9426 SW WASHINGTON SQUARE (2) i 9426 SW WASHINGTON SQ RD TI P17149
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DEPARTMENT OF LAND USE&TRANSPORT ATI
WASHINGTON SERVICES DIVISION
55 NORTH FIRST,ND DEVELOPMENT
LLSBORO,OR 97124
. COUNTY
INSPECTION REQUESTS: 503/840.3581/893-441;
%isT PHONE: 503/848-8781
OREGON
Page 1 of
Date : 0//12/:
Time : 12:45
PeLmlt ivpe : Commercial Electrical Permit Permit N : 0502201:
Permit status : APPkuVEU Applied : 07/12/91
Situs Address : '342b SW WASHINGTON SQUARE HD TI Issued : 07/12/91
Permit Title : LATHAM'S ELEC'1'k1C--SPACE K9 Completed :
Permit Uescr . : WASHINGTON SQUARE JOB 0 49/14 To Expire : 01/08/92
Pro lett Title : LATHAM'S ELECTRIC--SPACE K9 Project * : PU01'/149
Pro lett Uescr.. : WASHINGTON SQUARE Job M 49/14 * EHOSiuN *
•
Parcel Number Land Use District :
valuation 0
Legal Descr. .•
uwner Construction : UTH
Applicant Name : FNAHLEH ELECTRIC Classification : 900
Applicant Addr. : 11860 SW VHEENBUHG Occupancy
TIGAHD OR 91223 Validated by : VO
Applicant Phone: b39-4b2/ Inspector Area :
LON'IKAC1'uX : tXAHLEH ELECTRIC Lic. C 34-13C 639-462/
Fee description Units Fee/Unit Ext fee Data
two to Ten Count (Enter 0) 1 .00 50.00 50.00
Fraction of Ten Count (Enter *1 1 .00 15.00 15.00
subtotal Electrical Fees: 65. 00
State Surcharge of 54 3. 25
Total Electrical Fees: 68.25
*** sees Required *** *** Fees Collected it Credits ***
Receipt No. Date Payment
0/112/91 68. 25
tees: 08. 25
Adlustments : .00 Total Credits: . 00
iota! tees: 68. 45 Total Payments: 68. 25
1 Balance Due: . 00
1
1
NOTICE This permit becomes null and void 11 the work or construction for which Il Is Issued Is not commenced within lid days Once construction has started.
the permll becomes null and void If construction is Interrupter:Inc a period of too days I certify that IM information presented by the applicant and
his agent or agents In support of Isla pends Is true and correct to the hest of our knowledge I cknowl.A9e that the Building Department's reliance
upon false and misleading Information may Invafldate that pemill All provilons of applicable law and ordinances governing IM construction and use
of this building or structure will be complied with*nether or not specified on the plans or noted on the plans corrwctIon sheets I acknowledge that
the granting of a permit does not grant authority to access penile 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 pror to approval by the
Building Department Is solely at the Oak of the applicant and such use or occupancy Is revocable until all Inspectlun requirements are satiated and
approval Is given by the Building Official I lusher acknowledge that a lien may be placed on the tele o1 the property upon welch the pa.mit,s Issued
specifying that the use or occupancy of the building or structure's provisional and revocable until the satisfaction of all lnepectlon requirements
APPLICANT S SIONATUt1E
I
ilinkWASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use& Transportation
Electrical Inspection SectionW6
APPLICATION _
155 North First Avenue,#350-12
Hillsboro, Oregon 97124 1 )_ 17/1-4i
- 1 X
Information: (503)640-3470 Fax: (503) 6934412 Project/Permit
Number _ _ Date
PLEASE PRINT
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections per permit allowed y
1. Location of installation Service included: Items Cost(ea.) Sum
Address 9426 WASHINGTON SQUARE ROAD A. New residential-single or multi-family
per dwelling unit.
Cit T I G A R D ZI Code 912 2 3
Y p 1500 sq ft or less - $85 00 —. . 4
Each additional 500 sq ft
Directions W A S H I G N T O N SQUARE or portion thereof _ $15 00
SPACE K-9 Each Manufd Horne or Modular
Dwelling Service or Feeder _ $35 00
B. Services or Feeders (10 branch circuits included)
Commercial® Residential Ci Installation,alterations or relocation
100 amps or less _ $35 00 __ 2
Tenant Name L A T H A M' S LUGGAGE 101 amps to 400 amps $6000 2
(if commercial) _ 401 amps to 600 amps $6000 _- — 2
601 amps to 1000 amps . $130 00 - 2
2a. Contractor Installation only: Over 1000 amps or volts _ $30000 2
Electrical Contractor
FRAHLER ELECTRIC Reconnect only $3500 2
_
Address 11860 S'l G K l E N l3 D R G, I I G A H U, UR C. Temporary Services or Feeders
Date I/ 1 11/it 1 Job Number 4 y r 1 4 Installation.alteration co relocation
Pro Owner 200 amps or less $35 00 2
PertY 201 amps to 400 amps $40 00 2
Contractors License No. j 4- I L 401 amps to 600 amps $80 00 2
Contractor's Board Reg. No. Over 14 1 U over 600 stops to 1000 volts see•B•above
Signature of Supr. Elec'n /' C. .s � D. Branch Circuits
I 1 64 ��bb 3�1 4 Now.alteration or extension per panel
License No.__ Phone No. one circuit _ _, $35 00 _ 2
Two to ten circuits _J..__ $50 00 h u_LI() 2
2b. For owner Installations: Each additional ten circuits
or part thereof -l_ $1500 I't 11 11 2
Print Owner's Name Mone No E. Miscellaneous (Service or Feeder not included)
___ Each pump or irrigation circle $36 00 _ 2
Address Each sign or outline lighting _. _ $36 00 —__ 2
Signal circuillsl or a limited
City -- e Zip 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. Foes
A- Enter total of above fees $ 6 5 .U 0
5% Surcharge(05 X total fees) S 3.2 5
Subtotal S
' B. Enter 25% of line A for
Plan Review if required (Section 3) $—
For Inspections call Subtotal S __
640-3561 or 693-4415 Less Bulk Label Fee S
24-hour recorder, Balance Due $ ti . i
one working day in advance of need
This permit becomes null and void ff the work authorized by the permit is not commenced within ISO days from date of Issuance
of such permit or tf the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 1110 days
Electrical Permits are non refundable rind non transferable 1, i 1
1 - — - -- --
0 omit DEPARTMENT OF LAND USE b TRANSPORTATIONWASHINGT!►�� �' LAND DEVELOPMENT SERVICES DIVISION 0350-1
Ir SS NORTH FIRST, HILLSBORO, OR 97124
COUNTY Lb u HONE: 503/840-3470
OREGON INSPECTION REQUESTS (24 hours): 503/840-3581 r 893
Permit * 0502"-'125- Project 11 P001714� Page 1 of 2
Permit Ti le LATHAM'S ELECTRIC--SPACE K9
Description L WASHINGTON SQUARE JOB 8 49714 Approved Y---
Job
Job Address 9426 SW WASHINGTON SQUARE RD TI
Owner Name Refected
&A,/ fes- il-s-eA 014441 7
Inspector Comments
Inspected by. 25L(L,--- Date _r 7 7/
Inspection Requested•
* Final Electrical
08/09/91 RI ISA