9585 SW WASHINGTON SQUARE (4) 9585 SW WASHINGTON ; SQUARE P6438 P7899 P19421
P60276 P50002.
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DEPARTMENT OF LAND USE&TRANSPORTATION
AIN WASHINGTON LAND 55 NORTH FIRST,EN HSBOSERVICES DMS 44
COUNTY'
INSPECTION REQUESTS: 503/840-3581/893-4415
OREGON PHONE: 503/848-8781
Page : 1 of 1
Date : 10/21/91
Time : 12:41
Permit Type Commercial Electrical Permit Permit N s ObUZ4868
Permit Status : APPROVED Applied : 10/21/91
Situs Address : 9bbb SW WASHINGTON SQUARE RU TI Issued : 10/21/91
Permit Title : KURUS COMPANY -WASH SQ-ELECTRC Completed :
Permit Uescr. : JOb * 4811 To Expire : U4/113/92
Project Title : KOBUS COMPANY -WASH SQ-ELECTRC Project * : P0019421
Protect Descr. : JOb if 4811 * EROSION *
Parcel Number Land Use District :
valuation • U
Legal Uescr .
uwner Construction : O'Trl
Applicant Name : MEYER SIGN COMPANY Classification : 90U
Applicant Addr . : /d40 SW LANDMARK LN occupancy
TIGARD UR 9/22.3 Validated by : VU
Applicant Phone: 620-8200 Inspector Area :
CONTRACTOR : MEYER SIGN COMPANY Lic. C 20-190CLS 620-8200
Fee description Units Fee/Unit Ext fee Data
Sign or Outline Lighting 1 36.00 36.00
subtotal Electrical Fees: 36.00
State Surcharge of bA 1 .80
Total Electrical tees: 3'/.811
*a* Fees Required *** *** Fees Collected 8t Credits A *.
Receipt No. Date Payment
10/21/91 3'/.80
Fees: 37.80
Ad1urit_rents: .00 Total Credits: .00
Total Fees: 31.80 Total Payments: 3/.80
Balance Due: .0U
PI TICE This permit becomes null and void If the wort or construction for which It is Issued le not commenced within ISO drys Once construction has started.
the permit becomes null and void If construction Is Interrupted for it period of ISO days I certify that the information presented by the applicant and
his agent or agents In support of this permit le tris and cornett to Iha best of our knowledge I acknowledge that IM Building Department's reliance
upon false and misleading Information may invalidate this permit All provisions of applicable laws and ordinances governing the construction and usr
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets I acknowledge that
Me granting of a permit does not grant authority to access privet.property or to use r @moments I further acknowledge that lbs use or occupancy of
the structure or building permitted depends upon my calling for inspections al various times during Me process of construction and the building
Inspection staff verifying compliance wIth the venous 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 ate satisfied and
approval is given by the Building Oflklal I further acknowledge that a lien may be pieced on the tulle of the property upon which the permit is Issued
speclly,ng that the use or occupancy of the building or Structure is provisional and revocable until the satisfaction of all Inspection requirement•
APPLICANT'S SIGNATURE
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WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Lan;1 Use & Transportation
WI
E1--ctrical Firm. ;ion Section AP P LI ATI O N
155 Noro`r First Avenue,#350-12
ills)64 Oragon 97124 ri�1)1 5 al-8(09
Information: (503)640-3470 Fax: (503) 693-4412 Project/Permit tQ
Number . D.ito
PLEASE PRINT
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections ler permit flowed y
1. Location of installation Service included: Items Cost(ea.) Sum
Address '/595 sin. 4/A-4,1/s'; ‘;/111,4 r .r'.� - ---–
- A. New residential-single or multi-family
City /i e`L- test.. ZipCode per dwelling unit.
—.—_ 1500 w tt or leas $85.00 _ 4
Each additional 500 sq h
Directions /((i:/ /LJ 4r A i•,y- _ or portion thereof __ $1500 _
Each Manufd Home or Modular
— -- Dwelling Service or Feeder ___ $35 00 2
B.Services or Feeders(10 branch circuits included)
Commercial ✓' Residential El Installation alterations or relocation
Tenant Name 100 ampsor loss __ $35 00 2
101 amps to 400 amps $60 00 2
(If commercial) k/r1 fla Lei.-.1-/'ifry Y 401 amps to 600 amps $80 00 2
601 amps to 1000 amps 5130 00 2
2a. Contractor installation only: Over 1000 amps or volts $30000 2
Reconnect,,nly $35 00 2
Electrical Contractor r►7e yi,c. -5/fr..' L e•
Address/JIG Lt., /.-op.,dM an.it L_N i iAAi[4rynit C. Temporary Services or Feeders
Date j c://>i%Q/ Job Number if(7/ Q pr 7 i Installation,alteration or relocation
Property Owner _0t .i ry y irltyc:.'Cr _ 200 amps or loos —__ $35 00 2
201 amps to 400 amps ___ $40 00 2
Contractors License No. 1n •.i9G cc S 401 amps to 600 amps $80 00 _ 2
Contractors Board Reg.No. i '70/Y Over 600 amps to 1000 volts see'FY above
Signature of Supr. Elec'n 'Jy{/�L,L� D. Branch Circuits
License No.?D /re e L s Phone N/E+ <<' �L C�` Now,alteration or ertensinr per panel
Cane circuit __ x.00 2
Two to ten circuits $50.00 2
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2b. For owner installations: Each additional ten c❑c.u.ts
or part thereof ___ $15.00 2
Print Owners Name Phone No E. Miscellaneous (Service or Feeder not included)
Address — Each pump or rrngati n circle $36 Cit, 2
Each spa or outline lighting __— $36 00 i k• GU 2
-- — Signal circulus)ore limited
Cay State lip
energy panel.alteration
or extension ._ $36 00 __
The installation is `Teing made on property I own —
which is not iniended for sale, lease or rent. F. Each additional inspection over the allowable
in any of the above,per inspection
Owners Signature
$35 00
3. Plan Review section (if required) 5. Fees
A. Enter total of above fees $ 3‘,.(:•',.,
I 5% Surcharge(.05 X total fees) $ 2 c- _
Subtotal $
B. Enter 25% of line A for
1 ---- --- Plan Review if required(Section 3) $
For inspections call Subtotal $ _
640-3561 or 693-4415 Less Bulk Label Fee 5 _
24-hour recorder, Balance Due $ ,
one working day in advance of need
This permit becomes null and void if the work authorized by the permit is not commenced within 160 days from date of issuance
of such permit or if the work authorized Is suspended or abandoned at any tire.after wore,is commenced for a period of 180 days.
Electrical Permits are non refundable and non transferable. 10 tiff
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