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DEPARTMENT LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTI:FIRST,HILLSBORO,OR 97124
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COUNTY, INSPECTION REQUESTS: 503/840-3561/693-4415
v V PHONE: 503/648-8761
OREGON Page 1 of 1
Date : OZ/24/94 `
Time 08 : 11
Pez;,,i'. 'Type Residential Electrical hermit Permit # 050bUZ01 �
Applied 02/'23/94 I
Nerwit Status
APPROVED Pp
Situs Address 8396 SW LANG'TREE Tl Issued 02/23/94
Permit 'Title bF'R - BURGLAR ALARM Completed
Permit Uescr, To Expire 08/22/94 •'
Project 'TzM.Le SF'R - BURGLAR ALARM Project # : P0036JUb J
Project Uescr. * EROSION
Parcel Number 251'1'1 - Land Use District
s Valuation 0
Legal Uescr.
1 OWr►er INSPECTION - TIGARD Construction OTH
Applicant Name- : PHILLIPS ELECTRONICS Classification : 900
Applicant Addr. : 1110 NW F'LANJERS Occupancy
s PORTLAND, OR 97209 Validated by PH
Applicant Phone: 2Z'/-0571 .inspector Area
CON'TRAC'TOR : PHILLIPS ELEC1'RUN1C5 Lic . C 26-2130 227-0571 f
Fee description Units tae/Unit Ext: fee Data `
---------- ------------------------------------------------------------------
La.mited Entegy/Alter. /Extension 1 40 . 00 40. 00
Subtotal Electrical Fees : 40 , 00
State Surcharge of 5% 2 . 00
Total Electrical Fees : 42 . 00
*** Fees Required **t *** E'ees Collected & Credits ***
Metho6 Check # Receipt No , Date Payment f
CK 5446 02/23/94 42 . 00
Fees : 42 . 00
Adjustments : . Uo 'Total Credits : . 00
Total Fees : 42 . 0 'Total Payments : 42 . UU
Balance Due: , 00
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P40TICE: 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 void If consttu al.-n Is Interrupted for a period of 18G days. I certify that the Infurmatlon presented by thn appllcant and
his agent or agents In support o1 this pemdt Is true and correct I the best of our krowtedge. I ack.iowledge that the Building Depar5meol's reliance
upon false and misleading Irdonnatlon may'nvalldsle this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be t.amplled with whether or not specified on the Mars or noted on the plans correction sheets. I acknowledge that
the granting of a pormit does not grant cuthortty to access phlvate property or to use easements. I further acknowledge that the use or occupancy of
the structure or bull1ing permitted depend►upon my calling for Inspections at various times during the process of construction and the buildina
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 appllcant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval is given by the Building Official. I further ar A--lerige that a Ilan may be placed on the title 'the property upon which the permit Is Issued
specifying that the use or occupancy of the bulldl•hg or structure Is provisional and revocable until the satlefsction of all Inspection requlrement5.
APPLICANT'S SIGNATURE
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WASHINGTON COUNlY RESTRICT®
Department of Land Usu dr Transportation
Electrical Inspection Stiction ELECTRICAL
155 North First Avenut;,N350-12 ENERGY
Hillsboro, Oregon 97,124
MAPPLICATION
tivrmatlon: (503)640.3470 Fax: (603)8p3.44i2
PLEASE
. .
Please • • • Project No V 3��' Permit t'o. S- ���_ •
1. LOtrationinstallation Label No. Gate-of 1�—
i Address •Sv✓ �=4��, r�'C F Issued By ._c -- Office
City _ Zip Code y 7 _l-`� 4. Type of work:
Tax Map Map No.
RESIDENTIAL Reelriated Energy Fee sg0,pp
Thomas Map Rook: r ige Section _v___ (for all systems)
Directions.
.�« �-�yw� -/rt ct•L C 0-71 �L 4W Check type of work Involved:
Audio and:stereo Systems*
I Corn rcial ❑ Residential Burglar Alarm
k Tenant Name Telephone Systems"
(if commercial) Garage Door opener•
This permh becomes null and void H the work authorized by the Fire Alarm
permit Is not commenced within 180 day from dote of issuance Heatint,,Venfllatien and Air Conditioning Systems"
of such permit or If the work authorized Is suspended or abandoned
at any time after work Is commenced for a period of 160 do is. I Vacuum Systems —
Electrical Permlle are non-refundable and non.transferable. fL Other
2. Contrector appiktign:
COMMERCIAL Fes for each system S40.00 '
EleMrical Contractor (see OAR 916-2260)
Address 10 �Y'c✓ �.t,;_^tic_ —. _�_ 60.
Date U c/ Job Number Check type of work involved:
Property Owner _ -21'I';, c > —
Contractor's License No. 1 G 1 CLF Boner ronvols
Contractor's Board Reg. No. I/ Clock Systems
Phone No. )--L 7 -t'T Data Telecommunications Installations
—- Fire Alarm Installation
S Owner application: HVAC
Insti umentation
^rint Owner's Name Phone No - Intercom and Paging System
Landscape Irrigation Control" t
Medical
Nurse Cells
city State — ice- Outdoor Landscape Llghting• M
This permit Is Issued under OAR 918422 170. rho app/kent agrees Protective Signaling
to maks only restricted energy Installations(tW volt amps or leso) Other.
under this permit and to do the wing: -
lolk `----------
1. Only use•Isctrkr'Ikon sod persons to do 1nsbNations where
required. (Certain roskfential and other transactions are exempt Number of Systems
from lkonsing. Thew have asterisks(`). All others need llcono- —�
Ing.) •No licenses are require, . I .enses are r L'r.d for all other Installations.
2, Call for an Inspection when all the Installations under this permit e4 e4
are ready for Inspection.
3. Purchase soperate permits for all Installations It r t ars not ready 5. Fees
for InaFectkn wi.rn the Inspector to out ro Inspect wider this r!
permit. Entre-foes $
4. A.sume responsibility for assuming that ail corrections required
by the Ilrspectorare done,and "l
I 5. Assess*rosponrlbility for calling for a fir N inspection when all of 5% Surcharge (05 X total above) $
!ho corrections sre-aomp/eted. i"otal mo
i tl re person signing this permit must be the applicant or a person
.�1.—
outhodrod to bind theapplica.it.
Signature _` �Cc �,_�� _ Space below reserved for validation.
Authority If other than applicar'
For Inspections call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need 11/92
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