Permit ��w��p~
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PERMIT #.......: BUP96-0031
�' ��� TIG4 DTE ISSUED: �u����- CITY ��~ �
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S111AB-08700
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SUBDIVISION....: PENROSE TERRACE ZONING:R-4.5
BLOCK..........: LOT u���o�� ��
^ ^ ^ ^ ^ ^ ^ ^ ^ ^ _ LOT.... ^ ^ ^ ^ ^ ^ ^ ^ ^ x _� ��—�� ���� _____
REISSUE: FLOOR AREAS A° — EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. : REP FIRST. . . . : 0 N: 5: ' E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS? --
TYPE OF CONST.:5N ... 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL : 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED — ----
FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.$: 0
Remarks: Repair roof sheathing and roof rafter. Fees waived due to storm damage
Owner: — • ----------- FEES -- --
ROBERT ROEMHILDT & SHAROLEE type amount by date recpt
14415 SW 94TH CT PRMT $ 0.00 JSD 01/11/96 STORM DAMA
TIGARD OR 97224
Phone #: 503-598-9451
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Contractor: -
OWNER
___
Phone #: 0.00 TOTAL
Reg #..: 000000
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for ooro _ •
than 180 days
Permitt
Issued \ 5E3
Call for inspection — 639-4175
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12008/011
01 14:50 . 6:::L-1 7` CITY OF ,TIGARD
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city of 1 igard
13195 SW Hall Blvd.
Tigard, OR 97223 I ..... . • _
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City of Tigard, Oregon
Rapid Damage Assessment Form
BU-P9(0-00
BUILDING DESCRIPTION: OVERALL RATING: (Check one)
Name: INSPECTED (Green) ❑
Exterior only
Address: 4 f PPP 5 qq i1 C - Exterior & Interior
c �G LIMITED ENTRY (Yellow) ❑
No. of Stories: �/ UNSAFE (Red) ❑
Basement: Yes ❑ No ❑ Unknown ❑
INSPECTOR:
Primary Occupancy: Dwelling CI Inspector ID
Affiliation
Other Residential ❑ Commercial ❑ Office ❑
Industrial ❑ Public Assembly ❑ School ❑ INSPECTION DATE:
Government ❑ Emer. Serv. ❑ Hospital ❑ Mo /day /year
Other Time am pm
Instructions: Review structure for the conditions listed below. A "yes ".answer to 1, 2 3, or 5 is grounds for,.
posting entire structure UNSAFE. If more review is needed, post LIMIT ENTRY. A "yes" answer to 4
requires posting AREA UNSAFE and /or barricading around the hazard. Hazards such as a toxic spill or an
asbestos release are covered by 6 and are to be posted and /or barricaded to indicate AREA UNSAFE.
Condition Yes No More Review
Needed
1. Collapse, partial collapse, or building off foundation ❑ ❑ ❑
2. Building or story noticeably leaning ❑ ❑ ❑
3. Severe racking of wall, obvious severe damage and distress ❑ ❑ ❑
4. Chimney, parapet or other falling hazard ❑ ❑ ❑
5. Severe ground or slope movement present ❑ ❑ ❑
6. Other hazard present: ❑ ❑ ❑
Recommendations:
❑ No further action required
❑ Detailed Evaluation required (circle one) Structural Geotechnical Other
❑ Barricades needed in the following areas:
❑ Other.
Posted at this Assessment: Occupants Notified to Vacate Temp Housing Req.
❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ ?
Comments:
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Estimated Damage ❑ 0% ❑ 25% ❑ 50% ❑ 100% $ 07)
OFFICE USE ONLY
4/19/00 Activities for Case #: BUP96 -00031 •
5:36:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To • Done By Disp. Level By Updated Notes
BUPA007 Application received 1/11/96 JSD PASS JD 1/11/96
BUPA008 Permit created 1/11/96 ' JSD PASS JD 1/11/96 •
B UPA799 Final Inspection JD 1/11/96
B UPA770 Misc. Inspection BT2 8/12/96
BUPA090 (F) Issue building permit 1/11/96 JSD PASS JD 1/11/96 •
BUPA865 Request inspection research 2/18/00 JMT DONE No Hold JMT 2/18/00
BUPA150 Expired by limitation 4/12/00 HAP DONE No Hold AKJ 4/12/00
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