9020 SW WASHINGTON SQUARE (2) •
9020 SW Washincton Square Rd P292E,8
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON ND DEVELOPMENT SERVICES DION
155 NORTH FIRST,HILLSBO O OR97i244
�/ INSPECTION REQUESTS 503/640-3561/693-4415
COON 1 i AN + PHONE 503/848-6761
OREGON Page : 1 of 1
Date : 02/24/93
Tim: : 10: 16
Permit Type : Commercial Electrical Permit Permit I : 05037829
Permit Status : APPROVED Applied : 02/24/93
Situs Address : 9020 SW WASHINGTON SQUARE RD TI Issued : 02/24/93
Permit Title : VACATIONS INT/LIMITED ENERGY Completed :
Permit Descr. To Expire : 08/23/93
Project Title : VACATIONS INT/LIMITED ENERGY Project I : P0029288
Project Descr. :
* EROSION *
Parcel Number 1 251TI - Land Use District :
Valuation 1 0
Legal Descr. 1
Owner : INSPECTION - TIGARD Construction : OTH
. * Applicant Name : AIR RITE CONTROL Classification : 900
i Applicant Addr. : 1623 SE 6TH Occupancy •
PORTLAND OR 97214 Validated by : JF
Applicant Phone: 238-0388 Inspector Area :
Fee description Units Fee/Unit Ext fee Data
Limited Energy/Alter./Extension 1 40. 00 40.00
Subtotal Electrical Fees: 0 40.00
State Surcharge of 51 0 2.00
Total Electrical Fees: 0 42 .00
*** Fees Required *** *** Fees Collected & Credits *5*
Receipt No, Date Payment
02/24/93 42.00
TOTAL THIS DATE 42.00
Fees: 42.00
Adjustments: . 00 Total Credits: .00
Total Fees : 42 . 00 Total Payments : 42.00
Balance Due: . 00
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NOTICE This p511115 Oocernes null and void I1 MO loot et eeneleYSEer11st which e te leaned Is not commenced within ISO days Once construction has alaned,
Me permitbey well null and void n oonMiuSNSi le NMNtpd ler a penal of 1110 days I certify that the information presented by IM applicant and
MS SOWS or eger*S In support of this peon'MI MOB sill sewed a the beet cf our knowledge I acknowledge that IM sulMing Department's ratans
upon fake and mNNading Information nay MpMMO 51a perma. AN pechrtelons of applicable laws and ordlnances governing the construction and use
of the building or structure will be tler+tpll d MIN whether or not spscttted on
n lb
nee or noted
ot d on Mahe nscorrection knowlMon heetsai use acknowledge occupancyl1
Me of fanting of a permit dose ret gent Elfillelly to scales Wrote property
of
the olivelun or bultdti g permhled*sperms upon my CNling for Inspections al venous times during the process n1 construction and the building
Inspection Waft verifying compliance with the various codes U.S or occupancy of IM building or structure permNled prior to approval by the
Building Department le solely M the risk of the applicant end Such uee or occupancy le revocable until all Inspection requirements are satisfied and
approval Is gin by the Building Official I further acknowledge that a Ilea may be placed on of the property upon which IM permit Is Issued
specifying the the nee or occupancy of IM building or structure is provisional and revers• until l :election o II import requirements
APPUCANT'S SIGNATURE
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WASHINGTON COUNTY RESTRICTED
Department of Land Use& Transportation
' 155 FirAvenue,
Inspection Section ELECTRICAL ENERGY
� 155 North First Avenue,N350-12
Hillsboro, Oregon >a» . APPLICATION
Information: (503)e40.3470 Fix: (503)sN..�4f2
'i
PLEASE PRINT e rJ
' Please complete all s�S11$'ns, 1 through 5 project No. ���''��d permit No. 5 '�lfgQO��
• Label No. Z�aP;I Date __- �� l"
1. Location of Installation ,D ' ' -____ Office le Address yD�U 5
w r..-A.5 M y' _aAA+AA.- Issued By—
I City DI c,n'-D Zip Code 9 7 Z t 3 4. Type of work:
Tax Map Map No. _ RESIDENTIAL Restricted Energy Fee $40.00
1 Por ell systems)
Thomas Map Book: Page S.Ctkxl
Directions G^'R Pi/see A4.l J'y iior P4-4,004/R•
Check type of work Involved:
it
y A(r r r 'MJ /""T $SPA^,!•Ci r / Audio and stereo Systeme')'• Commercial Residentialrip Burgle,Alapm
t Telephone Systems'
r/ (fc ommerant Name
al) VA C.4 r r u•v.f $A'J ,trash r4,4 /'✓J" °F:":"`" °°`
Door Opens'
This prime b.00mee null and void K the work atdierlaed by rte i Fin Alan i
permit le not oommenoed within lee days front dile el ISSUUAee Heating,Ventilation end Ax Conditioning Systeme'
of such permit or If the work authorised M suspended or abandoned I Vacuum Systems'
I, et any time after work Is commenced for a perdeyo —
Electrical Permits are non-refundable ate non-tranefwable. I 1 Other
i 2. Contractor application: i------
COMMERCIAL F..for each system $40.00
Electrical Contractor A.111._ R eu^ ,.. (•••OAR e1e-260-200)
s Geis-r !'R` 972/5/
Address / Check type of work involved:
� Date Job Number
Prope Owner oATALclti M. .vPSLTT eat•rcontrots
Contractor's License No. 46-8/'l G47.-11_ L" Clock`ys
Contractor's Board Reg. No. 3D.-3 0 --- bete Tetecomnn wnicabo�s In•wl.bon.
Phone No 2 3 -_Q3 It -- Fve Alepm In.Watwn
' HVAC
' 3. Owner application:
----- In•irumentetton
Intercom and Paging System
Pont Owner's Name Phone No La Atop !,:potion Control'
--- Medical
Itddr.s. Nurse Cells
State — Zip Outdoor landscape Lighting*
Prolective&runny
Thu permit le leaned under OAR et/-320470. The applicant agues Oda
( to make only re.trkted energy In.sslletttona(I00 volt amps or 455) -----•-----
p under till*permit and to do pin following:
t Only use electrical licensed persons lo do inacallations when Number of Systems
required (Certain residential end other transactions are exempt
from licensing. The.e have asterisks I'). All other.steed Ncene-
log) •No Mvnses ere required l pceneas ere repv red for ell other installations2 Call for an Inspection when all the installations under thle permit
are ready for Inspection.
.1 Purchase..perste permits for all Installation*that are not ready 5. Fees S l./(J r Ur;
Inspection when the Inspector le out to Masse under this
Enter lees
permit.
a Assume I a o raced neassumingthataletomctbnarequired 5% Surcharge(05 X total above) S 2 Vt)
by the Inspector an dopa,and
9 Assume reaoon.lblSty for calling for a final Inspection when all of
the corrections ere completed. Total S ,
The parson•Igning this permit must be the applicant ore person
authorized to l;lnd applicant.
°/,r Space below reserved for vaileation.
Signature tf114#%
Authority tother Man an appkrar t _../
For In.pectione call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need t t ra/
I