9561 SW WASHINGTON SQUARE_STRIDE RITE SIGN Washington Sq Rd Stride Rite Sign P9634
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A u I w 1�I!`ON w, DEPARTMENT OF LAND USE 4 TRANSPORTATION
r 1 N LAND DEVELOPMENT SERVICES DIVISION I
WA
COUNTY, 130 NORTH FIRST,HILLSBORO,OR 97124
INSPECTION REQUESTS' 503/640-9561
OREGON
PHONE: 603/646-6761
ORCl.7ON Paye 1 of 1 1
Date : 07/09/90 1
Time : 11: 17
Permit Type : commercial Electrical Permit Permit * : 05012470
10 Permit Status : APPROVED Applied : 07/09/90
situs Andress : '1'1 Issued : 07/09/90
Permit Title : STR1D RITE - SIGN Completed :
I Permit Descr , : WASh1NG1•UN s UARt
7'o Expire u1/05/91
ezolect Title : S'I'RE RITE - SIGN Project 0 : P0009634
Pro ;ect Descr. : WASHING•1.ON soUARE * EROSION *
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Parcel Number : Land Use District .
Valuation : 0
p Legal Descr. :
11
owner : Construction : OTH
Applicant Name : CMR SIGN Classification 1 900
Applicant Addr. : 10928 NW ST. HELENS Occupancy :
PORTLAND, OR Validated by
Applicant Phone: 2bS-/918 Inspector Area :
Fee description Units Fee/Unit Ext fee Data
Electric Sign / Outline Lighting 1.00 21.. 34 21 . 34
Subtotal Electrical Fees: 21 . 34
State Surcharge of 5%:
1 . 07
Total Electrical Fes:
22 .41
*a* Fees Required a** *** Fees Collected i Credits
Date Payment ***
Ir Receipt No.
Fees: 22.4107/09/90 22.41
Adjustments: .00 Total Credits: .00
Total Fees: 22.41 Total Payments: 22.41
Balance Due: . 00
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�'• NOTIC:t. This pelmet hor anise null and void II the•rock r
or construe don for which a at Issued Is nnl commenced within ISO days. Once nstrucllon has started
perm*
the pebecomes null and void N oonetrucnon is interrupted kw a psrlod of leo days. i canny that m
the Information prsssed by the applicant and :„
seam or Monte In support M Mkt pernk is true and correct to the beet of our knowledge I acknowledge that the building Deportment's reliance
upon Wee ant mil.adh q Information may Invalidate Mb permit AN provisions of applicable laws and ordinances governing the oonatrucll n and use
of the,building nr structure MN be complied with"Maher or not spaoMsd an the plena or noted on the plana correction sheets. I acknowledge Thal
the granting of a gene dor no,grant s1Ahorgy Ia moms pewee phk➢sty or to use esaamems 1 further ackno ledg.that the um or occupancy of
IM structure or building psmlred depends upon my roping for h,a ..tlone N rufous*Miss during IM prover of constructk,n and the bulldwg
Inspection Mae verifying oompfls e Milt bW vsdous nodes. Use or occupancy of the building or structure permitted
prior lo Mudding Dspsrmisty le isty NM di the
Isk of cis applicantsuch UN end suN or occupancy Is rarvoonble until a#1 requirements approval
I.IIM and
approval le given by the building Of11e1M. 1 twiner *hat a Nen may M
acknowledge Y pbl Maof y upon perm issued
specifying IMI is use or occupancy r:1 the building or structures is provisional and revocable until
et eclbn all renin Ms.
L ANUCANT'll tiONATu f
I
WASHINGTON COUNTY0
ELECTRICAL PER IT APPLICATION 1
DEPARTMENT OF LAND USE& TRANSPORTATION
CTPROJECT M 9(i
ELECTRICAL INSPECTION SEION ��
153 North First Avenue PERMIT k_- /.
Hillsboro, Oreon 97124 649-1479 ELECTRICIAN'S JOB N__
DATE7-1--10
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---- ----Rr-" r, . 1
Name or Firm (please print) Molting Addresss /4170i
Telephone
ELECTRICAL CONTRACTOR: LICENSE NUMBER a4- (O' CLJ1 AM REGISTERED WITI THEBUILDERS BOARD ORS 701.005
REGISTRATION H (o 3 -27 _ EXPIRATION DATE /-- .2-.?-71 _ A SIGNATURE OF
SUPERVISOR LICENSE H
PROPERTY OWNER: I HEREBY CERTIFY THAT I AM THE OWNER OF THE PROPERTY DESCRIBED BELOW, AT WHICH LOCATION I
PROPOSE TO MAKE AN ELECTRICAL INSTALLATION FOR MY OWN USE AND THIS PROPERLY IS NOT BEING CONSTRUCTED FOR
t SALE, LEASE OR RENT. FOR THIS REASON,I AM EXEMPT FROM BUILDERS' BOARD REGISTRATION UNDER ORS 701.055. THE f
ACTUAL INSTALLATION WILL BE MADE BY ME OR BY WHO IS A MEMBER
OF MY FAMILY, RELATIONSHIP OWNER'S NAME _
OWNER'S SIGNATURE
IC �/J d Q--� 1
l0(ATION OF INSTALL4110N--1LSL3I c — �s
RESIDENTIAL —_ COMMERCIAL 1� IENPNT' AME - LY-Ter 44- , SUITE H
I
Directions
RESIDTNT1AL RESIDENCE WIRING LESS THAN 1000 SQ. FT. ®$ 32.00
RESIDENCE WIRING LESS THAN 2000 SQ. FT. ®$ 53.35
RESIDENCE WIRING OVER 2001 SQ. FT. @$ 74.70 ________
11 ELECTRIC HEAT INSTALLATION IN EXISTING RESIDENCE ®S 21.34
I
SERVICES TEMPORARY SERVICE G$ 21.34
SERVICE CHANGE ONLY IN AN EXISTING RESIDENCE __ ®$ 21.34 —
SERVICE NOT OVER 100 AMPERES G$ 32.00
•
100 AMPERES BUT NOT MORE THAN 200 AMPERES ®$ 53.35
OVER 200 AMPERES BUT NOT MORE THAN 400 AMPERES _ ®$ 74.70
OVER 400 AMPERES BUT NOT MORE THAN 600 AMPERES ®$106.70
SERVICE OVER 600 AMPERES ®$138.70
SERVICE OVER 600 VOLTS - @$320.10
FEEDERS-INSTALLATION, NOT MORE THAN 100 AMPERES ®$ 21.34
ALTERATION OR RELOCATION OVER 100 AMPERES BUT NOT MORE THAN 200 AMPERES (4)$ 32.00
( OVER 200 AMPERES BUT NOT MORE THAN 400 AMPL:RES _ - @$ 53.35
OVER 400 AMPERES --_ G$ 64.00 _
FEEDER OVER 600 VOLTS _ ®$ 95.36
IMISCELLANEOUS MOBILE HOME SERVICE _ ®S 21.34
MOBILE HOME FEEDER p$ 21.34 \
EACH IRRIGATION PUMP I @S 21.34 _
EACH ELECTRIC SIGN OR OUTLINE LIGHTING ®$ 21.34 _ - )
1. EACH RESIDENTIAL SWIMMING POOL ®$ 21.34
I ONE NEW CIRCUIT, ALTERATION OR EXTENSION _ ®S 21.34 --.—_ /
TWO OR MORE NEW CIRCUITS, ALTERATIONS OR -`
EXTENSIONS TO A SINGLE PANEL @$ 32.00 —_
fr OTHER - NOT LISTED ABOV7 _ __ ®$ I
FOR INSPECTIONS CALL 640-1561 1. INSPECTION FEE $
2 5%STATE TAX $__
24-HOUR RECORDER. ONE WORKING DAY 3. PLANS CHECK FEE __ _ .
I
IN ADVANCE OF NEED (1+2+3) TOTAL CHARGE S__ I
I THIS PERMIT BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN 180 DAYS FROM DATE
OF ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OR ABANDONED AT ANY TIME AFTER WORK IS COM
MENCED FOR A PERIOD OF 180 DAYS ELECTRICAL PERMITS ARE NONREFUNDABLE 6 NON-TRANSFERABLE
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