9685 SW WASHINGTON SQUARE TI 9685 SW WASHINGTON SQ RD TI P49728
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DEPARTMENT OF LAND USE&TRANSFORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS. 503/640-3581/693-4415
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` OREGON
XXXXXXXXX--> 64J-3470
PataJ : 1 of i
Date : 05/05/95
Time : 15 :44
Permit 'Type : (� mniercial Electrical Pet nit Dermic 0 : 05067353
Permit Status : APPROVED Applit•ct : 05/05/95
situ:; Address : 9685 SW WASHiNc; oN SUUAktt:; HD issued , 05/05/9'
Permit 'Title : J H1f.+GENs - 19 CIRCUITS Completed .
Permit Uescr ,, , ,'013 5b-13 C7 To Expire : 11/01/:+:i
project Title : J Hic,GENs -- 19 C1PCU1 Project 0 . l'00497?''1
Project Leser . : JOB S6-13 (. / ► EROSION A
i . •i'dreel Ntunttet. . isl'1'1 - ...anti He 1)i^trict .
kidJ Uctti on II
uwULI . ! N:. ,ECTioN - .t'ilAHLI ( on ;eruct ion : UTH
Hppi.1(..ant Nd:ue . AB(.' t1 . 'itt.L(. ,._'id`Js1t1cat qr!r,
( ApI,1: : :int N,t'It , : lis Nt:, 9i r: AV I.), up. ncy
PORTLAND, (-''c( 9 /l.il, Vdllriatet.l t'y
I .'I.,Llcat(t Phone : 2i3-1551 , . , •
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+� t•ntr• n . 1 .15 . 00 35 . 006.
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1'15. 00
6 . 25 '
131 . 25
• ' • , • • , r•r•,•: C'!)11ect.ed L Cret:►its
Payment
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NOTICE This permit becomes null end v'Id If the work or constr 'cion for which It Is issued is not commenced within 1e0 days Once construction nes started.
the permit heccmes nu!'and void if construction is into upted for a period of 180 days. I certify that the information presenter'by the applicant and
his agar,or agents in support of this permit is true and correct to the best or our knowledge I acknowledge that the Building Department's reliance
upon fa'se and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances governing the constructimn and use
of this'.wilding or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further ocknowledge that the use or occupancy of
the Eructure or building permitted depends upon my-.ailing for inspections at various times durhig the process of;onstruction 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
Buildin'Department is solely at the risk of Me applicant and such use or occupancy is revocab;e until all inspection requirements era satisfied and
approval is given by the Building Official further acknowledge that s lien may be placed on the title of the property upon which the permit is issued
jj specifying that the use or occupancy of the building or structure I provisional and revocable until the satisfaction of all inspection requirements
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4 ,PPL►CANT'S SiONATUPS
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WASHINGTON COl1NTY
Department of Land Use & Transportation
ELECTRICAL PERMIT
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Electrical Inspection Section
155 North First Avenue,1350-12 APPLICATION
Hillsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 6934412
Permit
PLEASE PRINT Number exV�' �S — Date _' %;'f_
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
1. Locht
(�� '%n of Installation Number of Inspections per permit allowed
'I AddressyU` �Tv, j .j)j-
►�` :�- C.7 Service included: Items Cost(ea.) Sum
Budding A. Residential-per unit
' City V)r rteQTc,,Tc, 7
Suite No. C
Tenant Name 1000 sq ft.or less $11000 4
(if commercial) ,,• \ ({(...,e. 1`J S
Each additional 500 sq ft
or portion thereof $25.00
Limited Energy $25.00 -- - t
Map No. —Tax Lot Each Manufd Home or Modular
Dwelling Service or reodel $68.00 _— — 2
Thomas Map Book: Page: Soction:
Directions._____ -- — B. Services or Feeders
-- Installation,alterations or relocat,on
200 amps or less _ _ $60.00 — 2
Commercial vi F,Isidential r_l 201 amps to 400 amps $80.00 2
401 amps to 500 amps ___ $120.00 _ _ 2
2a. Contractor Installation onl : Ov60amps toor 1000 amppss100 —amps -- $140� 2
Y Ovor volts _ $34000 00 _— 2
Electrical Contractor /ilk. tl_ L Et. re Reconnect only $50 00 2
Address 1'33 t•tE- (')t Awt,...,
City ,,i'1t•-"t•••lb State (:)& ZIP '1U3"Z. C. Temporary Services or Feeders
Date C– A - `j 5 Job Number :;1., - l3 Installation,alteration or relocation
Property Owner_ 100 amps or less _____ $50 00 2
201 ampn to 400 amps _ $75.00 2
Contractor's License No. ZlQ ?r:. --- 401 amps to 600 amps $100 00 _ _ 2
Contractor's Board Reg. No. :4 Os.-.r 600 amps to 1000 volts see't3'above
Si nature of Sur. Elec'n� `l at✓`^ "� 'r`
9 P 0 Blanch Circuits
License No. (3 2 -1 3 Phone No.21 3-Tits/ New,alteration or extension per panel
a) The foe for blench circuits with
2b. For owner Installations: purchase of service or reed fee. (1 0
Each branch circuit _1� $5 00 — 2
b) The fee for branch circuits without
Mint Owner's Name —15Fone No. purchase of service or fes r fee.
Address �' — — First branch circuit I _ $35 00 3) 2
Each add nl branch circuit_ $5.00 _ 2
City Meta Zip i— E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle___ $40 00 2
The installation is being made on property ! own Each sign or outline lighting $40 00 _ 2
which is not intended for sale, lease or rent. Signal rircuiusi 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) Por inspoc,ion ___ $35 00 _
Per hour _— $55 00
Please check appropriate hem and enter fee In section 58 In Punt $55 00 — v_
_4 or more residential units in one structure
Service and feeder, 800 amps or more 5. Fees , c,,
System over 600 volts nominal A. Enter total of above fees $ _ I Z .
Classified area or structure containing special 5% Surcharge (.05 X total fees) $ (P /
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 Subtotd! $
services I 1 Trust Account $ _
Balance Due $ k 3 '
For inspections call -hi. rind become.null end void f the wore•uthnrited bylb.
M p.rmd 1e not eomm.M.d
640-3561 or 693-4415 within 1110 day•born date of issuance of such permit or if the wore suthorited le
suspended or abandoned sl any I'm.eller wore le commenced for a period of 1110 days
24-hour recorder, one working day in advance of need r..drical p.rmo..ra non roundablo and non-lrand.,.ble
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DEPARTMENT OF LAND USE & TRANSPORTATION
Aft WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 12
155 NORTH FIRST, HII.LSBORC), OR 9717.4
COUNT'i1',
i PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 how z.): 603/640-3561 or 693-4415
. 1 Pe•rmi a 067353 Pro ject 11 P0049728 Status APPROVED Parry 1 :.,f 1
Axi ' , ra . X05/95 issued 05/('S/95 Expires I1/01 /95 05/11/9 ; 05 , 02
COhIELEC
Perm. ' .1 kIGGEN& - ' !'RCIIITS OTOT11ur, : 0'a/05/45
Desc�r:i ; i I. 30B 56- 11 r)
• Job A Ltr t.r- 9685 SW WASHINGTON SQUARE k') TI
Own'e2 Name INSPECTION - T I GARD keq t an '?
Applicant Name ABC ELECTRIC
Phone numb,-r ::33-'755,1 Valuation 0 Approved_.
i Ir,E frt r (`(-, L ls(L4 'e,.�a• oe� eeF `}- Iwo pa* Cal
F' nu��Fntt
c1.4.ad, 6 ._.1,02. ..4.2.4.4 _._ .__.._ .
• .___.__ - Iu,2 -14 coo REOEST ><kkctR '
-- -_ 0 k 4-v .. . �_ .�41,..4__...5 . .._, -c - --
LSV e...0, 41.a... .k , .. 01 1 c............
..__..__ __.. _ — U 1-- - 6.c2
ti.. _ ._.. . ..._,_.. _
Plumbing ...___. —.____.— __ *__— __. — _—.. —.
Mechanical : ._.._ . .._...-_____- —.__ _ _ .__._.-_.-._ ___. ___._.__.. . ..._.._._ _
E 1 e c t r i c a 1 • —_ - .--.-_ ._--------....—. .. ..._. _ -....____.-.. _
t.ructrual . _�_ _ _ ..._.. ._.. __ _ _._ _..._._.___..
General .---- -
I aspected by .-_. nate S`it .5.._.-_-
Inspection Requested•
* Cover & Service 040.1 E AP DN IVR
05/11/95 AI RIIVR 26- 40 C
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;I DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 8350-12
I illift155 NORTH FIRST, HILLSBORO,OR 97124
CO11N ' PHONE: 503/640-3470
OREGON 155
REQUESTS(24. ou,a): 503/640-3561 or 693-4415
Perini . 06735 1 P: ;:,:t * P0049726 Status ,! VEL 'I ot 1
Applied . 05/05/95 Issued 05/05/95 Expires 1 './r1/95 05/ 12/95 05 02 t
COM EL EC
terms! Title J SIAGGENS - 19 CIRCUITS :,TH
Description JOY 56-13 C7 '+eyun. 05/05/95
Job Address 9685 SW WA. I{INGION SQUARE RD TI
Owner Nan? INSPECTION - TIGARD Region D
Applicant ',taint ABC ELECTRIC
Phone numbter 23'3-'7551 Valuation 0 Approved
.r...+4,(.4.1... (•. •, rocrel c't 4-- i iQo.r 12,1
',,,..ap ,'-s'or Continents Rejected..
- -- _. L- `r_ 1--4! -titJ !%'C !1 IVU-RESULT
- - 0 _�UZ.!-e-l•!_ _ 3 '1—.. '^.S.4 . Ti . _._4U _. REQUEST ERROR
Plumbing I
Mechanical
Electrical —,__--_s_
3tructrua:
+;e n e r a l _ _ ..___. _ .____�_. _._
I nspec t e3 aY ____._- _ Dat_e3 -5-12 Z•�._
Inspee7tion Requerted
k Cover & Servtc:e 0403 E. AP DN ,,,T
'I 05/12/95 RI VVV 1eIIVD 26--2C
05/11/95 RI RI !VII 26-2C c..'
05/11/9;, DN 1NIV1 LIIT6 i 13;;
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DEPARTMENT OF LAND USE & TRANSPOR rATION
i WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PhONE: 503'640.3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
?ermi .06-- _;er.E. * P004972A . atue Page 1 of 2
Applied : 05/05/9a Ise•utd 05/05/9'• Expires ; 1/ i/ J:. 05/16/9S 05 01
COMELEC
d Permit Title 3 RIGGENS - 19 CIRCUIT:, 0TH
I Description JOB 56-1'3 C7 Begun ! 0(/06/95
Job Adiress 9685 SW WASHINGTON SQUARE RU TI
Owner Name INSPECTION - TIGARD Region r>
Applicant Name ABC ELECTRIC
Phone number 233-7551 Valuation . 0 Approved
&A m_ 4=44., rood et- L. lvtAr pwr 147
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Inspector Comments Relected,_, _
_ cegr+, 4 L171- iv11-RESULTS
REQUEST ERROR'
fPlumbing _..r.....—..--- -_ + _ _ . _.—... ._ . __ _ - --
Mechanical --- — _r ____ ___ _. _-__.__ ._. ..
Elect.ricat _. .._ _ ..._.._ --._._.._.... _. ...Y._..---.- __
S t r u c t r u e l __. ... __.._._ ____-_ .w.. _— _—-.._ ---.---
Inspec.ted by. _ • __ ._ ..___ Date __5, -16 -5_5___
Inspection Reque,s*ea
* Ceiling Caves
di) 0414 E AP LAN IVR
. 05/16/47) RI '“ IVR 26-20 ('
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DEPARTMENT Of LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350.12
ii" WASHINGTON 155 NORTH FIRST, KLLSBORO, OR 97124
' .I W CUUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
O'ermit IV 050. 7351 Pr: :'Pr:% ie,:t 4 P0049726 Statue • APPROVES Paye 1 t 2
Applied 05/C5/45 Issued 05/05/9r Expirea 11/01/95 0
5
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9S
05 . 0 ;
Permit Title - J RIGGENS - 19 CIRCUITS 4TH
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Description JOB 56-13 C7 Beynn : 05/05/4,.
' ,h Address 9685 SW WASHINGTON SQUARE RLQ ".I
.wner Name INSPECTION - TIGARD Regio L
Applicant Name ABC ELECTRIC'.
• Ph<ne number 2 3?-7551 VaIuat l;;r. 0 Appro"'ed-
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Inapecter Continents �� r'" Reje trees,_-- 1T_-
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_ __._.__._ ✓lJt/1K <I G w►1 �-cZ __ � .._. Ili-RESULT<
REQUEST ERROR '
Mechanicto1 ..__ ,.__ _-._.. . ... ____
Electrical ..... . . _.. ..__ ._____ _...
Strurtrust) _._.._.._
Inspected i.y ... ._ _ - La• e u`S.S ........... .
I Inspection Requested
• Ceiling Cover 0414 E AP LN HP
• 05/26/95 RI AI1VR 26-2C '2
05/16/95 RI 1tIIVP 26--eC
05/ 16/95 CSN 4S LNIVTi LUTE I BS M
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELO, HENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION HEOUESTS (24 hours): 503/640-3561 or 693-4415
Permit. 4 . 05(767353 krc]er-t. It I+( ti{ . r :` t I of
Applied 05/05/9 :+ lasuei 05/0S/95 E; -Er - OS/3I./95 05 .01
COMELEC
Permit Title J 1<IGGEN.S - 19 CikCUITF, OTB
Dercriptie)„ JOB 56-1 : C7 Begun CP-../U5/10
Job A4dresF 968'.% SW WASHINGTON SQUARE R1, TI
Owner Name INSPECTIGN - TIGARI4 Region f!
Applicant Name AR" ELEC:TRIr
Ph3ne number -"5S1 (1 Alpr<•��.d
Ins actor Comments F ' < I d-
p .�t��� r RN.1 a:t.ed
_ '4471r:
Plumbing
Mechanical
Electrical
,717r7artzual •
I„neral ��
Inspected by 5-3/ -SS
Inspes-ti,)n Requestoi
DS/3l/9 RI l/