9000 SW WASHINGTON SQUARE ROAD TI DEPARTMENT OF LAND USE&TRt.NSPORTATI(IN
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
ICA% 1:i5 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693.4115
V V i 1 PHONE! 503/648-8761
. 11111W OREGON
Page : 1 ot
bate : 12/26/
Time : 10: 45
Permit Type oi,ul:ercial t:lectrica.,_ Permit Permit # . 050''26393
k ermit Status : APPROVED Applied : 12/Z6/91.
Situs Address : 9000 SW WASHINC•TCIN SQUARE kU '1'1 Issued . 12/26/91
Permit Title : EML'ASSU sUl'1'ES ELECT Completed :
eeimit Uescr. : Sl6h/UU'1'LiNt L-GHT1NG JI'ti #50.11 To Expire : 06/Ll/9G
Pi o sec t Title : E1 ASU SUITES t.LEC'1' Protect. # : PUUZ0198
Pro lett Llescr .. : CltiCUl'1/1.UW VULTPUE * EROSION *
•
parcel lv:Lmbei : GSiT1. - Land Use District :
vdluation 1)
Legal Uescr. •
•
f1 Owner : INSPECTION - '1'I(iARU Construction : UTH
Applicant Name : I"1t.YER S1UN CU. OF UkEUUN Classitication : 900
f
N�.+pllcarApplicantNr.ictr Occupancy. . /34u SW LANUMNRK LN Kancy .
1l(;Ak ,i
U, UR /G23 Validated by : KF
crr Inspector Area ::
, Applicant Pnone : bGu-8400 Inp
tee riescrlption Unit:; Fee/Unit Ext tee Data
`ions Circuit Alteration/Extensions 1 36 . 00 3b. 00
+ Subtotal blecttlCal Fees : 3b . 00
State burcnar'ge ot 51, 1 . 80
, total L'.lectrical Fees : 3 / .80
' ' *** Fees Required *** *** Fees Collected b Credits ***
Receipt No. Date Payment
12/26/91 3'/ .80
*:i tees : 3 / . 80
Adjustments ; . 00 Total Credits : . 00
rote, ' tees : 3/ . 80 Total Payments : 37 .80
Na Lance Due: . 00
NOTICE This permit becomes null and void If the work or construction for which MIs issued Is not commenced within 1B0 days Once construction has staled.
If the permit becomes 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 support of this permit Is t us and correct 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 complied 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 various limes during the process of constructlo"eni the building
inspection stall 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 are satisfied and
approval is given by the Building Official I further acknowledge that a lien may be placed on the Cilie 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
OF
APPLICANT'S SIONATUPE
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON IAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
0#11% COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/649-9761
11111V OREGON
Dat,
Tin'r
Permit- Type : Commercial Electrical Permit Permit Ll
Permit Status : APPROVED Applier
Situs Address : 9000 SW WASHINGTON S(JUAth: KU Ti issue
Permit. 'Title : EMBASSY SUITES COMELE(. Complete,
Permit Descr. : KITCHEN N.EMOULL 6 M t SC 'J'e:r Expi rr
Project Title : EMEiASSU SUITES ELECT Project '
Project Descr . CIRCUIT/LOW VOLTAGE * ERclS1C-"•
•
Parcel Number : 2S1tI - Land Use District
Valuation C1
Legal Descr .
Owner : INSPECTION - TIGAttD Construction c-
Applicant Name : TUALATIN ELECTRIC Classification :
Applicant Adr_ar. : Pt) BOX 655 Occupancy
WILSONVILLE ok 9'/070 Validated by VU
Applicant Phone: 682-295S Inspector Area :
CON'1'HACTOR. TUALATIN ELEC. 1'RiC Lic . C 3-2680 682-2955
Fee description IJrtits Fee/Unit Ext fee Data
100 amps or less 1 35 . 00 35 . 00
Two to Ten Count ! Ent ei #? 1 50 .0(1 S0. 00
Subtotal Electrical Fees : 85.00
State surcharge of 5t 4 . 25
Total Electrical Fees : 89. 25
*** Fees Required *e* ** * Fees Collected Credits t *
Herr•it't No. Dat,• i,ayment
• UZ/iii; '.).. 89 . 2')
Fees : 8:l . .
• Adjustments : . ii Total Liedi . 00
Total Fees : 89 . 2 Lotal Payrne 89. 25
Balance L. iitl
•
NOTICE This permit becomes nuts arid void If the work or construction for which it lesued is net commenced within 180 days Once construction has started,
the permit becomes null and void If construction Is Interrupted lora period of 180 days I certify that the Information presented by the applicant and
his agent or agents In support of this permit 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 permit All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets I acknowledge that
the granting of a permit dyes not grant authority to w cert 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 are satisfied and
approval Is given by the Building Official I further acknowledge that a lien 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 SIGNATURE
WASH DEPARTMENT OF LAND USE&TRANSPORTATION
INGTON 1A5 D RTDEVELOP
M NIL SOROERVICE DIVIR SION
thaCOUNTY, INSPECTION REQUESTS 503/640-3561/693-4415
t; PHONE: 503/648-8761
OREGON
t•Lnli t btcttU:.: t.Y k'[,(wC i, AL,pi.)
D1tU Adtlre,s '10o6
j-tlmlt. '1'ltlu t.MbASsY i.Uill. ., r t
eer:nit Uescl . HVAC -----LVW voL,'iA(,t. To L: U6/..,
I'1olect 1it.le Hill ELECT ;'10 Iii=i- ft . L'UU
eioleCt lies r . : Llltt.,li/LUW v(,iA•.r F tHoSlUN
•
k-alcel Numbel : .bltl — Lan,: I _;r )l::t/ ict
Valuation it
Legal Ue:,cr .. .•
VWner . llv:Dt E LioN — '1'lLAk<U Construction : 0/H
Applicant Name : ,cwt+ N:E:CHANiUAL StbtV1CLS Classitication : 900
Applicant Addt . : /405 SW TECH Ct;N'1'Lk Occupancy
L-0k'1'LANU OH `.t/lL:f vaiivated by : VU
Applicant Phone: 664-54UU 1nSpr,ctor Area .
tee uescription Unit:. Vee/Unit Ext tee Oat.
circuit Alteiat ion/ xtensiotlt.. 1 ib . 0(1 3b . 00
6UGitotal Electrical hect; : 3b . 00
state surcnargt of 5 1 . 80
1'c',ta l E;lectr ic::11 tee, : 3/ .80
*** tees kequireo *** *a* tees i:o,.lected i Crer11t1 F A ,
lteccipt No . uatc Payment
01/uz/'i
tees :
At.I lUstmentc: : Total cr.ettitL. . . i U
ictal tees : notal t'ayrnet,• t / . 11(1
II
NOTICE This permit becomes null and void If the work or construction for which It is Issued is not commenced within 1110 days Once construction has started.
the permit hemmers null and void If construction is interrupted for a period of ISO Pays I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of not 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 oar
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 easement. 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 are satisfied and
approval Is given by the Building Official I further acknowledge that a lien may he 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 ar,d revocable until the satlsfacticn of all inspection requirements
APPLICANT'S SIGNATURE
1
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON 155LAND DEVELOPMENT SERVICES N
NORTH FIRST,HILLSBORO,OR 97124
COUNTY,
INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/648-8761
Vir OREGON Page 1 of J
Date : 12/05/41
lime lb : lts
Permit Type Commercial Electrica , Permit Permit N : 05025k
Permit Stat.u: : APPROVED Applied : 12/05/91
Situs Address : 9000 SW WASHINGTON SQUARE RD '1'1 Issued : 12/05/91
permit 'Title : EMIASSU SUI'T'ES ELECT Completed :
Permit Descr . : CIRCUIT/LOW VOLTAGE To Expire : 06/02/92
Project 'title : EMLiASSU SUITES ELECT Project U : PU020198
Prosect Descr . : CIRCUIT/LOW VOLTAGE * EROSION *
!'axcel Number : 251'1'1 - Land Use District :
valuation 0
Legal Descr . •
tlwner : INSPECTION - TI(ARD Construction : UTH
Applicant Name : CONTROL CONTRACTORS Classification : 900
Applicant Arldx . : 5000 SE 25TH Occupancy •
PORTLAND OR 9/204 Validated by : Eli
Applicant. Pt:one: 231-0421 inspector Area :
CONTRACTOR : CONTROL CONTRACTORS, INC. Lic. C 28-56'/C 231-0421
Fee description Units Fee/Unit. Ext fee Data
One Circuit ( Enter # 1 1 35 . 00 35. 00
Circuit Alteration/Extensions 1 36 . 00 36. 0')
Subtotal Electrical Fees : 71 .00
State Surcharge of 51, .3. 55
Total Electrical Fees : /4 . 55
** * Fees Required *** *** Fees Collected b Credits * A •
Receipt No. Date Payment
12/05/91 '/4 . 55
Fees : /4 . 55
Adjustments : AO Total Credits : . 00
Total Fees : '/4 . 55 'Total Payments : '/4 . 55
valance Due: . 00
NOTICE: This permit becomes null and void if the work or construction tear vet i.ti It Is Issued Is no,c ornmenced',thin 190 days Once construction hIs started,
1 the permit becomes null and void If construction is Interrupted for a period of ,itO days. I certify that the information presented by the applicant and
his agent or agents In support of this permit is Irue and correct to the beat of:•ur knowledge I acknowledge that the Building Department's reliance
upon false turd misleading Information may invalidate this permit All provlsiorrs of applicable law and ordinances governing the construction and use
of this building or structure will be complied Mtn whether or not smelt'el on the plans or noted on the plans correction sheets. 1 acknowledge that
the granting of a permit does not grant authority to access Ovate property or In use easements I further acknowledge that the use or occllupancy of
the structure or building permitted depends upon my calling for inspectlnr s at various limes during the process of construction and the building
inspection staff verifying compliance with the various codes Use or occupancy of the bu'irting or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy is rev.r:able until all inspection requirements are satin d and
approval is given by the Building Official I further acknowledge Ural a lien may be placed on the title of the property upon which the per• le issued
specifying that the use or occupancy of the building or structure is provisions)and revocable unlit the salle11ctlo701 all Inepeciionlreq .mints
APPLICANT'S SIONATUNS
Alp% WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & 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 --- -_ii'' ' ',2 Number l'7 //
PLEASE PRINT _
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections per permit allowed 4,
1. Location of installation Service included: Items Cost(ea.) Sum
Addrest `4k) ...r%U GUS' .---o61 iCa0, A. Flew residential-single or multi-family
Building per dwelling unit.
Suite No — 1500 eq.ft.or loss $85.00 4
Tenant Name
Each additional 500 so ft
(if commercial) L-=i7b/9 �J�f or portion thereof $15.00
f
Each Manurd Home or Modular
Directions Dwelling Service or Fender $35 00 „ 2
B. Services or Feeders (10 branch circuits included)
Installation,alterations or relocation
100 amps or loss $35 00 2
Commercial X Residential r11 101 amps to 400 amps _ $60.00$60.00 -- 2
401 amps to 600 amps _ $80.00 2
601 amps to 1000 amps . __ $130 00 —_ 2
l Over 1000 amps or volts $300.00 2
2a. Contractor installatlo on
Reconnect only $35 00 2
Electrical Contractor e&iVTf'O/ 1J/ a4 c TOtt-.S --
Address -� `Y=_,.1 .(_ --42.£1-4,4 l2�C. Temporary Services or Feeders
Date 14,E / Job Number C f/D L2 4' Installation,alteration or relocation
Property Owner _L/014::/--)—$.-)y -- -,/,T�"S 200 amps or less $35 00 2
201 amps to 400 amps $40.00 2
Contractor's License No. _2I2 --:j-'7C_ 401 amps to 600 amps $80.002
Contractor's Board Reg. No. b--3 1'_.2 2 Over 600 amps to 1000 volts see'B'above -
Signature of Supr. Elec'n t2'
-e'2- D. Branch Circuits
License No. 11-{r.,S Phone No. .--13/•c)(/� New,alteration or extension per panel .17S-.0,0
One circuit k $35 00 ) __ 2
Two to ten circuits ___-. $50.00 2
2b. For owner installations: Each additional tern circuits
or part thereof _ $15 00 2
Pnn1 C'Swnor sl,lnme Phone No
E. Miscellaneous (Service or Feeder not included)
Address --- -- —' —^— Each pump or irrigation circle $36 00 2
Each sign or outline lighting _- __ $36.00 2
City State Zip
----- S,gnal circulus)or a limited
energy panel,alteration ��((
or extension _ ._ $36 00 _ �r�/'00 2
The installation is being made on property I own
which is not intended for sale, lease or rent. F. Each additional inspection over the allowable
in any of the above, per inspection
Owner's Signature $335.00 —_
--
3. Plan Review section (if required) 5. Fees
A. Enter total of above fees $ 7/
5% Surcharge (.05 X total fees) $ 3.SCS`!
Subtotal $
B. Enter 25% of line A for
,_----- -- Plan Review if required (Section 3) $_
For inspections call Subtotal $
640-3561 or 693-4415 Less Bulk Label Fee $
24-hour recorder, Balance Due $ 211;-r- ---
one working day in advance of need
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 commenced fora period of 180 days.
Electrical Permits are non-refundable and non transferable 7191
I
1
allik WASHINGTON COUNTY RESTRICTED
Department of Land
Use & Transportation
f � Electrical In ,,n section. 155 North First A #350-12
Hillsboro, Oregon 97124
ELECTRICAL ENERGY NERGY
'Information: ( CS640-3470 fax: (503)693-4412 APPLICATION
9
PLEASE P-1 T
;l
Please co -late all.sl i ns, I through 5. Project No( aDiC} Permit Nb.�–0/() �
,
Label No._ Date
1. Location cif installation Issued By__. Office _
Address 9000 S .t/LALt1Lj1/6 Y.-aN- -t
City 13 r'ig tri it 2.-i J) _ _ Zip Code y 7a o n".__.. 4. Type of work: r
r
S /T/�Ll__— RESIDENTIAL Restricted Energy Fee $36.00
Directions\\ T ( ! l �� (for all systems)
LL vU -- -- Check type of work involved:
Commercial 4 Residential Audio and Stereo Systems'
Tenant NameBurglar Alarm
(if commercial) Jd✓I 6 4 S SU/ "±--,S N e7r L Telephone Systems*
Garage Door Opener*
This permit becomes null and void 11 the work authorized by the Fire Alarm
permit Is not commenced within 180 days horn date of issuance Heating,Ventilation and Air Conditioning Systems'
of such permit or If the work authorized Is suspended or abandoned Vacuum Systems*
at any time after work,s commenced for a period of 180 days.
Electrical Permits are.ton-refundable and non-transferable. Other
2. Contractor application: COMMERCIAL Fee for each system $36.00
Electrical Co tractor YWii nil �A1PM(/an t (see OAR 918.260-260)
Address 7 as �2 f� ' c7R �R t,vo�TLpNtS 147tz t Check type of work involved:
Date Z. / __ Job Number _p S 7B
Property Owner – —
Contractor's License No. .1L),1�I+ _a___ Boiler Controls
Cock Systems
Contractor's Boar Reg. No. 63 3 S _— Data Telecommunications Installations
Phone No. s- 100 — Fire Alarm Installation
3. Owner application: HVAC
Instrumentation
SSy s�/7E S Intercom and Paging System
Print ONwner's N Phone No�` ll Landscape Irrigation Control*
?COO S`Ai Wit 5/42///1/6 7 BN S� K.[e is
fess Nurse Calls
�10 - V' k ( V—state /gy p OO 5 Outdoor I nndacape Lighting*
Protective Signaling
This permit Is Issued under OAR 918-320-3 70. Ther nlieant agrees
to make only restricted energy Installations(100 vo mps or less) r j Other
under this permit and to do the following:
1. Only use electrical licensed persons to do Installations where
required. (Certain residential and other zransecflons are exempt --.1---. Number of Systems
from licensing. These have asterisks P) All others need licens-
ing.) •No licenses are required licensers ere required for ale other nslallafans
2 Call for an Inspection when all the installations under this permit
are ready for inspection.
3. Purchase separate permits for all installations that are not ready 5. Fees
for Inspection when the Inspector Is out to Inspect under this Enter fees $ 3 e:s:,L -
permlt. •
4. Assume responsibility for assuming that all corrections required
by the Inspector are done,and 596 Surcharge (.05 X total above) $ 1 J
S. Assume responsibility for calling for a final inspection when an of
the correc.lone are completed
Total $ 37. u
The person signing this permit must be the applicant or a person
authorized to bind the applicant. _
1�_ H;% Space below reserved for validation.
Signature `-
0
Authority 1 other then applicant
For inspections call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need +out+
r
it
tAllhWASHINGTON COUNTY P---:)C-I('I :/)--c,-)-' q 9
DEPT. OF LAND USE & TRANSPORTATION ELECTRICAL PERMIT APPLICATION
ELECTRICAL INSPECTION SECTION Permit M
155 NORTH FIRST AVENUE, #350-12 Label +Y
HILLSBORO, OREGON 97124 Date
Information: (503) 640-3740 Issued by
Fax: (503) 693-4412 Office
PLEASE COMPLETE ALL SECTIONS, 1 THROUGH 5. I
4. COMPLETE FEE SCHEDULE BELOW
1 . LOCATION OF INSTALLATION Number of Inspections Per Permit/Mowed V
cf!_ $w Lt/451.� '� St `l' A. New Residential-Single or Multi-
o2 E Address Family per dwelling unit.
--7--,..1,,,,L. Ciry O � A..)*eV Service Included: Items Cost (ea.)Sum
CouDirections I 0C.44%4 L^ E nr b 4 s S v i. 5 1500 sq.ft.or less $85.00 4
H``'' Y Each additional 500 sq.ft.
-c,4-t L . or portion thereof ___ $15.00 _
Each Maned.Horne or Modular
Dwelling Service or Feeder $35.00 __ 2
,lob L 1 '.1". "'-e?.-
k r G a ^ 1 h sc• B. Services or Feeders (10 Branch Circuits Included)
/ 1I Installation, Alterations or Relocation
4.-0.-K , 100 amps or less Co.-yea A $35.00 351.2
101 amps to 400 amps $60.00 2
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDASLE AND 401 amps to 600 amps $80.00 2
EXPIRE IF WORK IS NOT STT,RTED WITHIN 190 DAYS OF ISSUANCE 601 amps to 1000 amix; $130.00 2
OR IF WORK IS SUSPENDED FOR 180 DAYS. Over 1000 amps or volts $300.00 2
2. A. CONTRACTOR i 1STALLATION ONLY: Reconnect only _ $35.00 2
Electrical Contractor a i/7 ./' 1i'iL C. Temporary Services or Feeders
Installation,Alteration or Relocation
Address t ..v- ‘r`>.C-r (,f l!/&J]1,,j/f' 9 717 200 amps or less $35.00 _ 2
Date ,7- 1 _.9z ,c,NMS 177h7 201 amps to 400 amps — ____ $40.00 2
Over 401 amps to 600 amps $80.00 2
Pr pertyOwner Over 600 amps or 1000 volts see 13'above
Contractor's LkenseNa_ ,. -dO ft� D. Branch Circuits
(orrtraot s Board Reg.No. . � T New,Alteration or Extension Per Panel
Signature of Supt.Elec'n. /�' One circuit c $35.00 2
,./A./rttl,/
Two to ten circuits �— $50.00 o1°` 2
License No. _ __ S P "el: 4l1 S1 Each additional ten circurts or
part thereof $15.00 __ 2
2. B. FOR OWNER INSTALLA ONS: E. Miscellaneous (Service or Feeder Not Irfluded)
Each pump or Irrigation circle $36.00 2
Pint Owner's Name Mons Ne. Each sign or outline lighting ____ $36.00 __. 2
Signal circuit(s)or a limited energy
Ad,..a• panel,alteration orextensiort. $36.00 2
E. Each additional inspection
Suss ZIP over the allowable in any of the
The installation is befog made on property I own which L4 not above, per Inspection ___ $35.00
intended
intended for sale,lease or runt.
Own• sSvaau• ----_—______—.— -- 5. FEES
A. Enter total of above fees $
5%Surcharge(.05 X Subtotal) $
3. PLAN REVIEW SECTION (If Required) SUBTOTAL $ 5s
B. Enter 25%of line A for Plan
Review if required(Section 3) $
SUBTOTAL $
_____ Loss Bulk Label Fee $
FOR INSPECTIONS CALL BALANCE DUE 031.195 $ cl'�
640-3561 OR 693-4415
24-HOUR RECORDER, ONE WORKING DAY
IN ADVANCE OF NEED
—
THIS PERMIT BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN IRO DAYS FROM DATE
OF ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPF.NDED OR ABANDONED AT ANY TIME AFTER WORK IS COMMENTED
FOR A PERIOD OF IRO DAYS. ELECTRICAL PERMITS ARE NONREFUNDABLE AND NON TRANSFERABLE.
A
411011" WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection SectionWI
APPLICATION
155 North First Avenue,#350-12
Hillsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412 Project/Pernik ' /
PLEASE PRINT Number ' �(!�� Date J,�G' r ,
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
1. Location of Installation Number of Inspections per permit allowed v
Service included: Items Cost(ea.) Sum
Address 706-%) 44'/seieev‘ic/Idi _ k,,. /110 A. New residential-single or multi-family
per dwelling unit.
City T/4lo•rl7 Zip Code v — 1500 sq tt or less $85 00 4
Each add
Directions c!i ://S FefL�y E.k i>t C/5 e f' _ 500 —
or portion thereofsq ft
$1500
Each Manuf'd Homo or Modular
_.....2./J. Dwelling Service or Foodor $35 00 2
B. Services or Feeders (10 branch circuits included)
CommercialTr- Residential ❑ Installation,alterations or relocation
100 amps or loss $35 00 2
Tenant Name 101 amps to 400 amps $60 00 2
(if commercial) 4ei iia ss y SLS, /rs 401 amps to 600 amps $80.00 2
601 amps to 1000 amps $130 00 _ 2
2a. Contractor installation only: Over 1000 amps or volts $300.00 2
Electrical Contractor/1'fcr ,✓>L . 1 F inik C 6 v� Reconnect only —._ $35 00 2
Address 75'16 . 0,i 14.1,4cry,•b'c/ L N r/Ld,c r, •c C. Temporary Services or Feeders
Date /)f l VA/ Job Number ,S C' 3 t Installation.alteration or relocation
Property Owner s,.lN l� /►,'c y -
—
200 amps or loss __ $35 00 2
TTt— 201 amps to 400 amps $40 00 2
Contractor's License No. 2i - /9C C 4.5 401 amps to 600 amps $80 00 _____ 2
Contractors Board Reg. No. L / / [h/ Over 600 amps to 1000 volts see' 'above
Signature of Supr. Elec'n .,/,'k//L.
y/L 9/ `� e_ D. Branch Circuits
No.,7E: '90 L i411;-L1New,alteration or extension per panel
License
Phone No. d 1 C
One circuit _ $35.00 -_ 2
Two to ten circuits ._. $50 00 2
2b. For owner Installations: Each additional ton circuits
or part thereof ,___ $1500 _ 2
print Ownera Name Phone No. E. Miscellaneous (Service or Feeder not included)
Address Each pump or irrigation circle $36 00 2
Each sign or outline lighting --4.— $36 00 _ TL•Di 2
--- -- — — Signal circuitis)or a limited
City Slate LF energy panel,alteration
or extension $36 00 . 2
The installation is being made on property I own
which is not intended for sale, lease or rent. F. Each additional inspection over the allowable
in any of the above, per inspection
Owner's Signature _ $35 00
—
3. Plan Review section (If required) 5. Fees
A. Enter total of above fees $ 3 z. L'0
5% Surcharge (.05 X total tees) $ _ I.SC
Subtotal $ _______-
B. Enter 25% of line A for
i---- Plan Review if required (Section 3) $
For inspections call
Su
640-3561 or 693-4415 Less Bulk Label Fee $
24-hour recorder, Balance Due $ 3 7. 3C
one working day in advance of need
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 It the work authorized Is suspended or abandoned al any time after work Is commenced for a period of 180 days.
Electrical Permits are non-refundable and ncn-transferable 10/90
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CON
DEPARTMENT OF LAND USE & TRANSPORTA [SEED .
o WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #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 # : d502a721 Project # P0020198 Status :APPROVFI Page 1 of
Issued /03/30/92 Expires 09/26/92 Valuation 0 04/08/92 05 ,
/ COMELEC
rn.i
PerT l EMBA: SY :.0 I TES-LAUNURV RM-ELIC 0TH
Descriptio CIRCUITS JOB # 310C
Job Addr e _ 9000 SW WASHINGTON £,`;UARE RD T '
Owner Nan / INSPECTION TIGARDD Region D •
Appl.tcan Nam- TUALATIN ELECTRIC !��
Phone num _ 682-2955 Approved '
Inspector Comments . Reje:-ted_____
''S
j. � w-
.;
nF
(__.. ., ..__d_itt, - - ---
•
,,,,/._ - -,/,
Inspected by (A) i w......‘
' 6 4.0,9-, _______
Inspection Requested
* Final Electrical
04/08/92 RI K1
• 41
DEPARTMENT OF LAND USE & TRANSPORTATION
All
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #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 S : 05028721 Pr .7e t. S P0020198 Status APPROVED Pale 1 of i
Issued 03/30/92 Expires 09/26/92 Valuation U 04/06/92 05 32
COMELEC
Permit T le EMIIA:'SY SUITES-LAUNDRY RM-ELEC 0TH
Descrip or. CIRCUITS JAB S 310 :'
Joh Add 9000 SW WASHINGTON SQUARE RD TI
t Owner Name INSPECTION - TIGGA.RD Regi.:n D
Applicant Name TUALA'PIN ELECTRIC
Phone number 682-2955 Apprcved
d Inspector Comments Rejecte
, _____ .
Di 5 e....,,,e_,,/...7C.: in 47c.L..,(.4_..____o:4____Ic 4!i.A2ipsi_4(02. _
Iii cue 74 gi,,!(._ Ch amu,.,e 4 ._._. `/ _.. s , __
D/6 ems- '(tet^•-7 /5 AC i Ate 0 as -44' 4.4-1.4 44Jc..r>r4 ' ..
f
'
___ _.__-__--.__- //Ire-
L_-.---1-1
mss e_.._
7
Inspected by , 4741'GZ / � / Y.2:_._
Inspection Requested
* Cover & Service
94/06/92 kI Cr; • - I
. !
fr
DEPARTMENT OF LAND USE & TRANSPORTATION
41114111 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTy, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/64C-3561 or 693-4415
Permit a . 05021449 PrG.Ject U P002019' .Aatus APP ' T Page 1 of 2
Issued : 02/07/92 Expires 08/05/92 Valuation 0 03/20/92 05 . 31
COMELEC
Permit Title COMELEC 0TH
Description (2 . MISC
Job Address / - A : INGTON SQUARE RD TI
Owner Name INSPECTION - TIGARD
47. Regin D
Applicant me TUALATIN ELE,.:TRIC
Phone number 682-2955 Appr,:,ved _
Inspector Comments Rejected_
. _
_ —_...
•
‘344
: ' — -------- - -- -./1" 0—'—'- -- -------
Inspected byW --
'' _„ I . t• 3-).0-f __.
Inspection Requested
* Final Electr1 .7.al
03/17/92 RI JH KITCHEN AM PLSE
03/17/92 DM WB SEE FILE
03/20/92 RI JH AM IF POSS
. /
i
O ..'
0 DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/840-3470
OREGON INSPECTION REQUESTS (24 hours): 503/840-3581 or 893-4418
Permit II . 05027 9 Project a P0020198 Status APPROVED Page 1 of 2
issued . 02/ /92 Expires 08/05/92 Valuation 0 03/17/92 05 . 32
COMELEC
Permit Tit1 EMBASSY SUITES COMELEC 0TH
Description /KITCHEN REMODEL & MISC
Job Address 7 9000 SW WASHINGTON SQUARE RD TI
Owner Name �. INSPECTION - TIGARD Region D
Applicant Name TUUALATIN ELECTRIC
Phone number 682-2955 Apprcved _____
Inspector Comments . Re jecte
.--777-4----;01-1-4 ... ,L-frit- - 7/"'---
.. _____ i 4W_ . .. _____ ___. ____ . .. . .1. 4614. ._ -A. 4 ._______ ...
___ fajtA-vie, ./7_ en ___ . tedita., _ ..____ . _
‘ 1,4,,,,,, cr:‘,.. z..24_ 70.44r, _F_ .7 i;:t_17 4- -
4411414",44t:treS_
40 .ZCA$1,4 erg- - irk‘ /6;44/4"'
0 P)4661
__ 7�-�s •
6Inspected by 14 !.• mate - �,' Jy
1
Inapecti�n Requested
* Final Electrical
03/17/92 RI 3H K' T "HEN AM P: ^��
1 rLl
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTONV% LAND DEVELOPMENT SERVICES DIVISION #350.12
155 NORTH FIRST, HILLSBORO, OR 97124
494 COUNTY. PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit * 057449 Project P0020198 Status APPROVED Page 1 of 1
Issued 02/07/92 Expires 06/05/92 Jaluattcn 0 02/20/92 07 . 00
COMELEC
Permit Title EMBASSY SUITES COMELEC 0TH
Description KITCHEN REMODEL & MISC
Job Address 9000 SW WASHINGTON SQUARE RD TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name : TUALATIN ELECTRIC
Ph,-.ne number 682-2955 Approved
Inspector Comments : Rejectedl�
; v1;tgdiii( ,; -
.1111111 4(
.•F,�/e __ 2i�4L- . - - -
C
_14_04 71(
'111
Inspected by: 6 . __
Date -20 -72-
Inspection Requested
* Cover 6 Serv. ce
02/20/92 RI LA
DEPARTMENT OF LAND USE b TR��NSPO I�M U
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12
155 NORTH FIRST, HILLSBORO, OR 97124
AN
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours). 503/640-3561 or 693-4415
Permit it : 05026627 Project a : P0020198 Status .APPROVED Page 1 of 1
Issued : 01/02/921 Expires : 06/30/92 Valuation 0 01/31/92 08 08
COMELEC
Permit Title EMBASSY SUITES ELECT OTH
Descriptao"' HVAC ---LOW VOLTAGE
Job Addrf sr / 9000 SW WASHINGTON SQUARE RD TI
Owner Nine INSPECTION - TIGARD Region
Applicant Nap(e : JWP MECHANICAL SERVICES
Phone number( 684-5400 Approved
Inspector Comments : Rejected
- V -
-11;711144
Inspected by .__LAI /1 Z- Date . /^3/ 1
1
DEPARTMENT OF LAND USE d,�R ,sPJDT �
WASHINGTONSAND DEVELOPMENT SERVICES DIVISION #350-12
Al%
COUN'T'Y, 155 NORTH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit *: 05025842 Project 4 P0020198 Status APPROVED Page 1 of 1
Issued : 12/93/91 Expires 06/02/92 Valuation 0 01/31/92 05 29
/ COMELEC
Permit TitJe _ EMBASSU SUITES ELECT 0TH
Description CIRCUIT/LOW VOLTAGE
Job Address 9000 SW WASHINGTON SQUARE RI) TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name • CONTROL CONTRACTORS
Phone number 231-0421 Approved
Inspector Comments Rejected
F.;-
•
Inspected by -- _--Date ! —3/ _-- -
60 ' :-...Y - /('
Inspection Requested
* Final Electrical
01/29/92 RI JH PHIL 231-0421 SET TIME
01 /31 /92 RI JH RE-INSPECT
DEPARTMENT OF LAND USE & TRANSPORTATION
AN WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #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 * 05025842 Project *: P0020198 Status :APPROVED Paye 1 of 1
Issued 12/05/91 Expires : 06/02/92 Valuation 0 01/29/92 05 : 29
COMELEC
Permit Title EMBASSU SUITES ELECT OTH
Description CIRCUIT/LOW VOLTAGE
Job Address 9000 SW WASHINGTON SQUARE RD TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name CONTROL CONTRACTOR.;
Phone number 231-0421 Approved
Inspector Comments . Rejected
Adkt _ ,
..(eZ� 4�
r
0 opt Se 4.Z c;,.... Waft
4_4_1_11 ,..4 (9•{4-)r-",
' -
/� S _ - ._.f -.---. ----_.
•
O
/ 44 - ' <i ,
.,,Z,
.,4 -r/- , . 7‘ c_., -- i-H "IrOty±fL.-iV6.--
'SIE- G?-/✓941°L _6,144-'4'4,-- .. .e.-- �e e W
----D2-4-
c7e x _iA . ee/ u4-'7
! `LInspected by: Zt.) &41`211 � Date . �^ �G)
Inspection Requested: c}Id 0
* Final Electrical
01/29/92 RI JH PHILL 2 1 ET TIME / 40
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