Case File ADDRESS :
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v\records\microFlm\taraets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O-Phone): 639-4175 Busir.ess Phone: 639-4171
Inspection:_. )
Footing Sus e
. Cilinu Rough-in A P 9 P 9 PPr/
Foundation Plbg. Underslab Mech Rough-in Fireplace
Post/Beam Struct, Plbq, Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sewer Gas Line -Bldg
Plbg. Underfloor Rain Drain Framing -Plumb.
A.arin Water Line Insulatiun -Mech.
Underflr. Insul. Shear Wall Gjrp. Bd -Ele^t.
Date Requested: ` I r� _Time: AM PM
Address: O �' Z �'J,��-•�c,_. �j
Builder: _ _ Permit
THE FOLLOWING CORRI=CTIONS ARE REQUIRED:
Inspector: Date:_
_.A9-PftOVED _DISAPPROVED _APPROVED SUBJErT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service V.VIL
:
Foundation Water Line Ceilin -Plumb.
Post/Beam Mech. Shear/Sheath F -Meeh.
PIbg.Und/Flr/Slab Plbg. Top Out nsu anon Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ,Z--� 21,0 __ A.M. -!;.P.M.__ Entry: --- —
Address: �� ---5 P - 40 -------
Tenant: Ste:__- MST:
BUP
Con/Own: --_-----_— MEC:,-.— - --
PLM:
THE FOLLOWING GC F 'TIONS ARE REQUIRED: ELR:
Inspector:
� _ -- -- Date'
-,�ROVED __DISAPPROVED/CALL FOR REINSP. CF O
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 6 ^ 1
Inspection:___y:✓`-'�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Strutt. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drainrami g -Plumb.
Alarm Water Line Insulation -Mach.
Undertir. Insui. Shear lW I{ Gyp. Bo. -Elect.
Date Requested:! d Time: AM PM
Address:
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
3
Inspector: _ Dater 6
_APPROVED _DISAPPROVED _APPROVED SUBjECI TO ABOVE
Gall For Reinsp.
BUILDING PERMIT
#. . . . . . : BUP'9
CITY OF T I CARD DATEPERMIT .
2'4
ISSUED: •
01/ /96 6-004C."
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Or*gon 97223e8199 (503)bj4-4171 PARCEL: 251l2CB--,Z,170V[
SITE ADDRESS. . . : SW A51-IFORD ral"
SUBDIVISION— . : ASHFORD OAKS 2 ZONING:R--7
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . :31
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. E R-) F I RST. . . . : 0 sf N: 9: E: Wil
TYPE OF USE. . . .'SF SECOND. . . : 0 sf PROTECT OPENINGS?---------.__
TYPE OF CONST. :5N 0 sf N: '13 E: W:
OCCUPANCY GR{"'. :RS TOTAL-------: 0 sf ROOF CONST: FIRE RET'? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
GTOR. . 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT') : MEZZ? : REOD SETBACKS----- REQUIRED----------------
FLOOR LOAD— . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SP'I<L-: 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. $ : 18759
Remarl-(s : Repair dime to s'.arm damage
Ow-ler: ------------------------------------------------------ FEES
GEORGE COVIL type anloi.tnt by date reept
B032 SW ASHFORD DR PRMT $ 0. 00 JSD 01/23/96 STORM DAMA
TIGARD OR
Phone #.- 503-624--6137
Contractor.
GARY IVES CONSTRUCTION
1 0416 NE 89TH AVE
VANCOUVER WA 98662
I-111071P #: 0. 00 TOTAL
Req #. . .- 04947 .
--------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Fraining Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other InsLilation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
appruved plans. This permit will expire if work is not started Final Inspection
within IBO days of issuance, or if work is suspended for more
than 180 days.
1 'ermittee Signature :
I s s l i e d 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: _ -SW II J/}�dor
Subdivision: Lot#
Office Use Ong
5ier�' '� '�'��'�'/r' Contact Date / / initials
Valuation Result
Now Construction Only: (Square Footage)
Planck/Rec #
Permit#
Hausa: — Garage _ _ Reissue of_
#
Corner Lot? Y N Flag Lot? Y Map 8 TL N tang
Owner: ' � V1 Plat #
a/J , Apprrovaij Required
Address: � '.�,.1.
Planning Setbacks Solar _
Engineering
L�:��IGZ - (®1.3 2 --- - Other
Phone: ..__..—.._.....�_.
items Rewired
Contractor:
Address: ��� y� Subcontractors
1
n, — Truss Details
Other
Phone. �� 9� % � Notes
Contractor's License # -
(attaclt2opy of Current Oregon license)
Contact Name: � � --- —
Contact Phone: j_.3 �- 7/
Subcontractors: Architect/Engineer:
Plumbing: _ Address:
Mechanical:
(attach copy of current OR Contractor's License)
11 Phone:
JOB DESCRIPTION: _ li( q0 �d ,� R B/r'V\ /?t� ()
Applicant Sign re Applicant Phone number
Received Y _-__ ___ Date Received.
Permit Account Desctipda" Amount Ansi, Pd. Bal. Due
._. ._. Bldg. Permit (t�ra1LD) ._�__ •_ �_..___
Plumb. Permit (PLUMB)
M*cis- Permit (Mdrt'.N)
State flax (TAX) _.._..
Bldg:
Plumb:
Mach:
I
Plan Check (PLANCK)
Bldg: .
Plumb:
Meas:
Souder Connection (SWUSA)
Sower Inspection (SWINSP)
Parka Dev Charge (PKSOC)
Residential TIF (TIF4R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-i)
Institutional i 1F (T1F4S)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Satity (FLS) � ~
Erosion Cntri Permi (E.RPRNIT) _
Erosion Planck/USA (ERPLAN)
Erasion Planck/COT (SR03N) .
TOTAM -�
Cit. , of Tigard, Oregon
Detailed Pamage Assessment Form
BUILE�r C DES �:IPTION:
-OVERALL RATING: (Check orae)
INSPECTED(Green) U
1 r. LIMITED ENTRY (Yellow) ^
- . - - - -- UNSAFE (Red) ❑ Q��(�s`r^
No.of Stogy DATE �� 45 _-TIME
Basement: Yes U N� Unknown U
Approximate Age: _ _years REPORTED BY
Approximate Area: _ sqv are feet INSPECTION TEAM MEMBERS
Structural System: _ -
Wood Fram� Unreinforced masonry U _
Reinforced Masonry ❑ Tilt-up U -- -
Concrete Frame U Concrete Shear Wall ❑ - -"- �-
Steel Fraine U Othe. —
Primary Occupancy:
DwellinOther Residential UCommercial U Notified occupants to vacate
Office U Industrial U Public Assembly ❑ premises ❑
Occupants indicate temporary housing
School U Government U Emer.Serv. U is required U
Hospital U Other _
Instructions: Complete building evaluation and checklist on next page and then summarize results below.
Posting Existing Recommended
None ❑ Posted at this Assessment:
Inspected(Green) U U Yes ❑ No
Limited Entry(Yellow) ❑ \;c .C- Existing posting by:
Unsafe(Red) ❑ ❑
Area Unsafe ❑ ❑
Recommendations: —
* No further action required
❑ Engineering Evaluation required (circle one) Structural Geotc-hnical Other _
U Barricades needed in the following areas:
O Other(falling ha:.ard removal,shoring/bracing required,etc.):
Commwnts(Why posted Unsafe,etc.). ��1jpp-'z
\�ce. Sheet of
eye-
►�
it
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lin (ROC-0-Phone): 639-4175 Business Phone- 639.4171
i
Inspection:_
Foot;,ig Susp. Ceiling Sprink. Rough-in Appr/Sdwlk t
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struet. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underilr. Insul. Shear Wall Gyp. Bd. - I?ct.
0
Date Requested: 1 n Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
sf �—
���
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.