9755 SW WASHINGTON SQUARE_TI 9755 SW WASHINGTON SQUARE RD TI 62025-A P48O132
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C L DEPARTMENT OF LAND USE&TRO,NSPORTATION
WASHINGTON
YYINGTON • LAND DEVtLnPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS. 503/640-3581/693-4415
OREGON xxxxxxxx; --> 640-3470
Page : I of 1
Date : 03/06/95
lime : 07:45
Permit Type : Commercial Electrical Permit Permit N : 05064658
Permit Status : APPROVED Applied : 03/03/95
situs Address : 9'/55 SW WASHINGTON SQUARE RU TI issued : 03/03/95
Permit Title : ELLICOT - b CIRCUITS Completed :
Permit Oescr. : OPPOSITE NOHDS'1'RUMS/BY NEWPORT BAY To Expire : 08/30/95
Project Title : ELLICU"' - 6 CIRCUITS Project e : P0048013
Project Uescr.. : UPPU:ilTE NURUSTRUMS/BY NEWPORT BAY * EROSION *
Parcel. Number : ZsiTl - Land Use District :
Valuation U
Legal Descr.
Owner : INSPECTION - '1'1GARU Construction : UTH
Applicant Name c DICKINSON ELECTRIC Classification : 900
Applicant Addy . : 8449 SW BARBUR BL occupancy
PUR'TLAN'), OR 4'/219 Validated by : PH
Applicant Phone: 24b-3'450 Inspector Area : U
Fee description Units Fee/Unit Ext fee Data
1st Branch W/out Feeder [Enter N1 1 35.00 35.00
Addl, Branch W/out Feeder [Enter Ni 5 5.00 25.00
Subtotal Electrical Fees: 60.00
state Surcharge of 51, 3. 00
Total Electrical Fees: 63.00
e** Fees Required *** *** Fees Collected 6 Credits ***
Method Check a Receipt No. Date Payment
CK 8909 03/03/95 63.00
Fees: 63.00
Adjustments: .00 Total Credits: .00
Total Fees : 63.00 Total Payments: 63.00
Balance Due: .00
NOTICE: This permit becomes null and void If the wort or construction for which It Is issued is not commenced witt.in ISO days Once construction has started,
the permit becomes nub and void if construction is Interrupted fore period of ISO days I certify that the Information presented by the applicant and
his agent or agents in support of this permit is true and correct to the best of our knowledge I acknowledge that thy Building Department's reliance
upon filet and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances governing the rmstruction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets I icknnwledge that
the granting of a permit does not grant authxgy to access private property or to use easements I further acknowledge that the us,or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction ant:the building
Inspection Staff verifying compliance with the various codes Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all Insp'ctlon requitement,are estlsesd and
approval le given by the Building Official I further acknowledge that a lien may be plated on the title of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIONATUIf[
6
WASHINGTON COUNTY
Department of Land Use & Transportation ransportation
C
Electrical Inspection Section
155 North
First Ve350-12
ELECTRICAL PERMIT
APPLICATION• Hillsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 6934412
,..--
Permit
PLEASE PRINT Number 5 �'t��'� Date > /
Please complete all sections, 1 through 5. r4• Complete Fee Schedule below
-� Number of Inapertlons per permit allowed
1. Loca�on of installation
Address L/11,,'0?_ �.e.) 4)454,,,17,-,A) S7 ". Service included: Items Cost(ea.) Sum
Building A. Residential-per unit
City Suite No.
1000 sq Itor lass $110 00 _ 4
Tenant Name ((J/54,1r./ n Each additional 500 sq ft
(if commercial) (_///‘CC � _goy..[F _—` or portion thereof . $25.00
Limited Energy -- $25.00 _ — 1
Map No._ Tax Lot --- Each Manurd Homo or Modular
Dwelling Service or Feeder -- $68.00 2
Thomas Map Book: Page: Section:_
,Aire ions_ �/y _I B. Services or Feeders
r s .
- d fen •' ;T `it ceInstallation,alterations or relocation
F
of S 200 amps or lees $60.00 2
Commercial residential c 201 amps to 400 amps $80.00 _- 2
401 amps to 600 amps --- $120.00 2 I
2a. Contractor installation only' 601 amps to 1C00 amps -- $180.00 — 2
- Over 1000 amps or volts _` $140.00 _ 2
Electrical Contractor l• Reconnect only $50 00 —.
Address c.i c °. € 4 • Pr
City N NEW!. State,*.t ZIP Mfriit C. Temporary Services or Feeders
Date J--2 j- y - Job Number Installation,alteration or relocation
Property Owner WA t/y -04,4-<-Q _ _ 200 amps or less ___ $50 00 __ _ ,
Contractor's License No. 2 b-/y0 201 amps to 400 amps - $7500
Contractor's Board Reg. No. 6S"r3� 401 amps to 600 amps ___, $10000 _. 2
1
Over 600 amps to 1000 volts see'Br above
Signature of Supr. Elec'n O. Branch Circuits
License No. _ Phone No. a:14 •1 SS i New,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations.: purchase of service or loader fee. �t, ch v
Each branch cin ___3"- ss.00 2
b) The fee for brenrh circuits without
15nnt Inner s�nma —PFona No. purchase of service or feeder fee.
Vlilieaae—— --- - First branch circuit /- $35 00 ' 2
Each add'nI branch circuit $5.00 2
dy —-- State Zip - E. Miscellaneous (Service or Ferdnr not included)
Each pump or Irrigation circle—_ $40.00 ___
The installation is being made on properly i own Each sign or outline lighting $40.00
which is not intended for sale, lease Or runt. Signal circul'(s)ora limited
energy panel,alteration
Owner's Signature _ — or extension $40.00
F. Each additional inspection over the allowable
In any of the above
3. Plan Review section (If required) Per inspection -- $35.00 __ _
Per hour __ $55 00 __
Please
Please check appropriate Item and enter fee In stiction 5B. In Plant $55 00
___._4 or mors rr• dential units In one structure 5. Fees
_ Service ar,t feeder, 800 amps or more
_System over 600 volts non anal A. Enter total of above fetes $ _
__Classified area or structure contaning special 5% Surcharge(.05 X lode/fees) $
occupancy as described in N.E.0 Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans wlfrt application where ally of the Plan Review Il required(Section 3) $ —
above apply. Not required for temporary constructln„ Subtotal $
services. U.) Trust Account $
Balance Due $ 62j r vc•
Fcr 'nape-irons call chi.permit be,nm..null and r ad n 11w week.uthwlred by lb*paries le nal eewn»neN
640-3561 or 693-4415 n rhm IMO day.haat dela al l..uane•d such p.rme-r a the nab aulho,ited le
euep.nd.d nr abandoned.1 any teme e,r r note le commenced la.paled.t 100 day.
24-hour recorder, one working day in advance of need rl.rirrcal punin..r.non,eundeble and non Inn.lv.bl.
8:94
PROJECT NO.a_[ (22
WASHINGTON COUNTY INSPECTION CARD
0
DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. ` ) 4"1 �Q ) g
FOR INSPECTIONS CALL; 640-3561, 24 HOURS
FOR INFORMATION CALL: 640-3470 DATE
Q /
ADDRESS q 7 lAJ G'4.C? PERMITEE
DIRECTIONS PHONE NO.
�— _ E4. C• L-70-4 cc,i-
__CL/Cn_ark f'a-tnK Yl .l Pav* i —
_
BUILDING MISCELLANEOUS -r PLUMING LECTRICAi
fig post/beam nail mobile boase ground rain drain temp service
'chi }ramp apron/ wood stove post/beam stone sei.r
cover { service
sidewalk
Slab ensue FINAL HVAC top-out FINAL FINAL
pas test sewer USA No.
OTHER
EA
APPROVED �NOT
A R NPp'RE'-1ED
1ECT CjAPaulPROVEODHOWEVER MOTE STOP MIORK twit.:
6107"fA-ti,e_._._ ic2ii:f:,--- ;i...frr.
INsourto{r A_ ! — _._ _ DATE 1 ~LG "1-c __.-_
OWASHINGTON COUNTY INSPECTION CARD PROJECT NO. UU C� O13
DEPARTMENT OF LAW USE AND TRANSPORTATION PERMIT NO. S- y(�SFS
FOR INSPECTIONS CALL: 640-J56i, 24 HOURS
FOR INFORMATION CALL: 640-34/03-3-5s
97--S-
7 CITE __
ADDRESS / ( -S- /S,, (,(, C I /2
U2I)—_ PERMI'EE i t-
DIRECTIONS 4alrlLy(0- 3SSD
—• PHONE NO.
BUILDING MISCELLANEOUS PLUMBING (.1:1111.1R10)
fto post beam nail mobile bone
arouna rain drain temp service
Idn frame apron/ wood store Post/beam stone sewer ccove)i servtre
sidewalk
slab lnsul FINAL HVAC top-out FINAL FINAL
gas test sewer USA No.
OTHER — — — -
®APPROVED ri
NOT APPROVED REQUESTED INSPECTION (STOP WORK UNTIL:
REDAVI AND RE-INSP1(:1 APPROVED HnwFvrR NOTE
�_J
=,2- -- -
__________vs�'
(caw, uoy_L
INSPECTED !r0 � L1
* ' DA1T J s -
DEPARTMENT OF LAND USE & TRANSPORTATION
11/ WASHINGTON LAND DEVELOPMENT SERVICES CIVISION 8350-12
153 NORTH FIRST, HILLSBORO,OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit * 05064658 Project * P0048013 Status APPROVEL Page 1 of 1
Applied 03/03/95 Issued 03/03/95 Expires 08/30/95 03/07/95 05. 31
COMELEC
Permit Title ELLICOT - 6 CIRCUITS 0TH
Description OPPOSITE NORDSTROMS/AY NEWPO&T BAY Brryun 03/03/95
Job Address 9755 SW WASHINGTON SQUARE RD TI
Owner Name INSPECTION - TIGARD Region D
Applicant. Name DICKINSON ELECTRIC
Phone number 246-3550 Valuat ._n 0 Approved
Inspector Comments ' `��? C1,44scile, f2� Rejected
DI c4(1444111 13144.t w eh"K IS G K -_- _
ca-c cg 3-(-ss --
1%44> c:sLIAlm__LCAA4,C — G id & REQUEST ERROR
Plumbing ----------____-- — —
Mechanical .Electrical : _—_ _-- ------ --_ .—.—..
Structrual : _ _ -- --- ------ -- —._
General — ---- - - 3-7-5' s
r _7,pr _.
Inspected by 7j— �.7
—_ _ Date -/ - 's
Inspectioi Requested
* Cover & Service 0403 E AP DN IVR
03/07/95 RI HB 246-3550
03/06/95 21 PH
03/06/95 DN (35 DNIVR LUT6 I BS
r NEW
,, DEPARTMENT OF LAND USE & TRANSPORTATION
-- , WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12
155 NORTH FIRST, HILLSBORO,OR 97124
COUNTY, PHONE: 503/640-3470
`. OREGON INSPLCT$JN REQUESTS (24 hours): 5031640-3561 or 693-4415
Permit * . 05064658 Project * Pu048013 Statu.; APPROVED Page 1 of
Applied 03/03/95 Issued 03/03/95 Expires 08 '30/95 03/06/95 05 31
/ SLEC
Permit Title ELLICOT - 6 CIRCUITS ktdr"M1OTH
Description OPPOSITE NORDSTROMS et NEWPCRT BAx Begun t,3/03/95
Job Addres. 9755 SW WHINGTUN Si ARE RD TI
Owner Name INSPECTION - TIGARI) Region L
Applicant Name DICKINSON ELECTRIC
Phone number 246-3550 Valuation 0 Approved
a,,,4- 6A.,.a CLt L-1441414.-..1book
In.pector C.smen's. Rejected
Q S w#ki<.t& J c ,TUX` 1
.4e, - - 4111911111P
-
1?.e t ,n.,1._ ov f- 12.—14 ��i � 4�>—ct. --
Ls)rvr,/ x £Q GaJC.._e retail 4.444 42 -1blo %wall REQUEST ERROR!
Q tP / ,, .C..- — 6 i --U _
y-t 44I 4)F`.e- tr'--C c 1 —
dia r-e a lG0 /,-S /4 p ,.,fc
_�rR+-w at. c‘-e.,e_Lrs 0v c a.-12 _42 p c4-‘i-t-c- Gd_c c rz-41)•.
a c tid' (36 U c ar d ____ _--
-- Pu„..., l a.6 L. 'z j t' 'I t ca-6 t, . _
Pl umb i ng •'w.Yl±._.sdrec._. La1•J II' Tr
YAt tfi
Mechanical i1N1�_.ht•tkJ14Cs
Electrical :
Structrual _.
General �_
Inspected by T' _ _ Date: 3 6 9-.S
Inspection Requested
Cover 6 Service 0403 E AP DN IVP
03/06/95 Rt PH
DEPARTMENT OF LAND USE&'fPANS tRl A TION
WASHINGTON •
LAI:':DEVELOPMENT SERVICES DIVISION
1 'A'�/ 155 N DAM FIRST,HILLSBORO,OP 97124
°11" COUNTY1 , V:5PECTICN REQUESTS: 503/640-35811693-,u 15
11F OREGON XXXXXxxxx- u40-.$4,0
Page 1 of 1
Date : 03/o8/ 45
Time : 13:48
Permit 'Type : Commercial Electrical Permit Permit a : 050648.3'2
Permit Status : APPROVED Applied : 03/08/9'
Situs Address : 9Y55 SW WASHINGTON SQUARE RD Ti Iszued : 03/08/95
Permit Title : AUDIO SYST/SPEAKER WIRES L.V. Completed :
Permit Descr. : OPPOSITE NORUSThOMS/BY NEWPORT HAY To Expire : 09/04/95
Project Title : ELLICUT - 6 CIRCUIT'S Project K : P0048013
Project Descr. : OPPOSITE, NORUSTROMS/8Y NEWPORT BAY * EROSION *
Parcel Number : 251'1'1 - Land Use District :
Valuation 0
Legal Descr . .•
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : DICKINSON ELECTRIC Classification : 900
Applicant Addr . : 8449 SW 8ARBUF BL Occupancy
PORTLAND, OR 9.219 Validated by : LG
1 Applicant Phone: 246-3550 Inspector Area •
Fee description Units Fee/Unit Exr fee Data
Limited Energy/A..ter./Extension 1 40.00 40.011
subtotal Electrical Fees: 40. 00
State Surcnarge of 5'a 2.00
Total Electrical Fees: 42.00
*** Fees Required *** *** Fees Collected 6 Credits *5*
Method Check Rt Receipt No. Date Payment
l'K 0852 03/08/95 42.00
TOTAL THIS DATE ********* 42.00
Fees: 42.00
Adjustments : .00 Total Credits: .00
Total Fees: 42.00 Total Payments : 42. 00
Balance Due: .00
NOTICe: This permit becomes null and void it thy work or con itruction for which it Is issued Is not commenced within ISO days Once construction has•tarted,
the p,rmit becomes null end void if construction is Interrupted fora period of f*p days. 'c edify that the lnfnrmatlon presented try the&pplicen'and
his agent or agents In support of this perm't is t•,.•and correct to the best of our knowledge. I acknowledge that the Building Department's rsianca
upon Wee and misleading Information may I'.alidude this permit. All provisions of applicable law*and ordinances governing the tonst•uctir o am use
of this building or structure will be compiled with who'her or not specified on the plans or•oted on the piens correction sheets I ecknow led je that
the grantln•t of a permit does not grant mirth(rtty to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends Loon my calling for inspections at various times during the process of construction and the buddh•g
inspection staff verifying compliance with the various codes Us)or occupancy of the building or structure permitted prior In approval by the
Building Department is solely at the risk of the applicant and such use or occupancy is'evocable until ell inspection requirements are sMaf ed and
approval is given b7 the Building Official ,'urther acknowledge thea lien may be pieced on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of 1!,e building or structure is provisional and revocable until the sans ction of all Inspection rest Irements.
AIN(CANT
I ?URI -- —
•
OWWASHINGTON COUNTY RESTRICTED
Department et Land Use&Transportation
�• Electr155Nicth!ns tAvene.#3Section ELECTRICAL ENERGY
155 North First Avenue, 2
Hillsboro,Oregon C7124
Information: (503)640-3470 I''sx: (503)693-4412 APPLICATION
.PLPRINit� - 1
'lease complete all.sectio `` 1 through 5. Permit No. .c---)3-1) t�. t�
1. Locationtof installation I /
Date
Address �,1 , 5 �SLc) aid.i!A 1 D4►,,r~j�1 4f �--
City %!/an..0) Zip Code y7223 4. Type ai` work:
•—
.Aap No i a,c Lot
----- - --- RESIDENTIALIlestrleted Energy Fee =40,00
Thomas Map Bocic: Page -_ Section _ (for ill systems;
Check type of wc,rk involved:
Din,ctlons afk„Si ii -saf'r�o h Ss+Lr�rt a //All/7 .I
_y r J-� d %L �L ' " ( czi& 'f p rt:!:!:,:1-� S ). . 'Audio and Sterno Syriems*
Commercial 2 Residential 0 Burglar Alarm
1 elephone Systems'
Tenant game
Door Orxirer
H commercial)
•- �jA Z, 2ChX;v Fire Alarm
Heating Ventilation and Air Conditioning Systems'
2. Contractor application: Vacuum Systems'
. Other
Electrical C n rector i/1i i 5 . .1'K-.
Address P:' _c' L a,z I • r COMP,IERCIAL Tee fry each system $40.00
City ��y ( State lit Zip _701 , (see OAF,918-250-260)
Date-3-- _ Joh Number _ Check type of work Involved:
Property Owner _
Contractor's license NiO (-
Contractor's!3rd Reg.No. SS-3if 1 eo�ler Co. trms
Phone No. __ _t1 fs Clock �,ystems
S 4=
�-- Data Telecommunications instagatlong
3. Owner application: to Fire Alarm Installation
e _•-t HVAC
.t,r _.. Instrumentation
Print Owners Name Phone No. Intercom and Paging System
__-.73/' 5 L!> $-rt I Doe-, Landscape Irrigation Control
Address Medical
A.!C��,�(__(� ,____,_19_,...4_2_,L. Nurse Calls
City StateP Outdoor Landscape Lighting'
mepermit is luted under OAR 118-320.170. The applicant agrees Protective Signaling ('
to make only restricted energy installation,(100 volt amps or lens) Other _A Lc-to •1 eri(1.i-t«-�qa v"Ars
under this permit.end to do the following: ,
I. Only use electrical licensed persons to do Installations where
required. (Certain residential and other transactions are exempt / Number of Systems
from licensing. These have asterisks(•). All others need(cans.
Ing.)
1. Call for an Inspection when all the Installations under this permit •No license,are required Licenses are required for all other!retaliations
are ready for inspection.
d. Purchase separate permits for all Installations that are not ready 5. Fees
for inspection when the Inspector Is out to impact under this
permit. Enter fecs $ 40.00
4 Assume responsibility for assuming that all corrections required
by the Inspector are done,and .00
5. Assume responaiblliry for calling for a final inspection when all of 5% Surcharge(.OE X total above) _
the con actions are comple red
The person signing this permit rr est be the applicant or a person 1 rust Account $
authorized to bind the Hear..
Signature - ' ' .et c.-1 Total $ 40,00
Authority k other than applicant --_ _ This permit becomes null and void It the work authorized by the
permit Is not commenced within 180 days from date of issuar ce
For Impactions call of such permit or It the work authorize+is suspended or abandoned
640-3561 or 693-4415 et any time after work is commenced fora period of 180 days
Electrical Permits are non-refundable and non-tieneferabie.
24-flour recorder, one working day In advance of need Ri ,,
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMEN I SERVICES DIVISION#350-12
l*ir
155 NORTH FIRST, HILLSBORO,OR 97124
..g,44 COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 303;640-3501 or 693-4415
Permit * 05064832 Project * P0048013 Status APPTOVED Page 1 of 1
Applied : 03/08/95 Issued 03/08/95 Expires 09/04/95 03/09/95 05 31
COMELEC
Permit Title ?.'JDMO SYST/6PEAKER WIR.:S l V OTH
Descripti•^n OPPOSITE NORDSTPOMS/BY N.:WPORT BAY Begun 03/03/95
Job Address 9755 SW WASHINGTON SQUARE RD TI
Own'r Name INSPECTION - TIOARD Region D
Applicant Name DICKINSON ELECTRIC
Phone number 246-3550 Valuation 0 ..Approved x 1
IInspector Comments: ReJect-ad_.__
VR-RESULT
__ Zeea d -( ', 4 IS O`7 441-•-4-_ _
--- — _ V- — QUEST ERR $y
ir____
P l umb i n9
Mechanical :
Electrical :
Structrual .
C hers l
Inspected by _ 23-1 5s�—• r��� Date. _
Inspection Requested/ "v
am
c .
* 124n Lisz3- 1 ,_!;,,/ 0499 E AP DN IVR
03 ,09/05 RI MJF. 292-084^
9/55 SW Washington S„uarc Rd
1Sl
bathroom accessories
#30352
I
3 0 3 5 2 1� /
YELLOW ie,m for Copy
Kov7 IO h ti i ) 71 BELLOW inspector
/ 8 �' PINK Cothler
GOLDENROD Cocolot,on
"M'T "° APPLICATION FOR BUILDING PERMIT GREEN Ternpo,ory F.I.
WASHINGTON COUNTY ADIJRESS 1/ ,S _> LkiLt- ✓. 42._A-it.
DEPARTMENT OF PLANNING Lric ALITT
UIWING LIVISION ij 3 NEAREST •
KING JOHNCROSS ST
I.- F.NSU�•LAND USF-GROUP IT PR SSED !T
I J .)-CONST
FOR APPLICANT ?7 FILL IN �T!'f' _,101?,_or„ i L r
!WILDING STATISTICAL CLASSIFICATION ZONE �j
ADDRESS 9755 S.W._Washington Sq. Rd. :CASs NO DWELL UNIT9
..EGAL O[/CNIaTio., Shop U-3 located in ..
SPECIAL CONDITIONS
, I
_Vdn. D, Wash Inyton Sayer. `
I MO Or EI DS/
A•.•A Or lO• MOR ON LO0 jfiP
USF OF ZING APPROVE.( R, DA444EXISTING ILOD ��L
` ' OWNER WA SNINITON SQl1ARE,IM1 . 226-2692 TYPE OF SANITATION DIST
71RESS 900 S. W. 5th Ave. —05L0[ S[f SACS FROM
ATER SUPPLE _.
-ITT Port land, Cr. 97204 �.T��rTL 7 15050 P50W LIRt OP
A. EFrJ .HarrTn Nr LCb-z69Z TrP[PIA0/ [WIDTP
SCYRACA MI/MWN + 'AND TOTAL
E NOINS FR g Nn riP , DTP 100M
\ Wirsirt ruT3yuaIe, hTc . + _ .
ADDRESS
'F1. /L D/ /t'./ACK FROM
CONTRACTOR NO 1105 PROP LIN' Or- IE I
•1015 OI ['NSW!, RION*A• + TARO = TOTAL
ADDRESS MISMWA, WIOTM PROM C L / J
_ 1
CITY
DESCRIPTION OF WORK CORNER cuTOr• TES ❑ .+o ❑
A
J—� 5n5D,, 5,..„,„1 REPAIR OPMCLISO SEE REVERSE SIDE FOR SPECIAL APPROVALS
fO.Er T NO or NO O/
SIR1000 S.F. STORIES rAMILIFS I
NO R[(ROOMS NO. OF 1ATIIROOMS __- --V— 1
room —
un ucctuRE RetAI I - BatAchcalsorlms,
NO OF EMPLOYrI 5 .•
SIONATURP O♦F}� —
APPLICANT [j L __ N A% :. APPPOVA'_S ['ATI I NSP[CTOR'S SISMATURS
• ^•IONS ' 1 1 1 5 .00 r r I rN • A'1!",,J
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$ - 2J 1/7,-- ru$ 7
•Ar PLACI
I • Ar PNOWLEOOI TMAT I ,'AV! R5•0 TMIS ANLICATION •
ARC !TAO[ TMA, TME ASOVL IS COMM, ANO LORI[ TO COM►L• ...AI I SDARr
W,•I• ALL ('HINT• ORDINANCtS ANO ',Ali LAWS R[OULAT'NO
Su 1ID'N6 Cf NSfRUCTION
SIGNATURE OP .'t S! NIIAEER CORRECT
PEIEMIT'Tft __ — AND PAVED //
ADORES' WASHINGION SQUARE_ INC_ 1•17 LJ
FINA_ ,41.I ' I]`
. . . ., •
PLAN CHECK�/�VA7/LJIIDATION Mo GASP/ PERMIT VALIDATION Ce-7NoCAS.1
I,r 4 r l r• '1- /bid/
r.A TF/% 71/13 IPCEIPT NO. 1.17 LA TFAL/a.yh
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r /' '' Washington
..i<4,7"--.'. �� I gton County
, \f Fire District No. 1
. ., , '
14480 5 W Jenkins Road
Beaverton,Oregon 97005
_- _ Bureau of Fire Prevention
646-1101 Extension 2k5
Plows Examinatiaz Report No. 252 Pyre Station Progress
County Plan No. 8107
9,f S' Run Distance
Buildisyc Kira .ohn 1 Gocupancy f-2. 1lereentl to Fire Zane 3
Address Shoo macs 0-3. :rephingtun 7UIT1 Construotiem Type 111-y
Architect/Designer Richard Dorman Adareas_ 6894 H■v■rlv
810.ui1,41i tlnaelaa. Cp.
Owner Wines; Pacific Inc. Address_ 9585 :.r.Aawhin ren .,amu.•
Storieslj_` Main Area 1000 /Baaement Area non. Attic Height_l8 /Stops -
Fire Walls none Piro Recapea Aorta Exits 14" /Total Width 3 ft.
Stairs none dole 1_ - Other Vertical Shafts, none /Enclosed_ Sprinklers yes
Area Covered entire ares Man. Alar no S.P. • Ext. n.s. /Class - /No. -
Cambustion Detection n4 /TM, - Area Covered -
Fleor_ concrete _ Ceiling euso.act.tils Roof built up
Str. Members' !Leel Wall Cover nong / oyo.bna
13xte ri or Interior
Heating System not ehgl _ Fuel - Cooling System not shorn
"he plana for the above nescribed structure were referred to this oifioe 1C/4/73
and reviewed __112/2/73 for conformity with State and District fire safety laws
and regulations. The following itemised comments describe changes in the plans required
for conformance with such laws and regulations and recommendations for enhanoemsnt for the
Femoral fire e.tfety of the occupancy.
1. 41' heating, cooking, ventilation and electrical equipment end appliances are
rewired to be approved by Underwriters Laboratories Inc. or other nationally
recount-ed testing agency and installed in conformity with the testing agency's
specifications.
(ref! Sec. 502 U.S.C. 1970 Volum II)
Over,
Donald E. McEvoy
Fire Msrsl;al.
/ .
ei---2 'll
Plano Examiner6‘114‘'Obfee__
Ott [d Harrinoton
Weeh.C.o.eldq.bept.
Inspector Butts
Reovii sed 900/.,
%79 FIRE PREVENTION DOES NOT COST -IT PAYS
2. Coor finish hardware, i.e. 2orxs/lat^h•s, are rewired to have no provision
for locking against egress, being o{. .Sable from the inside at all times for
immediate exit without the use of keys, special knowledge or effort.
(ref: '.pec. 3303 U.B.C. 1970)
3. Notification of this office for inspection of construction is required:
a) prior to drywall cover
h) prior to occupancy of the store
(ref: 'neo. 1.207 Uniform Fire Code 1971)
4. Prior to occupancy of the store s "Certificate of ,:ocupency" is required
from tho 4lashington County Building Uept.
NOTCL,ii 0 r T hies TOkt the main entrance will be served by a sliding glass
door, however • regular 3 ft. wide exit door is
shown et the ;wear of the shop. ror interior wet
standpipe lac:tione please refer to the mall 'hope
area fire suppression plans.
Lmmmwr
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PLANS CHECK AND PERMIT APPLICATION 62025 /g 'j
WASHINGTON COUNT v
DEFAFTI MENT OF LAND USE AND TRANSPORTATION
LAND DE',ELOPMENT SERVICES DIVISION PERMIT NUMBER I'
•
CONSTRUCTION INLPECTION SECTION
150 NORTH FIRST AVENUE
HILLSBORO,OREGON 97124 648-875' •.
L•.. . .i
PLANS CHECK NUMBER
PROJECT LOCATION LAND USE -
Washington Square
ADDRESS 9755 S.W.Washington Square Rd_ DEVELOPMENT DIST
Portland, Or. 97223
NEAREST CR038 St nbyyr&- NSEW._—_--._-___--- CENSUS TRACT
TAX MAP d
LAND USE CASE __ ---
LEGAL DESCRIPTION LOT/SEC YARDS MIN FRONT "NI
B!.^:K/TOWNSHIP I MIN REAR MIN SIDE i
1 SUBDIVISION/RANGE - TOTAL SIDE YARDS
PARCEL NO —', -- NOTES—. 1 ' -4.alCh.
WHAT BUILDINGS ARE ON THE LOT? -94D reit) ����J
\```4
HOW ARE THEY USED? (ZETA IL AI7
OWNERSHIP _
PROPERTY OWNER Washington Square, Inc. --
ADDRESS 9585 S.W.Washington Square Rd. FEES
Portland, Or. 97223 639-8860
-- _ PHONE _. ..____ ESTIMATED W1LUE i .• 10,000
PROJECT DESCRIPTION -- - —
-- PC FEE A
❑NEW I 1 ADDITION kOLTER fJ REPAIR --_ — —
LI DEMOLISH L]MOBILE HOME FM FEE s 24 HOUR
- - INSPECTION
AREA 790 Y' SO FT. HEIGHT
TOTAL pip 19�L,.r3 840-3581
•
HEIGHT__..-- STORIES.USE OF STRUCTURE WILL BE PC PD. 84...r.3
--\-- 6.-- &.•,-.Q _ DUE 1 — --&---'l7 D.47.-N OTHER c ....
— ---- PLEASE
BLDG. o
eO,50 CALL FCR
- - INSPECTION
ESTIMATED MARKET WALUE 1_10,qa .IID—__-_-. ELECT c ONE WORKING
DESIGNER/BUILDER _ DAY IN ADVANCE
MECH. r OF NEED
DESIGIJER WEGROUP Architects PLUMB. 0
ADDREF's 122_ S. W. 3r4iPtld�Or. PH,223-118 . aTUINL" I 86.-r o -
ENOINEcR STATE TAX(4%OF S.TOTAL) s 3-22.
ADDRESS PH TRAFFIC IMPACT FEE 4
*BUILDER _ Specialty Remodeling - Bob Martin DEVELOPMENT COMP REV s
ADDRESSIk'e1i
11963 S.W.Pecific Hwy. PH 620-791 ADDRESS ..�
Jim ci- -ee-r--9 23•
APPLICANT APRON/SIDEWALK ,
___
NAMEIPrInt) The Leotard _Astor. name) OTHER I ..
ADDRESS 9755 S.W.Washington SquaretAL
I. TOM lumps i___- 173, 7,tPortland, CB:. — - --
REPRESENTING -
Co n tact S p l t y R delis when permit I HAVE READ THE NOTES AND CONDITIONS ON THIS PERMIT AND
gond ACCOMPANYING PLANS I AGF',EE TO MEET OR EXCEED ALL
y APPLICABLE CODES AND LAWS WHETHER OR NOT REPRESENTED
SIGNED X GGt w C
17%,5-4IN OR ON MY A LICATIO D PLANS AS SUCH
PRELIMINARY PLANS CHECK FEE - SIGNATURE (it
2
PLANS CHECK FEE $ Si. . 3 i PRINT NAME 6)10-I rw) d aITTE_ 16�
FIRE 8 LIFE FEE $ 3 L.--1 O PRELIMINARY PLANS CHECK RECEIPT
ftUTAL DUE _$T •C�-3
CLERK •sciA__- DATE%(fl
ACTIVE FILE
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0% WASHINGTON
b. COUNTY.
OREGON
May 26, 1986
Robert 0. Martin
Specialty Remodeling
11963 S W Pacific Highway
Tigard, OR 97223
CE: Plan Check #6240
The Leotard - Space D 3
Washington Square
Plans on the referenced i1roject have been reviewed by this office and re
approved for construction subject to the following:
1) The rear exit way shall be not less than 44 inches in width. Reference
Section 3305(b), S.B.C.
2) Any dressing room partitions which do not extend to the ceiling are
required to be laterally braced.
31 Plans for the installation or alteration of the automatic sprinkler
d by fire
jsstem must urisdictionbe andrthised to officend priorrtoeinstallationroraalterttion having
4) Verify existing ceiling height ani coordinate with architect and fire
sprinkler company.
.t)
Donald W. Howick
Plans Examiner
c: Wilburn Dodge, Fire District #1
District Building Inspector
Permit File
i 1
Department nt Land Use And Trsnspoilat on,Land Development Services Dtvbron Phone 50J/tl4�R't31
150 Not1h First Avenue Hillsboro Oregon 9'/t 2!
oto► 4111nneta
1111111.141111111.1111.1111..11111111.11111111111111.11.1.111.1MMEMINIFIMIIIIIMEMM.11111111111111
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,►r' `� WASHINGTON COUNTY FIRE DISTRICT NO. 1
<kwi.l r • 51,3/649.8577
�==� 20@E5 S.W. Blanton St. • Aloha,Oregon 97007
DISI
May 28, 1986
Mr. Bub Martin
Specialty Remodeling Company
11963 S.W. Pacific Highway
Tigard, OR 97223
a. Dear Mr. Martin.
RC: ' The Leotard" (PC6240)
9755 S.W. Washington Square Road
Thi plans for the remodeling to accommodate the above-named new tenant
have been examined with respe:tto tho firey atic er Referring
to the reflected ceiling F noind-
this area mutt be adjusted to the effect that full coverage is provid-
ed. Cuur (4) 1i -hesau(preferablyomatic pnotklers loserust thanot be twelveo(12)dcloser
inches)
than Cour (4) in-hes (p rMarti tion or similar bulk
and not mere than 7 1/2 feet from any wall , l
head.
Subject La the foregoing stipulation the plans are hereby approved.
One set of drawings must be maintained on the ^roject site throughout
all phases of construction and must he made available to building and
fire inspectors for reference during required construction inspec-
tions.
Inspection and approval of construction iso required red r.pri for tobthenesver
cy of new framing elements and again. prior
Also, prior to opening fur business
acertificbteiofdofcupanhy orsh-
r
other written instrument of approval must
ington Cuinty Building Department.
q
STOP fIRFS— SAVES LIVES
•Ammo rte,
-alprr
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✓ Mr. Bob Martin
Miy 28, 1986
Page 2
I hope this leZtee 0111 assist in clearing the way for the further
development of the proditt. Please let me know if I can be of service
in any o hey way. ,!!
Sincer y,
WA /
( GTO It1NTY FI'E DIST'IC1 NO. 1
18
Wi11"n Dodge
Fire Prevention Officer
ssw
cc: Roger Ott
Washington County Bldg. Dept. (2)
Inspector Dalby
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11
MIIIIIIIMIll
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WASHINGTON COUNTY INSPECTION CARD
-�(Or1J ,l�C[F1MQn4 P44
DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. [41,
G 0,2,c- 1
IOR INSPECTIONS CALL: 640-3561, 24 n
FOR INFORMATION CALL: 640-3470
DATE _ -.pi_ ...--
ADDRESS 7 S S L 7►/�'
-_� __s_c, --___zs: LE. t�PERM( .•ez. 1!p't��
DIRECTIONS 1\1Z• _ Id 1 A
- S. PHONE N0. G ..:2‘,„‘..:2‘,„‘ I- /f
INSPECTIONS: STRUCT OPLUMB OMECH OLLICT -CI(.,y.....,,,-,c)
... CALLED IN BY`_
HAPPROVED.
IJ QUESTED INSPECTION APPROVED
HOWL VCR NOIL: ____ ______
NOT APPROVED
1 REPAIR OR REPLACE AND RE-INSPECT: _
STOP W UNTIL; c -- -----..— ------- - --
INSPECTOR �T
1 WASHINGTON COUNTY INSPECTION GARD /� f}
DEOF LAND USE AND TRANSPORTATION PERMIT NO. __ ___S! ____
ION INSPLC1PARTMENT L 1UN5 LAI 64C-3561, 14 IIOUk,
1 O INFORMATION CALL: 640-3470 DATE (Q /as
ADDRESS 97Sx.11 i-5.1 .� !� /`l/
if k;...?3... ..e___,Lai
PERMITE
rDIRECTIONS_________71.(_-_____k _______7PO _____ _ PHONI NO._
-
1 INSPECTIONS: 0 STRLICT PLUMB O MICH 0 ELECT ,_.t� —
LALLED IN BYlic+I05S ff`o''/l.)tc leo. t Q.- S
APPROVED. 0rik
i- _slop O „__1-i r id.-___effT-ru.._
`
REQUESTED INSPECTION APPROVED 1 T tit
n HOWEVER NOTE:NOT APPROVED __ __ _
DRLPAIR OR REPLACE AND RE-INSPELT:
DSTOP W • L - _._ -- -
INSPECTO _ /
1
,mow ��r
J _ _ _ _ •
1
1
IIIISMOSI
'll
FIRE PREVENTION BUREAU I0 ..1 .
OFFICE OF FIRE MARSHAL 4 -
INSPECTION NOTICE
OWNER xi t.,t'i/\r. , _rid L _ DATE
OCCUPANT_ OCCUPANCY
LOCATION .
'OUR ATTENTION 14 CALLED TO THE EOLLOWING FIR, TT AE S'CIENCIElI
•
•
. 1
111
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I
TO r NNCt.t TwE APOVC CON OI T�ONf aI T' •r+ nAvt *tit. v011 LIAPLE to rP0l4f VT'ON 1w ClIlO ...SS•
P[S'1LT 1,410.4 SUCH CONDI\ION! YOU uAv Pt ,IANLC COR OAMAOF4 TO C'f R10Nf OR r'ROr'ERTr UNOf,q PNOVIS•7NS OC
ORS 474 140
By______- — ----
WASHINGTON COUNTY FIRE DISTRICT 01 FIRE MARSHAL
20885 S.W. PLAN TON STREET i
ALOI1A,OREGON 97006 649.8577 PRESENTED TO..__ _. . __ _
COPu SOO 40
•
•
I
FIRE PREVENTION BUREAU
OFFICE OF FRE MARSHAL !/C7 z��Z�g1 4
INSPECTION NOTICE
OWNER
OCCUPANT DATE
_OCCUPANCY
•
LOCATION i
VOUN ATTENTION IS CALICO TO Twr rot.,OWING ',tit LACE Tv OECICIENCItc ________________
-��
CAIL UR[ TC OgwtC♦ 1wE AROVS CON O11.Ov• t W'LL
'ISULT •,...M SUE. •'�r OAvMATE TUU LIAPI E to r•POA!
CONDITION, YOU MAY [E •qIC tom OANAGEI IU GE RSONS ON CUI'0N : ^VL!` r q[
ORS 474 140
brtp r In+OEq ►rEDJIh O.H Or
WASHINGTON COUN1•Y FIRE DISTRICT li �,_______y__
L ysod
20885 S.W. BLANTON STREET Ft FM
M�� '
ALOHA,OREGON 97008 649.8577 PRESENTED TO.--_____�_
COPu 4OO 40