9563 SW WASHINGTON SQUARE 9563 S W Washington Sq Rd
;S1 25C
Atheletes Foor Space B-3A
39307 L 0162. (rS .t.)
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WASHINGTON COUNTY 59307
DEPARTMENT OF LAND USE AND DEVELOPMENT SERVICES DIVI$$,BmORTATION
LANDPERMIT NUMBER
180 NORTH FIRST AVE. HILLSBORO, OREGON 07124 050
C 0 9 ,
BUILDING PERMIT P l'Al t
APPLICATION TyPECE`
TYPE CONST IS"I
DEV DIST.
APPLICANT TO COMPLETE MIN.YD F S P -
/ at RHANG—_
PR;A1_CT ADDRESs__. I 1 c L , /' -Z —
_ 1. Ai DAT(
NEAREST CROSS/ STREET
TAX 4,5"Ao� '''f 5CCENSUS P C. 1
TAX LD' _TRA.` STRIA.ENGR
NO.BLDG. r.M. -- - IPS rri,'�
MIOSUBDIVISION _ ON LOT -.
SAN. T0N �—
WNER DFV.Co1Pl.
FINAL INSP MBE.
ADDRESS 4(400 /4 _ ,,
Z40.1t.et 7 yPN0 eti (h /
USE ACTION
ARCHITECT/
ENGINEER :fU1Vn4 _P/CHIJ� AIP 4d.04` LI N^s 4, - ..12__ADDRESS )JGG.,/_ .5 ,�h
/ 1 ,7A1/1' 1 ' - ' - • '
f- ,
R_r,// t/, nits HONI(2,ch) y, S-iYee , -
GENERALPi a
CONTRACTOR
ADDRESS A 6,-'1 --------
-
--- -- -- - — Now iLoc2 441-- g 40 p _ ----- —
DESCRIPTION-� OF WORK
^ - _
EINEM UADD ❑ALTER ❑REPAIR ❑DEMO.
BLDG. SIZE fill° SO FT BASEMENT SIZE SO FT FEE VU060ATION ,2c b0
ITEM
-
NO. BEDROOMS= NC. BATHROOMS_ NO FAMILIES — FEE
I
USE OF STRUCTURE RF-T.w TO�rc— B,P �`��3�
PURSUANT TO ORS 701.OSS MY FUG!STRAT1Or IS IN F.M. =
FULL FORCE AND EFFECT ST.TAX
STATE LISC. NO DE1 COMPL _
S.O C. r
AL, PROVISIONS 3F LAMS AND ORDINANCES GOVERNING THIS ADDRESS
TYPE OF MORk MILE BE COMPLIED WITH WHETHER SPECIFIED , — —_
IEREIN OR ., / n /' APRON,SIDEwAiP
PPtICANT �► / 11L sh„, -
• SIGNI'UII • F - OTHER
11 993 2944 65 vvvCHECK:
•INSPECTIONS 04B-8751 '- w_ r f5=58
(AFTER 4:30 040-3801) , 2ry171° C
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WASHINGTON r')UNTY - BUILDING DIVISION - INSPECTION CARO
/,, / �)epartment TTand Use b Transportation vas a
/ / /� 648-876118:00a.m. to 4.10p.m. 640-3561/4:30p.m. to 8:00a.m. /l
J c 7 5' �..C/ ) )�'51/29,41 57 N. ,f -g,7' r'i bq a
Address l ���� C'i `f Ltr�
•
Building Resld. l
Owner _- __ Bldg I-5 /
-7e
Called By _ ---�
� Plumbing_
Resid. Com'1
''-i Miscellaneous Pl L
-- 1 mobile home ground rain drain igi APPROVED
ftq post/beam y'ii.Lel tomiry
trrovel Is
wood stove post/beam storm sewer
adrIve h/ Electrical
fdn frame Ar Ve1Mr so'dr Building
s� top-out Final �l
slab u,sul �Fina) gas test L_I NOT APPROVED
INSPECTED B� DATE L -_,.. .
I —
5.--- p ft,
31 ttIo `\ ASNINGTON COUNTY - BUILDING DIVISION - INSPECTIOII CARD
476-67- —Depar talent 7 Lind TiieTT,ansrortat oon Gas
a
648.8761/BOOs.m. to 4 30p m. 640-3561/4 .m- to 8:00a
II J JrAddres>�JLl�(i.L�.J '_�tc.�f�- - tf� �l� .� � L-�-*r�J/ '-"
Cal led _- _ L' Owner 1-1-d-1-4..:5-57,-,367 •
ildtn� Res 1d. `Coag'1 Miscellaneous Plumbing — Resid. Coil
\` 7
ftg post/beam
��� mobile home ground rain drain 0APPROVED V
cr — wood stovepct a�rr-i 111
fdn frame approach/ post/beam storm setter ir,.e`1�-
driveway solar ileo tried
�'- top- ut final ay�le'na
slab Uiu1 Final gas test [j NOT AP/ROVED
�/
/Cf ,j-i 6:2.--,14-e �✓ . in C-01- _-1_(14 1C-'!', _
INSPECTED It - - DATE Z7-1:42K-
----_
5 12" WASHINGTON COUNTY - BUILDING DIVISIONNSPECTION CARD
Wrtwent o and-Lind -TTransport1ion
Gas e
6418761/8 064.0. to 4 lOp.m. 640.1561/4•30p.r'. to 8.00a.m
Address /clk]k. ✓ f.. -7. /
' lis L:y PI1g ICalled
Called ByOwnerA /P t� C'U J - &,$) S V
Iyi Restd. tm'1 , 141stella eeous plumb Ina Resld__ Co.'1
-1St1ra (iu
_ _ _
ftg post/beam ^all mobile home ground rain drain APOhO
wood stove Lk
approach/ post/heam Storm sewer
.,011b.,011bMb p 1
ado frame aF ireway solar llectricel
top-out Final e..1n.q
slab Instil howl gas test ❑NOT Ammon.,
- Gl 1 N -- _______ _
--- -- - I DATE ��Y2J
IN'PECT[D Ir
15Shx'1 Y.e"t t
.5-7 y /6 WASN!NGTON oI T'r 4 NII1o1N6 OIVISICM INSPECTION CARO •
/ oeeepan tt(ent OT rind use ` Transportat ion Gas E
�/�6(a-3 ) 648-8761/8 00a... to 4 30pm. 64C-3561/4 30p.m. to 8: w.
AdOrOss__i.4.� .0 taL.1_...-'1.1—t1 -tl Mb, •—
Called S Amer�l —. '/14.'��1� jcdj' -- J /(Sld2 '?Gi
.„1,21..t9(1 _Restd Over-') Miscellaneous Pluwntnq Res10. Com'l •
ftg post/b am TrrTf mobile Powe ground rain drainPROVED
approach/ wood stove post/f'eaot stomp sewer EitiA:..
,.ZTM �1 ,7
!dmrTi4ie-- drrv.war solar tl_lrI,el
top-out renal a ' A1w4
slab testi. rtnat gas test
[1]NOT APPROVED
--- ------- INSPECt[n Sr I/ ' 1 - OA11.5—
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FIRE PRE\ ENTION BUREAU
OFFICE OF FIRE MARSHAL 013977
INSPECTION NOTICE_
OWNER DATE .
OCCUPANT _ OCCUPANCY ,
LOCATION — _
vows aTT(NTIo.. ,1 C•LL(O TO 'tiF •OLLOWING r10( Tv O(YICI(NCIE$•
—_
r(ILum[ To CONNECT TN( *COVE CONO T'MN! W'Tu'N n•vg WILL M•"t vOu Ll•wl• To .Ofr,-t,.•ON l.IO.ILC •'A(
A(Cu'.T •AOM SOC. CONO•TIONS TOU Mav at LI*OL( •Ow n.M•Qr7 TO •EnaON) 7A .wnf rte•. l,Nrrn nAp V•!'ONv Or
011/111.711 Is0
WASHINGTON COUNTY FIRE DISTRICT 41 RIME MARSNAt.
20665 S.W. BLANTON STREET - l
I ALOHA,OREGON 97006 6I9 8577 PrtESENTEr) TO +. - - -
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