14851 SW 154TH TERRACE •, , �' .. a ,.�,. n +. 't � i F`
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DEPARTMENT OF LANfU USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REOUESTS: 503/640.3561/693-4415
OREGON XXXXXXXXX•--> b4U-34'/U
Page 1 of 1
Date 03/20/95
Time 10 : 26
Permit 'Type residential Electrical Permit hermit # 05064839
Permit Status APPROVED Applied 03/08/95
Situs Address 14851 SW 154TH '1'E Ti issued 03/08/9`,
Permit 'Title Sk''r - ELEC/ALL ENCOMPASSING LV Completed :
Permit Descr. FRENCH PRARIE To Expire 09/04/95
Project 'Title SFH - ELEC✓ALL ENCOMPASSING LV Project # P0048134
Project Descr . FRENCH PRARIE * EROSION
Parcel Number. 251'TI - Land Use District :
Valuation 0
Legal Descr .
cJWner INSPE'C'TION - 'TIUARD Construction s OTE4
Applicant Nacre GARY 'S VACUFLU Classification 9t)l,
Aopl,i.cant Addr . : 9015 SE k''LAVEL Occupancy : R3
PUR-PLAND, OR 9726b Validated by : KKP
Applicant Phone : 775-2042 Inspector Area :
Fere description Units Fee/Unit Ext fee Data
-------------- ---------------------------------------------------------------
Limited Energy/Alter. /Extensive 1 40 . 00 40 . 00
Subtotal Electrical Fees : 40 , 00
State Surcharge of b% 2 . 00
Total Electrical Nees : 42 . 00
*** Fees Rey..ired *** *** Fees Collected & Credits ***
-- - Method Check # Receipt No , Date Payment
'DEP' 03/08/95 42 . 00
Fees : 42 , 00
Adjustments : . 00 Total Credits : , OU
Total Fees : 42 , UU 'Total Payments : 42 , 00
Balance Due : , 00
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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 old if construction In!nlerrupted for a period of 180 days. I certify that the Information presented by the applicant and
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We agent or agents IP 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 Infonnatic•may Invalidate this permit. All provisions of applicable laws and ordinances gnverning the construction and use
w of this building or structure will be compiled with whether or.rot•peclCed on the plans c Poled on the plans correction sheep. I acknowledge that
—i the granting of a permlt toes not grant Puthority to access private property or to use eusements. I further acknowledge that the use or occupancy of
the stnicture or building permitted depends upon my calling for Inspecbom at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or orc:ipancy of the bull ding or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such lisp or occupancy Is revocable until all Inspection requirements are satisfied and
appr.val 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:he use or occupancy of the building or structure is provlslonal and revocable until the satisfaction of all Inspection requirements.
AP►UCANT'S SIONAIU14F
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WAScoUrrr
Department of Larwd Use & TransportationRESTRICTED
Electrical Inspection Section -
15i North First Avenue, #350-12 ELECi RI �►h ENERGY
Hillsboro,
bo o, Oregon 97124 APPLICATION
Inforrrla:ion: 1503) 640-3470 Fax: (503) 60344121i
• Permit No. --- 060 Llle?37
1. '�Ocatio of ins a;Iati _— Date
City-- —L Zip Code
4. Type of work:
Map No. Tax Lo! _ -------�
-- RESIDENTIAL Restricted Energy Fee q'40,00
Thomas Map Bonk: Paye _ �— Sertion (ier all systems)
Directions - � _ Check type of wosk i volved:
— -- -- YAu iia and Stereo Systems•
Commercial [_] Residential uri l Alarm
Tenant Name elephone Systems"
(if commercial) _—_—_ arago Door Cpener*
This permit becomes null any void if the work authorized by the ire Alarm
permit Is not commenced within 180 days frown date of Is,uancc k
eating,�entilatlon and Air Conditioning Systems*
of such permit or if the work authors?ed Is suspbnded or abandoned
at any time after work Is commenced for a period of 160 days, acuum Syslems*
Electrical Permits are non-retunclable and non-transferable, thcr � �` _
2. Contractor application: --�
Electrical Contractor COMMERCIAL. Fee for each system $40.00
(see OAR 04 3-260.260)
GARY 'S VACUFLO, INC. 775-2042 Check type of wcrk involved:
9015 SE FLA ' "I. 1.D, OR 97266
DATE: / # - Boilor Controls
OWNER: _ Clock Systems
CLE 26728 —1 ), C 6Q ,7 Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: - IAVAC
Instrumentation
Print Chvner's Name Phone No. Intercom and Paging System
Landscape Irrigation Control*
Address _ Medical
Nurse Calls
Outdoor Landscape Lighting'
This permit/s issuod under 04R 918-320-370. The applicant agr:►es , Protective Signaling
to make only restric•er;energy installatloiis(100 volt amps or lec a) Other
under this oermit and to do the following: �-
1. Only use electrical licensed persons to do Installations where
required. (Certalnresidential and other transactions are exempt Number of Systams
from Ilcensing. These have asterisks('). All others need llcens- - ---
lag) •Nr iicensus are required. Licensee are
2. Call for an Inspection when ell the Installations under this permit req requ rcxi for all other insfalinlions.
CL are ready for Inspection.
-' 3. Purchase separate permits for all Installations that are not ready S. Fees
for Inspection when the Inspector Is out to Inspect under this '7 L✓ r--
ul) permit. Ente tees $
r 4. Assume responsibility for assuming that all corrections required
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responsibility
done,and 5% Surcharge .05 X total at ova `>;
J S. Assume responslblllty Ion coiling lora llnallnapection when all ul � ( )
the corrections are completed.
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The person signing this permit n►uat be the applicant or a person Total $
J autharire•d.obind the applicant. ��
Signature 'apace below reserved (or h�� tirc
Authority if other than applicant
For inspections call�
640-3561 or 693-4416
24-hour recorder, one working day in advance of need
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