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Permit
CITY OF TIGARD MASTER PERMIT III a COMMUNITY DEVELOPMENT Permit#: MST2021-00151 Date Issued: 05/19/2021 T f G A R n 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S111BA02500 Jurisdiction: Tigard Site address: 14470 SW 100TH AVE Subdivision: TIGARDVILLE HEIGHTS Lot: 30 Project: White Project Description: Assemble pre-built shed with wood floor& roofing shingles (composite)to match home. No foundation BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 9.5 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors'. Total: 0 sf Value: $13,910.40 Rear: 5 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain. 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains. 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevnlr. 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstaves: 0 Gas Outlets. 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less. 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: N Other Description: Ecompasing. BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: WHITE, SHANA L&WILLIAM A OWNER Required Items and Reports(Conditions) 14470 SW 100TH AVE 14470 SW 100TH AVENUE TIGARD.OR 97224 TIGARD,OR 97224 PHONE: PHONE 503-704-1582 FAX: Total Fees: $617.36 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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: }to-UN V( 1J e WP.e Permittee Signature: O1/W Applf cct t't o-rt Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CleanWater Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 21-001150 1. Jurisdiction: Washington County 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: William and Shana White 2S111 BA-02500 Company: Address: 14470 SW 100th Ave OR Site Address: 14470 SW 100th Ave City, State, Zip: Tigard,Or,97224 City, State, Zip: Tigard, Or, 97224 Phone/fax: 503-349-5085 Nearest cross street: 14470 SW 100th Ave Email: shanawhite926@gmail.com 4. Development Activity(check all that apply) 4. Applicant Information © Addition to single family residence(rooms, deck, garage) Name: William and Shana White ❑ Lot line adjustment ElMinor land partition Company: ❑ Residential condominium ❑ Commercial condominium Address: 14470 SW 100th Ave El Residential subdivision ❑ Commercial subdivision City, State,Zip. Tigard, Or,97224 D Single lot commercial ❑ Multi lot commercial Phone/fax: 503-349-5085 Other Email: shanawhite926@gmail.com 6. Will the project involve any off-site work? El Yes ❑ No ❑ Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: We have submitted plans for a house addition of less than 500 sq.ft and also a 288 sq.ft shed. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief,this information is true, complete, and accurate. Print/type name William and Shana White Print/type title Signature ONLINE SUBMITTAL Date 4/15/2021 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. X Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1, as amended by Resolution and Order 19-22. All required permits and approvals must be obtained and completed under applicable local, State and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5, Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local, state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROV DER LETTER IS REQUIRED. Reviewed by Date 5/6/21 Once complete, email to:SPLReview@cleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review, Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro, Oregon 97123 Feraec 2/2020 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f. 503.681.3603 • cleanwaterservices.org 0� ildin2 Permit Application B - , /e 12. Residential hi (�!t I V L 0 FOR OFFICE USE ONLY CI t3 of Tigard APR Received ��9 PermtNo.: M5T202J_001rjl Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 an Review / Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD DateBy: Pl �/Z4 7// 1 l , OtherPermit: Inspection Line: 503.639.4175 Date Ready/By; ions: 0 See Page 2 for p g g BUILDING DIVISION `� .l /Internet: Linea ardor. Date nth d: r:Tr., Supplemental Information ( 6 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 1Z1 Other: SI..lE i equipment,materials,labor,overhead,and the profit for t}te CATEGORY OF CONSTRUCTION work indicated on this application. /5t 9 /Q, Y 6,96 ❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 3, ,pp ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: kk Job site address: N y-7Q -SW I d0Thi QV E . New dwelling area: square feet City/State/ZIP: `f)2_0 og. Cr) ii.' Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: IPciV lavE d- 11JE- Deck area: square feet Other structure area: Z 8 et square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Q Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: Z S1 t�A — C�2coo equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ AS t1496 pia,--eo I T Sot-0 c.✓i72-1 64,000 Ftza72.ll • so- Existing- /U6Le Le 01-PJ OsIT) NA 1'L f.1 a1 pM Existing building area: square feet -,J0 ftwkiOQnau New building area: square feet g PROPERTY OWNER ❑ TENANT Number of stories: Name: 1 Type of construction: GtJ ILL f b M SlJ,g7J/] cUi-N 7Z F-rin r�s Address: iLiq 0 51.4..e iOOfLu f1VC. Snvaa what-9ZG&O6NatC.CPI'1 Occupancy groups: City/State/ZIP:'T7ldga4 O,2. q 72,2-q ,o. t ANvtJ,[uAfp14.4,,/f:,(eh Existing: Phone:( 3 )704-I5$Z 024563)3 4 ga,7, 0 8 New: ❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): 674 ' Contact name: )/Q FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax: :( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ?In C Submit two(2)sets of roof plan with connection details I and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: /tc Total fee due upon application: $201.60 Authorized signature: /,/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: .StJ4,0,4 L0f1 j7e Date: tiiiizi Service Board. I:1Building\PetmitsiBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE LsE oN.1.1 4 City of Tigard Receivedilli Date/By Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical I I(.AKI) Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW )_ -.'S 0 N' k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 3 Verification of approved plat/lot. ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ El 6 Sewer permit. ❑ ❑ 7 Water district approval. ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 9 Erosion control ❑plan El permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state [t 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 .Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 71 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- (� ❑ Elfloor,wall construction,roof construction. More than one cross section may be required to clearly portray // construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ® 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 •Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 5i 0 ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 91 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ /' systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 u over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. El ❑ g 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ 7 architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 Izi Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ 1 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 1 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Residential s Building Permit #: MS 12azl- Ob 151 Site Address: 14470 SW 100th Ave Project Name: White Lot #: 1P1lanning Review oposal: New 288-square-foot shed t / ,NUJ( Verify address/suite #active in Accela. 1�i n River Terrace: No ❑ Yes, River Terrace Review Addendum Si e Plan Elements: ;rosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) a`) ootprint of new structure(including decks) and FFE rth arrow ty locations&easements(required for new and additions) ite address,project or subdivision name and lot number dewalk/driveway approach plicant information(name and phone number) ation of wells/septic systems dimensions and building setback dimensions et tree size,type and location uare footage of buildings to be demolished aeet names -sting structures on site L omer elevations (2'contours if more than 4'differen.',1 t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? li es a, . impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown.', 1IIes 7 o ❑ Clean Water ervices—Service Provider Letter (lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: ❑Yes V No II Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 'l SDC Exemption for ADU applied for: ❑Yes ❑ No Received: ❑ Yes ❑ No II Public Facilities Improvement(PFI) Permit: Required: ❑Yes,applicant was notified ❑ No _$plied For: p❑Yes El No, stop intake II and Use Case#: / Zoning: Ie--S, quired Setbacks: Front: 20 Rear: 5 Side: 5 Actual HeStreet Side: �. Garage: N/A weilding Height: Max.Height. 15 ight: 9.5 41 lb ndscape Area: % ❑ Lot Coverage Max: Entrance I Set back no more than 8' from street-facing wall ❑ ..1 el to street or offset 45 degrees or less Windows 1 1 i. um 12%of area of all street-facing facades r lli Garage I Gara e .o. . behind widest street-facing wall ElYes ❑ No,one of the following is met: ❑gDoor exten. :. more than 5'from :n and there is a covered porch extending beyond garage. uuDoor extends no mo - .an ' om wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara•e door width is I or e-- 0 50%or less of facade 60%or less and includes 7 of following: I Covered porc I Recessed entran ❑ Wall offset 1'Roof eave Roof offset Fire s '.: es I Lap Siding ❑ Roo ❑ Gable,hi ,or gambrel roof Dormer 1 cent siding I Window trim I Windo -cess U Window projection ❑ Balcony 0 Visual Cl-. .nce ❑ Urban Forestry Plan ❑ Se.:'.ve Lands: ❑ Yes ❑ No Type: Co 'lions met prior to issuance of building permit No s: Approved By Planning: Date: c.--2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved I:1Building\Forms\BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: ,e)00-02/ Site Plans: # 3 Building Plans: # �3 Building Permit#: ❑'Enter building plermit# above. n T Workflow Routing: RPlanninn Ly'Engineering ❑ Permit Coordinator Ltytsui1ding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. �y EI Building: original permit application,site plans,building plans, engineer and beam calculatio d trust details,if applicable,etc. Notes: By Permit Technician: Date: y/.�6y E n ineering Review LryJ Slope at building pad: Mgr.Conditions "Met"prior to issuance of building permit nI/iti L E`�asements (encroachments) per engineering conditions of approval and plat ov h- l2 water Quality/Quantity Facility: Er No Water Quality Fee in-lieu: ❑ Yes E7 No Assess Water Quantity Fee in-lieu: ❑ Yes alNo �E7 LIDA Facility on lot: ❑ Yes 9No Er Final Plat Recorded: M �� ❑ NOT Approved by Engineering: Date: Notes: [Approved by Engineering: 77ru,I- lS Date: Mgt/20 z l Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review �J K Conditions "Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: 4 SDC Exemption: ❑ Received Does not a..1 SDC Fees Entered: Wash Co Trans Dev Tax: Yes I /A Tigard Trans SDC: ❑ Yes I N/A Parks SDC: ❑ Yes U N/A LIDA ❑ Yes N/A OOK to Issue Permit Approved by Permit Coordinator: ) _ & Date: 1.1(7,(774 I:\Building\Forms\BldgPerrnitRvw_RES_122419.do ex MS72o2r-ov/5/ i1/17170 674i `RECEIVED Property Owner Statement � , s, Regarding Construction Responsibilities APR 2 J ^ITy OF TIGARD Oregon Law requires residential construction permit applicants who are not licensed wa DIVISION Contractors Board to sign the following statement before a building perm issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. William Alan White Print Name of Permit Applicant 4.20.2021 Signature of Permit Applicant Date Permit#: . •:' r. Address _ uti %c Nr*4444 .>a•� '� iZ • • Issued by: Date: L This Copy for Permit Offices ;,. Information Notice to Owners About Lr;' = Construction Responsibilities (ORS 701.325 (3)) Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: • Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. • Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. • Oregon's Business Identification Number(BIN): is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, go online to the Oregon Business Registry. For questions, call 503-945-8091. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.gov. Other Responsibilities of Homeowners: • Code Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. • Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 —Fax: 503-373-2007 WebsiteAddress: www.orecion.gov/ccb f/property_owner adopted 9-2016 This Copy for Permit