Permit 4 CITY PERM OF TIGIARD PERMIT # : PUP96 -0006
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/03/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 15134DB -06900
SITE ADDRESS...: 11102 SW TORLAND ST
' SUBDIVISION ° TORLAND ESTATES ZONING:R -4.5
BLOCK LOT °007
-- --
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:REP FIRST . 0 sf N: S: E: W:
TYPE OF USE...: SF SECOND...: 0 sf PROTECT OPENINGS?----------
TYPE OF CONST.:SN .... 0 sf N: S: E: We
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: Repairs due to storm damage. No plans necessary per Building Official.
Fees waived per City Administrator.
Owner: FEES
SMITH._ STEVE & SHANNON type_ amount by date recut
11102 SW TORLAND PRMT $ 0.00 B 01/03/96 WAIVED
TIGARD OR 97224
Phone #:
Contractor:
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST L I NN OR 97068 -- --- __.- - - - -..
Phone #: 557 -8000 $ 0.00 TOTAL
Rep #..: 49955
REQUIRED INSPECTIONS -
This permit is issued subject to the regulations contained in the Framing Insp _ ______ __
Hoard Municipal Code, State of Ore. Specialty Codes and all other I n s u l a t i o n Insp _ —.
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Final Inspection __
within 189 days of issuance, or if work is suspended for more — _ _
than 180 days. _ — _____
- -
Permittee Sign tore: i —� _ � _
Issued By: "- - — — -- -- - — — -- -
Call for inspection - 639 -4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: / /16 ` _ � / 1 r ' 4
Subdivision: /'%i ?t-/ii� .r5 Lot #
Office Use Only
Contact Date / / Initials
Valuation: Result
New Construction Only: (Square Footage) Planck/Rec
)4 7 Permit # U 1 C7 O a
House: Garage: Reissue of
Map &TL# 1 (DI - 5 LID6 '
Corner Lot? Y � � Flag Lot? Y � Zone
Owner: .5;4
Plat #
Address: /// 6) T ,c)AQ,z, 127 Approvals Required
7 � c o« ,, 7 y Planning Setbacks Solar
Engineering
/jj _ • Other
Phone: ( )
• Contractor: ,'� L� 4 �� /. rs
Items Required
Address: /G - ;2_ f--/ 11/th/r'rc!'h'• - Subcontractors
• Truss Details
9;re-F Other
Phone: (41<1 ) Notes
Contractor's License # Ci
(attach copy of current Oregon ltense)
Contact Name: /4 Si=C AY--c 73 ,q
Contact Phone: ) <3 S '- '� c'. 6
Subcontractors: Architect/Engineer: /v
Plumbing: ✓ � Address:
Mechanical: A
(attach copy of current OR Contractor's License)
Phone: J )
JOB DESCRIPTION: ,�-'" ' e 1'.5/
- -- 1 .
Applicant Ignature Applicant Phone number
Received by: Date Received:
M 1b��b,eeepp
Permit * Account Oescriptlon Amount Amt. Pd. Bal. Cu.
Bldg. Permit (BUILD) /'
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech: t� Vj� lt0
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SW1NSP)
Parks Dev Charge (PKSDC)
Residential TTF (TIF -R)
Mass Transit TiF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIP (TIF -I)
Institutional TIP (TIF -IS)
Office TIP (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
City of Tigard, Oregon
Rapid Damage Assessment Form
BUILDING DESCRIPTION: OVERALL RATING: (Check one)
Name: INS ' E D (Green)
-11 "(
'����
-7c ,e�A,J p Cam( - xterior only
Address: % / /GD_ 4 e Exterior & Interior
LIMITED ENTRY (Yellow) O
No. of Stories: UNSAFE (Red) O
Basement: Yes ❑ No` Unknown ❑
INSPECTOR:
Primary Occupancy: Dwelling / Inspector ID
Affiliation
Other Residential O Commercial O Office ❑
Industrial O Public Assembly O School O INSPECTION DATE:
Government O Emer. Serv. O Hospital ❑ Mo /day /year
Other Time am pm
Instructions: Review structure for the conditions listed below. A "yes" answer to 1, Z 3, or 5 is grounds for. , ,
posting entire structure UNSAFE. If more review is needed, post LIMITED 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 O O O
2. Building or story noticeably leaning O O O
3. Severe racking of wall, obvious severe damage and distress ❑ ❑ ❑
4. Chimney, parapet or other falling hazard O ❑ O
5. Severe ground or slope movement present O O ❑
6. Other hazard present: O ❑ ❑
Recommendations:
O 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 O Yes ❑ No O Yes ❑ No ❑ ?
Comments: %zO 5• ✓C ✓.P.q - D.4 4to4 (4'Q ,[ ,}7'4'1 % cob-v\
PceM;2, /ip c fr .&7M✓h F674/ ot, CIA JI extici5
Estimated Damage O 0% O 25% ❑ 50% ❑ 100% $
I O ` &° OFFICE USE ONLY
\
c�w:•+� , b c cQ v !Nis • ' . •moo„
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: W\C\o�'P O e,� i vv�'Q
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: t `` \/D\Ct Time: ,` PM
Address: \ t O 3 S �� \ah S4 ,
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
—\ e e_ ('S •`6 ran–
\V& o \ y \ n 5\ A \
'. •r p �ce��ce ( y.0 0 t�-
►
Inspector: '- 1 . )(■V \ Date: ` al�b����
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING JNSPECTION NOTICE
Inspection Line (Rec-O- Phone) 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line - Idg.
Plbg. Underfloor Rain Drain Framing 4aaX
Alarm - : Insulation CD1 .r
Underflr. Insul. Shear Wall Gyp. Bd.� f�
Date Requested: . (a/ PD Time: AM pi?—
Address: / 1 1 0 7_-- ci St
Builder: b 3 .D-(4 7 a--- Permi : 3 v 0 -
THE FOLLOWING CORRECTIONS ARE REQUIRED( �f,�p p °`c'�L
Inspe�c or: .i �.�. Date: 2- -/ 2 — 74,
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.