Permit CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: (5 n.5 (.i) Footing Susp. Ceiling Sprink. Rough-in Appr /Sdwlk
Foundation Plbg. Underslab I' •. - • • u -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: ` ' a -- 7 — ° 1S Time: ' AM PM
Address: /�c3W 10„,_,-,--c. TTwci
Builder: 63 ei n 5i 7nS Permit #: & -‘75 /D
THE FOLLOWING CORRECTIONS ARE REQUIRED:
6 '7s - -,3.P a o
1r'_ -
t
Inspector: j MAW,
Date: -,7--75
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.A6 4
p O -r-:Je-
DEPARTMENT OF LAND USE & TRANSPORTATION
AIIN WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503/640- 3561/693 -4415
XXXXXXXXX - -> 640 -3470
OREGON Page : 1 of 1
Date : 06/16/95
Time : 10:30
Permit Type : Commercial Electrical Permit Permit # : 05065098
Permit Status : APPROVED Applied : 03/14/95
Situs Address : 13305 SW PACIFIC HW TI Issued : 03/14/95
Permit Title : TACO BELL SERVICE /FEEDERS /CIR Completed :
Permit Descr. : 57 CIRCUITS /LOW VOLTAGE To Expire : 09/10/95
Project Title : TACO BELL SERVICE /FEEDERS /CIR Project # : P0048321
Project Descr. : 57 CIRCUITS /LOW VOLTAGE * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation 0
•
Legal Descr.
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : MORSELECTRIC Classification : 900
•
Applicant Addr.: P.O. 331 Occupancy
WOODBURN OR 97071 Validated by : EB
Applicant Phone: 982 -7808 Inspector Area : D
Fee description Units Fee /Unit Ext fee Data
Service/Feeder:Z00 amps or less 4 60.00 240.0U
401 amps - 600 amps 1 120.00 120.00
Each Branch W/ Feeder [Enter #] 57 5.00 285.00
Limited Energy /Alter. /Extension 4 40.00 160.00
Subtotal Electrical Fees: 805.00
State Surcharge of 5% 40.25
Total Electrical Fees: .845.25
* ** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
CK 596 03/14/95 761.25
CASH 0000 06/16/95 84.00
TOTAL THIS DATE * * * * * * * ** 84.00
Fees: 845.25
Adjustments: .00 Total Credits: .00
Total Fees: 845.25 Total Payments: 845.25
Balance Due: .00
NOTICE: Th is permit becomes null and void if the work or construction for which It is issued Is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction Is interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may invalidate this permit All provisions of applicable 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 sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction 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
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 the Building Official. I further acknowledge that a lien 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 Is provisional and revocable until the satisfaction of all inspection requirements.
APP ANT'S SION UBE
LIN CO TY
Department ASHINGTON of Land Use & Transportation ELECTRICAL PERMIT
Ire Electrical Inspection Section
155 North First Avenue, #350 -12 APPLICATION
Hillsboro, Oregon 97124
Information: (503) 640 -3470 Fax: (503) 693 -4412
Permit 'cO / �- C� Q�
PLEASE PRINT
Number "' L'(1 Date
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections per permit allowed
1. Location of installation,
Address /13 6 s ...< P1 44 ili✓ � Service included: Items Cost(ea.) Sum
Building A. Residential - per unit
City Suite No.
1000 sq. ft. or less $110.00 4
Tenant Name Each additional 500 sq. ft
(if commercial) or portion thereof $25.00
Limited Energy $25.00 1
Map No. Tax Lot Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
Thomas Map Book: Page: Section:
Directions B. Services or Feeders
Installation, alterations or relocation
200 amps or less $60.00 2
Commercial
n R esidential n 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor i a s allation nl _ 601 amps to 1000 amps $180.00 2
Y• Over 1000 amps or volts $340.00 2
Electrical f> - ntractor 4 E & Ej-e__ - e__ C Reconnect only $50.00 2
Address 0 - ).
City _ __/ �iPA AW S ate 1 ZIP • C. Temporary Services or Feeders
Date ��irttt�r Job Number Installation, alteration or relocation
Property Owner ' - • (.J( 200 amps or less $50.00 2
Contractor's License No. 1 (07 C.-- 201 amps to 400 amps $75.00 2
Contractor's Board Re . No 401 amps to 600 amps $100.00 2
g l o Over 600 amps to 1000 volts see 'B' above
Signature of Supr. El 7/-7-.1_
c'n D. Branch Circuits
License No. PS Phone No. (J 2 '7 c 0 New, alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations: purchase of service or feeder fee.
Each branch circuit $5.00 2
Print Owner's Name Phone No. b) The fee for branch circuits without
purchase of service or feeder fee.
Address First branch circuit $35.00 2
Each add'nl branch circuit $5.00 2
City State Zip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 2
The installation is being made on property I own Each sign or outline lighting $40.00 2
which is not intended for sale, lease or rent. Signal circuit(s) 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) Per inspection $35.00
Per hour $55.00
Please check appropriate Item and enter fee In section 5B. In Plant $55.00
4 or more residential units in one structure
5. Fees
Service and feeder, 800 amps or more
System over 600 volts nominal A. Enter total of above fees $
Classified area or structure containing special 5% Surcharge (.05 X total fees) $
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 Subtotal $
services. ❑ Trust Account $
Balance Due $ ■•
For inspections call This permit becomes null and void if the work authorized by the
640 -3561 or 693 -4415 h permit authorized not commenced
within 180 days from date of Issuance of such permit or if the work authoo rized Is
suspended or abandoned at any time after work is commenced for a period of 180 days.
24 -hour recorder, one working day in advance of need Electrical Permits are non-refundable and non- transferable.
8/94
I f 11 1
DEPARTMENT OF LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12
AIN WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY,
OREGON PHONE: 503/640-3470
INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit #: 05065098 Project #: P0048321 Status : APPROVED Page 1 , :t 2
Applied : 03/14/95 Issued : 03/14/95 Expires : 09/10/95 05/09/95
COMELEC
Permit Title : TACO BELL SERVICE/FEEDERS/CIR 0TH
Description : 57 CIRCUITS /LOW VOLTAGE Begun:03/14/5
Job Address : 13305 SW PACIFIC H,J TI
Owner Name : INCPECTION - TIGARD Region D
Applicant Name : MORSELECTRIC
Phone number : 982-7808 Valuation: 0 Approved___
Inspector Comments: Rejected_ _
CalyjrZ, CONA-1- Marvb0 Pyft
Urr_e__ WE_ As a-A-c4L7 ghlv Nfg,dao.
REQUEST TZ.R1'
Plumbing :
Mechanical:
Electrical:
Structrual:
General : _ _______ s_72:77,7, _
Inspected by:_
Inspection Requested:
* ReL lnq 9 0414 E AP
;'=„/:',..3 Ri LG 624-741
•
DEPARTMENT OF LAND USE & TRANSPORTATION
All% 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
Permit ,,50650911 Project #: P0048321 Status : APPROVED Page 1
Applied : 03/14/95 Issued : 03/14/95 Expires : 09/10/95 05/11/9; r;r,:'22
COMELEC
Permit. Title TACO BELL SERVICE /FEEDEi2S /CIR OTH
Description 57 CIRCUITS /LOW VOLTAGE Begun:0:1/14/9
Job Address 13305 SW PACIFIC HW TI
Owner Name INSPECTION - TIGALtt) Region 0
Applicant. Name : MOItSELECT'RI C
Phone number 982 -7808 Valuation: 0 Approved_
Inspector. Comments: dg Rejected
III2i IVF.- .RESULT;:
•
J 1 1A % LD REQUEST t14i;OR
Plumbing
Mechanical:
Electrical:
Structrual .
General
Inspected. by: J - r - Date-, 6 10/551_
Inspection Requested:
*4311=0 0405 E AP DM IVR
11/95 RI LG 624 -0741 PLS TAKE A STICKER
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
siVp COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON . XXxXxXxXx - -> 640 -3470
Page : 1 of 1
Date : 03/14/95
Time : 15:55
Permit Type : Commercial Electrical Permit Permit # : 05065098
Permit Status : APPROVED Applied : 03/14/95
Situs Address : 13305 SW PACIFIC HW Ti. Issued : 03/14/95
Permit Title : TACO BELL SERVICE /FEEDERS /C1R Completed :
Permit Descr. : 57 CIRCUITS /LOW VOLTAGE To Expire : 09/10/95
Project Title : TACO BELL SERVICE /FEEDERS /CIR Project # : P0048321
Project Descr. : 57 CIRCUITS /LOW VOLTAGE * EROSION *
Parcel Number : 2S1T1 - Land Use District :
Valuation 0
Legal Descr.
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : MORSELECTRIC Classification : 900
Applicant Addr.: P.O. 331 Occupancy
WOODBURN OR 97071 Validated by : EB
Applicant Phone: 982 -7808 Inspector Area :
Fee description Units Fee /Unit Ext fee Data
Service /Feeder:200 amps or less 4 60.00 240.00
401 amps - 600 amps 1 120.00 120.00
Each Branch W/ Feeder [Enter #] 57 5.00 285.00
Limited Energy /Alter. /Extension 2 40.00 80.00
Subtotal Electrical Fees: 725.00
State Surcharge of 5% 36.25
Total Electrical Fees: 761.25
* ** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
CK 596 03/14/95 761.25
TOTAL THIS DATE * * * * * * * ** 761.25
Fees: 761.25
Adjustments: .00 Total Credits: .00
Total Fees: 761.25 Total Payments: 761.25
Balance Due: .00
NOTICE: This permit becomes null and void If the work or construction for which It Is Issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void If construction is Interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may Invalidate this permit. All provisions of applicable 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 sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction 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
Building Department is solely at the risk of the applicant and such use or occupancy is revocable.0 • nape = requirements are satisfied and
approval Is given by the Building Official. 1 further acknowledge that a lien may be placed a title of the property pon which t - permit is issued
specifying that the use or occupancy of the building or structure is provisional and rev able until the satisfaction • all Inspecti = 421 • ents.
UC • " SIG • TUR -
' WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
`
Electrical Inspection Section
155 North First
• Hillsboro, I bo o, Oregon Avenue
97124 350 -12 APPLICATION
Information: (503) 640 -3470 Fax: (503) 693 -4412
Permit
PLEASE PRINT Number Date 3 / c{ 4D
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
•
1. Location gstall • t/ a y
Address Number of Inspections per permit allowed
' I •_ Is Service included: Items Cost(ea.) Sum
Building A. Residential - per unit
Ci .� Suite No.
1000 sq. ft. or less $110.00 4
Tenant Name E ach additional 500 sq. ft
(f commercial) T/A C� I P� 1.--c- or portion thereof $25.00
Limited Energy $25.00 1
Map No. Tax Lot Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
Thomas Map Book: Page: Section:
Directions B. Services or Feeders
Installation, alterations or relocation
200 amps or less 1 • $60.00 '2-4 1 2
Commercial X Residential n 201 amps to 400 amps $80.00 2
401 amps to 600 amps _1 $120.00 (.1 Al 2
2a. Contractor i tallatio only: 01 amps to 1000 amps $180.00 2
Y• Over 1000 amps or volts $340.00 2
Electrical ,;,• ntractor a2s6 (-6-C_7)2( C Reconnect only $50.00 2
Addres 1 . 0 f a
City _ • r_~ Stat: C ZIP V 0 C. Temporary Services or Feeders
Date ' /rif Job N ber Installation, alteration or relocation
Property Owner ft---l--0 200 amps or less $50.00 2
Contractor's License No. (1 - (O / L 201 amps to 400 amps $75.00 2
Contractor's Board Reg. z_ 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts see 'B' above
Signature of Supr. El c'n D. Branch Circuits
License No.7 514 XS Phone No.? ,g New, alteration or extension per panel
a) The fee for branch circuits with i
2b. For owner installations: purchase of service or feed
Each branch circuit $5.00 2 � `, 2
b) The fee for branch circuits without
Print Owner's Name Phone No. purchase of service or feeder fee.
Address First branch circuit $35.00 2
Each add'nl branch circuit $5.00 2
City State Zip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle ' $40.00 2
The installation is being made on property I own Each sign or outline lighting $40.00 2
which is not intended for sale, lease or rent. Signal circuit(s) or a limited .
energy panel, alteration
Owner's Signature or extension $ 0 0 2
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00
Per hour $55.00
Please check appropriate Item and enter fee in section 5B. In Plant $55.00
4 or more residential units in one structure 5. Fees
Service and feeder, 800 amps or more Z S�
System over 600 volts nominal A. Enter total of above fees $ /
Classified area or structure containing special 5% Surcharge (.05 X total fees) $ ( I
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 Subtotal $
services. ❑ Trust Account $ -
Balance Due $ '7 6 /, 7.J
For inspections call This permit becomes null and void if the work authorized by the permit Is not commenced
640 -3561 or 693 -4415 within 180 days 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.
24 -hour recorder, one working day in advance of need Electrical Permits are non - refundable and non - transferable.
8/94
I OW
• DEPARTMENT OF LAND USE & TRANSPORTATION
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
Permit #: 05065098 Project #: P0048321 Status APPROVED Page 1 c)
Applied : 03/14/95 Issued : 03/14/95 Expires : 09/10/95 03/23/95 03:?
COMELEC
Permit Title TACO BELL SERVICE /FEEDERS /CIR 0TH
Description 57 CIRCUITS /LOW VOLTAGE Begun:03 /14/95
Sob Address HW TI.
Owner Name INSPECTION - TIGARD Region D
Applicant Name : MORSELECTRIC
Phone number 982 -7808 Valuation: 0 Approved__
Inspector Comments: Rejected
f _C //C /l/9C _ IVR- RESULTS
COL ,V, /o cJ -e0( fok cat) efip. r 5 /46 ,
REQUEST ERRC':
Plumbing .._._
Mechanical:
Electrical:
Structrual:
General
Figs acted by: / 0?6 Date: —� - ,7
1ncpction Requested:
k a ec.i.al Inspection - 0412 E AP DN
t;3 / /9b ' I BW "SLAB" /NEIL 624 -0741
,ry
•
DEPARTMENT OF LAND USE & TRANSPORTATION
Aft 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
Permit #: 05065098 Project #: P0048321 Status : APPROVED Page 1 of 2
Applied : 03/14/95 Issued : 03/14/95 Expires : 09/10/95 04/14/95 08:42
COMELEC
Permit Title TACO BELL SERVICE /FEEDERS /CIR OT}i
Description 57 CIRCUITS /LOW VOLTAGE Begun:03 /14/95
Job Address 13305 SW PACIFIC HW TI
Owner Name INSPECTION - TIGARD Region 0
Applicant Name : MORSELECTRIC
Phone number 982 -7808 Valuation: 0 Approved - i
Inspector Comments: Rejected
IVR- RESULT"
REQUEST ERROR!
MN (C !
Plumbing
Mechanical:
Electrical:
Structrual:
General _
Inspected by: Date: ° -5c,
Inspection Requested:
* Cover 0404 E AP DN IVR
04/14/95 RI MAC
DEPARTMENT OF LAND USE & TRANSPORTATION
AIIN 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
Permit #: 05065098 Project #: P0048321 Status : APPROVED Page 2 of 2
Applied : 03/14/95 Issued : 03/14/95 Expires : 09/10/95 04/14/95 08:42
COMELEC
Permit Title TACO BELL SERVICE /FEEDERS /CIR OTH
Description 57 CIRCUITS /LOW VOLTAGE Begun:03/14/95
Job Address 13305 SW PACIFIC HW TI
Location Detail: Region 0
Applicant Name : MORSELECTRIC
Phone number 982 -7808 Valuation: 0
Applicant Addr : P.O. 331
WOODBURN OR 97071
Parcel Number 2S1TI -
Inspection History Summary:
* Special Inspection 0412 E AP DN IVR
03/23/95 RI RW "SLAB" /NEIL 624 -0741
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640 -3470
OREG INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
1i,pp 1 . .
ermit Title TACO BELL ; SERVICE
/
ecriptic�n:; 57 CIRCUITS /LOW Vii
Ob Address : 13305 SW PACIFIC HW
toner Nattlk �f:' +TT, °- ilrr�a
- pplicant
rn number 9 3a - "7808 Vaivar.
Approv a..
nspectar Comments -:
. .R -RE6 " .
�_ iV' ll�'i
.. .. REQUEST ERROR! .
■
■
,.,....._ .........00 .....■..._ _._
..
■
umb i n5 , _____, _. , - ......
M echanical:
r
Electrical
f
.S:tructrual
F nspec - hed. by /0t/ 6 -1 7 ._)-/ s
l 4 -.1.. ., ::- 1.. .1: -:-..i.-: :...i:
E.-) i
4.J. final E:lect.ri
06/22/95 .
06/20/95 ...K.
'' ''`' /Y5 DIY 4JS i'1NIv' r^+
1 4 DEPARTMENT OF LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12
1 WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY,
OREGON PHONE: 503/640-3470
INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
;
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'VW 44
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
iliVo NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640 -3470
O REG O N INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
P .i � 8C. :. ;
:' .r. l C • .. 4 i" � i C_ c , t_ ca t .:i h -:
I cruel 05 /i',; /9'.. E Xp71, r EEL ri c,:1 7 7.
Iii: _. .:. S .. ? .'C BEL._. - L. L
.. '.::t .7. ; ;TL .NE .. ! TS'1.. ... _Yfai.F.vvNriYrT Si`_ 1 - ..
.? A .µ _ _ 72. L .. SW PA 1.. -. S . HW T1
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,
DEPARTMENT OF LAND USE & TRANSPORTATION
AO% WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
155 NORTH FIRST, HILLSBORO, OR 97124
Iiiiii, COUNTY, PHONE: 503/640 -3470
OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
1)Tereta Nam . . pwrre7T?;M1`m - 1IGARD
. 98;4-1806 u
l Inspe.,tor Comments: ' v " - -
- . y I R- RE .SIIL` .: - „,,, p c a 1 ...____.... ...
. y,i
- .A/ 1 t-,'(»/('( /5 •- , ......... -. REQUF?T ER1 O1 -' 4110:50.--e6P1
�.� _ ��� ��_ ,!..(4 �� �. �'`
C ,f i .?" - %X-t
p
►iuMbir.<
Mechanical.
Electrical __
Structruai �..... _....__._ __ _
.seneral
nspected by: r .o.c? � Da #.e d -s
� LR
Inspection Requested: ,
E. 0, Electrical 0499'' ;I ,P DM ' IVI:
k ` a- 6 /20 - /9S n ='RIB MAC .,
r• _ .. K ,`
_.... _ ".. -. .... .ter .SS'..'�2..__ ... ..
DEPARTMENT OF LAND USE & TRANSPORTATION
4011,1 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
• COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
•
OREGON XXXXXXXXX - -> b40 -3470
Page : 1 ot 1
•
Date : 05/22/95
Time : 08:50
Permit Type : Commercial Electrical Permit Permit # : 05067943
Permit Status : APPROVED Applied : 05/19/95
Situs Address : 13305 SW PACIFIC HW Ti Issued : 05/19/95
Permit Title : TACO BELL - LV Completed :
Permit Descr. : PROTECTIVE SIGNALING To Expire : 11/15/95
Project Title : TACO BELL SERVICE /FEEDERS /CIR Project # : P0048321
Project Descr. : 57 CIRCUITS /LOW VOLTAGE * EROSION *
Parcel Number : 2S1'1'1 - Land Use District :
Valuation 0
•
Legal Descr. •
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : NATIONAL GUARDIAN Classification : 900
Ap iicant Auer.: 5110 NE SANDY BL Occupancy
PORTLAND, OR 97213 Validated by : PH
Applicant Phone: 288 -3430 inspector Area :
Fee description Units Fee /Unit Ext fee Data
Limited Energy /Alter. /Extension 1 40.00 40.00
Suototal Electrical Fees: 40.00
State Surcharge ot 2.00
Total Electrical Fees: 42.00
*** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
Cr. 5391 05/19/95 42.00
Fees: 42.00
AJjustments : .00 Total Credits: .00
Total Fees: 42.00 Total Payments: 42.00
Balance Due: .00
NOTICE: This permit becomes null and void if the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction is Interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may Invalidate this permit. All provisions of applicable 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 sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction 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
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 the Building Official. I further acknowledge that a lien 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 is provisional and revocable until the satisfaction of all inspection requirements.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY RESTRICTED
Department of Land Use & Transportation
. ii Electrical Insection Section
155 North Furst Avenue, #350.12 ELECTRICAL ENERGY
Hillsboro, Oregon 97124 APPLICATION
Information: (503) 640-3470 Fax: (503) 693 -4412
PLEASE PRINT
Please complete ' all sections, 1 through 5. Project No. Permit No. O0 4 7
1. Location of installation Label No. Date s is �s
`� Issued By Office
Address ( 33 ° S S vo pA- c t F 1 c 1'7" wi
City Ti & A p Zip Code 9 ?1-2 -3 1 4. Type of work:
Thomas Map Book: Page Section RESIDENTIAL Restricted Energy Fee $40.00
(for all systems)
Directions Check type of work involved:
Commercial Pr Residential 0 — Audio and Stereo Systems*
_
Tenant Name Burglar Alarm
(if commercial) Tip C-0 r3 c- L c_ T elephone Systems*
This permit becomes null and void H the work authorized by the _ Garage Door Opener*
permit is not commenced within 180 days from date of Issuance
— F ire Alarm
of such permit or If the work authorized is suspended or abandoned H eating, Ventilation and Air Conditioning Systems*
at any time after work is commenced for a period of 180 days. ^ Vacuum Systems*
Electrical Permits are non - refundable and non - transferable. — Other
2. Contractor application:
Electrical Contractor _A/(1- 'T i O Al 1=1 L-- IA COMMERCIAL Fee for each system $40.00
Address St t o I E SAAIb Liar N r aetTL- (see OAR 918-260-260)
S / 9 S' Job Numb Ni ' y7� heck type of work involved:
Date -
Property Own 'TA c n r3 Et-c_ _ — Contractor's License No. ,- -1.` -i B oiler Controls
Contractor's Board Reg. No. S.� o G o _ = Clock Systems
Phone No. S D 3 , Aft, 3 Y3 o _ Data Telecommunications Installations
! F ire Alarm Installation
3. Owner application: - H VAC
Instrumentation
Print Owner's Name Phone No. r- Intercom and Paging System
Landscape Irrigation Control*
Address M edical
Nurse Calls
City State Zip - Outdoor Landscape Lighting*
This permit is issued under OAR 918-320-370. The applicant agrees Protective Signaling
to make only restricted energy installations (100 volt amps or less) Other
under this permit and to do the following:
1. Only use electrical licensed persons to do installations where
required. (Certain residential and other transactions are exempt I Number of Systems
from licensing. These have asterisks (*). All others need licens-
2. Call for an inspection when all the installations under this permit * No licenses are required. Licenses are required for all other installations.
are ready for inspection.
3. Purchase separate permits for all installations that are not ready 55. Fees
for inspection when the inspector is out to Inspect under this
permit. Enter fees $ i-/ 0 4. Assume responsibility for assuming that all corrections required
by the inspector are done, and 5% Surcharge (.05 X total above) $ L
5. Assume responsibility for calling fora final inspection when all of
the corrections are completed.
The person signing this permit must a applicant ora person Total $
authorized to d the applicant.
Signature Space below reserved for validation.
Authority if other than applicant L I I9 4-1 ---t-
For inspections call
640 -3561 or 693 -4415
24-hour recorder, one working day in advance of need