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City of Tigard! Oregon
Detailed Damage Assessment Form
BUILDING DESCRIPTION: OVERALL RATING: (Check one)
INSPECTED(Green)
Name: LIMITED ENTRY (Yellow) U
UNSAFE (RrJ) ❑
Address: `'357 5v,) FW2 CceA -'L b –
No.of Stories: _ DATE ►Al �3 g s TIME o s am pm
Basement: Yes ❑ NN—o)4 Unknown ❑
Approximate Age: years REPORTED BY
Approximate Area: square feet INSPECTION TEAM MEMBERS
Structural System: Dxo;' 5 CAN
Wood Frame* Unreinforced masonry U
Reinforced Masonry ❑ Tilt-up ❑
Concrete Frame O Concrete Shear Wall 0
Steel Frame ❑ Other
Primpary Occupancy:
Dwelling Other Reuidential U Commercial U Notified occupants to vacate
Office U Industrial LJ Public Assembly LJ Occupants
LJ
Occupants indicate temporary housing
School D Government ❑ Emer.Serv. U is required U
Hospital U Other _
Instructions: Complete buildii.g evaluation and checklist on next page and then summarize results below.
Posting Existing Recommended
None ❑ Posted at this Assessment:
Inspected(Green) U U ❑ Yes 1� No
Limited Entry(Yellow) ❑ U ExLsting posting by:
Unsafe(Rel) U U
Area Unsafe U U
Recommendations:
❑ No further action required
❑ Engineering Evaluation required(circle one) Structural Geotechnical Other
0 Barricades needed In the following areas:-�(
Other(falling hazard reZval,shoring/bracing required,etc.):
Comments(Why posted Unsafe,etc.): nn C 0 uV -
v q : o,,,,�,,� ,���q:�i►moo.\ sheet.j o1 /
J
CITY OF TIGARD BUILDING INSPECTION DIVISION fiAST _
24-Hour Inspection Line: 639-4175 Busincss Line: 639-4171
Ip D BUP
Date Requested_ I �'� I 0 AM —PM BLD
Location s__ I(--- Suite Suite _ MEC _
Contact Person _ 0)C'J— ll Ph PLM
Contractor C� CrL .� Ph -7 0 qJ E SWR
,
BUILDIN Tenant/Owner ELC --
- Retaining Wall ELR
Footing Access: -----_-�-- -
Foundation J UC 1� rt J ��.�- FPS
Fig Drain �" SGN
Crawl Drain Inspection N es: ----- --
Slab ---------.__-___--- - SIT
Post& Beam N-
Ext Sheath/Sheat
Int Sheath/Shear --
Framing
Insulation --- --__ T--_-------Drywall Nailing
Nailing
Firewall - -- ---_ -
Fire Sprinkler
Fire Alarm - - --- - - -- - ---
Susp'd Ceiling
00 7
ASSPART L ------ _----- —- --- ----- _ ----------- -- - -- - ---
P LlM ING
Post 8 Beam --------- ---.___-__---- - _---
Under Slab
Top Out - --- - - - _.
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL _
Post& Beam - --- --- - - ----- _ - -
Rough In
Gas Line - - -- -- - - - - - --
Smoke Dampers
PASS PART FAIL
ELECTRICAL — - ---—. - --- — - - -
Service
Rough In
UG/Sla:
Low Voltage
Fire Alarm - -- -- ---- _ _— -- ---- -
Final
PASS PIR) FAIL
SITE
Backfill/Gradin, -� — --- --�-- __ -- - -----,-v `-
San;#,^ry Sewer
(Storm Drain [ J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ I Please call for reinspection RE: _ [ J Unable to inspeci-no access
Fire Supply Line
ADA G7
Approach/Sidewalk Date \
Other Inspector - _— Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES
PERMIT #. . . . . . . : BUP98. oliwl
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE 7SSUED: 11/17/98
PARCEL: 2BI12BA-90000
SITE ADDRESS— . : 07885 SW FANNO CREEK DR #Bl-.DG
SUBDIVISION. . . . : BONITA FIRS VILLAGE CON' jO. II ZONINGiR-12
BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W:
TYPE OF USE. . . :MF SECOND. . . : 0 sf PROTECT OPENINGS?--------.-.---
TYPE OF CONST. :514 . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :R1 TOTAL--------: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GqRAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ'-'.Is READ 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: PARKIN(37: 0
VALUE. $ : 1200
Remarks: Install vents only on roof line.
Owner; FEES
ASSOC OF UNIT OWNERS OF type amount by date reept
BONITA FIRS VILLAGE CONDOMINIUM PRMT $ 25. 00 DLH 11/17/98 98-31.0869
11515 SW DURHAM RD 5PCT $ 1. 25 DLH 11/17/98 98-310869
TIGARD OR 97224
Phone #:
Contractor: ----------------------------
CC & L ROOFING CO
3319 SE 92ND AVE
PORTLAND OR 97266
Phone #: 503-774-0928 $ 26. 25 TOTAL
Reg 46625
----REQUIRED ACTIONS or INSPECTIONS---_.
Thisppreit is issued subject to the regulations rontained in the Misc. Inspection
Tigard Muniripal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if wort, is not started
Nithin 180 days of issuance, or if work is suspended for vorp
than 18e days. ATTc:NTION: Oregon law requires yeti to follow the
rulps adopted by the Oregon LItility Notification Center. Those
ruips are set fortn ip OAR 952-00I-0010 through OAR 952-0101987.
You many obtain a copy of these rules or direct atipstions to OMC
by calling (583)246-1987.
Permittee Signature : "-4sst.ted By :
..............f........4-+++++++ ................+++++++++++++++++++++++++4+++ 1
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
..............................................4..............................44
CITY OF TIGARD Plat Check
13125 SW HALL BLVD. k e'd By:
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION cat. Recd:
V- 503•-639-4171 X304 Commercial and Residential Dale to PE:
F"503-598-1960 t?ate to DST;
Permit#:* ��-- --
Incomplete or Illegible applications will not be accepted Called:
Name of Development/Business STEP 2. NEW ROOFINGASSEMBLY
Bonita Firs V i l lade Condos Material pooumentation UBC Appendix 15)
Street Address Ste# Please fill out applicable section and attach copy of roofing
Job Site 7885 SW Fanao Creek 4. :pecifrcations.
Bldg# City/State Zip i.,sted Assembly (ClM6&Complete A,8 or
Tigard, OR 97224 A.
Name 1. Specification#:
CC&L Roofing Company _
Applicant Mailing Address 2. Manufacturer:
3319 SE 92nd Avenue
City/State Zip Phone (503) *3a UL Classificition:
_ Port,OR 97266-1924 774-0928
Roofing Name Listed UL Building Materials Directory Page#:
Contractor CC&L Roofing Company _ _ (OR)
(Prior to issuance Mailing Address *3b Warnock Hersey:
applicant must 3319 SE 92nd Avenue
provide a copy of City/State Zip J Listed Warnock Hersey Directory Page#:
all contractor Portland, OR 97266 *COPY OF ASSEMBLY REQUIRED
licenses if Phone# Fax#
-----------------------------------•----
expired in COT (503)774-0921. (503)774-1835 B. ICBO Research#:
database) State Constr.Contr.Board# 1 Exp.Date
46625 12/01/98 ___ DATED:__-_---_
BUILDING INFORMATION C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building -Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM_
Building- Type of Construction. VALUATION OF PROJECT $
Wood frame sq. ft. of roof area 1,200.00
Existing Deck Type. Permit fee based on valuation*
Combustible ( X ) Non-Combustible ( ) * see Chart on back $ _
RESIDENTIAL ONLY-Class of Work:Alteration City use only: WACO:
U REPAIR (MAJOR) (review required by plans examiner) (BUILC))_� (UBUILD) L
Permit required ONLY when spaced sheathing is covered by t- '
solid sheathing Changes to roof line require Building Permit 5% State Surcharge $
Application. City use only: WACO: f
SUMMIT DEO L2LSETS OF PLANS SPECIFYING. (TAX) (UTAX) I
A Roof area 8 nearest street 'Required for major repairs of Residential
B. Attic vents-Provide 1 sq. ft. for each 150 sq. ft. of attic or"C" a!ove * 65% Plan Review $
space. Vents shall be located in the upper 1/3 of the roof. City use oo!v: WACO:
Provide 1 sq. ft.for each 300 sq. ft.when eave&attic (BUPPLNI) (UBUPLN)__
venting is provided.
To-rAL $.
STEP 1. COMMERCIAL ONLY I acknowledge that I have rears this applicatio and that the
Class of Work Repair information given is correct; that I am the owner or authorized
Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
U RF-ROOF (circle A ,B or C) compliance with Oregon State law.
A Existing built-up roof covering to be REMOVED and deck _ _
repaired- Signature of Owner/Agent Date
B Existing built-up roof covering to REMAIN: note applicant
must submit an engineer's review of the root structural
-� �
elements. Review shall bear the seal(or stamp)of the November 16, 19 8
�� �;� �/2a��+ -.-.--
architect or engineer licensed in Oregon. Contact Person fame '— Telephone
C Asphalt or wood shingle/shake
(PROCEED TO STEP 2) Roof tile Mike Cooper, Vice President (503)774-0928
I ROOF DOC(dsts)RFV 5/1/98
1�
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES (65%) (5%) FEES
1-1500 25.00 16.25 1.25 42.E0
1,501-1600 26.50 17.23 1.33 45.06
1,601-1,700 28.00 18.20 1.40 47.60
1,701-1,800 29.50 19.18 1.48 50.16
1,801-1,900 31.00 20.15 1.55 52.70
1,901 -2,000 32.50 21.13 1 63 55.26
2,001-3,000 38.50 25.03 4.93 65.46
3,001-4,000 44.50 28.93 2.23 75.66
4,001-5,000 50.50 32.83 2.53 85.86
5,001-6,000 56.50 36.73 2.83 96.06
6,001-7,000 62.50 40.63 3.13 106.25
7,001-8,000 68.50 44.53 3.43 116.46
8,001-9,000 74.50 48.43 3.73 126.66
9,001-10,000 80.50 52.33 4.03 136.86
10,001-11,000 86.50 56.23 4.33 147.06
11,001-12,000 92.50 60.13 4.63 157.26
12,001-13,000 98.50 64.03 4.93 167.46
13,001-14,000 104.50 67.93 5.23 177.66
14,001-15,000 110.50 71.83 5.53 187.86
15 '101-16,000 116.50 75.73 5.83 198.06
16,001-17,000 122.50 79.63 6.13 298.26
17,001-18,000 128.50 83.53 6.43 218.46
18,001-19,000 134.50 87.43 6.73 228.66
19,001-20,000 140.50 91.33 7.03 23886
20,001-21,000 146.50 95.23 7.33 249.06
2.1,001-22,000 152.50 99.13 7.63 259.26
22,001-23,000 158.50 103.03 7.93 269.46
23,001-24,000 164.50 106.93 8.23 279.66
24,001-25,000 17050 110.83 8.53 289.86
25,001-26,000 175.00 113.75 8.75 297.50
26,001-27,000 179.50 116.68 • 8.98 305.16
27,001-28,000 184.00 119.60 9.20 312.80
28,001-29,000 188.50 122.53 9.43 320.46
29,001-30,000 193.00 125.45 9.65 328.10
30,001-31,000 197.50 128.38 9.88 335.76
31,001-32,000 202.00 131.30 10.10 343.40
32,001-33,000 206.50 134.23 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,001-35,000 215.50 140.08 10.78 366.36
35,001-36,000 220.00 143.00 11.00 374.00
36,001-37,000 224.50 145.93 11.23 381.66
37,001-38,000 229.00 148.85 11.45 389.30
1 ROOF 1 DOC(dsts)REV 511198
CITY
®� �I���� BUILDING PERMIT
w' _
PERMIT #: BUP2003-00'i92
DEVELOPMENT SERVICES DATE ISSUED: 4/24/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1 12BA-90000
SITE ADDRESS: 07885 SW FANNO CREEK DR BLDG
SUBDIVISION: BONITA FIRS VILLAGE CONDO. II ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL_CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOW HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _REQD SETBACKS v __ REQUIRED _
FLOOR LOAD: psf LEFT. ft RGHT: �ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,640.00
Remarks: Building 7885, Units 1, 2 & 3. Remove tile roofing, repair sheathing if necessary and reroof using original tiles.
Owner: Contractor:
ASSOCIATION OF UNIT OWNERS OF CC & L R("OFING CO
BONITA FIRS VILI,�GE CONDOMINi(J 3319 SE 92ND AVE
BY STERLING PROPERTY SERVICES PORTLAND, OR 97266
TIGARD, OR 9722.4
Phone:
Phone: 503-774-0928
Reg #: LIC 46625
FEES �^ J REQUIRED INSPECTIONS _
Description Date Amount Dryrot after tear-off
�131;ILU1 I'rrnut frc 4124/03 $62.50'-- Final Inspection
IAN1 8',(,State Tux 4!24/03 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspendad for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by Me Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By: k
Permittee
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
Re-Roof
F G.�4�1I1 Pel'mlt Application '
— .. .--- Received Building
NLY
."deo- PermitNo.:
Planning Approval Other
City of Tigard Date/By: Permit No.:
13125 SW Mall Blvd. Plan Review Other —
Tigard,Oregon 97223 Da'elB : Permit No.: —
Phone: 503-639.4171 Fax: 503-598-1960 Pos,-Review Land Use
Date/by• Case No.
Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for
24-hour Inspection Request: 503-6394175 Name/Meth(,I: 776-dSupplemental information
TYPE OF WORK REQUIRED DATA:
_New construction _ Demolition 1&2 FAMILY DWELLING
_Addition/alteration/re lacement Other:
CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate
1 &2-Fames dwellin Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
-- overhead and profit for the work indicated on this application.
Accessory Building Multi-Family —
Master Builder Other: valuation................................................•........ S _
JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:
Job site address: Total number of floors.....................................
New dwelling area(sq.fl.).......................-Not I'Md .......
Garage/carpori area(sq. fl)............................ _
Project Name: &w T/9 Covered porch area(sq,fl.).............................
—` Deck area(sq.fl.)........................................... — -- -- -
Cross street/Directions to fob site: Other structure area(sq.fl.)..................... ......
REQUIRED DATA:
COMMERCIAL-USE CIIECKLIST
Subdivision: __ ---
Tax ma I arcci #: Note: Permit fees*are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
--— overhead and profit for the work indicated on this application.
AL
BOG G.5/^ a (ro RL //LES. valuation......................................................... $
----- Existing building area(sq.fl.).........................
New building area(sq.0.)...............................
Number of stories............................................
;�RRJ)E• __ k•` TENANT Type of construction.......................................
Name: Oli X74 f/ ^� �,�1��_ Occupancy group(s): Existing:
New:
Address: ' v A19&A IAL46_--
Cit /State/Zi /, D/L 97R
NOTICE: All contractors and subcontractors are required to be
Phone: _ }'ax: licensed with the Oregon Construction Contractors Board under
APPLICANT CONTACT'PERSON prc,visions of ORS 701 and may be required to be licensed in the
Business Name: i1wisdiction where work is being performed. If the applicant is exempt
Contact Name: irom licensing,the following reason applies:
Address:City/State/Zip: _
Phone: Fax _ - �� ---—
-- - —
E-mail: '
'CONTRACTOR - +P`
Business Name: It ocl- —__ Dees due upon application......
Address; Co9a= v�
Clt /State/G'i �� 7 fO Amount received.
Phone:"- -77 -09R-C Fax: _ _ Datr received:
CCB Lie. #: -
Authori2 f " _Zd._(�� Notice: This permit application expires if a permit Is not nhtained slithin
Signature.. b Date: 1 INO dais after it has been accepted an complete.
1
J • . t 1 C-ORr<�I _AQ L J J "Fee methodolop•set Tri-County Building Industry Seri Ire Board.
(Please print nam -- k
is\Dsts\Permit Fomis\BldgPerrnitApp doe 01/03
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: 1503) 639-4171 MST
BUP
Received __ �_���Date Requested-� s' �Z AM____..____ PM BUP
Location ,_ ��.� ��/12 .�-F Suite MEC
Contact Person _— —__ Ph( ) PLM �_ w
Contractor---- Ph( ) , SWR
BUILDING Tenant/Owner _ ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain _-
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors -�
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -- — --
Fire Alarm
Su§p d Ceiling
PART FAIL
---------- -------------
_ BING
Post& Beam W�
Under Slab - --
Water Service ---
Sanitary Sewer
Rain Drains - - -
Catch Basin/Manhole
Storm Drain - -
Shower Pan
Other:
Final
PASS_F ORT FAIL
MECHAWCAL
Post 8—Bo-am-
Rough-in --
Gas Line
Smoke Dampers -
Final
PASS PART FAIL -- - - -------
ELECTRICAL
Service
Rough-In
UG/Slab --------
Low Voltage
Fire Alarm - - - - ----
Final Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall BivJ,
PASS PART FAIL
SITE Please call for reinspection RE:--- -- ElUnable to inspect-no access
Fire Supply Ling _
ADA
Approach/Siciewalk Date - Z/� ____ Inspector ► `'__ �. . Ext
Other:
Final DO NOT REMOVE this Inspectlea record from the Job alto.
PASS PART FAIL