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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/�/ , I • /2 - oik • --qtropoth.t t, 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 t WV t _ 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.$. MO) ( vim, Donald F. McEvoy. Fire Mars / / C / i //) .V Plane Examiner mos td Nerrit;tcn e•eA.re.5114. ;seri.. Inspector butt* toorm 900/3 FIRE PREVENTION DOES NOT COST—IT PAYS J/ Reevisers 373 / 3. hetifisstion of this office iso inspection of sonstruetion in iregNired pies to acrue+enr-y d♦ trio store. (ref s0. 1.^''1 Uniform fire :lec) t. 'slat tc accuonV+c7 •f the stats • :•rtiliasis sof asautinenav from the behi n itan County 'ienostmAwt is rsrcuirai. (rvfn •u. Rib u.l.: . 107i) i ti^� 1 .seer trs altMiC LLin i o Ind exit referred to to t� move PWS illi M door out the roar, i.e. fell be eeby s roll up wall• for standpipe plow** relit to the ♦iro sue+Rsion system plan • 9540 SW Washington Square Road 30340,51754,54714 14989 w • • ,) • I s • 1 I 'IS ...•11•1111NMEMMININIftwo AIr /� u DEPARTMENT OP LAND USE$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 i \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 1 SS I t _ ..__ . 1 ,. ► lief i r 1 i0 I 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. I 1 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 1 I \! 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 • APPUCANT'a S ONAIINIu !_ _ ..-_ . ill iri ' I -- ---..�' ' Tr • T- t- ffJrt t ' ' s _ _"'"T' ' 1!1 . ,R r i 1 • 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 ( 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 [.� 1 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: • . 1 I I - 1 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 : 1 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 / ,tea /S 47 1 Inspector Comments: Ni by � Date:.. iMU•`Z4 1 1 1 • • 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 • 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 • ' « 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 I Inspector r-+mment .e • Inspected bye Deter..