9500 SW WASHINGTON SQUARE (2) WashingtonpSQR P7157 P6616 P6867 P6866 34136P11246
P18642 P6698 P6868 P6869
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YELLOW P.rmitr.,
PERMIT NO OPINK ar,porary Fila
APPLICATION FOR
R BUILDING PERMIT CREEN Circ.
B UILDING
r) WASHINGTON COUNTY ADORES{ IV15IfWV6-irN Sgi/d4"-
DEPARTMENT OF PLANNING LOCALITY
• BUILDING DIVISION NEAREST
CROSS ST.
/CEwJis OROUTslives - Ms ..D BY
FOR APPLICANT TO FILL IN ?�•S�qr-^ ICON{T. G C _
ti, I')ING ! , —" DVgl LLINO UNITS ZONE Q�
A FRISS V�lf4SH1N L.--']L� VpLC� -AP►ROVED{Y DATE205,:,„-/f
L GAI,DESCRIPTION sn% -Z' '( _' ___
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TL X10? TYPE OF SANITATION V
—
B LDG.SETBACK FROM
all
PP(Obl rROP,y( • I ks_ (str..
Np� Of 81.008. TM*ot Existing fatback HIErFw. + Yard • Total
. AREA{ OP LOT 31—, NOW ON LOT _ NIERYMY W Prom CL _
8x1S IND BLDG. RE _ _ app 6E ,_K
tt BIDE+IIOTBI N@ FOP'M (straw) ~
,, i . OWNERrc. PE.� NO`
ADDRESS wps`.4•_ --- Hit vapo lyl Existing
From CL
Highway • Yard • Total
CnY ' • - — YI It .
ARCHITECTR3rG NlL. CORNER CUTOFF YES NO
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o.ENttrIN[E!B C
DRESS _ lkl-L s C. QEUur_1 c
NTRACTORcirc'OIVSKN 41,-.23?-11W -- vL ALL S1G,IJ5 - .=TA.A ,
ADDRESS 2 70/ 4g,/9 Ails,
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(ITV poSSTL-4t ) c r 72Mr'
fart pLAuS
DESCRIPTION OF WORK
IN ADD ALII R REPAIR DEMOLISH
/ MATES
—1-_____—
.'F T•1tlTbt. VA, lMOIIIES _FAMOI LIES
A $ BEDROOMS NO.OF BATHROOMSuSE OF —
STRUCTURE Si,.r) $ - W ALL. FEE FOR AMOUNT RECEIPT NO. DATE
VALUATION$ ir ?DO O ,(,r, ZONING COMPLIANCE
P•C. PMT, r7'? ST. TAX DESIGN REVIEW
FEES SEES S 2 = FEES
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SIGN DESIGN REVIEW '.iTO�
APPLICATION AND STATE THAT THE ABOVE IS COR _ 1
RECT AND AGREE TO COMPLY WITH ALL COUNTY OR
DINAN E pp�N� STATE LAWS REGULATING SUI LOIN, FIRE MARSHAL
SIGNATURE O t• FINAL INSPECIION. DATE
PERMITTE^ 'n._�5.�-w�..\�-�.)------ -- _. - ._ -...
ADDRESS 1.1(t ) ) (4r*cam,\\fit-V BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAION 6 M.o.. ..ASH
RF CF.IPT NO DATE RECEIPT NO. _2
n,_,/,,,i
DATE /
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WASHINGTON COUNTY
utter—I)epurimrrn orrespondeth,
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1" Building Permit File </L?c
1e,. 3ill Schleeht, Building Official ✓
tie r,�e INVALIDATION OF BUILDING PERMIT
The Oregon State Structural Specialty Coc.e, Section 305(A) requires, "All
construction or work for which a permit is required shall be subject to
inspection by the Building Official.' The responsibility to call far
inspections rests with the applicant. Section 305(8), "It shall be the duty
of the person doing the work authorized by a permit to notify the Building
Official that such work is ready for inspection... .. It shall he the duty of
the person requesting any inspections required by this Code to provide access
to and means for proper inspection of such work."
The Structural Specialty Code, Section 303(0), deals with the expiration of
building permits: "Every building permit issued by Ole Building Official
under the provisions of this Code shall expire by limitation and become null
and void if the building or work authorized by such permit is not commenced
within 180 days from the date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work
has commenced for a period of 180 days."
The above-referenced permit has not had an inspection request for in excess of
twelve months and is presumed to be inactive and the permit void.
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DEPARTMENT OF LAND USE&TRANSPORTATION
\WASHINGTON n LAND DEVELOPMENT SERVICES DIVISION
411414 1'u�� I 150 NORTH FIRST,HILLSBORO,OR 97124
1W6, COU/ 1 i , /`jh I od� 7fl3qj) INSPECTIONREOUESTS: 503/8403561
1.•
OREGON �
Pagc. ; of ]
Date : 03/27/9r
Time : 16:05
Permit Type : Commercial Electrical Permit Permit N : 0500934'•
7ermit Status : APPROVED Applied : 03/27/91)
.itus Address Issued : 03/27/9J
Permit Title : LADY FOOT LOCKER SIGN ELECT Completed .
Permit Descr. : WASHINGTON SQUARE/NEER FRESERICK&NELSON Tc• Expire : 09/23/50
Project Title : LADY FOOT LOCKER SIGN ELECT Project N : P0007157
Project Descr . : WASHINGTON SQtARE/NEER FRESERICK&N A EROSION a i
Parcel Number Land Use District
Valuation •
0
Legal Descr. -•
Iwner Construction : OTH
Applicant Name : CMR SIGN SYSTEMS Classification : 900
Applicant Addr. : 10828 NW 3T HELENS RD Orrupancy .
PORTLAND OR 97231 Validated by : EJ
Applicant Phone: 285-7918 Inspector Area :
Fee description Units Fee/Unit Ext fee Dat
Electric Sign / Outline Lighting 1.00 21 . 34 11 . 34
Subtotal Electrical Fees: 21 . 34
State Surcharge of 51.: 1 . 07
Total Electrical Fees : 22.41
*** Fees Required a** *** Fees Collected & Credits « . •
Receipt No. Date Payme
03/27/90 22.41
Fees: 22.41
Adjustments: .00 Total Credits: .00
Tota'. Fees: 22 .41 Total Payments: 22.41
1
Balance Due: .00
I
NOTICE This permit becomes null and void I1 the work or.:onstrudlon for which il Is issued Is not commenced within 160 days Once construction has started
the permit becomes null and void 11 construction Is Interrupted for a period of 160 days I certify that iM inlormallon 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 IM Building Department's reliance
upon false and misleading Information may Invalidate this prim/ All provisions of applicable laws and ordinances governing Me construction and use
of this building or structure will be complied wdh whether or not specified on Me plans or noted on IM plans correction sheets I acknowledge that
the granting of a permit does not grant author ty to secess privete property or to use easements I further acknowledge that the use or occupancy of
Ms structure or building p.rmitl.d depends upon my calling for Inspections at various limes during the emcees of construct kin and the building
inspection slat?verifying compliance with the various codes Use of occupancy of the building or structure permitted prior to approval by this
Building Department le solely at the risk of the applicant and such use or occupancy is revocable until alt lnkpection requirements are satisfied and
approval la given by the Building Official I further srknows.dga that a her,may be platad on the title of the property upon which theW rmlt Is Issued
specifying that the use or occupancy of tit building or structure le provisional and revocable until tree satisfaction of ail Inspection laquirep(ants.
KW/11-R%NT'S SIGNATURE
•
! .
WASHINGTON COUNTY G' 3�/�
DEPADRTEMVENT OF LAND USE AND TRANSPORTATIJN PERMIT NO. ._-.)LANDCI To
SERVICES DIVISION TEMPPERMIT NO
ELECTRICAL INSPECTION SECTION +�
_
160 NORTH FIRST AVENUE
DATE �_/
HILLSBORO, OREGON 97124 640 .3470 ISSUED BY
LABEL NO.
ELECTRICAL PERMIT APPLICATION
_'mI J Q}•. f4 -Ie,4 ..s /oi•Py NO 1_' /,�- ,--+EL �f 7 /c
NAME OR FIRM PLEASE PRINT / /MAILING ADDRESS f'/.7/J TELEPHONE •
g-ELECTRICAL CONTRACTOR LICENSE NUMBER _„•:%;2(s, / C�-�' _ IAM REGISTERED WITH THE BUILDER S BOARD
ORS 701.055 REGISTRATION w— o[ EXPR.DATE _ _ ._-__ SIGNATURE OE
SUPERVISOR/A I L1FM __ _�..7 S ICL.LICENSE
0 PROPFP.TY OWNER I HEREBY CERTIFY THAT I AM THE OWNER OF THE PROPERTY DESCRIBED BELOW. AT WHICH LOCATION I PROPOSE
TO MAKE AN ELECTRICAL INSTALLATION FOR MY OWN USE AND THIS PROPERTY IS NOT BEING CONSTRUCTED FOR SALE. LEASE OR
RENT. FOR THIS REASON. I AM EXEMPT FROM BUILDER'S BUARO REGISTRATION UNDER ORS/01 055 THE ACTUAL INSTALLATION WILL
BE MADE BY ME t'OR BY __._ WHO IS A MEMBER OF MY FAMIt V
RELATIONSHIP --t- OWNER'S IGNATURE
OWNER'S NAME 0 ) f� OC
LOCATION OF INSTALLATION /�//• __�IQ LA R!e 6- q_
ADDRESS ITV NTY -
DIRECTIONS !3D-T.4c,C.All— FieEDE2IcL ,JE -S'ox-.)__--- Tr1TFtC/4 rt.
III
RESIDENTIAL RESIDENCE WIRING LESS THAN 1000 SO FT (V s 32.00 ___
RESIDENCE WIRINu LESS THAN 2000 SO FT EIS 53.35 _—
RESIDENCE WIRING OVER 2001 SO FT _ p5 74.70 _..
ELECTRIC HEAT INSTALL ATION IN EXISTING RESIDENCE 0$ 21.34
SERVICES TEMPORARY SERVICE 0$ 21.34 __–
SERVICE CHANGE ONLv IN AN FxISTING RESIDENCE 05 21.34
SERVICE NOT OVER t00 AMPERES OS 32.00
100 AMPERES BUT NOT MORE THAN 200 AMPERES PS 53.35
OVER 200 AMPERES BUT NOT MORE THAN 400 AMPERFS PS 74.70 __
OVER 400 AMPERES BUT NOT MCRE THAN 600 AMPERFS __ O S 106.70 __
SERVICE OVER 600 AMPERES __ O S 138.70
SERVICE OVER 600 VOLTS PS 320.10
FEEDERS INSTALLATION. NOT MORE THAN 100 AMPERES FIS 21.34 _ .._
AL TE RAT ION DR RELOCATIONOVFR100AMPERES RUT NOT MORE THAN 200AMPERES (VS 32.00
uVIH'1111 AMI'1 III S 1401 Not MARL t HAN 4011 AMP(HIS I"'S II' 1',
OVER 400 AMPERES _ LIS 64.00
FEEDER OVER 600 VOLTS __ OS 85.36
MISCELLANEOUS MOBILE HOWSERVICE LAS 21.34 —__—
MOBILE HOME FEEDER _ p5 21.34 .-
EACH IRRIGATION PUMP OS 21.34
EACH ELECTRIC SIGN OR OUTLINE LIGHTING , EIS 21.34 _L.."'�
t
EACH RESIDENTIAL SWIMMING POOL ___ 05 21.34
ONE NEW CIRCUIT ALTERATION OR EXTENSION 05 21.34
( TWO OR MORE NEW CIRCUITS ALTERATIONS OR EXTENSIONS _____ IPS 32.00
OTHER NOT LISTED ABOVE *5
1. INSPECTION FEE S_-
1
FOR PISPEcTiONs CAa 84c'-3681, 2 5%STATE TAX S
24 HOUPI RECORDER.OPE WORKING DAY
N ADVANCE OF NEED. $. PLANS CHECK FEE S_
(1+2+3) TOTAL CHARGE S.•--^I ',-t 1
THIS PERMIT BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN 160 DAIS FROM DATE OF
ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OR ABANDONED AT AN,, TIME Al TER WORK IS C0 "2ENCED FOR A
PERIOD OF 180 DAYS ELECTRICAL PERMITS ARE NON REFUNDABLE a NON TRANSFERABLE
OLIIT/ILOS 1-001 MOW
0 - - - -
INSPECTION LOG
DA TE INSPEC1 OR
SERVICE
COVER_
•
FINAL__
_ _