9500 SW WASHINGTON SQUARE_TI (2) 9500 SW WASHINGTON SQUARE RD TI x'32071. N33791 P382711 P42153
P43095
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON COUNTY LAND DEVELOPMENT SERVICES DIVISION
411111%
(' INSPECTION
155 NORTH FIRST,HILLSBORO,OR 97124
' �� INSPETI5W/64B-8761ETS: 503/640-3661/693.4415
PHONE:
OREGON �" A
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NCT IlF This patron becomes null and VO1d If the work Or roostruction for which it le Issued Is Oaf commenced within ISO days Once cOnstructlon has started.
the permit becomes null and void If construction is interrupted for a period of ISO days I certify that the Information presented by the applicant and
Iris spent or agents fn support of this permit la true and correct to Ifo beet of our know)riga I acknowledge that the Bulkfing Department's reliance
upon false and misleading Informallon may Invalidate this permit All provisions of applloabe laws and ordinances governing the construction and use
of this building or structure pili ha complied with whether or not specified on the plans or noted on Ms plans contortion sheets I acknowledge that
the granting of a permit does not grant authority to access Wools properly or to tree easnnents I further acknowledge that the use or occupancy of
the slructi is or building permMed depends upon my calling for inspections al various times during the process of construction and the building
mspect$On staff verifying rompliance with IM various codas Use ot occupancy of Ihe bwur.rg or structure permitted prior to approval by the
Building Department is solely at the risk of the applkanl and such use or occupancy Is revocable until all mspeclron requirements are satisfied and
approval Is pen by the Building Official I further arknowledga that a In may be pieced on the title of the property upon which the permit is.'wed
specifying that the use to occupancy of the Mllktlnq or structure Is provisional and revocable until the satisfaction of all Inspection requirements
APPLICANT'S SIGNATURE
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oftWASHINGTON COUNTY RESTRICTED
Department of Land Use & Transportation
Electrical InspectionSection
W•
155ELECTRICAL ENERGY
155 North First Avenue,M350-12
Hillsboro, O3170on 97124 APPLICATION
Information: (503)640-3'+70 Fax: (503)693-4412
PLEASE PRINT
Please,complete all sec ions, 1 through 5. Prosect No _ Permit No. - �,i! _
1. Locat n of installation Label No. Date 7'7 .7v
Address((�� ' S7*__. 1N1AT141Nat raN .'y /{,y, Issued By-__ 2f __
_ . _
F791Office -
City _ _-- Zip Code , 7 , 4. Type of work:
Tax Map _____ Map No.
-_- RESIDENTIAL Restricted Energy FM $40,30
Thomas Map Book: Page — Section ____ (for allsystems)
Directions W Ac kr rr, rep/ SQ G tyyke Check type of work involved:
Jr lje k)rae.. EueNr tuytr! rain
Audio end Stereo Systems'
Commercial li Residential ri Burglar Alar,,,
Tenant Name j i ( commercial)arc � C l i e NI., Telephone Systems'
— Garage boor Opener'
This permit becomes null and void If the work.authwlled by the Fire Alarm
permit Is not commenced within ISO days from date of issuance
Heathy Ventitetion and Air Cordrtrorn S etnrns•
of such permit or M the won k euthorired le suspended or abandoned Wng Y
at any time after work le commenced for a period of ISO days Vacuum Systems'
Electrical Permits are non-refundable and non-transferable I Other
2. Contractor application:
Electrical Contractor kJ A/L 'No s- t++RR.ti LtiN COMMERCIAL Fee for each system $40.00
(sit OAR 91S-260-260)
Address ri CpN
. `' OL1V,L-vee Pit,O at.9-11.43 Check type of work involved:
Date '/t Q `1 '_ - Job Number R''9(%k U
Property Owner _ (TNN`y
Cueetractor's License No. IC- VI 4 a l-E Boast Controls
Contractor's048 R No. C SGC.L' Clock Systems
Phone No. .._..�j b _— Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: HVAC
instrumentskon
Print Owner's Nem* ....----- Phone l,1,-, Intercom anti Pegging System
Landscape'rogation Control'
Wdrese Medical
�wc-_
Nuns*Celle
niNr _ ^tutu -rp Outdoor Landscape Lighting*
This permit la issued under OAR 018 3.2.0 370 The applicant agrees Protective Slunallria
to make only restricted energy Installations(100 volt amps or less) Other
under rho th
permit and to do e following -_
-...
1 Only use electrical Ix-rinsed persons to do Installations where
required (Certain residential and other transactions are exempt , Number of Systems
from licensing thews have asterisks r) All others need lkvne
Ing.)
J Call for an Inspection when ell the installations under dolt permit 'No icensos are required Licenses are wowed for as other inatelaton.
are ready for Inspection
3 Purchase separate permits for all Installations that ere not reedy 5. Fees
for Inspection when the inspector Is out to Inspect under this
permit tZnter fees S ______i0
4 Assume responsibility for assuming that all,wrrectlona required
by the inspector are done•and
5 Assume responelbl#fy for calling fora final Inspection when all of 5% Surcharge(.OS X total stews) t L
the corrections are completed. / 4
rhe persona• Mg this patina n must. Maapplicantaperson Total _ 1�1�.
authorised • • • pplIcankt
Signature i' ,/1/1 L( Ly J K Space below reserves for validation.
Authority N other,than eppScaM
r
For Inspections call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need
s 1112
Permits Live db Id:
ty Mainan : ACTP150 Keyword:
Activ
Permit - Inspection Processing G'JPr ' KARENW
#: 05057633 Commercial 07/08/98
Status: FINAL Applicant ; NATIONAL GUARDIAN Electrical
Address: 9500 SW WASHINGTON SQUARE RD TI
Inspection Item:
Electrical
00499 Description: FinalDept :
Div:
Date Inspector Action Notation
9/02/94 GS Times =-___
09/07/94 GS DN DNIVR LUT6 Begin End Elpsd Entry No
AP APIVR LUT6 I FS
I BS 1
2
' Enter Option:
SOP A=Add an Entry=Change an F2=Next Item
D=Delete an Entry F3=Previous Item E C=Ret t 12 Entries
entry F4=Next 12 ESC=Return to Item List
Entries
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON
ait„ .‘101%
LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY' INSPECTION
N/RREb UEbSTS: 503/840-3561/693-4415
PHONE:•
OREGON : 1 of 1
I.:ate : 08/02/94
Time : 13:22
'ermit Type vt:Il„'Ectal Electrical Pet,cit Permit N : 05055849
APPROVED Applied : 0'//13/94
Permit Status
Situs Address : 9500 SW wASHIN( 1•ON SQUARE RD 'Ti Issued : 07/18/94
Permit 'Title : JC PENNY -- SEHViCE1,/CIRCUIT• Completed :
Permit Uescr. : JOb 4 /48H To Expire : 01/14/95
Project Title : JC PENNY -- SEHV1Ce.S/CIHCUl1' Project N : P0042153
Project Uescr. : JOB 47488 a EROSION *
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Parcel Number : 251.1'1 - 1.-tu_1 use Lfictrict :
Valuation • U
Legal Uescr .
Owner : iNSPECI1UN - TIGARD Construction : UTH
Applicant Name : 0 b :I ELEITRIC CO C'lassitication : 900
Applicant Addr. : 4824 NE 42ND AV Occupancy •
/* PORTLAND, OR 97218 Validated by : PH
rApplicant Phone: 28.2-2596 inspector Area : D
CONT'RAC'TOR : Ii b H ELECTRIC Lic. C 26-3ti8C
Fee description Units Fee/Unit Ext tee Data
service/Feeder : 200 amps or less 3 60,00 180.00
Each branch W/ r•eeder. i Enter N ) 72 5.00 360.00
,lyn or Outline Lighting 1 40.00 40.00
subtotal Electrical Fees: 580,00
,tate Surcharge of
otal Electrical Fees: 9.00
kaa Fees Required a** *aa Fees Collected b Credit. Asr
Method Check N Receipt No. Date Payment
CK 69073 01/18/94 609.00
Fees: 609.00
Adjustments: .00 Total credits: .00
Total Fees: 609,00 Total Payments: 609.00
balance Due: .00
NOTICE This perms becomes null and void It the work or construction for which MIs Issued is not commenced within 180 days Once construction has stsrted.
Me permit become.ni 41 and void If construction is interrupted for a period of 181 days. 1 certify that the information presented by Me applicant and
his pent or agents In support of Iris permit Is the and correct to the test of our knO1MNNEE• I acknowledge that the Building Department's reliance
upon false end misleading Information may Invalidate this permit All provisions of applIcabe laws and ordinances governing the construction and use
Of this building or structure Wil be complied with whether or not specified on the plans or noted on the plans correction►Heels I acknowledge that
the grsnling of a permit does not grant authority to access private property or to use essemenis I further acknowledge that the use or occupancy of
the structure or building permlllsd depends upon my calling for Inspections al varlout times during the process of construction and the building
inspection staff verifying compliance with the various codes Use or occupancy of lhe building or structure permitted prior to approval by the
pudding Department a solely at the risk of the applicant and such use or occupancy Is revocable until all inspection requirements are satisfied and
approval le given by the Sodding Official I further acknowledge that a Ilan may be placed on the thele of the property upon which the permit is esueol
specifying that the use or occupancy of the building or structure Is provisional and revocable until It,.sanslactlon of all inspection requirements
APPLICANT'S SIONATUNE
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/648-8781
OREGON Gage 1 of
Date : U7/18/94
Time : 12: 1 /
Permit- Type : Commercial El(_ trice! Permit Permit N : 0505584.9
Permit Status 14tl ,0jo4w✓Pp Applied : 07/13/94
Situs Address : 9500 SW WASHING'I'UN SQUAi<E KD '1'1 Issued :
Permit Title : JC PENNY - SERVICES/CIRCUITS Completed :
Permit Uescr. : JOB 47488 To Expire :
Project Title JC PENNY - SEHV10E;S/CIRCUITS Project $ : PU042153
Project Descr. : JOB 4'/488 * EROSION *
k nrcel Number : 251'1'1 - Land Use District :
Valuation U
Legal Descr .
owner : INSPECTION - '1'IUAIU Construction : OTH
Applicant Name : r, h H ELECTRIC CO Classification : 900
Applicant Addr. : 4824 NE 42ND AV Occupancy
PORTLAND, OR 9'/218 Validated by : PH
Applicant Phone: 282-2596 Inspector Area :
CONTRACTOR : U h H ELECTRIC Lic. C 2b-308C
tee description Units Fee/Unit Ext tee Data
Service/Feeder: 20u amps or les 3 60.00 180.00
Each Branch W/ Feeder ( Enter #1 72 5.00 360.00
sign or Outline Lighting 1 40. 00 40.00
Subtotal Electrical Fees: 580.00
State Surcharge of 5% 29.00
Total Electrical Fees: 609.00
*a* Fees Required *** *** Fees Collected h Credits ***
Method Check $ Receipt No. Date Payment
CK 69073 01/18/94 609.0U
TOTAL ia.S DATE 609.00
Fees: 609.00
Adiustments: . 00 Total Credits: .00
Total Fees: 604. 00 Total Payments: 609.00
Balanre Due: .00
NOTICE T.Ha permit becomes null and wird if the work or conalnxtioo for which rl re issued is not Oorrrmenced within ISO days Once construction has started
the prima become,null and void If construction is interrupted for a period o'ISO days I certify that the information presented by the applicant and
he Irani or agents in support of this permit Is true and correct In the best of our knowledge t acknowledge that the Building Denadmsnt's reliance
upon Isis and misleading Information may In volidel•this permit Alt provisions 0/spoilt/Mrs laws and ordinance,govenwng the construction and use
of this building or structure will be complied with whether or not specified no the plans or noted on the plans correction sheets I acknowledge that
Me granting of a permit does not grant authority to access private property or to ilae easemei.ls !further acknowledge that the use or Occupancy of
the structure rw building permitted depends upon my(Wing for Inspections at various times during Me protege of construction and the building
inspection stall verifying compliance with the various codes US.or occupancy of the building or structure permitted prior to approval by the
Building Department is solely al the rick of the applicant and such itsn cv occupancy Is"'vocable until all Inspection requirements are satisfied and
approval Is glen by the Sullding Official I further acknowledge that a len r lay be placed nn the title of the property upon which the permit is sno t
specifying that the use Or occupancy of;he building nr StnN furs is provlsbnal and revocable until the satisfaction of al',inspection requncmra..
APPLICANT'S SIGNATURE
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CWASHINGTOt, COUNTY
Department of Land Use 8 Transportation ELECTRICAL PERMIT
Electrical Inspection Section
155 North First Avenue,#350 12 APPLICATION
Hillsboro, Oregon 97124
Information: 503 640-3470 Fax: 503 693-44,2
PLEASE PRINT ProjecLrPermit y q�/
Please complete all sections, 1 through 5. Number S_CS j'y Date �>/ / /
1. Locat on of Installation 4. Complete Fee Schedule below
Address -ace s 4.) S
_ Number cr Ins 1
BUildin pectlons per permit sllowsd
City r , J Suite No. Service included: Items Cost(ea.) Sum
Tenaht Name A. Residential-per unit
Ilf commercial) Fie eNi n/el - -
00 sty 10y ft or less $110 00 _ 4
Tax Lot — Map Na —_ Each additional 500 sq rt —
or portion thereof $25 00 _
Thomas Map Book: Page: ___ Section:_Section _ Limited Energy $25 00 I
Directions-_ - Each Manurd Home or Modular - 1
Dwelling Service or Feeder $68 00 I
-- 2
Commercial Xi Residential r 1 B. Services or Feeders
Installation,enoreUons or rolocstioo� /10, Dm
2a. Contractor installation •n/y: 200 amps or loss .3 $60 00
201 amps to 400 amps 2
/ 401 amps to 600 amps $80.00 __ 2
Electrical Contractor t F �, • „ , „t $12000 — 2
Address r 601 amps to 1000 saps $180.00
$340 00 _ 2
Date__ Job Number ' a-v i -� Over ttxlo amps or volts ____ � 2
Property Owner Reconnect only $50 —
2
Contractor's License No. .„ .‘,--. Of C C. Temporary Services or Feeders
Contractor's Board Reg. No. _,__ —to_ natelletion alteration or relocation
/ /� 200 amps or less $50 00 2
Signature of Sup EI . .V._..,- ►,, ."../..
201 amps to 400 amps $7500 _
License No. 96 T�` 401 amps to 600 amps — 2
Pho - No. sr - _ Over 600 amps,o 1000o e 00 ___ 2
volts see'B'above
2b. For owner Installations: D. Branch Circuits
rnnt Qwnerylqemn _ New,elle ration or extension per panel
Shu uTlo a) The fee for branch circuits with
A°rnssa porches,or servlee or I lee. Q
---- Each branch circuit le— $g 00 s 4 _
qty �io o) The lee for branch circuits without
Tp purchase of service or feeder tea.
The installation is being made on property /own Each add nhbranch circuit $55 7
which is not intended for sale, lease or rent. E. Miscellaneous (Service or Feederb r not 00 =
t included)
Owner's Signature • Each pump or irrigation circle__
Each sign or outline lighting $40 00 AO p 2
3. Plan Review section (if requJred— energy panel,alteration circuit's)or a limited
Please check appropriate Item and enter fee In section 58. or extension $4000
1 8 2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable 1
4 or more residential units in one structure in any of the above
__ Per over 225 amps;feeder 400 amps or more Por inspection $35 00
System over 600 volts nominal Per hour $5500$55 00
Building aver 3 stories in height n r not
Building over 10,000 sq ft. 5. Fees
Occupant load over 99 persons A. Enter total of above:ees $ S_ _Q
Manufactured Structures Park or Recreational
Vehicle Park, new, addition or alteration 5% Surcharge(.05 X total fees) $ ��an
Subtotal $ raE>S�_On_
Classified area or structure containing special B. Enter 25% of line A for
[ Plan Review if required(Section 3) $ ' _
occupancy as described in N E C Chapter
Submit 2 sets of plans with application where any of the Subtotal
above apply Not required for temporary construction Less Bulk Label Fee $
services
Balance Due ��.�^.. /
V For Inapectic;ns call $ Q[.{t9(.n
640-3561 or 693-4415 Thy" '"'" b.,..fon null•dd...d echo•*no o M
•,• r,fon Ih•,»r r•It lo nnl cordw,•naerl
wetlhl,..do.•r,p•deo of,..once M otic r,wool or M tM ww•outhdrllM M
24-hour recorder,one working day In advance of need �nd.d of•booddnef•t of,Moo•M.«n.•...,,,od»deod to •Dor,.rd or IMO cloy
lMtk.i Por oleo•.•rw.M rofund•hl•odd non tro,Meted*
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INDEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON ,kg, LAND DEVELOPMENT SERVICES DIVISION#350-12
COUNTY, , 155 NORTH FIRST, HILLSBORO OR 97124
COUNTY, 6,1 PHONE: 503/640-3470
INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
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AINDEPARTMENT OF LAND USE & TRANSPORTATION
LA155ND DEVELOPMENT SERVICES DIVISI012N4#350-12
WASHINGTON NORTH FIRST,HILLSBORO,OR 97
COUNTY, /•lGd+o"` ��� PHONE: 503/640.3470
OREGON Ncs�ytn b br INSPECTION REQUESTS (24 hours): 503,640-3561 or 693-4415
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DEPARTMENT
DEPARTMENT OF LAND USE & TRANSPORTATION
411% WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO,OR 97124
COUNTY, PHONE: 503 640-3470
OREGON INSPECTION REQUESTS 124 hours): 503,'640-3561 or 693-4415
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IDEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY,Mk
155 NORTH FIRST, HILLSBORO, OR 97124
U4PHONE: 503/640-3470
OREGON ( INSPECTION REQUESTS (24 hours): 501640.3561 or 693-4415
Permit.
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Owner Name
App1.07arit. Nam
Phone n uint:.,r
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WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY, l 155 NORTH FIRST, HILLSBORO,OR 97124
OREGON PHONE: 5031640-3470
INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
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ANDEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY, 155 NORTH FIRST, HILLSBORO, OR 97124
OREGON PHONE: 503/640-3470
INSPECTION REQUESTS (24 hours): 503,640-3561 or 693-4415
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12
COUNTY, 155 NORTH FIRST, HILLSBORO, OR 97124
U14 OREGON PHONE: 503/640.3470
INSPECTION REQUESTS (24 hours): 503x640-3561 or 693-4415
i='ermzt 11
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App.'led i:?/ .8/?4 Exp r. C7/26/94 05 ".,
H'ermi t T i t i CJMELEC
, INNY - ii;ER %I ,.'ES/CIRCI`ITri 0TH
Aescripticon F: 4• 4A8
Begun. 07/13/94
.Job Address; .: ;:W 'v,A:;H:NCI _N ..11.JARk R%, II
)wnerName :,N:.f / .'T I‘:;N - T'13Ak:: Re��;�n D
Applicant Name .4 4 H ELECTRIC CO
Phone number 2.8 X 546 Valuation 0 Approved_}�praved
inspector Comme:ILL
Ltoject.ed !
__---__ .._ IVR-ILESULTS
tit-;al Cal-Q-a, 1?.S /Ca 0 C- 1Jt,841-+•✓Q— __ - REQUEST ERROR!
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07/2o/94 RI *!'i'
* Ceiling Cover
07/26/94 RI i
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Permits Live db Id: ACTP125 Keyword: @ACTM User: KARENW 07/09/98
Activity Table Processing Commercial Electrical
Permit #: 05056863 Applicant: G & H ELECTRIC CO
Status: EXPIRED Address: 9500 SW WASHINGTON SQUARE RD TI
Type: COMELEC Vers: 9401 Screen: 01
Base Screen Data
Status. EXPIRED
Valuation: .00
Descr: JC PENNY - LV
Validated By: PH
�► Address: 9500 SW WASHINGTON SQUARE RD TI
Occupancy:
Parcel : 2S1 TI # of Bldgs:
Owner: INSPECTION - TIGARD # of Units:
Applicant : G & H ELECTRIC CO Public Own:
% Complete:
Type Const : OTH
Ir Dates: Class Code: 900
Applied: 8/ 9/1994 Issued: 8/ 9/1994 Entered: O8/09/1994
' Completed: / / To Expire: 7/ 9/1998 By: PHAWKINS
Enter Table Screen Number: 1 or ESC=Exit Table Processing F1=List Screens
No more Table Screens
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WASHINGTON
`_..�.. COUNT-Y,
OREGON
k-1911
N
IF
EXPIRATIONS
Every permit issued by the building official...shall expire
P re by limitation
and become null and void
d if the building or work authorized by such
permit is not commenced within 180 days from the issue date of the
permit,OR if the building or work authorized by such permit is suspended
or abandoned for a period of 180 days or more after the work has
commenced.
THIS PERMIT HAS EXPIRED: #—.1,[S. t)503 6 3
OUR RECORDS INDICATE::
It expired without any inspections_
It expired without final inspection approvals
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Department of L and Use end frarxapnhitlon gtrMlnp/psrmrts
Hillsboro. Or Section M350 12 Phone 5031640-
155 North Fiat Avenue
p� 97121
FAX 50.31693 44 1 412 2
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95oo SW Washington Square Rd T1 P32071 P33791 P38270
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, 4014% WASHINGTON DEPARTMENT OF LAND USE i TRANSPORTATION i '
LAND DEVELOPMENT SERVICES DIVISION
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COuw1 166 NORM FIRST,HILl8dOR0,OR 97124
,r T' INSPECTION REQUESTS: 503/640.356V6934415
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OREGON•
PHONE: 503/645-S701 Page ; 1 of i
1 Date : 06/16/93 I
Permit Type : Commercial Electrical Time : 09:4. 1
Permit Status : APPROVED ermit Permit 0 : 05041515
Situs Address s 9500 SW WASHINGTON SQUARE RD TI Applied : 06/16/93
Permit Title : J C PENNEY CIRCUITS Completed :
Permit Descr. : JOB 52309 PWR FOR FREQ. CONTROLLERS To Expire t 12/13/93
Project Title : J C PENNEY CIRCUITS Project1
Project Descr. ; JOB 52309 PWR FOR FREQ. CONTROLLE 0 t P0032071
: EROSION
Parcel Number : 2S1TI -
Valuation = Land Use District :
0
Legal Descr. :
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : FRAHLER ELECTRIC CO Classification : 900
Applicant Addr. : 11860 SW GRE£NBURG Occupancy :
TIGARD, OR 97223
0 Applicant Phone: 639-4627 Validated by : PH
Inspector Area :
CONTRACTOR : FRAHLER ELECTRIC Lic. C 34-13C
Fee description 639-4627
Units Fee/Unit Ext fee Data
I
let Branch Wiout Feeder (Enter N] 1 35.001
Addl. Branch W/out Feeder [Enter 0] 7 35.00
2.00
Subtotal Electrical Fees: 49.00
0 4
State Surcharge of 5% 2.45
Total Electrical Fees: 0 2.45
*** Fees Required *** 0 51.45
Fess Collected i Credits *** �)
***
Receipt No. Date Payment
TOTAL THIS DATE 06/16/93 51.45
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Fees: 51 .45 ********* 51.45
Adjustments: .00 Total Credits:
Total Fees; 51 .45 .00
Total Payments: 51.45
Balance Due: .00
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^� NOTICU TNN permit becomes nuN and void M the work or oornat
ma porml becomes r bollen for which II N hatred N not comarncsd within ted day.. Once construction has started,
veld N d011ebiNMen M blletrlpled lora period of 109 de I beAt that the Information
his agent or petite M tapped M Mull ps 11015 boa Mid tl_me_at b IM beef IN our hpresented D by the applicant nce
upon:Mae vital r111aleadlrlg In1.r sgslt ttisy bvegells Nile panne. AN knowledge. I ack•lowladga that tate tu:Hlnb DapenraM'e reliance
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of Mils Wilding or structure.'Ni be notal/wd i sr or not n piens of applicable lam end adlns;w ee tlo .tis the acknowledge
and use
cd psid5ld of a panne urs notpron Nle piens or noted on the pions correction sheets. I acknoW
Ni.*uwus or building permit dependsmaw*
calling►o►inspections at various limesvets property or to um meomnrtle 1 further ocesofcoacknowledge that en usande oroccupancybuildiingy of
Niepollen elan~Hying complenoe wlh the verkme nodes Use or eeoupe icy of theduring the proems of edNatnr to a ro the by lie
W.I.Department N solely N the Ask of;he applNerd end suet um a buildingaor structure Impaction penneted qui b en s ere If ie
approval r Oven by Mie butkN:lg Official. I runner °OD/y tie p N nvo Me 111.untestaproer y upon which
requirements an nnf I.1 end
epeaNybq ow Ms Iles or of tap buildingg or sir ctur NIM.len buy ca planed c on Me Mkt sf itla properly upon Inspection
lap quire a issued
�4erbY or structure N twwleklnN site revocable until lila eatteleoNon of NI Me
pactbn requtnmanb 1
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0 WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use i Transportation
ElectricalFirst Section APPLICATION
155 North First Avenue,0350-12
Hillsboro,Oregon ?7124
l Information: (503)640.3470 Fax: 503) 593.1412 Project/Permit t1
PLEASE PRINT Number S-r/S 6 Date __(9-/ --S)
"Please complete all sections, 1 through 5. 1 4. Complete Fee Schedule below
1. Location of Installation Number of inspections per permit.Mowed*,
I Address 9500 S .W. WA'H I N G T O N SQUARE ROAD Service Included: Items Cost(ea.) Sum
Building A. Residential-per unit
City T I GARD Suite No.
Tenant Name �- moss.ft.or Wee $85.00 4
(if commercial) J C PEN N E Y _ Each additionel 500 eq ft i-
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Tax Lot Map No. or portion thereof $16.00
Limited Energy $20.00 •
Eachf
PIP
--Thomas Map Book: Page: Section:_ Each Msnufd Horn.or Nodular
Dwelling Service or Feeder --
$40.00 a
Directions POWER FOR FREQUENCY CONTROLLERS B. Services or Feeders
f -- --- El Inetarletlon•alterations a relocation
200 amps a lea $60.00 2
Commercial Vi Residential201 surge b 400 ernes $60.00 2
401 turps b SOO amps --- 2100.00 2
801 errge to 1000 amps $170.00 2
21. Contractor Installation only: Over 1000 amps or volts -- $300.00 2
Electrical Contractor F R A H L E R ELECTRIC C O. Reconnect 1ec1°f N0 00 - 2
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Address 11860 S W G R E E N B U R G. T I G A R D C. Tempor,ry Services or Feeders
' Date 6!1 4/9 3 Job Number 5 2 309 I nsudlation,sit retia,or relocation
Property Owner --- 200 amps or lose - $40.00 _-- - 2
Contractor's License No. _ 3 4-1 3 C 201 rope to 40.'mpe $56.00 _-__� _
11 Contractor's Board Reg.No. 37410 401 800mde b poo 10 - $60.00 _ :
Over 600 amps b 1000 volts see'B.'above
Signature of Supr. Elec'n .✓ D. Branch Circuits
Ucense No._.1 8 1 6 ti Phone No. _6 3 9-4 fi 2 7 New,alteration or extension per camel
y ?1e ten for branch circuits with
purt,Ma of salvia,or Nader N..
1.
r-' 2b. For owner Installations: Each branch � -- 00 __ 2
!RETURN OR1I - b) porTheches*
h for branch o.or f-without
pvmhsa.of awoke a finder M.
Print Owner's N.nn. APPLICA - First branch circuit I _ 835.00 3 5 .0 0 2
111 - Each sdM d' branch circus-T-1- $2.00 _14.U0 2
E Miscellaneous(Service or Feedor not included)
�N 7Ip Each pump or Irrigation circle_- $40 00 __-_ 2
Each sign or outline lighting -- $40.00 __._____ 2
The installation is being made on prGparty I overt naly p°n'"aneel,at;rition
which is not intended for salty, :ease or rent, or extension _____ *40.00 ._._ 2
1 O,,,,,,y ur„ -__ F. Each additional inspection over the all wabis
in any of the above,per inspection
i 3. Plan Review section (If required) --- $35.00
5. Fees
---.,,- A. Enter total of above fees $ 4 9.0 0 _
5%Surcharge(.05 X total fees) $ 2_4 5 I
Subtotal $ . "It)
B. Enter 25%of line A for
For Inspections call Plan Review if required(Section 3) $
640-3561 or 693-4415 Subtotal $
24-hour recorder, Less Bulk Label Fee $
one working day In advance of need Balance Due $ 5 151`_ l
This permit becomes null and void If the work.uthorleed by the permit Is not commenced within ISO days from date of lesuenes
of such permit or If the work authorized le suspended or abandoned at any time after work la commenced for I period rf 190
dim' Electrical Permits are non-refundebt•and own transferabis. 11/92
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WASHINGTON DEPARTMENT OF LAND USE Si TRANSPORTATION
LANE)DEVELOPMENT SERVMES DIVISION
166 NORTH FIRST,HILLSBORO,OR 97174
COUNTY, DEPARTMENT
REQUESTS: 503/e40436e1/e93-4415
OREGON PHONE: 603/648-97-1
Page : 1 of 1
Date : 09/20/93
Time : 15:02
Permit Type : Commercial Electrical Permit Permit N : 050436731 '
Permit Status : APPROVED Applied : 08/16/93i
Situs Address : 9500 SW WASHINGTON SQUARE RD TI Issued : 09/20/931
Permit Title : J.C. PENNY STORE - CIRCUITS Completed :
Permit Descr. To Expire : 03/19/94
Project Title : J.C. PENNY STORE - CIRCUITS Project M : P0033791
Project Descr. : * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation : 0
Legal Descr. :
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : ST. JOHNS ELECTRIC, INC Classification : 900
Applicant Addr. : 3202 NE 65TH ST Occupancy
VANCOUVER, WA 98663 Validated by : PH
Applicant Phone: 206-693-5100 Inspector Area :
CONTRACTOR : ST JOHNS ELECTRIC Lic. C 37-350C
Fee description Units Fee/Unit Ext fee Data
1st Branch W/out Feeder [Enter It] 1 35.00 35.00
Addl . Branch W/out Feeder [Enter H) 19 5.00 95.00
Subtotal Electrical Fees: 0 130.00
' State Surcharge of 5% 0 6.50
Total Electrical Fees: 0 136. 50
*** Fees Required *** *** Fees Collected & Credits .**
Receipt No. Date Payment
/ 08/16/93 76.65
09/20/93 59.85
TOTAL THIS DATE ********* 59.85
Fees: 136.50
Adjustments: .00 Total Credits. .00
Total Fees: 136. 50 Total Payments: 136.50
Balance Due: .00
NOTICI: This patter be*snies null and void II les a.wk or oa,Mntglon ler MOM I le Mated le tM eontm«ro.s rennin IN day*, onse earWuellen has waned,
M.WOO beemea null and void II oon.Inio:Ion M lnlwupled all pa-bd of lee day*.I s 1$fy Me:Ibe Mlonnallel preeenwd by Ohs appreent and
Ida ape Or opener In appal of MN permit I.true and coma le Me bast of our M:eMle:p. I aoknoenedpe the:Mie MAN,M Depot mann reliance
upon IMM end nwaioneny Mlermallon may Invalidate This perm:. Ar poeslelone el*opMeMe Mew and sereneness p.eenkp Me aeMby*Ilen and u.e
of flee WhenM or elnedurs vol:be compiled Man rhelher or net;ulnad on Mae pea Of meld on Me plan*atneeran nails I MbfNwledpa that
Mae IreldIp of is perms dose not pad aut:tor*.lo manse prlwM property or b use eeeeMeMIL I Milner aehes,5dp ren do use M Issupancy of
ere abueA a Mdlding pamNled depends upon my rolling for Mapsotlorn N venous IMM amine rM proms el MO MMu.Mae and Fite building
inspeadon sun`sdfyhq remplI.nou web Ms serious codes. Use or ae peney of roe btdMUq ee demure pemalyd pnkw In ippon!by MM
Mullane Deportment M solely el Me risk of Me appease and such use or eMYpeney M reveeebe u104 MN beapuemn rsqulatt0I a1s Meshed and
approval le ren by ter buedhnp OI irdel I further aolmotaledrs Meta Nen may he phew ee Mee era el Ms plepSAy upon wheel Me panne Is Issued
apa:llying Ir1N the tree or aoorrpsnoy nt IM building or slnroture Is prolNnrnl and nMtlbe led Ms eMMMrsn of ae Inspeerem rsquh.ment.
AP UCANT•e:IONATUna -�-_--��—
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WASHINGTON COUNTY ELECTRICAL PERMIT '
Department of Land Use&Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue,4350-12
P I Hillsboro, Oregon 97124 /
information: (503)646-3470 Fax: (503) 643-4412 Ploject/Permit ,(j��� Date �y6
PLEASE PRINT Number j
Please conlljleto all sections. 1 through 5. 4. Complete Fee Schedule below 1
1. Location of installation >p Number of Inipio1i""per permit allowed 1
I Address 4500 Ar,cJ 1 I k a L79 An , . -Xd Service Included: Items Cost(es.) Sum
C Building A. Residential-per unit
Ky Suite No.
Tenant Name �7 1000 sq.ft.or less $85.00 4
(it commercial) 52G 1? 4, -ate , Each additional 500 sq.n --
[ r or portion thereof 816.00
1 Tax Lot— Map No. Limited Energy $20.00 —_ 1
Each Manufd Homs or Modular
Dwelling Service or Feeder __. $40 00 2
Thomas May Book: Page:- Section:
OMr gnome —_-- __--- B. Services or Feeders
Installation altrations or relocation
200 amps or lees 460.00 — 2
Commercial Residential FA201 amps to 400 amps 860.00 2
401 amps to --600 amps 8100.00 _ — 2
601 an to 1000
2a. Contractor installation only• Over 1f 0 e 80.0 _-�- 2
Eldctrical Contractor.f C „gid ,
Reconnect°n� -- �0 00 2
Address.3.2es 4/1 6 39'�aa-„..ua..5 /fly C. Temporary Services or Feeders •
Date 4r-/.7-`I3 JobbNumber 9/4,G3 incaution,Marston or relocation
Property Owner In (ter r__ 200 amps or lass 840.00 ___,__- 2
Cortrar tof a l.Icetse No. , .�7- 6OCJ V 20 i.nips b 400 amps =64.00 —._—__— 2
401 amps b 600 amps 880.00
Contractor's Board Reg.No. - Over 600 amps toabove
volt.ass•e•a _---
Signature of Supr.Elec'n / _ ., D. Branch Circuits
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License No. 3d 2'/S Phone No. . - 1 .,I New,alteration or extension per panel
a) The les for branch cimtib with
purchase d service or feeder fee.
2b. For owner Installations: Each brach circuit __ 32.00 __ — 2
b) The fes for brach circuits without
-- ------ purchase or service or Nader Na
Pilirt 's Name -'T1F,a,e'-po ------ First branch circuit —L $35.00 ,i°r 2
-- --------------------- Each add'nl branch clrcuitj— 62.00 — f 3'- 2
Address
E. Miacellan,,ous (Service or Feeder not included)
tIF------- ---��- - — —— Each pump a Irrigation circle__ $40.00 2
Each sign or outline lighting ___ 8.0.00 2
The installation is being made on property i own > °”""(')°r a"'""'d
anergy panel,allsrabon
which is not intended for sale, lease or rent. or extension _— $4000 2
r owners Signature F. Each additional Inspection over the allowable
1 _ ----- — - In a..y or the above,per Inspection
3. Plan Review section (If required) 835 00
5. Fees
---N, A. Enter total of above fees $ ,_2300
5%Surcharge(.05 X total fees) $ 3,
Subtotal S 36,65Ni
I .-- Is. Enter 25%of line A for
For inspections call Plan Review if required(Section 3) $ _-
640-3561 or 693-4415 Subtotal $
24-hour recorder, Less Bulk Laoel Fee $
one working day In advance of need Balance Due $ Lir 4 S
TMs perm*becomes null and void If the work authorized by the permit Is not commenced whhln 180 days from date of Issuance
of such permit or If the work suthorized N suspended or abandoned at any time after work Is commenced for a period of 180 days.
Electrical Permits are nen-retundabls end non-transferable. 11,92
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WASHINGTON DEPARTMENT Of LAND USE i TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION
COUNTY, 156 NORTH FIRST,HILLSBORO,OR 97124
INSPECTION REOUESTS: 603/640-3861/e93.4415
OREGON PHONE: 503/048.8751 ir
1 Page : 1 of 1 t +r� ,
Date : 02/24/94 :'3,4,
Time : 08: 10c.i,.'3,;.
Permit 'Type : Commercial Electrical Permit Permit N : 05050152 • '
Permit Status : APPROVED Applied : 02/23/94
Situs Address : 9500 SW WASHINGTON SQUARE RD TI
Issued 02/23/94
Permit Title : RELOCATE POLE-WASHINGTON SQ Completed :
Permit Descr. : PK LOT N OF JC PENNEY To Expire : 08/22/94
Project Title : RELOCATE POLE-WASHINGTON SQ Project * : P0038270
Project Descr. : PK LOT N OF JC PENNEY * EROSION *
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Parcel Number : 2S1'1'1 - Land Use District
Valuation 0
Legal Descr. .•
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : FRAHLER ELECTRIC C1alsaification : 900
Applicant Addr. : 11860 SW GREENGUHG 1
Occupancy
TIGARD, OR 97223 Validated by : PH j
Applicant Phone: 639-4627 Inspector Area :
CONTRACTOR 1 FRAHLER ELECTRIC Y,ic. C 34-13C 639-4627 ",
Fee description Units Fee/Unit Ext fee Data !,
ist branch W/out Feeder [Enter MI 1 35.00 35.00
Subtotal Electrical Fees: 35.00
• State Surcharge of 5%
1.75
Total Electrical Fees: 36.75
I *** Fees Required *** *** Fees Collected & Credits *** 't
Method Check N Receipt No. Date Payment
CK 18668 02/23/94 36.75
Fees: 36.75
✓ Adjustments: . 00 Total Credits: .00
Total Fees: 36.75 Total Payments: 36.75
balance Due: .00
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NOM,: This permit Moores null and sold M Ile work or conMYUMlon for which M Is Lased M not commenced.leen 1..days. One,S nsiructtort has started.
Ott paw:escallops nue said no N son.bltMlen M losnupou for a peeled of Ile days. I certify Mat ma bdMm.Nan prs.ad.d by me applicant and
IIIS.e.d swat In subplot M NM.peke Is bee and.meat to the ell of ow b c pNM
-3 . I acknowlsdg.NIM N)�
upon Moe andAMM.edllp b lantimid*nese kd*Oftpetro. AN MN
PMma
etr of makable laws and adInsnese p to pa constn cta ions and us.
ot ide Wiling Dr swoon pedegof aurae Nee tl a*sinew.eor naeeN
aplM on M plane of noting en the plena 1nle..ay..U...1I acknowledge that
one rent old aiIy le wow arcate prepMly et le use ps.MMde. Mother other sehnesoledee/M the we or occu
the Mhtb.e or boiling pale lled depend,own my among tar bnpoden.M Moo NM..denote 111e messes el senbllw.h and the buildingy of
Inman ales wnlybq aersellMIM Gell Ni.various codes. Ude at ecoupoley of to b NdMy at MIwMMe paate.d REST*appwaal by M.
Wilding Deportment is deity M M dot of bre applicant and soot tee at ee.Ilpmey Is retable until M brp..N.a requelmot nJ.are esolon.d and
eppowl is gin by Me Wilding 011110181. I honer acknowledge lite a gen may be pMm on ate NNe of the
Mat lbs use oray upon It pect"Noic the pintspermia Issued
010 aoatpMtay tN IM M,IMIrq or Mntatun is ptosMkmN and nsa.abl•ttnfN Me aMislaeNeM alae oypeEflpn rpulr.mama 1
APPUCANT'S SIGNATURE
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0WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use& Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue,f1►360-12
• Hillsboro, Oregon 97124
MMhtsatbnr 503 640-3470 Fax: 003 6934412 Project/Permit
PLEASE PRINT Number SS°�sL-- Date -23-9!
Please complete all sections. 1 through S.
1. Location of Installation 4. Complete Fee Schedule below
ddresS PARKING LOT NORTH O F JC P E N N E Y Number of Inepectlons per perm8 allowed
9500 SW tdASFT T Building Service Included: Items Cost(ea.) Sum
II City_ TIGARD Suite No. — )
Tenant Name A. Residential-per unit
Oomm.fO� 1000 eq.n.ar less $f 10.00 4
Tax Lot _ Each additional 500 sq.ft
Map No. or portion thereof $
25.00
( Jmited Energy $25.00 _ 1
frill
Thomas Map Book: Page: Section: Each Manu/d Home or INoduia.
Directions. —_--- !
RELOCATE POLE OwalF —
l;ng Service or Feder __ $68.00 . _ 2
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B. Services or Feeders
Commercial DTI I Residential❑ Installation,alterst'una or relocation
II 200 ampe or less $60.00 2
2a. Contractor Installation onl : 201 amps °400 Dnp. -- $80.00 — 2
Y 401 amps to 600 amps $120.00 _ 2
Electrical Contractor F R A H L E R ELECTRIC CO. 601 amps to 1000 amps __—. 418000 2
AddressQ S LI G R E E N H U R G • RD OR over 1000�W or volts $34000 _— .— 2
Date Z/(.gxp Z/9 4 Job Number Reconnect only -_— $50.00 , 2
Property Owner•
Contractor's License No. 34-1 3 C C. Temporary Services or Feeders
Contractor's Board Reg No. 3 7 1 0 Installation,alteration or relocation
200 amps or lees $50.00 _ 2
Signature of Su f. 201 amps to 400 amps _ $75.00 2
- 401 amps to 600 amps — $100,00 2
License No. 1 8 1n 68 Phone No. _ - T— over e00 amps to 1000 vola ve ae. e•abo
2 j BC U�,gta/!atlons:
D. Branch Circuits I
s r r New,alteration or extension par panel
. purchase of' a) The fee for branch circuits with
Z-- ___ _ . h branch•irarvice or feeder les.
• A $5.00 2
b) The fee for branch circuits without
Stats ,� purchase of aervks or Wafer fee.
First branch circuit 3 5 .0 0
535.00 2
The installation is beingmade on property I own Each add'nl branch circuit__ $5.00 2
which is not intended fr sale, lease or rent. E. Miscellaneous (Service or Feeder not included)
Each pump or Irrigation circle_._ $40.00 _ 2
Owner's Signature __ Each sign or outline lighting $40.00 _ 2
Signal circuit(s)or a limited
I 3. Plan Review section (If required) energy panel,alteration
Please check appropriate Item and enter fee In section 58. or extension ____ 540.00 2
_ 1 &2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable
1 _ 4 or more residential units in one structure in any of the above
Per inspection $35.00
_ Service over 223 amps;feeder 400 amps or more Per hour $55 00
System over 600 volts nominal In giant _, $55.00
Building over 3 stories In height
— Building over 10,000 sq ft. 5. Fees
--
Occupant load over 99 persons
A. Enter total of above fees $3-H11—___
_ _ Manufactured Structures Park or Recreational 5%Surcharge(.05 X total fees) $ i 5
Vehicle Park; new,addition or alteration Subtotal $
Classified area or structure containing special B. Enter 25%of line A for
occupancy as described in N.E.C. Chapter 5 Plan Review if required(Section 3) $ —
Submit 2 sets of plans with application where any of the SULess B $
above apply. Not required for temporary construction Less Bulk I-abet Fee $
services. Balance Due $36. 75
For Inspections cell This o« a., become.null.M spiel a h,ais a,..•,•.,ahorine .toms ..t ss.r..m.N
640-3561 or 593-4415 within r.a...•h«.Saki°"'«some.of*soh ares..toed isilkisrlsed Is
or 24-hour recorder,one working day In advance of need [ wit Permits�.M.�w..rosT �ylr , •
. ..a,.,a.,.r.,..r.lkse elm*vet Is somminser'« wield'r 1s°days
' 5/93
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9500 SW WASHINGTON SQUARE RD TI P32071 P33791 P38270 P42153
P43095
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DEPARTMENT OF LAND USE&TRANSPORTATION
\ A% WASHINGTON
COUNTY, LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
INSPECTION REOUESTS .44
503/640.3661/69315
PHONE: 503/6486761 ..4 0-3 4'7 0 •
. qiir OREGON Page : 1 of 1 f'
Date s 08/17/94
I
Time : 09:56
Permit Type Commercial Electrical Permit Permit 0 0505
7186
Permit Status : APPROVED Applied : 08/17/94
Situs Address : 9500 :oW WASHINGTON SQUARE RD TI Issued 08/17/94
Permit Title JC PENNY ELECTRICAL SIGNS Completed :
Permit Descr. To Expire : 02/13/95
Project Title JC PENNY SIGNS Project 0 : P0043095
Project Descr. : * EROSION
Parcel Number : 2S1TI - Land Use District :
Valuation 0
Legal Descr.
Owner : INSPECTION - TIGARD Construction : UTH
Applicant Name : MEYER SIGN CO Classification : 900
Applicant Addr. : 7340 SW LANDMARK LN Occupancy
TIGARD, OR 97223 Validated by : JS
Applicant Phone: 620-8200 Inspector Area :
CONTRACTOR t MEYER SIGN COMPANY Lic. C 20-19UCL.S 620-8200
Fee description Units Fee/Unit Ext fee Data
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Signor Outline Lighting 4 40.00 160.0
Subtotal Electrical Fees: 160.0 /1
State Surcharge of 5% 8.00 ,......---
Total
..._Total Electrical Fees: 168.00
*** Fees Required *** *** Fees Collected & Credits ***
Method Check 0 Receipt No. Date Payment
CK 14604 08/17/94 168. 00
TO'T'AL THIS DATE 168.00
Fees: 168.00 OU
Adtustments: .00 Total Credits:
Total Fees: 168.00 Total Payments: 168.00
Balance Due: .00
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NOTICE This permit becomes null and void It the work or construction for which"Is Issued Is not commenced within 150 days Once construction has started,
the panne becomes null aid vold II construction Is Interrupted fora period of 150 days. I certify that the information presented by the applicant and
Ms agent or agents in support of this perm"Is true and correct to the best of our knowledge I acknowledge that the Building Department's reliance
upon false and misleading information may invefldate I..is perm,. All provisions of appliced*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 sheet. 1 acknowledge that
the granting of a permit does not grant*uthortfy to access private property or to use easements I further acknowledge that the use cr occupancy of
the structure or building permitted depends upon my catling for inspections at various times during the process of construction and the building
inspection stet 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 ill inspection requirements are Wished and
approval Is given by the Building Official. I further acknfwrredge that a lien may be placed on the tele of the )perly upon which the permit is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the apyrlion of allllinspection requirements
,rr .�lL>�1" �(A( i ' fi;
CANT'B$IONATU [
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WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 NortFirstHillsbo ohOregonVenue97124350-12 APPLICATION
Information: (503)640-3470 Fax: (503) 693-4412
Permit
I PLEASE PRINT Numbe: I ' `f'' Date —� ' ' `i
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
1. Loca lqn of InstallatioQn Number of Inspections per permit allowed
Address ( Jlv 1A.d56«M� v9 .`s �L'? Service included: Items Cost(ea.) Sum
BuildCitya q rvi rj SuitelnNo. A. Residential-per unit
g 1000 sq.ft.or less $11000 4
Tenant Name Z/ R,iN r ( � //y c. Each additional 500 sq ft
(if commercial) l 1 ` r or portion thereof 325 00
r
LimitedEnergy 325.00 1
--c)- Tax Lot
Map No. ' S f T I Each Manurd Homo or Modular
I Dwelling Service or Feodar _—_ $68.00 — 2
Thomas Maiaoole-, Page: Section:
Directions_J .y-��t�C4�MQ Lt _ __ B. Services or Feeders
I�CISIA.0 1`4"Y� .544 I.A. -— Installation,alterations or relocation
Commercial� Residential 2001 amps loss -- $80.00 ___ 2
1 201 amps to 400 amps 680.00 _ __ 2
401 amps to 600 amps __ 3120 00 2
2a. Contractor in tallation�onlY• 601 amps to 1000 amps $180.00 — _ 2
/, Over 1000 amps or volts - $340.00 2
Electrical Contractor d Loi Co Reconnect only -____. 350 00 2
Addres " i
Date MEM Jeb Number ' LCL' -7/0q C. Temporary Services or Feeders
Property Owner 'T ( I ._♦ a Installation,alteration or relocation
Contractor's License No. Wi 200 amps or loss $50.00 _ _- 2 I
Contractor's Board Reg. No. Imo!#JD — 201 amps to 400 snips 575.00 —___ 2
401 amps to 600 amps 510000 2
r i Over 600 amps to 1000 volts see'B'above
Signature of Supr. Elec'n _ ---
License No./90[4,5 Phne No. /a.2U b'2 )D D. Branch Circuits
New,alteration or extension per panel
2b. For owner installations: s) The fee for branch circuits with
purchase of service a feed,'fee.
fsrint Owners Name Phone No Each branch circuit ^_ 35 00 __ _ 2
b) The fee for branch circuits without
Address — purchase of service or feeder fee.
First branch circuit 535 00 2
1 City ^�enle _- Zip Each edd'nl branch circuit $5.00
E. Miscellaneous (Service or Feeder not included)
• The installation is being made on property I own Each pump or irrigation circle $40.00 2
which is not intended for sale, lease or rent. Each sign or outline lighting 540.00 -1-4112.1"Q 2
Signal circuit(s)ora limited
Owner's Signature _— _ �_ energy panel,alteration
or extension __ 540.00 — _ 2
F. Each additional Inspection over the allowable
T in any of the above --
II Plan Review section (If required) Porinspeclior 63500
Please check appropriate Item and enter fee In section 5B. Per hour 355.00
In Plant 355 00
=4 or more residential units in one structure
III Service and feeder, 800 amps or more 5. Fees
_ System over 600 volts nominal A. Enter total of above fees $ _140 Up
-
I _Classified area or structure containing special 5% Surcharge(.05 X total fees) $
occupancy as described in N.E.C.Chapter 5 Subtotal $ l 6.0(1_
B. Enter 25% 01 ."ne A for
Submit 2 sets of plans with application where any of the Plan Review if•equirod(Section 3) $
above apply. Not required for temporary construction Subtotal 5
services $ —
Less Bulk Label Fee
&• 1�� D@
lance Mit,
For inspections call
'h1s perm"becomes null and J Nth*work au/Mulled o.Il n, by the permit N M
not commeno
640-3561 or 693-4415
wdhm 1110 days from dale of Issuance d.uch p••rmN nr N the work.uthmved le
.uepend.d or abandoned at any rime seer work Is commenced for.perfnd of 1w day.
24-hour recorder, one working day in advance of r red FtaetrecelPormN.arrnon raun/rebNand nowtreneerabl.
4/94
I Permits Live db Id: actp150 Keyword: @ACTM User: DEPORAHC 01/27/00
Activity Maintenance - Inspection Processing Commercial Electrical
Permit # : 05057186 Applicant: MEYER SIGN CO
Status: FINAL Address: 9500 SW WASHINGTON SQUARE RD TI
Dept : Div:
Inspection Item: 00499 Description: Final Electrical
Inspection ----- Times
Date Inspector Action Notation Begin End Elpsd Entry No
09/02/94 GS DN DNIVR LUT6 I BS 1
09/07/94 GS AP APIVR LUT6 I BS 2
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'�� Entry Enter Option: A=Add anF2=Next Item F5=First 12 Entries
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