12225 SW LANSDOWNE LANE-1 fy �MKxr« ,e�ww +rw
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DEPARTMENT OF LAND USE A TRANSPORTATION f
LAND DEVELOPMENT SERVICES DIVISION
WASHINGTON
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REOUESTS: 503/t$40-3561/693-4415
® PHONE: 5031'548-8761
OREGON Pare 1 of 1
Data 3.0/11/93
Time : 14: 29
Permit Type : Residentia.". Electrical Permit Permit +k 05045679
',. Permit Status APPROVED Applied 10/11/93
Situs Address 1222: SW LANDSDOWNE LN TI Issued 10/11/93
Permit Title SFR - ELEC/BURGLAR ALARM Com;.leted :
Permit, Descr , To Expire 04/89/94
Project Title SFR - ELEC/BURGLAR ALARM Project # P003CI 55 �
Project Descr , * EROSION
Parcel Number 2S1TI - Land Use District s �
Valuation 0
Legal Descr .
Owner INSPECTION - TIGARD Construction OTH
Applicant "game BRINKS HOME SECURITY Classification 900
Applicant P_doi: , : 8059 SW CIRRUS DRIVE Occupancy R3
BEAVER'TON, OR 97005 Validated by KF
,r Applicant Phone: 641- 0196 Inspector Area
CONTRACTOR : BRINKS HOME SECURITY Lic , C 34-166C 641-0196
Fee description Units Fee/Unit Ezt fee Data
-----------------------------------------------------------------------------
Limited Entegy/Alter./Exter:sion 1 40 , 00 40 , 00
Subtotal Electrical Fees : 0 40. 00
State Surcharge of 5% 0 2 . 00
Total Electrical Fees : U 42 , 00
*** Fees Require(] *** **>z Fees Collected & Credits ***
Receipt No. Date Payment
10/11/9.3 42 , 00
TOTAL 'i}'?S DATE ******** 42 . 00
Fees - 42 . 00
Adjustments : . 00 Total Credits : . 00
Total Fees : 42 . 00 Total Payments : 42 . 00
,. Balance Due: . 00
N'TICE: This permit becomes null and void It the work or construction for which It Is Issued Is not commenced within 190 days. Once construction has started,
the permit becomes null and void If conalruction!s Intarruptad for a period of 180 days. I certify that the Information presented by fho applicant and
his ag int or agents In support ,t this permit Is true and correct to the best of our knowledge 1 acknowledge that the Building Department's reliance
upon false and misleading frift,mal on may Invalidate this permit. All provl►lons of applicable laws ar,#oidinances governing the construction and use
of this building or structure will b,complied with whether or not specified on the plans or noted on the,ilons correction sheets. I acknowledge that
the granting of a permit does not grant authority to access prlvete propmty or to use easements. 1 furlh,.r acknowledge thst the use or Occupancy of
ttre structure or tivilding permitted depends upon my calling for Inspections at various times during u,e 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 Building Official. I further acknowledge That a Itun may be placed on the title of the property upon which the permit Is Issued
specifying that the tree Or Occupancy of the building or structure Is provisional and revocahle until the satisfaction of all Inspection requirements.
l APPLICANT'S SIGNATURE
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... 91e:x•41 0.,35..y: ,. . .. .'.�ti:..ViN ICM�r4r,tl`.xr,x.. ..t....s.r
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"WASHINGTON COUNTY RESTRICTED
Department of I-and Use & Transportation
"s
1� 155 North FirstAven ee;y350-12 ELECTRICAL ENERGY
Hillsboro, Oregon 97124
Information: (503)840.3470 Fax: (503,1693-4412 APPLICATION
Please comp7Ne all sections,, • Project No. Y Permit No._J
1. LOC,3ti >T Q ifn,;t // #/ Label No. _ Date
Address �,� ��Zl: Issued by —_ Office
City_ �' _ Zip Code�1
4. Type of work:
Tax Map Map No.
,? RESIDENTIAL Restricted Energy Fes $40.00 (
I Nomas Map Book: Paga LcZ, _ Sectionl' 1� (for all systems) � k VDirections �1 _� /S = Check type of work Involved:
1�------
Audio and Stereo Systems"
Commercial ❑ Residentia", Burglar Alarm
Tenant Name Teter!tone ^���^s•
(If commercial) -• —— Gar!ge Door 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 Nesting,Ventilation and Air Conditioning Systeme"
of such permit or H the work authorized Is suspendcd 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 a plicat/ n:
�, COMMERCIAL. Fes for each system $40.00
Electrical C ntracto Ct!.rL� (see OAR 918-260-260)
Address `
Date Job N�mber Check type of work involved:
Property Owner . - -�/ 1/ Y
Contractor's Licpnse No. Boiler Controls
Contractor's B ar eg. No. Clock Systeme
Phone No _ �� -
Data Telecommunications Inrtsllations
Fire Alarm Installation
3. owner application: HVAC
Instrumentation
Print Owner's Name __ Phone No. - Intercom and Paging System
Landscape Irrigation Control'
Address `!—------ —- Medical
Nurse Calls
Zip — Outdoor Landscape Lighting*
This permtt to Issued under OAR 918320.370. The applicant agrees Protective Signaling
to maks only restricted energy Installations(100 volt amps or lass) Other t
under this permit and to do the folknv/ng: — ----�— f
1. Only use electrical licensed persons to o,7 Installations where
required. (CerWln residential and other transactions are exempt Number of Systems
from licensing. The"have at terlsks(6). All others need llcens-
2. Cal for an Inspection when all the Insta'ladons tinder this permit 'No licenses are roquired, licenses are required for all other Installations.
are ready for Inspection,
3. Purchare separate permits for alllnstallations that are not ready 5. Fees � 400for Inspection when the Inspector Is oGt to Inspee under this
permit. Enter fees $
4. Assume responsibility for assuming that all corrections required .05 X total above 0 T
by the Inspector are done,and 59e Surcharge a `
3. Assume resp onslbli ty for calling for s final Inspection when all of g � $ —
the correcflone are completed.
The porsnn signing this permit mast be the applicant or a person Total $
authorized to bind I is applicant.
Signature t. d Space below reserved fvr validation. y
Authority If other than applicant _
For inspections call
540-3561 Or 693-4415
24-hour recorder, one working day In advance of need 11192
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