9540 SW WASHINGTON SQUARE (1) 9540 SW Washington Square Road 30340,51754,54714 14989
9540 SW Washington Square Road
I 1S1 26C
shoes
: #30340
retail alter
(Shutterburg store)
51754
alter
Shoe Miol/Buster Brown Shoe
54714
0
4
5471 4 WHITE Inep. for CopY
YELLOW Pom y's
PERMIT N0, APPLICATION FOR BUILDING PERMIT PINK Temporary Fit*
GREEN Cucu4lion
BUILDINLy7WASHINGTON COUNTY AQP `t'
ApORESB '� A�
DEPARTMENT OF PLANNING
BUILDING DIVISION LOCALITY —�+�h cy..TBETZ wit)
INSPECTIONS 648-8761 (AFTER 4 30 640-35611 NEAREST
CROSS ST
CENSUS GROUP TY►E ZONE
FOR APPLICANT TO FILL IN TR CONST.
ADDRESS �'4r =1,14MIN/SETBACK F IS R
uldc r x . 5;11' AM'D.IV DATE
LEGAL DESCRIPTION /S' /'-(7G, -
ZONING A
ZONING
AN EXAMINATION 64 t"
_____Idikfl_
AREA OF LOT No OF SLOGS STRUCT.ENOR.
_ NOW ON LOT
nfS1BE QF— — �� TYPE OF SANITATION
s IND BLDG.1) airi1:inF►'��� .'1SSL� -----
OWNER EOwNER eibeir _ N�� ae ssw DRIVEWAY PMT. ✓�
ADDRESS_ j 013�__ 5,E-VIA6N '
CITYEE r/A-1.4- 5 COMMENTS:
twifaiTPCCR
ADDRESS
CONTRACTOR TEL.-- _�J � , Z -
_ 3f_ usNO. 'lln0 6141L _ J_
ADDRESSr t„ S i' _ttYld_-_--- - - %�Le*.v2 Lt'-
CITY,hiK cif Bltr4 Lie.StSts y?ca
DESCRIPTION OF WORK
NEW "UI ALTER D REPAIR DEMOLISH
1IZE TBTO111ER ;Tat ES
NO.BEDROOMS NO.OF BATHROOMS
USE OF
T
VALUATIONS b co. FEE FOR AMOUNT RECEIPT NO.T DATE
�--- 'j.ilL I-----PMTL' �-----..-----..._.. --I
FEE.5.13, FEES BO, FEE T7l X�j,a--a ZONING COMPLIANCE �-
I HEREBY ACKNOWLEDGE HAT I HAVE READ THIS FIRE MARSHAL AP5LICATION ANL STATE T,F1AT YHE ABOVE IS COP
RECT AND AGREE TL COMPLY WITH ALL COUNTY OR
DINANCES AND STATE LA cJLATINO BUILDING SYSTEM DEVELOPMENT
CONSTRUCTION AND L�C. IP4 '\ _
SIGNATURE OF STT � �•,
PERMITTEE �- 4, ��rl,� 1
ADDRESS •— FINAL INSPECTION / 1.r ti. DAT ....7J754r i
PLAN CHECK VALIDATION cK M.0 cACH PERMIT VALIDATION c - MO CASH
RECEIPT NO. f OATf RECEIPT NO.G OD DATE 6.44/48
/ •' I 6
, G G/�/
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/2 -
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3 ��D 13 K S fC R 73 o !V ffiS 8 05 o WHITE Inspector Copy
YELLOW Perrnatet
PINK Coshler
PERMIT No. GOLDENROD fempprCirculst,,n Elle
APPLICATION FOR BUILDING PERMIT
BUILOItiG
WASHINGTON COUNTY ^ADDRESS 9S./C) ,..<1U2 d�9Sy, ��. /ria
DEPARTMENT OF PLANNING OCAUT•
BUSTER BR IlILDING DIVISION �S CROSS SST
N *ENSU! LANG .Is[ ',OUP,RTV►ER
► o [Q �r—
FOR APPLICANT TO FILL IN y COOS I`_ Ct PltT f�7S(!
BUILDING STATISTICAL CLASSIFICATION ZONE
—
�
ADDRESS 9540 S. W, Washington S . Rd. CLASS NO .. UWELL UNITS __
LEGAL DE SCNIP710`IShop H-15 located in SPECIAL CONDITIONS
Bldg. H, Washington Square
A
1 .. O, BLD.. —
RF n 01 r
l sow ON LOT '..037,7-1
USE OF ZONING APPROVED DV2447
TYPE OF SANITATION UIST.
p
O*I (RWASHINGTON SQUARE,lie. 226-2692 4--
ADDRESS 900 S. WA 5th WATER SUPPL, UIST_
Wit SEYSACN FROM
Port land, Or. 97204 FRONT PROP LINE OP I
CITY —
cMIYECT O .A. Harrin to L 2262692 TYPE OE EEISTING SRGACA NIEMWAY + SASS - TOTALS
ENGINEER 9 IGMtr AT WIDTH •R___,,, O!+'
•
NI ADDRESS i -
SOUS. W. T7 SLDG SETSACN FSOM =
CONTRACTOR Nfi SIDE•110. LINE OF —
STR ET
PTT.E OF EXISTING SETSACN MISMWAY + YAPD TOTAL
l
i ADDRESS .MIGMWAY WIDTH PROM C ,
+ .
CIT7
DESCRIPTION OF WORK CORNER CUTOFF TEE [; NO
1(W ADD ALTER REPAIR DEMOLISH SEE REVERSE SIDE FOR SPECIAL APPROVALS
fr 1240 S. F. NO OP NO OP M.
SIZE STORIES PAMILIFS
NO. REDROOM! I+ ('I NA,IrTOOMS
STRUCTURE Rota II - Shoes
NO. OF EMPLOYEES V
r
SIGNATURE Of
APPLICANT moi. 61...74 - i APPROVAL! - DATE IMS/EC TORG SISNATURE
VALUATIONS �- , •00 'OUNDAYION I.00ATII=.
I I FARMS MATERIALS
'SAME I S .'
, c j_' • 3 :�;s�.. 5 (It) BRACING BOLTS
r[[S � +P REPLACr
I MEItSY ACMNOWLEDOE TMA♦ i NAVE READ THIS APPLICATION A��.
ANO STATS THAT TME ADDY, IS CORRECT AND AOR(E TO COMPLY WAIL BOARD
WIT. ALL COUNTY OROINANCES AND STATE LAWS REOIILATINO
NUILDING CONSYSUCTION
A- F—
SIGNATURE OF a -d NUMBER CORRECT
PEGGMITTEE - - - ---- AND PO:TE9 ,----
ADDRESS _WASHINGTON SQUARE, INC. FINAL _?22-2y�
900 1. W. 5tb, PE,rtl'anA
PLAN CHECK/ y J/VALIDATION Mo ,.E. FEi1MIT VALIDATION NO CASH
„r(LIFT NOL : •I/O , .�7. I.I //.y4D2 706/75
I!
WHITE Insp.ctor Copy
YELLOW 0S,, ..tM
PERMIT NO. APPLICATION FOR BUILDING PERMIT PINK T.mpor.ry Foe
GREEN Clrcu bNon
5 1 / 547
BUILDING
WASHINGTON COUNTY ADORES., .50/z) _s/,f, .6..Pa14..,rt_jave �yj- i'J
DEPARTMENT OF PLANNING
BUILDING DIVISION LOCALITY . —
INSPECTIONS 648-8761 (AFTER 4:30 640.35611 NEAREST
CROSS ST.
‘11...111111& ' CENSUS (G U—' �T—YPE ZONE —,
FOR APPLICANT TO FILL IN T� -1 g-- I�o�IBT
SUILOINO ' MIN/SETEACK R
ADDRESS� �� [�GiE.4y�.n , +'�
LEGAL DESCRIPTION l/ l� AN'D.OV DATE
In
—_ - ZONINr,
" -- — —v--- PLAN EXAMINATION ~/O/�/1,/-
AREA Of LOT :411•04°01451`.8r.
OON`DOGS. ETRUCT.ENOR. /
Liss-n—, i TYPE OF SANITATION
first IG SLOGS---- — ---
�y�
• OWNER taw Va
ts �1`r. NtElO.. ;->>I7n COMMENTS:
� � J�� / _ 1�vY-�
ADDRESS��IICL_L_Ltr --- — •
CITY Sedisimpi
----
ARCH-IT-ECT
Ill
fm O
.44 111
_ iA o :Mr I W"'v► _
ADDRESS : r _
CONTRACTOR moo► NG` 5111. 32k1 v, /O2' / -,f. ,
ADDRESS • A.40x_ 15-�—_- -- . eff Ir
LITY (.....L Te\ . P 1 47CV 0 i w K)rs-i..,..t i., Sr
DESCR '1IUN OF WORK 1c-7 vv.--401 ��
tNEEW AOD ' an, REPAIR -DEMOI.,$H
SIZE T — STORIES --'7AplAILIM '
NO SEOROOM8 NO.OF SATHMOOMS
U$C Of ; — --- --
VALUATIONS .1 7 L - 00 PEE POI( AMOUNT RECEIPT NO. DATE
F�ESF Gu PMT.FEE II ./ .� fEETi x r 9 L ZONING COMPLIANCE
E 7 to
I HEREBY ACKNOWLEDGE. THAT I HAVE READ THIS FIRE MARSHAL Q
APPI(CATION AND STATE THAT THE ABOVE s coR / .5..)-0 3
RECT AND AGR TO COMPLY WITH ALL COU Y OR
DIN ST RU AND ATE L WS RE0ULATINO S ILD1N4 SYSTEM DEVELOPMENT
CONST RUCTION D L SING. ._- __ ----
~SIGNATURE OF
PERMITTEE
ADDRESS FINAL INSPI CT IONiluhag 1,,,,,,"
OA1t•//-Fd,
ff
PLAN CHECK VALIDATION CK M.O CASH PERMIT VALIDATIO cK M.O. CASH
RECEIPT NO. SM I i DATE RECEIPT NO, i DATE jr,-/5-h
I r
I t
INSPECTION CARD WASHINGTON (AUNTY PLANNING DEPARTMENT
BUILDING DIVISION
--- 848-8761 (Atter 4:30 p.m.640-3561)
ADDRESS -_i- yil -
1.
r(
",. .11')1 e "i/�,5j, „.f. 5 % —,.1.-...,‘,. PERMIT NO. - fi -
OWNER ----
CALLED BY - ( j Approved ONot Approved
Residential Commercial O Other
�/
r'l Ftg 0 Fdn.Wall El Fireplace
Cover n Nailing 0 Final
OTHER
Inspector's Remarks: r `
4 , E'.r,,q -t w
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Inspector ��1,i� GIG" �4' l
Date____ /` ` .r—
»; WASHINGTON COUNTY
�; •fs! ADMINISTRA1 ION BUILDING 150 N. FIRST AVENUE
HILLSBORO.OREGON 97123
.,,,a. Lel.
PLANNING EP4R TMENT
BOARD OF COMMISSIONERS 64G7 D1
VIRGINIA DAC S.CTs.rmsn
LYELL GARONER,Vres C.lsermIn
JIM FISHER
BONNIE L.HAYS October 22 1981
LUCILLE WARREN
Mr. Reg Hansen
% Shutterbug Store
9540 S W Washington Square Road
Portland, OR
Dear Mr. Hansen: RE: Pla.1 Check 2063
The plans submitted to this office on October 19, 1981 , for the alteration
of the retail space occupied by The Shutterbug Store in the Washington
Square Mall are approved for construction insofar as the requirements
of this department apply.
Sincerely Yours,
im S:hrceder
Plans Examiner
JS smb
l
en equal opportunity employer
*-177
k
[ Jo .
y C 20665 S W Blanton St
PO BoxY
•
0060
Aloha,Oregon 97006 �•
\,� 503/649-8577
FOIST.
October 23, 1981
Mr. Reg Hansen
P. 0. Box 12158
Salem, Oregon 97306
Dear Mr. Hansen: S
Re: Shutterbug Camera Shop
Washington Square Mall 1
The plans for the alteration of this tenant space were examined on October 21 ,
1981 , with reference to currently applicable fire safety regulations. We find
them to be fully acceptable in this regard. That is, this alteration will sub-
stantially improve emergency exit facilities. Accordingly, the plans are
hereby approved as submitted.
We trust this letter will assist in clearing the way for the further develop-
ment of the project. Please let us know if we can be of service in any other
w
Ver ly yours,
"WAS IN GTO ' COUNTY FIRE STRI T 1
Wi l burr. Dodge �
Plans Exaniner
jcc
xc: Washington Square Corporation
11
Washington County Building Department (2) 4/*
Inspector Jeffries
lii4
11111
Fire prevention(SUPS nJt cost it pays N
r l ' • / y Washington County
' • Fire District No. 1
/ F.
1 14480 S.W Jenkins Road
•
Beaverton,Oregon 97005
Bureau of F'..re Prevention
646-1101 Axtenaion 245
)lana examination Report No. 110, :. Fire Station rat+ne•
^t/ 1 en 'la. Sig Run Dl etanc e
k4lding uyter _tc n hes hon Occupancy f•... "sr-1.-4tiia Fire Zane '
Address :,4,7 'i na. '.i•ls. mah:rt-torr -n ere _ Conatruct2 on Type ' '
Architect/1 esigner !I:1Ln '_hoe ea. Address 't.tsuls. Plieenetl 4110$
Owner itr..u. Itis Inc. Address 9073 8.4. sen. ri.pte_
3toriee 1 , Main Area :24; /Basement Area none Attic h•ight`+/Stopa •
Fire Walls, , r, _ Fire Escapee - , • Exits :e _/'Total Width ' •t.
Stairs -ort /Enclosed • Other Vertical Shafts none closed - Sprinklers "-•
Area Covered ,Jrire =eros Man. Alarm !Ig S.P. • Ext.. no,. /Class - /No.
Combustion Detection e' /Type • /Area Covered
Floor concrete Ceiling Aber Qleee est,. the Roof •
';tr. Members 9 ._.41 Wall Cover / ya.beeted ___,__
Exterior Interior
heating Syotem n:;t eh4 _ PLal • Cooling 'System no 44 '1
The plans for the above described structure were referred to thin office We.'v"
end reviewed .,
eviewed '/3 for conformity with State and District fire safety laws
•nd regulations. The following itemised camnen.,e describe changes in the plana required
ror oonformenne with such lean and regulations and recommendations for enhancement for the
general fire safety of the occupancy.
1. %II neetie+ . vi'tiletion. air re+nhltioelno ow' e1i'triesi eoulrswnt end stwliancea
ere rewmirwd t• be mottrevsd by IlwMerwriters t.eMorstmelee Ins. or inner netswelly
reesgdrse testing sbsneya eemeif1es'cione
(weft `se. SO, u.s.r.. lit' Velum II)
r. :11 deer finish hard•.ers, i.e. leekt/1•tetise must be 'ennoble Prose the lraias et
ell times Pen immediate writ without the wee •f • bey. •.easel Knewlesye er afoot.
(rat? ter. 1'N12 V.1i.$. MO)
( vim,
Donald F. McEvoy.
Fire Mars / /
C /
i
//)
.V Plane Examiner
mos td Nerrit;tcn
e•eA.re.5114. ;seri..
Inspector butt*
toorm 900/3
FIRE PREVENTION DOES NOT COST—IT PAYS
J/
Reevisers 373
/
3. hetifisstion of this office iso inspection of sonstruetion in iregNired pies to
acrue+enr-y d♦ trio store.
(ref s0. 1.^''1 Uniform fire :lec)
t. 'slat tc accuonV+c7 •f the stats • :•rtiliasis sof asautinenav from the behi n itan
County 'ienostmAwt is rsrcuirai.
(rvfn •u. Rib u.l.: . 107i) i ti^� 1
.seer trs altMiC LLin i o Ind exit referred to to t� move PWS illi M
door out the roar, i.e. fell be
eeby s roll up wall• for standpipe
plow** relit to the ♦iro sue+Rsion system plan
•
9540 SW Washington Square Road 30340,51754,54714 14989
w
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'IS ...•11•1111NMEMMININIftwo
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u DEPARTMENT OP LAND USE$TRANSPORTATION
t N WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILL.SBORO,OR 97124
COUNTY INSPECTION REQUESTS. 503/640-3561/693-4111
OREGON ' r PHONE: 609/e494761
fl Mtn Page 1 of 1 o
CiLkfAirift Date : 04/18/91
Time : 11:09
Permit Type : commercial. Electrical Permit Permit # : 05019865 j
Permit Status : APPROVED Applied : 04/18/91 1
•
Situs Address : 9540 SW WASHINGTON SQUARE RD TJ Issued : 04/18/91
Permit Title : SHOE MILL - ELEC Completed :
Permit Descr. : SIGN LIGHTING To Expire : 10/15/91
Project Title : SHOE MILL --WASH SQ.--MALL4 Project * : P0014989
Project Descr. : SPACE H-15 a EROSION *
•
•
Parcel Number . Land Use District :
Valuation 0
o Legal Descr .
Owner Construction : OTH
Applicant Name : VANCOUVER SIGN CU Classification : 900
Applicant Addr. : 6615 NE HWY 99 Occupancy .
VANCOUVER, WA 98665 Validated by : PH ( 4
Applicant Phone: 206-693-4773 Inspector Area :
CONTRACTOR : VANCOUVER SIGN CO. Lic. C 37-46C 693-4773 I
Fee description Units Fee/Unit Ext fee Data
Sign or Outline Lighting 1 .00 36.00 36.00 I
Subtotal Electrical Fees: 36.00
State Surcharge of 5% 1.80
Total Electrical Fees: 37.80
*** Fees Required **. *** Fees Collected & Credits *** •
Receipt No. Date Payment
04/18/91 37.80
Fees: 37.80
e' Adjustments: .00 Total Credits: .00
Total Fees: 37.80 Total Payments: 37.80
Balance Due: .00
1
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\INOTICE: This Md and ponce becomes MNM m
MW void NM Iwork a,conubWAbn lot which N Is IYued Is not conwn.no.d within ISO days. Onoe axMn,cllon has started. J
Me/wb000 .e null andMwWI
A veld N NNMMn
pt Is upied lora period 11Mal days I o.rtily al the Information presented ed by the.ppllcanl and 11..)
hle WIN of semis In supped N Nile ponoll lo Pus and enact to the best of our knowledge. I.cknowlsdp Ih.1 e,.wilding Departments reliance
uloan and mine. N NIIw1 11 Illry b1Y s Into panne AN merlons of eppbmaws s and drdhunoes governing Me construction and us.
al Pianele
Nle opo M e permit MN nM gond atanally la Mew prMs.plgwfy w 1e tw ere111e111..0I hall g__...on.nese. l soccoccupa mai
MM Molise w Mddllg panale d depends upon.y Mfg for Nlaps1Nwo al wrlMr anon ~Mw M.u..w occupancy of
N.MINI MMI l,euniono Iee van Me waw.Gn/ew. us.w b M.m pon 1 nd Wee and N.building
Building OgwSMi lo sdNly M M a IUIt at mle ep d and wen Ise up a y MIMI.N w Maim poonan l paw n approval by t r.
and
st Is tin by MeMl�be p a wsMa las a l N.poper y uponreeswaww en ea-sial.0
BtaNg OINe1M. I will eUNts.seeMe Met a Men may M plan/on ata Nile a MM properly upon tteda.n its p.mn h Issued
spuslfylrg Mal the u.o or eewgwNy el Me building ea* edue•Is p10hYbn.l and reuMabie un. of.N Inepsellon requlr..m.nls
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WASHINGTON COUNTY0
ELECTRICAL PERMIT
Department of Land Use S Transportation
Electrical First tlor. Sec:. APPLICATION
1513 North First Avenue,9350-12
Ht4sboro, Oregon 97124
information: (503)600-3470 Fax: (503) 883.4412 Project/Permit / / ‘9. /21-7/
Number _ Date
PLEASE PRINT •
( Please complete'all sections..! through s. 4. Complete Fee Schedule below
1. Location of Installatlop L Nu me.r P v .sewed y
Address ..5-ii, �]!� .JL1rt6f7ln �/J � ��. Service Included: Items Cost(ea.) Sum
A. New residential-single or mum-family
City T� - 12_ Zip Code 97a�3. Per dwelling unit
/ 1500 eq.ft.or,w -_. $86.00 _ 4
/ Eich additional 500 eq.ft
.&
Directions 6-776-771-'42. R
' . T kr-ei. /IIIT er SSE or portio,thereof $15.00
PIP 177,9 LI F nT.(y i- s„,,-S Til i e !i l? MonadDwelling Home
or r Modular $35.00 2
1.4"47-- i !)�icLe
Commercial Resklerltlsl B.Services or Feeders(10 branch circuits included)
kratatistion,alwatiar or',location
/ 100 apps or Mw $36.00 _ 2
amps
CommTenant ercial) fT G,�' 1 .L-_._ ` 400 amps
poi amps a amps $80.000 . _ 2 f
801 amps to 1000 amps $130.00 - 2
2a. Contractor installation only: Over 1000 war role. $300.00 2
Electrical Contractor Vftrle tli 'g, &
�� rl L . Reconnect only $3s.00 2
Address m/5- 72F /levy f I . - I/A/,t"dudey 5 C. Temporary Services or Feeders
Date +!S-Ti Job Number Installation,alteration or relocation
Property Owner hf2E -_ 200 amp.or is.. $3s.00 _ ?
Contractors License No. '7--11G(1 L rto 600
5 201 a p`to 600 amp. 180.00 2
Contractors Board Reg.No. - 4,3157
/ Over 600 amps to 1000 volts sae'B'above - 2
Signature of Supr.Elec'n 4J � .i,..fi-t- D. Branch Circuits
License No. 4403 Si - Phone No. 4q-1 y7 _
New,alteration a.xMrl.bn p«panel
One circuit - R36.00 2
+ Two to tan circuit $50.00 - 2
so 2b. For owner Installations: Each additional 1en coons
or part thereof _ $15.00 2
SI owns?.Nome - ---_ - 10fa-W - E. Miscellaneous(Service or Feeder not included)
- - --------- Each pump or irrigation circle $36.00 ----11-.711'
2
Faoh sign or out6ns fighting _ $36.00 - . 2
IVY
-- signal cinch!$(!)or a Ytion ---
- --- stair - energy faan«.alteration
or.xMnsinn $36.00 __
The installation is being made on property I own --
which is not intended for sale, lease or rent. F. Each additional Inspection over the allowable i
in any of the above,per inspection
Oames IIps as - --- - -- $?5 00 --3. Plan Review section (if required) 5. Fees
A.Enter total of above fees $ 36 OT-)5%Surcharge(.05 X total tees) $
Subtotal S 1/
B. Enter 25%of line A for
Plan Review If required(Section 3) $ --
For Inspections call
Subtotal
640-3561 or 693-4415 Less sulk Label Fee S --
24-four recorder, Balance Due $ 31 97r-
one working day In advance of need (
This permit becomes null and void If rid work authorized by the permit Is not oommanc.d within 1110 days hom date of Msumnoe
of such permit or If the work authorized M suspended or abandoned it any tints cher work le commenced for a period of ISO days.
Electrical Permits we non-refundable and non-tran sferabie. 10/90
. . . .fit.. -t"t". .. \ �`w.a. y _ •
.'!C.
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DEPARTMENT OF LAND USE A TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
• +
GQUNTY, IN156 NORTH FIRST,HILLsBORO,OR 97124
1 IV S.PE.T10N REOUISTS: 501/640-36E VSS3-4415
PHONE: 603/646-6761
OREGON Page : 1 of 1
Date : 04/03/91
t
Time : 10: 17
Permit Type I Commercial. Electrical Permit Permit 0 : 0501949 :
Permit Status : APPROVED Applied : 04/03/s..
' Situs Address : 9540 SW WASHINGTON SQUARE RD Ti Issued : 04/03/91 1
Permit Title : SHOE MILL --WASH SQ.--MALL4 Completed :
Permit Descr. : SPACE H-15 To Expire : 09/30/91
Projer,t Title : SHOP MILL --WASH SQ.--MALL4 Project I : P0014989
Project Descr. : SPACE H-15 * EROSION *
Parcel Number :
Land Use District :
Valuation : o
Legal Descr. :
!f owner Construction : OTH
Applicant Name : WILLAMETTE ELECTRIC Classification : 900
Applicant Addr. : PO BOX 1240 Occupancy :
TUALATION OR 97062 Validated by : VO I
Applicant Phone: 691-0414 Inspector Area :
CONTRACTOR : WILLAMETTE ELECTRIC Lic. C 34-283C 691-0414
Fee description Units Fee/Unit Ext fee Data
•
Two to Ten Count [Enter 0) 1 .00 50.00 50.00
Subtotal Electrical Fees: 50.00
State Surcharge of 5% 2.50
• Total Electrical Fees: 52. 50
*** Fees Required *** *** Fees Collected & Credits ea* a
•
' Receipt No. Date Payment
04/03/91 52. 50
Fees: 52.50
Pw' Adjustments : .00 Total Credits: .00
Total Fees: 52.50 Total Payments: 52.50
Balance Due: .00
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NOT:C/ Tow panne becomes null end void if the wan or eon*uoaon war which M le Issued Is not oonvnaneed within 1M days. Ono.oonstnxtton fin started,
Mrs panne L....oa null and void N con*uallon h M*entytled ear a period of 1 days. I oernty that the blbnmafort p.aaeraed by the applicant and
Me alone a apeman he support of atM para*M bora and ocnarA b its bear of our b:towNdpe. I.olntowNdp NW Me Sulidlris Department's reliance
upon Wee end adalsadbig informed=slay bK.Mdo_this psrnnl. AN prevy:my el applicable Ines and ordinaries'gsveraing me construction and use
of Sita banns N*Mwlare we be aoraplwd tiayr Wod ur or net apadllad an au plane or noted on the plana serla.asn shireer. I sebnosidgs that
Me UlordinS of a pane*doss net raid sulhaAI Ur MOM prkeis properly or le was aneerasnle. I hWVOr sidesse a 1pa ate)its use or ooc't
ills ebuolure et building pert.JNd depend,open WI Sib"lar brpaaMeru al various loss panty of
lding
btepaaron sign verifying eat ass wins son.Yea or eeeuperroy of are �et~, ��slay d,1-is 1 ..theire
Building Deperimeni is seedy al ars:lab of ins__para std sash use or occupancy le we unit say � r r appy by ale
wry la given by ms Sullen,Onbeal. Midler sebrrwledpe was s Men may be prom,en Ilse sots al st y upon WSW die ala permit
rmiIlM and
ued
speNlybq Wish the use or osstporay el the WOMB or abbNlUS le previsional and revooaMs until ins w Osial properly
pectlo,rpuutraamentti
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APPUCANT'a S ONAIINIu
!_ _ ..-_ .
ill iri ' I -- ---..�' ' Tr • T- t- ffJrt t ' ' s _ _"'"T' ' 1!1
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• WASHINGTON COUNTY0
ELECTRICAL PERMIT
Department of Land Uss&Transportation
Electrical Inspection Section APPL.I.cATICN
155 North First Avenue,0350-12 ��nn �{
Hillsboro, Oregon 97124 ( • )`�t8 l
information: (503)6403470 Fax: (503) 693-4412 Project/Permit.
Number •J-11, 1 i Date
PLEASE PRINT ,
( Please complete all sections,,1 through 5. 4. Complete Fee Schedule below
Number of btap.etlore per permit allowed
' 1. Location of Installation Service Included: Items Cost(ea.) Sum
Address LJasM.,lute u Cf-, 4 I! i:5-
A. New residential-single or mukl-family
per dwelling unit
City ) Zip Code `] 17
-— 1500 w.R ores* moo c
Each additional 500 eq.ft
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Directions W m►e M,... i 0.0 r-i e 1 L or portion wreo1 ._ 115.00
/ Each Manurd Hone or Module
►w _fes n W eci c, „ 6 r b
7 rt .mst s. 8v S Deeding g S r� e or Feeder $35.00 2
l 2"'9 'l.t;Nres n,, 71t� Irf1- .- cLy.,�t I,,41, .f
B.Services or Feeders(10 branch circuits included)
° Commercial 0 Residential 0 Installation,alwationa a relocation
100 amps or less $35 00 __ 2
Tenant Name L 1 101 amp*to 400 ramps _ $00.00 _ 2
(if commercial) S I. a c- f-t r 1 1 . l'UA LSI'.�(t . KCI 401 amps to 600 amps —— seo.00 -- 2
w _
601 amps to 1000 amps _ _ $130 00 _ 2
2a, Contractor installation only: Over 1000 amps or volts ___ $300.00 --.--- 2
Fleconnect only t35 00 2
Electrical Contractor A.//a m c 11 c Ei u;.c,c _ •
Address P.O.e,. il si 0 __ C. Temporary Services or Feeders
Date 3 z't -9r Job Number .13 Y IneteNatl«m,alteration or relocation
Property Owner it);ti r•t 5,L hi_ :Pi, _ZN c , __ 200 anile or Mw $35 00 .—-- 2
Contractor's License No. j t1 21 c C = 401 snips amps to SSoo awe amps _ $o 0 2
Contractor's Board Reg. No. Over Soo amps to 1000 volts se.•8•above
Signature of Supr.Elec'n OM!✓ • ./C' 0. Branch Circuits •
4L S S L n� PMmw•~Mon or extension per panel
License N: _! Phone No. V One circuit 135.00 2
Two to tan amulet — 7- $50 00 '" 2
k 2b. For owner installations: �"'"dd'"Ofe""'°'"'�'
or part 1lmersof 115.00 2
Print t5n ere Noon Phone No. E. MIacellaneoru(Service or Feeder not included) i
_._ Each pump or InlpMon circle— $3b.00 — 2
Each sip.nr oulitne lighting _____ 130 00 ._ 2 1
City _—.N—.---_. Signal okoultis)or-imbed
energy pens(alteration
or extensionI The installation is being made on property I own — RAS oo 2 I
which is not intended for sale, lease or rent. F. Each additional Inspection over the allowable
In any of the above,per inspection
t)rvrmers sown -- 135 00
,3. Plan Review section (if requi;ed) 5. Fees
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A. Enter total of above fees S — s —
r�. //�/r /� /-/ / 5%Surcharge(05 X total lees) i _- 1 •L
I' ` _ Subtotal S —__-- ‘�
_ _ B. Enter 25% of line A for I
Plan Review if required(Section 3) S
For Inspections ca I Subtotal S ____ _
640-3561 or 693-4415 Less Bulk Label Fee
Balance Due
$
24-hour recorder, $ z 1`
one working day in advance of need
This permit becomes null and void M the work authorized by the permit Is not commenced within 100 days from date of Ieeuenoe
of ouch permit or M the work authorized le suspended or abandoned et any time atter work le commenced fora period of 160 days.
Electrical Permit*ere non-refundable and non-u.nehrsbls. 10/90
acc=ar4:
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DEPARTMENT OF LAND USE&TRANSPORTATION ' i
• WASHINGTON LAND DEVELOPMENT SERVICES DIVISION POO-
CDUN 166 NORTH FIRST,HILLSBORO,OR 111124
OREGON PHONE:603/64Q.1470
INSPECTI,N REQUESTS(24 hours): 503/54O.EM/ 693-4415
Permit #: 865 Project #: P0014989 Status: APPROVED Paige 1 of 1 A
Issued 8/91 Expires a 10/15/91 Valuation: 0 04/26/91 05:52
CD:1EL C!
Permit Ti a SHOE MILL - ELEC :
Descripti : SIGN LIGHTING
Job Address : 9540 SW WASHINGTON SQUARE RD TI
Parcel N1lrnher :
Owner Name
Applicant Name : VANCOUVER SIGN CO
Applicant Addr : 6615 NE HWY 99 '
: VANCOUVER, WA 98665
Phone number : 206-6934773
lk Location Detail :
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APPROVED _V.., NOT APPROVED APPROVED STOP WORK UNTIL.
[Repair as Listed] [Construction May Proceed]
[And Re-Inspect ] [However Note Below. . . . ]
CONTRACTOR : VANCOUVER SIGN CO . Lic C 37-46C 693-4773
Inspection Reque.%ted:
A Final Electrical ,
04/26/91 RI Cr' AM PLEASE.
Inspection History Summery:
* Electric Sign
r 04/23/91 RT CA
04/23/91 ON GS it POST LABEL IN PANEL COVER 1
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Inspector Comments:
Ni
by � Date:.. iMU•`Z4
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• DEPARTMENT OF LAND USE &TRANSPORTATION
• WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12
�( 155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS(24 hours): 503/6404561 or 693-441 F
Permit #e 05019490 Project tte 00014989 Statu-•,e APPROVED Pale 1 of
Issued a 04/0% 91 Expires a 10/01/91 Valuation. 0 04/17/91 0/ t)
COMELEC
Permit Title ' -WI?SH SQ , -•-MAI_L4
Description e
Job Address .i _I IS R SWAT /IV' 1'
Parcel Number e
Owner Nerne
Applicant Ntirre a WILLAMETTE ELECTRIC
Applicant Addr a PO ROX 1240
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o TURLATION OR 9/062
Phone number a 691 -0414
Location Deta'' 1 1f
041-014.4641
APPROVED _ � NOT APPROVED �_ APPROVED STOP WORK UNrIL
[Repair as Listed] [Construction May Proceed]
And Re-Inspect J [However Note Below . . . . J
CONTRACTOR r WILLAMETTE ELECTRIC Lic . C 34-2830 691-0414
Inspection Requeste_de
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' « Final Electrical
04/17/91 R1 00 AM
Inspection History Summary`
* Cover & Service
04/04/91 AP GS
rkw F 41 14‘,-.1-p -wh.›e ss
/241
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Inspector r-+mment .e
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Inspected bye Deter..