9487 SW WASHINGTON SQUARE (1) 9487 SW WASHTNGTON SQUARE RD TI P48769
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DEPARTMENT OF LAND USE&TRANSPORTATION
Ali WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/540-3561/693-4415
OREGON ;.,,nxxxxxx- 1 r�4„ i q ,
Page : 1 of 1
Date : 03/30/95
Time : 10: 16
Permit Type : Commercial electrical Permit Permit N : 05065731
Permit Status : APPROVED Applied : 03/30/95
Situs Address : 948/ SW WASHINGTON SQUARE; RD Ti issued : 03/30/95 ,
Permit Title : PHe'1LAL TIME 2 SIGNS Completed :
Permit reser, : SIGN AND HeADLR bOAHD To expire : 0J/26/95
Pro3ert Title : PRLT'LAL '1'1Me - 2 SIGN:. Project * : P0048769
Project Uescr. : SIGN AND HE:AM( BOARD * ERUSIUN *
Parcel Number : ZS1'TI Land Use District :
Valuation 0
Legal Descr. .
owner : 1NSPECTIUN - '1'1GARD Construction : U1H
Applicant Name : CUSTOM SIGN COMPANY Classification : 900
Applicant Addr. : 9316 SW 12'1'4 ON Occupancy .
PORTLAND, OH 97219 Validated by : KKP '
Applicant Phone: 246-8324 inspector Area :
Fee description Units Fee/unit ext fee Data
Limited energy/Alter./Extension 1 40. 00 40.00
Subtotal Electrical Fees: 40.00
State Surcharge of 5% 2.00
Total electrical Fees: 42.00
*** Fees Required *** **a Fees Collected 6 Credits ***
Method Check N Receipt No. Date Payment
CK 2463 03/30/95 42.00
TOTAL THIS DA'1't: ********* 42. 00
fees: 42.00
Adjustments: .00 Total Credits: .00
Total Tees: 42.00 Total Payments: 42.00
Balance Due: .00
NOflCL This wind becomes null and void litho work or construction for which It N Issued Is not commenced within tag days. Once construction has started,
the permit becomes null and void If construction Is interrupted fora petit d of 160 days. I certify that the Info'^nation presented by the.?plicant and
his agent or agents In support of this permit is true end correct to the beet of our knowledge I acknowledge that the Bui:d:oN 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 notec on the plans correction sheets I acknowledge that
the granting of a permit does not grant authority to scup 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 Inepectlons r various times during the prorate 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 le revocable until all Inspection requlremoita 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 pe mit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable u itll the satisfaction of tel inspection req lrements
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APPUC t i$IOHATWIB
O1WASHlNGTON
Dpartme ff Land U e &Transportation ELECTRICAL PERMIT
Electrical Inspection Section 1,P p LI CATs O PJ
155 North First Ave1>Iue,#350-12
Hillsboro, Oregon 97124
Information: (503)6404470 Fax: (503) 693-4412 �rig
-73 Date J
Permit L
PLEASE PRINT Number
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
1. Location of Installation Number of Inspections per p.rmh allowed
Address IUOtsh.n1(r• SQNAQE S-A Service Included: Items Cost(ea.) Sum
N l 7 Sk/ .4...11,N'1'(..A D pal- Building A. Residential-per unit
City _ Suite No. S- A
1000 sq ft or less $110.00 _ 4
Tenant Name p { ; Each additional 500 sq.It
(11 commercial) or portion thereof $25.00 _
Limited Energy $25.00 1
Map No. _- Tax Lot Each Manufd Home or Modular
Dwelling Service or Feeder -- $88.00 2
Thomas Map Book: Page: Section:
Directions -. -------- - B. Services or Feeders
Installation,alterations or relocation
200 amps or less -- $60.00 2
,'
CommercialResidential l('�l 201 amps to 400 amps $80.00 .___ 2
401 amps to 600 amps $120.00 2
2a, Contractor Installation onl Q01 amps 1O 1000 amps $180.00Ovei - 2
Electrical Contractor 1000 amps or volts $340 00 2
SI'q.n 1�tOhnt/ Reconnect only -- $50.00 2
Address 431 . ��
City __ State. (. ZIP q 11161 C. Temporary Services or Feeders
Date 10 Job Number Installation,alteration or relocation
Property owner_1dLfpnw.of Cc_ SNE- 200 amps or less __ $50.00 2
Contractor's License No. 201 amps to 400 amps $75.00 2
Contractor's Board Reg. No. jaipi- wiiip. 401 amps to 600 amps $100.00
2
Over 600 amps to 1000 volts see'6'above
Signature of Supr. Elec'n .) D. Branch Circuits
License No. r-/2351 Phone No. "M t -lea 1'1 New,alteration or extension per panel
a) The lee for branch circuits with
2b. For owner installations:a'`t- / IO purchase of~vim or feeder foe.
Each branch circuit $5.00 ____. 2
b) The fee for branch circuits without
71nisi s Name Phone No purchase of service or freder las.
> e�a- - - First branch circuit $35 00 _ _ 2
Each add'nl branch circuit $5.00 2
Circe -.175W' Zip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle / $40.00 /t/0 2
The installation is being made on property I own Each sign or outline lighting f $10.00 _�il j�V 2
which is not intended for sale, lease or rent. Signal circulus)or a limited
energy panel,alteration
Owner's Signature _ __ or extension $40 00 2
F. Each additional inspection over the allowable
In any of the above
3. Plan Review section (if required) Per inspection ____ $35 00
Per hour _-_ $55.00
Please check appropriate Item and enter fee In section 58. In Plant $55.00
4 or more residential units in one str,cture
Service and feeder,800 amps or more 5. Fees L 1 li-
System over E,00 volts nominal A. Enter total of above fees $ l
_Classified area or structure containing special 5%Surcharge(.05 X total fees) $ r
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) $
above apply. Not required for temporary construction Subtotal $
services. ❑ Trust Account $
Balance Due $ I- ,-
r
For Inspections call rhl.p.rmN b..0.0..null and void N IM work.ull,orl..d by the pool,I.not ee1w.1.r1ood
640-3561 or 693-4415 within 100 d.y.front d.1.e1 1..n.no.of e p...N or N the work authorized le
w.p.nd.d 01.b.ndon.d.1 any lies M., 40111 I.co.1.l.no.d for.puled of 1110 d.y.
24-hour recorder,one working day In advance of need Electrical P.rn1ds n•non-reu. e..nd non-1r.n.1u.bie
8/94
Permits Live db Id. ACTP150 Keyword: UACT User: LINDAB 02/05/01
Activity Maintenance - Inspection Processing Commercial Electrical
Permit #: 05065731 Applicant: CUSTOM SIGN COMPANY
Status: FINAL Address: 9487 SW WASHINGTON SQUARE RD TI
Dept: Div:
Inspection Item: 00499 Des.ription: Final Electrical
Inspection ------ Times
Date Inspector Action Notation Begin End Elpsd Entry No
04/07/95 GS AP APIVR LUT6 I BS 1
Enter Option: A=Add an Entry F2=Next Item F5=First 12 Entries
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