9583 SW WASHINGTON SQUARE_TI •
9583 SW WASHINGTON SQ RD TI P7645
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DEPARTMENT OF LAND USE&TRANSPORTATION
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WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
150 NORTH FIRST,HILLSBORO,OR 97124
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COUNTY, INSPECTION REQUEST
S: 503/840-3581gn ( U PHONE: 503/848-8781
ORL3ON Page :
1 of
Date : 04/13/90
Time . 14 : 19
Permit Type : Commercial Electrical Permit. Permit # : 0500993
Permit Status : APPROVED Applied : 04/11/90
Situs Address . 9583 SW WASHINGTON SQUARE RD TI Issued : 04/13/90
Permit. Title : BOMBAY--SOUTH SIDE OF Nt)RDSTRM Completed :
Permit Descr. : WASHINGTON SQUARE To Expire : 10/10/9"
Project. Title : BOMBAY--SOUTH :,IDE OF NORDSTRM Project N : P000764`
Project Descr. : WASHINGTON SQUARE * EROSION *
, Parcel Number Land Use District :
Valuation • 0
Legal Descr . ••
Owner Construction : OTH
Applicant Name : DIVERSIFIED ELECTRIC Classification : 900
Applicant Addr. : 4107 FRUIT VALLEY RD STE P Occupancy
VANCOUVC.i WASH 98660 Validated by : VO
Applicant Phone: 206-695-7:)95 Inspector Area :
Fee description Units Fee/Unit Ext fee Data
Service: 100 < Amperes <- 200 1 .00 57. 35 53. 35
Feeders: 100 < Amperes <- 200 1 .00 72 .00 32.00
Two+ New Circuit Alter . or Fxten0 1 . 00 32.00 32.00
Subtotal Electrical Fees: 117. 3c
State Surcharge of 5%: 5.87
Total Electrical Fees: 123.22
*** Fees Required *i* *** Fees Collected b Credits ***
Receipt No. Date Payment
04/13/90 123. 22
Fees : 123. 22
Adjustments: . 00 Total Credits: .00
Total Fees: 123. 22 Total Payments: 123.22
Balance ,, te: .00
NOTICE This permit becomes null end void 11 the work or construction for which M is Issued is not commenced within 180 days Once construction has started,
the permit beaxnws null and void It construction is Interrupted lora period of 180 days n certify that the Information presented by the applicant and
his agent or agents In support 01 this permit is true and correct to the hest of our knowledge I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit All provision'.of applicable laws and ordinances ga.eming the construction and use
of this building or structure will be complied with whether or not specified on Ito plans or noted on the plans correction sheets I acknowledge that
the granting ora permit does not grant authority to access private property or to use easements I further acknowledge that the us*or occupancy of
the structure or building permitted depends upon my calling for Inspections al various tlmea during the process of construction and the building
Inspection stall verifying compliance with the various codes Use or occup ncy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and much use or cccu;.ancy Is revocable until all inspection requirementa Cr,satisfied and
approval is given by the Building Official I further acknowledge Iha'a ilei may be placed on the Mie 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
APPLICANT'S SIGNATURE
WASHINGTON COUNTY +— 7�4yS
DEPARTMENT OF LANG USE AND TRANSPORTATION PERMIT NO.
,vANi.
LAND DEVELOPMENT sERVK E8 DIVISION
ELECTRICAL INSPECTION SECTION TEMP.PERMIT NO
160 NORTH FIRST AVENUE DATE 5- 19 33
HILLSBORO,OREGON 97124 640-3470 ISSUED BY _
LABEL NO. Lai-35550...__
ELECTRICAL PERMIT APPLICATION
Phi tit srg LA c- — _ILO_� fit V*1 IES' 5,4_/7 ✓A /�_41t -- 45
NAME OR FIRM PLEASE PRINT MAILIN ADDRESS TtLEPHUNF •
S. ELECTRICAL CONTRACTOR LICENSE NUMBER 37-'185 G I AM REGISTERED WITH THE BUILDER'S BOARD
ORS 701.055 R GISTRATIONr�4 Y '1O 9'7 EXPR DATE __. _Z-2-9/ _ __ SIGNATURE CF
SUPERVISOR �tL.OLJl�I �+^ LICENSE? 3540 S
0 PROPFPTY OWNER I HEREBY CERTIFY THAT I AM THE OWNER OF (HE 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 P.OR BY _ WHO ISA MEMBER OF MY FAMIE Y
RELATIONSHIP OWNER'S SIGNATURE
OWNERS NAME —niATIO Ec �'r�.P40"'� ..qQ_
LOCATION OF INSTALLATION s S �J , SQ cI Y Per1414#•0 tit /�ns-DN-F,
DIRECTIONS --- — --___-
— -------------- --- — — EEE ^.
RESIDENTIAL RESIDENCE WIRING LESS THAN 1000 SO r @$ 32.00 __
RESIDENCE WIRING LESS THAN 2000 SO FT ___ @5 53.35
RESIDENCE WIRING OVER 7001 SO FT __ @S 74.70
ELECTRIC HEAT INSTALLATION IN ExISTING RESIDENCE @$ 21.34
SERVICES TEMPORARv SER JICE _ PS 21.34 —__.
SERVICE CHANGE ONLY IN AN EXISTING RESIDENCE @S 21.34
SERVICE NOT OVER 100 AMPERES _ @S 32.00
100 AMPERES BUT NOT MOPE THAN 200 AMPERES / _ @$ 53.35
OVER 700 AMPERES BUT NOT MORE THAN 100 AMPERES 05 74.70 _
OVER 400 AMPERES BUT NOT MORE THAN 600 AMPERES D5 106.70
SERVICE OVER 600 AMPERE!, 0$ 138.70 __
SERVICE OVER 600 vOLTS 0$ 320.10
FEEDERS INSTALLATION, NOT MORE THAN 100 AMPERES ^ _ PS 21.34
Al TFRATION OR RELOCATION OVER 100 AMPERES RUT NOT MORE THAN 200 AMPERES / @S 32,00 ----5Z,Of
I LVE 14'III)AMI'I HE 1,14111 NI i MIIHI THAN 4011 AMPS HI S W$ 1,!, 11,
OVER 400 AMPERES 0$ 64.00
FEEDER OVER 600 VOLTS •S 85.36
MISCELLANEOUS MOBILE HOME SERVICE _ P$ 21.34 _______
MOBILE HOME FEEDER PS 21.34
EACH IRRIGATION PUMP PS 21.34
EACH ELECTRI..SIGN OR OUTLINE LIGHTING 05 21.34 _______
EACH RESIDENTIAL SWIMMING POOL 0$ 21.34 ,_ _
ONE NEW CIRCUIT ALTERATION OR ExTENSION 0$ 21.34 _
TWO OR MORE NEW CIRCUITS ALTERATIONS(R EXTENSIONS •5 32.00 -__3Z•
OTHER NOT LISTED ABOVE 0$
1 INSPECTION FEE S.__
FOA 111411PECTK1'N CALL 640-3661. 2. 6%STATE TAX S
24 NOW 011mAsISDIR ONE wonA240 DAY 1
N ADVANCE OF NEED D. PLANS CHECK FEE S.
(1*2.3)• TOTAL CHARGE s I 3. 2 —
THIS PERMIT BECOMES NULL AND VOID IF THL WORK AUTHORIZED BY THE PERMIT IS NO' COMMENCED WITHIN 180 UA"S FROM DATE OF
ISSUANCE CIF SUCH PERMIT OR IF THE WORK AUTHORIZED 15 SUSPENDED OR ABANDONED AT ANY TIME AFTER WORK IS COMMENCED c^R A
PERIOD OF 1R0 DAvS ELECTRICAL PERMITS ARE NON P•FUNDABLE i NON TRANSFERABLE
DLU TILD$E-00/ W2$JB7
INSPECTION LOG V
DATE INSPECTOR
SERVICE
COVER. _
FINAL
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DEPARTMENT OF (AND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION
WASHINGTON 150 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION F'EC.UESTS: 5031640-3561 (24 hours)
OREGON 0 � PHONE: 503.E 10-3470
Permit M: 05009931 Projec 0: P0007645 Stat :, APPROVED Page 1
Issued : 04/'.3/90 Expires : 10/16/q0 V.;luat icn: n OS/01/9f
COMELFC
Permit Ti` 1 c BOMBAY -SMTH SIDE OF NORD`TR*'
Descriptic,r1 WASHINGTON 5Q11ARE k EROSION
Job Address 9583 SW WASHINGTON SQUARE RD TI
Parcel num! cr .
Owner Name
Applicant Name : DIVERSIFIED ELECTRIC
Applicant Addr : 4107 FRUIT VALLEY RD 5TE P
VANCOUVER WASH 98650
Phone number 1 206-695-7995
APPROVED NOT APPROVED APPROVED _ SOP WORK UNTIL
[Repair as Listed? [Construction 'May Proceed!
[And Re-In€pect. I (However Note Below. . . .
Inspection Requested:
* Final Inspection
n5/01.'90 RT Gn
05/03/90 RI GG
Inspection History Summary:
* Cover & Service
04/17/90 AP KP
04/19!90 AP KP
Inspector Comments:
16)6
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sq,9: 90