10100 SW WASHINGTON SQUARE_TI - FUDRUCKERS DEPARTMENT O.•LAND USE&TRANSPORTATION
i" WASHINGTON LAND DEVELOPMENT SERVICES 155 NORTH FIRST,HILLSBORO,ORV97124
COUNTY, :NSPECTION REQUESTS: 503/640-3581/693.4415
illkir OREGON xnxxn I{xx---> b4u-34/U
Page : 1 of 1
Irate : 02/09/95
Time : 1J:4/
Petmlt Type : —11uit-•1,_ial Electrical Permit Permit 0 : 0bUb3852
Permit Status : APPROVED Applied : 01/09/95
situ. Address t 10100 SW WASHINGTON SQUAME RD '1'1 Issued : 02/09/95
Permit Title : t''UDDRUCKERS - ELECTRIC SIGN Completed :
Permit Descr .. : To Expire : 08/08/95
Project 'Title : FUD.►MUCKEMS - ELECTRIC SIGN Project 0 : P004'/471
Project Ves. t . : * EROSION *
Parct•1 Number : l 1356A-u.:'t'/ La:iri Use District : C-G
Valu.tlon : U
Legal Descr . : ACRbs /. 94 !fR011 A6'1':0L/15/94 I
'lwuer : FRINGE LAND ORE LTL) Construction : UT'H
Applicant Name : NtiH1'H wEs'1' AWNING Classification : 900
Applicant. Addr. : 431 NW 4TH AV Occupancy .
PUMILAND, OR 9/209 Validated by : JS
Applicant Rhone: 12b-3323 Inspector Area t �f �/)
lee description Units Fee/Unit Ext fee US ✓Cts
Sigia or outline Lighting 1 40.00 40.00
Subtotal Electrical Fees: 411.00
state Surcharge of 5't2.00
Total Electrical Fees: 42. 00
*** Fees Required *** *0* Fees Collected it Credits ***
Method Check 0 Receipt No, Date Payment
CK 1716 02/09/95 42.00
TOTAL PHIS DATE 42 . 00
k'e•Dt 42. 00
Adjustments: .U0 Total Credits: .00
Total Fees: 42, 00 'Total Payments: 42.00
Balance Due: .00
NOTICE Thin permit:wconiee null and void If the work or construction for which MIs Issued is not commenced within MO days Once construction has started.
the permit become*null and void If construction is Interrupts'for r period of ISO days I certify that the Information presented by the appllcmi and
his agent or agents in support of this permit is true and correct to the best of our knowledge I acknowledge that the Building Department a reliance
upon false am'misleading information may Invalidate this permd All provlsionr of applicable laws and ordinances governing the construction and use
of this bulldin t or sfruct.ire will be complied with whether or not ioecdled on the plans or noted on the plans r, action sheet, I acknowledge that
the granting m a permit does not grant authority to access private troperty or to use easements I further acknowledge that the use or occupancy of
the structure or'wilding permitted depends upon my calling for it spa^tions at verlous times during the process of construction and the building
Inspection staff vs.'tying compliance with the various codes 0sa or occupancy rat the build.7 or structure permitted prior to approval by the
9u11ding Department is rolnly al 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 acenowledge that a Hen may be placed on the title of the property upo'which the permit Is issued
specifying that the use or occupancy of the building or structure Is provisional anti revocable until the satisfaction of ill inspection requirement.
APPLICANT'S SIONATUNS
���. r . va
r1 t •vN-a8 b1Er, t I too., ..rt t1nRTwi6ST .041•41Ii,.. rt. grill / '. /� { PERM!'WM001'0'+TQN COUNTY ELECTRICAL f ERMI
department of Land Vas 4 Transportation
.�-•- electrical Inspection eaotton
.--`, MINurthFirst Avenuo.03130•t2 APPLICATION
Klllaharo,Oregon tartar,
,.,former/on: (MWS 440-3470 Pe c: ($0.1) 4034./it
Permit
{�LFASC Nl7/N! Number --�____ S-0-,. eta... 041.'21S.
Ple tsc COnfplotc all 5 •Cljuns, I Nudugh ;i. CO!►1 t:,? Fe Chrr;dule below
Number of Inaoacnvtla pat parmtt allow.
1. Laoat/on of installation
Addrerw. IC 1 oD ,W W 0ti-LiWr&-P.t, Service Included: (tsma cost(es) Sum
utld—litep --�--------.....Y.�....�.._..._.............._.
City-1 lG►Aleb Suite NO. A. Hear►dentia!-per unit
_ — _.-._ 1,,00 sa.Il.at Inas5110.00 .....-
Tenant Ntrnoeach additional Soo s4 n
ref commoraiN) I-►��J+I�.0forag r. or WWI Uiar•ot 525.00
Mao No.l 5 1 y..0 35Tax Lot -aQQ�.. its.._ u^ua PINYtee o0
ruoh Manurd Ho•,or(ebeoar
Toms*Map 150ok: Peat,: SeCti n•_,___._� °""'env 6arvte. ►ob.r $0.03.00 _ __�_
C1ltPe0A4 la I t.. .. S..1•ie _ 14. S.,rvlce4 or PJeder a
_/Q 1.d,n Ir��LigBo
etc?Aeon,dt.ravons or rrocaOnn
C001111101 pial�]f Rs!SI(tentlai 40 amps or laq VO.00 -.-...... -.--
fA 1 !01 was is 400 knpa ,.... f40.00 ...._---
401 amps l0 600 rm0! --...-- 112040 ---- _-
28. Contractor /natallat e n on, :l 601 a"pa to 1000 Antos - _ $15000 .—_�—"-
y nou 1000 amps or ort, .�- s340,00
•- 1�••-Ga_
Electrl0al Ontr8t7t• i i • .. A , � atftonrtsctorty
Addie /
City :n " .� tatri �:' QIP„^ C. Temporary Services or Fladerar,
Cato - Job Number .nat.lutir,n,tet...uon a rt►lorauorl
Property Owner 200 Armpit or logo
Corarectors License No. OVatL. tot amps to4Ctoamps 176.00 --.....,.-
Ccrtre0tor's Board Roo, No. �t'!iT; ter; � ?j b1 amps to 000 mhos _� Ilha 00 _. .._..+..__
Ova•tto0 Woo 10 1000 vats'sots'9'sawvs
)4' $Ignatura of 8-.1P1'Elec'n C-'411:-41- I -u-s 141:444--4"p, Branch Circuits
l.tcentn No.P15.L_,.,1 Phone No. if�t:5.� w..outat,n et dimwit-am-ampon
t . n par t
�il ty The too far brsnc' (.tree hr wan
2b. For owner Installations: puronasaglsarvrao►toiler les.
each blench c'r,,•t $.,ba ._.. ..._
1rll f-•s em-• •---�-�ts-- 0--- t l mo Is.tor brynCh e, nla wklteur
PLreh5M d.arvlca or loftier fee.
it r.._. "• _ — —.._. r,st branch o1revt 1$00 .
Poch add ti r sr•eh Wend, 15,0n _
C. Miscellensoo$ (S rvrc0 Or feeclr riot?n0!jMedi
Sigh pump or Irrigation cutis 00.00 -
The installation Is being made on prcporty I Ow,i lath tignereuwnfelharg $40.04 ......... .�.
which is not intended for sale, !basil or rent, lora ci?wM(a)or S liroloo
snoray panel,artantler+
)or+.r'a krsoma -.-_ .-- _ — or waver, 140.00
F. E'uult additional inspection over the allowable
" in env of the above
3. Plan Review section (If required) Per inscesson13s oto
Pa.hour ._,_•- !M 00 _ .
pleatan check Appropriate Item end enter ftd In aec1I0n 58. In ww+t ..-._ 1&1.00 w _,.
��,_...— �....r•••=.
__.4 or^1c►e maidentlsl units in one StruOtUrC s, rein
_ $orvicn 1100 reader, 400 amus or mere
. __System over 600 volt&nominal A. Enter total of shove fans $ _-
Classltled area or structure containing spec'.., 6`6 Surcharge (.0s X total reps) $ ..... .40_
oecuosncy as described in N.E.C. Chanters Subtotal S - ."- --
1. Ente,2S% of t ne A for
Sutimd 2 Bets of plans with application where any 0f Ihr. Plan tievtew If recurred (5e0t100 1) S
et:ore apply. Not required for temporary construction Subtotal S
6froce C TrUS1 Aer,c,unt S -- �_
�'- Balance Due S ...V40
Rer inspections" colt
640.3561 or 893.4415 �..,—,..aerop,. ....,.tNM,.+...•e'.-...�..,,...,..,-,....y.,......W....Mea d.u►1 p,,,,..1 a.•si►.u.•,M,.
WASHINGTON
COUNTY,
OREGON
EXPIRATIONS
Every permit issued by the building official...shall expire by limitation
and become null and void if the building or work authorized by such
permit is not commenced within 180 days from the issue date of the
permit,OR if the building or work authorized by such permit is suspended
or abandoned for a period of 180 days or more after the work has
commenced.
THIS PERMIT HAS EXPIRED: N — .25° 3 o'--1;
OUR RECORDS INDICATE: V
It expired without r eV inspections ,
It expired without final inspection approvals _ _____
Department of Lind Use tine Trerti["dsllon. BulldlneerrnIts Section 1/350-1? Phone 50y84f34 To
155 North FM Avenue 1111sbnro, Oregon 91124 FAX 503/693 4112
1