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Permit CITY OF TIGARD PERMIT PERMIT #: BUP2004 -00324 DEVELOPMENT SERVICES DATE ISSUED: 7/8/2004 `-" 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11940 SW CARMEN ST PARCEL: 2S103BD 02700 SUBDIVISION: CARMEN PARK ZONING: R -4.5 BLOCK: LOT: 004 JURISDICTION: TIG 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: 1 FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,585.00 Remarks: 316sf deck Owner: Contractor: BIEHL, PHILIP D + LINDA M OWNER 11940 SW CARMEN ST TIGARD, OR 97223 Phone: 503 - 590 -7445 Phone: Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Footing lnsp [BUILD] Permit Fee 7/8/2004 $81.70 Framing lnsp [TAX] 8% State Surcharl 7/8/2004 $6.54 Final Inspection [BUPPLN] Pln Rv 7/8/2004 $53.11 Total $141.35 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: i� / «, . 0/ Pe rm ittee Signature: c."),(JCZ Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Applica•: n Q v E.c FO OFFICE USE -ONLY Q E' ie 97223 JUL V 2OO' 0 I* • Permit No. . tea • r ek, Phone: 503.639.4171 Fax: 503.598.1960 'v'y4N By: villi � Date/B : Other Permit: Inspection Line: 503.639.4175 CITY OF TIG & J' 6.-1- Date Ready/By: El See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplemental Information is 4; , YTYPE O W ®2iK K am`„ A � DATA 1, AND ii R�iM ILi`DNVELI:ING ❑ 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 '",: r :? 't'' ; 'i' '.5-L. -`i '',. ,:'., ;i ;:a1-..; ��liq P i , .t E .o „+..y err, t i l : CATEC ORY ,OF' CONSTRUC IOI� . r V ' t', work indicated on this application. Q 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 3 5 O 6. 00 El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: War x;;::+«',,'.�'''; "�f % }• - "". Y.�: : a; r,.% �5 :.�'.4�:,i?cs,";'�c:::,,:.t�vt" - . - ` *i Total number f floors -� � o a num er o �� 1, .. ..IA I�9RIVI=ATTON AND��Efl.CAT -LON �.N�.., � � ,��'.: �hr �;�,-�: -:��, -.tea . ro - .- ...•nE,, .� -t�:. a`'. m.4u z. ._v .. -Q Job site address: 119 4 0 SW CARMEN ST New dwelling area: square feet City/State /ZIP: T G A 2 D , DR '7 ZZ 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 1 G . (J S'- 139 Other structure area: square feet W REQT.IIREDsPATkgeOMMERCTO -USE; CHECKLIST, Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all r kn " „fiy i „$^t equipment, materials, labor, overhead, and the profit for the Ig , k � 'U w v ; . - 1FION QF FOR -, = work indicated on this application. RE- LAC D6 C)c /5')( / 2 3/ l0 44--- Valuation: $ Existing building area: square feet New building area: square feet a "'t wu. ab , ,vs� ., „- _ w acs fi t -°o,,e :'','P; � k` �RQ PERTY4OWNER x t .r. , � TEs 1A Number of stories: Name: fuel..,) ) L r NA NC y [J1 , i _ 11... Type of construction: Address: ` 1 K) 1!J3 Sw C 1Z Mtn S) Occupancy groups: City/State /ZIP: ` t GA1 Q 02 17 2' '? � Existing: Phone: (a),3 ) S `/p ) 4}4,$- Fax: ( ) New: r g, .�.VA .eptir ^- , R' . ° i t..'�' tiv�c . r .. ':.n,sa: `e&pl w: °�&"'ET,'Sx a* .o [ -"RA i:'-�ta I .r. It t a ' : to _. , ; CON'PACT pERSO �. ;'r , ,..`1 :w 5 �.,a�a rr.,z • - ',a� ?::r ;v:�i. 1?.�vN,T�” f»x, .�.... .# . ,s.'a".9`^.'-.: „� `.. .`.a r.�i. c<� :s ? &as':. = ? „..w� r. 3:.s �' 3 ` E , .xi ,fhv�t' m, �' \OTICIt. ' $ 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/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: I : : :. aCONTRAC ORS , , : . ,. 0 . Business name: --� Y Day x-rc�t, i . r” =:8, ; ,, < i 1 i _ l lik ' ' BUITIDTNG PFrR-MIT _ ,. , Address: I ( )Lk) Sj CA Q2 +r1C� ST. �: t - s._ > r t . ;.. �, .; Please refer to fee schedule. City/State /ZIP: M ,,ARC ( a orrk 3 Fees due upon application Phone: (c ) S - H S " Fax: ( ) Amount received CCB lic.: 9� Date received: Authorized signature: Q "/ This permit application expires if a permit is not obtained • j / within 180 days after it has been accepted as complete. Print name: / t ( Date: 7 / � / * Fee methodology set by Tri- County Building Industry e ( 2 7( Se b �l•70 C ! L� i:\ Building\Perrnits ) B[JP- PmtitApp doc 12/03 440- 4613T(I 1 /0/COM/WEB) r 53 I �l 4 A I Li I .3 J 10.5 One- and Two - Family Dwelling Building Permit Application Checklist - FOR OFFICE USE ONLY City of Tigard Permit No • 13125 SW Hall Blvd., Tigard, OR 97223 Date/13y: Asssoo permits: Phone: 503.639.4171 Fax: 503.598.1960 u�nn + +liy�� 61' 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ,� —'' ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 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: ❑ ❑ ❑ 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- ❑ ❑ ❑ protection, etc. 10 3 omplete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ • ❑ ❑ uilding 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 ❑ ❑ ❑ 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 Oregon 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 i 1 Permit #: U, PAoc " 00.3 4 F ---- O a�'` Address: I I Q 1 4 St( ) r)--16 A/ �J Issued by Date: 7 0 V i a59 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: N /' 1. I own, reside in, or will reside in the completed structure. K 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ri 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 j53 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 I wners about Construction Responsibilities on the reverse side of this form. i 7/77 (Signature of permit applicant) at (White copy to issuing agency permit file, pink copy to applicant) Enformation No•Hce to Property Owners , About Co.pstrucUon ResporteNNties Note: This Information Notice to Property Owners about Construction Responsibilities war 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. EMKOVER F 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 withhdiding tax L'avi; 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. Unempioyment insurance La::: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For tr....-re information, call the Oregon Employment Division at the Department of Human Resources at 378-3524. Wcairers' coirnpansaften inzurarace: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtaln workers' compensation ;nsurance for your employees. If you fail to obtain workers compensation insurance, you may be subject to penalties and w1:1 '.::e liable for all claim costs if one of your employees is injured on the job. For more inforrnatiOn, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. Enteral& Revenue Sexy As an employer, you must withhold federal income tax from employees' wages. You will be liable for the :ax payment eve' :f you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. OWL n'rd9 RESPONSMUTIES AND AREAS OF CONCERM: 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. Liabillity and prorV 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 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 1/94 w1 GDS' 01, , J4)tV N r7d- iCn . ,..- Cr' N • I 10 V 1 Y, - � o N N 1 i 6 < __ II' , , T CITY OF TIGARD - -SITE PLAN REVIEW " BUILDING PERMIT NO.: e -- ' - _ - PLANNING DIVISION: / Required Setbacks: 321 A rov pp- ed � 0 Not Approved Side: P Street Side • .. • Front. TJ7 Gar�iee• .�� Rear: 1,- N Visual Clearance: Qp ro'.•. 't LT Not Approved � �� � � Maximum Building Height• i'e:: , _ A ...�.._- ..�...,, ,__ ,.,,,,,,_ C,W.! Serv..4e Prot:i.d_gr.Litte1 .C,4 .t ; ;L....a .. " 1 l Re,ceived B? : /'- £- Date: 7! 0/0� ENGINEER NG DEPAR MENT: Actual Slope: _% ❑ Approved ❑ Not Approved Site Plan: ❑ Approved ❑ Not Approved By: Date: Notes: CITY OF TIGARD 24 -Hour .B JNG Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP o7D© — U63a� Received Date Requested g AM PM BUP Location l / ? (za4' 7 p Suite MEC Contact Person 4 h ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: --- SIT Post & Beam i v Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm ` Susp'd Ceiling ' Roof q, Ot -A • Il{�► SS / 'ART FAIL 'LUM: G Po 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 Ak Rough-In ' tw / �/ �ur 41 � AU 'A. _ Low Voltage 11111111111J111MMEMow Fire Alarm F PASS PART FAIL Reinspection -'- of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE El Please call for reinspection 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