.e Payment
CK 8801 05/1'//95 5'/ , '!5
Fe c7 :
Ad lustment s : U0 1'ottal Crr-dits : . 00
Total Fees : 5'/ . '!5 TotaI Payments : 57 '!5
HalanCe Due : . 01)
NOTICE: This permit incomes null and void N the work or constructlen for which It Is Issued;s not commenced within 180 days. Once construction hit started,
the permit bucomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In supprA of this permit Is true and cornet to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets, I acknowledge that
the granting of a permit does not grant authority 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 verlous times during the process of construction and the building
Inspection staff v"Ing 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 are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien may be placed on the tale 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 Inspectfon requirements.
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APPLICANT'S SIGNATURE
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JOBII 3550
` WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation �
�e r" Electrical Inspection Section n
155 North First Avenue, #350-12 APPLICATION
Hillsboro, Oregon 97124
Information: (503)640.3470 Fax: (503) 693-4412 Permit
�.
Number .r0�v��lt�/Y�t� DatePLEASE PRINt'
ilgh S.
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Please cbmplete all section�, 1;Q.
4. Complete Fee Schedule below
Number of Inspec'-)ns par permit allowed
1. Location of! I tion -
1 Set-vice included: Items Cost(ea.) Sum
Address
Building A. Residential-per unit
City TIGARD Suite o. t#
.---- -- -�-- 1000 sq.ft,or less $110.00 4
Tenant Name / 7 Each additional 500 sq.tt
(if commercial) _41-
f�} �'r;-" _ or portion thereof $25.00
777 1 Limited Energy $25.00 _ _-__..__.__ 1
Map No.-_ Tax Lot ___- Eoch Manuf d d
Horne or Modular
Dwelling Service or Feeder -_ � $66.00 -__-___-__ 2
Thomas Map Book: Page: Section:__
B. Services or Feeders
Installation,alterations or relocation
200 amps or less -- $60.00 2
Commercial Residential n 201 amps to 400 amps __ $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor Installation only: 601 amps to 1000 amps $340.00 2
IIACHUFNER EL CTRIC Over 1000 amps or volts ___ 5340.00 __ 2
Electrical Contractor _ Reconnect only $50.00 -- 2
Address 55 SE MAIN
Date_ r,_;;- 5 Job Number _._ 3550 C. Temporary Services or Feeders
Property Owner _ - Installation,alteration or relocation
Contractor's License No. -_2 �
.651 C 200 amps or less $50.00 _ 2
� _ 201 amos to 400 amps $
00.00 __-_______ 2
Contractor's Board Reg. No.
401 amps to 600 amps $100.00 _ - 2
Over 600 amps to 1000 volts see"B'above
Signature of S�groI,c'n _ RAS_.._
License No. Phone'No. D. Branch Circuits 1
Now,alteration or extension per panel
2b. For owner Installations: a) The fee for branch circuits with
purchase of service or feeder lee.
Print Owner's Name Phone No. Each branch circuit $5.00 __-__ 2
b) The fee for branch circuits without
Xd r rem purchase of service or feeder lee.
First branch circuit 1_ $35.00 35 2
City .,tate 2ip Earl Odd nl branch circuit_4_. $5.00 2 0 2
E iNiscellaneous (Service or Feeder not included)
The installation is being made on property I own each pump or Irrig0on circle_-_ $40.00 9
which is not intended for sale, lease or rent. Each sign or outline ligiittnn $40.00 -- 2
Signal circuits)or a limited
Owner's Signature - _ energy panel,alteration
or extension s,4610
F. Each additional Inspection over the allowable
of
3. Plan Review section (if required) In Pe
nnspethe above
ction $35.00
Please check appropriate hem and enter fee In section 5B. Per hour V5.00
_,__4 In Plant $55.00
or more residential units in one Structure,
-Service and feeder, 800 amps or more 5. Fees
System over 600 volts nominal A. Enter total of above fees $ 55. 00
_Classified area or structure containing special 5% Surcharge (.05 X total fees) $ 2. 75 v
occupancy as described in N.E.C. Chapter 5 Subtotal $ i
r
B. Enter 25% of line A for i
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ i
above apply. Not required for temporary construction Subtotal $
services.
Less Bulk Label Fee $
Balance Due $ 7, 7 5
For Inspections call This permit becomes null and void N the work suthmired N 11
by the PO.nit 0)twmrrlenced
640-3561 or 693-4415 within 180 days from date of Issuance of such permit or"the work autim Is
suependr d or abandoned at any time after work is commenc.d for a OKw 01180 days.
24 hour reco-der, ons working day In advance of need Electrical ermito aro nom refundable and nen-trensferab,a.
4/94
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DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION PEOUES'TS: 503/640-3561/693-4415
XX)(XXXXXX--> 640-341(i
OREGON Page 1 or 1
Date U6/12/y'
Ti,me 10 : 33
Permit. 'Type Commercial Electrical Permit Permit 05067640
Permit Status : APPROVED 7150 �� ���-� Applied U5/12f95 d
bitus Address 14001@ Issued 05/12/95 �
Permit 'Title KEY BANK - LV Completed I
Fermi t Uescr. JUN 11':+551 'Co Expire 11/08/9b
Project 'Title, KEY BANK - L\/ Project P00499113 ONO
Project Uescr . JOB '1'3551 * EROSION
Pat:cel Number l51'I'1 - Land I.Ise District
Valuation u
Legal Descr,
Uwtter INSPEC"PION TWARll 1'onst,, uction O'1'H
/Applicant Name bACHOHNER ELECTRif- Classification 900
Applicant Addr y17 SE MA1.N Occupancy
PORTLAND, 08 9-/214 Validated by PH
Applicant Phone: 233--2006 1n3pector Area
tree description Units Fee/Unit L.xt fere Data
Limited Energy%Alter . /EXten:: ion 1 40 . 00 40 . 00
>ubtotal Electrical Fees : 40 . 00
State burchargre of 5*t 2 . 00
'fetal Electrical Nees : 42 . 00
k** Fees Required tees Collected tx Credits w **
Method Check ft Receipt No . Uate Payment
CK 8/93 115/12/95 42 . 00
'1'(-)TAL '1'H 1 S DATE k ** ***** 42 . 00
Fees : 42 . 00
Ad ju :tmetits : . 00 'Total GL edits : UU
'Total k'ees : 42 . 00 Tc)ta1 Payments : 4'l. , 0U
balaricc' Due: 00
r,
NOTICE: This pernult becomes null and volt N the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has atariad.
the penmh becomes null and void if construction Is Interrupted for a period of 180 days 1 certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the beef of our knowledge. I acknowledge that the Building Department's reliance
upon false and mislseding Information may Invalidate this permit All provisions of applicable laws and ordlnences governing the construction and use
of this building or structure will be compiled with whether or not spocifled on the plans or noted on the plans cones Ion sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use essomento. I further acknowledge that the use or occupancy of
tM 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 varinuit codes. Use or occupancy of the building or stnucturs permitted prior to approval by the
Bullding Department Is solely at the risk of the applicant and ouch use or occupancy Is revocable until all Inspection requlremenh ere satisfied and
approval Is given by the Building Oficial. I further acknowledge that a lien may be pieced on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of tho building or structure Is provisional and revocable until the satisfaction of all Inspection rev,'-emonts.
APPLICANT'$SIGNATURE
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JOB# T3551
WASHINGTON Department
of COUNTY' ELECTRICAL PERMIT
Department n4- Land Use & Transportation �
Electrical Inspection Section APPLICATION i
155 North First Avenue,#350-12
Hillsboro, Oregon 97124 ;
lnfcirmetion: 303 640-3470 Fox: 503 693-4412 Project/Permit `` �����
• Number - Z(0 sr _�_ Date S y�
throughPie 11? - .I _. _ __ __,,'�l
i. Location pf Installation 4. Complete Fee Schedule below
�llation 7, � I •
Address- �! ` b- � � - Number of Inspections per permit allowed
Buildingq Service Included: Items Cost(ea.) Sum
City TI:'ARD Suite fJo. - -- --
Tenant Name ' A. Residential-per unit
(if commercial) __ --- t WN.4.N .1 Mb- $110.00 -•-,_-_-_ 4
Each additio,•al 500 sq.
Tax Lot_- - Map No. - or portion thc•aof $25.00
Limited Energy $25.00 ---- 1
Thomas Map Book: Pc L is Section: Each Manufa Horne. Moduli r
Directions..-__-__.-_- _.._- Dwf0ing Service cr Fee,!- $63.00 --
B. Services or Feeders
r�1
Commercial 11 Res;dential -� Instillation,alterrdions or relocation
200 amps or less -- $60.00 - 2
201 amps to-400 amps _ $80.00 2
20a Contractor Installation only: 401 amps to 600 amps -- $120.00 -- 2
Electrical Contractor BACHOFNER ELECTRIC 601 amps to 1000 amps $180.00 - 2
Address 55 SE MAIN Over 1000 amps or volts $340.00 -- 2
Date Job Number ---_ Reconnect only --- $50.00 --- 2
Property Owner _ -- C. Temporary Services or Feeders
Contractor's License Na. 26:_4 51 C _- _
Contractor's Board Reg. No. _4 4 5 6 9 Installation,alteration or relocation
200 strips o,less $50.00 2
�/�/� 201 amps tc 400 amps -- $75.00 - _ 2
Signature of Supr. Elec'n Ai�C 401 amps to 6(70 amps $100.00 2
License No. 2 8 0 8 S Phone No. _ 413-2006 Over 600 amps to 1000 volts see'B•above
2b. For owner Installations: 0. Branch Circuits
New,alteration or extension per panel
Print n. ner'e�Jame - hone ITo. -- a) The fee for branch cir:uils with
purchase of serv'^s or feeder tee.
J4tt317 T___ -- - Each branch circuit __ $5.00 - 2
b) The fee for branch circuits without
-
ate i� ---- -_ purchase o!service or feeder fee.
�N------- -
First branch circuit _._ $35.00 2
The installation is being made on property l own Each add'nl b•anch circuit $5.00 2
which is not intended for sale, lease or rent. E. Miscellaneous (Service or Feeder not included
Each pump or Irrigation circle $40.00 2
Owner's Signature ___--- Each sign cr outline lighting $40.00 _ 2
Signal circuit(s)or a limited
3. Plan Review section (If required) energy panel,alteration
Please check appropriate item and enter fee In section 513. or extension _L_ $40.00 _ 40-002
1 &2 family dwellings over 320 amps s/c meter F. Each additional inspection over the ah,)wable
4 or more resioential units in one structure in any of the above
---- Per inspection $35.00 _
_ Service over 225 amps; feeder 400 amps or more Per hour _ $55.00
- System over 600 vofts nominal In Plant $55.00
Building over 3 stories in height
_ Building over 10,000 sq. ft. 5. Fees
Occupant load over 99 persons A. Enter total of above fees $ 4 n_ 0 n
Manufactured Str:,,.jures Park or Recreational 5% Surcharge (.05 X total fees) $ _ 2.00
uv Vehicle Park; new, addition or alteration :Oubtotal $
- Classified area or structure containing special B. Enter 25% of line A for
occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ _-.--
Subtotal $ _-
Submit 2 sets of plana with application where any of the Lesc Bulk Label Fee $
above apply. Not required for temporan �nstructlon - -
services. Balance Due $ 4 2-n ij
c A For!nspectlons call Thin permA bocanee null end void If the wa k autfralzed bN
y the permh not commenced
tJ"f 0-3561 or 6s3-4415 -Rhin 100 deur from date of laeuacca of ouch permh at C the work autborited le
auepended or ebandonod of any time after work to oomnwrwed for a period of 180 days, l
24-hour recordor,one working day in advance of need vtectricat Permft are non.refundabl*and non transferable.
5/93
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