8247 SW MATTHEW PARK STREET-1 J :T2',T,� Y,iiltd M�H,7,Z�tW D1S LtbZB
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8247 SW MATTHEW PARK ST
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY INSPECTION REQUESTS: 503/640-3561/693-4415
1 PHONE: 503/848-8781
OREGON Page i of 1 ,
Date 07/01/93
Time 15 : 30
Permit 'Type Residential Electrical. Permit Permit # 05042072
Permit Status APPROVED Applied : 06/30/93
Situs Address 8247 SW MA'T'THEW PARK S`T 'TI Issued 07/01/93
Permit Title SFR - LOW VOLTAGE Completed
Permit Descr. To Expire 12./26/93
Project Title SFR - LOW VOLTAGE Project # P0032523
Project Descr . * EROSION
Parcel Number 2S1'TI - Land Use District
Valuation 0
Legal Descr .
Owner INSPECTION - TIGARD Construction OTH
Applicant Name PHILLIPS ELECTRONICS, INC Classification 900
Applicant Addr. : 1110 NW FLANDERS Occupancy
PORTLAND, OR 9'1209 Validated by PH
Applicant Phone : 22'1-05'11 Inspector. Area
CONTRACTOR : PHILLIPS ELECTRONICS, INC Lic. C 26-213CLE 227-0571
Fee description Units Fee/Unit Ext fee Data
------ ----- —
------ - _._-_
Limited Entegy/Alter ./Extension i 40 . 00 40 , 00
Subtotal Electrical Fees : 0 40 . 00
State Surcharge of. 5% 0 2 . 00
Total Electrical Fees : 0 42 . 00
*** Fees Required *** *** Fees Collected & Credits ***
---------------------------- --------------------------------------------
Receipt No. Date Payment
07/01/93 42 . 00
TOTAL THIS DA'Z'E ****,r r:t** 42 . 00
Fees : 42 . 00
Adjustments : . 00 Total Credits : . 00
Total Fees : 42 . 00 Total Payments : 42 . 00
Balance Due: . 00
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NOTICE: This permit becomes null and void If the wnrk or construction for which It Is Issued is not commenced within 160 d_;a. Once construction has started,
W this permit becomes null and void If construction Is Interrupted for a period of 160 days. I certify that the Information presented by the applicant and
,J his agent or agents In support of this permit to 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 provlslona of applicable laws and ordinsuces governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or n01ed on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access prlvab property or to use eseemerde. I further acknowledge that the use or of,upancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Ine`ection staff verifying compliance with tfre various codes. Use or occupancy of the building or structure pe►mltled prior to approval by the
Building Department Is solely of the risk of the applicant and such use or occupancy Is evocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a Ilen 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 provlslonal and rem:able until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
wAstment o La dUse &COUNTY RESTRICTED
Department of Land lies Jtr Transportation
Electrical InrptAvenue,
Section ELECTRICAL ENERGY
155 North First Avenue 0350-12
Hillsboro, Oregon 97124 APPLICATION
Information: (503)6403470 Fax: (503)6934412
PLEASE PRINT
Please • ' • ' Project No./ -- ?� Permit No.
i, Location of Install Label No. Date 17 l 3
Address r: lti Issued By_� � Office
citycl zip Code 4. Type of work: j'"
Tax Map_ Map No. —'
RESIDENTIAL rtesiricted Energy Fee $40.00
Thomas Map Book: Page Section (for all systems)
Directions Ni.-if �d'– �50_vr- 0�✓ <� Aot _ Check type of work involved:
_ X1 6 hr ,9 Al A1Ar141/I 0 S4ffFr
Audio end Starer Systems*
Commercial ❑ Residential ] Burglar Alarm
Tenant Name T ek"phone System*
(if commercial) oerage Door Opener*
1 n:z permit becomes nuh and vold If the work authorized by the Fire Alarm
psrmh:•not commenced within 180 Says from date of Issuance Heating,Ventilation end Air Conditioning Systems*
of such permit or it the work authorized Is suspended or abandoned Vacuum Systems*
at any time after work Is commenced for a period of 180 days. Y
Etecirlcal Permits are non-refundable and non-transferable. Other
2. Contractor appllcptiqn:
F �ctrical Contractor t r ( � < COMMERCIAL Fes for each system $40.00
7_�._ (sea OAR 918-280.280)
Address
Date Job umber Check type of work Involved:
Proper,y Owner < / __-_-
Contractor's License No. � _3 c L f Boller Controls
Contractor's Board Rog. No. ; a_ clock systems
7 Date Telecommunications 1 ntallations
Phone NO._�_:}_Z Sr..s�c/ Fire Alarm Installation
3. Owner application: HVAC
Instrunrantation
Print Owner's Name � � Phone No.
Intercom and Paging System
Landscape Irrigation Control'
Address �-— -- Medioal
Nurse Calls
Outdoor Landscape Lighting*
This permit Is Issued under OAR 918.320-370. The sFpIkent agrees Protective Signaling
to make only restricted energy Installations(100 volt amps or Iasi.) Other
under this permit and to do the following: —-
1. Only use electrical licensed persons to do Installations where
required. (Certain reeldentlal and other transactions ars exempt Number of Systems
from licensing. These have asterisks(`). All others need!kens- `—
C g.) •No licenses aro required. Lk-uses are required ibr all other installations.
7. Call for an Inspection when all the Installations under this permit fe9
aro ready for Inspection.
3. Purchase separafe permits for all Installations that are not ready 5. Fees
for Inspn-!,cn when the Inspector Is out to Inspect under this Enter fees g _
permit.
4. Assume responsibility for assuming that all corrections required
by the Inspector&redone,and 5% Surcharge (.Q5 X total above) $ Z-
5. Assume responsibility for calling for a final Inspection when all of - -
the corrections are completed. -
The person signing this permit must be the applicant or a person TOW $
authorized to bind the a 't.
signanire ` ` `;�e<6t�, Space below reserved for validation.
Authority It other than applicant
For Inspections call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need 11192