13619 SW BENCHVIEW TERRACE i
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13619 SW BENCHVIE.o TER.2
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
�N COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
OREGON PHONE: 503/6411.8761
Page of 1
Date U2/23/94
'Time 1U : 55
Pertnit 'Type Residentia L Electrical Permit hermit # U5USU155
Permit btatus APP1tUVED Applied 02/2J/94
6itus Andress : 13619 SW BENCHVIEW Ti Issued 02/23/94
1•F-1m1t Title bt''R - LIMI'PEU ENE;RUY Completed
Pe.Lmit Uescr. 30HULAR ALARM 5Yb'VEM '1'o Expire 08/22/94
Pio Iec:t '1'ltle bth - LIMl'VED ENERGY Project # : PU038r'/l
Pro lect Uescr , BUKULAR ALARM bYbTLM * EROSION >t
Parcel Number lb].'1'1 - Lund Use District
Valuation : U
Legal Uescr .
Uwrier 1NbPEC'1'IUN - '1'It:GARD Construction UTH
Applicant Name i MAb'1'E:R'1'ECH INC: Classification 900
Ar)rjlicant Add.T. , : PU BOX 995 Occupancy
ES'PACADA OR 9'/U23 Validated by MJF'
Applicant Phone : 233-1168 Inspector Area
C:UNI'RAC'WH MAS'1'E;R'1'ECH INC' Lic , C 58096 233-1168
Fee description unit : Fee/Unit Ext fee Data
-------------------------------------------------------------------------------
Limited Entegy/Alter ./Extension 1 4U . UU 40 . UU
Subtotal h;lectr. ical Fees : 40 . 00
btate Surcharge of b% 2 . 00
'Total Electrical 1''ees : 42 . 00
*** tees Required *** ** Voaes Collected & Credits ***
Method Check # Receipt No , Date Payment
CK 6408 U2/23/94 42 , 00
I'U'1'AL 'THIS DATE ********* 42 . 00
tees : 42 . 00
Arliustments : . uU 'Total Credits : . UU
'lbtal tees : 42 . 00 '1 otal Payments : 42 . UU
Balance Due : UU
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 starieri.
the permit becomes null and void If construction Is Interrupted for a period of 180 days. 1 certify that the Inlormntlon presented by the applicant and
his agent or agenle In support of this permit Is true and correct to the best of our knowfudge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable invite and ordinances governing the construction and u,
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 bulldlrg
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. 1 further acknowledge that a Ilan 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 eat action of all Inspection r uir sols
A N rANT'S S N TU E
WASHINGTON COUNTY RESTRICTED
of Land Use & Transportation
Electrical; In^ ection Section
155 North First Avenue, #350-12 ELECTRICAL ENERGY
Hillsboro, Oregon 97124
Information: (503) 640-4470 Fax: (503)893-0412 M P P L I C AT I O N
PLEASE PRiINT
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Please complete all sectio i wou^151 Project No.!_ 3$Z' Permit No. c)UI
1. Location of Installation Label No. W 1-7 S Date _ )�`I t
Address_��,��f,, --all Issued By Office --
City _ > Zip Code q--- 4. Type of work:
Tax Map_- -_ Map No.
RESIDENTIAL Ruatrlctod Energy Fee 640.00
Thonas Map Book: Page Section (for all systems)
Directions _ Check type of work involved:
.� -- -- Audio and Stereo Systema*
Commercial LJ Residential [✓�` Burglar Alam,
Tenant Name Telephone Systems*
(if commercial) -.--- Garage Door Opener*
T his permit becomes null and void 11 the work authorized by the Fire Alarm
permit Is not commenced within 160 days from date of Issuance Heating,Ventilation end Air Conditioning Systems*
of such permit or if ins work authorized Is suspended or abandoned
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 applUcation:
�., COMMERCIAL (a for each system 140.00
Electrical Contractor
Address _� b�TbCo(�Q> !nca 1 oB zee ego►
Date Job N nber Check type of work Involved:
Pruperty Owner f►�, _
Contractor's License No. Boiler controls
Contractor's Board Reg. No. t!Q Clock Systems
Phone No. ��+ —_. Data Telecommunications Instelletione
Fire Alarm installation
3. Owner application: HVAC
Instrumentation
Print Owner's Name Phone No - Intercom and Paging System
Landscape Irrigation Control*
Address -- ---�- Medical
Nurse Cells
Outdoor Landscape Lighting•
This permit Is Issued under OAR 918420-370. The appikenr ogre•# Protective Signaling
to make only restricted energy Installations(100 volt amps or loss) cyd*r
under this permit and to do►he folio wing: —T-
1. only use electrical licensed persons to do Installrtbn•whore
required. (Cortbin residential and other trenaectlone aro exempt Number of Systems
from llcens/ng. These have asterisk*('). All others need llcon#- --
Ing.) *No Wonses aro required. Uoenses aro required for 0 other installations
2. Cell for an Inspection when all the Insblletbns under title permit ^eq ^�
aro reedy for Inspection.
3. Purchase separate permit*for all Installations that are not ready S. Fees AN
Inspection when the Inspector Is out to Inspect under this
permit. Enter fees $
4. Assume responsibility for assuming that all corrections roquiroo
by the Inspector are done,and ^
5% Surcharge (.05 X total above) $
S. Assume rosponsiblNty for calling for a final Inspection when d/of
the corrections are completed.
the psreon slgn/n his permit must be the applicant or a person Total $ ;—
authorized t, plkarrt.
Signature Space below reserved for validation.
Authority if other then applicant
For inspections call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need
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