9735 SW WASHINGTON SQUARE_TI 9735 SW Washington Square Rd TI P24125
9735 SW Y'ashington Square Rd TI P24125
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DEPARTML 1T OF LAND USE 6 TRANSPORTATION l
WASHINGTON LANE DFVELOPMFNT SERVICES DIVISION
155 NORTH F111..;T,PILSBORO,OR 97124
COUNTY, NSPEC'ION REQUESTS: 503/u0-3661/693-/416
PHONE: 503/648-6761
OREGJN Page : 1 of 1
Date . 06/05/92
Time : 13419
Permit 'type : Commercial Electrical Permit Permit N : 1:5030660
Permit Status : APPROVED Applied 1 06/05/92
situs Address 1 9/35 SW WASHINGTON SQUAME HU TI Issued : 06/05/92
Permit 'Title I HAUlu SHACK - k:LEC/WALL SIGN Completed :
Permit Uescr. i To Expire : 12, 02/92
Project Title 1 RADIO SHACK -- k:LEC/WALL SIGN Project 0 : P0024125
Project Uescr. : * FHUSIVN *
Parcel . umber : 2:1'1'1 -- Land Use District 1
` Valuation U
Leyal Ueecr. •
owner : It.SPECTIUN - '1'IGARD Construction : UTH
Applicant Name : CMH SIGN SYSTLMS Classification : 900
5"
Applicant Addr. : 10828 NW '. HELEN'S RU Occupancy
PORTLAND, Dat 9/2i1 Validated by 1 Kt'
Applicant Pnone: 285-' 918 Inspector Area :
tee description Units t'ee/Unit Ext fee Data
Sign or Outline Lighting 1 36.00 36.00
Subtotal Electrical Fees: 36.00
state Surcharge of srt 1.80
Total Electrical Fees: 37.80
*** Fees Required *** *** Fees Collected 6 Credits ***
Receipt No. Date Payment
"4b/06/92 37.80
Fees: 3/,80
Adjustments: .00 Total Creditr: .00
Total Fees: 3'i .80 'Total Payments: 37.80
Sa.lance Due: .00
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Nerve* This prmN becomes null and void I:the work or oOmwnIdlon hr which N le Issued'a lot anwnmo rad wNhln Ia,days Ones,,.wulruclhn has Maned.
the permit becomes MA and veld N sonaNt'aion Is NMnupNrl Aar a period of ISO dal i. I certify:hal Ina Information mewled by,tine applicant and
Ms agora or,genre In ft"pal of NIM pomN uv true and serest b Efts bed of our knr•dodge I acknowledge imp:he M/NdIn Dsddreep.l,ry'mos
upon wee and mMMcdNq bdor1*UNon may k,.Adam ale wow. Ay pro%lo e en applicable law,and adlnawus governIng Ne oa:dnwctkwn and use
M MM building or abvali$e MN be sempl ad wll whinier for nor apedNad nn Ni.plans or noted on.Ie platy coawefa.VMS'. I acknowledge Ihd
the gw*Ming of a penial dew nal 6raW Ramify b aeons pit.**piper y or b ues sesemaae I further aclmc
wkadge that fns use or occupancy nl
Ins 0"001,0^11.0 buliding pnelMad*Om*Won my odN,15 lo►kneesJNore r various Nm's during the preens'or avv;aru•Non and Ms Minding
g
In'pedMn W..N verifying eempganee will the mews,codec. Use or oeapa:oy of the banding or dnNlure rend prior n approval by the
'Building Deportment M Ode*M Ma alai of Ps 5f n•na and arm use or neeupency la revocable ants ell Iden.'squlnim.MM are sdbfled end
sppevel is given by Nn,Bulldln, .,'d. I hslhor rte naMsdge and a Nen rimy he planed on Ne IIIle el way• 1' sued
spectrykng Md eu
Me use or c 'mem:y M a sewed,the building ded,Is poviekwecal and manmade until laob'n i . '� I II
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IICra$IONATUR0 -----...----- I
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•WASHINGTONCOUNrY
DEPANT3tEENT OF LAND USE ANL' TRANSF ORTATION PERMIT NO (Q(.0LAND DEVELOPMENT SERVICES DIVISION NII
ELECTRICAL PEC'iON SECTION TEMP.PERMIT NO. __
ISO NORTH FAST AVL'NUE DATE
IM
LLORO,OREGON 97 124 040-3470 ISSUED BY
LABEL NO. _-..__ ... ----- -...-
ELECTRICAL PERMIT APPLICATION __M
CMR SIGN SYSTEMS10828_ NW ST. HELEN'S RD. PORTLAND, OR. 97231
NAME OR FIRM PLEASE PRIN., MAILING ADDRESS TELEPHONE
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���,�♦ 285-7918
AA.AXELFCTRICAL CONTRACTOR LICENSE NOM 26-69SCLS I AM REGISTERED WITH THE BUILDER'S BOARD
OHS 701.058 REGISTRATION UJ L FXPR.DATE _. 17Q SIGNATURE OF
SUPERVISOR_- ,.--__ LICENSEE 319S1
l_i PROPERTY OWNER I HEREBY CERTIFY THAT I AM THE ,'WNER Or THE PROPERTY DESCRIBED BELOW, AT WHICH LOCATION I PROPOSE
TO MAKE AN ELECTR;CAL INSTALLATION FOR NV OWN USE A':O THIS PROPERTY IS NOT BEING CONS1RUCTED FOR SALE LEASE OR
RENT FOR THIS REASON, I AM EXEMPT FROM PAIL 0, R'S BOARD REGISTRATION UNDER ORS 101 055 THE ACTU 1L INSTALLATION WII.I
BE MADE BY ME n OR By WHO IS A MEMBER OF MY FAMILY I
RELATIONSHIP — OWNER'SSIT1NATURE _
OWNER'S NAME
LOCATION OF INSTALLATION 9735 WASHINGTON SQUARE RD. TIGARD, WASHINGTON
ADDRESS— i CITY -- "-
COUNTY
DIRECTIONS __MIDI WASHINGTON SQUARE NEXT TO SEARS _
FEE
RESIDENTIAL RESIDENCE WIRING LESS THAN 100010 PT. S S 32.00 _
RESIDENCE WIRING LESS THAN 200010.PT. E 5 53.35
RESIDENCE WIRING OVER 200,30 FT. __ MI 74.10
ELECTRIC HEAT INSTAI I A TION IN EXISTING RESIDENCE •$ 21.34
SERVICES TEMPORARY SERVICE _ ES 21.34
SERVICE CHANGE ONLY IN AN EXISTING RESIDENCE O1 21.34
SERVICE NOT OVER 100 AMPERES _. . DI 32.00
TOO AMPERES BUT NOT M'•RE THAN 200 AMPFIIES OS 53.35
OVER 200 AMPERES BUT NOT MORE THAN 400 AMf FRES RI 74.70
OVER 400 AMPERES BUT NOT MORE T 4AN 600 AMPERES ��-. •1 106.70
SERVICE OVER 900 AMPERES •I 138.70
SERVICE OVER 000 VOLTS RI 320.10
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FEEDER&'NSTALLATION. NOT MORE THAN 100 AMPERES @I 21.34
ALTEP,.TION OR REI OCATION OVER TOO AMPERES BUT NOT MORE THAN 700 AMPERES 01 32.00
I WE HAM AMPERES Rot NUI MOHI THAN 400 AMPERES WI 5' 1'I
OVER 400 AMPERES P1 64.00
FEEDER OVER 800 VOLTS EI 85.36
MISCELLANEOUS MOBILE HOME SERVICE _ 0 21 34
MOBILE HOME FEEDER '1 21,34
EACH IRRIGATION PUMP P$ 21.34
EACH ELECTRIC SIGN OR OUTLINE LIGHTING —7- 111 21.34 _
EACH RESIDENTIAL SWIMMING POOL RI 21.34 _
ONE NEW CIRCUIT ALTERATION OR EXTENSION _ •I 21.34
. TWO OR MORE NEW CIRCUITS ALTERATIONS OR EXTENSIONS •I 32.00 _—
OTHER NOT LISTED ABOVE 0I
i SSEPECT•a,PETE 1 _
2011 E4EPIC1I01411 CALL NO-301. 2. WS VAST.T'X I
NI MOW WORM COG NONENO DAY
N ADVANCE C2 NEED. I. PLANO CHECK All $
(1.201* TOTAL CHARM $ i q'' )1'
THIS PERMIT BECOMES NULL AND VOID IF THE WORK AUTHORIZED SY THE PERMIT 3 NOT COMMENCED WITHIN 150 DAYS FROM DATE OE
ISSUANCE or SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OR ABANDONED AT ANY TIME AFTER WORK IS COMMENCED FOR A
PERIOD OF ISO DAYS ELECTRICAL•ERMITS ARE NON REFUNDABLE B NON TRANSFER/AKE
DOn/LD0 E-001
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