Loading...
Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2005 -00071 X41. DEVELO BMENT O SERVICES -639 -4171 CES DATE ISSUED: 3/14/2005 — 13125 SW Hall PARCEL: 2S 104 DA -01500 SITE ADDRESS: 12690 SW CAFIELD CT ZONING: R -4.5 SUBDIVISION: QUAIL HOLLOW - WEST LOT: 001 JURISDICTION: TIG Project Description: Deck 224sf. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,000.00 Owner: Contractor: CHERYL KOSKI OWNER 12690 SW CAFIELD CT. TIGARD, OR 97223 Phone: 503 - 849 -7670 Phone: 503 - 849 -7670 503 - 475 -3180 Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/23/2005 $62.50 [TAX] 8% State Surcharl 2/23/2005 $5.00 [BUPPLN] Pln Rv 2/23/2005 $40.63 Total $108.13 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 than 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 -0100. You may obtain a copy of these rules or dire • ions to OUNC by calli ng- 51 63 -2 • 669 • • 1 -: S0- 332 -2344. Issued By: 1 4r/ ` Permittee Signature: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. REC 1:.: i% ir ...„ . Building Permit Application "r e • • FOR OFFICE ONLY '.';, �t 4 City Of Tigard FEB Received �t y� y g DateB • p �7 e e Permit No.: 18 J ( F j 5 _ 0 -7 1 13125 SW Hall Blvd., Tigard, OR 97223 0 ' 005 Plan Permit: Review Phone: 503.639.4171 Fax: 503.€ 9 N � 1 Date/By: 3I CS Other Permit: Inspection Line: 503.639.417 ] � dda ';. � �... ` A I I( ` Date Ready/By: G I Juris: El See Attached Checklist for 113Tjr Internet: www.Ci.tigard.or.us UI j\r N. ifie ethod. O l C6 Supplemental Information ^ D� G PI I SION O P ' - - M ' �1 -� v u i al �.*" .,' ,�s = �,, q '`:�';' .:..:'�' �,, � :,u, s; +.�'° ... �. ,. ..- `€ " a .'. r^« .,� L' r.� ttz ,; "` r`r ,.#'. 4r a��`.6..'; `. , R „ a TYPEOFW® .,,:,� E ,, „ tr REQ Li•IRED D2,TA:1,:,A1ND,2 -PANT =Y D i`VEL• LINS ��. y � `..':�" : '.�§ ,.., 3t�..,. h°�,�r.,�, ,:z �;^�?s;�:z'a� cw j�cA �-�° mss. 'i��"� � *i,� C' , u �:..:a 4':F,^a�,x, F �. S: .,KR'�e:T4��R�i3%5'.'�`ac_"'^`x ::3.e: - -' Ck New construction ❑ 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 5 Other: equipment, materials, labor, overhead, and the profit for the i „ �, � " ` T " {; � �m ;� work indicated on this application. . •; CAT -, ' =., ' 'ICTIOl' '5" ' '`•=` ); <, M g '.a..�:_ . ?�;: >:�..i�,k-°��..�= �:�a.,.. Ica �t�t�;, �. t� �.;:;tec - ;3.. :E. :�>���,.a�; �.,.. ?�", �-; �t;: �r` r „' d '' ,,v ) ,4,ru...,'. , ,o..g A l- and 2- family dwelling ❑ Commercial /industrial Valuation: $ LSD �� ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: .�;te;r 'tl,> .:z> ^ -^rs•. s#.`•,»"1 %s»^" _ :r �:trsax�:.;�`5+,_1•ez`N- '�';v^, _ t `; ` t', °JOB SI� RIa M'ANION«all OC lial7, � °R Total number of floors: . Job site address: / 2 6fp e 4Fr' L /D " . New dwelling area: square feet City/State/ZIP: -/ Z6-4- Z. D p(, 9 .7 ZZ ) Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: "7 square feet ?2 Other structure area: square feet • -. R EQ JIB D ADA:- C.O1V11V = i 1 S ' , -H ' - I CI J IST' _ Subdivision: I Lot no.: • Permit fees* are based on the value of the work performed. Tax map /parcel no.: 5 Cl 4 ( �ft0f 0 2 Indicate the value (rounded to the nearest dollar) of all ..,,, _ :r,,.m .. ,.. " >;< a and the profit for the :y, equipment, materials, labor, overhead, a e o r -' ': o DESCRIF 4ON ,V work indicated on this application. ..�€ r.�° , ,;;Y ":�.v ?;�,� - rsN ems+, �- .,� `.: a�c;:.:.cs"�= ;4� a -:. �a,� "_� r ..."�� r+.:. ,a;i: F • (ZZ y , der _Valuation: $ -- --' Existing building area: square feet New building area: square feet : :10:s aPROEERTY OW R; f, r `m - ENA // Number of stories: Name: G (--)I /Z y� k d , �� Type of construction: Address: j Z 96 Cet- FL LQ Cl , Occupancy groups: City/State/ZIP: 7 G.- . D 6 g ' z- Z 3 Existing: Phone: ( 5-0)) Z7r _ 6'76 70 Fax: ( ) New: i,e�� _., � s;�i ; ,.z"" a �-' .. = '"%. �� ^a i;�..� : � ._ � & �- d.'$ �y<. ,;`.» � . � �" �a� "` ."'k .;'� 'z` .z r «. ;, ini:K .'�: -:::' �v r f "7-k '£i i - 5 ^,. Y - — , 7F -'v, .�.;., ., , :. °ix?c, "$` ma41 ,-,4,4 iw;:..:. ^,: -„,- _ e ,. 'APPLIC'. T4:" Y m "`33'. 'u t 4 f 0* A C. Ok1':TAG'4, : v4 , 4 • � A t ' .° 10 a<; e <.r:.r " �" °.:a" `: k .., t :.nc - ^� - .z... , .. „., ;7 :7, ' :.', °. , �', #. mi iv 'i' ':4i'' :.ks NFA !wa ^'s:': ;x.•;: 'r. v . a� ".�s�. :;?>�,Fa,�- ...._...,..� ���.- � ,_�e�'S�t�: �::.,,,�u,�° >- ��-t�.��. .� t O� CE��- ° Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ e Z`-1P applicant is exempt from licensing, the following reasons apply: % 1 s1- - . .57) one: (5t- 1� ) # Tic •- 2 7 2 2 t Fax:: ( ) • E- matlk_______ 3- 1 f ,' "'- ,Fk4a. °?•t ` ;iy, �nn v M t._ ."T e F ?:F= 'Kt. a£ . - ;;* -,,, .,,, ,�ni� ' ;�: TA 3 . %, 4.r �" aa� �CONTtRA ®Ry 4 , N. ' r - �- -�Y � � (1 .I� �°- •<� iS� � "bbd. S:i�: u:4. -.. asz ��., a:+,e��x �. �� *,.. � t3 -, =s. Business name: f ,'? -( - ;4 � ,a,_ x,_.� W BI9II DIAL PERN itA tiS *,7. z t f. � z �. � a .a.�_ „ r . -, .. , Address: . Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lie.: 4 Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: cr ' O1/,C / 4 / Date: , Z /Z3 c r * Fee methodology set by Tri -County Building Industry Service Board. B \ Permits \ BUP- PermitApp doe 12/03 440- 4613T(11 /02 /COM/WEB) One- and Two - Family Dwelling ' Building Permit Application Checklist ' FOR OFFICE USE ONLY. *` ', City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Phone: 503.639.4171 Fax: 503.598.1960 a4 Assssoo 24- Hour Inspection Line: 503.639.4175 � ciated permits: " "' l I ❑ Electrical ❑ Plumbing ❑ Mechanical �� W Internet: www.ci.tigard.or.us ❑ Other: °TIIE FO ITEMS ARE REQUIRED FOR :PLANREVIEW ;. • 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat /lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ El ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ 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- ❑ ❑ ❑ floor, 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ El ❑ 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 ❑ ❑ ❑ architect licensed in Ore: on and shall be shown to be applicable to the project under review. . JURISDICTIONAL SPECIFICS 23 Five (5) 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. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ _ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. _ ❑ ❑ ❑ 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:\Building\Permits \One - Two - FamilyChecklist.doc 12/03 , Permit #: i t-L4-113 S — 1 / • F . O , Address: l 4 t 6 c CA-K1 £ �- b in •.,� Issue by: ��C� ,+"'-^"_ Date: �� 5 8 5 �`r((0 1 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: nj I. I own, reside in, or will reside in the completed structure. III 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR Ft . 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ( S' nature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) • • lInfont4ora hIbUce 2© [Dvo[..erty Owneps • . • About ConatmeVon nesipomilbraiies Note: Thi,5 Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSM.M If you hire persons not registered with the Construcion Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: aregon's vethhollz.ling tax llaw.: As an employer, you 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 Oregon Dept. of Revenue at 945-8091. Unenagloyment immuradase As rr employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, oal.! the Oregon Employment Division at the Department of Human Resources at 378-3524. Werke:rs' cornrceinse,:bra inslurzuce, As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' zoropeitsatier: insurance for your emoyees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and w be ia1i for all claim costs if one of your employees is injured on the job. For more information, call the Workers' ConpensaLoi DiN 'skin at the Dep of Consumer and Business Services at 945-7888. US. Hnternall Revenue Sei.o.r`o7o As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment ever if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. rti: .T2Ec370X=11:1_,MES QM AREAS OF COMCIERN: Cede eorrnpiance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property darrkzge insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 I /94 CITY OF TIGARD• BUILDING DIVISION PERMIT #: BUP200S -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3 /14/2005 Phone: (503) 639 -4171 / " � � �� " y� ° tI Inspection Requests (24 Hrs.): (503) 639 -4175 ` G1 J INSPECTION WORKSHEET FOR, DATE: 3/31/2005 TIME: 7 :05AM !/ PAGE: 21 SITE ADDRESS: 12690 SW CAFIELD CT CLASS OF WORK: SUBDIVISION: QUAIL HOLLOW- WEST LOT #: 001 TYPE OF USE: PROJECT NAME: KOSKI DESCRIPTION: Deck 224sf. OWNER: KOSKI, CHERYL, PHONE #: 503.849 -7670 CONTRACTOR: OWNER PHONE #: 503- 475 -3180 Inspection Request Scheduled For: Date: 3/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003375.01 503-740-3221 N Corrections /Comments /Instructions: • _ , v 7 P / _PASS ❑ PARTIAL APPROVAL El CANCEL 111 NO ACCESS y _ / PASS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , �- ` Date: /3 1 j/6 Phone #: (503) 718-