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9426 SW WASHINGTON SQUARE 9426 SW Washington Square Road 1S1 26C candy shop (Hazels) C 30734 Z - 0 Lathams Luggage 50561 1 4. 1 + 1,0 44 - ,; A • 'Alt 1 3, 21N1141110114011eRitreA ,PM1 t.tr,b01„4P' Y {, T Yid.. Mp WHITE Insp.ctot Coo YELLOW P.rmlttm PINK Timperary F,I• PERMIT NO APPLICATION FOR BUILDING PERMIT ITJGREEN C(.coistlon BUILDING WASHINGTON COUNTY ADDRESS- 97,{L. Z. (rL L L,,_, DEPARTMENT OF PLANNING • BUILDINGOIVISION LUCALITT 4-40t-4.1- J �� 5 `� INSPECTIONS 6488761 IAFTER 4 30 6407561) NEAREST --"—""-"-- CROSS ST _ TM 4. OPT-, i CONST �� N2°NE FOR APPLICANT TO FILL IN BUILDING i MIN(SETBACK F S R AVOW L,� ) %L' • st4 _. ��% LEGAL DESCRIPTION APYD.SY DAT' La-Lc- - -. ZONING _ 3//V/AV `--'" •,AN EXAMINATION AREA Of LOT NO OF SLOGS IITRUCT.SNOB. NOW .ON LOT pNG DO T IPE OF SANITATION E XIS Ill OWN__IJi[��9 al. �C J�MMENNTS1(��1��IZ // 4,3„6.7,94,04/.3�A>� �3 CITY ';_4!._WMR16_hrs.dIIIikdk.2414.'rV_,.1L/d4o#Teiel-- _.5 7 ii 71,134),Arr- AODRIU �c' 6 t IE._ CONTRA *Ali 4 k_ I Mi._ !/-p..±-A,-./1444.-=s7_ / ADDRESS S? _A pi, _, _ V -- CII V L�Id.Kn/n �/t DESCRIP OF WORK NEW ADDaril grail PAHA pp DEMOLISH 4...— __ - — _ ___- _—__. 15 T IMP' Po 111Eil MA1NI04IE8 r` - -'44.------ - NO SIDROOMS NO.OP'BATHROOMS USEOf ------- ._----------- ---- ---- - _. JTRUCTURE VALUATION$ .00 FIE POR AMOUNT RECEIPT NO. DATE iifi al-a i ><l. / X 7 7 �ONINO COMPLIANCE �LfT I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS �==. APPLIDATION AND STATE THAT THE ABOVE IS COR FIRE MARSHAL 17y -y/..71'? yikr‘ REcT AND AGREE TO COMPLY WITH ALL COUNTY OR �I� OINANCES AND STATE LAWS REGULATING BUILDING SYSTEM DEVELOPMENT l� CONSTRUCTION AND LICENSING - PERM IGNATURE OF ITTEE _. -__ ADDRESS FINAL INSPECTION j' 1.4,4_` Vie` 17 PLAN CHECK VALIDATIO cK/ M cI CASH PERMIT VALIDATION CK M.O. CASH RECEIPT NO 949-'77 % DATE -_ RICE(PT NO 6-6/4 f DATE -f) 10 Il ,, .;" - it — /4 — 71 #t' /hsp«f,, Y,*i i i)..b 4. i ' , `'B f „ 1; 1 I / N H T k IncVe.•Or COP*C � L !' 'It I.,PA, Perm.tt•e �, E A �/IN O V - J PINK CofhPer GOLDENROD C,rculot'on APPLICATION FOR BUILDING PERMIT GREEN Temyornty FOR WASHINGTON COUNTY •nD.lss DEPARTMENT Of PLANNING LOCAurY BUILDING DIVISION CROSS sT yrN u coot u GP=P cTYPOoNs P ft BT FOR APPLICANT TO FILL IN coNST `TA ISTICAL cLAssII1cAT1oN REVS ',UILDINO _ ,� - Aro.rss t J. SA /:i L ASS NO ___ DRELL uNIrs -• E V/•L ',1S,r. .'t.,Or. /1/ ;i(. C ,I,E[IAt r.,.,,„,.0.....(.v4SH-I pN. 01 SLOGS ..�R//// •SE A OF LOT OM OM Or i l ONINO APPROVED DV D1 T[ 11JJ //.J, 7 USE 01 - LASTING [LOO -/ i TEL 'RPE OF SANITATION DIF T. OWNER Nde:e S CJi'elp AATLR SUPPLY DIET. ADDRESS , $$$$$CI FROM ie ♦ A . A /PONT PROP LINE 0e I ri CITT / EZ,Y/ /"{,Er,/1 '�Ai o/ 1.,/'IN/ AATt ACK NIONWAT G YARD - TOTAL EANGIN El' �R EI A /V 1'� CN 1N*A• PION, FROM C l I rNRINrrR�(.u�r?AA„� .- �/ ` /�'/ 11 19 A DD.E1s3)) f�/ �/1/LAY r,of 1[rS.c■ PROM 'FLAW/0 1 D[ PROP IINI 01 TA ltl CON TRACtORAL ?Egli/ NO �(s.a��� _ _ ) `off(/ �/ /'� r ♦ _ Wil 01 [fIS11RS 1[1',AtR MIOMMAY •ARE TOTAL •ODRESS`/3. j L, 1 �c lel /V 14I AI •••• e,$NWA'' RIOT* •SON C L - CITY J '.12z < �� SA 4-- - DESCRIPTION OF WORK CORNER CUTOFF VES [j N0 LE_.l ,NEW✓A°D ALTER REPAIR DEMOLI'N SEE REVERSE SIDE FOR SPECIAL APPROVALS 0. r NO OP NO OP 712E i.. s^ STORIES I FAMILIES •.n. R(ONOOME NO. OF SATNNO)' OP of f.�UCTt1.E rA and,, .t/i X OF 7MPLOt(E/ /' SIGN•TURF.Ir,I;�}/J � --7P-� l APPLICANT i/�/'�� '(� APPROV•LS D•T! INSPEtTM'E111EN•TUAf I .NIIATION LOCATION / i RMS MATERIA vALLI./ION ^ .. ./�) O L� FEMME till STOPS P (( ? A/S PMT` //f1 1P ',RACING ROLTS FEFsJ� / �iV PEE3 'A/' FIREPLACE NfRESt• AC PNOWLIOG[ tom • HAVE .EAS TYPE • PL1C•IIOM I- r •No NATE TNN NNE AROSE Iv 4 ORRECY •NO TO COMPLY WALL ROAR° W(PN •LL COUNTY ORDINANCES AND 50.01 LAWS RIOULATINO fUILO'NO CON',YRUCTIO SIGNATURE OF NnIISE NIIM I CORRECT PEAMITTEE _ • AND POS EQ FINAL Sn n —r--- AoOUEss_ . __ — PLAN CHEC[ VALIDATION L* A .d ME PERMIT VALIDATION (: NO r•r. ' / PIE, I ,t•' NG iILI DATE II/' ♦ / /I rI'/^/trl, INSPRl:1'lUN Washington County Dept.of Planning BUILDINC DIVISION 4rVtD g 648-8761 7 • Permit No. Address Called By •. OwnerEi _ 1C Nailing [1 Final Ftg Cl Fdn Wall 1 Fireplace n Cover CK her Inspector's Remarks: D.C. S-- r Building Inspector I INSPECTION CARD �� WASHINGTON COUNTY PLANNING DEPARTMENT BUILDING DIVISION 1 Jo 646-8761 (After 4:30 p.m.640-3561) Is� � I 5US(o1 ` 1 • 4_ L .4.% 2 - i.-. j. __ PERMIT NO. ADDRESS -__ / L - CAL_ED BY /_ OWNER L. — —-e.e,` - - Not ( ;Residential mmarcul 0 OtherO pproved 0 Ftq ❑Frin Wall 0 Fireplace 0 Cover 0 Nailing sinal OTHER---- -- TiVerfrirrifz Inspector's Remarkse___}c [` Date I �- 1 /--i / Inspector A/1 *19-3 ., • INSPECTION CARD WASHINGTON COUNTY PLANNING DEPARTMENT BUILDING DIVISION, 1 845.1761 (Attar 4.30/p.m.140-3561)) 1 ADDRESS _ ' y O� "" 5 UJ 2''V) �;}1 1 vv-,-i U ' PIRMIT NO. 6 0-5-11 OWNER C/1LLEQ 8Y 4c��.:a/O improved 0 Not Approved 0 Residential O Commercial 0Other 0 c.... Q Nailing 0 Fusel 0 Ftp. p Fdn-Wall 0 Fireplace OTHER S)W 7 1AIQ 1-" Inspector's Remarks: /14.4 1 i 0_0 I1 " 4,4J. f 1 014 A. ',w.p.m.Dm1 -- - WP FIRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL INSPECTION NOTICE OWNER _ DATE OCCUPANT OCCUPANCY ' LOCATION VOUP AT TENTION IS CALLED TO THE FOLLOWING FIRE DEFICIENCIES: op;• FAILURE TO CORRECT r.E AEOvE CONDITIONS wI UIIN DAN,a wl_L MARE N,Ou LIAILI TO PROSECUTION SHOULD FIRE RESUL T. FROM SUC•T CONDITIONS •OU MAY ■E LIAILE FOR DAMAOPS f0 FRISSONS OR PROPERTY UNOER PROVISIONS OF ORS 471 110 By WASHINGTON COUNTY FIRE DISTRICT#1 FIRE MARSHAL 10666 SIB.BLANTON STREET P.O. BOXY PRESENTED TO ALOHA,OREGON 97006 649-6677 ►ORM 400•40 FIRE PREVENTION BUREAU 07137' OFFICE OF FIRE MARSHAL INSPECTION NCTICE OWNER ._-/Ar � `fC DATE / OCCUPANTY'' . F ow, /t'S __ 1--+�-- OCCUPANCY ,k A/(47/"Lai/J41/0` LOCATION ] 4i, - at.q hiti ru`l 7 VO...... *� 11(TRtLED TO rms. POLLO*Iry6 PlumFE 7 T DIOEsiEs Nc S• 4,1 ')J f-'1 r ?` (97-L1/P4/1;4-4./ Q1 Z1 TU c'w OSE(� ION SHO D FIRE FAILURE TO CORRECT TNF AIOVE COMOI TIONS WITNIN DAYS WILL MAK*, AIAh�y RISULT FROM SUCH CONDITIOAS YOU MAN, IE LIAILE FOP OMSA.11A T 44 111 .41. Oypro,• rR rNOv/SIONS OF 0011 471 110l V. WASHINGTON COUNTY FIRE DISTRICT at IRE /MAA�RSjMAAI, �/ 14460 S W JENKINS ROAD PRtSINTtO TO.r A+- ` `e *'i BEAVERTON. OREGON 646—,1101 IV /A/ 5 /1'2c/" A Washington County . ;;-= Fire District No. 1 14480 S W Jenkins Road Beaverton,Oregon 97005 Bureau of Fire Prevention 646-11(,1 Extension 245 Plans Examination Report Nn. 3::9 Fire Station milaguroduk County Plan No. t,7S Run Distance 1/2 illm Building Asteles r•ndies Occupancy 1.'). inrcEntils Fire Zone Address (ADP etwoe 0'--Iiaehtnit9^ Construction Type 1i1.a Axchitect/Designer Wilms s t rh onn Address `77` "'. .1tilrs ie- Pmetlrt Owner Ingmar J aeietr Inc. Address 15V. . .-seniumten Nee' set Stories 1 Main Ar.." :1417 • .It. /Basement Area none Attic Height 17' /Stops pans Fire Walls ^ane Fire Escapes 'SQ" Exits 1" /Total Width ' ft. Stairs ^Ort" /Enclosed - Other Vertical Shafts none /Enclosed - Sprinklers res Area Covered +ntit "00' Man. Alarm n•' S.P. • Ext. n.e. /Class - /No. Combustion Detection ne /Type - /Area Covered - Floor esncrst" Ceiling gyo.bd/act.tlta Roof built up Str. Members steel Wall Cover Ione / ,y '•tOafd Exterior Interior Heating System fere.^ air Fuel eleettic Cooling System fosnad siv+sentsel The plans for1tj*,abpve described proyecl were referred to this office 12/2U/7 and reviewed for conformity with State and District fire safety laws 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. The finish nordista (ime. lack ens/or !stab) fee doors no. e . A. (must be of the time hswina no svwlsiwss far looking against egress, balm, opne'able /roe. the Lneid► et ell times fee lesslsdiete exit uithaue the use of a key. noar1"1 kno••lebe Cr elpo' . ref r... 110 157") JO r. Donald E. !!c`Evoy Fire Mar a / / By !� e a� P aur Examiner Conatruc ion Inspector gaeis Ed nevelmgta4 keah.Ce.11114.0ent. 1 rapes tet t t e Form 90(/3 Rev i led 11/73 FIRE PREVENTION DOES NOT COST--IT PAYS ?. ;11 twatin,, cooklnr„ rofric.tstian end •lsetriral enuipsnnt aiid 41061lonees etre required to be avpro4od by Undsrrrttsra L.00rnteriee Inc. N mer notionally rscecnirsd tostin., (honey eft: installed in conformity with the %Mtlwq gong's speeifir.etleno. (raft en. a.,_ v.u. . 197C veleta II) '(tor relaters or. ee' i re' to be fitted with a relief valve installed in the hitt water di.e$aros line sr within s animate sort in the enter tank. 3. It is required that oho (..t of AXtrovio0 clans bn maintained on the Jet site durin. Al! .newer of eenstrvctien and be available to the tttttlding and firs 'apartsant inapecteis for seneultatien during inearcUunp of the eenetsmettem snd ',sealers. (refs Si. 1519 'Jess.' . 1911) 4. Inecss.tisn of the tunstrurtion by this office 1• -'quin.i ,risr to eecueMey of the building and of rhe nrsetisee prior to .penins to the public. (bar. oe. WO? •.1 . : +71) S. ries is siesm/m sy of the promisors a "fattificats of Leoupensy" frue the sshtnuton suety %AldLJ .Nsrtant it ceWirfrd. (refs as. tom. u.11.t. novo) erT! . Tn •;j _� rr The single emit noted in the pre jest cart/tion consi.t. ur • dont (no. 4) .h.sh lna+ie to a artrtcs/ emit arriMl at the rear of the shop. nooses la through an office and rorlrrece mime .tt the roar of the sole. arse, for lso.tion of interior wet stand- 'tres and fire holm usbinets plosion refer to the fire a,.ipttesaeis" syst• plana en file in our office. INSP. WASH NGTON COUNTY BUILDING DEPARTMENT F.M. RCTR. NON STRUCTURAL PLAN CHECK ARCM. CTY FILE. DATE MAILED BUILDING Washington Square Shopping Center ADDRESS 94.6 S.W. Washinatotl Square Road OWNER L«thams Luggage (tenant) TELEPHONE NO. ADDRESS `pace 10 (Formerly Hazels Candy) Permit 30734 ARCHITECT Morris, Redden and Associates TELEPHONE NO. 503 342 6551 ADDRESS 1310 Coburg Road, Eugene, OR 97401 PERMIT!', . 1 PLAN CHECKS 1500 OCCUP. B-2 CONST. il-N FIRE DISTRICT Wash.Ctv#1 LOCATION ON PROPERTY: North South EastWest REQUIRED FIRE RESISTIVE RATING: Exterior Walls MATERIALS: Structurctural Members Existing Roof Existing Exterior walls cover Existing Interior Wal' s Gvpsunijoard metal or treated Ceilings Gypsumboard metal suspension Floors Concrete - wood tile stuns BASIC MAXIMUM AREA: Max. Height Max. No. Sturies Max. Incresaser Yards_ Sprinklers Existing _ TOTAL ALLOWABLE Unlimited BUILDING USE: ReS.uil Sales (Lease Spare) BUILDING AREA: Basement 1st Floor 1817 2nd Floor 3rd Floor AREA SEPARATION HR RATINGS OPENINGS HR RATINGS OCCUPANCY SEPARATIONS HR RATINGS OPENINGS HR RATINGS CORRIDOR CONST. ATTIC DRAFT STOPS FLOOR CEILING DRAFT STOPS STAIRS WIDTH ENCLQSED OTHER VERTICAL SHAFTS ENCLOSED EXITS REQUIRED: Number Two Width _ Six feet EXITS PROVIDED: Number Two Width Nine feet EXIT ILLUMhNATION REQUIRED Yes SEPARATE CIRCUITS EXIT SIGN REQUIRED Yes ILLUM. SEPARATE CIRCUITS TWO POWER SUPPLY HANDICAPPED ACCESS REQUIRED ELEVATOR RAMPS HEATING Existing -_FUEL_ COOLING SYSTEM The plans for this project were received by this office on J�(pi/Zi and examined for the non-structural , Fire and Life Safety portion of the plans review on j ly g/ Listed below are the items we find to be in voilation of, or for which we find no pro- visions for the requirements of the 1979 Edition of the State Uniform Building Code. *** *** *** *** *** *** ;;** *** *** *.t* *** *** *** *::* *** *** *** ;:** *** ;,** *** *** *** OVER PLEASE 1) Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. Reference Section 3303, SBC. 2) Glass used in doors or in glazing located within 48 inches of the nearest vertical edge of a door, or in areas subject to human impact shall be tempered. Reference Section 5401 , SBC. 3) Firestopping consisting of 2-inch (nominal ) lumber, gypsum plasterboard or equivalent material is required to cut off all concealed draft open- ings (both vertical and horizontal ) and shall form an effective barrier between storeis and hetween a top story and roof space. It shall be used in specific locations as follows: a) In all wood-framed walls and partitions at floor and ceiling lines. b) At maximum horizontal intervals of 10 feet in the case of double stud walls, partitions :end furred spaces. c) At maximum vertical of 10 feet where wood stud walls and parititions exceed 10 feet in height before intersecting with a ceiling or floor line. d) Penetrations made in this prescribed firestopping to accomodate wiring, plumbing, duct work and similar utility runs must be packed, following the installation of said utility runs, in a manner which will effectively maintain the integrity of the firestopping and cut off all concealed draft openings which could afford a passage for flame. Reference Section 2517, SBC. Jim Schroeder, Plans Examiner r oGTON r. 47/.2 G ,dt-{/ 147.44114,1, C N 20665 S W Blanton St P O Box Y Aloha,Oregon 91006 4,6 °it so% 1, -FDIST. *43 503/649-8577 March 13, 1981 Mr. Ralph Greenhoot 3277 Kinsrow Street Eugene, Oregon 97301 Dear Mr. Greenhoot: Re: Latham's Luggage Washington Square Shopping Center The plans for the alteration of the Washington Square Shopping Center building to accommodate the above-noted tenant space have been examined with reference to currently applicable fire safety regulations. We are listing as follows certain requirements which must be observed during the course of construction in order to fulfill the requirements of these regulations. 1 . If wood framing is employed, as contrasted with steel framing, then firestopping must be provided in all walls and partitions at floor and ceiling lines (this includes firred walls) and at maximum horizontal in- tervals of 10 feet, in the case of double stud walls. Penetrations made in this prescribed firestopping to accommodate wiring, plumbing, duct work and similar utility runs must be packed. following the installation of said utility runs, in a manner which will effectively maintain the integrity of the firestopping and cut off all concealed draft openings which could afford a pas- sage for flame. Please note that under the provisions of the Section cited 'rein, firestopping is not required in steel framing. (ref: Sec. 2517 U.B.C. ) Fire prevention does not cost it pays Mr. Ralph Greenhoot March 13, 1981 Page 2 2. The exit doors from this tenant space, both the front and rear, must be openable from the inside at all times for immediate exit without the use of a key, special knowledge or effort. Further, the pair of doors whic serve the main entrance must be so arranged that when one leaf if unlocked, the other is free to swing. That is, the use of edge bolts, surface bolts or any other device to secure or restrain the doors is prohibited. (ref: Sec. 3302 U.B.C. ) 3. Inspection and approval of construction by this office is required: a) prior to the cover of any wood framing following the installation of the utility runs a ..; fire- stopping referred to Requirement No. 1 . b) upon completion of construction and prior to the occupancy of this tenant space; i .e. prior to opening for business. (ref: Sec. 305 U.B.C. ) 4. One set of approved plans bearing the stamps of the Washington County Building Department and this office must be maintained in the project space throughout all phases of construction and must be made available to building and fire inspectnrs,upon request, during regular construction inspections. (ref: Sec. 303 U.B.C. ) 5. Prior to the opening of this tenant space for business, a Certificate of Occupancy or other written authorization must be obtained from the Washington County Building Department. (ref: Sec. 307 U.B.C. ) Subject to the foregoing comments and stipulations, the plans for this project • e hereby approved. Please contact me if you have any questions ,pr-lrhi - office can be of ser • e in any other way. Very •ly yours, WASH ‘ETON/1 1TY FIRE D1ST• CT (1 // Wilburn Dodge Plans Examiner jcc cc: Morris, Reddin & Associates Washington Square Corporation L Wosh. Co. Rldg. Dept. (2) Inspector Jeffries 942b SW Washington Square Road P13653 30734 50561 DEPARTMENT OF AND USE 8 TRANSPORTATION WASHINGTON ELVI 155 NORTH FIRST,HILLSSORO,OR97124 T„.............,.._ ... COUNTY, INSPECTION REQUESTS: 503/640-30r{Is93-4415 ` PHONE: 503/648.8761 OREGON Page : 1 of 1 Date : 01/24/91 Time : 10:00 Permit Type : Commerriai Electrical Permit Permit 0 : 05017790 Permit Status : APPROVED Applied : 01/24/91 Situs Address : 9424 SW WASHINGTON SQUARE RU TI Issued : 01/24/91 Permit Title : NATURALI7Fk SHOE STORE Completed : Permit Descr. t BETWEEN MEHVYNS AND Jr' PENNY To Expire : 07/23/91 Project Title : NATUHALI'LEk :.NUE STORE Project I : P0013653 ,,roiect Descr. : BE'T'WEEN MERVYNs AND JC PENNY * EROSION * Parcel Number Land Use District : Valuation 0 Legal Descr. owner Construction : OTH Applicant Name : FHAHLER ELECTRIC Classification : 900 Applicant Addr. : 11860 SW GREENBURG RD Occupancy : TIGARD OR 97223 Validated by : VO Applicant Phone: 639-4627 Inspector Area : CONTRACTOR : FRAHLr:R ELECTRIC Lic. C 34-13C 639-4627 Fee descriptiIn 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 54. 2.50 Total Electrical Fees: 52.50 *** Fees Required *** a** Fees Collected i Credits a** Fees: Receipt No. Date 01/24/91 52.50 52.50 Adjustments: .00 I�1ta1 Credits: .00 Total Fees: ?.. `.0 Total Payments: 52. 50 Balance Due: .00 NOTICe TAN perm*bermes null and void 11 the wort or construction Id ankh a le issued N nal commenced within ISO days Once consfrudion has started, Me panne become null and void N conatrucllon is Interrupted fora period of 1110 days. I aunty that Me Information prolonged by the applicant and his pad or silents M support of mat perms le Inst and corner.~I0 the beet of our knowledge. I acknowledge that the OuNding DQstimenl'a reliance upon lane and misteeding information may Mendes Inge permit All provNbre of appkcable laws and ordinances,OYMMng the 0onstructlon and use of this building o•Mature will be compiled weft whether or not speeded on the plans or noted on the plana correction sheets. I acknowledge!hal the granting of it panne does nal grant authority a acmes private property or Ie ue nasemer.ts I further acknowledge NIM the use or occupancy of the structure or building pormNed depends upon my calling for inspections el various time during the process el SSII*ction and IM building Inspection staff vortfying oomon*noe with the various codes Use or occupancy of the building or structure pennIlled prior to approval by the Building Department le solely at the risk of the applicant and such we or occupancy Is revocable until all inspection requirements are satisfied and approval le gin by the Building Ofllclal. I further acknowledge that a Oen may be placed on the tele of de property upon which!ha permit Is issued specl:ying that lbs use or occupancy of the building or structure Is provisional and revocable until the satlalaclion of all Inspection requirements APPLICANT'S SIONATUII 1 OS WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use Si Transportation Electrical Inspection Section APP LI ATI O N 155 North First Avenue,N350-12 Hillsboro, Oregon 97124 Information: (503)640-3470 Fax: (503) 693 1412 Praject/Permi� Number _ — I i (_ ate PLEASE PRINT Please complete all sections. 1 through 5. .. 4. Complete Fee Schedule below Number of Inspections per permit allowed v 1. Location of installation Service included: Items Cost(ea.) Sum Address 9 4 2 4 SW WASHINGTON SQUARE ROAD A. New residential-single or multi-family City f I G A R D Zip Code 9 7 2 2-1 1500 w peor dwelling unit. 4 Each additional 500 sq ft Directions WASHINGTON SQUARE BETWEEN or portion thereof $15.00 M E R V Y N S AND JC PENNEY Each Manufd Home or Modular Dwelling Service or Feeder $35 00 2 B. Services or Feeders(10 branch circuits included) Commercial© Residential 0 Installation,anerations or relocation 100 amps or lase $35 00 2 Tenant Name 101 amp.to 400 amps $60 00 2 (if commercial) NATURAL I LER SHOE STORE_--__ 401 amps to 600 amps $80.00 2 601 amps to 1000 amps $130.00 2 28. Contractor Installation only: Over 1000 amps or volts $30000 2 Q FRAHLER ELECTRIC CO . Reconnect only $35 00 2 Address "�rUst.i la R E E N B 11 R B , T I B . , OR U I .' , C. Temporary Services or Feeders Date 11 ll/9 I Job Number a 91',l __ Installation,ansration or relocation Property Owner W& tiSit 1 G T 4t1 c QUA-RI ------- 201 amppss to 400 amps _ $40 00 _ 2 Contractor's License No. ;34-1;C1 U _ 401 401 amps to 600 amps $60 00 - 2 Contractor's Board Reg. No. Over 600 amps w 1000 volt`see'8'above Signature of Supr. E)ec'n A✓ C t _ D. Branch Circuits License No. I t;I U$ Phone No. TTT' l l rr.w..'ne'ati°r'a extension par panel one dreud $35 00 _ 2 'Iwo to tan circuits __ $50 00 _;444.....4.4___ 2 2b. Fur owner installations: Each additional ten circuits or part thereof $1500 _ 2 'e Name Phone No E. Miscellaneous (Service or Feeder not Included) Each pump or Irrigation Grote $36 00 ___ 2 Address Each soon or outline lighting -- 136 00 - —_—_-. 2 or a limbed City stats _lrp Sp�cnpanel,cudls)anaration W panel, or sideman _-- t36 00 -. ----_._-- 2 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 in any of the above,per inspection Owner's Signature _ $35_- --- --- 3. Plan Review secilon (if required) 5. Fees I A. Enter total of above fees $14 U.00 5% Surcharge(.05 X total fees) $ Ici ' Subtotal $I IDzi B. Enter 25% of line A for Plan Review if required(Section 3) $ For Inspections call Subtotal $ -_ - 640-3561 or 693-4415 Less Bulk Label Fee S 24-hour recorder, Balance Due $ iI one working day in advance of need This permit becomes null and void If the work authorized by the permit Is not commenced within ISO days from date of Issuance of such permit or If the work authorized is suspended or abandoned at any time after work is commenced fora perlod of 160 days. C Electrical Permits are non-refundable and non-transferable 10;90 DEPARTMENT OF LAND USE &TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350.1 COUNTY, 155 NORTH FIRST,HILLSBORO,OR 97124 PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 IA. L OotjAj?"- -N a- � �-f' FLS ,/ • r: . . 0 DEPARTMENT OF LAND USE &TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICER DIVISION 9350-12 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, PHONE:503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 6934415 Fermi : 05011790 Project 0: P0013653 Status: APPROVED Page 1 of i lsc 01/24/91 Expires : 07/23/9: Valuation: 0 c:2/01/y1 08:52 COMELEC Permi itle NATURALIZER SHOE STORE Description BETWEEN MERVYNS AND JC PENNY Job Address 9424 SW WASHINGTON SQUARE RD TI Parcel Numbe. . Owner Name . Applicant. Name : FRAHLER ELECTRIC Applicant Acidr : 11860 SW GREENBURG RD . TIGARD OR 97223 Phone number : 639-4627r'- Luraf,ion Detal1 : �r �,//'�" :� APPROVED _ NOT APPROVED APPROVED -�'SSTOP WORK UNTIL [Repair as Listed] [Construction May Proceed] (And Re-Inspect ] [However Note Below. . . . ] CONTRACTOR : FRAHLER ELECTRIC Lic. C 34-13C b I'1-4' . 1 inspection Requested: (*liter & Service 02/01/91 RI CB 4 Inspector Comments: Inspected by: . -.____--- Dates 1"'� .-