10580 SW PATHFINDER WAY t.
City of Tigard, Oregon
Rapid Damage Assessment Form
BUILDING DESCRIPTION: OVERALL RATING: (Check one)
Name: INSPECTED (Green) ❑
Exterior only
Address: 0 5 $ 6 S\A) A v3, Exterior & Interior
LIMITED ENTRY (Yellow) ❑
No. of Stories: UNSAFE (Red) O
Basement:. Yes O No ❑ Unknown O
INSPECTOR:
Primary Occupancy. Dwelling CI Inspector ID
Affiliation
Other Residential O Commercial CI Office ❑
Industrial O Public Assembly O School ❑ INSPECTION DATE:
Government ❑ Emer. Serv. O Hospital CI 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 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 .., ❑ ❑ ❑
2. Building or story noticeably leaning O ❑ ❑
3. Severe racking of wall, obvious severe damage and distress O ❑ O
4. Chimney, parapet or other falling hazard O ❑ O
5. Severe ground or slope movement present O O ❑
6. Other hazard present: ❑ O ❑
Recommendations:
❑ No further action required
❑ Detailed Evaluation required (circle one) Structural Geotechnical Other
O Barricades needed in the following areas:
O Other.
Posted at this Assessment: Occupants Notified to Vacate Temp Housing Req.
❑ Yes CI No O Yes O No CI Yes ❑ No O ?
Comments: * orc , r - cs%R , ' w ;, r of kov00 ,-Q
^ x Se. �a.r, cR 9. Q
Estimated Damage O 0% ❑ 25% ❑ 50% CI 100% $
OFFICE USE ONLY
1 1
January 2, 1997
CITY OF TIGARD
OREGON
10581 SW Pathfinder Way
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 left 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 Municipal Code are an important part of your
repair project. Permits help to ensure that work is done in compliance with minimum 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 regarding the permit
process, contact DEVELOPMENT SERVICES at 639 -4171 ext. 304.
Thank You,
• Till Aldrich, Customer Service Manager
Development Services
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772