Permit ` f� t' (' BUILDING PERMIT
i . CITY OF TIGARD PERMIT #: BUP2007 -00211
COMMUNITY DEVELOPMENT DATE ISSUED: 4/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104BD - 04800
SITE ADDRESS: 13728 SW ROSY CT ZONING: R -
SUBDIVISION: ROSE MEADOWS LOT: 007 JURISDICTION: TIG
PROJECT: ATWOOD
Project Description: Replace existing stairs with metal, extend front porch.
REISSUE: CUSTOM 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: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,000.00
Owner: Contractor:
BJ ATWOOD OWNER
13728 SW ROSY CT
TIGARD, OR 97223
Contact #:
Phone:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/18/2007 $62.50 Structural welding
[TAX] 8% State Surcha 4/18/2007 $5.00
[BUPPLN] PIn Rv 4/18/2007 $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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By:1 Permittee Signature: 6 i z z 1 „ e „ I , i . . . - - -
Call 503.639.4175 by 7:00 a.m. for an inspection that . •'E day.
This permit card shall be kept in a conspicuous place on the job sittil completion of the project.
Approved plans are required on the job site at the tim = of each inspection.
Building Permit ..
Applica j r .._. FOR OFFICE USE ONLY
R CE I' �,^ Received n / /
City of Tigard Dates . ' t� d / y am ' Permit No.'. _ .,/ %00?-i if
13125 SW Hall Blvd., Tigard, OR 97223 Plan R .
Phone: 503.639.4171 Fax: 503.598.194PR I% 2007 Dates ; Other Permit:
TI G n R D Inspection Line: 503.639.4175 Date Ready/By: ®See Attached Checklist for
Internet: www.tigard- or.gov cl1 Y Ur iiututif Notified/Method: IMII Supplemental Information
TYPPT T1 n'rnf e' REQUIRED DATA: I- AND 2- FAMILY DWELLING
-
❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
1- and 2-family dwelling Valuation: C�
® y g ❑ Commercial industrial 2 c }C
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Ot}1er: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13728 SW Rosy CT New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 - Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: entry stairs Covered porch area: 25 square feet
Cross street/directions to job site: Fern to 138 to Rosy Ct Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Rose Meadows Lot no.: 7 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: R2045588 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
remove old stairs & replace with metal.cable railing , cement steps &timber tec Valuation: $
landing *extend roof with gable to cover porch Existing building area: square feet
see attached Nicoli Engineeering Plans New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: BJ Atwood Type of construction:
Address: 13728 SW Rosy Ct Occupancy groups:
City/ State/ZIP: Tigard, OR 97223 Existing:
Phone: (503 - )319 -0009 Fax: (503)624-0160 New:
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: BJ Atwood licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 13728 SW Rosy Ct jurisdiction in which work is being performed. If the
City/ State/ZIP: Tigard, OR 97223
applicant & ,
ant is exempt f%cens e following reasons
Phone: (503) 319-0009 Fax: : (503) 624 -0160 CI
�0 . G 3
E -mail: bjatwood @gte.net S 0 �V `
CONTRACTOR
Business name: 0 ,a,,O/l BUILDING PERM FEES*
Address: {� (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received: /Q , j 3
Authorized signature: This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: BJ Atwood`iIp : I. e: 04/16/2007
Fee methodology set by Tri -County Building Industry
Serving.. Rnard
Construction Contractors Board Permit f, ,e 7 -0 1 /
700 Summer St NE Suite 300 Address: / 37 ? 5,c) Rwi.---
f .,,,, PO Boa 14140
+ •„:.,,,,:.: = _' � Salem OR 95052 Y Syb p,
Issued b : Date:
Phone: 503 - 378 -4 7309 - 621
.:./ s Web Address: www.ccb.state.or.us
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed 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 licensing 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:
Er 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must become licensed as a construction contractor if the structure is sold or
[�i
offered for sale before or on completion.
❑ 3A. My general contractor is
. (Name) (CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
'3B. I will be my own general contractor.
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 contract with a contractor who is
licensed 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.
fii► i( _`<6 _ a7
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 06 -01 -04
•
Acting as Your Own General Contractor?
INFORMATION NOTICE 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 701.055(5), passed by the 1989 Oregon Legislature.
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 concerns.
Employer Responsibilities
You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or improvement of a residential structure. As the employer, you must comply with the following:
Oregon's Withholding Tax Law: 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 Department of Revenue at 503- 378 -4988.
Unemployment Insurance Tax: As an employer, you 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.
The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503 - 945 -8091 or www .dor.state.or.us /formspay.htmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compensation insurance for your 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 employees is injured on the
job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business
Services at 503- 947 -7815.
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 if you didn't actually withhold the tax. For a Federal ON number, call the
IRS at 1- 800 - 829 -4933 or visit their web site at www.irs.gov.
Other Responsibilities and Areas of Concerns
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 over spray, water damage from pipe punctures, fire or
work that must be redone.
Time: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough -in
and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503- 378 -4621) or write the agency at PO
Box 14140, Salem, OR 97309 - 5052.
Property_owner.doc 06 -01 -04
T
CITY OF TIGARD . _
BUILDING DIVISION PERMIT #: 1JP2007 -00211
13125 SW Hall Blvd., Tigard, OR 97223
11.674' DATE ISSUED: 4/25/21)07
Phone: (503) 639 -4171 A *60 :� �� lk
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 13728 SW ROSY CT CLASS OF WORK:
SUBDIVISION: ROSE MEADOWS LOT #: U07 TYPE OF USE:
PROJECT NAME: A'TWOOD
DESCRIPTION: Replace existing stairs with metal, extend front porch.
OWNER: ATWOOD, BJ PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/62Q07 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 059048.01 503-319 -0009 N
Corrections -; • •ments /Ins uctions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V . FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
p 1 i 1 / � ( � c ) � Ins ector: Date: P hone #: 503 718-
CITY OF TIGARD , • . A ,, "
A i:
BUILDING DIVISION PERMIT #: BUP2007 -00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F :�i�i
1
INSPECTION WORKSHEET FOR DATE: 6/8/2007 TIME: 7:01AM PAGE: 22 ,
1 SITE ADDRESS: 13728 SW ROSY CT CLASS OF WORK:
SUBDIVISION: ROSE MEADOWS LOT #: 007 TYPE OF USE:
r PROJECT NAME: ATWOOD
DESCRIPTION: Replace existing stairs with metal, extend front porch.
OWNER: ATWOOD, BJ PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/8 /2007 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 049878 -01 503- 319 -0009 N
Corrections /Comments /Instructions:
fg t.Il1 - • ' . ii Al --S l d —a7 . � — Ere £ low/ eA•IZL>
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: F' Phone #: (503) 718 - 2.44-Sr"
. , -
CITY OF TIGARD „
BUILDING DIVISION PERMIT #: BUP2007 -00211
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/26/2007
Phone: (503) 639-4171 ( l
Inspection Requests (24 Hrs.): (503) 639 -4175 .J.. 1.L.
INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 14
1 SITE ADDRESS: 13728 SW ROSY CT CLASS OF WORK:
SUBDIVISION: ROSE MEADOWS LOT #: 007 TYPE OF USE:
1 PROJECT NAME: ATWOOD
DESCRIPTION: Replace existing stairs with metal, extend front porch.
OWNER: ATWOOD, BJ PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/10/2007 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # - Message
205 Footing 048047 -01 503- 0009 N
Corrections/Comments/Instructions:
•
PASS ❑ PAR IAL APPROVAL • CANCEL ❑ NO ACCESS
❑ FAIL ❑ • L • DNS' CTION ❑ AD AL FE ASSESSED
/
Inspector: Date: #: (503) 718-
•
CITY OF TIGARD ( P 2.061- 6 021 1
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED:
Phone: (503) 639 -4171 1 ,.�N�; '`: III
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: V31 2 V /A 5 a , CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: y�
OWNER: 1j S AkW 0 a S PHONE #:
CONTRACTOR: FM PHONE #: 60; 624— 0 I (Aro
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
V7C :1 6r4tIVY\ vNeN' _
24 6 "L"r\ c w COe Ott /4 ; %(<5
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 Date: ■ 0 (62 Phone #: (503) 718- 7,4 -7