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. DEPARTMENT Or LAND JSE&Tilt.NSPORTAT ION
or WASHINGTON LAND DEVELOPMENT SERVICES DIVISION1
155 NORTH FIRST,HILLSBO`O,On 9717.4 ,
COUNTY,PTY, INSPIEC TION REQUESTS: 533;11+Yi i•3601/&fm4R 15 t
O C ► EGON n :,r.,1,•.r.A.4 b40-:14 .
Page : 1 of 1
Date . 01/10/95
Time , 09 : 09
Permit 'iype- ummezcial Electrical Permit Permit U : 050b2b2J
permit :-,tats.:: At'PkOV.SC, Anpiled : 01/10/95
Situs Adorers 95d5 :.;W WAI-M,N(;'1'c-'N SQUARE t?U '1'. Issued . 01/10/95
i Permit 'Atle . WASH1W.i';uN :Dv MALL C'k't'1Ct. C(.mp.lete,l .
Permit Uescr . : Sk.KViCL/10 CiK(. Ul IS '1'o t;xpir : 07/09/45
Protect 'Title : WASHANC;'1'UN $t<I MALL O- 'ire. Project a . PO046 /01
Project Ltescr .. . Sr_NV1LI/'. .J C'1 KCU1'i'S A tKU$i • •N *
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Parcel Number 4:)1'L'1 Lapid Ur;e District : J
Valuation • (I 1
Legal Ur- cr .
Owner . 1 N'oPt.:L'1'1ON - T 1'.;Ai U Cont ruct ion • O'1'H
Applicant Name : :,1 . .JOHNS ELka."relit ('J asi:i f icat ic,n : 900 '
Applicant Adcir . : J404 NEb5'i'H ..7,T Occupancy •
VANC'OUVEH, wA y.t,bJ Val ,tiated :3y Pa
,wr.,iir'ant Phone : 406 -69J-51h° 1:t:,pector Area '
tee description L./nit :: Fi.. /Unit Ext tee Data
Service/t'ee<1er : .1:rips or .t±ss 1 60 . 00 60. 00
Eden hr anctl W/ t t:.eder I Lnt er * 1 10 5 . 00 50 . 0!1
:.ut)tc.t.t1 tslectrlt'alFee:., : 110. 00
State :,itrchar-ge of 51. 5 . 50
total Electrical Fp(.0 : 115 . 50
AAA tees Required AAA AAA r '•f'•'.; t_ii-ticc:ted h Cre,litE *AA
Meth<•,1 Lt:,—.-k K k,'' elpt Nc. . lt.-ct t• F'.iyment
. CK 1 .1', ,t . ' ; li/`i5 11 '1 . 50
'1c.'1AL '1'H a 1.441 : AAAAAa * ali 11tJ . 50
tees :
u•:tment :II . ;ll rt 1 : t.'reiit' : 00
1c:taA heel:: 115 . �n 1.01Al P,Ayl.ients • 115 . 50ri1an .',' iue : . 00
NOTICE This permit becomes null and void lithe work or constructle t for which RIs Issued is not crmmenced within 180 days Once construction has started,
the permit becomes null and void If construction IA Interrupted for a period of 180 Asv• I certify that the Information presented by the applicant..rid
his agent or agents In support of this permit Is true sod correct to the beat of our knowledge. I acknowledge that the 3uilding Departments re lance
upon raise end,nisleeding Inforrnatl.,n may invalidate this permit. All provisions of applicable laws ane:ordinances governing the construction and use 1
of this building or stru:tura will be complied with whether or not specified no the plans Or noted on he plans.orrectlon sheets I acknowledge that
the granting of a permit does not grant authority to tcceea private property or to use easements I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my c.ltng for lnepeaions at various times dur:ng the process of construction and the building
1 Inspection staff verifying compliance with the vicious codes. Use or occupancy of the building or structure permitted prior to approval by the
Bdilding Department is solely at the risk of the applicant and such use or occupancy is revocable until ad inspection requirements are satisfied and
approval is given by the Building Official I further acknowledge that a lien may he placed on the title cf tic property upcn which the permit is Issued
. specifying that the use or occupancy of the(„nding or structure it provisional and revocable until the setisfactlon of all Inspection requirements.
APPLICANT'S!IMMATURE
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Department of LordµUse & Tran ,,. i.._.. t1��n.. 'It1n/,I�e .e I1
1 '�-/ ice► Inspection 'Section
M511sbort Cir t AVe971�4 350-12 APPLICATION I / r ,�"
Information; (503) 640-3470 Fax: (502) 693441 2 ' I"�1 �,.� f
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PLEASE PRINT Nu.nber .�- �4-[L•
' Date �l' /S
Please complete all sections. 1 lhrough 'Sr'' '4.Complete Fee Scherbelow
1. Location of installation tiut"�'►4t lf:epeetton.per permit allowed
JJ ' Service included? Items Cost(ea.) Sum
Address_`1 �__`)4L' s .'l�icr)7/C..LL -)4f r LI
Building A. Residential-per unit I
City Z,,L.$ / - 7--- Suite No. --.__--__-_—.-
r.07 sy ft.or less --- $1 1000 _-_- 4
Tenant Name , Each additional 500 sq n
(i'commercial) 1�L4.1 21 or portion thereof — $25 00
I im t d Enol gy __--- $25 00 ____________ 1
Map No ____________________ Tax LOt -- Lath Manufd Home or Modular
Dwelling Service or Fonder ---- $68 00 - _._.__.__ 2
Thon.as Map Book: Page:________ Section: _._
Directions __ _- ----.-----. _ R. Services or Feeders
Installation,alterations or relocation
200 amps or less 1_.__ $60 00 �' nr_-- 2
CommercialX
Residential r __^ _
l 201 amps to 400 amps S80 COC0 _ 2
1 401 amps to 600 amps $120 00 J_-- 2
2a. Contractor Installation only: 501 amps to 1000 amps - S180.00 2 I
�/ Over 1000 amps k-r volts SJ40 00 _,.-_ 2
Electrical Contractor\�' cZi
- ts- Z/..,:4.,�..-- ,,__._ --_-_
_ Roc annect Orly _ $50 00 -_— 2
Address air,_ i L• 4 5.--_111 II'err!'err i.r.s, 1L1±_.1.ili.4 ')
Date_ I- 4 ..95 _____ Job Number ______ __ C. Temporary Services or Feeders
Property Owner _ ___. rnstailation,alteration or relocation
Contractor's license No. _,4 ',7' i 5&C__—_— _ 200 amps or loss __. $'10 00 __ _ 2
Contractor's Board Reg. Nu. __y, a. , 201 amps'o 400 amps —_--. $7')Or _____,_ 2
,r rr 401 amps to 600 amps $100 00 .--- 2
U er i 0 amps lo 1000 volts see'B'above
Signature of Supr. Elec'n ��! ' A' L-__
License No. 6[.7 y S Phone No.4 ' '•' 54/CC .. D. Brunch Circuits
New,alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or feeder Is,.
Print Owner's Name ---- - -- 'hone No Each branch circuit __./..P.- $5.00 _..__5r __ 2
h) The too for branch circuits without
Address -- - - -`--`- purchase of service or'seder 1N.
First branch circuit _____ $35 00 2
i'-`dy —rage -----7.43-- -- Each add'n1 t rarlch circuit $5.00 2
E. Miscellaneous /Service
Ee^ ior Feeder not included)
The installation it; beingmade on property I ruin $40 pump or irrigation circle $40 00 _ 2
which is not intended for sale, lease or rent. Each sigr,or outline lighting $40.00 - - 2
Signal circulus'or a'invited
Owner's Signature -_..__._.._ ___—_---_ energy panel,alteration
or eluension - $40 00 2 f
F. Each additional inspection over the allowable
—....................1 in any of the abo"e
3. Plan Review section (if requ;red) Per ',:.pecticn sas 00
Please check appropriate item and enter fee in section 58. Per .o.,r S55 00 _r
In PI.;ct _____ S55 00
4 or more residential units in one Sfructvre -
__._Service and feeder, 800 amps or more S. Fees 1
___System over 600 volts nominal A. Enter total of above fees $ //(,t'e
_Classified area or structure containinspecial 5% Surcharge (.05 X total fees) $ .5_.SC _
occupancy as described in N.E.C. Chapter 5 Subtotal $ //5.',C
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ -----
a boy e apply. Not required for temporary construction Subtotal $
r services. $ —
Less Bulk Label Fee
Balance Due $ /4 s.
For inspections call C mi.Mrmd become.null and void d the work sulhorlied by 11m ands toman
not oned
640-.3561 or 693-4415 wrrhm 100 darn from dale of rssuaneo of such porton of if IM work aulhnrlied is '
suapendsd or abandoned a1 any Imo.ado,work ra commenced for a par rod of 100 days.
24-hour recorder, one working day in advance of need rlectrualparmAsaranor,-refundable and non.trar.«sroMo.
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DEPAR .MEUT OF LAND USE & TRANSPORTATION
LAND C?EVELOPMENT SERVICES DIVISION #3SO-12
;' `. ' WASHINGTON 15S NO11 rH FIRST, HILLSEBORO, OR 9.7124
PHONE: 503/640-3470
1 OREGON INSPECTION REQUESTS (24 hours): 5031640-J561 or 593-4415
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DEPAR'IMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640.3470
OREGON INSPECTION REQUESTS (24 hours): 503!640-3561 or 693-4415
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Permit R : 050E2623 Project S ! P0. 46701 Status : APPROVED Page 1 of 2
Applied 7 01/10/95 Ivaued : 01/10/95 Expo-el • 07/09/95 02/17/95 05 - 31
COMELEC
Permit Title UM H INOTON SQ MALI. OFFICE OTII i
Description SERVICE/10 CIRCUITS Bequn : 01/10/95
, Job Address 955S SW WASHINGTON SQUARE RD TI
Owner Name INSPECTION - T IGARD Region D
Applicant Name : 8T . .JOHNS ELEC'iRIC
Phone number 206 -693-5100 Valuation : 0 Approved
Inspector Comments Rejected
0 i ' ►s [.t2z�4 ARm'4'-- / p I: ",- 1 R-RESULTS '
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= - _ -REQUEST ERROR !
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Inspected by LA2 _ .t4-- Date . a2. -19 Ni--.___
Inspect.ion Requested
r * Cover 0404 E AP DN IVR
02/17/95 RI LO CEILING 239 -1562 NOON PLS
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DEPARTMENT OI LAND USE & 1RANSPORTATiON
Wi15Alivtil'ON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNT
i'J( 155 NORTH FIRST, HILLSBOc o, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours) 503/640-.3561 or 693-4415
Perla 062623 Project 8 : P0046701 Status : APPROVED Page 1 of 2
" Applied : 01/10/95 Issued : 01/10/95 Expiros : 07/09/95 02/21/95 05 31
COMELEC
Permit Title WASHINGTON SQ MALL OFFICE OTH
Description SERVICE/10 CIRCUITS Begun: 01/10/95
Job Address 9585 SW WASHINGTON SQUARE RD TI
Owner Name INSPECTION •• TIGARD Region D
Applicant Name : ST . JOHNS ELECTRIC
Phone number 206-693-5100 Valuation 0 approved
Inspector Comments : Rejected
aGtiteirt -
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-- -- -- — -_-- REQUEST ERROR!
Plumbing
Mechanical :
Electrical :
Structrual :
General
Inspected by : _. , /r. .�
-_--- Date : �-�► -/ S
Inspection Requested : -
* Ceiling Cover. 0414 E AP DN IVR
02/21/95 RI PH
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DEPARTMENT OF LAND USE. & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12
WASHHINGTON 155 NORTH FIRST, HILLSBORO, OR 9712" 1
s•� COUNTY, 1.10NE: 503;640-347n
OREGON INSPECTION REQUESTS (24 hour.): 503/640-3561 or d93-4415
Perini 062623 Project E : P0046701 Status APPkOVED Page 1 of 2
Applied : 01/10/95 Issued : 01/10/95 Expires 07/09/95 002/22/95 05 : 31
Permit Title WASHINGTON SQ MALL OFFICE 0TH
Description ZERVICE/10 CIRCUITS Bequn . 01/10/95
Job Address 955$5 SW WASHINGTON SQUARE RD TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name : ST . JOHNS ELECTR C
Phone number • 206-693-5100 Valuation 0 Approved V
In*pector Comments : Rejected _
FI LJ rn s k° vi!
REQUEST ERROR!
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Plumbing --- - `
Mechanical :
Electrical :
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Structrual
General _ —
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Inspected by .
, D.te :
Inspection Requested:
* Final Electrical 0499 E AP DN IVR
02/22/95 RI MJF 206 693-5100
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