9473 SW WASHINGTON SQUARE 9413 SW Washington SgtAre Rd
1S1 26C
hair accessories
#30349 ('Willoughbys Hair)
4
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;4?
3 0 3 4 9 W///0 il ,/YQYs 811 U ••YHIIE Infp.ctor Copy
' LL0W PNmrtI..
GOLDENROD C,,,.ThOn
PERMIT NO APPLICA+�N FOR BUILDING PERMIT 'GRREEN Tempo/0,V VIA
•
WASHINGTON COUNTY ADumta3 `01/ ..tl/ iii/1t1, C"
DEPARTMENT OF PLANNING .ocAUTT `�
WILLUUGHBY'UILDING DIVISION A 5
CEN! I LAND Ul[ OROVP 1TPt PROj� !ED BY
FOR APPLICANT TO FILL IN Q� cool ,l• cONtT PRO
�E_
R U,L DINO STATISTICAL CLASSIFICATION ZONE
AooR[13 91473 5, W. Washington Sq. Rd. _-- e!' 1
i cLA33 NO =7' OR/LL VNI T3
«•, I,•fc c.,..., ,,,,Shop A-8, located in SPECIAL CONDITIONS
Bldg, A, Washington Square
AREA OP LOT Mo C/ 1L DAf
MOM' OM l0'
VS( OP CONING APPPOVEO BY ,7 0.4T11/6/24
[ILLI IND ■LUQ SS
oWNE.WASHINGTON SQUARE. ilk . 226-2692 -"*"' SANITATION SANITATION 0110,
AOnR(SS 9QQ S., V_ Sy] NATER SUPPLY DIST.
ALAS III 66666/REM
c,TT Portland, Oregon 97204 PRa. LIN.of _ 1 '
% ARcUItEc' OR E.A.HarrMgtofr . 226-2697 MIIRWTTP, 0• (,,/TIME . i 1.11.14,1411V 4 YARD 0 IUTAI
(,EI, ENOINSENI .y ( vu LT. +
AT JM1ET _ •ROM—fl
11I'-)hhyLon SI4UT4T , IT .
*DORM
TEL SL 01 11 T11C. 'lOu
CON IRA C TOP NO 3101►ROA L SNI OP I(TRSET/
.VPI or '11111,11 /1•IAC. M1l.WAY + YA.O - TOTAL
AOORtS3 MA.*, W,o00 ♦ROM
\
CI TY 4
DESCRIPTION OF WORK '.00110 cuTor. YES rmi NO
5�•D
AGO ALTER PEPALII OIMOL %.. SEE REVERSE SIDE FOR SPECIAL APPROVALS
3iJ �' 453 S.F. o oP No o.
):1 'Ls.TQties AM'V.PS
O. S[DROOMS NO. 01 OATMPOOMM
'ill uctuit MUM - Hair Accesualax
NO. OF IMPLOMIE, 14
/10NATURt OP / / --A PPLIC ANI --. Q IhI ._ *PPROYALS 0.4 TT ,NIPICT0117/SIN/TUBI
VALUATIONS 4 00 /OUNOATION LOCATION
T f RMS MAT(RIAL$
u c AM IR( STOPS
.s.$j r ,� 'r'J�t •�� _r ME S t�Q `� (RACING BOLTS �f%-�y .�
011110 ACSNOIMLIOr.r IM►T •o( 10.0 'M I 110.04.4A4.0% ,
ANO 1TA11 ?NAT 015 1.OV1 IS 0001101 ANO AOR// TO COMPLY 'WAI1 BOARD
WItM ALL COUNTY 0001NANc1I ANO STAT/ LAWS MOULATINO A.
RU4 posy COR$TIUCTION
SIGNATURE OT MnUSE NUMB(, CORA(CT
P/AMITTtt — ANO POSTED _
ADO.,,. MASK I NCTON $Q RE. INC. _____ FINALj/7' 4'
900 S.M. 9i15 AR., Iittrtlani!
PLAN
. CHECK VALIDATION 6;:!)
� NCASs PERMIT VALIDATION
i Mo SASH
,PCEIPT NO.I//L // - />/? /73 I,nt NO/ 4/
,1 DOTH/7L1
j
i
' Washington County
Fire District No. 1
F. D.
i 14480 S W Jenkins Road
Beavelon, Oregon 97005
p\
Faure au of ?tre rt Menti on
646-1101 axctenai on 245
Pleas Examinatim Report Nc. 255_ Fire Station -,royress
County clan No. 8116
Run Distance
9' 1/
i ilding �illoughby's (Mair Accseaaries) Occupancy F-2, Mercantile Fire Zona
Address :.hop Space A-B, washinpton ;were Construction Type 1II-N
Architect/'Designer Richard Caren address 8999 Beverly Blvd.. Les Anoeles. ce
, nsr Uiraar Pacific Inc. Address 9585 S.WiWuhina+.on guars
Stories 1 Main Area 451 /Basement Area none Attic Height 1(' /Stops none ,
Fire Walls none Fire Escapes none Extts 1, Total Width ' ft
Stairs none/Enclosed Other Vertical Shafts none /Enclosed - Sprinklers free
Area Covered entire area Mai.. Alar. no S.P. • h:xt. n.s. /Class - /1(0.+_
Ccmbuation Detection no ,'Type _ /Area Covered -
Floor concrete _ Cciliny suep.sct,tile Roof built uo
str. Members steel Wall ;over none / gyp,board
Exterior Interior
Heating System not shown Fuel - Cooling System not shown
The plans for the above described structure were referred to this office 1014173
and reviewed lU/16/73 for conformity with State and District fire safety laws
and regulations. The following itemized comments describe changes in the plans required
for aonforuanoe with such laws and regulations and recommendations for enhancement for the
general fire safety of the 000upanoy.
1. All heating, cooking, ventilation and electrical equipment and appliances ere
required to be approved by Underwriters Laboratories Inc. or other nationally
recognized testing) agency end installed in conformity with the testing agency's
specifications.
(refs Sec. 50i U.H.C. 1970 Volume II)
(Over,
Donald S. Motvcy
Fire Marshal
*A AMP,
Plans Examiner
act Ed Harrington
wssh.Co.Bidg.Dept.
Inspector Butts
Pots /' RRE Pna"ENTION DOES NOT COST—!T PAYS
Revised 3/73
^. Door finish hardware, i.e. locks/latches, ars required to have no provisions
for locking against press being oponable from the inside at all times for
immediate exit without the urs of keys, special knowledge or effort.
(refs Sec. 3303 U.B.C. 1970)
3. Notification of this office for inspection of construction is required:
a) prior to drywall cover
b) priori) occupancy of the store
(refs Sec. 1.207 Uniform Fire Code 1971)
4. Prior to occupancy of the store a "Certificate of Deci!pancy" is required from
the Washington County Building Dept.
NOTES UJ.MJ1C1 LNSPECTORs The mein entrance will be served by a sliding glans
door, however a regulwr 1 ft wide exit door is
*hewn at the rear of the shop. For interior wet
-tandpipe locations please refer to the mall shops
area firs suppression plane.
9473 S W Washington Square Road
1S1 26C
tenant space (Touch of Class)
Space A-12
59235
,c, / 7/o/rr
•
J V,,/to J `.y.3 S WHITE Inp«•to.COO V
vEILOW ngo.mime
.14
PERMIT NO GREEN CI«et en worwy f
APPLICATION FOR BUILDING PERMIT PINK
WASHINGTON COUNTY BUILDING /�"2.11....ADDRESS 5�1 _ 5 i EL (� I �_-. _
DEPARTMENT OF PLANNING
n// BUILDING DIVISION LOCALITY
77? INSP1CTIONS 648-8761 (AFTER 4 30 6EC 35611 NEAREST J
CROSS ST _
CENSUf GIRO TYPE V-111 ZONE
FOR APPLICANT TO FILL IN TR. CONST • N _
EUILOING I,, MIN/SI TRACK F
S -^R
1 AOORESS I� 1,, s(T�C �"is_ APYD.SV DATE
LEGAL DESCRIPTION
ZONING -'
G /� a /+ PLAN EXAMINATION 5-54.7
1� -rQu T C 1 sppJ
AREA OP LOT NOW ON(OTS STRUCT.ENOR.
TYPE OF SANITATION
EMS?STpp INO SLOG.
OWNER T L. cv7 'DRIVEWAY PMT.
ADDRESS k••33'7 i..`.. 15 of r r..a- k'v
.3‘..
CITYtoilet ^ � 7v ry
COMMENTSTN.- 1 CA M.(
RENO1NEtR Tit` `
ADDRESS -- - -7
S
/
�VbCh Orf Cf u C
T
CONTRACTOR Tsyw /4•.w.('NEL.i".i.,`/3S'L--..�
ADDRESS/7 i••jj'g.✓ �i (A'..y n_
7 N _
c1TY 4./ Sltr's Uc.St5tN -zer,p3/ ----
DESCRIPTION OF WORK
NEW ADD GL.�TEp pp`ppRE REPAIR DEMOLISH��=l``'Lt�JL �LLF
SIZE TL 1� __STOIIIlS 7AINIOLIES '_-1
NO.BEDROOMS..--------NO.OP BATHROOMS — y
UTRUCTUAS kT E 7M ff.
i
ALUATION$ 11 Lv av .00 FEE FOR AMOUNT RECEI►1�10.� DATE
cPMT STTAKAIIfjONING COM►LIANCE
ltE6D.13fEEl�2,�� fEEf �_-.• /AASAPPLICATIONSY AAND SppTATEOT``HATATHE A��SOVE T I HAVE AIS CORFIRE MARSHAL37.--OENANCAEE AMOFETATSLAWS REOULAVIN0 SUILOINO —
SYSTEM DEVELOPMENT�ONSTCR{UCTION ANO EWINO -ERMITTEE Ori /�� %
NOORESS /, S C 5•✓ t,„,?•t/1,,, r C7 7-,L•„IILd FINAL INSPECTION. %�f�n (.74:It TE )_./,
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK SI 0 CASH
RECEIPT NO. DATE RECEIPT NO. DAT
S 11.11 `
01026 /73. 33
d
C.;/ o ' �-' '
WASHINGTON COUNT/ - BUILDING DIVISION INSPECTION CARD / < l:11.3-
-- rtment of Land Use L Transportation Gas a
648-8761/8:00i.m. to 4:30p.m. 640-3561/4:30p.m. to 1:00a.m.
Address CJ j 234iL2ch .a t' • ., / Plbg
Called By !1 / 60eier Bldg I :!)--9.-44e3 :S
Buildlna Rtstd. ' Caw' Miscellaneous Plumbing Resit!. Com'l
ftg post/beam nail mobile home ground rain drain 14 APPROVED
wood stove
14
fdn frame approach! post/hewn storm sewer tl«s Md _
Ar solar
slab Inxul Final as test top-nut Final __ aii1e�"a
g l j NOT APPROVED
— `1NSPfC'ED Pr/ / - / _ DATE 2. /Q Q'S
--6,: eif
/1141
tom'NA/4j WSNINGTQy L811NTY - 8UI101N6 01111S0N - IN5�011 CARP
depart..;„ oTLind IIste Z ranspor�it ion Gat
8761/8:008... to 4 .10p.m. 640-3561/4 )pp.m. to 8:00a.m.
Called By owns _1 5,11_Z_-#.1. '4� Bldg a /� 35
_�Li_gini Not-1d: [ Lawes Mtscellanews Pl $M .rsld. Cow')
ft g lost/Wm C ~ mobile Home pMlmd rain drain APPROVED
wood stove
1a
far frame a j Hwy pest/bpm storm SART rob,y :
solar
I I«t•lul
slat) trawl Final q•s test
top-met Final w"d "a
[1 NOT APPROVED
— — — — — INSPFCTfD 8r OATS 5 ' „Y?
7
(V\ f-1(-76e\C 1�>>A0-\
( Iocc(v WASHINGTON COUNTY - BUILDING DIV SION - INSPECTION CARD C_1t
�,[./ --Tkpartment o?bndTTse-TTransportaCron
Gas 648-8 6/8:OOa.mto 4 30p.m. 640-3561/4 30p.m. to 8:00a.m. —- __
. \ \ .11 Cjm
Address
—
Address \ \ _AP . .'i. •\Y-Li •�F�o —F- i ,-) Plbq e
eb_
Called _'i'DidC Ii;CC d9 _3 02 35
er
Bulldln Res 1d. Caa' _ Miscellaneous Plumbing _Resid.__ Lon. 1
ftp post/beam Wail while home ground rain drain A►PROVED
—� a roach/ wood stove st/heam storm sewer �rIws s=
IdnC-71.1291—_,,, ivewey solar n«trM. l
slab tnsul Final gas test top-out Final 110141m
Li NOT APPROVED
teee_,_ti ir be COI'(7,11--4-•( ill(IL.6..._../excje,_.___________________________
— — — -- --INSPECTEO 8/ ----- _PATE , %.2/1
S
Y
Yom,..: •i ...�-i ,, tar .� •�:Afi n.!i+'itt!It'::-w�P- :...-.+w w_.+.•-..;.....a...w.
r ? M.
FIRE PREVENTION BUREAU ^ w
OFFICE OF FIRE MARSHAL
INSPECTION NOTICE 12 2 F'3
—I�1l/I![l /1—
~ l I DAT E
OWNER • '
OCCUPANT 1 441 / l OCCUPANCY f_ th
LOCATION ! 5 r, Ci4
vOuw •••r•+v10411 IS C•.1.10 TO ?WI ♦OL LOWING •IRI ••rlty OI.ICIINCII11
S-/:4 = x//121<'
/Ii'S Z2 CT r� �,� 4��
J
',um, •0 c0Imvc• ••+C •NOVI[ CONO,•.ONI wlt..�I. O•vl WILL M•n/ 4OWLI10t1 TO roe 1CutICM ••ICULC • �r
mv•UL• •mold •UCN CON0 T,0,411 y0•) M•v SI 1..501.1 roil O*M•eI• t0 O "I I' 1•1ml{ weevil •5Ovll,•Ns O•
yr�f>
005 It• Iso 01 f�r -L`' _ /
WASHINGTON COUNTY FIRE DISTRICT 01 FIRE MARSHAL
20665 S.W. BLANTON STREET
ALOHA,OREGON 97006 649.8577 PRESENTED To_�_______
IOmM l00 40
1
• Aid sh �y
t ■''' WASHINGTON COUNTY FIRE DISTRICT NO. 1
206f:5 so; filant'rn rlo • Alot,a Oregon 'i7J07 • 5031649 85/7
April 30, 1985
Mr. John Klune
12370 S. W. Duchilly Court
Tigard, OR 97224
Dear Mr. Klune:
Re: Touch of Class
Washington Square Mall
The plans for the minor remodeling to accommodate this new tenant in the
space formerly occupied by Merle Norman, have been reviewed with respect
to the currently applicable regulations of this jurisdiction. As a result
we are listing as follows those requirements which must be observed during
the course of construction and subsequent occupancy of this space and for
which we found no provisions on the submitted drawings.
1. The new metal door shown a,) providing access to the room containing
the existing sink must be openable from the retail sales side at all
times for immediate exit without the use of a key, special knowledge
or effort.
2. A standard exit sign must be provided on or above the door mentioned
in requirement N1. The exit sign must have letters not less than
6 inches in height with the principal strokes being not less than
3/4 inch in width. The sign must be readily visible to the store
occupants.
3. The room containing the existing sink must not be used for storage,
a restroom, a closet, kitchen or similar usage. That is, two exits
are required from the retail sales area and exits must not pass thru
rooms used for the aforementioned listed occupancies.
The drawings, according to our interpretation, do not provide for the con-
struction of any new walls or partitions. Accordingly, the existing
sprinkler coverage should be adequate.
r
STOP FIRES - SAVES LIVES
•»:www ., �..,; ,�„�,,_... .-.,.- ..._. .+�.
1
.y
•
Mr. John Clue
April 30, 198:,
Page 2
Subject to the foregoing stipulations the plans are hereby approved. Prior
to opening for business, a final inspection must be obtained from a repre-
sentative of this office, and a Certificate of Occupancy from the Washington
County Building Department is required.
I hope this letter will assist in clearing the way for the further development
of the project. Please 1 t me know if I can be of service in any other way.
Sincere yy yours, / /
WASHIN4TON BO TY FIRE D TRICT N . 1
--'-- x:'10
v
Wilburn Dodge, Fire Preve tion ficer
jcc
cc: Jeannine Fillingness
Washington County Building Dept. (2)
District Inspector
j11� RV r. °: Jtdr�3`t�ti. liswTb,_V .,f0lciwf". 49
•
MAa1MMNZTOW COW!r JZI''ar «.
pLampars0 DEPARTNEMT - UL DMO D V*lON
NON—STRUCTURAL ="` `j"
PLAN CHECK o.Tl4ti.t:
BUILDING Washincton Souare Mall - lenant
ADDRESS -7.7.7=!"-171=-1n7t0r 1.0uart
40WNER Harolc Ellicott. Inc. PH.NO. 636-6547
ADDRESS i . 37Srvant Re. . -ar.t C/swenQ, OF cot,;c
ARCHITECT/ENGINEER Builder - John Kune PH.NO. 675-4359
ADDRESS ,c. uucr1 ,':, .... . 'ioarC. OP 5722'.
FIRE
PERMIT I 433 PLAN CHECK 0 502E OCCUP. , E CONST. Vp_ DIST. Washincton County 01
LOCATION ON PROPERTY: North South East West
STREETS: NorthSouth East west
REQUIRED FIRE RESISTIVE RATINGS: Exterior Walls
MATERIALS:
Structural Members Roo`
Exterior Walls Cover WooC Interior walls GWb/Steel Frame/Hass
Ceilings Existinr Floors
BASIC MAXIMUM AREA
Max. Height Max. NC. Stories
Max.ln:rease for faros SDrinkiers yes
TOTAL ALLOWABLE
BUILDING USE: Tenant - _ .uch of Ciass!Soace A-l2
BUILDING AREA:
Basement 1st Floor 63c 2nc rloor 3rd Floor
AREA SEPARATION HR RATINCS OPENINGS HR RATINGS
OCCUP.SEPARATION HR RATINGS OPENINGS HR RATINGS
CORRIDOR CONST. ATTIC DRAFT STOPS FLOOR CELL:NG DRAFT STOPS 1
STAIRS WIDTH ENCLOSED
OTHER VERTICAL SHAFTS ENCLOSED
EX:TS REQUIRED: Nc. 2 WID'r E'-C'
EXITS PROVIDED: He. T'- WIDT#-"'T:.'
EXIT ILLUMINATION REQUIRED vet SEPARATE CIRCU:TS
EXIT SIGN REC. yes ILLUM. SEPARATE :IRCU:TSTWC POWER SUP'Y
HANDICAPPED ACCESS REC. ELEVATOR RAMPS
HEATING existinc FUEL COOLING SYSTE!'
• The plans for this project were received by this office on 4/22/85 and examined for the
non-structural . fire and life safety portion of tnt plans review or 5/2/85 . Listed
on the back Of this sheet art the items we fir.: tc bt in violation Of,or �r wn cn we find
no provisions for the requirements of the 1952 Ecition of the State uniform Buildin; Code.
9/63
(SEE BACK)
. ..._.. . w
6/ei t aeifKii` ."tYYr' lu. ^aiulnti ';. .,r i .s.,. :I7 7d
4
Flan Check 05026
Page 2
1) The two rea- exit Boors must be openable from the inside without
use of a key or any special knowledge or effort. Section 3304 (c).
2) Rear exit sign is reouired and shall be clearly visible with 6 inch
high block letters and a stroke not less than 3/4 inch wide.
Section 3314 (a)(b).
3) Firestopping consisting of 2-inch (nominal ) lumber, gypsum
plaster, ,ard or eduivalent materiel is reouirec to cut off all
concealec draft openings (both, vertical anc norizontal ) and shall
form ar effective barrier between stories and between a top story
and roof space. It shall be used in specific locations as follows:
a) In all wood-framed walls and partitions at floor and ceiling
lines.
c) At maximum horizontal intervals of 10 feet in the case of
double stuc walls, partitions and furred spaces.
d) Penetrations made in this prescribed firestoppinc to
accommodate wiring, plumbing, duct work and similar utility runs
must be pacKec, in a runner, wnicn will effectively maintain tne
integrity of tne firestoppinc and cut off all concealed craft
openings which coulc atforc a passage for flame. Reference
Section 2516, S.E.C.
4) Plans for the inste'latic-i or alteration of the automatic sprinkler
system must De provioec to and approved by Washington County Fire
District fl prior tc such installation or alteration.
`-) Subject tc the above listed items tne clans for this project are
approved fo- construction, insofar es the Land Development
Se-vices Division requirements appy .
Donald W Howick
Plans Examine-
pr
1' 1 WASHINGTON COUNTY FIRE DISTRICT NO. 1
DISI!e 20665 S W Blanton St • Aloha. Oregon 97007 • 503/649.6577
April 30, 1985
Mr. John Klune
12370 5. W. Duchilly Court
Tigard, OR 91224
Dear Mr. Klune:
Re: Touch of Class
Washington Square Mall
The plans for the minor remodeling to accommodate this new tenant in the
space formerly occupied by Merle Norman, have been reviewed with respect
to the currently applicable regulations of this jurisdiction. As a result
we are listing as follows those requirements which must be observed during
the course of construction and subsequent occupancy of this space and for
which we found no provisions on the submitted drawings.
1. The new metal door shown as providing access to the room containing
the existing sink must be openable_ from the retail sales side at all
times for immediate exit without the use of a key, special knowledge
or effort.
2. A standard exit sign mus` be prov'Jed on or above the door mentioned
in requirement k1 . The en '' � ' • must have letters not less than •
6 inches in height with the principal strokes being not less than
3/4 inch in width. The sign must be readily visible to the store
occupants.
3. The room containing the existing sink must not be used for storage,
a restroom, a closet, kitchen or similar usage. That is, two exits
are required from the retail sales area and exits must not pass thru
rooms used for the aforementioned listed occupancies.
Thr. drawings, according to our interpretation, do not provide for the con-
struction of any new walls or partitions. Accordingly, the existing
sprinkler coverage should be adequate.
i
STOP FIRES — SAVES Uvrr, p
. Tfrl
•
Mr. John Clue
April 30. 1985
Page 2
Subject to the foregoing stipulations the plans are hereby approved. Prior
to opening for business, a final inspectioh must be obtained from a repre-
sentative of this office, and a Certificat 'f Occupancy from the Washington
County Building Department is required.
I hope this letter will as..ist in clearing the way for the further development
of the project. Please7t t me know if I can he of service in any other way.
Sincere} yours,
WASHINGTON ODAITY FIRE D TRICT N . 1
Wilburn Dodge, Fire Preve tion - firer
jcc
cc: Jeannine Fillingness
Washington County Building Dept. (2)
District In.pector
0
...—......wommenw"414"1"1111111181i1
' k �
9473 SW Washington Square Road 30349 ,59235 P7884
I
DEPARTMENT OF LAND USE 1 TRANSPORTATION
WASHIN�/GTON LANNORTH F RSTEN SERVICES DIVISION
COUNT I 1 INSPECTION E6TS: 503/640-3561
PHONE: 503/646-8
MIIIIW OREGON •
Date : OS/0
Timm. : 11 . 31
Penn' t Type : :utrmlerci•.l' ::1 Permit M : 050:1:24
I Pcranit tatu:1 . APPROVED Applied 04/20/90
Situs Address : 9473 LW WA:.::: TCN ;;QUAitE I Issued : 05/03/90
t Permit Title C:NNAOON l:tJ CTR:C Completedt
IF'rrmit Beset . . WASHINGTON QtARE To Expire : 1+426/90
!Project Title : CINNADON ELECTRIC Project * 1 P00078
L„ject Der , 2C AMP ZCPVICE a EROSION a
C,+: , el Number ,.. : ' ,e District.
Vel l:.at ion • n
Legal hews . OTN
%.,:::;t : ..
(,:I,Vner .
Applicant Name :ICNKES ELECTRIC
.la.r i : 1 . 3r^
Applicant Addl. . : Ptd BOX 889
•
WOODBURN OR '17`:71 , . :
Applicant Phone: 981 70,:2 ., ,
'
Fee descriptio:, 'Jr,. ., Iee/Un:t •;•1.c [ r .
Service: 100 < Amperes < 20” • :•• r,1. 3'. ' '
Fe
Subtotal Electrical es:
' 't , t..
State Surcharge ,.,f
Total Elects i1..1: !'r S6•U4
y aa , Fees Rc,.la.cri,:,, , ..
AAA Fee::: C' Ilett.:-d 5 CLL(IIts AAA
Ft, fit No, D.,t_
a5/n 37'1 t: ',6 .02
Feer: ',6. 02.
Adju-tments: .00 Total Ctodit:;: .00
Te,tul Fees: ;6. 02 ..al Payi..et,t .,. .,E,.,,..
C..,:a:,<e ,•..0: ,
1
NOTICI The panne bsltemea null std void If the wore or construction for which N Is Issued Is not romanced within 100 days Once construction has started,
the panne bee4M1M MO and void I1 construction Is Interrupted for a period of ISO days I certify that the Information presented by the applicant and
INS ewe or wren M Nippon of lona permit Is true and correct to the bast of our knowledge I acknowledge that the Mudding Department's reliance
upon IO and mN1a.M1q IIIIMfNSIIO l mey kwsldae mid pante. AN p so alone of appesebse laws end ordinances governing the construction and use
of Nita buNOng of effIMMe Me be OMNpeed wee~her of not feeMNed on ted plats M Medd on the plans correction sheets I acknowledge that
the ineelne of a panne toes not pan ONeMIUy to WOOS/ptvoe Impiety of le use oesefeenle- I further acknowledge the the use or occupancy of
the alfuebN5 Or ef:NNllg pe n sled dapMtM Wee any osiblg ter l...,, SM M velem.Now dloblg the process of construction and the building
InspOdlMn dill ybleyb»a.MlpMaw bbl est VNMus MOM. Um M oesupMMy el Ire Weang of Mnuclure permitted prior to approval by the
tulldknp OO.MMNMl M eddy MOM ted el est appNpld and Mann wee et NN1peney Is revueable unlit all Inspection requirements are satisfied and
approval M OW by Nle Wane COMM_ I Whet acknowledge NIM a Men may be placed on the tile of the properly upon which IM permit is issued
specifying NIM Me use M OsNQency of tine WWI or structure Is prosMbfaI and Iwonbte until IM satisfaction of all Inspection requirements
____
APPLICANT'S NIONANUOI
I
I
WASHINGTON COUNTY P- 59
4 DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. - -
- " LAND DEVELOPMENT SERVICES DIVISION TEMP, PERMIT NOS 5- I 0 LNC
ELECTRICAL INSPECTION SECTION DATE y Lc? _�1 C) -
160 NORTHFEST AVENUE ISSUED BY --
•
HILLSBORO,OREGON 97124 140-3470
LABEL NO. _ ... ._. .__-____..
ELECTRICAL PERMIT APPLICATION
w �J o0pUS�
6,pIo� et lc"it
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NAME OR FIRM PLEASE PRIM MAILING ADDRESS TELEPHONE •
R
ELECTRICAL CON ACTOR LICENSE NUMBER Zy-tog c..,,, IAM REGISTERED WITH THE BUILDER S BOARD
ORS 101 055 RE IS TION (6 _ EXPR DATE _____&..-20 TO -SIGNAIUREOF
SUPERVISOR �/ _ LICENSE 1 .33;1 4r
C_ PROPFP'Y OWNER I HEREBY CERTIFY THAT I AM THE OWNER OF THE PROPERTY DESCRIBED BELOW AT WHICH LOCATION 1 PROPOSF
TO MAKE AN ELECTRICAL INSTALLATION FOR My OWN USE AND THIS PROPERTY IS NOT BEING CONSTRUCTED FOR SALE LEASE OR
RENT FOR THIS REASON I AM EXEMPT FROM BUILDER S BOARD REGISTRATION UNDER ORS 101 055 THE ACTUAL INSTAL LATION WILL
BE MADE BY ME OR BYWHO IS A MEMBER OF MY FAMILY
RELATIONSHIP___-- _____ _-- OWNER'S SIGNATURE -__-. -..__-
OWNER'S NAME 7�
I LOCATION OF INSTALLATION-4-4 1 3 Sw Wa'7tiEMA+4) S.iW�.sr�a- -. - IA'I l �l�,NWTQN
atZ)At ,. ZITV u T
DIRECTIONS s.1 WsL4-1,-i i err.- Sot 600.4' - _._
RESIDENTIAL RESIDENCE WIRING LESS THAN 1000 SO FT _ 1.'S 31.00 __ -
RESIDENCE WIRING LESS THAN 2000 SO F T _-_ .__ tv$ 53.35 —
RESIDENCE WIRING OVER 2001 SO FT H 5 14.10
ELECTRIC HEAT INSTALLATION IN EXISTING RESIDENCE _ ,o$ 71 34 .-
SERVICES TEMPORARY SERVICE —. PS 21.34 _-_--_
SERVICE CHANGE ONLY IN AN EXISTING RESIIENCE —__ MS 21.34
' SERVICE NOT OVER 100 AMPERES •S 12.00 4
100 AMPERES OUT NOT MORE THAN 700 AMPERES % 0,S 53.35 3 "b5
OVER 200 AMPERES BUT NOT MORE THAN 400 AMPERES - P S 14.10 _
OVER 400 AMPFRESBUT NOT MORE THAN 600 AWE HI S 'W$ 106.70
SERVICE OVER 100 AMPERES PS 138.70 __ _
SERVICE OVER 000 VOLTS - ___ HS 120.10
FEEDERS INSTALLATION, NOT MORE THAN 100 AMPERES .----.__ PS 21.34
Al TF RATION •
OR REI OC AT ION OVER 1(111 AMPERES RUTNI)? ME?Rf 1HAN700AMPfHI'. WS V.00
IWI II,N141 AMYL ITIS Hill 11111 MIIHI t 11AN 4011 AMPI RI S ryes I,'. I',
OVER 400 AMPI LIES - sNS b4.00
-----
FEEDER OvER 600 VOL TS —
--'PEEOFROVER600VOLTS __-- MS R5.16
MISCELLANEOUS MOBILE HOME SERVICE PS 11.34
MOBILE HOME FEEDER PS 21.34
EACH IRRIGATION►VMP - Io S 21.34 --_
EACH ELECTRIC SIGN OR OUTLINE LIGHTING -. I.)$ 21.34 -_-_
EACH RESIDENTIAL SWIMMING POOL -. __
'5 21.34
ONE NEW CIRCUIT ALTERATION OR EXTENSION _-___. ,6S 21.34
TWO OR MORE NEW CIRCUITS AL TE RATIONS OR EX TENSIONS *S 12.00 ---
OTHER NOT LISTED ABOVE .-- •S -- _.
1 IIMECTION FEE > I1 S S1
FOR I41PECT1OP4e CALL 040-3551, Z 6%STATE TAX
24 HOUR FECORDER,OPE WORKI4G DAY 3 PLANS CHECK FEE S
N ADVANCE OF N .
--- (1.2.31- TOTAL CHARGE 1 cl 'L'1-
THIS PERMIT BECOMES NULL AND VOID IF THE WORK AUTHORIZE O B• THE PERMIT IS NOT COMMS'.1.EU Wi1"IN IB0Loa. , IH,0%. OA •I'
ISSUANCE OP SUCH PERMIT OR IF THE WORK AUTHOIIIZEO IS SUSPENDED OR ABANDONED AT ANY TIME AFTER WORK ,S Cl141MENCID;no A
PERIOD OF ISO DAYS ELECTRICAL PERMITS ARE NON RIFUNDABL I I NON TRANSP I RAILS
OLUULD•II-001 uze/e7
I
INSPECTION LOG• ~~ �
DATE INSPECTOR
SERVICE
COVER
- - '
FINAL
_
_
'-_'_-_-_
-
� -_ - __
____ __'__
•�� �
I
0
DEPARTMENT OF LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION
WASHINGTON 150 NORTH FIRST, HILLSRORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561 (24 hours)
OREGON � � PHONE: 503/640-3470
\J
rt
Vs.') '
Permit 0: (15n1n249 Prclert w: P'1nn7RR4 `•taP..: • "'E' P..yc, i u: .
T:-^ue'i . Expire^ : 1n/2n/9n Valuation: n 05/01/90 07: 4,1
rOMELEC
Permit Tit1v CINNABON ELLcT.:..:
L . :c•ript ion 200 AMP SERVICE . EROS-TON
'c.b Ad.iresi 9473 SW WASHTNGTON SQUARE R:) T
Parcel number . .
Owner Name
ApE,'_ scant Name : HENKES ELF(""'"
App1:cant A l,ir
/
Phone number 981 7022
APPROVED NOT APPROVE,' WORK I.:NTIT. __-____
^' , RU'
Tnnpectito Requent...1
I 05/01/90 RI EMC MiA ( , I
..1
1 eolt/&A Xo�� o 74,2, �'r .
Sctr-e- .i4-1 1-0-7/ )--//)-(;-e--)1---- -el .
1 Pliaw, eitiy° af)demiat .
/-)1.6z4-7-:-
-A,Illa /(,a -174'4, 7e----4 fr
---- . 11 / G\ D
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