Permit ! /f4 79 Z - 00280
' DEPARTMENT OF LAND USE & TRANSPORTATION
( WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON PHONE: 503 /648 -8761
Page : 1 of 1
Date : 01/04/93
Time : 14:46
Permit Type : Residential Electrical Permit Permit # : 05036504
Permit Status : APPROVED Applied : 01/04/93
Situs Address : 10727 SW 'TITAN LN TI Issued : 01/04/93
Permit Title : SFR - ELEC /NEW HOUSE & L.V. Completed :
Permit Descr. : NEW HOUSE & LIMITED ENERGY To Expire : 0
Project Title : SFR - ELEC /NEW HOUSE & L . V . Project # : P00
Project Descr. : NEW HOUSE & LIMITED ENERGY * EROSION *
Parcel Number : 2S1'1'1 - Land Use District :
Valuation 0 •
Legal Descr. •
Owner : INSPECTION - TIGARD Construction : O'TH
Applicant Name : 'T & M ELECTRIC Classification : 900
Applicant Addr.: 833 NE BALDWIN ST Occupancy : R3
HILLSBORO, OR 97124 Validated by : KF
Applicant Phone: 250 -1596 Inspector Area :
CONTRACTOR : '1' & M ELECTRIC Lic. C 34 -148C 648 -6556
Fee description Units Fee /Unit Ext fee Data
Square Footage [Enter Sq. Ft.] 2500 130.00
Limited Energy 1 20.00 20.00
Subtotal Electrical Fees: 0 150.00
State Surcharge of 5% 0 7.50
Total Electrical Fees: 0 157.50
* ** Fees Required * ** * ** Fees Collected & Credits * **
Receipt No. Date Payment
01/04/93 157.50
'1'O'1'AL THIS DA'Z'E * * * * * * * ** 157.50
Fees: 157.50
Adjustments: .00 Total Credits: .00
Total Fees: 157.50 Total Payments: 157.50
Balance Due: .00
NOTICE: This permit becomes null and void If the work or construction for which R 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 compiled 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.
APPUCANT'S SIGNATURE
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ti , Y . • NVASHINGTON COUNTY E LECTRICAL PERMIT
111 Department of Land Use & Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue, #350 -12
Hillsboro, Oregon 97124 Project/Permit � �/
Information: (503) 640-3470 Fax: (503) 693 -4412 Number 3 5 / Date �� Y g
PLEASE PRINT
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections per permit allowed 9
1. Location of installation Service included: Items Cost(ea.) Sum
Address / 0 7 a7 5 w 7/ 7 N �N A. Residential - per unit
(� Building � Q3 C
City "Y/ � X Suite No. -0 Z 13' ,( ` 1000 sq. ft. or less $85.00 V `� 4
Each additional 500 sq. ft ezt
Tenant Name or portion thereof $15.00 1 S
(if commercial) Limited Energy $20.00 ? 1
Each Manurd Home or Modular
Directions Dwelling Service or Feeder $40.00 2
•
B. Services or Feeders
Installation, alterations or relocation
200 amps or less $50.00 2
Commercial ❑ Residential WI 201 amps to 400 amps $60.00 2
401 amps to 600 amps $100.00 2
601 amps to 1000 amps $130.00 2
2a. Contractor installation o l}C • Over 1000 amps or volts $300.00 2
Electrical Co tractor cf"'Y'1. E ' 1 Reconnect only $40.00 2
Address : N ' 4 • fit:la C. Temporary Services or Feeders
Date Job Number Installation, alteration or relocation
Property Owner 'S A 1 rIN , iiL 200 amps or less $40.00 2
201 amps to 400 amps $55.00 2
Contractor's License No. 3 y " / �-g G 401 amps to 600 amps $80.00 2
Contractor's Board Reg. No. 41 4 /.:9-g Over 600 amps to 1000 volts see 'B• above
Signature of Supr. Elec'n D. Branch Circuits
License No. ?J S Phone No. S 0 /5-9k New, alteration or extension per panel
a) The fee for branch circuits with
purchase of service or feeder fee.
2b. For owner installations: Each branch circuit $2.00 2
b) The fee for branch circuits without
purchase of service or feeder fee.
Print Owner's Name Phone No. First branch circuit $35.00 2
Each add'nl branch circuit_ $2.00 2
Address E. Miscellaneous (Service or Feeder not included)
City State Zip Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
The installation is being made on re I own
Signal y pan or a limited
9' property P � energy panel, alteration
which is not intended for sale, lease or rent. or extension $40.00 2
Owner's Signature F. Each additional inspection over the allowable
in any of the above, per Inspection
3. Plan Review section (if required) $35.00
5. Fees
A. Enter total of above fees $ J s '
5% Surcharge (.05 X total fees) $ - /
Subtotal $ I
B. Enter 25% of line A for
For inspections call Plan Review if required (Section 3) $
640 -3561 or 693 -4415 Subtotal $
24 -hour recorder, Less Bulk Label Fee $
one working day in advance of need Balance Due $ 7 -' ,
This permit becomes null and void If the work authorized by the permit is not commenced 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.
Electrical Permits are non - refundable and non - transferable. 10/91
J .. l\
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4 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 #: 05036504 Project #: P0028271 Status : APPROVED Page 1 of 1
Applied : 01/04/93 Issued : 01/04/93 Expires : 07/03/93 01/14/93 06:59
RESELEC
Permit Title SFR - ELEC /NEW HOUSE & L.V. OTH
Description NEW HOUSE & LIMITED ENERGY
Job Address 10727 SW TITAN LN TI
Owner Name : INSPECTION - TIGARD Region D
Applicant Name T & M ELECTRIC
Phone number 250 - 1596 Valuation: 0 Approved
Inspector Comments: Rejected
/
Inspected by /Date: / V l
Inspection Requested.
* Cover & Service
01/14/93 RI DA
r
. .
• DEPARTMENT OF LAND USE & TRANSPORTATION
V 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 #: 05036504 Project #: P0028271 Status : APPROVED Page 1 of 2
Applied • 01/04/93 Issued : 01/04/93 Expires : 07/13/93 03/02/93 06:59
RESELEC
Peilnit Title SFR - ELEC /NEW HOUSE & L.V. OTH
Description NEW HOUSE & LIMITED ENERGY
Job Address 10727 SW TITAN LN TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name : T & M ELECTRIC 1/
Phone number 250 -1596 Valuation: 0 Approved /\
Inspector Comments: Rejected
- 601:;%44L__4&tei / C-10 1 / )e:/--c//2.e 4_!_eJ W
„,i,-frep_e_e - -e...,- - .
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Inspected by: , / Date:S—oC- 1:2
Inspection Requested/
* Final Electrical
03/02/93 RI DA L13< UDY