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9534 SW WASHINGTON SQUARE (1) • 9534 SW Washington Squire Road 1S1 26C retail store Chandlers shoes #30777 r ! . i 4 '40400004004100,00440,4"40. 1F,,:$ I�p � bAl .'.��Y4�+ 'q",,�y�r''V" '� Y:'fnpFiy�.j.: t� ibN<'�j' 1 ' 3 0 7 / 78 t) 6 e1 WHI TE Inip*c for COPY c�y� O• •r YELLOW Permittee PINI: Coshler PtJIMIT NO. GDENROD CaculoVon ar APPLICATION FOR BUILDING PERMIT RE!OE rnpor GREEN FN FI,ILOI'.G n_ WASHINGTON COUNTY nupREss S.4 54 !0. DEPARTMENT Of PLANNING BUILDING DIVISION H /2 ocA:-Iry "NEAREST CROSS ST �C�EyNSu:. LAND uSE O P T"PE Fop ►PO O OP APPLICANT TO FILL IN lb(' CODE LCLNST \UIIDINGfff1T•TISTICAI CLASSIFICATION zr,Nr *CDR CIS �, .-.3 S/ s�,��, CLASS NO�� OWELL UN.TS —^ �C 3 • .Al. OILSC IAlel. - /61 - 4c F SPECIAL CONUITIONf `_ • L N0 Or BLOO• 4NL n 0, 'L.O r NOW OM LOT USE Or - TONING APPROVED By i ',A:15/ 17; E XISTIINN \L.00 ( f / OWNE1L _ !AN i� FAY. _ hi TTL i I vPE OF YAW TA TION DIST. •OOOrEss L i. An/A I,44.441-7E1'lj _1 wnrEP fUPPLv 01ST., OLDS ffTSACf roots PROM?►110►. LIMP Or_�.�_ (orett'i '`S Z. i , Al/�Lv iAli A RC NIf(tC !TA( or III$'I Mf $$$$$CM rlfR WAv ',Ana = TOTAL. r TEL ENGINEER A' i/A rye C'i'AINO NISNw*+ PILOTS 'POMC - ,. AOORElS t� A.*AFCAIfc- + I/'., I r . 'A /A/ (�_ � TJ/' •-�A SLG/ SETSACM room CONTRA CROSSCS:kj 1 , , r /} I I SIDE PIRG► LINE Jr _ I 1 ��/�I�� '` 2 Tv►t Or trI!TINS ABABA CN NISMwAT + +AeD TOTAL ADDRESS J1( 131 I 7C'C A'ONW AV PILOTS ►ROM C l CITY I=IC lPA7A LAY.. F; 72.4.1 + DEI4CRIPTION OF WORK CORNER CUTOFF 'ES ❑ NO 0 NEVI L- oo ALTE11 REPAIR OEMOLISN SEE REVERSE SIDE FOR SPECIAL APPROVALS SO.I .rr, NO OF NO Or SIZE d/46- STORIES ►AMlllcs 7a::::;.s..A. NO. \EDPOOMf NO. O lTRutu!\ or TURE/if 74/1- f. 7(y'1: NO OF IMPLO.A it �J SIGNATURE O17-2-.- - (/ r _—^ APPLICANT ����r i��1�i�(y APPROVALS I�AtE INfrl[+Of'f IISNA T URE VALUATION C 00 'INDATION LOCATI0/1 F RMS MATERIALS J FRAME I E rtt$4� _ A 11/I it EE PS//Y SPACING BOLTS I rIPt PLACE I WISPS, ACNNOWLSOOE TNA. , WAY/ READ tN,S •••L,".•'/ON ARC STATt +NAT INK A11005/ IS (ORRfCT ANO AGRIL TO COM►LT WALI BOARD WITH ALL COUNTY r,ROINANCII ANO LAWS Of OULATINO A•• ' S UILDIND CONSTRUCTION S IGNATURE Or7-- ��I� f r.r1uA NI MS(A CORP' PERM IYTS[ c :23A:1- - A. ANO P'•'.TID / j �� ADDRESS r 1vl.__�7s._G.'_4. L.:/11� FI N A L - PLAN CHECK VALIDlwATION cN ... ,AKN PERMIT VALIDATION © M D c s. „,,,v, ,I / 7/ "1 1 CIA TE RECEIPT NO, 70,7 DATE /O 1 L animillimimil /IV 11/.iC a+.,,i1t'Z.... • \111•` �� . ( Washington County jh ( Fire District No. 1 ,. 1 , 14480 S W Jenkins Road I1/ • ' Beaverton.Oregon 97005 C/_ ' Bureau of Fire Prevention _ 646-1101 Extension 245 Plans Examination Report No. Fire Station Te.rrsss County Plan No. r1°5 Run Distance BuildingJtaodlers .hes ,tors OccupancyT-2, •srcaatile 1 Fire Zone_ Address ' p `pass 4-12, �+aahiegtee gnats Construction Type 111-0 Architect/Designer Herbert R. tamAddress 1054 S. Pebertsos, L.A., O33 Owner lamer Address ySAS ,. •shLnKtee Cq. M. Stories l` Main Area l' : s ,. rt. ,. "etu 19 ft./Stops/Basement Are -_�_ Attic Height /Stops Fire Walls *Ale Fire Escapes "" Exits 4 /Total Width 2 Zt. Yen Stairs "°uc /Enclosed Other Vertical Shafts n. /Enclosed_ Sprinklers NO a N. . Area Covered �atirs aro* Man. Alarm S.P. Ext. •' ` /Class /No. .ombustion Detection 1►a /Type /Area Covered Floor_ t.oncreta Ceiling lies rated at. ,steels Roof unlit up Str. M=mbers SteelWall Cover ba;' / c7 Seard Exterior Interior .e4c•4 air ! lett. r•ot.aJ air, coattail Heating Syster. Fuel Cooling System 11/7/)1 The plans for thll,ayldescribed project were referred to this office and reviewed for conformity with State and District fire safety laws_ and regulations. Listed as follows are applicable requirements for which we have found no provisions in our examination of the drawings, general notes and/or specifications. file salt aeon at Us. rear sl tea ato4k roo.a ...41 :, timid atta faa/M aardwat•., i.e. loch es latah, *ev1s., as prevision ter locking agaiaat assess, hetes parable tree tee lust*, et all tla.es for l....adlate exit without the use of a ae.;, a,•ealal ,.aaowledga or effort. % men in. 3343 11 v.A.C., LI,.. ) / Wret Datfald R. voy a sire Mars L , . . hat .. .' criellei; •771{:.PArE- •nsInAREii'v lee. Id Larrlailtes , Most. Co. 114g. Wert. (2) 1 hat'. mitts Form 900/1 Revised 11/73 FIRE PREVENTION GOES NOT COSI --IT PAYS i7 2. All bestial veotilattes and electrical eletpsar, cad appllaacea dee required to be approved by NOderwriters LabrraSories. les. of ether Ratisaslly reeegelsee testis/ ogees/ and ioatal/ed la eestorrslty with the tootles aseecy•s •pociflcatloes. ( kelt ;ec. fur V•►•C•s 1970 Velem IL) 3. 'lee set of approved plass hear'st• the stamps of the ..•shlepteo toast) beildiag Deportment and this oltis, wast be kept oo the Job sits dartag all phases el sssatrrcties sed be walla►la tog review darn; cs streetise leapestiese. ( Net, .,ec. ' !:. U. b. C. • 197U) a. It le required Wet prier to *crispest/ of the belldiag. i.e. 0,109 to epantse for Waitress, the ces*troctius be inspected by this attics for ceetetalty wiw tire ...1ef) roaMlatiume. 'lease csnts:t tl.is uiiiss at least to Mars it advance of the floe *hay the laspectlee is des ksd La order teat erressemwts may be wade to eat were schedule. ( i'.a.t set. 1.207 :ot1i oto.. Ira ,.oda) 3. "r1cr to ecsopascy el lb. prowler's a "Cortllisals at vsc,weecy tree the -*Mainstay Comity batl.aRs a .a,tc.ost as toowlt eu. i al t sea. 306, :.'•.' . 1470; * Notes to ..seasict 1aayectort ..Mhos&t this oho; le ss4emtia,lly one story is height• • raison atataoe ails• or stutags iraso4iti s .. .rupesca lc the Mrtlwest terser of the (Ant'. teem. la additl., a cameral service has*•dee above the finished seillue is show' se the cross sorties dra led's. The *Lyle cult re- ferred to le the do.oc/L..ties of the propos' is a standard 3 ft. deer at the rear of the atoc' r ( tato Item Me. 1). The male (moll) entrants rill bt ,. rved by sltuit. glass doors. tar lecatioe of Metairie( wet ataedpipee, please rater to the the sepresei.m system drewtags eo filo Lu our office. 934 SW Washington Square Road P6678 30777 P7010 . ....... a „. „ .• F r • DEPARTMENT OF LAND USE&TRANSPORTATION 411!!1,‘ WASHINGTON LAND DEVELOPMENT SERVICES DIVISION COUNTY,1 150 NORTH FIRST,HILLSBORO,OR 97124 INSPECTION REQUESTS: 503/640.3561 OMOWREGON PHONE: 503/648-8761 lraye : 1 of 1 Date : 03/14/90 Time : 09:23 Permit Type : Commercial Electrical Permit Permit 0 : 05008734 Permit Status : APPROVED Applied : 03/07/90 Situs Address : 9534 SW WASHINGTON SQUARE RD TI Issued : 03/14/90 Permit Title : WASHINGTON SQUARE-SPACE H-12-A Comp'..!ted : Permit Descr. To ..xpire : 09/04/90 Project Title : WASHINGTON SQUARE-SPACE H-12-A Pr,ject M : P0006678 Project Descr. : * EROSION * Parcel Number Land Use )istrict : Valuation 0 Legal Descr. Owner Construction : OTH Applicant Name : CHRISTENSEN ELECTRIC Classification : 900 Applicant Addr. : 111 SW COLUMBIA SUITE 480 Occupancy PORTLAND OR 97201 Validated by s VO Applicant Phone: 241-4812 Inspector Area : Fee description Units Fee/Unit Ext fee [)ate Feeders: 100 < Amperes <e 200 1 .00 32.00 32.00 Two+ New Circuit Alter. or Extend 1 . 00 32.00 32.00 • Subtotal Electrical Fees: 64.00 State Surcharge of Si: 3.20 Total Electrical Fees: 67.20 *** Fees Required *** *** Fees Collected & Credits ** • Receipt No. Date Payment 03/14/90 67.20 Fees: 67. 20 Adustments: .00 Total Credits: .00 Total Fees: 67. 20 Total Payments: 67. 20 Balance Due: . 00 NOTICE. This permit becomes null and void If the work or construction for whk.h il is Issued I.not commenced within 190 days Once construction has Mad,' the perm',becomes null and void If construction N Interrupted for a period of 190 days I certify that IM Infomlatlon presented by the applicant and hat agent or agents In support of this permit le true and correct to the beet of our anowledge I acknowledge that the Bu,ding Department's reliance upon false and misleading Information may Invalidate this permit. All prove ,one of applicable laws and ordinances sow ming the construction and case of thls building or structure will be compiled with whether or.101 specified on fid plans or noted on the plans correction sheets I acknowledge that the granting of a pert dna"nal grant aufhorIty to access privets property or Io use easements Mother acknowk ige!hat 1.411 use or occupancy of the structure or building permitted depends upon my calling for Inspections N various times during the process of condructlon and the bulln,og inspection staff verifying compllance with the various codes Use or occupancy of the building or structure permitted;dor to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval la given by the Building Official. I further acknowledge that a lien may be placed on the title of the properly upon which the permit is Issued specifying that Ins use or occupancy of the tndlding or slruclure Is provisional and revocable unlit the satisfaction 01111 Inspection requirements A►►UCANT'E SIGNATURE I WASHINGTON COUNTY p_ 6&7 ?' DEPARTMENT OF LAN)USE AND TRANSPORTATION411111% PERMIT NO. LAND DEVELOPMENT SERVICES DIVISION TEMP.PERMIT NO. 5-8734 lilliiiF ELECTRICAL INSPECTION SECTION lob:22283044 DATE 160 NORTH FIRST AVENUE HILLS8ORO,OREGON 91124 640-3470 ISSUED MY 3/7/90 LAPELNO. W 22087 -------—- ELECTRICAL PERMIT APPLICATION Christenson Electric, Inc. 111 SW Columbia Suite 480 Portland, Oregon 97201 241-4812_ NAME�� OR FIRM PLEASE PRINT MAILING ADDRESS TELEPHONE • LJ El ECTRICAL CONTRACTOR L(CENSE NUMBER 26-34C I AM REGISTERED WITH THE BUILDER S BOARD ORS 101 055GISTRATION• 458 EXPR.DATE 4/90 SIGNATURE OI SUPERVISOR- hi.. LICENSE I 87as Ei PROPFPTY OWNER I HEREBY UNTIE', 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 OR RENT FOR THIS RE ASON, I AM EXEMPT FROM BUILDER'S BOARD REGISTRATION UNDER ORS 701 055 THE ACTUAL INSTALLATION WILL BE MADE BY ME OR BY WHO ISA MEMBER OF MY FAMILY RELATIONSHIP .OWNER'S SIGNATURE OWNER S NAME LOCATION OF INSTALLATION 9534 SW Waphin:ton •uare i. Dgt n� ADDRESS I r`R(JNTv "- Space H12A in Washington Square DIRECTIONS ------ ---- — --------------- FEE RESIDENTIAL RESIDENCE WIRING LESS THAN 1000 SO FT (a5 32.00 _ RESIDENCE WIRING LESS THAN 2000 SO ET @ S 53.35 -. RESIDENCE WIRING OVER 2001 SO FT @S 74.70 ELECTRIC HEAT INSTALLATION IN EXISTING RESIDENCE p$ 21.34 SERVICES TEMPORARY SERVICE W$ 21.34 SERVICE CHANGE ONLY IN AN EXISTING RESIDENCE @ S 21.34 SERVICE NOT OVER 100 AMPERES 51$ 32.00 _ 100 AMPERES RUT NOT MORE THAN 700 AMPERES @ S 53.35 —__ OVER 200 AMPERES SLIT NOT MORE THAN 400 AMPERES @$ 74.70 OVER 400 AMPERES SIT NOT MORE THAN 600 AMPERES PS 106.70 SERI. CE OVER G00 AMPERES @ 5 138.70 SERVICE OVER 600 VOLTS (^'S 320.10 _ FEEDERS INSTALLATION NOT MORE THAN 100 AMPERES @ 5 21.34 AI TF RATION OR 91I("CATION OVER 100AMPERES PUTNOT MORE THAN700AMPFRFS 1 Ip'S 17.00 32.00 OVE H 701 AMPERES ROI NI)1 MOH( I I IAN 4110 AMP)HI S _ 1"'$ 1'r OVER 400 AMPERES 41S 1,4.00 FEEDER OVER 600 VOl.TS OS 85.36 MISCELLANEOUS MOBILE HOME SERVICE -_. @S 21.34 ---,_ MOBILE HOME FEEDER 05 21.34 EACH IRRIGATION PUMP OS 21.34 EACH ELECTRIC SIGN OR OUTLINE LIGHTING (6 S 21.34 EACH RESIDENTIAL SWIMMING POOL @ S 21.34 ONE NEW CIRCUIT ALTERATION OR EXTENSION @ 5 21.34 TWOOR MORE NEW CIRCUITS ALTERATIONS OR EXTENSIONS 1 411 i2.00 42,00---- OTHER NOT LISTED ABOVE rd$ 1. I4SPECTIoN FEE S 64.00 FOW INIPECTK]SS CALL 840-3621, 2. 8%STATE TAX $ 3.20 I 24 HOUR NEcomDER.ONE WOFi(NG DAY N ADVANCE OF NEED. 3. PLAN8 CHECK FEE S __ ___ __ (1+2+31. TOTAL CHARGE s 67.20 THIS PERMIT BECOMES NUI L AND VOID II THE WORK AUTHORIZED 5Y THE PERMIT IS NOT COMMIN(.CU WI THIN IHC U4 YS PROM DAT I .II ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OR ABANDONED AT ANY TIME AFTER WORK IS COMMENCED FOR A PERIOD OF 150 DAYS ELECTRICAL PERMITS ARE NON REFUNDABLE&NON TRANSFERABLE OLUT/LDS E-O01 11/28/87 • f+Nx.,•,t. .<h.•>n�i,.w}'1� `s"..«t •�•>,tr,• Vtr4.- - AN:, .....tl.. r •,...,p.r^'?+..'OVA,:101., ."T!!S'91.0 F...,r., 3"Ptir 11"2 11K.''t INSPECTION LOG • DA t E_ INSPECTOR SERVICE COVER FINAL 11 ) b\ \ DEPARTMENT OF LAND USE & TRANSPORTATION ` N WASHINGTONgrill 15DDEVPMERVICEI900 NORTHF HILL OR7124 COUNTY, v T r, SPECTION REQUESTS: 503(640-3561 (24 hours) OREGON rpm, HONE: 503:640-3470 Pernit #: 05008734 Project #: P00066:8 Status: AF'PROUEL t .Dge 1 of 1 Issued % 03/14/90 E . res• s 09/15/90 Va'.iations 0 04/24/20 06'56 COMEI_`C. Permit Title I WASHINGTON SQUARE.--SPACE i • 12-A rescription % * EROSION R Job Address : 9534 SW WASHINGTON SQUARE RD TI arcel numbor Owner Name r applicant Name s CHRISTENSEN ELECTRIC Applicant Addr 1 111 SW COLUMBIA SUITE 4U • s PORTLAND OR 97201 Phone rurrrber : 241 -4812 APPROVED NOT APPROVED APPROVED _ STOP WORK UNTIL [Repair as Listed] [Construction ^lay Proceed] [Arid Re-Inspect ] [However Note Below. . , . J Inspection Requested: 4 Final Irrspection 04/23/90 RI DA All 04/24/90 RI EMC PLZ CALL 241-4812 RM TO MEET Inspection History Summary: * Underground 03/08/90 AF' WG Cover & Service . 03/19/90 Al KF' SERVICE NOT COMPLETE WALLS OHL ,1!'.. ctor CommerIt_,a biC . ice/_ ._.._.___ _�,_._..._.� Iiii ii•scec :e I by • ► ....._._._..._.._ ii� ._•.__........._.�.... 0 ____ • DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 150 NORTH FIRST, HILLSBORO, OR 97124 OUNTY. INSPECTION REQUESTS: 503/640-3561 (24 hours) OREGON PHONE: 503/640-3470 Permit #= 05008734 Project #: P0006678 Status, APPROVED Page 1 of 1 Issued S 03/14/90 Expires L 09/15/90 Vs1uatione 0 03/23/90 07:3' COMELEC Permit Title 1 WASHINGTON SQUARE--SPACE H-12-A Description r EROSION Joh Address I 9534 SW WASti.IxGIW+i byUANk K@ iti Parc �l number • Owner Name Applicant Name a CHRISTENSEN ELECTRIC Applicant Addr 1 111 SW COLUMEIA SUITE 480 t PORTLAND OR 97201 Phone numbs ' 241 -4812. APPROVED _, NOT APPROVED __._ APPROVED STOP WORK UN'IL [Repair as Listed] [Construction M6y Proceed] [And Re-Inspect ] [However Note Below, . . . ] Inspection Requested: • Loverr 4'Stiftfitte 03/1P/90 R! WALL COVER AP10SERVICE NOT COMPLETE WALLS ONI 22/90 RI SERVICE AND CEILING COVER 190 RI C SERVICE ' 90 rRI DR' SERVICE AND COVER Inspection History Summary: * Underground 03/08/90 AP WO% Inspector Comment-s ___ItF... ... _____________ Insoected Gyp_. DEPARTMENT 0' LAUD USE&TRANSPORTATION WASHINGTON � / LAND DEVELOPMENT SERVICES DIVISION COUN 1 Y 1 150 NORTH FIRST,HILLSBORO,OR 97124 ..1411111N INSPECTION RE8-8E8 TT 503/840-3581 OREGON Page : 1 of 1 Date : 03/27/90 Time : 11 : 57Permit Type : Commercial Eleccrical Permit Permit # : 05009145 Permit Status : APPROVED Applied 03/21/90 Situs Address : 9534 SW WASHINGTON SQUARE RD TI Issued : 07/27/90 Permit Title : KOULA BLUE --SPACE H12 Completed : Permit Descr. : WASHINGTON SQUARE ACROSS FROM NORDSTROM To Expire : 09/23/90 Project Title : KOULA BLUE Project # : P0007010 Project Descr. : KOULA BLUE * EROSION « • Parcel Number Land Use District Valuation • n Legal Descr. . Owner Construction : OTH Applicant Name : CHRISTENSON ELECTRIC Classification : 900 Applicant Addr. : 111 :W COLUMBIA Occupancy Applicant PORTLAND OR 97201 Validated by : VO Phone: 241-4812 Inspector Area : Fee description Units Fee/Unit Ext fee Data Feeders: Amperes <- 100 1.00 21 . 34 21 .34 Two+ New Circuit Alter . or Extend 1,C0 32.00 32. 00 Subtotal Electrical Fees: 53. 34 State Surcharge of 5t: 2 . 67 Total Electrical Fee;: *** Fees Required *** *** F56.01 ees Collected & Credits * s . Receipt No. Date Payment 03/27/90 56.01 Fees : 56. 01 Adjustments: . 00 Total Credits: . 00 Total Fees: 56.01 Total Payments: 56. 01 Balance Due: .0n NOTICE This permit becomes null and void If the work or construction for which it Is issued is not commenced within ISO days Once construction has started the perm*becomes null and void If construcllon Is Ini.rruplad Iry a p.+rlou of ISO days I certify that the Information presented by the appllctint and hes agent or agents In support of this permit Is true arid corwel to toe beet of our knc«Medge I acknowledge that the Building Department's mllance I upon false and misleading Information may Invalidate this permit All provisions of applicable laws and ordinances governing the construction and seer of this building or stricture will be complied with whether or not specified on the plans or noted on the piens correction sheets I acknowledge that the granting of a permit does not grant authority In access presale property or to use easements Minh'?.cknowledge that the use or occupancy of the structure or building permitted depends upon my calling for inspections al verloue times during the process of construction and the builds ig 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 Is revocable until all inspection requirements are satisfied and approval Is given by tris Building Official I further acknowledge that a Ion 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 le provisional and revocable until the satisfaction of all Inspection requirements ARK ICANT'S SIGNATURE 40111,WASHINGTON COUNTY 7(�) DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. /C LAND DEVELOPMENT SERVICES DIVISION TEMP. PERMIT NO 5-9145 ELECTRICAL INSPECTION SECTION j( 1 222-3479 ISO NORTH FIRST AVENUE DATE HILLSBORO, OREGON 97124 640-3.470 ISSUED BY LABEL NO. Wg4 4._._.----- ELECTRICAL PERMIT APPLICATION CHRISTENSON ELECTRIC, INC. 111 SW COLUMBIA SUITE 480 PORTLAND, OREGON 97201 241-4812 �N-AAyME OR FIRM PLEASE PRINT MAILING ADDRESS TELEPHONE • E_.1' ELECTRICAL CONTRACTOR LICENSE NUMBER 26-34C I AM RE 1STEREO WITH THE BUIL DER'S BOARD ORS 701.055 EGISTRATION M 438 EXPR.DATE 4/90 SIGNATURE OF SUPERVIS Cln►.ad� Q S LICENSE/� 873S 3/21/90 PROPFP.TY 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 OR 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 ISA MEMBER OF MY FAMILY RELATIONSHIP .OWNERS SIGNATURE OWNER'S NAME LOCATION OF INSTALLATION 9534 SW WASHINGTON SQUARE ROAD TIGARD WASH_ ADDRESS CITY DIRECTIONS KOULA BLUE SPACE H12 IN WASHINGTON SQUARE ACROSS FROM NORDSTROM FEE RESIDENTIAL RESIDENCE WIRING LESS THAN 1000 SO FT 0$ 32.00 RESIDENCE WIRING LESS THAN 7000 50 FT 0S 53,35 RESIDENCE WIRING OVER 7001 SG FT (d$ 74.70 ELECTRIC HEAT INSTALLATION IN EXISTING RESIDENCE (d$ 21.34 SERVICES TEMPORARY SERVICE @S 21.34 SERVICE CHANGE ONLY IN AN EXISTING RESIDENCE _ OS 21.34 SERVICE NOT OVER 100 AMPERES ES 32.00 100 AMPERES BUT NOT MORE THAN 700 AMPERES BS 53.35 _ OVER 700 AMPEFIES BUT NOT MORE THAN 400 AMPERES 0$ 74.70 _ OVER 400 AMPcRES BUT NOT MORE THAN 600 AMPERES 0S 106.10 _ SERVIr:uVER 800 AMPERES •S 138.70 SERV CE OVER 800 VOLTS OS 320.10 FEEDERS INSTALLATION, NOT MGRE THAN 100 AMPERES 1 CO S 21.34 21.34 Si TFRATION OR RFI OCATIIIN nVFR 100,..T,^FS BUT NOT MORE THAN 700 AMPERES __— (15 32.00 uVE II.5111 AMP(HIS.H111 N1)1 MIM( THAN 4011 AMPF HI S P'5 OVER 40(1 AMPERES Ld$ 64.00 FEEDER OVER 800 VOLTS — (65 95.36 MISCELLANEOUS MOBILE HOME SERVICE 0S ..1.34 ...... _ ? MOBILE HOME FEEDER PS 21.34 EACH IRRIGATION PUMP WS 21.34 EACH ELECTRIC SIGN OR OUTLINE LIGHTING *$ 21.34 EACH RESIDENTIAL SWIMMING POOL S 21.34 ONE NEW CIRCUIT ALTERATION OR EXTENSION (•'S 21.34 TWO OR MORE NEW CIRCUITS ALTERATIONS OR EXTENSIONS I A S 32.00 _ 32_00 OTHER NOT LISTED ABOVE �m S I NSPECTION FEE 5 53.34 FOE INFECTIONS CALL 110-6111, 2 6%STATE TAX S 2.67 14 NOUS RECORDER ONE WARM DAY N ADVANCE OF NEED. 3 PL ANI CHECK FEE S (1+2•3)' TOTAL CHARGE s 56.01 THIS PERMIT BECOMES NUI I AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN I$0 OATS FROM DATE OF ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OR ABANDONED AT ANY TIME AFTER WORK IS COMMENCED FOR A PERIOD OF 180 DAYS ELECTRICAL PERMITS ARE NON REFUNDABLE &NON TRANSFERABLE 1 OLtft/LOS E-001 EN11IE1 INSPECTION LOG DATE INSPECTOR SERVICE COVER_. FINAL N laJlS �J DEPARTMENT OF LAND USE & TRANSPORTATION 0 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 0 WASHINGTON COUNTY, 150 NORTH FIRST, HILLSBORO, OR 97124 OREGON INSPECTION REQUESTS: 503/840-3561 (24 hours) PHONE: 503/640-3470 rrmit #r 05009145 Project: #2 P0007010 St.;tuse APPROVER ' issued 2 03/27/90 Expires = 09/23/90 Va l r.rat i on 2 Permit Title 2 KOLi A BLUE -S. ACE H12. Description WASHINGTC q, Job Address , _ FknM. M 51:1' Rn t I Parcel Dumber Owner Name • Applicant Name i CHRISTENSON ELECTRIC Applicant Addr 111 SW COiUMFIA PORTLAND OR 97201 Phone number t 241-41317 APPROVED NOT APPROVED APPROVED STOP[Repair as Listed] rConstr,,ction May Froreed] UNTIL [And Ree-Inspect ] [However Note Below . . . . ] 1 1 Inspection Reque-Jad: 11111111111111111111.1111 Inspector Comment-,: Inspected bye 67,„ ••♦ .�