11515 SW 98TH AVENUE i
ADDRESS:
1451
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspections Line (Rec-O-Phone): 639-4175 B isiness Phone: 639-4171
InsperLion: \/�_—�5� N_56
mooting Susp. Ce•'ing Sprink. Rough-in Ap, :dwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top 01!t Elec. bough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underiloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall G / Gyp. Bd. -Elect.
Date Requested. -2 0 1 cc Time: AM PM
Address: ` ��` C' C^ O
Builder: Permit #: _
THE FOLLOWING CORRECTIONS ARE: REQUIRED:
Qom_ e-
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Inspector: Date:
APPROVED _DISAPPROVED _AP1 nOVED SUBJECT TO ABOVE
_Call For Reinsp.
City of Tigard, Oregon
Lapid Damage Assessment Form
BUILDING DESCRIPTION: 1OVERALL RATING: (Check one)
Name. S2\ 6 L �� `-'�'`— —�`�4"-- INSPECTED(Green)
---�-�, Exterior only
Address: S S _ `� — Exterior do Interior
LIMM-M L.VTRY (Yellow) ❑
No.of Stories: UNSAFE (Red) ❑ -
Basement: Yes ❑ No Unknown ❑
INSPECTQR:
Inspector ID
Primary Occupancy: Dwelling ❑ Affiliation
Other Residential C1Commercial di— Office Ll
Industrial O Public Assembly ❑ School[] INSPECTION DATE-
Government
ATEGovernment ❑ Emer.Serv. O Hospital ❑ Mo/day/year
Tune _ 1 1 m
Other _-- -- _
Instructions: Review stricture for the conditions listed below. A "yes" answer to 1. 2,3,or 5 is groluxds for
posting entire structure UNSAFE. If more review is needed, post Lpvf= 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.
Yes NO More Review
Condition Needed
1. Collapse,partial collapse,or buil,ging off foundation ❑ — ❑
! 2 Building or story noticeably leaning ❑ ❑
3. Severe racking of wall,obvious severe damage ind distress ❑ ❑
4. Chimney,parapet or other falling hazard O ❑
S. Severe ground or slope movement present ❑ ❑
6. Other hazard present: - O O
Recommendations:
&'No further action required
O Detailed Evaluation required (circle one) Stnictural Geotechnical Other
i O Barricades needed in the following areas:
O Other.
Posted at t`iis Assessment: Occupants Notified to Vacate Temp Housing Rey.
O Yes es ❑Yes a`U Ny�o O Yes M44o ❑ ?
Comments:
Estimated Damage CI 0% O 25% ❑ 50% O 100% �$
* 300 w
OFFlCE USE ONLY