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Permit CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 - 00277 h DEVELOPMENT SERVICES DATE ISSUED: 7/20/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102 D B -05100 SITE ADDRESS: 13310 SW CHELSEA LP ZONING: R -12 SUBDIVISION: CHELSEA HILL LOT: 028 JURISDICTION: TIG Project Description: Build 254 sq ft deck. 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: 50 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 15 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,216.40 Owner: Contractor: ROGER HOLLOWAY OWNER 13310 SW CHELSEA LOOP TIGARD, OR 97223 Phone: 503 - 684 - 9638 Contact #: FEES Reg #: Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 7/6/2006 $59.35 [BUILD] Permit Fee 7/20/2006 $91.30 [TAX] 8% State Surcha 7/20/2006 $7.30 [CDCPLN] CDC Pln Re 7/20/2006 $45.00 (additional fees not listed here) Total $208.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Sp: salty C.•es and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if wor is not starts d within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires y , .11 . follow the rul s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 0 • " 8 ,2- 001 -0100. Yo may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. 1 Issued By: ../. k _ , . ' l Permittee Signatu . 4 / � Call 503 - 639 -4175 by 7:00 a.m. for an inspection tha a usiness 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. r Building Permit Application J FOR OFFICE USE ONLY M City of Tigard DateB / © D � �/ Permit No.: 0 , 1. ' a > a9 ;,. 13125 SW Hall Blvd., Tigard, OR RECEIVED Plan Review Phone: 503. 639.4171 Fax: 503.598.1960 Date/B : '� ` J 7- � trG Other Permit: Inspection Line: 503.639.4175 JUL 0 6 2006 j. Date Ready/By: IZEI r See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF TIGARD T QN REQUIRED DATA: 1- AND 2- FAMILY DWELLING [ new construction RfDemolition 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 CONS TRUCTION work indicated on this application dwelling Valuation: •• � $ � / } ' ei ❑ 1 - and 2 -famil y g ❑ C /industrial El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder '- [Other: pp ,(,��- Number of bathrooms: JOB SITE INFORMATION AND LOCATION. Total number of floors: • Job site address: 1331 S /c,3 C' Pa 1.6h New dwelling area: square feet r City /State/ZIP: 'Tt q pre 0 e. ei 7 2, 2-3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: • Deck area: ;"J 4 square feet Other structure area: square feet . REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Chp`esc14 111./1 Lot no.: A Permit fees* are based on the value of the work performed. Tax map /parcel no.: ZS� _ Q �5� �� Indicate the value (rounded to the nearest dollar) of all L� y equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK - work indicated on this application. Valuation: $ 041,4114 V C ousxr'UGTi 2' ©rc bec/- Existing building area: square feet ' New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: 1 lP :1�(I�yL { „ Type of construction: Address: l� / 314 5 � Cj � Occupancy groups: City/State/ZIP 1 l 4 ,v,( 7 ene 972-23 Existing: Phone: ( 4 Fax: ( -- ) New: ❑ APPLICANT ❑ CONTACT PERSON . NOTICE 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: • CONTRACTOR Business name: /1-Z> vu's ocd zi e v- BUILDING PERMIT,FEES* - Address: Please refer to fee schedule. City /State/ZIP: , , 5 - Fees due upon application Phone: ( ) Fax:( ) Amount received CCB lie.: Date received: Authorized signature: s' This permit application expires if a permit is not obtained /`� within 180 days after it has been accepted as complete. Print name: - O Date: lP ;d oa, * Fee methodology set by Tri- County Building Industry Service Board. istk3ui1dingWemvts \BUP- PermitApp.doc 12/03 440- 4613T(1t /02/COM/DEB) !, Permit #: B 020,! i -- s !� Address: 1531 0 0 » �-��- Issued by: --to Date: 7 / 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: I /I, 1. I own, reside in, or will reside in the completed structure. 1 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 fl -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 th • . bov ■ information is correct and thatI have read and do understand the Information Notice to Prop 'Au j ners a 1 out Construction Responsibilities on the reverse side of this form. ---=---- - Millta 'hair (Sign. ure of 0ermit applicant) ( ate) (White copy to issuing agency permit file, pink copy to applicant) . • \ ' � ` -to Property Owners - b���t����n�� K�n Responsibilities '' . ~� � i�.` > ^ Noe This Information 0otice,o Property Owners aboul Construction Responsibilities `mg. by the Construction conractors 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 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 bc cmp|oybm. As the employer, you must comply with the following: • Oregon's withholding tax law: As an employer, you must w.ithhold income taxes from employee wages at the time employees are paid. You will be liable forthe tax payments even if you don't actually withhold the tax from youremployees. For more information, call the Oregon Dept. of Revenue at 945-8091. 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 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. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs i f one of your employees is injured oudhajub.Formoruiofbrmo1iun' `~ call the Workers' COmpensation Division at the Department of Consumer and Business Services at 94.5-7888. , U.S. En ternal Revenue Service: As an employer, you must withhold federal income tax from employees' wages, You will be liable forthetax payment even ilyou didn't actually withhold thetax. For more information, call the Internal Revenue Service at 1'800'829'1040. • OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: Ax the permit holder forth ixproject, 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 agentto see if you have adequate insurance coveraize tO`f accidents and omissions such as felling toots, 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 OW n general contractor, to coord i nate the work ofrough-in and finish notify building officials at the appropriate times so they can perfom' the required nspections. If you have addijional questjQns, ite or call the Construction Contractors Board (PO Box |4l40' Salem, 0Ru73O9'5Oj2, 503/378-462 1). The Board iSlOcated at 700 Summer St. NE Suite 300, in Salem. - / prop-own.pm4 1/94 ti 65• .' "'CI. L, dlisiBeg'"' • � 0 ti 006 ul .4 % ' 47/9 C ITY OF GARD • I BU ILDING I PLAN REVIEW • ( -1 Z• imisof ) *le; 0 4 /6 SI'1'IE " + (,y f OF TiGA� � � �� , AO PL,AN N N r PERMIT NO.: r oved I 0 I : roved ` © 0 Not APP '" Required DIVISION / Required .'et ' S Street Side: Rear: ... ►d Gar e: Not Appro 0 ' ' A 0 ;; ,a1 'IearanG feet � No .0, ,iht �- ,Yes taxi ( urn i P ng He}� uir d • ,��r [J Received �.�r � Cerv,ice Pro�r er Letter e � ' � IOfU LIN :, - _ ; Date: 0 • � L � .. I ' � ' pEPARTME roved' GINEERI A dp o ❑ Approved ❑ Not App t f /o 0 Not Appr se F tual Slope — �ppcoved 3 � , . MEP so 6 ‘ I ite Plan: Date:. ° ,� , � Notes i el A ", - 4 -,, , , , , I I 54 ) rill ---,„ l + ra / ,, , / f Ann tit: 0 • i ` 'b1. WI 44'1/4 ,,,,' ir "1"' Cli(if"it* I j e i f ,A i i , 4 of 0 0 cc- a IPIP f , ' A r v. i r CITY OF TIGARD ,• - I BUILDING DIVISION PERMIT #: BUP2f06 -00277 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/20/2006 Phone: (503) 639 -4171 Zli Inspection Requests (24 Hrs.): (503) 639 -4175 l .: INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7:06AM PAGE: r ,.y SITE ADDRESS: 13310 SW CHELSEA LP CLASS OF WORK: SUBDIVISION: CHELSEA HILL LOT #: 028 TYPE OF USE: PROJECT NAME: HOLLOWAY DESCRIPTION: Build 254 sq ft deck. OWNER: HOLLOWAY, ROGER PHONE #: 603 -684 -9638 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 802006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 034262-01 503-684-9638 N Corrections /Comments /Instructions: \ \ ti I PASS El PARTIAL APPROVAL _CANCEL ❑ NO ACCESS 1 I FAIL . CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ,- Date: 8 —/& Phone #: (503) 718- t.51-¢,5 ''' CITY OF TIGARD ' " .' BUILDING DIVISION PERMIT #: 'BUP200E.00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006 Phone: (503) 639 -4171 :NI I Inspection Requests (24 Hrs.): (503) 639 -4175 ...=. 0— INSPECTION WORKSI -IEE =OR DATE: 8/1/2006 TIME: 7:02AM PAGE: 68 SITE ADDRESS: 13310 SW CHELSEA LP CLASS OF WORK: SUBDIVISION: CHELSEA HILL LOT #: 028 TYPE OF USE: PROJECT NAME: HOLLOWAY DESCRIPTION: Build 254 sq ft deck OWNER: HOLLOWAY, ROGER PHONE #: 503 - 684.9638 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 0/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 034148-01 503-684-9638 N Corrections /Comments /Instructions: • PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins Inspector: Date: .P / —lam 1 - t--` `1 .l p D e Phone #: (503) 7 8 f '� yN CITY dF TI BUILDING DIVISION PERMIT' #:`' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Z++ °_ C Phone: (503) 639 -4171 /ommrs ��� p Inspection Requests (24 Hrs.): (503) 639 -4175 ' 'I �.. . INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: (�-g((2) t- c? CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: E C20 CA PHONE #: • CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Z7S tc3 rd - Corrections /Comments /Instructions: mar offiro, low„,; ---4 . R_oc.1__ &T s' Lc E. f , i Walk ( 1105P FEE (0 VE Z PASSI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI n CAL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED vil _ din Inspector: , C I Date: hone #: (503) 718- ��� CITY OF TIGARD . g • - .. . BUILDING DIVISION PERMtT #: 'BUP2006-00277 13125 SW Hall Blvd., Tigard, OR 97223 A . DATE ISSUED: 7720/2006 Phone: (503) 639-4171 . 4:!10 9 411, Inspection Requests (24 Hrs.): (503) 639-4175 „..9- '• IL INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 13310 SW CHELSEA LP CLASS OF WORK: SUBDIVISION: CHELSEA HILL LOT #: (pB TYPE OF USE: PROJECT NAME: HOLLOWAY DESCRIPTION: Build 254 sq ft deck. OWNER: HOLLOWAY, ROGER PHONE #: 503-6849638 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7124/2006 Pour Time: 10:00 Code # / Inspection Description Confirm # Contact # Message 205 V Footing n 6 033599-01 503-686-2436 N . , Corrections/Comments/In tructions: - 7 2\ 6, C465 MIAMMAIMIlli , Lq riso-Lei S > el ,•• , C vv■-c, e27"- Q'i e'J c 1. ■•_4. 44 • .—vN A,e G_Gi-‘.. 7 . . ..t._ ... . v , ....... 4---kNe --7".A 5-‘,(L,s--Q ..... • J _ 4---- ,...., ,, .. , - , . ___,....,,„.. / 0-- -- , i 1,,,,,,,f 1 ,. /a c--kr- • A / ev4s- (2* .2-‹t....---k-In • ,,,-- c<' I i 1 I PAS ---". ' PARTIAL APPROVAL 0 CANCEL El NO ACCESS " 4 ' FT , CALL FOR INSPECTION ;# ADDITIONAL FEES ASSESSED : Inspector: V ( it , / Date: 7/ Phone #: (503) 718- _ ,. i CITY OF - BUILDING D IVISION PERMIT #: '8UP2006- 00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2Q/30( 6 Phone: (503) 639 - 4171 Ai �l71;�6 i . 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ��' F 'I �.. INSPECTION WORKSHEET FOR DATE: 7/24!2006 TIME: 7:01AM PAGE: 13 1 SITE ADDRESS: 13310 SW CHELSEA LP CLASS OF WORK: SUBDIVISION: CHELSEA HILL LOT #: 028 TYPE OF USE: PROJECT NAME: HOLLOWAY DESCRIPTION: Build 254 sq ft deck. OWNER: HOLLOWAY, ROGER PHONE #: 503 -604 -9638 CONTRACTOR: OWNER PHONE #: I Inspection Request Scheduled For: Date: 7/24/2006 Pour Time: Code # i Inspection Description Confirm # Contact # Message 275 Framing 033600-01 503-685-2436 N Correcti s /Comm- is /Instructions: 1 f ' Z a • , � 3 . —7 /2, \4 . C l :0 e-y--7// //"Q_ 6 _1) . D Alio 7-- (O Z &v_ . k fie_ce.„-.0.\,--ta . i 7 D S !Mgt : a '' 1- 5 C L. (it_, ...g- . a V V1-.2.2,14 • - L---11� . . t r ' . VA (fi/i,\41)(N4.1 e 51.,4__A•--e 151 n -J 5 -1/--i 6-051 GLV 42,5 ...-------, a A 'A 4 ov-e_c (a 4 @ ' e.e_eitirk- . I PAS • ' PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL u CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Inspector: ` i G Date: 2 T/ 4 ' Phone #: (503) 718 - ' 2 Z"/ f CITY 'OF TIG A.R D BUP200 00277 BUILDING DIVISION PERMIT #: 7/20/2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 � „ ��` Inspection Requests (24 Hrs.): (503) 639 -4175 : ..ii i. 7/21/2006 7:01AM 23 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 13310 SW CHELSEA LP SITE ADDRESS: CHELSEA HILL 028 CLASS OF WORK: SUBDIVISION: HOLLOWAY LOT #: TYPE OF USE: PROJECT NAME: Build 254 sq ft deck. DESCRIPTION: HOLLOWAY, ROGER 503 OWNER: OWNER PHONE #: CONTRACTOR: PHONE #: 7/21/2006 9:00 Inspection Request Scheduled For: Date: Pour Time: Co # I NNW Description 99ht"fi!d Wag-5136 Message Corrections /Comments /Instructions: 1 ! ��c 4 (.-sqlv No i Ag gPeC414-A../ ❑ PA ❑ PARTIAL APPROVAL ❑CANCEL E] NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2- - Phone #: (503) 718- CITY OF TIGARD BUP2006-00277 BUILDING DIVISION PERMIT #: 7/20/2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 "ipVfl� Inspection Requests (24 Hrs.): (503) 639 -4175 f:_.. 7/21/2006 7:01AM 22 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 13310 SW CHELSEA LP SITE ADDRESS: CHELSEA HILL 028 CLASS OF WORK: SUBDIVISION: HOLLOWAY LOT #: TYPE OF USE: PROJECT NAME: Built! 254 sq ft deck. DESCRIPTION: HOLLOWAY, ROGER 503 - 684 - 9638 OWNER: OWNER PHONE #: CONTRACTOR: PHONE #: 7/21/2006 Inspection Request Scheduled For: Date: Pour Time: Cop# Irvin Description 99 �aQg-t436 Meseage Corrections /Comments/ Instructions: • PASS I I PARTIAL APPROVAL I I CANCEL ( I NO ACCESS IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - -2.4-