9585 SW WASHINGTON SQUARE (MAIN ADDRESS)_FOOD CT SHELL WASHINGTON SQ FOOD CT SHELL LV P-47381
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• DEPARTMENT OF LAND USE&TRAtoSPORTATION
4111,111 WASHINGTON LANG DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY,
INSPECTION REQUESTS: 503/640-3581/693-441
OREGON XXXXXXXXX--) 40-.3470of 1
Date : 02/07/95
Time : 09: 41
k''rmit 'Type : Commercial Electrical Permit Perm? t * : 05063'/32
Permit Status : APPROVED Applied : 02/0//95
Situs Address : B69s SW WASHINGTON SQUARE RD 1'i Issued : 02/0'//95
Permit Title : WASH SQ MALL NEW FOOD C1' Completed :
Permit Descr. : Lu VOLT bACKGROUND MUSIC To Expire : U8/0b/95
Project Title : WASH SQ MALL NEW FOOD CT Project # : P004'/381
Prolect Descr . : LO VOLT BACKGROUND MUSJC: * EROSION *
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PaiLei Number : 2: 1'1'1 - Land Use District :
Valuation 0
.! Legal Uescr.
owner : INSPECTION - 'l'IGARD Construction : OTH
Applicant Name : EN'1'OUCH SYSTEMS Classification : 500
Al,plicant Addr. : 1594 SW '/2ND AV Occupancy
PORTLAND OR 9 /224 Validated by : MJ[''
Applicant Phone: b14-6500 Inspector Area :
hee description Units Fee/Unit Ext tee Data
Limited Energy/Alter. /Extension 1 40 . 00 40 . 00 .
SUDtotdl Electrical Fees : 40 . 00
of Sb 2 . U0
State Surcharge
Total Electrical Fees: 42 . 00
*** Fees Required *** *** Fees Collected h Credits *** l
Method Check # Receipt No. Date Payment
CK 6339 02/07/9S 42 . 00
TOTAL THIS DA':E. ********* 42 . 00
Fees : 42 . 00
Adjustments: . 00 'Total Credits : . 00
Total Fees : 42 . 00 'Total Payments : 42 . 00
balance Due: . 00
NOTICEThis 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 eonetruction Is interrupted fore period of 180 cloys I certify that the information presented by the applicant and
his agent or agents in support of this permit is true and co•rect to the lest of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may Invalidate this permit. All,,rovisions of api,.cable laws and ordinances governing the construction and use
of thl building or structure will he complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a per nit does not grant authority to access private prowrty or to use easements I further acknowledge that the use or occupancy of
the struru re or building permitted depends upon my calling for'nape:bons at various times during the process of construction and the building
Inspection staff verifp.ng c impliance with the various codes. Use or occupancy of the building or structu-e permitted prior to approval by the
Building Department is solely at 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 acknowledge that a lien may he placed on the title of the property upon which the permit is Issued
specifying that the use or occupancy of the building or structure is provis'onal and revocable until the satisfaction of all inspection requirementa.
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AOPUCANT'S SIGNATURE
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illk WASHINGTON COUNTY RESTRICTED '
Department of Land Use&Transportation
l 1'' First AElectrical Inspection Section ELECTRICAL
155 North First Avenue, #350-12ENERGY
NERGY
Hillsboro, Oregon 97124 l
Information: (503)640-3470 Fax: (503)6934412 APPLICATION
• PLEASE PRINT
a Please complete all sections, 1 through 5. Permit No. 5 -- 3 73?
i 1. Location of installation
CrJ� Date .4 - 7- 9j
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Address. `.i t 1,li', U/jgfi{� —
City- _�C1't _Aral Zip Code - 4. Type of work:
Map No. Tax Lot
-- -- RESIDENTIAL Restricted En,rgv Fee $40.00
Thornes Map Book: Page Section (for all systems)
• Directions
Check type of work involved:
Audio and Stereo Systems'
ComrnercialN Residential Burglar Alarm
Telephone Systems'
Tenant Name Garage Door Opener'
(if commercial) ._ WI4f SCJ , 644 LL 17/ :) (-4 Fire Alarm
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Heating.Ventilation and Air Conditioning Systems'
2. Contractor application: 1Vacuum Systems•
�y�� J Other
Electrical Contractor_ L'aj —'p k — ---
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Address 51. + 5.W. 7211— COMMERCIAL Fee fee.each system $40.00
City 'Pc Stated Zip 97229"
(see r'.gR sis-leo-leo)
Date
2,-7_:15 Job Number 2571
Property Owner Check type of work invulved:
Contractor's License No. 2-6C 7.E.
Contractor's Board Reg. No. __.6,1_7-?-7 Boiler Controls
Phone,No. _ 6-.2.4-65'�4 —_ Clock Systems
Data Telecommunications installahons
3. Owner application: Fire Alarm Installation
HVAC
Instrumentation
Print Owner's Name Phone No Intercom and Paging System
--- Landscape Irrigation Control*
Address
Medical
Nurse Calls
City State Zip Outdoor Landscape Lighting*
This permit is issued under OAR 818-320-370. The applicant agrees Protective Signaling
to make only restricted energy installations(I0o volt amps or less) Other _RA trr*Nhl/N0. t;S Ir.— i
under this permit and to do the following L�"_
1. Only use electrical licensed persons to do Installations where
required. (Certain residential and other transactions are exempt I Number of Systems
from licensing. These have asterisks(•). All others need licens-
ing.)
2. Call for an inspection when all the installations under this permit •No licenses are required Licenses are required for all other installations.
are ready for inspection.
3. Purchase separate permits for all installations that are not ready 5. Fees
• for inspection when the Inspector Is out to inspect under this
permit. Entec fees $
4. Assume responsibility for assuming that all corrections required
by the inspector are done,and
5 Assume responsibility for calling for a final inspection when all of 5% Surcharge (.05 X total above) $
the corrections are completed.
The person signing this permit must be the applicant or a person Trust Account $
authorized to blgd the applicant. /
Signature Total $
Authority if other than applicant . - ____- This permit becomes null and void If the work authrrirnd by the_..„_
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permit Is not commenced within 180 days horn date of issuance l'
For inspections call of such permit or if the work authorized is suspended or abandoned
640-3561 or 693-4415 at any time atter work is commenced for a perir.o of 180 days.
Electrical Permits are nonrefundable and non-transferable
24-hour recorder, one working day In advance of need
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WASHINGTON COUNTY INSPECTION CARD PNO CT149,
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DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO, 3"; J
FOR INSPECTIONS CALL: 640-3561, 24 HOURS
FOR INFORMATION CALL: 640-3470 i, _ //
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� // DATE 7 77
ADDRESS Ii 4L1./. fl F-(76�� en L4n,rr .. ii..., II PERMIT 13r i 4J
DIPECTIONS
- _ No No. ZSl) - SL`/1 ligk
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BUILDING_
MISCELLANEOUS PLUMBINGOF ELCTR
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ft9 post/beam nail mobile hoae ground NIIIIIMPIraill temp service
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fdn frame apron/ wood stove post/beam story.' sewer cover I service
sidewalk I,
....service
insul HVAC top-out FI4AL FINAL '
FINAL
/ / 7 1 (las test sewer USA No.
V
OTHER L _ S (v 3 l3 i-
VAAPPROVED aNOA APPROVEDECT �APPROVETO HOWEVER NOTE:SPECTION �8TOP WORK UNTIL
- /:--77—jN C-f / ) ai k;
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INSPECTED BT �4' a.f DATE fiL��i 1
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