14800 SW 92ND AVENUE ,.;nNnnV ONF6 MS oout't
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REOUESTS: 503/640-3561/693-4415
OREGON XI.XXXXXXA--> 64U-sy /U
Page 1 of 1
Date 11/21/94
Time 14 : 03
Permit 'Type Residential Electrical Permit Permit # 05061018
Permit Status AP?R()VEP Applied 11/21/94
Situs Address 14800 SW 92ND AV `1'1 Issued 11/21/94
rermit Title SFR - 1 CIRCUIT INSTALLAT10N Completed
Permit Descr. To Expire 05/20/9:+
Project 'Title SFR - 1 CIRCUIT INSTALLA"TION Project # P0045668
Project Uescr. * EROSION
Parcel Number 2S1TI - Land Use District :
valuation 0
Legal Descr.
Owner "SPECTION - TIGARD Construction OTH +
Applicant Name A-ACCURATE HEATING & COOLINU Classification 900
Applicant Addr. : 6732 NE 47'TH Occupancy
PORTLAND OR 91218 Validated by : MJF
Applicant Phone : 281-6212 Inspector Area
Fee description Units Fee/Unit Ext fee Data
----------------------------------------------------------------------------
1st Branch W/out Feeder ( Enter #) 1 35 . U0 35 . UU
Subtotal Electrical Fees : 3`.s . OU
State Surcharge of 5% 1 . 75
Total Electrical Fees : 36 . 75
**� Fees Required *** *tt+t Fees Collected & Cr.r--dits ***
----------------
Method Check # Receipt No. Date Payment
CK 13901 11/21/54 36 .75
TOTAL 'THIS DATE ********* 36 . 75 I;
F'r,•yS : 36 . 75
AdjuetM0tLts : . UU 'Total Credits : . 00
Total Fees : 36 . 75 Total Payments : 36 .7y
balance Due : . 00
NOTICE This permit becomes null and Vold 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 constriction Is Interrupted for s period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is truo and correct to the beat 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 he 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 uuthorlty 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 Inspection$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 satisflnd 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 ties or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements.
AVPIICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Departm int of Land Use & Transp(.rtaticn
Electrical Inspection Section
155 North First Avenue, #350-12 APPLICATION
Hillsboro, Oregon 97124
Information: (503) 6403470 Fax: (503) 693-4412
Project/Permit _
Number -- C j DatePLEASE PRINT
Please complete all sections, 1 through 5. _ --------
4. Complete Fee Schedule below
1. Location of Installation Number of Inspections per permit allowed
Address4/�G� S_,1z '�'►-� Service included: Items Cost(ea.) Sum
Bl.iilding A. Residential-per unit
c Suite No.
City
_ 1000 sq ft.or less $110.00 __- 4
Tenant N Z,5 1 J / Each additional 500 sq.ft
(if commercial or portion thereof $25.00 ---
•'t ( Limited Energy $25.00 ------ 1
61"�(-"3Tax Lot—. !7 Map No. 2 Each Manuf'd Home or Modular
Dwo;:ing Service or Feeder $68.00 2
Thomas Map Book: Page:�_!.1 3 Section:E
Directions— --- B. Services or Feeders
_-_--___ ---- installation,alterations or relocation
200 amps or less $60.00 2
Commercial Residential 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor installation onl 601 amps to 1000 amps $180.00 2
y' Over 1000 amps or volts $340.00 2
Electrical C ntractor A SRA LC---- Ci l I(V 6- a Reconnect only $50.00 2
Address L( J �j-a..._ n/. 4, _
Date_tJ Job Number AJ C. Temporary Services or Feeders
Property Owner R "211MInstallation,alteration or relocation
Contractor's License No. O 200 amps or leas $50.00 2
Contractor's Board Reg. No. ? 201 amps to 400 amps $75.00 2
/� 401 amps to 600 amps $100,00 2
Signature of Su r. Elec'n r! Over 600 amps to 1000 volts see'B'above
License No. � [.rlr� P one N . _ - 1 D. Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a) The foe for branch circuits with
purchase or service or feeder les.
ri�nt15wner'9IZnn,eho_n�o; Each branch circuit $5.00 — 2
b) The fee for branch circuits without
A3dress` - purchase of service or feeder fee,
First branch circuit _-4- $05.00 1]_-� 2
city - male— Zip Each add'nl branch circuit $500 2
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property 1 own Each pump or Irrigation circle $40.00 2
which is not intended for sale, lease or rent. Each sign or outline lighting $40.00 2
Signal circult(s)or a limited
Owner's Signature _- energy panel,alteration
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 $'5.00 _
Please check appropriate hem and enter fee In section 5B Per hour $55.00
In Plant $55.00
_4 or more residential units in one structure
__Service over 800 amps; feeder 800 amps or more 5. Fees
System over 600 volts nominal
-- y 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 $
servlceb. Lass Bulk Label Fee $
Balance Due $ �For inspections call This p@rmll becomes null and void 11 the work sultwited by the perms Is not commenced
640-3561 or 693-4415 wahln 100 day@ from date of leausnoo of such perms or"the work outherited Is
,uepended or ebendoned at any time offer work Is oommeneed fa a Mod of 100 days.
24-hour recorder, one working day in advance of need ElsatrlealpermlleWOmm.refundable and noMranMerobls.
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