9491 SW WASHINGTON SQUARE (2) l
9491 SW Washington Square
1S1 26C
Millers For Min Clothing
#31930
( .411114`
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Inspector
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1'eNMI? w0 '.O. L'D'JWNROD CC►omhuI�roorrIrooen
APPLICATION FOR RUILDING PERMIT C,REEN Teeepecory F,le
WASHINGTON COUNTY NI J,' �eJd4 ' .0
71
DEI+ARTMFNT OF PLANNING
-Jr.:ALIT T
BUILDING DIVISION NEAREST
CROSS ST
e.'FNsuS LANs .1%F oR u. TTP RO s 9T
FOR APPLICANT TO FILL IN TN, COIF /-jCONST, T
RUILDING / 4 STATISTICAL CLASSIFICATION ZONE
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Annmess / //J3i
��j,� /' CLASS NO DWELL UNITS —_
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USE 01 1ONIN4 A{'[-•NO.i I• H. d: l :PATE 113/ I1
9X19 Tl1y,�yaF, I
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OWNER sE.s11u4sTG14 y{,gAitI t+0 i."Mk'- �� I-,FAL
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A�'M'' �' � OLD° 99999 CII FROM
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ADDRESS i<: tT • elGIZAZI C'#J,FbT AiP .0,L„ Itt•Acs FROM
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.00SE119 dD•li4/ h.l= • len'' . 9»*AY *ICOR FROM C L
I CITY '0112.1%.A6.117 AC VIE L'Y)!N ` _
DESCRIPTION OF WORK CORNER CUTO" .r,y. O [
HSS AOr� ALTER RS►A R LEMOL'SN SEE REVERSE SIDE FOR SPECIAL APPROVALS
SO.FT HO OF I NO 01
al.tE 941 CO stool[! I FAMILIES
itiLlr4/-i ( I •7AJ ,t--,fr
NO. N1.0 .._,t1MS NO. OF RA TNF.00MS
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l tatNCTURE GOAAMEICOL4(.- `mode 6,--c--C tet-.-,t 7 ,.�.-.r---
NO 01 luVLo.f
SIGNATURE OI //J
APPLICANT ( I � \ APPROVALS - OATS 1'ISP[CTOR'9911MA,151
VALUATIONS y iV T /1 .00 1')IINOAT'ON LOCATION
{„i� FORA, MAlER1AL5
P C PRAM y f j7
Fat - r e77 :mt.;
ERACINI. SOL l��T _,
1 IRE►l AC,
. AERAS? I ????T TN
•T/ Hy•o T 's AO...,I ,ION '�
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AO A51 STATS THAT THE AOV .5
'055tH? ANO A0011 TO C♦ •PLT WALL BL,ART
WITH AIL COUNT? ORD'N .1% AND LAWS RE6ULAT,NO ^ ... r ...--,
•U.1.0 NO CONSTRUCTIO / /�
SROM ITURE OF 1 tehire // — HOVSf NLIM9ER CORRECT �� —~
P[AMItt[E ►►AAA AND POSTED
ADDRESS__ _—_ _. ..._ FINAL f0 .
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PLAN CHECK VALIDATION C% '!ID CASH PERMIT VALUDAT/ICN .. NO CASH
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FEEIT NO. /glove) DAT! �/
/1/� NI c f IT NO / OATS /n I
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INSPECTION CARD Washington County Dept .ot Planning BUILDING DIVISION
648-8761
Address Permit No.
Called By Owner
JJ Ftg Fdn Wall U Fireplace F-1 Cover 0 Nailing Final
Other
Inspector's Remarks:
Date _ Building Inspector
INSPECTION CARD Washington County Dept.of Planning BUILDING D3VISION
648-8761
Address Permit No.
Called By Owner
J Ftg n Fdn Wall U Fireplace F-1 Cover F-1 Nailing El Final
Other
Inspector' s Remarks:
Date __ Building Inspector
FIRE PREVENTION BUREAU
OFFICE OF FIRE MARSHAL
INSPECTION NOTICE
OWNER = DATE
OCCUPANT „A I a / OCCUPANCY •
LOCATION A �' sf-,. - -- --
rp;i. ATT. H Jr1 Ih ' L.LEO TO THE FOLLOWING FIRE SAFETY DEFICIENCIES•
. � 1
T
(
F ASSURE TO CORRECT THE AIIOVE CONDITIONS WITHIN 'IA VI POLI MA.*I YOU k API_E TO PROSECVTION SHOULD FIRE
RESULT FROM SUCH CONDI TIOIIS YOU MAY •E LIABLE FOR DAMAGE• TO PERSONS OR PAOPERTV .NDER PROVISIONS OF
ORS,TS IF, By �l • ,.--- Y.
WASHINGTON COUNTY FIRE DISTRICT to FIRE MARSHAL
14480 S W JENKINS ROAD i
BEAVERTON. OREGON 6A -1101 PRESENTED TO_
iy
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lit
./*,•�/ i Washington County
Fire District No. 1
( i.J wf' 14480 S W Jenkins Road
Beaverton Oregon 910(.5
bureau of Fire Preventiin
646-ilul Extension 245
Plans Examination Report No. 39tf Fire Station h.voss
County Plan Nu. 1267 Run Distance
Building ' filer.: for }*4 Occupancy F•21 Mercantile Fire Zone 1
Address hop .pace m-32 .ashin4too .quare Construction Type lIl•M
Architect/Designer torch Corporatlo,. Address 1220 1. 1i:. `orri.oe
Owner ingter i aclf ics loc. Address 956) :. .. *aah. •v. 1,4,
Stories It Main Area i, -'" /Basement Area none Attic Height 16' /Stops_
Fire Walls uune Fire Escapes none Exits 1• /Total Width 3 ft.
Stairs t* /Enclosed ne Other Vertical Shafts /Enclosed - Sprinklers 701_
Area Covered entire area Man. Alarm no S.P. « Ext. * /Class - /No. •
Combustion Detection no /Type • /Area Covered
Floor concrete ceiling lain. act. tile Roof e+t .tin4 toll, ftp
Str. Memberr steel Wall Cover rsaeonr7 (exist.) / Ry;). 'Pd.
Exterior Interior
Denting System forced air Fuel elect. Cooling System central for. ale
The plans for the above described pro)ect were referred to this office u/14/'i4
;vnd reviewed 6/14/74 for conformity with State and District fire safety laws
i and regulations. Listed as follows are applicable requirements for which we have found
no provisions in our examination of the drawings, general notes and/or specifications.
1. . .elusive of tre main eatreece Livers, ail eoers enema en the erewlw3s east be
opesable trim the taside at .11 ttmes ter Immediate exit witheet tke use et kers,
special knowledge ^t effort. t tett ee. 33.i .,.u.'..
VII
Ogf / .
Donald E. Mr. voy
, Fire Mar
BY4 �1L
Plan, Txaminer Cons ruction Inspec . r
ccr Killers tot Ken
Leres•:a Demon
aah. Ce. 111411. Dept. (2)
la.p. Melte
dorm 900/3
Revised 11 /73 FIRE PREVENTION DOES NOT COST Ii PAYS
2. Thep doorway at & . soar of the •taw coasUta«s a r.gvlr.d omit ssa+i oust
s volt ithiLlutldliei by .aa.a of aa approved stoatrleatly illoal.tte/ exit
alwt. ( ref. '7.1^tet. 3712 ,.11.C. )
3.• ?Jar. ehopiattles of awstrootiam sod psis is spools% for lossio.se 9eapostia.t
sod .pNNsl of esastrtistlw by this office to r.gstr.d.
( rota t.s. :.207 u.r.c.)
4. Prior to *Dela the shoo for Malse.as a "Cartifteat.. of •Jsarpooey" from the
washlost.a Camay isildi% Dept. :a collared.
( tot t +tet. 3(4 U.S.C.)
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GENERAL PERMIT APPLICATION -�/-•�_� i
YY3HMCiTON COUN f r k.)7. L1/�
DEPARTMENT CP LAND USE AND TRANSPORTATION0
PE�i�[T/
LAND DEVELOPMENT SERVICES DIVISION W111A9ER
CONSTRICTION INSPECTION SECTION
ISO NORTH PAST WE NUE '
ITUSBORO OPEOON VI24 S4NSISI
I
CLl�1 TEMPORARY NUMBER I
SITE WORK TO BE PERFORMED o 1
PROJECTADORESS 9VQ .._J Ccs -- - —_moi.
l l .
_ ' leak" --- .
GENERAL TOSITE
OWNERSHIP
NAME te.WWW1 ."'"fff///{{{YYY_Yw a y1
h.i� -YrOOOTTT���� ����S��..
ADDRESS
ZIP PHONE --'
OCCUPANT
p � -7. iNOTE:IF THIS PROJECT INCREASES A BUILDING'S HEIGHT
NAME L- c�4104+s ,� y�w AREA OR VOLUME Of AFFECTS ITS STRUCTURAL,FIRE
RESISTIVENESS,FIRE DETECTION,OR FIRE SUPPRESSION
PHONE COMPONENTS A PLANE,CHECK WILL BE REQUIRED PRIOR
CONTRACTOR TO WORK COMMENCING
NAME: er'`')
� (6,g,,__,,,,FAL � FEES i. •G:U- BASED ON FEE
ADDRESS Y _
Ara_
QSY 1 _ SCHEDULE M CHECK$
r SIGNED X DATE.
IIP (4 "')'�� PHONE �LI(/..s-...),�D� `_v
/�� 77 BELOW THIS LINE FOR OFFICIAL USE ONLY
INSPECTOR'S NOTES DATE RECEIVED BY INSPECTION DEPT
FEE PD CHECK is
STAFF FEE CALCULATION
FEE SCHEDULE NO
' ADJUSTMENT
INSP Date FOR INSPECTION CALL 640-3561-24 HOUR RECORDER
PLEASE GIVE ONE WORKING DAY NOTICE.
ACTIVE FILE
[...:
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PLUMBING FEES PC f
FIXTURES NO. x UNIT FEE •
SINK (KITCHEN) ( IS 6.00 G ` '
WATER HEATER 4 6.00 ,
, DISHWASHER 6.00
DISPOSAL b.00
WATER CLOSET - 6.00 ,
COMPOST TOILET 35.00
BASINS 6.00
TUBS 6.00
SHOWERS 6.00
C. WASHER 6.00
L. TRAY 6.00
URINALS 6.00
FLOOR DRAINS 6.00
RAIN DRAIN/DOWNSPOUT 6.0U 1st/4.00
DRY WELLS 6.00
WATER SERVICE 15.00 1st 100'
SAN. SEWER CONNECTION 20.00 1st 100'
SAN. SEWER - EA. ADOIT. 100' 10.00
WATER - EA. ADDIT. 100' 10.00
DRINKING FOUNTAIN 6.00
OTHER FIXTURES (SPECIFY) 6.00
LAWN/FIRE SPRINKLERS 115.00 ISTORM SEWER - UP TO 4" DIAM. 10.00(PER 100')
S4TORM SEWER - OVER 4' DIAM. 15.00(PER 100')
CATCH BASINS 10.00 EACH
MOBILE HOME SPACE 25.00 _.
INS?. OF EXIST. PLUMBING 40.00/HOUR
SOLAR - MINIMUM 25.00
HEAT EXCHANGE 6.00
COLLECTOR/PANEL ---• 6.00 --_
TANK6.00
SUBTOTAL MINIMOI 115.00 F E E
4% STATE SURCHARGE I
PLAN REVIEW I Sod OF PERMIT
510.00 (MINIMUM) - t '.
TOTAL FEE 00
,4111.
lir
1-- --1
1
i
MECHANICAL PERMIT FEES •
UNIT FEESNO. OF UNITS FEE
Permit laaaance —
fIr
U UO
1 Iso the issuance of each permit 0 00
2 For Issuoig.-ah supplemental permit .. 3 00 1
Unit Fee Schedule ...— ^•
1 lot the mat-illation or relocation of each forced-air or porn y-type furnace or brrnet
including ducts and vents attached to such appliance,up to and including 010.0(X)
I Btu h . 41.,
Finstallation For the or retoralion of each frced•air or grainy-type(uric.or burner. I
2 including de,is and vents attached to such appliance over 10(1(x10 Bu h 7 S(I ,
1 hu the installation or relocation of each floor furnace.including ver. 6 00
d Fur the installi lion Of rehralim u1 each suspended heater.recessed well heater or
floor-mounted unit heater 6 00 -
5 For the Installation.relocation lir replacement of each appliance vent installedand
now included in an appliance permit
h For the repair of.alteration ot.or addition to each healing appliance.refrigeration
unit,cooling unit.ahsorpoon unit.or each heating,cording.absorption.or evapora-
tive caviling system.including installation of controls reg.uted by this ode 6(X) __ _
7 For the installation or relocation of each Miler or compressor to and ins hiding three
horsepower or each absorption system to and Including 1110.000 Ittieh a'X1 - — .
R For the Installation or relocation of each Moder or compressor over three horsepower
in and Infilling IS Horsepower or each absorption system over 1(10(000 BIW and
I 11X1
including SITU 000 Btwh —•
.1 Fir the installation or relocation of each troller or compressor over 15 horsepower to
and including 30 horsepower.or each absorption system Wier 500.000 Btu'h tomut
(t
including!1(5)0.0011 Bluth - -
10 For the Installation or relocation of each baler or compressor over 10 horsepower to
and including 50 horsepower.or for each absorption system over I,fSlXt(loo Bt. Ni
h to
and Inc Iodine 1.750.1X5)Btu/h. 22 -'— 41 41.-
I I For rhe%nit Matron or relocation of each haler or refngeration compressor over 50
her-re's'et,or each absorption system over 1.750.0001 Btu'h •. 3'S(1 ____.-__ --_
12 tiro a eh amicadhng tout to an.Including 10•(X01 cubic eel per minute.including
dicis attached Memo
Neu. This face snail int apply to an einhandling anti which Is a portion of a factors-
assembled appliance,r noting unit.evaporative cooler or ahsorpoon unit for which a
permit is rripnrud efa'where in this code 7 50 --- —'
13 For each air-i.nndhng unit over 10.001 cfm. 41- --
1d For each evapranve cooler other than portable type 4 SII
I5, Fore Kb ventilation fan connected to a single duct . .. ---- 3 00 _, _
16 For e'!m"entilation system which is not a portion of any healing or nhcondit ion ing
sysle°i authonged try a permit 41. 41- 450 ^—.--
17 For the i-stallatr n of each hood which is served by mechanical exhaust,including
the ducts for such howl. 4141 ••., ....
IR For the Installation or relocation of each domesuctype incinerator.. .4141 7 50
IS For the installation or relocation of each commercial or industrul•type incin- --
erai[rr 41 41.. .
2U tor•each appha%sse or piece of equipment regulated by this code but not classed m
other appliance categories or lir which no other fee is hind in this code 4 50 —.
21 When Chapter 22 is apple Ore%see Section IO11,permit tees for fuellas piping
shall Ir as follows
Fr e.nch gas-piping wren,(done to Gorr outlets .,. --,,.. 41.41 2(5)
For each gas piping sysitem of five or more owlets,per outlet 0.50 _
Other lnspeclans and fees: _—4141.__�....._____�_. 4141---- _-•.
1 mopes tions outside of normal tipsiness Hours 515(5)per hour
(mtismum charge—two Niue•) . _--_- _-__--_—___4141._,
2
F(rinspestion lee assessed under provisions of
Section 305 Ill 41. 41 41.... 5f5 fOi each
A Inspections Fr wh,ch mo lee a speed-ups indicated .515 00 per hour .—
n linimuni s h.0pr—ome•half Hwrl --_ ---
4 Additional plan rromw required by changes.additions or f l S.q1 per hour
revisions hi.plop i. _I plans ..
!nonunion chadr---One hall IMM) �•_.�_--_- --�
SUBTOTAL ,
n% STATE SURCHARGE
TOTAL
DLUT 3/KG
P
•
: •
ij
All% WASHINGTON COUNTY INSPECTION CARD I„ (
DEPARTMENT OF LAND USE AND TRANSPORTATION PE
!Ilk INfl1RMATI AL1: 140-3470 DATE 1 - 7
}
I ADDRESS �! f/ Gu r ti .al 4 _ -- -- `-
� PL NMI EL
DIRECTIONS PHONE NO.-
INSPECT IONS: ElSTRl1CT OPLUMB []MECN DELICT
CALLED IN BY
APPROVED.
❑REQUESTED INSPECTION APPROVED
IOWEVE-R NOTE: ---
-
(-1 NOT APPROVED - -
l JR[ PAIR OR REPLACE AND RE-INSPECT:
(STOP WORK UNTIL.
PEC TOR.
L