Permit - Ty OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00110
44 411 ' •_ : ` EVELOPMENT SERVICES DATE ISSUED: 4/20/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13440 SW HOWARD DR PARCEL: 2S103CA -01700
SUBDIVISION: WOODCREST ZONING: R -4.5
BLOCK: LOT: 004 JURISDICTION: TIG
REMARKS: Converting storage above garage to bedroom.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 16 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 486 sf GARAGE: sf FRONT: PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 30
OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL: 486 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: •
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EAADD'L 500SF: 201 - 400 amp: 201 = 400 amp: 1st W/O SVC/FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EAADDL BR CIR: 2.00 SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 632.92
This permit is subject to the regulations contained in the
SWOPES, BRET AND LINDA S OWNER Tigard Municipal Code, State of OR. Specialty Codes and
13440 SW HOWARD DR all other applicable laws. All work will be done in
TIGARD, OR 97224 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503 530 - 7609 Phone: Oregon Utility Notification Center. Those rules are set
.forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Underfloor insulation Insulation Insp `
Electrical Rough In Electrical Final
Framing Insp Final inspection
Shear Wall Insp
Exterior Sheat " Insi
Issu d By : 1 — Vii•! _ _�L, _ii4 �G Permittee Signature :
-
- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
t
t, ,, .
Bll:..aing Permit App� iOlh IV E 1) . . _ FOR OFFICE USE ONLY
Received Permit No.:y�- nom)
City of Tigard y ? Date/By: 3l Pe
0 V 586 ! '✓�.S'��ng .. 00
13125 SW Hall Blvd -, Tigard, OR 97223 MAR 3 2 )O 1 i Plan Review y /d " o , / , /
Phone: 503. 639.4171 Fax: 503.598.1 � � I ry . ,11'1 % ���/// Other Permit:
Line: 503.639.4175 CITY OF TIGARf"-� ^' P ' Date Ready/By: 5/ if Of' A/11GI / ® See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVISION No'II eethod: ) / CO �,�s_ Supplemental Information
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❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
« ., t a1 ,, ¢ ,,. „c •, . �,.r =,.. lli �6167,43�: r .- w . :, >a,ra:, sr. ,a ir ,,, ; �_ _ '4i .1 ,'Ai`,;zFi<. work indicated on this application.
W gg ' -. 1r '`. _,. 4
" X 461.4 1
0 4/OY OFf? C®NSTR ,U ,, r t `� `% ni y 1r.i * • Tiik.k .;
Valuation: $ 1
❑ 1- and 2- family dwelling ❑ Commercial /industrial 3 P01 61 6
Number of bedrooms: /
❑ Accessory building ❑ Multi- family
❑ Master builder 0 Other:
Number of bathrooms:
' ,r . -.t ' ?444e„o <- ��4 _40- sn,',,, •,„ s^ §I 'Y'* >,t, -. I'ki'o 5 ; ,'t to-: ;,' V•rto Total number of floors:
., ill e i` 1- JOB SITE;tINFORMAT,ION, AND LOCA�T,ION it v" , e #` €t, o' 14,q6,
.�`� ��,t��t, � �..�ka#. -:�.: ���a* � � .�r : s .;€. - x :.�i- ..wr��, , ,,,r .� x, „�', .. ,,, � +�"-
Job site address: f 3 b SLv -(" `a W Af_ it DE. New dwelling area;_f.$ -f–f- • `square feet_ —
City/State/ZIP: - n 1/4 6 _, t -, 2 _ 7> O te, 9 7Z-7-3 Garage /carport area: square feet
Suite/bldg. /apt.no.: Project name: p „1 # Abb yv Covered porch area: square feet
•
Cross street/directions to job site: Deck area: square feet
N Other structure area: square feet ,
�x � . €
I REQ UIRED:FDAT A COMME R CIAL US -
CHECKLIST = '
– 3t ief.p .,*„,,,2 : t s4 a, :_ >u., -r : '%-,.,t> -_3k.,.- 41'<4: ,-- L;;. rL S,,,s,, ry:
Subdivision: Lot no.: Pe "t fees* are based on the value of the work performed.
Indicat e value (rounded to the nearest dollar) of all
I _ Tax map /parcel no.: equipment, • aterials, labor, overhead, and the profit . the
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it4 14 , 4iI IZit� pDESCRIPSTxI®N OF.WORT{ iY r,42.,-;;;it,, work indicates in this application.
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t Valuation: $
Existing building area. square feet •
New building area: square feet
oil)
Rr a ,s i k r m` 't 'f 4 ,, c, ka ma e
t u- i v � � PROPERTY �OWNER� • a l ®TENANTS `i Number of s es:
5 ) )
Name: - ize_A'_ Cam— '5 8 p e..._S t Type :, construction:
Address: / 7 yY e ,..,, it-1 e t/.41e.cl bet o ccupancy groups:
(,, City/State /ZIP: / .: / {- g _ i e -9 7zZ5 Existing:
F ax: (4)4'N3
B
) New:
Phone: (5,3) S�Q "' 7�d� � 37 `����
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Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction,Contractors Board
• Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
. applicant is exempt from licensing, the following reasons
City/State /ZIP: apply:
. Phone: ( ) • Fax: : ( ) '
E -mail:
., .�r� �Y�, ''�;•r?' '
:;t;��,'� �M' �:- ':��:, ;��s' ^r, }v,.'u. isms' ?, Batt;Y.:,;'�<,,,,g� "svr;' ," �r�` sn,y9'�n §ii;::':5�'�[�:,;a+;�', i a'i`�'�°:''v
, V ? c • a . 41 �' ltr` ' iCTOR# • i 4 E' i a ` s ,d , g•• r s
' 11..E s M, i.. $ .e/4 ,
w �>:. r �� 'i:�'�;���+'• s.nt �°irf:.,�., a r� x�� � t,,. ,' l: s6,.., _. � f `
Business name: Ow � , ,1, - ,' t�BUILDING PERMIT ,_;:t.'"..',,',,,, FEES *: `
. ..,.'.'',..,,, .
c .ul. .:... 1':,.P% . A : - ld,t i _. \;,.t
Address: Please refer to fee schedule.
City/State /ZIP:
Fees due upon application -
Phone: ( ) Fax: ( )
• Amount received
CCB lie.:
Date received:
Authorized signature • This permit application expires if a permit is not obtained
w •
within 180 days after it has been accepted as complete.
Print name: F,2€, G '--' L.f cre.._s Date: 3 AA C * Fee methodology set by Tri- County Building Industry
Service Board. �'
• i:\Building \Permits \BUP- PermitApp.doc 12/03 1 • 7 51 440- 4613T(1I /02 /COM/WEB)
1
ft
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY \..
City of Tigard d Received Permit No.:
} g Date /By:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 /�miudi i 1 1\
•
24- Hour Inspection Line: 503.639.4175 - • 1 � CI Electrical ❑Plumbing ❑Mechanical
Internet: www.ci.tigard.or.us • _ CI Other:
THE-FOLLOWING ITEMS ARE =REQUIRED FOR PLAN REVIEW Yes No N/A
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. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ Cl ❑ -
4 Fire district approval required. Name of district: ❑ _ ❑ ❑ _
5 Septic system permit or authorization for remodel. Existing system capacity . CI - ❑
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.
1 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ CI • there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
� d , , driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
i licator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
16 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 ❑ ❑ ❑
nrescrintive 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 ❑ ❑ ❑
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 a to the .ro'ect 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 a t ssory s ctur s jo8xisti g r sidential dwellings
on a lot of record approved prior to September 9, 1995. �ft L. t _
i:\Building\Permits \One - Two- FamilyChecklist.doc 12/03
a
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I ,A
Elec ''' al Permit Application FOR OFFICE USE ONLY
City e"' T i and R EC r PIE y ' eceived I - �
Tigard � Date/By: Permit No.:�(I, 5 c i/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503 .598.1960 ®Ap k1 1� ' +� Date/B : Other Permit:
Inspection Line: 503.639.4175 I _6 t Date Ready/By: Juris IR1 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
_ (ITY nP Tio,Ar n
I r `N ., °° : ,_ , -''-a;' e
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a te ���..�.� � . � ��.
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: Service over 225 amps, comm'l Hazardous location
,��- t s..r v _„ , � ._ ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
i ? r 'P 1 , CA aEEGOR rdikaI S TALK Y ;,, 4 M 9 . of 1- and 2- family dwellings 4 or more new residential
c
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Multi family ❑Master builder ❑Building over three stories ['Feeders, 400 amps or more
❑ Ot her: ❑Occupant load over 99 persons EManufactured structures or
RIP- iLL " ''f r J O$t SIT "IIVEORMA ON `r1 ND 1.00ATIOIYf k t; - '° ` i
l� _ -s ; �a . -„ , „,a ❑ Eg ress /lighrin g plan RV park
Job no.: Job site address: / 3 C/(�� ❑Health -care facility ['Other:
l.V i 4i _ - Submit 2 sets of plans with any of the above.
City /State /ZIP: ” f
ii A e /2 Q72zy The above are not applicable to temporary construction service
Suite/bldg. /apt. no.: , ` fs '' ' `' LE *'S HED L . r ^ , ,,-
Project name: X00 NI A b� L T - &As s >aw .r.:E K .. ,.�C U I E'ty' :'. **
Description Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 • 2
.n z . F� , - : �t;r gat„, RI,P,TX = Ns OF A VORK g r "'a X0 �y
p -�=-�° 1 °e�.��� �-- ����w.� . --E. �. �,.:... ? _�� ,_�, ,� Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less _ 80.30 2
,:nary • �e�.. 4 ., u; : "_:; �t 0 00 am . r PROPERTY OWlWEI2 s , �' ° I:4 201 amps t s 10685 2
' 4 p
,tea„ � - ,� .. ,, 4,...,1 ? :1 %?6 �„ �.. 11, TEN ANT
�� 401 amps to 600 amps 160.60 2
Name: 2e _ ._ e ' L i ct f e __,.., 601 amps to 1,000 amps 240.60 2 -
Address: /3810 i.A.1 rid A-,e el k s Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: —,---k j x�.��d D� y Pal, Temporary services or feeders installation, alteration, and /or
7 relocation
Phone: ( il3 ) . .... q Fax: ( jc3) ` 34 , _ 2O sb
200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease rent, ge, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: 3/22/0'/ Branch circuits — new, alteration, or extension, per panel
^;;. ^ ;ate+, 40 � @ ,- ` 4: a Y':: '004:4000"''.'5'''''""," . y
, e , , ., A IC A NT. ` v,, , �`'^ , ''.. 1 ® ,, , GT PE ® A Fee for branch circuits with
� � ��.,- . a �a .� - service or feeder fee, each
Business name:
branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, J� 46.85 2
Address: each branch circuit �S
Each add'I branch circuit / 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
-. � y.,r .5,,,, ° =3 +. k :� &:r N , j ;r .':.' "• `°' `�°'� x.ex�c.',;,'r, h 'E"'.§xs 4 :% i.
. ;, r w r � t a o ._ : eklICONT 0 RACTOR,:<., i . „ aor . , i , „it energy Panel, alteration, or
Q6) 1
Business name: �J E_ extension. Describe: Page 2 2
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Investigation per hour (I hr nun) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
` "w '? ` g , - „E.,LECTRIOA'ti' PFiI21VI nt,I * :; ;i Wig'
CCB Lie.: Electrical Lie.: Suprv. Lie.: Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
i'.\ Building \Permits \ELC- PermitApp.doc 12103 440 -46I 5T(10 /02 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee'for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
•
[ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ H VAC
[ Instrumentation
❑ Intercom and Paging Systems
❑ L andscape Irrigation Control*
❑ M edical
❑ N urse Calls
n Outdoor Landscape Lighting*
❑ P rotective Signaling
Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
islBuilding \Perrnits\ELC- PemitApp doe 04/03
Permit #: 1 `�o'�DO 4-00/ 16
Address:
Issued b • L_ -" e &e- % Date: . , l JU -
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 itial boxes 1 and 2, and either box 3A or 3B:
1. I own, reside in, or will reside in the completed structure.
rJ
j 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
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.
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
Information ot'ce to Property Owners
About Construction Responsibilities
-
Note: This Information Notice to Property Owners about Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS' 70.055(5).
I f 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 RESPONSIBILITIES:
If you hire persons not registered with the Construction 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:
Oregon's withholding taxlaw: As an employer, you mu$t withhold income taxes from employee wagesat the time employees
are paid. You will beliable fo the tax payments even if you don't actually withhold the tax from your employees. For more
information, call the Oregon Dept. of Revenue at945-8091.
Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the
wages of all emplo ees. For more infonation, call the Oregon Employment Department at 378-3524.
Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' compensation insurance for your employees. lfyou fail to obtain workers compensation insurance, you may
be subjectto penalties and will be liable for all claim costs i f one ofyour employees is injured ondhcjoh.Fo,moruinfoonudon
call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. •
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be
liable for the tax payment even ifyou didn't actually withhold the tax. For more information, call the Internal Revenue Service
at 1'800-829'1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
•
Code compliance: 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 damage 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 general contractor,to coordinate the work ofrough-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 |4l40, Salem, 08g7309-5052,
503/378'4021). The Board is located at 700 Summer St. NE Suite 300. in Salem.
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Letter of Transmittal
,,A '' ...... Building Division
City of Tigard
DATE RECEIVED:
f
TO: , RECEIVED
DEPT: BUILDING DIVISION
MAY 7 2004
c ,,. F ROM: �i S�sb f e S C ITY OF TIGARD
BLILDING DIVISION
COMPANY: , 1
PHONE NO.: $ 3 51''0 760`j 62_0 -g6 76 BY:'`1
RE: / 35/ 4�o c3 ) u J 4-e_d ie_
(Case number, site address, etc.)
&aa ADDif,' o-.J
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Wit•; e °.: ebi rr >:-
a _..;� a ,.t. - ., . ..�.,,, a,.�.,..
Co - Ies ; D.escn rytTO11 Y�, f . � .? _ l , = ' 'CO ieS I�,esprl tlon ae
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: Ci
rt,. •::� :�_ ; ,�.:z -��=�, a ::� :, ' -
:,, . zor , =ice =' . see M ri «�. -- :k
Roifed r= rnit�.T 'a°
e chric ri: `Date Initi`h
also � :� : -. . ° .
E
Fees Due. :. . . .. - . Date GXi'tiit§P: =;:: ... , -'
-- Reprint; Perrimit (per Pl : Yes: . NNo : -
Notified Applicant: Date: :. `.Initials:
is Building \Forms \LetterTransmittal.doc 1/6/04
CITY �~��� �7���������
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BUILDING DIVISION
~�~°"~~~°""~~° ~°"~"~,"~°"~ PERMIT #: MST2004-00110 .
13125 SW Hall Bhd�.Tigand. OR 97223 DATE ISSUED: 4/20K2004
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ...„..„„W ^1
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:16AM PAGE: 114
SITE ADDRESS: 13440 SW HOWARD DR CLASS OF WORK:
SUBDIVISION: WOODCREST LOT #: 004 TYPE OF USE:
PROJECT NAME: SWOPES
DESCRIPTION: Converting stora above rage to bedroom. 10/24N2005 Permit reinstated for a period of 30 days
for purpose of FINAL inspections.
OWNER: 8WOPES.BRET AND LINDA S. PHONE #: 603-530-7609
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/27y2005 Po ime:
Code # Inspection Description Confirm # Contact # eoaaga•
299 Final inspection 019422-02 503-690-7609 , Y ^-'^".
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2-0-Z-Ot
Corrections/Comments/Instructions: 4`e6 /y7,'���)
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rill ' .
.
V � PASS �� PARTIAL � ���EL � NO ACCESS
, -- ' ' ' '
I | FAIL WI ^-^ LL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
' �l ~~-
Inspector: A.A11111.L. Date: /� � " �.���
/�/ •~_' ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2004
Phone: (503) 639 -4171
Am �„ �
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 116
SITE ADDRESS: 13440 SW HOWARD DR CLASS OF WORK:
. SUBDIVISION: WOODCREST LOT #: 004 TYPE OF USE:
PROJECT NAME: SWOPES
DESCRIPTION: Converting storage above garage to bedroom. 10/24/2005 Permit reinstated for a period of 30 days
for purpose of FINAL inspections.
OWNER: SWOPES, BRET AND LINDA 5, PHONE #: 503 - 530 -7609
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 019422 -01 503-590 -7609 Y
Corrections /Comments/ Instructions:
PASS /I PARTIAL APPROVAL f l CANCEL (l NO ACCESS
" "" I FAIL % AL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: I n 0 _ 5-- Phone #: (503) 718 -
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2004
Phone: (503) 639 -4171 uyp�i
Inspection Requests (24 Hrs.): (503) 639 -4175 ' W °�' i�
INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 11
SITE ADDRESS: 13440 SW HOWARD DR CLASS OF WORK:
SUBDIVISION: WOODCREST LOT #: 004 TYPE OF USE:
PROJECT NAME: SWOPES
DESCRIPTION: Converting storage above garage to bedroom. 10/24/2005 Permit reinstated for a period of 30 days
for purpose of FINAL inspections.
OWNER: SWOPES, BRET AND LINDA S, PHONE #: 503- 530 -7609
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/26/2005 Pour Ti .,-
6
Code # Inspection Description Confirm # Contact # Message •
299 Final inspection 019281 -01 503-590-7609 Y
<62. -z6 96
Corrections /Comments /Instructions: to .Kw Feto2
P ( I '7 : -? t CAL._..
) ree`Y (1 A F , " NK1 2 6. -
I I PASS C PARTIAL APPROVAL El CANCEL n NO ACCESS
4 FAIL ra ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
r
Inspector: _ ��. Date: (.°-"-").
- °3 Phone #: (503) 718 -
1-
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 jC f - 00 /, 0
INSPECTION DIVISION Business Line: (503) 639 -4171
Received Date Requested // AM PM BUP
Location / 3 `.- -76 `0 CJ D iZ Suite MEC
Contact Person s it J Ph ( ) b - 2-C7_10
�-- �I.
Contractor Ph ( ) 74 t
'BUILDING Tenant/Owner .S GJ 0 p S ELC
Footing
ELC
Foundation
Access:
Ftg Drain \ ELR
Crawl Drain , A i Ro tx"'a"3 �"�
Slab Inspection Notes: �t / /� y� SIT
Post & Beam • C—� / _PP C / `�Z� 2.44
Shear Anchors ) l
Ext Sheath/Shear �O 11 .! ��t )11) Ci-Ga./i0
Int Sheath/Shear
Framing
Insulation
Drywall Nailing f,(� 1 }�
Firewall } 1 Yd `;- ill . tt Q _
Fire Sprinkler i I
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
■
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer •
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
• PASS PART FAIL
ELECTRICAL
Service
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
E SsPART FAIL
SITE Please call fo einspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector '� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD ' 24 -Hour -
BUILDING Inspection Line: (503) 639 -4175 MST !/ ' fie
INSPECTION DIVISION Business Line: (503) 639 -4171
p BUP
Received Date Requested 1l —/ 6 AM PM BUP
Location /3 7 ' 14 ) I-rx — k f d Z — kOM JSuite MEC
Contact Person &-10_ Ph ( )d - 7‘0, PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR - .411W
Crawl Drain ��
Slab Inspection Notes: '. � ®' ®�, = ; -_ r;,_ ; - SIT
� _.. F�
Post & Beam ,_ ;� its' .r �® . ��>a�.4 � , r
Shear Anchors
Ext Sheath /Shear J' �
Int Sheath/Shear lJ
Framing
Insulation A &� Q �/1 /) 11r7 ,nan � Z—S M.t 7 � i ,9-47 412,0
Drywall Nailing— \ ,D f.fJ/ `'4' u "" `� °y
Firewall f 17 / g7 L
Fire Sprinkler �� v
Fire Alarm O 'IL L42:4 U .4, j / g OW c
Susp'd Ceiling /�
Roof dam \ Arm.?
C C-U i er Other
G
Final C) nl / Ai / V v ` b /' or- / / & CoW1D
PASS PART FAIL , // ��,p_
C
PLUMBING,. _ 1 /� l�� I ^ / �o (
Post & Beam et A/ V �/ 44� _ • /(b c---x _. fr._,/� , ` �r—_ l � /y ,
Under Slab ��� �� �tJJJ /— / r/� f f �-
Rough -In I 9 111,-L- 7 VS" Al C U! , R— / okt
- Water Service
Sanitary Sewer 1 Ai 5 P -•c -- 77
Rain Drains
Catch Basin / Manhole L to /A/ / 0 &ti �y P /'v-
7 —
Storm Drain C
Shower Pan 11,(
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
. ugh -1
•ii. a.
Low Voltage o
Fire Alarm .
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PAR elp
SITE ❑ Please call for reinspection RE: ri Unable to inspect – no access
Fire Supply Line I 1 1 m — 0 L/ I +6 p /Q. %
ADA (� ( l I / � l � (�(�
Approach/Sidewalk Date Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST - :2-064 7 1-6 6 it!)
INSPECTION DIVISION Business Line: (503) 639 -4171 "
BUP
Received / Date Requested Ja — -2-- AM PM BUP
/
Location 3 %'7 Suite MEC
Contact Person 6-'/(2,7t 3 ° Ph ( ) - PLM
Contractor Ph ( ) 2/6 SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam C- ge — 19'Le.41
Shear Anchors K
Ext Sheath/Shear i</75Z ,
Int Sheath/Shear
u
„ r ---- fat -i°.
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
(P F' u
AS —PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post &. Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next insp ction. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date nspector Ext
Other:
Final DO NOT REMOVE this inspection from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST -6 6d //
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /7 AM PM BUP J
Location /v 7 4 /f (� A Suite MEC
Contact Person Ph ( ) 7, PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation
(trEeSS.
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 1,40 i 1 SIT
Post & Beam (1:.,-0 JU —'Z4.- 7
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
a /(/, i.7 7 04)4-/-4-6 r(/ •
Drywall !
, �� e /���
Dryll Nailing - � �� � r «�=� �%'� � z z,4.u_[;� -; °'
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE. ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date f /_ Inspector Ext •
Other:
Final DO NOT REMOVE this inspection record from the job site
PASS PART FAIL
CITY OF TIGARD 24 -Hour c�
BUILDING Inspection Line: (503) 639 - 4175
MST e 7 " 6l1 1
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested / / — ZZ AM PM BUP
Location / &_e-c )a_ b.9 Suite MEC
Contact Person Ph ( ) U - 7.6 PLM
Contractor Ph ( ) SWR
ILDIN Tenant/Owner ELC
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes:�� _ , SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear 'n1 - a •
Int Sheath/Shear ,/ G« 6L,2
nsu a ion
Drywall Nailing ^� ` - =7,4 = TC, � r ; AEG nr r[ _ v t i ee4L_
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: •
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final _
PASS PART FAIL
ELECTRICAL
Service
'oug -
ab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date // Z Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD - 24 -Hour
- BUILDING Inspection Line: (503) 639 -4175 MST a � 86
INSPECTION DIVISIO Business Line: (503) 639 -4171
9 -14/1 BUP
Received - 7• / / 'Date Requested / / _ AM PM BUP
Location ) ,&v *'. 4 Al Suite MEC
Contact Person Ph ( ) - 7,6 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: r- SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear /OA
Int Sh th/Shear
ra
Insulation AE A �� �� ��L CA. - ) �� S o
Drywall Nailing "'��
Firewall � a ----7-v/9 " �e
Fire Sprinkler �
Fire Alarm U �� '! /���c �lJ���S 150
Susp'd
Roof ( /
Other:
Final 1 45A16C Yom_•_ -�
PASS PART
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA l
Approach/Sidewalk Date // ---F 0 - Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: ) 639 -4175 , MST :66. (1
INSPECTION DIVISION Business Lin • (503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location / 3 4 - 6 Suite MEC
Contact Person (3 - ' Ph ( ) G 0 — ado 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC •
Ft und n Access: fa..4A 6 5� I a ( Sr
g ,../,� iJ1/ r ELR
Crawl Drain
Slab Inspection Notes-; .- ., : - ' - - SIT
Post & Beam i '1':".4,11-1'.,'"r _ �;;,_ ,®► ;.., °',
xt Sheath/Shea
Int Sheath/She. `) IR -.4- — r� LZ.,__ S / / �.i Fa/ F:::,. P.
nsulation e 7 /4 8 As ' r ? 0)4 ? L,4' (S .
Drywall Nailing
Firewall C VT p fe-7 � S7 -�/ 6\
Fire Sprinkler "
Fire Alarm
Susp'd Ce' ' g
Roof
Other
Fi .,-
Ar
AIL
- _. _ 7744----k el's 1-,/-T /46 t-" a e>1-.Z/Ve:> (SX_T
Post & Beam 4�- S /
Under Slab �� 6 -L- l/ / 1 = teLS �
Rough -In v (.....,(7----1
Water Service
Sanitary Sewer
Rain Drains -
Catch Basin / Manhole O k -rn,
Storm Drain 5 c:. vl> �-z
Shower Pan .�- y,`7. - :
Other: ,_.-
Final •
PASS EC
H TO F . ` s a
MECHANICAL S
Post& Beam
Rough -In
Gas Line
g ar--1 4 1
Smoke Damper : • ■ ar■
Final
PASS PART AIL
ELECTRICAL ,•
Service '
Rough -In —
UG /Slab
Low Voltage
Fire Alarm .
Final El Reinspection fee of $ • required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ,/ 0 Unable to inspect - no access
Fire Supply Line /
ADA
Approach/Sidewalk Date / O L Inspector � _ : Ext
Other:
Final DO NOT REMOVE this inspection recor ' ro the job site.
PASS PART FAIL