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9020 SW WASHINGTON SQUARE (6) 9110 SW Wash. Sq Rd. TI P30816 P10817 P31294 • _111111111111... 1 • • -441.111.014 >11111111111!a ON" ' I • 1/ I i 1 I1 h ,n,,..._....� DEPARTMENT OF LAND USE 6 TRANSPORTATION , ink WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILI SBORO,OR 97124 COUNTY, INSPECI1ON REQUESTS: 503/640-3561/693-4415 p_ PhONE: 603/648-8761 f i OREGON Page : 1 of 1 , Date : 05/11/93 Time : 08: 14 Permit Type : commercial Electrical Permit Permit * : 0504021/ 1 lli Permit Status : APeROVED Applied : 05/10/93 Situs Address : 9020 SW WASHINGTON SQUAI:;E RD TI Issued : 05/1093 1 Permit Title : MURATA ERIE LOW VOLTAGE Completed : Permit Uescr. : 4TH FLOOR To Expire : 11/06/93 Project Title : MURATA ERIE CIRCUITS Project 0 : P0030816 Project Descr. : JOB *222-3023 * EROSION r Parcel Number : 2S1TI - Land Use District : - Valuation 0 Legal Descr . Owner : INSPECTION - TIGARD Construction : OTH Applicant Name : AIR RITE CONTROL Classification : 900 Applicant Addr. : 16232 SE 6TH AV Occupancy PORTLAND, OH 9•:214 Validated by PH Applicant Phone: 238-0388 Inspector Area : F CONTRACTOR : BECK ELECT. INC. Lir. C 3-5C 266-2292 I, Fee description Units Fee/Unit Ext foe Data Limited Entegy/Alter./Extension 1 40.00 40.00 Subtotal Electrical Fees: U 40.00 11 State Surcharae of 5> 0 2.00 Total Electrical Fees: 0 42.00 *.tri Fees Required tea a* t Pees Collected & Credits *** 1 1 Receipt No. Date Payment 05/10/93 42.00 Fees: 4.2.00 `"ol Adjustments: . 00 Total Credits: .00 Total Fees : 42 .00 Total Payments: 42.00 Balance Due: .00 I \') kol { N')1 ICE This permit becomes tool and told It the work or oonstntet'xn fur stitch If le lesued le not opnlmaviced within•M days Once construction has starind his permit biomes null and void If construction le kq,frrupled for a perkwl of ISO days. I ossify the the Informistirni prsesntsd by the apparent and -N.) nd1I his pent or agents In support of Mlle permit le true and o0rnc'1 to the heel of our knowledge I acknowledge that the!Wading rmpartment'a reliance upon telt*end maMsding Information may Irrtslldale MEM permit_ AN provlemy of eppl 4nbta Imes and ontlnancss goveming the construction and use M this building or elnwtufa will bit oornpil.d with whether or not spindled on the piens or need on the plena oonselon sleet I acknnWedge that the granting of a permit doss not grant authority lo smote private properly or to use Newmans I further ackncw ledge MN Iha us*or occupancy of the enroluro or building perrnaltrd depends upon my calling for Inspections N tattoos Mmes diving the promos of construction and(ha building inspection staff verifying compliance with the various codes. Use or oocupsncy of his building or structure permitted prior to approval by tha Building Deperfinesi le softly N ins rtek at MW applicant and such use or occupancy le revocable until all Inspection requhmmenle are satisfied r,d approval Is gtverl by the Building Official I twirler aclrmturbdgs Mal a Mn may be placed on the title at the property upon which the ps'miI is scum specifying MNI the use ct occupancy of rM building or similar,le proNebnel and revocable until the eatletsctlon nf ell Impaction roqu'rr.'ants ' 1I APPUCANT'M ItIONATUti 1 i 1 _ pp WASHINGTON COUNTY RESTRICTED Department of Land Use&Transportation Electr165Nrt Inspection Soctioe,935n ELECTRICAL ENERGY 166 North First Avenue,lti:1►S:-12 Hillsboro,Oregon 97124APPLICATION ' lnfirlfitstlon: ('603)640-3470 Fax: (503)1153-1153-44312 , 1 PLEASE PRINT . ,',7,� • Pleasi''cbinplete all sections.i1 through 5F' Project No../L-Sdfi(0 Permit No.i 5-�/7 1. 1. LocAti/on of in tallation /� Label No._ nate P - � Address`OZL)_ra,u.. �-A.ihali_'G 0.0 Issued By Office I -- City . :,_ ()i? Zip Code__ _Z 4. Type of work: Tax Map Map No .-__— - - -- - `RESIDENTIAL Restricted Enaoy Fe. $40.00 Thomas Map Book: Page Section —____- 9 !for NI system.) f Directions Check type of work Involved: I i `- tet) _ 001- — — Audio and Stereo Systems• Commercia Res.uential r] Bur Alarm Tenant N T.laphah•O . 0 (if commercial) _ .1-.1s..i�_hTA . t- t Cr,_ Owego Door , ' This!.-..mit h.00m.r null end void If the work authorltesd by tit p Mann portnit la m not oome:wl within le w in ISO days frodaof&swnVentilation and AN 4 of ouch petrel'or If the work eutl orized I.suspended or abandonedHeeling, SKI Systeme in any time after work Is oommeno.d for a period r4 190 days. V.cuurn Systems* Electrical Permits are non-refundable and non-tran.feable. 2. Contractor application: — — . Electrical Contractor At c t—t_ CAnu Tr-c . COMMERCIAL Foe for•ch system $40.00 '] (ase OAR 916250-2250) Address . - •tits Oc,,r-r.wulp,(N_ Dade_ T 5-9 Job Number Check type of work involved: 1 Property Owner - a__15,-. Ta.... Contractor's U enea No. (-(e`6 LL-I Bou«Control. Coy-ractor's Board Reg. No. L3302_ Clock Systems Phone No - Z.3..ift- 0 3 bf3 Dela Telecommunications Irrotalleticre , Firs Alarm Installation 3. Owner application: AC ' Instrumentation Faint Owner's idem. Plum filo. In/.room and Pimping System 1 Landscape Irrigation Control' breis Medical Nurse Calls 1715--_ Sills — ZIP Outdoor Landscape Lighting' I Thi.perm"is 1**414141 undo,OAR 519-10-370. Mit applicant apses Protective Signaling b make only rea,foted energy Installation.(100 volt apps or leas) ,dew under fhla permit and to do Sus Meowing: --- l. Only use e)schtoal Noaraad persons to do Metilations wham requlref. (Corbin r•.Menttal and other fmnsatIons are scampi Number of Systems front Nconslnp. These/NW*ssteriske(*). AN others nssd Won.- Iinp) 2 GN for an Inspection win alt the Instaliadons under this perm" -Ycer,sss ere required License,are rsqulnd kr sit mho,Mh.taaaNOM. \ are ready for Mspsctlo.,. • 3. Purchase aapanb permits for sol installations that are not ready 5. Fees for inspection when the inspector la out to inspect under MM Eft1;3f fees f /6 UrA 4. Assume ng ortelbll ty for assuming that ate correcions required \ by Elhs inspector ere done and C.)0 d. Assume responslblity for calling bra final Inspection when all of r� lrcharge(.OS X total above) S . _ the corrections aro oomplstd. CC ' I Ti patron alining this permit must be the applicant ora parson Total s �-!� I I out hnrizsd to bind ha a ort. Signature _ __ Space below reserved for validation. Aulnurity if other scan applicant _.—. For inspections call 640-3561 or 693-4415 I 24-hour recorder,one worl6ng day Ir advance of need 1 II/an 1 — — I I • WASHINGTON DEPARTMENT OF LAND USE i TRANSPORTA f`dN I I AEI LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY INSPECTION FEOUESTS: 503/610-3561/693-4415 OREGON PHONE: 503/A4841751 Page 1 of 1 1 Date : 04/29/93 t Time : 08:41 Permit Type : Commercial Electrical Permit Permit N : 05039925 Permit Status : APPROVED Applied : 04/28/93 1 / Situs Address : 9027 SW WASHINGTON SQUARE HD TI Issued : 04/29/93 Permit Title : MURATA ERIE CIRCUITS Completed : I Permit Descr. : JOB #222-3023 To Expire : 10/26/93 Project Title : MURATA ERIE CIRCUITS Project 0 1 P0030816 Project Descr. : JOB *222-3023 * EROSION * t-'<.rcel Number : 2S1TI - Land Use District : Valuation : 0 Legal Uescr. . p Owner. : INSPECTION - TIGARD Construction : LEB r Applicant Name : CHRISTENSON ELECTRIC Classification : 900 Applicant Addr . : 111 SW COLUMBIA, SUITE 48J Occupancy II PORTLAND, OR 9)201 Validated by : PH Applicant Phone: 24 -4812 Inspector. Area I CONTRACTOR : CHRISCENSON ELECT. INC Lic. C 26-34C 241-4812 Fee description Units Fee/Unit Ext tee Data 1st. Branch W/out Feeder (Enter 0] 1 35.00 35. 00 Addl. Branch W/out Feeder [Enter *j 6 2.00 12.00 Subtotal Electrical Fees: 0 47. 00 State Surcharge of 5% 0 2. 35 1 Total Electrical Fees: 0 49 . 35 *** Fees {tequired *** *** Fees Collected 6 Credits k** Receipt No. Date Payment 04/28/93 49. 35 Fees: 49. 35 Adjustments: .00 Total Credits: .00 Total Fees: 49. 35 Total Payments: 49. 35 Balance Due: . 00 I 1 1 I r..,c NO TICS This permit bac mss nuN and raid NMN sat or 0ansInjolon lot militon N le eaued is not commenced within'NO days. Once construction has started the permit bsourteS MSS and Mid N Nellie uM011 Is 1111111111111MS tie a period of 100 days I certify the IM Information presented by the applicant and / scent sgsfir*gents IA SWIM O Ole p IS MIR and 551150 Ila tete ISO of our knowledge. I acknowledge that the Ilullding Department's reliance �/ upon late and misleading IIb1111.IN1 may InvaNdaleMla p5 511. AM ployalona of applicable laws and ordinary as governing the construction and use of this balding or annsure wiN IS oanplled With~tar tar ar nod apes ad on M.plans or noted on Ins plans commotion sheets I acknowledge that the granting sauterneniorof a pent*doss not grant authority to NONCE p,50.property or to use easements. Mini*.acknowledge that the uM or occupancy of building perhhlad depends upon my Wing l5r Ilape;tlons a vodoua times during the process of conetructlon and the building Inspection elan~dying compliance with the varlet.e5/ss. UN Or occupancy of the tulhling or structure pern had prior to approvalthe Building tlgNAmam le solely el tete risk of Me amount and 51,11 we or occupancy le rel'_,cabin unlit all 1 PPr'w by nspottibn rp cI Sr. rmilIs I and approval M given by the MtlNdlrtg Cfllolal. Mather aekntleAerlga Chet s Ian may M p:soed on the Me of the properly upon which Ow permit Is Issued aped/Ong that Ni.we or occupancy of the bulldlrg or structure N provisional anti revocable until the sctialeollon of all Inspection requirements I AMUCANT'S SIGNATURE —•"—�_..._.____ [,—.. ..... ----- ---.--- ...........—...— I • L........•..111ft. — — __ _ _ _ . .. I • io i WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use b Transportation Fly;torah First tion Section A P P L I CA1I O N 1Sb North First Avenue,M350-12 Hillsboro, Oregon 97124 f'3 oil /�o t information: ,(if03)640-3470 Fax: (603) 093-4112 NumberPermit �- Date PLEA T --- ?72,..s---- Y--2P. 5.?• 1 Please', omp ere all sections, 1 through 5. 4. Complete Fee SchedLrle bei ,:v 1 Number of Inspectbxs per permit showed I. Location of Installation Adiress 9020 SW WASHINGTON SQUARE ROAD ___— Service Included: items Coet(ea.) Sum C.ty TIGARD Buildite No. A. Residential-per unitS — — — -- Tenant Name 1000 sq ft nr Ise$ $55 00 4 (if commercial) MURATA ERIE Each additional 500 sq ftor portion thereof __ $15 00 — Limited Energy --- $20 00 _ Tax Lot .--- Map No. — --- Each Manufd Home or Modu:ar _-.«. Thomas Map Book: Page: —_- Section _ Dwelling Service a Feeder $40.00 — 2 I : ___ Directions ONE F.MBASSEY TENANT- TMP.1 UNE: __ B. Services or Feeders IN OFFICE CONTACT AT CE IS SCOTT CARLSON _ Installation.aherationsorrelocatlon— r 200 amps or lens $50.00 — 2 1 Commercial f CX� Residential fl 201 amps to 4C3 amps — $60.00 _ 2 401 amps to 600 amps —_ $100.00 — — 2 601 amps a 1000 amps ---- $130.00 ---- 2 1 2a. Contractor Installation only: OVer 1000 amps or volts --- $300.00 --- 2 ' CHRISTENSON ELECTRIC INC. Reconnect only $40.00 -- 2 Electrical Contractor , Address 111 SW COLUMBIA,SUITE 480 PORTLAND,97201 C. Temporary Services or Feeders Date_ 4 27/93 _ Job Number 222-3023 inswlation,.hsratlon or relocation Property Owner 200 amps or tees ______ 540 00 —. ___ 2 26-34C 201 arils to 400 amps —_-- $55 00 —__—_-- 2 Contractors LICen8e NO. 401 amps to 600 amps $80 .0 ..---------,--- 2 Contractor's Board Reg. NO. 00458 over 600 amps to 1000 volts see•A•obey, Signature of Supr. Ele6typ1 D. Branch Circuits License No. 8 7 3 S Phone Nu. ___311 l -r1_ New.alteration or extension per panel a) The fee for branch circ,:ts with purchase of service or raedar Ise. 2b. For owner installations: Each branch circuit $2 00 2 b) The fes for branch circuits without purchase of service or feeder for. —te—No First branch circuit —_1__. $35.00 as.nn 2 Each add'nl branch circuit_..4_ $2.00 42,00 2 n ss E. Miscellaneous(Service or Feeder not included) Each pump or irrigation circle _.— $40 00 _. — 2 idly --- S4te Zip — ._Each sign or outline lighting .—_. $40.00 2 The installation is being made on property I own energy panel.)artsrabo limited n which is not intended for sale, lfiase or rent. or extension — — $40 00 --- 2 Iowners Signature F. Each additional Inspection over the allowable In any of the above,per Inspection 3, Plan Review section (If required) $35 0' -- e--...„ L 130// , 5. Foes 1 `f ��/93A. Enter total of above fees $47.00 I 5% Surcharge(.05 X total fees) S 2.34 A) Subtotal $49 1,5 i B. Enter 25% of line A for For Inspections cell Plan Review if required(Section 3) $ 640-3561 or 693-4415 Subtotal $49.35 24-hour recorder, Less Bulk Label Fee $ _—� one working day In advance of need Balance Due $ao as _ 1 INTERIOR LIGHTING SCHEULE This permit Moomes null and void If the work authorized by the permit is net corn/nomad within 1110 days from data of lesuanos of such permit or If the work authorized is.u.pandad or abandoned at any time after work Is commenced for a period of ISO days Electrical Permits ns non-refunda.*and non-transferable 1 r �I II • DEPARTMENT OF LAND USE &TRANSPORTATION \, WASHINGTON LAND DEVELOPMENT SERVICES LWVIStON#350-12 155 NORTH FIRST,HILLSBORO,OR 97124 ` COUNTY, PHONE: 503/640-3470 • OREGON INSPECTIOW REQUESTS(24 hours): 503/640-3561 or 693.4415 Permit It 0503992S Project * . P0030816 Status APPROVED Page 1 of 2 Applied 04/28/93 Issued 04/20/93 Expires 11/16/93 06/04/93 05. 15 COMELEC Permit Title MURATA ERIE CIRCUITS LEB Description J08 4222-3023 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant. Name CHRISTENSON ELECTRIC Phone number 241-4812 Valuation 0 Approved_ Inspector Comments Rejected__—_ r M • _ Inspected by !a Date: 4'9.3 Inspection Requested * Final Electrical 06/04/93 RI DA 4TH FLOOR t I • 1 � L I I -+r....-..r. — _w DEPARTMENT OF LAND USE & ;RANSPORTAT1ON 1 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION M3:S0 12 COUNTY, PHONE 155 R503/l410-3470LLSBORO,OR 97124 OREGON LAND REQUESTS(24 hours): 503/840.3581 or 6934415 1 Permit 4 : 06039925 Project * P0030816 Status APPROVED Page 1 of 1 Applied 04/28/93 Issued 04/29/93 Expiresa 11/08/93 05/20/93 05 13 ` COMELEC Uarmit Title MURATA ERIE CIRCUITS LEB / .description JOB *222-3023 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant Name CHRISTENSON ELECTRIC ' Phone number 241-4812 Valuation. 0 Approved fx`. Inspector Comments Rejected 1 I h ./r� Vic'/yl?.4/ <�( s /i-( Y:i I i \ -N. Inspected by _ _ Date �L_ 5-3 Inspection Requej�ted . "NI� * Cover 05/20/93 RI DA ck 05/19/93 RI DA CEILING COVER 4TH FLOOR 05/12/93 RI DA 4TH FLOOR 05/12/93 AP GS WALL COVER ONLY IS APPROVED 05.11/93 RI DA 05/11/93 AP as WALL COVER ONLY OK-LABEL REOD I • III DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DE':ELOPPIENT SERVICES DIVISION 6350-12 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, PHONE: 503/840-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 893-4415 Permit 41: 05039925 Project $ P0030816 Statue APPPoVEL Page 1 of 1 Applied 04/28/93 Issued 04/29/93 Expire_ 11 /08/93 05/19/93 05 . 14 COMELEC Permit Title MURATA ERIE CIRCUITS LEB Description JOB 18222-3023 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant Name CHRISTENSON ELECTRIC Phone nn:uaer 241 -4812 Valuat ,r. 0 Approved • Inspector '.omments Rejected X .)1 ?nspected by Date 5"' 9-5'3 Inspection Requested * Cover 05/19/93 RI DA CEILING COVER 4TH FLOOR 05/12/93 RI LA 4TH FLOOR 05/12/93 AP (IS WALL COVER ONLY IS APPROVED 05/11/91 RI DA 05/11/93 AP GS WALL COVER ONLY OK-LABEL REQD J I • • 'b DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 8350-12 COUNTY155 NORTH FIRST,HILLSBORO,OR 97124 R'10NE: 503/640-3470 l` OREGON INSPECTION REQUESTS(24 hourb): 503/640-3581 or 693-4415 1 Permit k: 050: 9925 Project * P0020816 Status APPROVED :'.age 1 of 1 Applied 04/28/93 Issued 04/19/93 Expires 10/26/93 05/12/93 07 : 00 COMELEC I Permit Title MURAT.A ERIE CIRCUITS LEB Description JOB *222•-3023 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TICARD :legion D Applicant Name CHRISTENSON ELECTRIC Phone number 241-4812 Valuation: 0 Approved"' Insp•^tor Comments Rejected-_-.._ a I Inspected by: Date: Inspection Requested k Cover C5/12/93 RI DA 4TH FLOOR 05/11/93 RI DA 1 � I 1 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12 COUNTY, 155 NORTH FIRST, HILLSBORO,OR 97124 PHONE: 503/640-3470 • OREGON INSPECTION REQUESTS(24 hours): 503/640-3561 or 693-4415 • Permit R: 05039925 Project II . P0030816 Status APPROVED Page 1 of 1 Applied . 04/28/93 Issued 04/29/93 Expires : 10/26/93 05/11/93 05 : 14 COMFLEC Permit Title MURATA ERIE CIRCUITS DEB Description JOB *222-3023 Job Address 9020 !;W WASHINGTON SQUARE RD TI Owner Name • INSPECTION - TIGARD Retiion D Applicant Name CHRISTEENSON ELECTRIC Phone number 241-4812 Valuation 0 Approved Inspector Comments Rejected 1 111 -— � lJ.0)'K[ f o L �'L� ft, C.:. po�� 1 i OK- LUu�-✓ CcJ4��.1 altlf/t'- �— --- - Thal/ma OK --- Inspected by Date --51- Inspection Inspection Requested: * Cover 05/11/93 RI DA L I 1 1 DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 0 COUNTY, INSPECTION REQUESTS: 503/640-3561/693.4415 PHONE: 5031646-8781 OREGON Page : 1 of 1 , Date : 05/11/93 Time : 08: 13 Permit Type : Commercial Electrical Permit Permit * : 05040210 Permit :itatus : APPROVED Applied : 05/10/93 Situs Address : 9020 SW WASHINGTON SQUARE RD T' Issued : 05/10/93 I Permit Title : STEWART TITLE LOW VOLTAE: Completed : Permit Descr. : 3RD FLOOR To Expire : 11/06/93 Project Title : STEWART TITLE Project * : P0030817 Project Uescr. : JOB *222-3022 * EROSION Parcel Number 1 2S1T1 - Land Use District : Valuation U ,: Legal Descr. e Owner : INSPECTION - TIGARD Construction : 0TH Applicant Name : AIR RITE CONTROL Classification : 900 I Applicant Addr. : 16232 SE 6TH AV Occupancy . PORTLAND, OR 97214 Validated by : PH f Applicant Phone: 238-0388 Inspector Area : CONTRACTOR : BECK ELECT. INC. Lic, C 3-5C 266-2292 Fee description Units Fee/Unit Ext fee Data Limited Entegy/Alter./Extension 1 40.00 40. 00 Subtotal Electrical fees: 0 40. 00 State Surcharge of 5% 0 2 .00 Total Electrical Fees: U 42.00 *** Fees Required *** *** Fees Collected E. Credits *54 Receipt No. Date Payment 05/10/93 42.00 Fees: 42. 00 Ad lustmetlts: . 00 Total Credits: .o0 Total Fees: 42.00 Total Payments: 42.00 Balance Due: . 00 ""\,` NOTICE: This panne becomes:tui and void It line work or construction IEE Which Nis Issued Is nnl cur rnuyuN d wlthtn trio days. Once construction has started, i the perm*becomes null and void N w construction le knnup•.d for a dedrioof ISO days I certify that the Information presented by the applicant and ,` tile aped or Reeds In Nippon of lids panel le Into and comm.to the best of our knrm4m... I acknc,wledge that ore*uuding Department's reliance 1 upon,latae and miaowing ing Information may invalidate this permit AN c of a u aids Nw n and onl'.narran Ir Etre of Ids bother's M structure na1N be w*h whether or ii l specified x. Dirt' g wiatructlon and Use Ndl^9 popom spec plans or noleC on IM plans correction shawls. I acknowledge that lire grading of a panne doss not grant authority to ewes,"-ovate property or to um)aaaetnanta. I further ackr.mimics That the use or occupancy nl Ma structure or building permitted rNnpernds upon my oNINp far hrpectlrns sI van urs Mem during IM process nr tor shut-Sinn and Ma building krapseenn staff valfykng oonrptlanrs wits Me venom codes. U.S or aeaupsnry of Mr ouliding M structureoniltvd Pe prior to approval by the eulldhrg Depn,Wnont is eddy a the risk of the wooer*and such use or occupancy is revocable until all'rsiwetlun requirements are satislrad and approval lc given by aIle liolkAtig Official. 1 Whet acknowledge That a Ion pray be placed on the INN el the property upon which the panne Is Issued specifying tout the use or 000rlpancy of the building or structure Is provlsiocel and revocable until IM satisfaction of all Inspection.squlrementa APPLICANT'!SIGNATURE I L - - -- - - - - - 1 I s S T S 4 lea>s-y . r •i.• fill $ +, 1 I I _ I . 40- WASHINGTONDepartment oa COUNTYse& RESTRICTED DspaRnterrt of Land Use Transportation Electrical Ina tAven Section ELECTRICAL ENERGY 166 North First Avenue,0350-12 Hillsboro. Oregon 07124 Information: (te)640-3470 Fax: (503)f1Y3-4412 APPLICATION ILE' SE PRINT It,lSc complete ,rill •.eCticxls, .. ;tkloug. Project No. /-- a��Permk No. . S 'r l"/� 1. i.o�jo of Installation Label No._�. Date _ Sdd f Add'ess' ..7� 6.11. `Lft G4 vet issued By______,44.4,________. Office _ City._ °-� •___.___ Zip Code gJ2..z3 4 Type of work: Tax fv!ap Map No. RESIDENTIAI. Restricted Eno iJy Fee i40.00 Thoma..Map Book: Page _ Section (for as.yea res) Directions 3 CC1 Q(`jr Check type of work Involved: Audio and Stereo%stars• CorTttnerciaq Residential C1 Arm Tenant Name < i(if commercial) ----)T-1—LL; 1c1 r_!.—__�i1 i(2_— TelephoneD r en,.• This p.rmtt b.com..null and void If the work authorized by the. Gangs f>ooOpenr r' Fire permit Is not no,wmawed within 1110 days from dale of leewnoir wiser' t of such permit or if tate work authorized is suspended or abandcvted Fleatirg,Ventilation and Air^,ondHkx p Systema' at any time alter work le oo.nmenced fora period of ISO days. Vacuum Syet.rns• Electrical Pernik*are non-refundable end non-4ansfsrabls. H o 2. Contractor application: Electrical Contractcf /\t I� t- E{�e COMMERCIAL Fee for each system $40.00 Address "Liza ti_lc_1-�' 7. CN- 2/C 1•«OAR918-200-210) Date _ST-S_` Joh Number Check type of work involved: Property Owner _f. 1t tc k.. t-4. 1dfrShit T r Contractor's Ucen:wo No. Z.10-SSOkker Folks Controls Contractors Board Reg No. to 0? _ Clock Systems Phone No. Z 3i-'-_,.0 t. Date Tektoommunketiorts InstallationsI FFF Fire Alarm Installation 3. Owner application: Ac Instrumentation Own Name .�.____j j N.." Intercom rod Paging System Address -- MedicalLartoscape M�Wtbn Control• _ Nurse Calls CV �s sTi Z[a Outdoor Landscape Lighting' This permit is testoid under OAR I'9-320.770. TM applicant agrees ` Protective Signaling to make.'oily militated among/inaarllatlor,.(t00 volt amps or l I I IN.p.nnit and to do Pio/ollowlrg: ) undo/ t. Osier I1. Only us*electrical llcvn.•I persons to d,,lnateltitione whin required. (Certain meide')Mei end other mansectlonaare exempt __ Number of Systems from/trvns/ng. Those hal,a e.t.rlatrn I') 1H others need/bans- _..1 2. all for an impaction whin all the Instillations under this permit •No licenses on required. Licenses are required br all other Installations are reedy for lnepectb.n. J. Purchase**panne permi a Mr all Installations that are not reedy 5. Fees \li for InapscYbtr when the 1 tel•KNw ti out to inspect under this porn* Enter fees $ (4O ` 4. Aaiun,* aponelblllfy kir Lia Liming that elf corrections required 1 Aaiun,*n by the inspector an done,nn.: 5. Assume responsibility for call .,for a final inspection when all of 5% Surcharge(.05 X total above) $ `-a G� the corrections are oompleied. The person signing Mia permit mutt bpp/bant a•Person e the a TOtal1122-52- 1 $ authorized to bind the app/bsnt syrmt..re 441.1 Space bolo teemed for validation. Authority if over titan applicant — --— For Inspections call 640-3561 or 693-4415 24-hour recorder,one working day In advance of need--- 11 N2 1 • VII 1 1 DEPARTMENT OF LAND USE it TRANSPORTATION WASHINGTON LANG DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO.OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 PHONE: 603/646-6761 OREGON Page 1 of 1 I Date : 04/29/93 1 Time . 08:41 , Permit Type : Commercial Electrical Permit Permit 0 05039926 Permit status : APPROVED Applied : 04/28/93 Situs Address : 9020 SW WASHINGTON SQUARE RD TI issued : 04/29/93 Permit Title : STEWART TITLE Completed 1 Permit Descr. : JOB 0222-3022 To Expire : 10/26/93 Project Title : STEWART TITLE Project 8 1 P0030817 Project Descr. : JOB 0222-3022 * EROSION * Parcel Number 1 2SITI - Land Use District Valuation : 0 Legal Descr. : ' Owner : INSPECTION - TIGARD Construction : LEP Applicant Name : CHRISTENSON ELECTRIC Classification : 900 Applicant Addr. : 111 SW COLUMBIA, SUITE 480 Occupancy PORTLAND, OR 97201 Validated by : PH !1 Applicant Phone: 241-4812 Inspector Area : 1 CONTRACTOR : CHRISTENSON ELECT. INC Lic. C 26-34C 241-4812 Fee description Units Fee/Unit Ext fee Data 1st Branch W/out Feeder (Enter 0) 1 35.00 35.00 Addl. Branch W/out Feeder (Enter 0) 4 2.00 8.00 Subtotal Electrical Fees: 0 43.00 State Surcharge of 5% 0 2. 15 Total Electrical Fees: 0 45.15 *** Fees Required A** *** Fees Collected & Credits a** Receipt No, Date Payment 04/28/93 45. 15 Fees : 45. 15 k Adjustments: .00 Total Credits: . 00 'i Total Fees: 45. 15 Total Payments: 45. 15 Balance Due: . 00 1 1 ! \ NOTlt:e 1 his permit beonrrw null and wad i1 the work or construction for which N Is Paned le 110t commenced within 100 days Once construction has started. Mita permit became nue and void it oonstnrtkn le lreenupled for a period al ISO days. 1 certify that the Information primed by Ito applicant and itis spool e M wp:xrl of this Pao permit Inend Dorn.)•b the beet knowledge I sckrtowledpe that thepulAllrlg Departments relist.ce 1 d mettle upon Poise and mleMreding Mlamatlon may'mandate this permit. AN proviabns of applicable laws and ordinances governing the construction and use of this euiidkp or structure will be complied with whether or not specified on the plane a aced on IM plans correction snarls I acknowledge that the granting M•permit does not grin authority to soceea "els property or to we easements I Pinnar acknowledge that the use or occupancy n' the atnraufe a,building permMed depends upon my ailing for Inspections at v.ntoue limes dining Me process of nonstructlon and the buntline inspecrwn sten weaving ccwnpllsnes wish the various codes. flee or occupancy of the building or atnutun permitted prior to approval by the Building DepMment Is solely et the flak of nue apollcant and such use or occupancy is revocable until all Inep.ction reculremente are salt sped and spprrwci le glean by Pb.Sullding Official Hornier eckrrveledps that ellen may be placed on the title of the properly upon which the pe.not is Issued specifying that the use or occupanoy of the Molding ow structure N provisional and revocable until the satisfaction of all Inspection•Nulnments I [......... AI►UCANT'f OIONATUOU I 1 • 0WASHINGTON COUNTY ELECTRICAL PERMIT 1 Department of Land Use&Transportation Electrical Inspection Section APPLICATION 1511 North First Avenue,9380-12 Hillsboro,Oregon 97124 0 / 7 r atlbnnarlon: (503 eco.>yro Fax: (503) 893411f2 Number S 3�Z(/ Date `,- 2 i3 "CEASE Pf IN,t Please.compete all sections, 1 through 5. 4. Complete Fee Schedule below 1 1. Location of Installation Number of Inspections per pmallowed Addrefre 9020 SW WASHINGTON SQUARE ROAD Service included: Items Cost(sa.) Sum Building — City TIGARD Suite No. A Residential-per unit Tenant Name STEWART TITLE 1000 sq.n'or lees $8500 4 (if commercial) _ Eaoh additional SOO sq.ft or portion thereof _ $15.00 limited Energy Tax Lot Map No. Each Manufd None or Modww $20 00 1 { Thomas Map Book: Page: Section: Dwelling Service or Feeder .__-- 140.00 _ 2 Directions ONE EMBASSY TENANT IMPROVEMENT B. Services or Feeders 0 IN OFFICE CONTACT AT CE IS SCOTT CARLSON Instate',at1efations or relocator 2650 00 2 i ( Commercial Residential[] 201 amps to s to WO p•400 ___ Geo 00 __ _-- 2 401 amps"to 500 amps 5100 00 __._.___ 2 001 amps to 1000 amps -- $13000 -------- 2 2a. Contractor Installation only: Over 1000 amps or von* $300.00 ________ 2 Electrical Contractor CHRISTENSON ELECTRIC, INC. Reconnect only 140 00 2 Address 111 SW COLUMBIA,SUITE 480 PORTLAND,97201 C. Tempofary Services or Feeders Date 4/27/93 Job Number 222-3022 Installation anerationorrelocatlon Property Owner 200 amos or las. _ $40 00 ____ 2 Contractor's License No. 26-34C 201 amp.to 400 amp. _ $55.00 ._ _- 2 - i Contractor's Huard Reg. No 00458 401 amps to 600 amps _____ s00 00 ---- i 8 amps to 1000 volts see't'above Signature of Supr. Elawall. •--.�-;*- £"" D. Hench Circuits License No. JL.S____- Phone No. - 24 1 R 1 New alteration or extension pe panel a) The lee for branch circuit*with purchase of aarvkv or raider he. k 2b. For owner Installations: Each branch circuit »00 __A _ 2 b) The No for branch circuit*without ^ Spares Pfwn.No. pupurchasen., or service or feeder h.. $35 00 __35.00 2 tint branch circuit 7 — _--�– -- Eaoh add'nl brach circuit. 4-- $2.00 �a 2 E. Miacellareous(Service or Fender not Included) city 4trda ---- Each pump or iniaation circle___ 540.00 2 Each swn or wens lighting ___ $40 00 __.._ 2 ► The installation is being made on property 1 own Signal Grp nlimitedlimitedenergyes which is not intended for sale, lease or rent aite ane<et or e $40 00 2 Mer;slon r owner's Signature F. Each aridltlonal Inspection over the allowable In any of the above,per inspection \fl ► 3. Plan Review section (If required) -- :35 oo Le 0y(� '1%4/ S. Fees 93 A. Enter total of above fees $ 43.00 __ 5% Surcharge(.05 X total fees) $ —271-5— Subtotal $ —757T5— 1 B. Enter 25%of line A for 1 For Inspections call Plan Review if required(Section 3) $ __ 640-3561 or 693-4415 Subtotal $ 4s.1 s 24-hour recorder, Less Bulk Label Fee $ ons working day In advance of madB�/T. $ 45.1 5 1NTERZOR Q(;}{'I1 (;ICHEDULE. This permit become.null and vc4d If the work einnorlxsd by the permit is not oonmenoed within ISO days from data of issuan<. I of such •ermll or If the work eutinoriz d I.euepended or abandoned at any time after wo•k le commenced for a period of 109 days. Electrkal eermtts are non-retunwbte and non-I,anef.rabl. 11/02 t.___________ -I__ - - -- I DEPARTMENT OF LAND USE & TRANSPORTATION I WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 8350-12 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, PHONE: 503140-3470 I OREGON INSPECTION REQUESTS(24 hours): 503/6404581 or 893-4415 , Permit M 05039926 Project N P0030817 Status APPROVED Page 1 of 2 Applied 04/28/93 Issued 04/29/93 Expires 11/16/93 06/04/93 05 15 ' COMELEC Permit Title STEWART TITLE LER r 1 Description JOB *222-3022 Job Address 9020 SW WASHINGTON SQUARE RD T: Owner Name INSPECTION - TIGARD ReSlion D Applicant N7me CHRISTENSON ELECTRIC Phone number 241-4812 Valuation. 0 Approved k r Inspector Comments, Rejected I \N r 7 -.., Inspected by _ 701A70.45(44- 70A0.45(4C !•Af 6 --X1-!"3 1 Inspection Requested Ni * Final Electrical 06/04/93 RI DA is 11 I 1 p , L. ......_____,..- l DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 0350-12 COUNTY, PHONE: NORTH FIRST,HILLSBORO,OR 97124 PHONE: 503/640-3470 OREGON INSPECTION REQUESTS(24 hours): 503/640-3561 or 693-4415 Permit a. 05039926 Project a P0030817 Status APPROVED Page 1 of 2 Applied 04/28/93 Issued 04/29/93 Expires 10/26/93 05/20/93 05 13 COMELEC Permit Title STEWART TITLE LEB Description JOB *222-3022 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant Name CHRISTENSON ELECTRIC Phone number 241-4812 Valuation- \ . llpprcved 424. Inspector Comments Rijected_ _ k LInspected by -- _ —_-- Date /S1Q73 Inspection Requested * Cover 05/20/93 RI UA 05/19/93 RI DA 05/07/93 RI MJF 3RD FLR NEXT 2 MAYTAG 05/07/93 DN GS WALL COVER ONLY 1 i i f ilii 0 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12 155 NORTH FIRST,HILLSBORO,OR 97 124 COUNTY, PHONE: 503/840-3470 OREGON INSPECTION REQUESTS(24 hours): 503/640-3581 or 893-4415 Permit * 05039926 Project * P0030817 Status APPROVED Page 1 of 2 / Applied 04/28/93 Issued 04/29/93 Expires 10/26/93 05/19/93 05 14 1 COMELEC i Permit Title STEWART TITLE LEB I Description JOB *222-3022 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant. Name CHRISTENSON ELECTRIC Phone number 241-4812 Valuation. 0 Approved• _. Inspector Comments . Rejected_ —.----_—?.nedll.K 1_ ----- --- — I I • i Inspected by —_ Date s`/1- l3_ 'Nil Inspection Requested * Cover 05/19/93 RI DA 05/07/93 RI MJF 320 ft, MIXT 2 IIAYTII13 05/07/93 DN GS WAtl, "%IVEP ONLY I o 1 [ _ ___ • 1 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 0350-12 155 NORTH FIRST,HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/840-3561 or 693-4415 Permit * 0503992t, Project * P0030817 Status APPROVED Page 1 of 2 Applied 04/28/93 Issued 04/29/93 Expires 10/26/93 05/07/93 05 : 14 COMELEC Permit Title STEWATi'i TITLE LEB Description JOB *222••3022 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant Name CHRISTENSON ELECTRIC Phone number 241-4812 Valuation' 0 Approved IA Inspector Comments Rejected. ? ' r 751 ----- --•- ----- Date: ice-7-51 Inspected by Inspection Requested * Cover 05/07/93 RI MJF 3RD FLA NEXT 2 MAYTAG 1 1 i I• I 1 — - ODEPARTMENT OF LAND USE & TRANSPORTATION 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 8934415 Permit 4 05039926 Project 4 90030817 Status APPROVED Page 1 of 1 p Applied 04/28/93 Issuei 04/29/93 Expires 10/26/93 05/06/93 05 16 COMELEC 1 Permit Title STEWART T'.TLE I' V LEB Description JOB *222-3022 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant Name CHRISTENSON ELECTRIC ` Phone number 241-4812 Valuation 0 Approved Ea Inspector ^_omments . Rejected › �`'h1-e_ 41L-. --- ---- - --- _ cls - \')- ---- Inspected by i' 4rv4 Date -0.,) I Inspection Requested I * Cover 4 Service 05'C6/93 RI JCS 11 1 1 10 i DEPARTMENT Oin LAND USE&TRANSPORTATION 411114k 1 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HIL SBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/6s0-366v693-4415 i %F PHONE: 503/6484731 OREGON Page : 1 of 1 Date 05/19/93 Time : 14 :2u { Permit Type : Commercial Electrical Permit Permit # : 05040515 IP Permit Status : APPROVED Applied 05/19/93 Situs Address : 9020 SW WASHINGTON SQUARE RD TI Issued : 05/19/93 Permit Title : MURATA ERIE N. AMERICA LOT VO Completed : Permit Descr. : COMPUTER WIRE To Expire : 11/15/93 r , Project Title : MURATA ERIE N. AMERICA LOT VO Project 0 : P0031294 Project Descr. : COMPUTER WIRE * EROSION t . • Parcel Number : 2S1TI - Land Use District : Valuation 0 Legal Descr. i Owner : INSPECTION - TIGARD Construction : UTH 1 Applicant Name : ADVANCED COMMUNICATION TECH Classification : 900 Applicant Addr. : 9500 SW TUALATIN SHERWOOD RU Occupancy . TUALATIN OR 97062 Validated by : EB 1 Applicant Phone: 692- 4040 Inspector Area : I l CONTRACTOR ADVANCED COMMUNICATION TECH Lic. C 34-230C 692-4040 1 Fee description P Units Fee/Unit Ext fee Data Limited Entegy/Al.ter./Extension 1 40.00 40.00 ' Subtotal Electrical Fees: U 40. 00 State Surcharge of Si. 0 :! .00 11.11 j Total Electrical Fees: 0 42.00 *** Fees Required *** *** F'ees Collected & Credits tt*,► I Receipt No. Date Payment ! 05/19/93 42.00 ) TOTAL THIS DATE 42.00 r• Fees: 42 .00 1 Adjustments: oU Total Credits: UU Total Fees: 42.00 Total Payments: 42.00 I Balance Due: . 00 i 1 , I 1 I NO TICS This pen.na becomes null aid void It the woe or construction for whk:h it is Wooed is not commenced within 1110 days Once ronalnactlon has started. :he permit becomes null and void If construction is Interrupted for a period of 1110 days I certify 1het the inlormstkxn presented by Ma apralcanl and hie pert or agents In support of this permit le taus and reenact b Ili the best of our knowledge I acknowledge al IM II Aiding Depsrtmenl'a miniere* -N.. ) upon tales and misleading information may Invalidate this permit M prMslons of applicable lame and nrdinanOee governing the construction and use of this building on stnx:ture will ba compiled with whether or not speslflsd on the plana or noted on the plans oonaotlon sheet. I acknowledge Inst the granting of a panne does not grant authority to soaves privets property or to use eeaentetell Molnar acknowledge thet IM ues or occupancy of the sanatoria or building pennhivd depends upon my coiling lot Inspections el vadat.*times during the caudate of construction and the building Inspe$lo.m staff vsrfyinp unnlalance with Me widow SodasUse or occupancy of the building or structure permitted odor In approval by the sulbing Department ie moiety at the risk of Me applIcant and st.oh ues or occupancy le tr vcoable until all inspection requirements are satisfied and approval le given by the Building Official. I further acknowledge that a:len may be Wooed on the tale of the property upon which the permit Is lesund specitylg that the me CO occupancy of the buildkn or structure Is proNetnnei and revocable unti,. Ion. In .Ion reqants / vials 1'._ �j - • I I 1 1 I 0 WASHINGTON COUNTY ELECTRICAL PERMIT ! Departmint of Land Use&Transportation Electrical inspection Sectiun 155 North First Avenue,9350-12 APPLICATION Hillsboro_ Oregon 97124 Information: (503)640-3470 Fax: (503) 6934412 Project , id p) 1 Permit lei-CI-3 rl Number _ Number -5- /r1 PLEASE PRINT • - I' Please complete all sections, 1 through 5. 4. Complete Fee Schedule below Number cf inspections per permit allowed I 1. Location e insta ratio �� Service included: Items Cost(ea.) Sum Address , !ate A. New residential •single or multi-family• ufldfng L'UD per dwelling unit. City �j Suite No. 77 1500 eq.a or� $85.00 4 Tenant Name Each additional 500 n - I (If commercial) _ /uYa ____ r3 � �4r►C. w portion thereof $15.00 —__Y.__ 1 Each Manufd Home or Modula r Directions 0 T 1-li h- 1(. /'1,nP swelling Servlcs or Feeder $35.00 — -- 2 • 4� — B. Services or Feeders(10 branch circuits included) 1 . Installation,alterations relocation LL - 100 amps or lei.. S.t500 2 Commercial Residential ri 101 amps to 400 amps $60.00 2 I sot amps to 600 amps $80.00 --- 2 601 amps to 1000 amps ____ $130.00 2 2a. Contractor i tallat o only: Over 0 amps or��"' -- 5300.00 - 2 Electrical Contractor a.. ,r • 4.,. .. . aill101r'YS Address ' Ar 0 AVM 4r1____.._._ C. Temporary Services or Feeders Date S-11-93_ Job Number __ installation,alteration or relocation Property Owner _ 2W amps or lase - 500 2 201 amps to 400 amps $40.00 _-. 2 Contractor's License No. - - I'i—! 401 amps to 800 amps - $80 00 —____ Contractor's Board Re.. . ► ^�M - Over 600 amps to 1000 volts e«e'above Signature 0f Su c EI�� •, mg I� C. Branch Circuits New,alteration or exter:sion per penal License No. a1.E ho = No. r.:.- !_-_- One circuit $35.00 2 two to ten circuits --- I $50.00 2 2b. For owner installations: Each additional ten circuit. __ or part thereof $15.00 - 2 PiWwner'a Nance Phone No. E. Miscellaneous (Service or Feeder not included) )gest ---- --- Each pump or irrigation circle _ $36.00 2 Each sign or outline lighting _ $36.00 —.— 2 1 Signal circult(s)ora limited State ------ energy panel.alterationo �, ) The installation is being made on properly I own "%1Oft"�" -- tree 2 I which is not intended for sale, lease or rent. F. Each additional Inspection over the allowable in any of the above,per inspection 1 Owners Signature __- _ -_—_ $''ts 00 3. Plan Rl3vlew section (If required) 5. Fees A. Enter total of above fees $ 0 . 06 ---.. 5%Surcharge(.05 X total fees) $ -. -)Subtotal $ B. Enter 25%of line A for - - — ----. Plan Review if required(Section 3) $----- For Inspections call Subtotal $ 64C1-3561 or 6934415 Less Bulk Label Foe $ 24-hour recorder. Balance Due $ u 4 .17. /1 one working day In advance of need This permit Decor iris null end void If the work authorized by the permit Is not commenced within 1$0 days from date of Issuance of such permit or I the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 1110 days. 1 Electrical Permits ars non-refundable and nor-transferable. 7/91 i II I - I DEPARTMENT OF LAND USE & TRANSPORTATION WAS INGTON LAND DEVELOPMENT SERVICES DIVISI'JN 5350-12 COUNTY, PHONE: NORTH FIRST,HILLSBORO,OR 97124 PHONE: 803/840.3470 OREGON INSPECTION REQUESTS(24 hours): 503/640-35411 or 693-4415 Permit I 05040515 Pr._ject * P0031294 Status APPROVED Page 1 of 1 Applied 05/19/93 Issued 05/19/93 Expires 11/15/93 00/08/93 OS 15 COMELEC 1 Permit Title MURATA ERIE N AMERICA LOT VO OTH Description COMPUTER WIRE Job Addrers 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region D Applicant Name ADVANCED COMMUNICATION TECH Phone number 692-4040 Valuation 0 Approved i I,A Inspe,ct•-,r Ccmment.s . Rejected c.-L <S 1.0 41 r -- i i 1 _. i Inspected by ,c,K - . , 7+r _ Date _-�,„8:4.1---- I Inspection Requested * Cover & S rvice 06/08/91 RI MJF [.........--..--Aw... -- - - - • .rximextemenmempr.0 ill . -.•tea- r I 1 DEPARTMENT OF LAND USE&TRANSPORTATION ' I WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 INSPECTION REQUESTS: 503/840-3561./693-4415 COUNTY, XXXXXXXxx--> t 0-s4 iU o OREGON age : 1 0> 1 ' Date UL/U'//y5 Time : 14 : 44 I hermit M U5Ub3'/bb : Commercial Electrical Permit Permit : 02/0/19553 Permit taeU2/U•/195 Permit Status APPROVED issued Situs Address : 9020 SW WASHINGTON SQUARE RD Applied'1'1 Completed Permit Title 4 CIRCUITS To xpi : Uti/Ub/95 Permit Uescr . Project � PUU474Ub � !✓roject Title4 CIRCUITS * EROSION * project Uescr . Land Use District = tercel Number 251T1 - i Valuation U U'L'H Legal Uescr . Construction uwner INSPECTION - '1'1CiAKU Classification yUU Applicant Name : REESE & SON ELECTRIC Occupancy Applicant Addr . : 1b310 SE RHONE Validated by : LG PORTLAND, UK 9/236 inspector Area Appl w.cant Phone : '/bU-8903 Units Fee/Unit Ext fee Uata Fee description - - 1 35 . 00 35 . 00 1st branch W/out Feeder Enter # ] 3 5 00 35 . 00 Addl . branch W/out Feeder [Enter s : . UU Subtotal Electrical Fees : SU0 . 00 state Surcharge of 5% 52 . 50 Total Electrical tees : *** *** Fees Required *** *** Fees Collected & Credits , Date Payment i Method Check N Receipt No. 52 . 50 3'/45 02/U7/96 LK ********* 52 . 50 TOTAL THIS DATE 1, Fees : 5'2 . 50 UU 1 . 00 'Total Credits : 52 5U l' Adjustments : 52 50 Total Payments : 'Total Fees : . 00 balance Due : for a period of 180 days. I certify that the Information presented by the applicant and NOTICE. This permit becomes null and void If the work or construction for which it Is issued Is not commenced within 180 days Once construction has started, the permit becomes null and void if construction is interrupted permit. All provisions of applicable laws and ordinances governing the construction and use his agent or agents In support of this permit Is true and correct to the best of our knowledge 1 acknowledge that the Building Department's reliance upon nn tales and misleading informationmay with pts this os V of this bullding)or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the grantingrucr or a permitted dependsapproval bythe the structure building upon my calling for Inspections at various times during the process of construction and the building and such use or occupancy is revocable until all inspection requirements are satisfied and inspection stuff verifying compliance with the various codes Use or occupancy of the building or structure permitted prior to app permit Is issued Building Deportment by solely n the Officiala of the applicantlaced on the title of the property upon which the W approvalecifyiis givenatby the Building ncyof I further acknowledge that a lien may be p �� specifying that the use or occupancy of the building or structure Is provisional and revocable until the s tisfa on of all inspection requirements I / —— S SIONAT E i a 1 lit_ 4 J I . _ _ .._ .. — — i II 1 1 • TY WASHINGTON Department f & Transportation ELECTRICAL PERMIT Electrical Inspection SerAion 1 155 North First Avenue, 44350-12 APPLICATION Hillsboro, Oregon 971;:3 Information: (503) 6403470 Fa,: (503) 693-4412 I Project/Permit -- PLEASE PRINT Number S 1Xn 314 Date S Please complete a I se tions, .1 through 5. 4. Complete Fee Schedule below 1. Location of in: tallntio ) Number of inspections per pee mit alloy .td Address `( 0.2U ,14( j4; ,; ' �J �Q!(�reJ Service included: Items Cost(ea.) YSum Bu l / City ` C. Suite No. c- 4 Pe A. Residential - per unit _ 1000 sq ft or less $11000 4 Tenant ams a �,l e ' 1 Eachre C or portion thereof --- $25 00 Limited Energy _--_ $25.00 _ __ 1 Tax Lot—_ Map No. Each Manuf'd Home or Modular Dwelling Service or Feeder —__ $68 00 2 Thomas Map ok: P ge: tion: , Directions _.. ikl.�_k mbd s.f - -17 B. Services or Feeders I — _ Installation,alterations or relocation 20C amps or less — $60 00 2 Commercial X Residential [ 1 201 amps to 400 amps 2 401 amps to 600 amps $120 00 — 2 2a. Contractor Ins Ilatlon only: -_ 601 amps to 1000 amps __— $180 00 —.--- 2 Over 1000 amps or volts __ $340 00 — 2 ElectricalContractor � '5 e , , to C ri`C Reconnect only $50.00 2 Address 4 3 I '11i.'/,7Trs�ld'Oiffl!- / 234 Date - Job umber _ C. Temporary Services or Feeders Property Owner 41, - . ' t Installation,alteration or relocation Contractors License No. e i , ;'00 amps or less —__ $50.00 2 —Contractor's Board Reg. No. TT amps to00 amps —_— $75.00 2 2014 _- _— 401 amps to 600 amps $100 00 ._. 2 !� A Over 600 amps to 1000 volts see'B'above Signature of $ r. Eisen W_ ar 4 ti-e License No./V./L-5 ,? "hone No. 5:6_i -.7/X-, ' LJ D. Branch Circuits New,alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or feeder fee. Print OwnTIdame phone No Each branch circuit $5 00 2 h) The foo for branch circuits without Ad rte— purchase of service or l lee. First branch circuit $35 00 2 irlty Staie Zip Each add'nl branch circuit 3 $5 00 2 E. Miscellaneous (Service or Feeder not included) The installation is being made on property I own Each pump or irrigation cir:le $40.00 — _ 2 which is not intended for sale, lease or rent. Each sign or outline lighting $4000 _— 2 Signal circuit(s)or a limited Owner's Signature _ --__- ._________ energy panel,alteration or extension $40.00 2 F. Each additional inspection over the allowable 3. Plan Review section (if required) in eny r pec�oen above $3500 Please check appropriate item and enter fee In section 58. Per hour -- $55.00 _.—_ In i'l-„,t ---- $55.00 _ ___4 or more residential units in one structure Service over 800 amps; feeder 800 amps or more 5. Fees System over 600 volts nominal $ _i-). A. Enter total of above fees Classified area or structure containing special 5% Surcharge (.05 X total fees) $ __ Z 5Z7 occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ -- r above apply. Not required for temporary construction Subtotal $ services. $ -- -- Less Bulk Label Fee Balance Due $ , - c?",) For inspections call This permit becomes null and word H the work sidhorfred by the permit la not commenced 640-3561 or 693-4415 within i.e days from date of issuance of ouch permit,x M the work sulhorized Is suspemied or abandoned at any time after work la commenced tor•perkxl of ISO days 24-hour recorder, one working day in advance of need rle.nric&permits are non rsfundahle and non transferable 1M1la 1 J OIL_- - - A 1 I ( . 0 DEPARTMENT OF LAND USE & TPANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 156 NORTH FIRST, HILL SBORO, OR 97124 COUNTY, PHONE: 503/640-3470 4 OREGON INSPECTION REQUFS1S (24 hours): 503/640-3561 or 693-4415 li . Permit 1E 050e346b Project S . P0047406 :-,t.tulri . Aul-- .:. 1 .4 j-_, Applied 02/07/95 Issued 02/07/95 Expires 08/06/! 02/09/95 07 : 48 COMELEC Permit Title 4 CIRCUITS OTH • Description Begun : 02/07/95 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region J Applicant Name REESE 6 SON ELECTRIC Phone number 760-8903 Valuation . 0 Approved___ . inspector ~omme,Y Rejected DOL 194-e)1444-t-a3 i-teliv, eJLl,f.{ L__ l/ ia-dr---C1I r t'P -n F U L S 01 vtlZ h ei c. - 1z.e1- crz5 _____ REQUEST ERROR! . iAircte Ce-11--e-V .0-tli kr CZ--rlli-t4—e-e_ ------- , 1 1 Plum) _ Mechanical __ _ _._...- ___-_-_ _____. .. �,.__ _._. , Structrual General __— Inspected t.y _ _ Late __ 2."7.1=1.-1.__ • Insp. ti k- .4 . . . * Cover , 4!:4 I. Al' ON IVR 02/r: /,, 1•: . .. I'/-. , , t" .r'. :i i"1.,,H rk , I J 1 I I 1 I 1 DEPARTMENT OF LAND USE & TRANSPORTATION , AN WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 1 OREGON INSPECTION RECUESTS (24 hours): 503/640-3561 or 693-4415 1) Permit # : 05063766 Project N : P0047406 Status : APPROVED Page 1 of 2 Applied : 02/07/95 Issued : 02/07/95 Expires : OS/06/95 02/23/95 07 : 27 ' COMELEC Permit Title 4 CIRCUITS OTH Description Begun: 02/07/95 Job Address 9020 SW WASHINGTON SQUARE RD TI Owner Name INSPECTION - TIGARD Region Applicant Name : REESE & SON ELECTRIC �/ Phone number 760-89037 (J � "j� Valuation: 0 Approved ,(\ Inspector Comments : �L .. ��"`" Rejected IVR-RESULTS 1 __ --- _�—_- _—_ REQUEST ERROR! —(1:7 Plumbing :_ Mechanical : Electrical : Structrual : ' General Inspected by :_ .-"j/i — Date : 2 1_3 5'S I Inspection Requested - , * Fina4101M10 0499 E AP DN IVR 02 Phi A Ceiling Cover 0414 E Air DN IVR ' 02/23/95 RI PH 5TH FLR GE 1 1 J ik_ ... - J DEPARTMENT OF LAND USE b TRANSPORTATION WASHINGTON LAND DEVELOP,AENT SERVICES DIVISION • 1� AI% COUNTY, 150 NORTH FIRS,HILLSESTS: OR 97124 INSPECTION REC'UESTS: 503/640-3561 PHONE: 503/648 8761 OREGON � �� n J � Payr. : 1 of r� Date ulit,ts/yU Three . 10 :4 / Permit 'type : Commercial Electrical EE'rllilt Permit # : USUU72tly Permit status : APPROVED Applied : 01/0E1/90 Situs Address : 9020 SW WASHINGTON SQUARE RD II Issued : U1i0cs/911 Permit Title . EMBASSY SUITES BUILDING #2 r mplrete•l • eimit bescr . : EMBASSY sUlTE:_, BUILDING #2 To Expire : 07/ri7/9u i ro sect 'Title : EMBASSY SUITES bUILD1Nia +t_ project # : P0u05532 • Fro,ect Lescr .. : EMBASSY SUITES E UI LUING #2 • r arcel Number Land Us r District . 'aluation U Legal Dear:r . • owner construction . u'l'H Applicant Name : MAiLbi)NALLr MILLER .t_I. tlassitic.,t. lr.n 9ilu Applicant Addr. : 2/` u 1 SW 9':'TH .Tf i I E: 21 o Occupancy WILSoNV1LLL ok -1 '74) Vairrlated by : Y.a Applicant Phone: b82-4VA. instector Area : Fera description :nit re.-/ Unit Ext tee Lratu One New Lircuit Alter . t.lr Lxte_-rl'I 1 . : 41 . +4 Subtotal Electrical F.es : '1 . ;4 State_ Sur,_'Liarye of '.'e: Total Elc>ctrical Fees : :2 . 41 a * s Fees kequire.1 * A . . r, . Fees i' s a _�11 clad v _rer3it . + + Receipt Ne . bate- P,iyrrlent ill/tW/yli Fees : 44 . 41 Adjustments : .Ill Total Credit::!: Total Fees : + Total Payments : _ 0''(;' Balance Due : 11;. ata NOTICE This permit becomes nu'1 and void if the work or construction for which It is Issued Is not commenced within 180 days Once construction has started �• the permit becomes null and void If construction is Interrupted fora 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 hull ling Department's reliance upon Islas and misleading Informetio,- may In"slidate this permit All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled we,.whether or not specified on the plan's or noted or the plans correct h.n sheets. I acknowledge that the granting of a permit dose not grant authority to access private properly or to use easements I further acknowledge that the use or occupancy of the structure or building permitted depends otos my calling for Inspections at various times during the process of construction and the building inspection staff verifying comp.unce wIth the various codes. Use or occupancy of the building or structure permitted prior to approval by the Sul ding Department is solely at the risk r.f the applicant and such use or occupancy Is revocable until all inspection requirements are satisfied and aprroval 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. PPLICANT'S 'IONATUNE rdit 1. I 1 WASHINGTON COUNTY DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO- ..�-� _ /!7 :2O9 LAND DEVELOPMENT SERVICES DIVISION TEMP. PERMIT NO. • ELECTRICAL INSPECTION SECTION ' 150 NORTH FIRST AVENUE DATE HILLSBC►RO, OREGON 97124 640-3470 ISSUED BY LABEL NO. ELECTRICAL PERMIT APPLICATION J 3•ed� o r41U.1�Cle [U _275L SK1 9S7[F 511rT11� ZlpK'ICSrIIL'lL 613.4 Z __ NAME 014 FIRM Pi E ASE PRINT MAILING ADDRESS TELEPHONE • ,ELECTRICAL CONTRACTOR LICENSE NUMBER 37=15'�� _.I AM REGISTERED WITH THE BUILDER'S BOARD t ORS 701.055 RE ' ATIO - EXPR.DATE SIGNATURE OF SUPERVISOR tii LICENSE N 35-27S 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 PROPERTY IS NOT BEING CONSTRUCTED FOR SALE. LEASE OF RENT. FOR THIS REASON, I AM EXEMPT FROM BUILDER'S BOARD REGISTRATION UNDER ORS 701 055 THE ACTUAL INSTALLATION WILL BE MADE BY ME C OR BY - WHO IS A MEMBER OF MY FAMILY RELATIONSHIP OWNER'S SIGNATURE OWNER'S NAME LOCATION OF INSTALLATION 419g30 AESWigaig ) SW+e_ - � 4.2 CIV *N DIRECTIONS N{UCT It, W 1wG►Opk_ 'ch4PIKE_ __-- ---- - — — F E E RESIDENTIAL RESIDENCE WIRING LESS THAN 1000 SO FT PS 32.00 + RESIDENCE WIRING LESS THAN 2000 S0 FT MS 53.35 RESIDENCE WIRING OVER 2001 SO FT M S 74.70 ELECTRIC HEAT INSTALLATION IN EXISTING RESIDENCE @S 21.34 SERVICES TEMPORARY SERVICE @$ 21.34 ' I SERVICE CHANGE ONLY IN AN EXISTING RESIDENCE @S 21.34 ___ SERVICE NOT OVER 100 AMPERES @ S 32.00 _ _ 100 AMPERES BUT NOT MORE THAN 200 AMPERES PS 53.35 - _ OVER 200 AMPERES BUT NOT MORE THAN 400 AMPERES _ n S 74.70 OVER 400 AMPERES BUT NOT MORE THAN 600 AMPERES @ 5 106.70 SERVICE OVER 600 AMPERES _ @ 0 1 .,F SERVICE OVER 500 VOLTS PS 3[U.10 FEEDERS INSTALLATION, NOT MORE THAN 100 AMPERES @ 5 21.34 ALTERATION OR RELOCATION OVFR 100 AMPERES RUT NOT MORE THAN 700 AMPERES " a 32.00 IIVFH'1111)AMPERES NUINIITMom IRAN 400 AMPERES I•''S ',.!- I', OVER 400 AMPERES 0 S 64.00 -- FEEDER OVER 800 VOLTS @ 5 85.36 MISCELLANEOUS MOBILE HOME SERVICE ___ M$ 21.34 MOBILE HOME FEEDER •S 21.34 EACH IRRIGATION PUMP .s 21.34 _,_ EACH ELECTRIC SIGN OR OUTLINE LIGHTING M$ 21.34 — i. EACH RESIDENTIAL SWIMMING POOL @$ 21.34 - 1 ONE NEW CIRCUIT ALTERATION OR EXTENSION I (d$ 21.34 —.3y j TWO OR MORE NEW CIRCUITS ALTERATIONS OR EXTENSIONS @ 5 32.00 - _ r OTHER NOT LISTED ABOVE @ 5 1 INSPECTION FEE ______ FOR PECTIows CALL 640-36131.N/ 2. 5%STATE TAX S 24 HOUR RECORDER,ONE WORKING DAY N ADVANCE OF N®. 3. PIANS CHECK FEE $ -72. '// (1.2.3), TOTAL CHARGE S S t, THIS PERMIT BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMM(\i.EU W. .,1'. 'hr b...; FROM DA IL Irk ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OR ABANDONED AT ANY TIME AF TER WORK IS COMMENCED FOR A PERIOD OF 180 DAYS ELECTRICAL PERMITS ARE NON REFUNDABLE&NON TRANSFERABLE DLUT/LDS E-001 WNW .A .. 1ill w 292A8 9020 SW Washington Square Pd y��,�___PP r� -. r - — ` 1-11r- DEPARTMENT OF LAND USE&TRANSPORTATION Al% WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 PHONE. 503/648-8761 OREGON Page : 1 of 1 Date : 02/24/93 Time : 10: 16 Permit Type : Commercial Electrical Permit Permit # : 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 # : P0029288 Project Descr. : * EROSION * Parcel Number . 2S1TI - Land Use District . Valuation 0 Legal Descr. •• owner : INSPECTION - T1GARD Construction : OTH Applicant Name : AIR RITE CONTROL Classification : 900 Applicant Addr . : 1623 SE 6TH Occupancy • PORTLAND OR 97274 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 5% 0 2.00 Total Electrical Fees: 0 42.00 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 02/24/93 42.00 TOTAL THIS DATE 42.00 Fees: 42 .00 Adiustments: .00 Total Credits! •C.'� ' • al •s 42.GU Tin :,I t:,.,r;r.ent::.. 42.00 1 Balance Due: .00 1 wa dr ' A/0 /,Jar � 41041 t ") 1V Lir r. !4.c, -rirecA z mired-0i- NO r ICE This permit becomes null and void If IM work or construction for which N is Netted is not commenced slimn r*0 days Once construction has started I IM permit become,null and void It conslructlen Is interrupted he a period of 1*0 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')apartment's reliance upon Idle and misleading Information may immlldal,title permit All provisions cif applicable laws and ordinances governing he constr.ic11On and use of this budding or structure will be complied with whether or not specified on Me plans or noted ori Me plans correction sheslr I acknowledge that the granting Of a permit does not grant authority to Reese privda property or to use easements I further acknowledge that the use or occupancy of Ins structure or building permitted depends upon my calling for Inspections el various times during the process of constructe m and the building Inspection staff verifying compliance well IM various codes Use or occupancy of tit,bulling or structure permitted prior to ai provd by the Mudding Department is solely at the risk of the applicant and such use or occupancy is revocable until all inspection requbam sris are satisfied and approval Is given by the Molding Official I farther acknowledge mat a Ilea may be placed on of the properly ul')or.which the permit is issued specifying that the use or occupancy of the building or stn mints•s provisional and revor a until I Islactl`on o 11 Inspectk requirements A►KICANT'S SIGNATURE 1 1 I / I k 01111% WASHINGTON COUNTY RESTRICTED Department of Land Use & Transportation ElectricalsNorthrstInspection Section ELECTRICAL ENERGY 155 First Avenue,Iy350-12 Hillsboro, Oregon 97124APPLICATION information: (503)640-3470 Fax:: (503)693-4412 PLEASE PRINT 9 e ' - Please complete all sections, 1 through 5- Project No. `�`'f Y�1a Permit No. J ' >fl Label No. Date - r w • 1. Location of Installation Issued By Office R Address `/L;�1L_ti `^' .--_:A.Ie., 3(/ City__ri cn6 D zip Code ' 'z 13 4. Type of work: Tax Map Map No. RESIDENTIAL Rostrkled Energy Fee $40.00 (tor di aysema) Thomas Map Book. Page Section Directions C,•vq ANrDa,Jf_y t- l Fc-ooe.,F.', Check type of work involved'. VAC4tic/n- 4//"r-. 4AP4"-J'0 j r Audio and Stereo Systems' Commercial XII Residential f eir9ler Alarm Teriarit NameTelepho a Systems' (d commercial) vA r A r i u 4 1 t"-1)19"‘"r"1L _._r 'I . Garage Door Opener' - Thls permit becomes null end sold if the work authorized by the Fire Alarm permit Is not commenced within 110 days from dote of Issuance Heal-ng,Ventilation and Air Conditioning Systems' of such permit Of If the work euthorizod Is suspended or abandoned Vacuum Systeme' at any time after work Is commenced fora period of 160 days. Electrical Permits ars non-refundable and nontrenaferable _ Other 2. Contractor application: COM ERCIAI. F..for each system $40.00 Electrical Contractor Al R RATS rS c'y '0-1' (see OAR 91/-naso) Address � 3 _ sem 61771 AT GILD 7 2�'/ Check type of work involved: Date L �/4/"7 3 . Job Number — Prut.ec.,r?•,vner oAr'l4chc- M. AI PS,r1T_ Boiler Controls Contractor's License No. 46-gig GOLJL_--- Clock Systems Contractor's Board Reg. No. +3-3 a 2 -- Z. �i -,Cate Telecommunications Inetellabona Z Phone No .3�" 6 3 (1 --- ,Fire Alarm Installation NVAi: 3. Owner application: Inatrumeotehon ... — ___ _. �Intercom and Paging ystem Pent Owner's Neuse- Phone No Landscape Irrigation Control' ----- -.... _- Medica! Address Nurse Calls Y ----SW----- -716--- ' OutdoorLandscape l fight nci' Pr0lecUVC S pnalu g ( Thos permit!a issued under OAR Y111-320-J70 The applicant agrees ~ea u Prole to make only restricted energy In.taIl,tbna o.00 volt amps or less) Othm under this permit and to do Om folbwing I Only use electrical unarmed persona to do Installations where required (Certain residential and other I bns eexempt ----L_Number of Systems from licensing. Thew have aserlaka r) Ail mg)2 •No licenses are required Licenses am required for all other installations Call for an Inspection when all the Inst.lations under this permit a'.reedy for Inspection Purchase..pante permit"fur.11 installations that ars not reedy 5. Fees for Inspection when the Inspector la out to inspect under this Enter tees = A10, C)V permit I Assume responsibility lot ueuming that all corrections regrrlrM Z l '7y,the Ir.ap.cto.'are dorm,and 5%Surcharge(05 X total above) $ 5 Aa.ume I eaponulblllty fnu selling fora lintel Inspection when all oe Mit corrections are completed Total $ {i2 fUP The person giving MI*parna must be the applicant..,r•person authorized to bind f/p appllGrnt 1 `j �� / Space below reserved for validation. I 1 Authority If other than aponcenl _ —._-__—.. For l ispections c all I 640-3561 or 693-4415 1 24-hour recorder,one working day In advance of need 1142 II t, r '