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P`°M:T APPLICATION FOR BUILDING PERMIT
t' 4, WASHINGTON .OUNTV SCOWOW SS
DEPARTMENT Of PLANPIING _ AL7y
1
BUILDING DIVISION N ! 7 Lpci� CROSS ST
ENIUl L.ANO I,Ia O• P ,Tv•a /AOC a er
FOR M -L:.:ANT TO FILL IN 1`Do• LicoNST �'
7) //� �� STA 71071CAL C1A061/ICA710N 20 [#
A^DMFS! �V!K]� S _ C1A00 NO l7MElL UNITS
0 OAI. DPI M.A... ...51,_•:i _`y(rSc_•,� SP[CtAL CCNO.TIONI
L!/ 'tl LANG 70 — ^� _ _
NO OP 0100► �( 1
•MEA OF LOT OM OM L4T OAT1�{' �/,7
t ONING APPM0 oven •V I
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OWNIR ZM•Sit. t LA77S/Ye NEL �'Ml OP /At•�TA TION
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•OC•ISSS v• ���.I MIAMOATT WIRTM ►•1MA C 1. ��.
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DFSCFIPT1ON OF WORK cosNi• CUTOPP YOS LL NO r l
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APPIPC ANT , APA
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v ALVATIONS { () .00 FO INOATION LOCATION
FQIIMS,MATERIALS
AM[ Par STOPS
P C �S �S l •Mt2_0 c..2_, OEACING ROWS _,_,�____�_
/Eaf�Q A.+d� .AAL) T'" IE[s I -!ATIV•CI �� r-
1 M • AfIN3WL$DOf THAT . ...At Nt•O t.,• APPLtc•TION
AMO RTATt VA•T ?Hf A•OVT it COOTTECt AMO AGATES TO COMPI, WALL ROARD
NIT- ALL CJUN•r OMO.NANCI• A41 TIMI LAV•/ MOULATINO r-•---
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PLAN CHECL VALIDATION V�j�J r/o/ cA•�NJ { PERMIT VALIDATION
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FIRE PREVENTION BUREAU 16 1 2
OFFICE OF FIRE MARSHAL
i INSPECTION NOTICE
DATE t ;0 - if
OWNER__ - �_Z,
r •- r. �,! If --- _-.OCCUPANCY
OCCUPANT "—
LOCATION
147, ft -e H.. ___-_ --
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YOUR *T71111710/4 If
TO TNL COI.LONING I'nf D[I'CI[NCI[f'
_e,-,#t'c�y —/ `__ . / r !;fir I
— . 1 fr.Aei21 _ 1.511WitV._.rti_ CL. 4. c
2' 4", /4Ad
f,ORR[CT TrIF *ØU CONOkTION/ IYITNIN n/v1 WILL MSM[ TOO k��1.4fO IrRO/LCV ti Orl pH(^UL7 F RF
/tILU\[ PE0$0N/'61 QR[R TV UN4�[R 10.0.ON[O•
hLWLT /NOw flet N't ONf., ti0"I0 SOU Mor 3[ Li/ALF IUR D[M[L[[ TO �- � , �'(./
ORf 1170 kV., _� ..I!.� —_—
FIRE MARlNAL
WASHINGTON COUNTY TIRE DISTRICT n1
14410 S W JENKINS ROAD lARt1{tNTto TO
RRAV[RTON ORF GON 646--t 101 ,,.,..a.t.......immio-....+. — .J
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/', 1 Washington County
Fire;ikii ' District No. 1
DP \ ;441Q S W Jr,nk,ne Flce�d
`1 'iM+vertor,Oregor 97005
_,
Bureau of ?:t* F.evertion
64b-1101 &ttension 245
Plans Ssamina•.ion Report Nc. ..:L _ Fire Station u..s..M
F, c. $c .7 r .Run Distance
-------------
Building, peeentlstt'e Occupancy_ f•' SareatitiLo Fire Zone 3
Address 'boo pee.* bol, elphi en ware nail Conatructiar Type 1I1-l'
Arohiteot/Designar ' irherd ,collier Address lt<l L*S.elde, smtUa 1111'"
:wrier .lnwee %metric Zoe. Address ION S•w•.44,0*Q0t114t aortlaw/ WPJ2d
3toriea—1 Main Area P4OO /Basement Area nom Attio Height�^. Stop
Pim Walls "" _ Fire Escapee teed, Imite_—Z._notal Width ' N.
Stairs Mena /1 nolosed ' Other Vertical Shafts mew Jri.no1ossd___`_ Sprinklers "" _
Area Covered entire erreMar.. Alarm ne S.P. • latt....n0 • /C1es - ,41o. -
;:omhustian Detection!"r/Type " /area Covered _-_—
[rloo:. "neme _ _ Ceiling ee:f_.t115 — Roof built II
3tr.. Member! e:wgl Wall Cover a►a»aeoY _J gyn.botn
}x to rl or Interior
: eating System toes` ate''' w Fuel— Cooling :gates__^O sMrn
The plans for th dencribea structure w.+re referred tc. this office - _
and reviewed ' '"' for confcrwi tv with State and District fire safety laws
,rn4 regulations. The following itemized crmmentr iescribe uhanges in the plans required
. for conformance with such laws and regulations and recommendations for enhancement for tete
general fire safety of the occupancy.
I. lb drowsing#s sole easslf Batt.' i If !hi boiler lostallatIetn W c the Pv stin,
sof ventltetiatt ,yatael must be rubw►tttsgeii tc Irv, peptoved by 'his o'''ils prasT
to toe date of tftetsllatteo io ese% lwetewew.
(ref i 'Are. TV nista/is" rite Lear.)
?. »tew lin (44ilsr cam! rust as "e'netated frcr the raaeild.r r.I the OW by
-:7. ..11,1 1 ' r fire :,f94irtivo ranetrwtivi. :r a.:.:ltion dosroey me. 1 most
be egtdvosd 41 th an moo revoi en1 labeled 1 nose' rated fire dome esoonuly„ 1.a.
Addis frame. sill. eloeat, et..
(vett ups. 1134 0.11.e.. MO)
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Dcttald . Morro. ( 'trar
Fire s.`ta.1
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Ed notrtfl%$Olt
lower.tare (MM
form
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kw!vlret. 33iFIRE PREVENTION DOES ,VOT r:OBr—I; PAYS
• 11 hooting, vntttletlar*0 al r aorkdlt ionium. comAnc, And al*stsieal void„ssmt
0004 a.1011antee Ara timmixsd to to awtawri by tlnde write's 1•p»•etwrlaa Awe.
tor •tA•* notian*4414 troosgwife0 t••tInw "Army end bo instolliul to eswt'trte.+lty
,9th toot," •gamy°• MMtftootllans.
(tuft ws. j.!„r• hTr'
• -h. ..rater r.•rtor. InWiwoted wb aai+K, "torted In room 1'3. emit to soluimed
i!.n s nrso•tter roller valve.
t. 'Y l dew ea nr, x*'Mt t*C is be fit tali wA t h 1 ini N+ twrlir•w,r+, i.n. LMkti tetsnao
sievl•0ry ws trvNlslsn' for Laski% s;,ainat *groom. to proamLo ?, U•
yrMidl at si.: time* al inset in* wee of t key, o6ro►a►,t.i knowledge or effort.
t -af/ 'Me• J<}t1l MC)
•. MsttflookieA •4' Otto eIYIIN Mw InepeetAeo end eserevsl of auratsrttian Se
rewired prise to "rewound of tna story.
(rag ass. 1.:f1'f V•/•r. MI)
T. ont*s tet swappormy •f t*• start a '[•t'l'to•t o at ..sswsar''y' suet No a1st•lrws
?sus SMO usfikarajleb C•wrety ONLIOL'G :tort.
:rote at. SA U.I.C. 1.70)
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• • DEPARTMENT OF LAND USE&TR.ANEPORTATION
`A//1 SHING ON LAND DEVELOPMENT SERVICES DIVISION
rrr�J I�I 150 NORTH FIRST,HILLSBORO,OR 91124
. 4 ,', 101%
ti .- COUNTY,TM1
GRO11117,71rn.'IN�,PEI:TiON NEUUESfS' 1503/640-3561
v VI�I 0 PHONE: 50 /648-11761
1URECUNLJ
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, iNOTICE: This psrmII becomes null and void it the work or construction for which It Is Issued Is not cOnIm nr r,whhln 150 days Once construction has stance.
the permit becomes null and void If construction Is lolerrupted fora period of 150 days I certify That the Inlorn.atlon presented by the appl'canl and
his agent or agent*In support of 11111 permit Is Inie rad correct 10 the best 0t our knowiadge. I sr-knowledge dist the Sulloing Department'a reliance
upon false and misleading Information may Invelldate this permit. All provision of applicable laws and,,rdtnar,cns governing the construction and use
of mitt*building or s1'.uclurs will be complied whit whether or not apt hied on IM plans or noted on the plans Correction sheets. I acknowledge that
1 lb:grenl'ng of a permit don nal grant.uthon'y to access prlvele property or to use oasements. i further acknowledge that Me use 0r occupancy of
the mructurs r r btdldlnp permitted deperda upon my calling for inspections at verlous time'during the process of construction rine the building .
rnapedsled lon slaverifylr i compliance with the IM lit
vinous codes Use or occupancy Of building or structure permitted prior to approval by s
Mudding Department Is solely et the risk 011he applicant and such use or occupancy 1*revocable until all Inspection requirements are salrallyd and
approval Is given by the•ididing Official. 1 further acknowledge that s lien may he placel on IM title of the properly upon which IM permit Is issued
1 spec11yIng that the use or occupancy of the building on structure Vs provisional and revocable until the satisfaction of apt Inspection requirements
4 _ ..._-
APPLICANT'S
APPLICANT'S SIONATUIIE
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WASHINGTON COUNTY ..L_.
DEPARTMEtaT OF (AND USE AND TRANSPORTATION PERMIT NO 5-6744 G{ "
L?.N0 DEVELOPMENT SERVICES DIVISION ,b 1
O
ELECTRICAL INSPECTION SECTION TEMP.PERMIT NO. S ''
160 NORTH FIRST AVENUE DATE 12/14/89
HILLSBCIRO, OREGON 97124 640-3470 I14SUEC. 3Y GI 26950
LAPEL NO.
ELECTRICAL PERMIT APPLICATION r
' Ficaht,ea Etec.ta.i.c Company 11860 Sw Gaeenbuag Rd, T.igaad, OK 97223 639-4627 1
NAME OR FIRM PLEASE PRINT MAILING ADDRESS TELEPHONE •
34-13 C
ELECTRICAL CONTRACTOR LICENSE. NUMBER
---_ I ANf��E STF RI D WITH THE BUILDER'S BOARD
ORS 701 055 REGI TIO • __ _ EXP/1 'IA II ___._77/j UU - SIGNATURE OF
SUPERVISOR ' /4fLet•• LICENSE.-_� 18)b S- ---
__00
PRON.PTY OWNER I HEREBY CERTIFY THAT IAM THE OWNER Of THE PROPERTY CESCRIBED BELOW AT WHICH LOCATION PROPOSE
TO MAKE AN ELECTRICAL INSTALLATION FOR MY OWN USE AND THIS PROPERTY IS NOT BEING uONSTRUC!FC FOP ;ALE LEASE OR
RENT FOR THIS REASON. I AM EXEMPT FROM BUILDER'S BOARD REGISTRATION UNDER ORS 101 055 THE ACTUAL INS'A(IATION WILL
BE MAGE BY ME ' OR BY _ ___ _ _ _ ______ __- WHO ISA MEMBER OF MY FAWN,Y
, RELATIONSHIPK�Op6�I14�eilt _ OWNER'S SIGNATURE -�______" _._________-�_
OWNER'S NAME
LOCATION OF INSTALLATION 9527 .5TJTIa _ TL o.,td Utah
ADDRESS -CITY - -- --?-OUM---
DIRECTIONS WO 47694 - _
- - FEL ( 1
RESIDENTIAL RESIDENCE WIRING LESS THAN 1000 SO FT .S 32.00
NESIOENCE WIRING LESS THAN 700050 FT 495 53.35
RESIDENCE WIRING OVER 2001 SO FT _ R E 74.70 _
ELECIHIC HEAT INSTALLATION IN EXISTING RESIDENCE 6,S 21.34 ___
SERVICES TEMPORARY SERVICE -___ *5 '1.34
SERVICE CHANUE '.,IL V IN AN ExiSTING RESIDENCE _ W S 21.34
SERVICE NOT OVER I(rJ AMPERES _ W S 32.00 _
100 AMPERES BUT NOT MORE THAN 200 AMPERES _ (A 5 53.35
OVER 200 AMPERES BUT NOT MORE THAN 400 AMPERES ______ ('''S 74.70 __
OVER 400 AMPERES RUT NOT M01TE THAN 600 AMPERES _ A S 106.70 __
SERVICE OVER 600 AMPERES - 5 138.70
SERVICE OVER 600 101 TS ••S (:'0.10
FEEDERS INSTALLATION, NOT MORE THAN 100 AMPERES t S 11.34
Al 'B RATION OR REI(KAT IDNnvFAinn AMPfRNRiot NOT molar THAN 7CRAMPERES 'p15 32.00
I'VI II .NNI AMPI III .NUI Nut motif 1HAN 4041 AMPI HIS I"IS Ii✓. 1',
OVER 400 AMPI HIS __.,- (I•E 64.00 ,__-__
FEEDER OVER 61)0 VOLTS •'"'$+ 85.36 -
MISCELLANEOUS MOBILE HOME SERVICE _______ 0.41S 21.34 __.M.,-
MOBILE HOME rump - MS 21 34
EACH IRRIGATION PUMPIN
_�f_Y,._ S 21.34 _ -
1
EACH ELECTRIC SIGN OR OUTLINE LIGHTING ___- �I S 21.34 -
E 40 RESIDENTIAL S•4IMMING POOLOS 21.34
ONE NEW CIRCUIT ALTERATION OR EXTENSION _ (4S 21.34
-
TWO OR MORE NEW CIRCUITS ALTERATIONS OR EXTENSIONS / f PS 32.00 3 .00
OTHER NOT LISTED ABOVE (d1 S
I. PISPECTK)N FEE 3 32.00
-
T POR BI ECTK,F41 CALL 640-9611.
2 G%STA TL TAX 3 1'60
24 HOUR FIECOFOER OPE WORK 648 DAY 3 PLANS CHECK FEE i 33.60
PM ADVANCE OF NEED.
(1+2+3)' TOTAL CHARGE Sr__
THIS PERMIT BEc OMES Nut L AN() VOID IF THE WORK AUTHORIZED 3Y THE PERMIT IS NOT COMMENCED WITHIN IBD DAY.. FROM DATE (Ii
ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OH ABANDONED AT ANY TIME Ai TER WORK IS COMMENCED FOR A
I I ' PERIOD OF ISO DAYS ELECTRICAL PERMITS ARE NON REFUNDABLE II NON THANSFERAALE
OLUhlos 1001 WNW
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOF,VIENT SERVICES DIVISION
150 NORTH FIRST, HILLSBORO, OR 97124
0 COUNTY, INSPECTION REQUESTS: 503/640-3!'!'%1 ;2a hours)
OREGON PHONE: 5031540-3470 ,
6...)---
.
Permit #1 05006744 Project #a P0005169 Status: APPROVED Paye 1 of J
Issued 1 12/18/39 Expires 1 06/16/90 Valuation= 0 02/07/90 07: 2'•
C OMI I I C
Permit Title r COMM. RES TEMP
Description r KLOPFENSTEINS-WASHINGTON `.,,LVAD .
Job Address r• 9522 SW WASH INf,TI1N SQUARE RD TI
Parcel number
Owner Name e
Applicant Name_ r FRAHLER ELECTRIC
App1 +r,;ant A.Jdr r 11860 SW GRELNRI. G RD
r T►GPRD OR 97223
Phone numl,er = 639-.4627
APPROVED NOT APPROVED _ APPROVED __ STDP WORK UNTIL
[Repair as Listed) [Construction May Prnr^eed]
[And Re-- Inspect ] [However Mote Beinw . . . . 1
I n-,pr.c t i nn kr•q're ted F
• Final Inspectinn
02/07/90 RI IDA
Inspector Cr•mme•ntsr
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WAS • 1, (AND DOVrLOPM1INT 111114V10111DIVISION11!00.1!
G,O(1�� 1 IN NORTH FIRST,HILLSrO^O,OR 07114
PHONS: 003/040.3470
ORICUON INSPICTION 11YOU1$T$(54 hour.): 002140-3241I or H3-4415 ,
Permit 11 05042741 Project 0 P0112100 Stets' APPSOVID Page 1 of 2
/ Applied 07/21/13 Issued 07/27/01 Empires 02/I2/24 02/11/01 01 . 24
COSMIC
Peewit Title BANANA 4EPlIY1.IC RPM
D••crlptlnn JOS 7123% $ESVICE1/C12CUI TS Spun 07/21/22
job mar... miss OW MAAOtKMO11 SQUABS so ft
Owner Name 1NIIPrr?tON - TIaAMU h on D
Applicant Name ELECTS I CAI, CUMCTPUrT ION CO
Piton* number 224- 1%11 Valuation 0 Approved, ,
rInspector Comments M4.120t24--.„.m_
IMINVIEWANNIONIVINININIIIIIr
411
11
Inspected by 4104144PL Date _271101_
Inspection Saquest•d
b Final El•ctileal
0m/1%/01 21 PM IP 1WEN/220-)$17
03/00/21 It DA
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LAND DtVlLO►MlNT$I VIct�DIVIt1ON 11116.111COUNTY. IIIA NORTH FIRST,HILL111OA0,OA 07184
OREGON pNONt: t10i110
:N/AIQTIIJ IIIODU/T/( 4 howl: AIM»M 1 N*)&44111
Permit a )4 a '4;. rr0 DO 0 P00.111 06 I Latin A$YNOVJU
Page 1 'If I
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0 paPARTIMMNT OF I0104 Will A TRANSPORTATION
WASHINGTOND OIVRLOPNAPNT STRVICPn DIVIIHON iie0.17
l Y NORTH FIRST,till I MIOPIO,ON •t 17A
COUNTY, - OHONC, INNA140.3470
OREGON IN$PICTION REOUI SITI (24 holes) 40l4o-Ie411 or Awa•4>4111
Permit d 4,, ;4$ Pr )w•.t • FUG t t , . „I 4t u• APPOuVIO rK•i. l ,ii :1
` App 1140 ,/VI Iorau•,t 07/27/111 rasp(rt., t)I/2 !/94 ,4/I'r /9t ' ' 10
1 Permit ?lit. IANANA IIi1'UAI.I C 14PU 1
Deec+ftpr,tw+n JoA /sass llllIV1t'Rli/t'IACUIT$ poem. u1/21/111
Job A4Arern v'l.aA BN WAJHiN&]T'lN AQUAE Ab Ti 1
Owner NIP,* IN4PECT1iN - ♦IOARD L i1'. V 1
Applleent Name LIACTAICAL CONUIIIUC?ll)N CO
Phan* Itt+mhnr 4•• 141 I Valuation a 7'., -....,•.
M Info► ► •,r 0.,mmai.Re
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P5169
9:122 SW Washington Square 30194 P33106
DEPARTMENT OF LAND USE 6 TRANSPORTATIC"I
WASHINGTON LAND DEVELOPMENT SERVICES L'VISION
155 NORTH FIRST,HILLSBORO,OR 97124
Aft
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/648-8761
V4 OREGON Paye : 1 of 1
Date : 07/30/93
Time : 08:22
Permit Type : commercial Electrical Permit Permit C : 05042746
Permit Status I APPROVED Applied : 07/21/93
situs Address : 9522 SW WASHINGTON SQUARE RD TI Issued : 07/27/93
Permit Title : BANANA REPUBLIC Completed :
Permit Descr. : JOB 75.285 SERVICES/CIRCUITS To Expire : 01/23/94
Project Title : BANANA REPUBLIC Project N : P0033106
Project Descr . : JOB 75285 SERVICES/CIRCUI'T'S * EROSION *
Parcel Number 2:A'T'1 - Land Use District :
Valuation • U
Legal Descr. :
Owner : INSPECTION - TIGARD Construction : EPR
Applicant Name : ELECTRICAL CONSTRUCTION CO Classification : 900
Applicant Atldr . : P. O. BOX 1028b Occupancy :
PORTLAND, OR 97210 Validated by : PH
Applicant Phone: 224-3511 Inspector Area : D
CONTRACTOR : ELECTRICAL CONST. CO. Lic. C 26-45C 224-3511
Fee description Units Fee/Unit Ext fee Data I
Service/Feeder:2C0 amps or less 1 50.00 50.00
201 amps - 400 amps 2 60.00 120.00
Each Branch W/ Feeder (Enter 0) 47 2.00 94.00
Subtotal Electrical Fees: U 264.00
State Surcharge of 5% 0 13. 20
Plant Review Fee: (Y-YES) 0 66.00 Y
Total Electrical Fees: 0 343.20
**. Fees Required AAA
Fee *A* F'e'es Collected i Credits www
Receipt No. Date Payment
07/21/93 343.2:1
343. 20
Adjustments: .0U Total Credits: 00
Total Fees: 343.20 Total Payments: 343. 20
Balance Due: .00
NOTICE This permit becomes nuN and veld if Ms woo res gU SSNuctior for ankh Nle Issues le not commenced*thin I..Osys Once construction has stariar,
the permit beoo,Na null and void If swlIEBUellan filliNsirTupOod for a period of lid days. I ee.tlfy that the Information presented by the applicant and
his'gem or agent In support of that p1S1M N N implied Illeolecl to the bast of our knowledge I ackrx*wledge that the Building Department's reliance
upon false and misleading informat101t may Pylelliallip parmh. All provisions Of applicable lawe and ordlnarois governing Me constrrctlon and use
of this building or etr uclure will be couvilid WM golelloor onto specified on the plane or noted on the plans correction sheets. I acknowledge that
IM granting ct a psrmll doss not grant authority to noes WPM ply or to use....menta 1 tumor rkrwwtedge that 1>.e use or occupancy of
In.structure or building Dowelled depends upon my.00 for h al various limes during the process of construction and the building
inapectktn slat/verifying competence with lbw v.r1011S OWES U..Or occupancy of Me building or structure permitted prior to appror•al by the
Banding Department I.solely a'the risk of the 11.01111111110111 such uea or oocuparc:y N revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official I further..kriMr edge that a Seri may be placed on the TNM of the property upon which the permit Is Issued
specifying Thal fha use or occupancy of the b aiding or structure Is provielonal and revocable until the satlatacllon of all Inspection requirements
APPLICANT'S SIGNATURE
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WASHINGTON COUNTY0
ELECTRICAL PERMIT
Department of Land Use& Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue,9350-12
Hillsboro, Oregon 97124 /0.3s/C'F'
information: (503)840-3470 Fax: (803) 893-4412 Project/Permit
Number C 'Yc�716, Date 7.2Y fJ
PLEASE PRINT
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Numb',of Inspections per p•nn11 allowed 9
1. Location of installation Service included: Items Cost(ea.) Sum
Address_9522 S.W. `ASHINGTON SQUARE ROAD _ A. Residential-per unit
Building SPACE H7
City TIGAPD, 97223 --Suite No. LEVEL_L 1000wftorlees - - $6000 — 4
Tenant Name Each additional 500 sq ft
or portion thereof ______ $1500
(it commercial) BANAN9. RCY_SIBLIC LmitedEnergy $20.00 1
Each Manufd Home or Modular
Directions WASHINGTON SI)IIARF MAL I ilirq S'fV1cI°'Feeder -- 2
_ —_NAR FI R &_FRANK .— B. Services or Feeders
Installation,alterations or relocation
— 200 smps or less 1 950 00 5Q Q9612
Commercial Lxi Residential[ 1 201 amps to 400 amps _ C $60 00 1_ .V•UV 2
401 amps to 600 amps _ $100.00 2
601 amps to 1000 amps $130 00 --__ 2
2a. Contractor installation only: Rec 1000 amps or Volt' — tJ00 00 2
ELonn.cton/y 94300 2
ECTRICAL CONSTRUCT ION COMPANY
Electrical ContractorFiec
-
Address P.O. BOX 102f16, PORTLAND, OR 97210 C. Temporary Services or Feeders
Date U7/20/93 Job Number 752.85 'retaliation,adoration or relocation
Property Owner200 amps or less _______ $40 00 2
Contractor's License No. 26-45C 201 amps to 400 amps _-_ 555 00401 ..—_00 2
Contractors Board Reg. No. -. 49737 Over� e,amps to 1000 volts s •s .bow 2
Signature of Supr Elec'n �-�3, (yam 1. D. Branch Circuits
License No -X9865— Phone No, 7124- 5 nn--- NOW,alteration or extension per panel
.'.5 l'f, a) The N•for Manch circuits with
purchase of web*or feeder Al).
2b. Fol owner Installations: Each branch circuit $2.00 _ 2
b) The fee far branch circuits without
purchase of servlw or Nada hes
it i a Phone No First branch circuit $35 00 2
----_--- -- Each sdd'M branch circuit= $2 00 ___9..4..0_ 2
Add1ess E. Miscellaneous (Service or Feeder not included)
City SW. -- — Each pump or Irrigation circle_—_ 940 00 _ 2
Each sign or.xrlkne lighting $40 00 ___ 2
limited
The installation is being made on property I own SIgnal eenerg, ;mere
which is not intended for sale, lease or rent. or extension $4000 .-- 2
F. Each additional inspection over the allowable
Owner's Signature - -- — -- - In any of the above,per inspection
3. Plan Review section (if required) -- 93500
,1 ) , 5. Fees
' ' Il o f • /,t 2/9 3 f A. Enter total of above fees $ 264.00 _
5%Surcharge(.05 X total fees) $ _13.2Q
Subtotal S 277.20
B. Enter 259. of line A for
For Inspections call Plan Revi&w"rey.ared(Section 3) $ 66.00
640-3561 or 693-4415 Subtotal $ 343.20 _
24-hour recorder, Less Bulk Label Fee
one working day In advance of need Balance Due $ 343_20
This permit become,null and void if the work authorized by the permit Is not commenced within 190 days from date of Issuance
of such p.rmIl or if the work authorized Is suspended or abandoned st any time after work Is commenced fora period of 190 days.
Electrical Permits sr.non-refundable and non transferable. 10/91
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WASHINGTON
CUNTY,
4611 OREGON
July 27, 1993
Electrical Construction Co.
P. O. Box 10286
Portland, Or. 97210
RE: Banana Republic
9522 S.W. Washington Square Rd. , Ti .
P-13106 05042746
Plans on the referenced project have been reviewed by this office
and are approved for construction subject to the following:
1. Approved plans inclusive of plans review reports,
specifications, all schedules and calculations Imps BE
RETAINED AT ?'HE JOB SITE a...1 c.ccessible to the field
inspectors prior to any electrical inspection approvals.
All of the above are part of the approved set of plans.
2. Validity of Permit_ The issuance or granting of a permit or
approval of plans, specifications and computations shall not
be construed to be a permit for, or an approval of, any
violation Df any of the provisions of this code or of any
other ordinance of the jurisdiction. Permits presuming to
give authority to violate or cancel the provisions of this
code or other ordinances of the jurisdiction shall not be
• valid.
The issuance of a permit based upon plans, specifications
and other data shall not prevent the building official from
thereafter requiring the correction of errors in said plans,
specifications and other data, or from preventing building
operations being carried on thereunder when in violation of
this code or of any other ordinances of this jurisdiction.
3. All electrical products as defined in ORS 479.530 used or
canr:ected shall be certified (listed) per ORS 479.610.
4. The electrical equipment installed that shows no listing or
certification by an approved agency shall he field evaluated
by a qualified third party. A report of the approval of
that field evaluation shall be made available to Washington
County prior to connecting or energizing this equipment.
Deparmenl of L and 11se and Transportation, ButldmgfPermns Section 0350 12 t'hone 503/640 3470
Noffh f vet Avernre N,labors, Oregon 97124 f AX 503 693 441)
•
414
Electrical Construction Co.
July 27, 1993
Page 2
5. All other electrical work not shown and/or covered under ' z
this permit is to be permitted separately.
6. Changes to approved plans must be submitted and approved
prior to approval of inspection.
NOTE_ Please use the above mentioned project number with all .j
future communications. This will help to expedite the . ,
processing time for revised plans and required details.
If I can be of any further assistance, please feel free to call
me at 640-3470, Ext. 2387.
Herb Stabenow
Electrical Plans Examiner
+yt.
c. Inspector
Permit File
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RECEIVED
Form 5a ,�r,�F �,rt.(,�u C. JUL 2 1 1943.
INTERIOR LIGATING
Interior (a) (b) (C) ` (d) 1 (e1 I (1) (0)
LightingI Max Lighting
Power Occu- Floor I Power Power
Budget pancy Area Allow. Budget
3roup Space Type' —y (ft2) 1 — l (W/ff2) --((c-d)x e) f�
List all lighted
Hoof areas If area under 1,000 ft2, 0 2.0 0
Exclude exempt enter area in(c)this row
arses and uses
of stairways, If area between 1.000 and 1000 i.6 2,000shafts,telephone Office 6,000 f12,enter area in(c)this row
rooms,etc.
If area over 6.000 fts, 6,000 L 1.2 10,000
enter area in(c)this row
If area under 1,000 ft2, 0 4.0 0
enter area in(c)this row
Retail
If area between 1,000 and i 2,000 I 3.0 8,000
6.000 rte.enter area in(c)this row
, If area over 6,000 ft2. I IMOI. 2.0 20,000
enter area m(c)the row 4.. .....,.. i J 10
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1. Total Intenor Lighting Power Budget(W). Add amounts in column(g) 20 1110
r
lossosommilmi
Adjusted r, 2. Sum the Page Totals)from Form 5c
Interior �`/ - ,
Lighting 3. Total lineal feet of track lighting ---
. Power 4. Multiply line 3 by 50v.:-
0 • :•...
off you naw
Bayllpnta+g or s. Total Intenor Lighting Power Add line 2 and line 4 Z.)a'r
da _
rumen mauve- 9 Total Control Credit from Worksheet Sa° `
name controls. ---- F......
see calculate
7. Total Adjusted Lighting Power(W).Subtract line 8 from line 5 V (
Se to cakulate — ,
me control 6. Does desir n meet the budget/Enter"Y"if line 7 is less than line 1,otherwise mann. _
credits.
Interior 9, Do all non-exempt spaces have local lighting controls?Enter"Y"if true.otherwise redesign. /
Controls 10. Do all local lighting controls control less than 2.000 ft2 of area?Enter"Y"if true,otherwise
redesign.
11. Do all,ntenor display and accent lighting,including plug-m,tract and display case lighting,
have separate lighting controls. Enter"Y'if true,otherwise redesign.
12. In buildings over 4,000 ft2,do the luminaires in office spaces have separate automatic controls to shut
off the lighting during unoccupied penods?If yes,check the type of control(s)used.C,hetwise redesign.
,C Automatic Time Switches
Occupancy Sensors
O Other I
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emallaIIIIMMIIIIIMMININEMIIIIIIIIIMMIsmesenfloMniei
Forms 5-1
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Form 5c E..oar'f.-1,--'�
INTERIOR LIGHTING POWER R a‘.4
•Enter Ow Quantity (a) (b) I (o) I (d) le) (1)
for awry Lighting
non-exempt
lum„y„.Do no( Room or Room or Plans Luminaire Ouairtity of Luminaire Power
consider track Sheet No. Designation ID Luminaires' Power (d)x(a)
lightitom r.v— C L-4e k:. Gr LG , 24G
accounted for on ti G,.s+sr — r I O C- q �..?
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1. Page Total Sun tfte amounts in column(t) ,C�1 C,5I
,,1131 Forms 5.3
35mm
Address : 15 0_
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