9616 SW WASHINGTON SQUARE 9616 AI gashi..iglon Square Road
1S1 20C
opt teal
4130344
3 0 3 4 4I .MITE Inspector Copy
Ca l7 n PI /41Y 9,4c./ 8 1 1 5 •ELLOW Pennate
PINK Cashier
GOLDENROD Clnulathon
APPLICATION FOR BUILDING PERMIT GREEN Temporary
WASHINGTON COUNTY .(.. RL ss 96 /L., .S_LC. LL AI.EI S[1. )r
DEPARTMENT of PLANNING G 2 LOCALIr� 1
COLOMBIAN O��IGAtG °IVISION ./ NiAMrlf
cross Lt.:::
t[N!u! 1.•NO u![ OIIOUP TrP ►RoalltP •r
FOR APPLICANT TO FILL LV ' iCOOE c°Nl'
...COL
'C{ ST ATII?ICAI CLA!!1/KATION LONE
9616 S. W. WAtshlnc�ton Sq. Rd. �LAas No — Owt LL UNITS
Shop G-3 located In tPFC1•l !ONO,T,ONS
Bldg. G, Washington Square �---
Na 0. IL DOS y
WOW OW ROT ,'
St OP I AL'c+OO.r '• DAT
EZIsrIN� SLUG
owNcsMASHIPIGTON SQUARE. SIL. 226-2692 PE SA'. DU?,
AOORtsa 900 C. W. 5th Ave. MATER SVPPLO GIS',
11.01 l[Tl•CK Flom
`U, CIT? Portland, Oregon `9]204 [loll? PROP LIN!OP 1 I
' ARITT
CNtCOP E.A.Harringtorr. zz6-z6y2 T*II OF 0111?I NI Slre•C■ N1/MWAr + tole
V ENOINEEA � _ tv ___niFNwA', *am, PROM C L
A001111S. W. Gth port a A - -
TEL l '-" 1101 s[?S•C• FROM
( CONTRACTOR __ NO RIO[ PRO, 1.1NI OP (l VIII?)
TTP! 0P I;HOT IMS SITI•CI N11 _0*0? + TARO — TOTAL
ADDRESS •,.NMA• *IOTA 'IOM C L •
\ clTr +
DESCRIPTION OF WORK __` CORNER CuTO►/ TES El NO 0
,SIE;I� ADD A -rt. Rt/A1R OIMOLIs/+ SEE REVERSE SIDE FOR SPECIAL APPROVALS
lO.FT NO O/ NO OR
lull( 800 S.R. STORIES FAMILIES
NO. SE0.00MS NO 01 BO.*NIDDM!
11111 UOCIIT wit stall - Optical
NO. OF KMPL00115 3 .
$IONAtURI OP
APPLICANT fig( < //4,,,., f� „
APPROVALS OAT? ,vV[C?o• f.,INA Tu•!
V A L U•!IONS • :8 r 0 6 0 .0� l(1uNOA TI ON LOCATION 1'
PQSMS MA?..RIALS
/ r ,o BR EIRE NG SOOTS 040i I
—y- BRACING DOLTS /jt A/
FEES /Y Tr-.Ir FEES jt- �rPlAcr T
, wimpy AC'NOWLIOOI TNN , MOVE NIAD •r.•• Ills•r.^ON
INC 1011T Vol ASOOI .1100110111 000 00111 TO C001PL• •.Ll. ROMEO
WITH •Ll CfUNT, O/OINANCl/ AND LAWS I1OULATINO "-.
--.--
•5111.0100 CONSYNUCTION
SIONATURt OP NOUS? NUMMI COlbEc*
PMMIT7tt__ . . --- AND POSTED
Amato!__ WASHINGTON SQUARE, INC. FI NAL ,di 3.7
10O 1. W, Si.), A.,. , P .. t lsr.d '
PLAN CHECK VALIDATION Ccy M n ..., PERMIT VALIDATION(cp. M o C•1114
1111? NO /ke,"r 3 DA TE/0 •/J . .I •1O/G+/ 0 '? D•.57'Ty,J
•
1
r Washington County
Fire District No. 1
F•D•
4490 S W Jenkins Roau
Beive'ton.Oregon 97005
•
Bureau of F'.re Prevention
646-1101 Extension 245
Plans Examdnation Report No. Fire Station 'rograss
mty ''len No. 115 Run Distance
Building Jlombi:+r. ,,tical Co. Or;cupanoy i"-'. "iercantile. Tire Zone '
address lirhinut:on T Construction Type L'
,►rchiteot,lmsignfr Richard Dornrn Address "^n9 '1hv^r1y ' 1„n., Los mnhl^^. . " .
tamer . .
* retina Inc. Address 9L . , nshinl`
stories__ Main Area /Basement Area nrnr` Attic Height ' /Stops _•__
Pare Haas Fire Escapee Exits :* /Total Width
Stairs_ /Enclosed - Other Vertical Shafts none /Enclosed - Sprinklers
Area Covered Man. Alarm S.P. * Lit. , . /Class!- /No.-
Combuatior Detection /Type - /Area Covered Floor Ceiling Roof ;r,a1L um
Str. Members Wall over none / ,Y2.12gor:
Exterior Interior
Heating System not rhoLm - Fel - Cooling System not ah. -
;'he plans for the above described structure were referred to this offioe
and reviewed for conformity with State and District fire safety laws
usd regulations. The following itemised contents disc rib., changes in the plans required
:or ao .or Anne with such laws and regulations and recommendations for enhancement for the
general fire safety of the occupancy.
7 . 11 hsaatinq, cooking, ventilation and electrical equipment end upplinnces ere
re.auirsd to bo approved by UA. 'erwriters lnbnrltories Inc. or other nationally
roc:wired teetinn ecnncy and in:Anilod in conformity with the '.eating agency's
specification*.
(ref: 'oc. +.( . 1970 Volume II)
(over)
'Amald h. McEvoy
":re Mars
`11ro► a <n-
ens Zuni nor
cc: Ed 4arrir,4ton
ash.Co.Ellug. '„^tt.
Inapactor lutte
11 sv900/
Revised 3/73 FIRE PREVENTION DOES NOT COST IT PAYS
2. Door finish hardware, i.e. locks/lstrhea, ere+ required to 'Ave no provisions
for locking against egress, being opesnnbin from the inside -It all timse for
immediate exit without the use of keys, special knowledge or effort.
soft Sec. 330'. I.8.C. 1970)
3. Notification of this office for inspection of construction is ruguiredt
a) prior to d"ywall v.r
prior to occupancy of the *tor*
(Mfr sec. 1.207 Uniform Firs rods 1071 )
4. rio: to orcuponcy ,f the .tars n ", ertificatc of Jccuooncy" is required
P-oe the .uiehinoton 'aunty 4uiliing "apartment.
I DI3TRILI jt4„ItLIutit The main entrance ',i11 bs s rvkd by a eliding gloo:,
door, however a rey.,lar •t. 1:' ,it fluor is
nhoun et the roar of the shop. For interior wet
!tnndnine 1octiuns 'laces refer to the mall shops
fire aupuriodsiun plans.
AO!
9616 SIJ Washington Square Road
1S1 26C 1401
sign )r. Moir. e
57756 L 4 1016 / ,�-1 7-4* --
_5775C WHITE IAN.ctor Coo,
PERMIT NO YELLOW ►prnittao
APPLICATION FOR BUILDING PERMIT FINK TNnoegrr ill.
oRetN cl.c„I.tl.,,
WASHINGTON COUNTY A7DRESS_'fLd'11,c otal. idA Ji •34 KV, _
DEPARTMENT OF PLANNING
BUILDING DIVISION LOCALITY 1,4i,4 Y J4i) _414 z --
INSPECTIONS 648-8761 IAF TER 4 30 640-35611 NEAREST -
„ROSS ST
CENSUS a)OUP TYPE ZONE"11114,
l
FOR APPLICANT TO FILL IN TR CONT
B �`!' \U
(BUILDING
AODREq r MIN'SET/ACK
F S
LEGAL DESCRIPTION Awo.SY DATE
/.61__ (7 — /12/0/
,7/D/ ZONING �/\(> !L 4 /r ,3i,
PLAN EXAMINATION f
24L t I r---B- 2-NOo4 ppDD --
ARE A OP LOT yoON LOT / STRUCT ENDR
VSk OP TYPE Of SANITATION
EXISTINOSLOG.
OWNtR /�K . ,tdok i�_--� NOre L, Q- IINIVENAY PMT,
ADORN//Tq, ,S .WA-C44/' lex ,
CIT, wr - t
PQLTLAks/A Q" COMMENTS r�L�44-.. V/LSV OIL'
ARCHITECCT T�L.
-.
ARCH) NlER N r� i�e,�fr4 s -
ADDRESS
CONTRACTOIIrt�m_./1,a)' _ NOL I.
----�1LTTLLlIII !lZZ�-_I - �� ' 1 -: r
ADDRESS i 1y-Er[ �ElfkiL_/SiC..Yn• +++���... Or-
CITY/...2.-7.- , Eldr'/ L$c.tti5 4 3 j -<j!S'e ✓ ► '
DESCRIPTION OF WORK b -- '���yy
Nu{
ADO ALTER
pp RIPS REPAIR
pp ppDEMOLISH
----i'' L� - �' ,
mit
y &Toll/!/ IAM? IIS '
NO.BEDROOMS NO.OP BATHROOMS
1./SE OP .0 -- - —
VALUATION• ?.„Te2e.e) 00 FEE FOR AMOUNT RECEIPT NO. DATE
A
0 .---
:ft• 11111• Eett X p ZONING COMPLIANCE / „..377-....),.C.,1/
PEI CATIONAAND STATE0THATATHE ASOVI IS CppOR EIRE MARSHALRECT AN AGREE y Jd
R
OINANCcES ANO STATE LAWS RY EGULATING NGH ALL ,DU COUNTY
CON/TIIUCTION ANO LCEN SYSTEM DEVELOPMENT
IGNATURE Of /
ERMITTEE�`_ 4,, ie-i. - -------- -
ADDRESS/7 � /�� �•� �� //
L!(dLi�, i��i � II IN INSPECTION j�l DAT/.,/' 1+5.
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M a CASH
RECEIPT NO. DATE RECEIPT NO
DATE
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9616 SW Washington Sq Rd
1S1 26(..
optical alter
5935)
6,.,-,,"' 64 f-41.--
WASHINGTON COUNTY 59.
DEPARTMENT OF LAND USE AND TRANSPORTATIONPERMIT NUMBER
LAND DEVELOPMENT SERVICES DIVISION
:BO NORTH FIRST AVE. HILLSBORO, OREGON 97124
BUILDING PERMIT UCCuPRNE;
APPLICATION TYPE CONST ---___-
DEV.DIST.
APPLICANT TO COMPLETE MIN.TD. F S R
\V"-soLw3\ •
0,--, ScSUt
MC WAG
PROJECT ADDRESS AG 1(d •'.' •
►wf�a+�" '
i ITEM 9,13B' DATL
NEAREST CROSS SIP _ __ P E_
CENSUS "
TAU MAP TAX . _-. IRA - STRUC,EWA -
NU BLDG F.M.
SUBDIVISION --_ NDM ON LOT — SANITATION
OWNER Ldr./94PJtlh4J OPTocm- n—_ DE V.COIPL.
-:]5-
414
ADDRESSsG h•W �Wks+�� #'- eD FINAL INSP ',,LS
TrGAILO 0012- PHOH! A 2 •04-x___ USE ACT ION
ARCHITECT/ n
ENGINEER Da.1M n 1, 1 2055,At* F u 1a Lyn ! _ AL '
ilkillillr
�
MOPES' '10444 �.(11i(�1.+.t'o17 Ah . ' t .I . 4-R L
1-4-ice- C1wEG00 14,or, 430, -4.4.F1
GENERAL `
CONTRA.C1OR_l.0. o--` F'" —_.
3-'it401. 1L--Op11t --' nhh fT—
ADORE-., _____/.421(e_31.4,:_,W*''fllo410.,) •l2kt)
DESCRIPTION O�F/WORK
� __ --
0 NEM 0 AD' !JALTER LI REPAIR Li DEMO
_
BLDG. SIZE SO FT BSSEMENT SIZE—.SO FT FEE VALUATION
-
ITEM FEE
NO. BEDROOMS_ NO BATHROJK,_ NO FAMILIES c C II ^ _
USE OF STRUCTURE 4IC1LLC /ec11C1A ✓ B.P t•-
PURSUANT TO ORS 701.0S` MY REGISTRATION 1S IN F.M. 4, ,.2.y 0 I
LULL FORCE AND EFFECT.h12.cHIT ~ST.TAX �,2'�) -
ca✓T. //
STATE L1SC NO. 666 1- DEV.COMPL
- S.D.C. e_.
ALL PROVISIONS OF LAMS AND ORDINANCES GOVERNING MISADDRESS
TYPE OF WORD WILL BE COMPLIED WITH WHETHER SPECIFIED APRON/SIDE IAL►
HEREIN OR NO IAL V -
SIGN
,Li.. Y. OTHER
','---4—#*•123;11----lafi-tI r11ECK
•INSPECTION• 849-8791 000000 05--31-I(1 1 1 1:18
(AFTER 4:30 040-8991) I
I
I
1
L
1
. i
0I^ I WASNINGTON COUNTY - W IIQING DIVSI0N - INSPtCTIQN CARO
UDepartment ? Law use iTransportaton
646-6)61/R•OOa.m. to 4 l0p.m. 640.3S61/4•30p.m. to :00a.
m.
Ws r
' fSq � Pt09 I
Address Vtl/45' .1 . a /Iy .
Called 6, t I., Neter C. h.'eilzb''LI7 4 /ii' /21.!-.; 5t 357
CNiTdr"a - Resid , Com'1 > Miscellaneous Plumbing Ramie. Cs '1
nail mobile omme grand rain drain APPROVVD
fig post/b am wood stove jy ww
ty
"I-A
fdn Iroie QrlaeMh/J post/team storm
SOr tirsmw•t
wows.s
top out final
slab lnsuIna- eat test [J NOT APPROVED
IMPFCTEO eV 14tP,.....1_____ DATt6-.2,2)PC
/ wASNINGTON COUNT1 - BUILDING DIVISION - INSPECTION CARD
1 b�partment T Lind STl a Z-T anspor i FO Ws a
649-6161/11OOa.. to 4.lOp m. a40-1561/4.JOp.m. to 8.00a m.
/+ 1�/ Plbg e
•Address_ /6)f&, `J —
Called sy . � — 4-
Owner . 'l'
._ (Mil� �e
,_- bldg , 3.5
_ Resid. Miscellaneous Plumbing Restd. 010.1 __
< �`�na11 mobile home ground rain drain i APPROVED
fto poet-beam
sod strive
1
fdn (4i111,---/
amagnehpost/beam stonsewvsoatm
solar tt«trke
top-out Final aut�atq
slab level Final WI test ❑MOOT APPROVED
Q ("Zi —0. -LI.M....__—_ - --- -
INSPECTED ss ..._...i-i9.--, _OATS—6-2/ s
4.
FIRE PREVENTION BUREAU
OFFICE OF FIRE MARSHAL c
INSPECTION NOTICE
OWNER — DATE ---
OCCUPANT OCCUPANCY _
LOCATION
,o •TtF N' ON '1 C•LL[C TO TN.: fOLLOM'NG •iqF ••f[ v ,FNC�!•:
I•WL i)*[ TO CORR[CT TwC •!!Ov! CONE" . h '111`,• * l u•M! vOU L.•Ri ! tO n1.O1FCV..Ora 114^ul^
R[.ULT FROM IUCN CONOW*1ONi TOV M•T !1[ L.•!'.f !OR n•M•GF• TO !'F•ION. OR t`gOr'[q!v VNC.R ...10,11.0.1.1 0.
ow[•1. 1.O
BY —. J
WASHINGTON COUNTY FIRE DISTRICT $1 FIRE MARSHAL
20665 S.W. BLANTON STREET
ALOHA,OREGON 9700G 649.6577 PRESENTED TO
FORM •09 •0