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9514 SW WASHINGTON SQUARE (1) 9614 SW Washington Squdre Rd 11 26C candles #3035/ •- 1 1 I f----2 f--...-- --,_ . . i, Washington County ( . F:. " 1:.4,/,„ \fr\ Fire District No. 1 1 14480 S.W.J9nkina Road Beaverton,Oregon 97005 I .. r\N ''''';.0 - Bureau of F'.re Prevention -- 64b-1101 I xtansi on 245 ?lama Examinati.or. Report No, 247 Fire Station :o,rc:.J ''aunty Olen No. 8102 Run Distance i3ur.1d1r.,L "The Heal Mother Goose" Occupancy r-21 honcuntile Fire Zhao address hop _Ancu H-":. .cehinl.tun `-:cluaroConstruction Type III-L Architect/benigner Richard Dorman Address _v Liud.. Loa Ann�leaa Owner in..6u Pap,f,fic ln:.:. Address 9(_iili — _ . _ . .,..va Stories_ .t Main Area 775 /Basement Area nen. Attic Height 151• /Stops none . Fire Walls non© Fires Lacapeo - Exits /Total Width of Stairsr, n.•~,/Pblolosea - Other Vertical Shafts lulu: /Enclosed - Sprinklers Area Covered entire arot Man. Alarm nu C.P. * Kxt.p.s. /Class - /No. - Combuetion Detection nc MP* - /Area Covered - Floor .)nr;rete Ceiling •uac.ecl.ti.le Roof u Str. Members *teal. Wall Cover none J . ....,, board Exterior Interior Heating System!of shoLn Fuel - Cooling System not shown ',be plans for the above described structure were referred to this office ___11,Y.5173 73 _ and reviewed 10/17x / . _ for conformity with Stag and District fire safety laws and regulations. The fc,llowins itomized cotsnenie describe changes in the plans required *or conformance with such laws anJ regulations and recommendations for enhanoamant for the general fire safety of the ocouranoy. 1. 411 nesting, conking, ventilation end electrical enuipment and appliances ares renuired i.0 be approved by Underwriters Laboratories Inc. or otter natiunelly recoc;nized testing agency and installed in conformity with the testinc; egenr:yes specifications. (ret: ec. 502 U.G.C. 1970 Volume II) (over) uonald E. McEvoy Pars Mara s] / lane Examiner oat Ed HarrirNitun Wesh.Lo.Uldy.uapt. Inspector Butts ..corm 900/3 Revised 3/73 FIRE PREVENTION DOES NOT COST—I t PAYS 2. Door finish hardware, i.e. lacks/latches, nr, required to have nc provision*, for locking against agrees, being openeble from the insior nt all timer for immediate exit without the use of keys, spacial knowledge or efftert. (rat Mc. 3103 U.O.t . 1970) 3. NItification of this offire for ineoectinn of construction is required* a) prior t..) drywall cover u) prior to occupancy of the store (refs !Ac. 1.207 Uniform fire Code 1971) 4. Prior to occupancy of the store a "Certifie.te of Occupancy" 1e rsriid red frau the _oshington County auilding Dept. ....„%fit Attic nsighto or doptht, vary hu` - 's roughly 15 feet. For wet standpipe .lorotions please refer to the fire suppression eyetem [Ilan of the Niall 'hops ores. 8 whin inspector CoMr 3 0 3 5 7 1YELLOW Caer OINK Cashier GOLDENROD Circulation PERMIT ND. APPLICATION FOR BUILDING PERMIT, GREEN Temporary File • F WASHINGTON COUNTY AuuLSS 9%7 S` S Ge(i14 Ste/, DEPARTMENT OF PLANNING /13 Lo�AL,Tv BUI IrDIVISION NEAREST REAL MOTHER GUO5CROSS ST — FNSU LANA uSE' ORouP IT ypE PR SSS!L IT Ipew[�(CODEf.--- CONST 41 FOR APPLICANT TO FILL IN T(�TJorJ l ATISTICAL CLASSIFICATION ZONE 6 UIl DING �_ ,/T ADOREss 9514 S.W. Washington� ] Sq. Rd�=LASS No — DWILL UNITS — C- 3 — ,.,GAL T)ESCPIr^in . Shap H-3 located in S0'EC'AL CONDITIONS Bldg. H. Washin ton ware NO OF Ili.OBS I ATE ANE• OF LOT NOR ON LOT �/ �n :ONING APPROVED BY pc ' USF OP w,/ . : / /21 V EAISTIN6 ■LUQ TL r •'v PE OF SANITATION DICT. I owNERWashington-Square,iwEt. - LST. _----~ WATER SUPPLY k• ADDRESS 900 S.W.1th Ave. �Lo. AAAAA FROM 'TL ) IRONY PROP. LINE OF - I \a CITY Portland, Or. 97204 TTP. D. EtlEa». SEYNAC. »1.»wAY .AND A INEER OR TE _ �IENW AT W1DT^ _FROM'. _ \ ENGINEER E. A ltarrinutorrlD`�26.2692 + _ ADDRESS Washington Square, Inc. \ "stn SEL Port rand J OLDS UEYSALit FROM �E�`�''`�^� NO SIDE PROP LINO OF -- T/',TAI CONTRA C1Uw �-- TYPE Of ESISTINS CO NIEMWAY + YARD »IS»W•Y 5115T0 PROM C L - ADDRESS } _ CITY DESCRIPTION OF WORK CORNER CUTOFF YES ❑ NO ❑ SEE REVERSE SIDE FOR SPECIAL APPROVALS kipADD ALTER Rl PAIR OEMOLIS± Fy NO OF NO OP —� SIDE 775 S.F. STORIES FAMILIES h.NO. BEDROOMS NO, OF BATHROOMS USE OF STRUCTURE Retail - Candles , NO. OF EMPLOYEES 2 --- APPLICANT PPLI AN OF ` ' *'�Me ./ I,,•TF INSPECTOR'S EIENATURS A/►LIC ANT Jr\{ w//,RN,V—._ •PPROVALS r- 00 FOUNDATION LOC•I I VALUATIONS • F(,MMS MATERIALS tBAME Flit snags. �� RM. (,.. L. BRACING BOLTS P f. ff� . FED S 3! , FEE s / _,,I...-- rIREPLACF MISERY AT»NOWLIDOE THAT 1 HAVI, SfID YHi. •ell:A"ON ANC STATE THAT ?Mt ABOVE IS CORRECT •NL AORE. TO COMPLY WALL BOARD ^ r� WIT.. ALL COON••Y ORDINANCE. •NO STAT, LAWS RIOULATINO SUILOINO CONSTRUCTION SIGNATURE Or H('I .I 1s5FR CORRECTPEAMITTE . ADDRESS_ -WASHINGTON 31�UA-��--- F� N Air TED ,3 l:,' ?Y _.). �3Q 4. 4_. __504 ►, Ma M O oAB.. PERMIT VALIDATION ) se CASH PLAN CHECK/VA�/ULID/JAT1ION / 4/ LLL////J „� I I NrI / T / / fr) `/� /1 .(' /�//I L/ DATV /7h1�/ ti 11 DAT ,��J �l RECEI►T NO/ . %` /5 • r r-- --1 9514 SW Washington Square Road 1S1 26C tenant space - Swim In 60310 - P ii- r- 1 I I WASHINGTON COUNTY 6031 0 4g.n DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NUMBER ' R LAND DEVELOPMENT SERVICES DIVISION 180 NORTH FIRST AVE. HILLSBORO, OREGON 97124 ( 5 C 21. BUILDING PERMIT .C. O.OCCUPANCY V41 APPLICATION TYPECONST .– N DEV.DIST. - o APPLICANT TO COMPLETE F 5 R OVERHANGo 0 PROJECT ADDRESS !" S 5-,i -)44-)'4P" ►�, �� ITEM APPR. .Y DATE ,. oo NEAREST CROSS STREET___ _ P C. RIA:011 11111Iv2`2 - CENSUS TA' MAP TAX LOT. TRACT 7'RUC-ENGR. !Ur NO BLDG F.M. PRI :TI7 ., Si.oi31V IPM NOW ON LOT SANITATION (�WffLR e,2e %r.JO CSFIflDBA trirre L( DEV.COIIPL. ADDRESS Sig lt/Ork '� !/ .-- FINAL INSP Q - // 044 7GC, &2i$4 .4+2 6 PH;rr,; eAi -L361'-ciBS USE ACT ION _ --- ARCHITECT/ -'- ENGINEER pI% s . . . •' •• ADDRESS F4PiW1wt (', T`,fzr Pt._ tii 1T ,RC0.a26,SA`-_._. PHONE ___. • CONTRACTOR. 'ta!ALr4 Grm 1b.-InA__-_ -- ADDRLSS I!910J SL �C ....) I1PC_ L`!4-.. — — 1liwOh b Q122-'5 PHONE Cn2C'?_9/i DfE� FSCRI ;11JON OF WORK LJ 11 E] -- NEW LJ ADD XA.TEP LJ REPAID DEMO. BLDG. SIZE ..%00 SO F' BASEMENT SIZE SOFT. 77E-704.7757r--"")777-r- -IT( M FEE NO BEDROOMS NO. BATHROOMS NO. FAMILIES P L 1627'' USI OF STRUCTURE 4!ti1t+Acr1:A".. _ B.P_ 1 1RC1 PURSUANT TO ORS 701.055 MY REGISTRATION IS IN F ----rt- � 1�.�,p� FULL FORCE AND EFFECT. ST TAX G.SC; STATE LUSC. NU. .34F/.5f DEV.COMPL ___ S.D.C. _ __.., ALL PROVIi1DNS OF LAWS AND ORDINANCES GOVERNING THIS -ADDRESS – 'VP( OF W(RK MIL PL1 LTH MIETHE SPECIFIED APRON/ IDEWAY fr.-- - � p. HEREIN OR NOT - voi I a*, SIG'. WAFTURE.� '� . O'Hi. •INSPFCTIOWS 648-8781 V00000 019 - t1`1 I I sP4.; (AFTER 4:30 840-3581) Li L L_ L L __J r 7 . 7 / WASMINGTON COUNTY - WIILDiNG DIVISION - INSPECTION CARO ri. 9 Department of:Ind Use I[ Transpor�itIon Gas I____..— .�-�.s 648.8761/B'Coa.m. to 4:30p.m. 640-3661/4: .m. to B:00a.m. / ` s��� .2fg5AI'7 .2I .5.7 /1L_ Plb9 a -_-...T. ��, Address �*� Called By :' �� r .---c"--c_.....-4,y" Amer Bldg a _ v61 BO lding Re Id• C � ) Miscellaneous Plumbing Resid. Com'1 r/fir x.14' mobile home ground rain drain ®APPROVED itg post/beam to e1-1Y agDCoach/ wood stove post/heam stone sewer lrllr�w ( ;-a. ??-4 CCF1 Eta trI .n fdn r vewey solar ayudlni top-out Final slab in$Ml Final gas test [l NOT APPROVED etc.-c-14et,•'s- — — _ _.___-- -- INSPECTED BY 1 / L.e DATE/a /< U 1 / S�.�iP'►'1 ----/-/) 'ii l)'1'f',� WASHINGTON COUNTY - BUILDING DIVISION - INSPECTION CARD _ 9SKs- oYiand Use 6 Transporta�,1 t es a Qr 0.� 648-8761/8 OOa.m. to 4:30p.m. 640-1561/6:30p.m, to B:OOa.m. WA- Zs& — VQ_ . tom .v i , _ t 1 . • -, V"__...,,._;.,_-•_.&b,— ._1614._,\__.L.'_--"-.1 , 'J...tibg d Addrei! ,` Called By r ,A ^ - - Amer ,_>.cj 5' ` .u....1-.4_ eidg a (-,03l0 _NO 14ing- Res ill:' Cl' Miscellaneous Plumbing Resid_ Com'' -----,Fall mobile home ground rain drain [ 1 APPROVED f t g �uit�rear ke.iaa a _-!�I wood stove post/beam storm sewer El tr �l �"� �~ a °roach/ fdn- frame driveway soler solo.'top nut Final • slab insul Final gas test 0NOT APPROVED (,lrl a it Lr 'LI A - i INSPECTED BY v DATE -L�- ,../ i'r — \... n,— WASHINGTON COUNTY BUILDING/PLUMBING INSPECTION CARD Department of Land Use-�Transportalon __ 648-8761/8:00a.m. to 4:30p.m. 640-3561/4:OOp.m. to 8:00a.m. ces • v V �� Plbg a� —---- Address �� r� (�� �c_i4-- // — `, - Doerr 3 t,- ._ ) Bldg I 4aC 3 10 Galled By _ - tti "�•,�� 101111na Resit. om'1 Miscellaneous Plumbing Resid_ Com'i - - — nail mobile home gro:lnd rain drain APPIIOVID fig post/hear wood stovere p?st/berm storm sewer dt PottaEr Pon frame solar t1ettrrp top-out Final C�NOT APPROVED slab insul Final gas test H r//,74.4"/. 4../__,,4,5,4.2 --__cAl -- , _____- -- INSPECTED 11 ---- _ DATE - 5741 -5- _ — L L_. --- ,T r 7 _ ............ FIRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL 23721 INSPECTION NOTICE O"NNER ! t i�(� Mi;r ^ i ;' , `i, J- —LATE ! -15 /L,C' t, '�f r' e"' OCCUPANCY - ( - LOCATION `iOCCUPANT • r _ a �J g �� `7 __TOWS •TT[NtbN I• C•LLtO TO TI-IS •OLLOWiNG slat TV DtYiCitNCIE$I r 1 Iv// / i 41 Pew. .. a-_, __ .461 I 0 a. — 0# a . /4.- -•• ••• •– I r•ILUNE tO CORRICi -,-,1" •NOTt CONOITIONI NI THIN T,••S *IL\. M•r'l •Oil LI.SL? TO 0-N0 tCU ION 1.,T•uLL. r ec r(IUL? YNOM •UC' COND.TONT ,Ou M•v at LI••LE TON O•M•GI. NY PrNI'NS C/i 'apart.7 • to o ie000.0'ON10• Ow/475 IIO BY P'' j/ j .t ` liPtiSHINUTON COUNTY FIRE D!STRICT Mt ./.\Fiat MAR$)%4L y r1 !0665 S.W. BLANTON STREET .>, d r ALOHA,OREGON 97006 849.8577 Pw nJO--�" 4 T) FORM too - •O / •7 j i/ i•.` , i . ) .,.....,..,.........,....I-J--rww,. -a'.4...w.a...•....I. ..44111111 wrlr dr411111f.._r FI E PREVENTION BUREAU OFFICE OF FIRE MARSHAL 2^ '' 1-J ^ INSPECTION NOTICE ! 1 / , ir OWNER ie./ ` 6fes. - DATE j... '''' 1-7-if 5,r... OCCUPANT 41414,4,. __ - A U OCCUPANCY_g 2 C el LOCATION -641` sq Z _ i/�(]/���� 1OUN •T TrNT1ON IS C•LLCO •OlTwt • IN{Il INS OI►ICISNCIes, '''''.____:....,.iii ' a L I '' ' ' '''';fil g:1 1 el..."' ' T/ i dr " ' E. IrerAir - si - �- -- / • F / 4.s. 4,1)-dl'i 41‘,/df.,el ii 115i----.... �T r•iLUwt t0 tOww tCt T..1 •!O+[ CONOI7,ONI aIT,,N��O••1 HILL 144•4.11v'00.1,4011- Ui t1'�O 7 Paf ot �J1t 1wOUL C�,. TLL^ i wt/UL7 'NOM flue. C040,1,0.411 .OU .01k,, •t L.•^" I P05 M 6• •Ot1 TO ••00001 • ria• ii. •,1Ov 0 N1 O• ^— Oat I7• 110 / 4-' 4j . L WASHINGTON COON r DISTRICT 01 111rrr FIRE MARSHAL 20665 S.W. BLANTON ET PRESENTED TO ALOHA,ORLON 97 4149.$577 roots 500 40 I .a._ L. L. . L.__ __J ,moi I-- r 7 `— r .I WASHINGTON COUNTY U imp. 0 M.N. DEPARTMENT OF LAND USE ANO TRANSPORTATION 0 F.M. o CT, f!l( NON—STRUCTURAL PLAN CHECK 6031. BUILDING waSHINGTOr1 SQUARE 'MALL - Swim In ADDRESS S , SW Washington Square Road OWNER Winmar Pacific Inc/ Ron Roberts, Manager PH.N0. 639 8860 ADDREW- •RCHITECT/ENGINEER Specialty Remodeling PH.N0. 620 7911 ADDRESS FIRE PERMIT # PLAN CHECK # 51'24 OCCUP. 8-2 CONST. VN DIST. Wash. Cty. #1 LOCATION ON PROPERTY: North South East West STREETS: North South East 0e.A REQUIRED FIRE RESISTIVE RATINGS: Exterior Walls MATERIALS: Structural Members Existing Roof Exterior Walls Cover Inter or Wa s -A4asom wall gaard Ceilings Suspended Acoustical Tile Floors ..arpet over Concrete BASIC MAXIMUM AREA: Max. Height r Max. No. Stories Max.IncreasTor Yards Sprinklers_ !es TOTAL ALLOWABLE BUILDING USE: Retail Tenant Space - Swim In 27 Occupant Load BUIL.DIW AREA: Tenant Basement 1st Floor 800 2nd Floor 3rd Floor AREA SEPARATION HR RATINGS OPENINGS HR RATINGS OCCUP.SEPARATION HR RATINGS OPENINGS HR RATINGS _ CORRIDOR CONST. ATTIC DRAFT STOPS FLOOR CEILING DRAFT STOPS STAIRS WIDTH ENCLOSED OTHER VERTICAL SHAFTS ENCLOSED , EXITS REQUIRFC No. 2 WIDTH 6 feet 0 inches EXITS PROVIDrD No. 2 WIDTH 19 feet 0 inches EXIT ILLUMINATION REQUIRED Yes SEPARATE CIRCUITS EXIT SIGN REQ. Yes ILLUM. Yes SEPARATE CIRCUITS TWO POWER SUPPLY HANDICAPPED ACCESS REQ. Yes _ELEVATOR RAMPS_ HEATING Existing FUEL COOLING SYSTEM Integral 0 • The plans for this project were received by this office on^9-10 '35 and examined for the 1 non-structural , fire and life safety portion of the plans re-vie on 9/24/85 . Listed on the bac,. of this sheet are the items we find to be in violation of, or for which we find —J no provisions for the requirements of the 1982 Edition of the State Uniform Building Code. 9/83 (OVER PLEASE) 1 L__ L L. —J r r r r --1 ,,.. Plan Check #5524 Page 2 1) Doors must be fitted with a type of locking or latching device which will permit the opening of the door from the inside without the use of a key, special knowledge or effort, except that exterior exit doors may be fitted with a kcyed locking device which is readily distinguishable as locked and there is a readily visible, durable sign on or adjacent to 'e door stating this door to remain unlocked during business hours. A is 'F` 11 There shall be floor or landing on each side of a door. The floor or landing shall be not more than 1/2 inch lower than the threshold of the doorway. When doors open over landings, the landing shall have a length of not less than 5 feet. Reference Section 3304, S.B.C. •e' 4 2) Plans for the Installation or alteration of the automatic sprinkler , a system must be provided to and approved by Washington County Fire District #1 prior to such installation or alteration. 11 3) An exit sign shall be installed at the rear exit doorway from the sales P-4, area. The sign shall be clearly visable with 6 inch high block letters , and a stroke not less than 3/4 inch wide. Reference Section 3314(a) & 4 (c), S.B.C. ay, 1 4) Subject to the above listed itee, the plans for this project are R approved for construction, insofar as the Land Development Services Division requirements apply. Mi Donald W. Howick Plans Examiner I ti j S y ? ' 11 44 i 1 iti L L L_ __i . . . r. . r 4, 03/0 w 4,-),i! I`�;► '�.<I ` WASHINGTON COUNTY FIRE DISTRICT h0. r te ` 20655 S.W. Blanton St • Aloha, Oregon 97007 • 503;649-8577 i r t September 2C, 1985 Mr. Robert "artin Specialty Pe"yodeling Company 11963 S. W. Pacific Highway Tigard, Orecon 97223 Dear Mr. Martin: Re: Swim-Ir S S. W. Washincton Square Road yS/fro ect have beer. examined and as The plans for this tenant improvement p j must result we are listing as follows nseandrfornwhichwhich foundbno specific observed provisions a regulations meet current fire safety provisions in tre submitted drawings' All doors shown on the m the inside at all times 1 . ArcnitecturalFinish Hardware: -drawings must be openab e for immediate exit without the use of a key, special knowledge or effort. 2. Exit ai ns: The exit through the office eigt theirrear etfers the sa es area must be identified by e principal strokes not less than 6 inc��enornlessgthani3/4thnch in width. of the letters being laps bearing 3. Retention of Plans: One set of approved p t ,e stamps oTthe Washington County Building Departsite ment anc this office must be maintained on the project made throughout all phases of construction and mustrrbee dee available to building and fire inspectors during required construction inspections. 4. Ins erepres Inspection and approval of construction a re representative of this office is require : new framing elements a) prior to the cover of any of all utility funs following the installation partition which will he concealed within wall and p cavities. i STOP FIRES -- SAVES LIVES L L_ i Top r-- 1--- 7 9 Ar:';:.:::V iN,y - e Mr. Robert Martin W-:: :{-', September 26, 19c5 Page 2 b) upon completion of construction and pri,;r to opening for business. 5. Certificate of Occupancy: Prior to opening for business, a Certificate of Occupancy or other written int.:rument of approval must he obtained from the Washington County Building Department. Subject to the foregoing conditions and stipulations, the plans are hereby approved. I hope this letter will assist in clearing the Nay for the further deve ent of the project. If I can be of service in any other way, please let me ow. i Since elv yours, WA • r'NGTON NTY FI.. E ►IS ►•ICT NO. 1 I . 01 Wilburn Dodge G Fire Prevention Officer jcc cc: Sandra Summer Wash. Co. Bldg. Dept. ( k) Inspector Dalby I r 1. , r I i i L i i _JJ L L _J akitti •• • JiISIIIIIiIIl3ihio;27 I AMMO .1 - a . .. 3. . tai . : i- Ilk .�Tt.. . 1{ ,1 ... -' /-- `- 1 .4 T • .i 0 } _ _. ... - -. .- L' -r tee �y� 1 ::::::::::1:::Dsuss::7 i TRANSPORTATION WASHINGTON ERCER DIVISION �/ RO,OR 97124 wmasimmitemallMINSIMMg COUNTM INSPECTION REQUESTS: 503/640-3561/69'x4415 111501 PHONE: 5e3/646-6761 OREGON Page : 1 of 1 Date : 10/07/92 Time : 13:59 Permit Type s Commercial Electri,.:al Permit Permit N : 05034361 Permit Status : APPROVED Applied : 10/07/92 Situs Address t 9514 SW WASHINGTON SQUARE RD TI issued t 10/07/92 Permit Title s SWIM IN / CIRCUITS Completed : Permit Descr. : To Expire : 04/05/93 Project Title : SWIM IN / CIRCUITS Project M . P0026727 Project Descr. : * EROSION * Parcel Number : 2S1T1 - Land Use District : Valuation : u Legal Descr. t . Owner t INSPECTION - TIGARD Construction : OTH ` Applicant Name i OREGREEN ELECTRICAL CONST Classification : 900 Applicant Addr. : 10260 SW NIMHUS AV 0M-12 Occupancy : TIGARD OR 97223 Validated by : EB Applicant Phone: 620-7952 Inspector Area t CONTRACTOR s OREGON ELECT. CONST. Lic. C 34-86C 620-7952 Fee description Units Fee/Unit Ext fee Data Subtotal Electrical Fees, 0 37.00 State Surcharge of 51 0 1,85 ` Total Electrical Fees: 0 38.85 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 10/07/92 38.85 ' TOTAL THIS DATE ********* 38.85 C, Fees: 38.85 Adjustments: .00 Total Credits: .00 Total Fees: 38.85 Total Payments: 38.85 Balance Duel .00 r MONICA: \:L This purl basOn*e nuN and void NIM work or construction for which N N Issued Is not commenced within 1 b days. Once construction has started Nta panne beconn,u.nue and void N construction le Irnlerrupssd for a period of les days. I certify that the information promoted by the applicant and his agent or mans In Support of this pet*is Nue end sorest to Ne beer of our knowledge. I sclmowl.dge I'el the Nuliding Department's reliance upon false and ml.lading Intone/Men stay kwatd.M Ibis permit. AN provisions of applicable laws and ordinances governing the conatructlon and use of this building or a niclure will be complied with whether or nee spaellMd on the plane or noted on the plana correction sheets. I acknowledge that the minting of a permit does not gran authority to sees=privies properly or to use eaaamema 1 further b.:know edge that the use or occupancy of the structure or building permitted depend,upon my Nana bar Irepectlae al various times during the promos of construction and the building inspection Mast verlfyi g oo111pNsnes with Vie aarlous codes. Um or occupancy of the building'r structure pomaded prion to approval t y tn. NOON Department is solely M the risk of IN.applicant and such use or occupancy Is revocable until all Impaction requirements ars satisfied and approval I.given by the building Official. I hither.cknnMedge that a lien may he placed on tab Mkt of The property upon which IM permit is Issued apeolfying that the ries or occupancy of tab building or star Lure le provisional and revocable until the sails ion of1l in pe 1cllpn requlremanb i 21, 14/1,6 NT's*IONATUiI 1 1 I' , WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use& Transportation Electrical Inspection Section AP A LI CATI O N 165 North First Avenue,#350-12 i Hillsboro, Oregon 97124 Information: (503)640-3470 Fax: (503) 69.1-4412 Projects Permit /, , ! Number `T Date !/0 - 7 -fes PLEASE PRINT IP please'complete all sections, 1 through 5. 4. Complete Fee Schedule below Number of Inspections per permit allowed4o 1 1. Location of installation Service Included: Items Cost(ea.) Sum Address 09514 SW Washington Square Rd. A. Residential-per unit Building C Tigard __Suite No._ moo w ft.a Nes __ $66.00 -- 4 —'----- Each additional 500 sq.ft Tenant Name ,,porton,thereof $15.00 (if commercial) Swim 1 n Limited Energy $20.00 1 • 2 Each Marrufd Horne a Modular Directions Off Schol l s Ferry Rd in Washington Dwelling Service or Feeder $40.00 Square. B.Services or Feeders Installation,alterations or relocation 200 amps or leen $50.00 -- 2 Commercial cr, Residential D 201 amps to 400 amps $60.00 — 2 401 amps to 600 amps $100.00 _ 2 601 amps to 1000 amps $130.00 2 2a. Contractor installation only: Over 1000 amps or volts f300.00 __ 2 Electrical Contracts Oreareen Electri al Const. RsoonrscloMy wo.00 -- 2 Address 10260 SW Nimbus Ave. fd-12 Tigard, OR 972. . Temporary Services or Feeders • Date 1U-/-92 Job Number Installation,alteration or relocation Property Owner _ ;Ti nmar 200 amps or le.. __ $40 00 2 Contractor's License No. 34-86C 201 amps to 400 amp. _____ $5500 — 2 42305 401 amps to 800 amps _ $60 00 2 Contractor's Board Reg. No. Over 600 amps to 1000 volts see•e•ebc.v. Signature of Suur n 7� 1'' 7 D. Branch Circuits License No. `4 Phone No. -.,fir_ How.alteration or•'tension per panel a) The fee for branch circuits with purchase,r w Abe or fender tee. 2b. For owner installations: Each branch circuit ._— $200 2 b) The fee for branch circuits without purchase at service or holler fee. � ems P*,^e-W First branch circuit — $35.00 __34482 Each add'nd branch clroult______ $2.00 _ • 2 Address E. Miscellaneous (Service or Feeder not included; sum --gip----- Earh pump or irrigation circle $40.00 2 Each sign or outline lighting ____ $40.00 2 Signal circui(s)or a limited The installation is bdinq made on property I own energy panel,alteration I which is not intender "or sale, lease or rent. or extension $4000 __-- 2 I ---.._----- -- F. Each additional inspection over the allowable Owner's Signature in any of the above,per Inspection ____ 3. Plan Review section (if required) 5. Fees szs 00 A. Enter total of above fees $ 37.00 5% Surcharge(.05 X total fees) $ 1.85— Subtotal $ _ 1 _ B. Enter 25% of line A for For inspections call Plan Review if required(Section 3) $ -�- 640-3561 or 693-4415 Subtotal $ 24-hour recorder, Less Bulk Label Fee $ one working day in advance of need Balan^e Due $ 38.85 _ f This permit became null end void N the work authorized by the p.rmn le not commenced within 140 days from date of Mouanol of such permit or If the work authorized Is suspended or abandoned at soy time.her work le commenced for a period of ISO days. Electrical Permits are non-refundable and non.tranrf.rabi.. 10/91 - iltitt ,6Ef — _. .... .. ..::•t.: : , z \ t 1 _rrxa : i . • DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 9350-12 155 NO 0 BORO,OR 97124 COUNTY, PHONE. 640-3470 OREGON INSPECTI STS(24 hours): 503/640-3561 or 693-4415 Permit . 5034361 Project 0 ; P0026727 Status APPROVED Paye 1 of Applied 10/07/42 Tnpurd 10/07/92 Explru 04/11/99 1 /23/92 05 ". COMELir,` Permit Title :AIM IN / CIRCUITS OTH Des.'r ipt ion Job Address 9514 SW WASHINGTON SQUADS SD tI Owner Name INSPECTION - T1GAkD Region I' Applicant Name OWEGREEN ELECTRICAL CONST Phony number 6k0-7952 Valuation 0 Approved__ . insr- . .i ants Rejected—_ • 1 ---- • --- 1 7......-- \I ''N„. Inspected by !__ j. • . __ Date _ • Inspection Requef+, • Final E21ic,„trica. 1 10/26/92 Rl P1, 1 r . . DEPARTMENT OF LAND USE &TRANSPORTATION lab'1r WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 0350-12 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS(24 f curs): 503/640-3561 or 693-4415 Permi • 0'+034361 Project 11 P0026727 Status APPROVED Pi-te 1 of 1 Applied 10/07/92 Issued 10/07/92 Expires 04/05/93 10/13/42 05 76 COMELEC Permit Title SWIM IK / CIRCUITS 0TH • Description Job Address 9514 SW WASHINGTON SJUARF. RD TI Owner Name INSPECTION - TIGARD Reyi<,i D Applicant Name OREGREEN ELECTRIf AL c'ONST Phone number 620-7952 Valuation 0 Appr':ved Inspecto (_'ommnts Rejected Inspected oy _ ' ...� __ Date 10_ 3� 1 Inspection Requefte / * Cover & Service 10/13/92 RI PN PM - CROSS FROM ORANGE JULIUS IIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIMIMIIIIIIIIIIIIIIIIIIMIIIIII _._ — ._ �.__ _. _ _ .. . ..........•. -x „�., —',.. ..., ,+n.muxntt mtt;,-J-n»e+rtrn!»I42S,! tVim[;1 $?.lt a.l'a4iYls'.'i'�1J9:,,:1L1:1J