12482 SW 131ST AVENUE i
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__ 12482 SW 131st AVE
p p 1 r DEPARTMENT OF LAND USE&TRANSPORTATION
WASHING 1 ON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUN rYa INSPECTION REQUESTS: 503/640-3561/693-4415
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OREGON Page 1 of 1
Date 11/U1/94
Time 09 : 21
Permit 'Type Residential Electrical Permit Permit # 05060283
Permit Status APPROVEL) Applied 10/31/94
Situs Address 12482 SW 131ST AV T1 Issued 10/31/94
Permit 'Title Sk'R - ELEC/bURrsLAR ALARM Completed
Permit Descr. To Expire 04/29/95
Project 'Title SN'R - ELEC/BURGLAR ALARM Project # P0045159
Project Descr. * EROSION
Parcel Number 251'1'1 - Land Use District
Valuation 0
Leval Descr.
Owner INSPECTION - 'TIGARD Construction OTH
Applicant Name s PROTECTION ONE Classification 900
Applicant. Addr. : 15500 SW 72ND AV #1UU Occupancy R3
PURTLAND, OR 9 /2Z4 Validated by Kr'
Apk.,? icant Phone: b24-0244 Inspector Area
CONTRACTUR : PRUTEC'T1ON ONE Lic , C 34-1.320 624-0244
t'ee description Units F'ee/Unit Ext fee Data
--------------------------------------------------------------------------------
;,imited Energy/Alter. /Extension 1 4U . UU 4U . UU
Subtotal Electrical k'ees : 40 , 00
State Surcharge of 5't 2 . 00
l'otal Electrical k'ees : 42 . UU
*** E'ees Required * ** *** k•'ees Collected 6 Credits **
Method Check # Receipt No. Date Payment
CK 11b:) 1U/31/94 42 . 00
k'ees : 42 . 00
Ad1ustmeats : . 00 'Total Credits : . 00
Total . ees : 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 anJ void If coestructiun Is In:c+rc;Md 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 tree and correct to the best of out knowledge I acknowledge that the Building Department's reliance
upon false and misleading Informatlon may Im,alldate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this bulidinq or structure will he complied with whether or not specified on the plans or noted on the pians correction sheets I acknowledge that
the granting of a pannit does not grant er:norlty 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 Bu:ding O'ficlal 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 )ccupancy Who building or structure Is provisional and revocable until the satisfaction of all Insprctlon requlrements
APPLICANT'S SIQNA'IUILF
WASHINGTON COUNTY RESTRICTED
Department of Land Jse & Transportation
Electrical Inon Section ELECTRICAL ENERGY
155 North FirstrstAvenue, #350-12
Hillsboro, Oregon 97124 APPLICATION P P L I CAT I O N
Information: (503) 640-3470 Fax: (503)693-4412
PLEASE PRWT
Please complete all sections, 1 through 5. Permit No.
1. Location of installation .5-r Date
Address_Jr j7, tA ) I__L-2J-LL---
City_Ti_Cy n- � _ Zip code_� ��3 4. Type of work:
Map No. Tax Lot _ _ -- RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page — Section (for all systems)
Check type of work involved:
Directions ----
_ -- Audio and Stereo Systems*
Commercial F-1Residential [ j Burglar All.
Tenant Name Telephone Systems'
(if commercial) -- Garage Doo-Opener
This permit becomes null and void if the work authorized by the Fire Alarm
permit is not commenced within 180 days from date of Issuance Heating,Ventilation and Air Conditioning Systems"
of such permit or If the work authorized is suspended or abandoned Vacuum Systems*
at any time after work Is commenced for a period of 180 days.
Electrical Permits wre non-refundable and nontransferable. Other
2. Contractor a pion: COMMERCIAL Fee for each system $40.00
Electrical Contractor vK G /ALAteta-, (see OAR 918-260-260)
Address 1'.,500 e-i"J "12~� V `�ul1Z� 1O` � fi�tg Check type of work involved:
Date 10.71-94 _ Job Number _
Property Owner __
Contractor's Licer-.e No. A Z'3 2 C `_ l Boiler Cont els
Contractor's Board Reg. No. 5 7011092L ______ Clock Systems
4 r U A_ Data Telecommunications Installations
Phone No.IRL S Fire Alarm Installation
3. Owner applicatio,-,: HVAC
Instrumentation
Intercom and Paging System
Print Owner's Nume ^� Phone No.
Landscape Irrigation Control"
- Medical
Address Nurse Calls
-- --- - 1ptoZIP — - Outdoor Landscapri Lighting'
This permit is Issued under OAR 818.320-370. The applicant agrees Other
Otive Signaling
to make only resVicted energy Installations(100 volt amps or less) Other _
under this permit end to do the following:
1. Only use electrical licensed persons to do Installations where
required. (Certain residential end other transactions are exempt Number of Systems
from licensing. These have asterisks('). All others need licens•
Ing.) •No licenses are requrod. Licenses are r, r rrr.+�i for all other installations.
2. Call for an Inspection when all the installations under this permit
are ready for Inspection.
3. Purchase sepdratri permits for all installations that are not today Jam. Fees �0 u
for Inspection when the Inspector is out to Inspect under this Enter fees $
permit.
4. Assume responsibility for assumh J that all corrections requiredU t
by the Inspector are done,and 5% Surcharge (.05 X total above) $ Z
5. Assume respon:ibillty for calling for a final inspection when all of ^ v U
the corrections o-e completed.
TOfc7� �' i
The per son signing th!s permit m st be the applicant Ord person
authorized to bind the,applic _
- J Space below reserved for validation.
Signnluro �� � ` ) .
Anpimily if olhor thnn npplicnnt
For inspections call
L640-35 61 or 693-4415
I 24-hour recorder, nae working de; 'n advance of need