10205 SW WASHINGTON SQUARE_CUCINA CUCINA SW Washington Sw Rd. P-38098
Cucina Cucina restaurant Elec
,i-
--0% DEPARTMENT OF!AND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRS i,HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693.4415
PHONE: 503,648-8741
Wie OREGON
Page : 1 of 1
Date : 02/15/94
Time : 13 : 34
Permit Type : Commercial Electrical Permit Permit * : 05049862
Permit Status : APPROVED Applied : 02/15/94
Situs Address : SW WASHINGTON SQUARE RU T1 Issued : 02/15/94 i %
Permit Title : CUCINA CUC1NA RESTAURANT Completed :
,- -
Permit Descr. : 'TEMP SVC/WASH SQ MALL/CHNR GRNBRG-WA 5Q To Exp` re : 08/14/94 /7.,
Project Titie : CUCINA CUCINA RESTAURANT Proect * : P0038098
1 Project Uescr. : TEMP SERVICE/WASHINGTON SQ MALL * EROSION
Parcel Numbez Land Use Ui^trLCA
Valuation U
Legal Uescr. :
I OwnerConstruction : OTH
Applicant Name : RAFN CO Classification : 900
Applicant Addr. : 4010 LAKE WASHINGTON BLVD Occupancy •
KIRKLAND WA 98033 Validated by : MJF
Applicant Phone: ( 206) 889-1100
Inspector Area
Fee description 'Jnits Fee/Unit Ext fee Data
200 amps or less 1 50 . 00 50. 00
Subtotal Electrical Fees: 50. 01
State Surcharge of 51t 2 . 50
Total Electrical FePs: 54 . 50
*** Fees Requires *** *** Fees Cc•llected & Credits . r
Method Check * Receipt No. Nate Payment
LK 1503 02/15/94 52. 50
TOTAL '1'H15 DATE *****n*** 52. 50
r1 Fees: 52 . 50
1 Adjustments : uU Total Credts: UU
Total Fees: 5'1 . 50 Total
Paymen`s: 52 . 50
Balance Ow?: . 00
I
NOTICE' This permit becomes cull and void If'he work r r construction for whI•t,it is issued is not commenced within ISO days On-o constru'.;,on has etarled,
the permit becomes null and void If conatructlnn is Interrupted fnr s period 01 100 days. I certify that the information presented by the applicant and
Mu agent or agents In support of this permit Ir.true and correct to the best of our knot ledge I acknowledge that the Building L'ei•_..•nenier reliance
upon false and miaMading Information may I validate this permit. All provisions of applicable laws and urdtnances goveminc ,,s cc•natructIon and use
of this building or ainrcture will be complier with whether or not speeilled on the plans or noted on the plans correction sh eta. I acknowledge that
the granting of a perm!does not grant authority to access private properly or In rise easements I further acknowledge r•,at the aur or occupancy of
the structure or building permitted dominos upon my calling for inspections at various limes(wring the process of construcrron and the building
Inspection staff verifying..ompliahce with the various codes Use or occupancy of the budding or structure pe Het prior to a,rprova'by the
• Bull.Eng Department Is ants:v at the risk of the applicant end such use or occupancy is revocable until all I Ilion requirements are'Arched and
approval is given by the Building Official I further acknowledge that a Ilan may be placed on the title of e pro rty u n which the r t is issued
specifying that the use or occur sncy.dr the bu tiling or structure is provisional and revocable until the elisf c n of)Inspection du en.ents
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APPLICANT'S SIONATU
•* All% Wof COUNTY ELECTRICAL PERMIT
Department of Land Use 6 Transportation
lirElectrical Inspection Section
NSUsborohOregonrVe9712g35012 APPLICATION
Information: (503) 640.3470 Fax: (503) 693 4412
ProjectJPermit 5— /q
vU/ / - ,
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PLEASE PAIN } I .' Number (ll D;ttr, v I --� 4
• Please complete all sections, 1' ►r• 4. Complete Fee Schedule below
Number of Inspections per permit allowed
1. Location of Installation —
—
Address C.cse^1 K6411/i5H Ink MAI ,SS. (m,141 f 5 ud G etiE-PI Service included: Items Cost(ea.) Sum
Building A. Residential-per unit
ON r Ian t lb Suite Plc:
1000 sa ft or Inss - $110.00 -- 4 ,
Tenant Name Each additional 500 sq ti
/,
(if commercial) 1 I tU(' ix 1 rJ H� or portion thereof $25.00 -`--- 'I
Limited Energy $25.00 _ 1 1�
Tax Lot Map No. Each Manurd Home or Modular
Dwelling Service or Feeder --- $68 00 -__ 2
Thomas Map Book: Page:__________ Section:_._
Directions_—_____—_—_______ _ .._ B. Services or Feeders
_—._— — Installation,alterations or relocation
200 amps or less _-- !S60.00 _ 2
Commercial Residential I 1 201 amps to 400 amps -_— $80.00 _— 2
• 401 ampr to 600 amps ______ $120.00 2
2a. Contractor Install ileo only: 601 amps to 1000 amps ------- $180 00 2
Y Over 1000 amps or volts -_.— $340 00 2
Electrical Contractor _Fa F C< Reconnect only -_.— $b0 00 - 2
Address 'kw Q tAThS ��—aj' 3
Date Job Number C. Temporary Services or Feeders
S•H7LI
Property Owner I✓? /46 3Q(..'/lac Installation,alteration or relocation
Contractor's License No. 6, -"8 200 amps or loss __ $50.00 2
Contractors Board Reg. No. _ 201 amps to 400 amps - $75.00 _ 2
j 401 amps to 600 amps $100 00 2
/2 � Over 600 amps to 1000 volts see'8'above
Signature of Supr. Elec'n (((LLL r---
License No. - Phone No. 7�_,f//1_ D. Branch Circuits
New,alteration or extension per panel
2b. For owner Installations: a) Tho foe for branch cir suits with
purchase of service or feeder lie.
- .rrsName--- -- - - - --
- Each branch circuit __ $5 00 --___ 2
• {Sr nt i�wn -- - -^ phone No -- - hl The fee for branch circuits without
Address purchase of service or feeder fee.
First branch circuit $35 00 _ _ 2 •
ni\T----- tilete gip Each add'nl branch circuit $5.00 -- - 2
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property I 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 circuits)or a limited .
Owner's Signature ...--.._-_-----_-- -----_--_-- energy pane!,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 _- $35 00 —
Please check apprapriala tem and enter fee In section 5B. Per hour $55.00
In Plant .-.—_ $56.00
4 or more residential units in one structure
_Service over 800 amps; feeder 800 amps or more 5. Fees
System over 600 volts nominal 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 $9. Enter 25% of line A for
Submit 2 sets of plans whir applIcation ,where any of the Plan Review if required (Section 3) $ --
aoove apply. Not required for temporary construction Subtotal $
services. $ --------
Less Bulk Label Fee •
Balance Due $
For inspections call Thi Y.bac.noes nail and void N Me work•ulhurlred zi
6' 0-3561 or 693-4415 `If It 11»permit l•Ite ooa alwroMd
within IM J•v h..rr'date o/lanwnca oi such permit a N the wort•ulMxlted M
euepeorked or abandoned at any time Mier work w on...fence d for•period of 100 dna
24-hour recorder, one working day in advance of need Eleefriul Perm*,are rix'-refundable and non tran•fereble.
1/'94
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DEPARTMENT OF LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12
WASHINGTON /l) 155 NORTH FIRST, HILLSBORO, OR 91124
COUNTY, PHONE: 503/640-3470
OREGON c-` INSPECTION REQUESTS (24 hours): 5031640-3561 or 693-4415
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