9522 SW WASHINGTON SQUARE (1) l
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9522 SW Washington Square
1S1 26C
retail store
(Rosenblatt s Inc.)
#30194
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GOLDENROD C�rcuIolanon
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t" ' ""' APPLICATION FOR BUILDING PERMITGREEN Temporary Fd.
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WASHINGTON COUNTY > �_d _. ' L1 4 / -.S.0
IA DEPARTMENT OF PLANNING /�/, ,�r•LIrT
BUILDING DIVISION /1 7 NE•Nt t T
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EOR APPLICANT TO FILL IN TyII.CDor f .Ll`°"s'
SUILOINO STA/TIISSTICAL CLASSIFICATION 7,, �
ADDRESS 9s--:'_.''' S/4/ 1 s.a._sr CLASS NO DWELT VNI•S __ Z
( ,• I-SCPIPTION /S/ - T SPECIAL CONDITIONS _—
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ARE• :�I , IMOW OM LOT ��{{ 7
f USE Or ZONING At PROVED EY DA'1�(" 4 /1j
EXISTING 1114-DG 1E7h/L STORE
TEL TYPE OF SANITATION 71ST,
owNER /ZLLSO4JISi-A7.SL'
7 /AND -
AOOR[S; I,T 7SLIPPLy•LOO St'►SACE VIEW DI} _,
ENGf//4) rams?IRT•110,. LINS OP -1
CITY FATTL: riomr TYPE OP tLTM,E 1ETEACM MI ONMAY + VVMS') - TOTAL
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ENGINEER 11 1.) NO _ FR
ADDRESS t"
TTTLL i/�
r _ / c Q SLOE SEYSACs FROM
aL14 Co NI Y 1a/ ILO! PROF LI OF - I
CON TRACTON -.
7' ••P! OP 'SWINE • MIONMAr � Y•RO •aT.L
ADDRESS Or P_t�� MISMW•t *10TM PROM •.
CITY
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DESCRIPTION 0: WORK _o.NER CUTOFF YES ❑ NO Cl
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NEW ADD AL TEN RFPAIR DEMOL,SN SEE REVERSE SIDE FOR SPECIAL APPROVALS
SO.FT NO 0• NO O`FS wow.
PEI', STo ES OM I
NO. OEDROOMS N. —F-c•""00MS ...-
s+RucruR[ lc.Lf'7A2iZ \ . ,.'
•.0. OF EMPLOYEES
SI ONA TUR[ OF
APPLICANT _� AP+NOVALS DATF M SPECTON'I S,.NAtuNE
AT' �_
VALUATIONS e . �L). G U .00 rol;{OM. MAYRAIl .
fEAML FIRF STOPS.
rutin//�5 ^ 'l•� ►MT Q) •RACING WITS
F[E Si n i- - /'L 2..O ' FE[S.4Q r iillrplAC(
Nf NtST .CFNOWIt OfI TN•T .•V• Nt AO T US •►►LCAT.ON
ANC STATS tow YNI SNOWS IE CONNE"• •NO •ONCE TO COMPLY WALL BOARD
WI•N ALL COUNVY ONOIN•NCtS • •15 LAWS NCOUL•TINO y.�� I
• ONO CONSTNUCT '-.
NATURE 0 /F rrtl 51NUMBER CORRECT
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PEwM LTTE - _AND vOSTLD ��fd
ADDRESS _� __. NE._71� A ESN FINAL -a-//Ji1-'
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PLAN CHECK VALIDATION (N 0 CASs' PERMIT VALIIDATION -o u
NEc t.Pr /�.2O f t.I /0773 RECEIPT NO142Yy If/L/�
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FIRE PREVENTION BUREAU )6 '? 2
OFFICE OF FIRE MARSHAL
INSPECTION NOTICE
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DATE
OOWNER --
r OCCUPANCY .__ �-
OCCUPANT /.:C) — }
LOCATION ` "7, -'1;"
•,:).J. At TENt1ON IS CA'.'LED TO THE. FOL.LOW,NC FIRC SAH ', DCF CIENCI[S'
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F AILUISE TO COPAFCT THE AAOVF [JN[i'tiONS A"T""i n
,a 001-L. MAKI YOU LIME TO PPOSLCUTION SHOU.O Fi4t
11•tN1r UNO[q IIIONI of
ISCSU .T FROM SUCH'CONO'T,ONS YOU MAr DE nr.LE FOR ::•MAGE° TO PEMSONT,60 4
OAS A'S ISO —.
RIR[ MARSHAL 1
WASHIN•3TON COUNTY FIRE DISTRICT ':1
14480 S W JENKINS ROAD PRESENTED TO. _
BEAVERTON. OREGON 646-1101
1
/;" WaRhington County
Fire District No. 1
iF I.
14480£W Jenkins Iioed
Herwertor,Oregon 97005
Bureau of F.-re Prevertion
646-1101 21xtension 245
Plans Examination Report ',o. a%c _ Fire Sta.icn
F. c. ao 9r Run D_stance
&d/dint neeeMlatt•• •lorupenoy r.- nereentils rife Zane 3
Address ' p•' M..7. 't.Ringteel 74 re loll Construction Type III.
Architect/Designer /(hare to 41lar Address 1^1 lakeelde, cattle 991"'
Owner .ineaar ;aelric lees Address MMf s.q. tris. i1. +est r.rtlemd 977:3
Stories 1 Main Area Mot/0 /Basement Area none Attic Height • ••/Stops_,
Fire Walls none Fire kecapen n^n^ Exits 1• /Total Width ' f'.
Stairs "12.../Enclosed - other Vertical Shafts ^e^• /5nc1osed - Sprinklers '
Area Covered 1vents, area Man. A..arm ne S.P. Ext. ^•'•• /Class - /No.+,
.:ambustion tetection nn /Type - /Area Covered
uor concrete _ Geilinp rr'.Elle Roof Uuilt on
itis 'xmbere *teal Wall i:over seasoner / )y-.boer'
Exterior
net OmenIn!;:xioz
.eating S:rstem Fuel Cooling System_ '
The plans for thi ebreN described structure were referred to this office -
and reviewed for conformity with State and District fire safety laws
znd rel-i ecione. The following itemized comments describe changes in the plans required
for oonformanue with such laws and regulations and recommendations for enhancement for the
genera] fire safety of the occupancy.
1. °Nen ers,4A:e and e;teeltileeluns of the boiler installation and tNe Aoetin,,
en' ventiletien *yetis suet he submitted te sed Motsvmd by this offi^e prior
te the etbet of lneteLlatleh in omen %netans,.
(*eft 'se. IV :notelet *ire Leda)
2. Reap 111 (Nollsr eaal sus: oe senerated from the remeinder or the shoo by
epnfeve' ' - fire rsaletiva eonstrwti ►n. In addition soerwey n.. i must
to sinuses 41th As ahnrered an•i libeled !. "our Latah fire door aesssbly. 1.a.
scat, hemp. $111, chunky, etc.
(POI, t.s. 1104 u•9.'. 1970)
Donald 4+:. McEvoy ( war
Pine MWsaal
// )
e ..e.• -II of _
Mt egoisreasd.n r
E• N.TTiPgte*
inesecter Ntts
900/3
RevIC
3/
eised 73 FIRE PREVENTION DOES NOT COST—IT PAYS
1
'.11 hosting, ventilation, sir cend.ttleniry, c•okini. end electrical scyuiPt•tr;
and appliances see required is be sppNvsv by Underwriters Lawrstecies Inc.
•r ether notionally secognized tosti nr money end ba instal led in conformity
with the testi,, egenty's •peeiftcetisne.
(raft sr. `_1" U.l.r. 1570'
4. Mt ,retur teeter, Indicated as beim, located ir. •o.>"+ 1.'1. suet be equipped
4th a pressure relief valve.
S. ell Mora aro renuir•d to be fitted wltb•. finish hardware. i.e. lseks✓aatchst
having no prevision* for lsokine ova/knot egress, twang, ep•neble frost U's
insies at all tinea without the use Sr s key, spscisl knowledge or effect.
k A•ft ••a. }3G3 wg.;.. 1,70)
�. S•tifiesti.en of this •rhos Per inspection t,^a &nativel of construction i,
rewires pries to occupancy of the stars.
(tat': et. 1.7G7 U.r.r. 1,71)
7. Prier is Melipeiley of tone stern a 'Certificate of ',ccupaney" w..st be obtair.sa
free the vesMIOteu County bulletins Dept.
(sofa .c. 301 U.O.C. 11►70)
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