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10395 SW GRANT COURT _. ......-v: Tq ,y aA fa g u t pC. N j __.�_........ ._..�..._�. 'Z to '4 tz � t � t , 1 � 1 7 f I ` C L TOLERANCES REVISIONS CP D LAr EXCEPT AS NOTED NO DATE BY C �A'�" � ~ f T,�� 1 44f* oia %' c712AAJr Cl' r t 2 FRAMONAL 3 DRAWN BY Pert SCALE 3�'' ' / P MATERIAL ANGULAR 4 CHECKED DATE / _ _ D1IAWINGNO 5 TRACED APPROVED / STAEDTLER NOTICE: IF THE PRINT OR TYPE ON ANY , l l SI 11111711I1IlIII IlflIII IIlIiiIIIl IMAGE IS NOT AS CLEAR AS THIS NOTICE6� 10 � 1 `i2 7III8I I 12 IT IS DUE TO THE QUALITY OF THE No.36 - ORIGINAL DOCUMENT E 6Z 8Z LZ 9Z � Z �� Z �Z Z IZ OZ 6i 8I LT 9I gI fiT Si ZT it i 6 T8 L 9 9 E Z 710� sill IIII IIII IIIA �I� LIII <<u l«< 1IIi li�l IIIL IIII IMI IIIIIIIAIIIIIII IIII II�� IIII 1111 ��1, ���� ���� 11111111 ���� .III IIII IIIIIIII IIII 1J1i F' Now I111 roll0 W ko 0 0 n z 0 C II 6} J,moo xwfHo ms SS7oT 1G 5 I 1 I City of Tigard, Oregon a Rapid Damage Assessment Form f I 1 JILDING DLSCRIPTION: OVERALL RATING: (Check one) Name: INSPECTED(Green) U Exterior only Address: \�,�ac� 5w Cao. Exterior & Interior LIMITED ENTRY (Yellow) JWL No. of Stones. UNSAFE (Red) _ _ U Basement: Yes U No U Unknown U i-- — INSPECTOR: Inspector ID Primary Occupancy: Dwelling _ - Affiliation _ Other Residential U Commercial O Office U Industrial U Public Assembly U School U INSPECTION DATE: Government U Emer.Serv. U Hospital U Mo/day/Year Time am ')III Other .------ --- - ---- -- Instructions: Review structure for the conditions listed below. A "yes" answer to 1, 2, 3, or 5 is grounc, for posting entire structure UNSAFE. If more review is needed, post LIMITED EN'I RY. A "yes" answe to 4 requires posting AREA UNSAFE and/or barricading around the hazard. Ha&irds such as a toxic spit: or an asbestos release are covered by 6 and are to be posted and/or barricaded to indicate AREA UNSAFE. Condition ye"; No More Reviev, Needed _ 1. Collapse,partial collapse,or building off foundation U U 2. Building or story noticeably leaning U U 3. Severe racking of wall, obvious severe damage and distress ,� v U 4. Chimney, parapet or other falling hazard U 4 U 5. Severe ground or slope movement present U pk U 6. Other hazard present: J did— U Recommendations: U No further action required �)etailed Evaluation required (circle one Structural ,eotechnical Other U Barricades needed in the following areas: U Other: Posted at this Assessment: Occupants Notifid a Vacate Temp Housing Req. J No U Yes U Yes t-No U ? Comments: Y'' Q _�--�- G � C A"i CA-k t::, -�.---- -.r w 006__ a V- c� Estimated Dama e U 01;1 N251% U 50% 1-1 100%, OFFICE USE ONLY �C�Q Nam Av�� �- OA a4l N1 S 4o �'�heK � 'Z► p ��ca.�i -- T January 2, 1997 CITY OF TIGARD OREGON 12820 SVS/ Grant RE: 1995/1996 Storm Damage We hope that you have recovered from the storm and that you are not experiencing any difficulties related to storm damage. As you will recall, following the 1995/1996 Storm, a staff member of the City of Tigard Building Division performed an inspection at the above noted address, to assess storm damage. At that time you were lefl a notice regarding the need for.a permit to cover the necessary repairs. Our records indicate that a Building Permit has not been obtained for the repair. Permits and inspections required by the Tigard Muni6pal Code are an important part of your repair project. Permits help to ensure that work is done in compliance with rr►inimum code requirements. Inspections are intended to protect the occupants of buildings and building owners. If the work has already been done, we can still inspect it for compliance with the code. ALL FEES WILL BE WAIVED FOR BUILDING PERMITS TO REPAIR STORM DAMAGE. Enclosed are the necessary permit applications along with supplemental information✓instructions. Please submit, in person, the necessary application materials to DEVELOPMENT SERVICES, 13125 SW Hall Blvd. Or, if you have questions regar ding the permit process, contact DEVELOPMENT SERVICES at 639-4171 ext. 304. Thank Ycu, Jill Aldrich, Customer Service Manager Development Services )ewrrwnm, 13125 SW Hall Blvd., Tigard OR 97223 (503) 639-4171 TDD (693) 684-2772 — --- - — MASTER rIERMIT P,1'7PMTT #. . . . . . . MST`�".-; VJ44(4' CITY OF TIGARD DA'-rE IS)SUED: 12/27/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)539-4171 r-,APCEI_: 2,Gl.02CP­0'3300 — I-,i Lj i 1. . . ' i Cl _1W U 1,:11 i'i I L. jUL�D I V I S I ON. . . . : WINSOME TERRACE ZONING. 5 . . . . . . . . . : I-OT.. . . . . . . . . . . . . . lPsarks: NEW CAR PORT -----------------:,------------------------------------------ BUILDING ---------------------------------------------------------------- 7ISSUE. L3 V-' STORIES.,.....: I FLOOR AREAS----------- BASEMENT... 0 sf REQUIRED SETBACKS---- PEOUIRED---------- 'LASS OF WORK.:W HEIGHT........: 10 FIRST....: 0 sf GARAGE....,: 336 sf LEFT..........: @ SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD....: 5e SECOND...: 0 sf FRONT........... 32 PARKING SPACES: V TYPE OF CONST.;5N DWELLING UNITS: 0 FINDSMENT: 0 sf RIGHT.........: 5 )CCUPANCY GRP,:M1 BDRM: 0 BATH: 0 TOTAL-------: 0 sf VALUE.A: 6500 REAR..........: 80 ------------------------------------------------------------- PLUMBING -------------------------------------------------------------- "INKS......... 0 WATER !'LOSETS.: 0 WAr4il% MG'H_ 0 1 AtKDPY TRAYS,: 0 RAIN DRAIN ft: I TRAPS.........: 0 LAVATORIES....: 0 DISHWA!'HERS....- 0 FLOOR DRAINS..: @ SEWER LINE ft: 0 SF RAIN BRAINS: P CATCH BASINS..: 0 TUBISHOWERS... 0 GARBACr' DISP..-. 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREYNTRi t GPEASE TRAPS..: 0 OTHER FIXTURES., to ----- -------------------------------------------—----------- MECHANICAL ---------------------—--------------—----—-------------- rUEL TYPES----------- FURN 160K 0 BOIL/CMP ( 3HP: @ VENT FANS....• : 0 CLOTHES DRY"tPS: 0 FURN =ION. 0 UNIT HEATERS..: 0 HOODS........, : 21 OTHER UNITS—: 0 VAX IND.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODISTOYES.... I GAS OUTLETS...: 0 ­----------------------------—--------------------------- ELECTRICAL ---------------------------------------------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTiR,7 i000 9F OR LESS: 0 0 - 200 alp..: a 0 - 2m aso..: 0 W/SVC OR FDR..: 0 PUMP/IRRI64TION: 0 PER INSPECTION: 0 -P ADD'L 5@@SF.: 0 201 - 4110 asp..: 0 201 - 400 am.: 0 lit W/O SVC/FDR: @ SIGN/OUT LIN LT; P PER HOUR,..... LIMITED ENERGY.: 0 4@1 - 400 _p.. : 0 4@1 - 600 asp... 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 7N PLANT......: "ANF .4M/SVC/FDR: 0 68l - IRV aso.: 0 6@l+a1Ps-100@ V: 0 MINOR LABEL -1101., 0 104 app/volt.: @ -------- ----------------------------- PLAN REVIEW SECTION Reconnect only.: 0 )z4 RES UNITS..: SVC/FDR)<-125 A.i ) 600 V NOMINAL: CLS AREA/SPC OCC: ---------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------ a. SF RESIDENTIAL--------------------------- B. COMMERC!AL------------------------------------------------------------------------ ,0rips ALARM.....:1 STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: INTERCOMMAGING: OUTDOOR LNDSC L7i �URGLAR ALARM..: UTH, BOILER.......... HVAC...,........ LMSCAPEIIRRIGi PROTECTIVE SIGNL: -ARAGE OPENER..: CLOCK..........; INSTRUMENTATION: MEDICAL........: OTHR., 4VAC...........: DATA/TELE COMM. : 'IURSF CALLS....: TOTAL I SYSTEMS: 0 Doiner: ------------------------------------Contractor: TOTAL FEES:$ 106.26 KIFE GNAU THE HOME HANDYMAIV 1039! SW GRANT COURT NEVIN R MCCLINTOCk 333 S STATE ST #252 T1IGqRD OF 9722.1 LAKE OSWEGO OP 97034 ,'hone #: 684-7597 Phone #i 245-9944 Peg #,.: 75197 Dersit is issued sub)rct to the rpoulation5 contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other ;oolicabl@ laws. All work will be done in accordance with 8DOI-Oved plans. This W-111t will exoire if mcrk is not started within 18@ days of issuance. or if work is suscended for tire than IS@ dors. PriTIRED INSPECTIONS -------------------------------------------------- .-ootln4 Insli Erosion Control Foundation :nso rrasing Insp 'lain drair Insn �uildinn Final 'el-mittpo Tjiqni_kt1.t1 -.!e- T i r,ci r.v i ne7prct ion - 639- 4175 ' Residential Building Permit Application City of Tigard — 13125 SW Hall Blvd. Tigard, OR 97223 t`►(7 (503) 639-4171 Jobsite Address: /03''s Sup x eA r C7- Subdivision: TSubdivision: ' `� � � Lot!f ` Office Use Only Valuation: Contact Date f / Initials . _ by '� ©0 �'"— --- Result New Construction Only: (Square Footage) Planck/Rec # Permit # /r7�f 9�-- U -,/-V 0 House Garage: __ Reissue of_ Map & TL # Corner Lot? Y Flag Lot? Y ® Zone Owner: rlNA ek Plat # Address: .7 i'sT r T j,� Approvals Required. Planning Setbacks _ Solar — Engineering Phone: 7S-7 7 Other THF Contractor: n"i � , ` ' Items Required Address: 71? 7e, ,i .d 7r Z . Subcontractors _ Truss Details K re nsrue 5;e- ©A' '770Y/ Other Phone ( 1, r" ! - 9aFf,ei, Notes -- ---- --- Contractor's Lice:ise # 'S /7 (attach copy of current Oregon license) Contact Name. ---- Contact Phone e�'9 S/ cc.I c u 1. _ Subcontractors: Arcbitect/Engineer: Plumbing —_ Address: — Mechanical (attach copy of current OR Ck tractor's License) Phone: ( ) JOB DESCRIPTION SI A'I e r 7 12- Y 2 P ' l.AR-ODor— 97e- 9''/e Applicant Signature Applicant Phone number Received by: Date Received A L, M'k p'04YNaep Permit# Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) 6z, V, Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mer-h: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks )ev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPR%IT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: SEE 35MM ROLI.,,# 23 FOR LARGE DOCUMENT