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Permit 4 f BUILDING PERMIT CITY TIGARD PERMIT #: BUP2002 -00449 ; . r DEVELOPMENT SERVICES DATE ISSUED: 1/17/03 ,,� I - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 102 6 C -00902 SITE ADDRESS: 10100 SW WALNUT ST SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: 029 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 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 Remarks: Remodel SFR, including 1. extend balcony in Great Room and 2. add passage from Living Room to Wet Bar. (Electrical under ELC 2002 - 00395) Owner: Contractor: JEFF TAYLOR OWNER 12780 SW CREEKSIDE DR SIGNED RESPONSIBILITY TIGARD, OR 97223 FORM IN FILE Phone: 503 - 684 -5037 Phone: Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp [BUPPLN] Pln Rv 10/10/02 $40.63 Final Inspection [BUILD] Permit Fee 1/17/03 $62.50 [TAX] 8% State Tax 1/17/03 $5.00 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 - .:: -d by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through O. s 952 -001 -0 00. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -669• or 1- 800 - 332 -2344. 1 Issued By: _A„ ' aZ 41„ Permutes II , I LW-- Signature: 4p Call 639 -4175 by 7 p.m. for an inspection the next business day , . • . , , /\ Building Permit A lication , C E WED i i Ci ty of Tigard Date received: /0 /0 O �- Permit no.: Oil , ,, �� -.. Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, TiganLQ . 9 2 . ` Phone: (503) 639 -4171 I.J 2002 Date issued: By: Receipt no.: \ Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type: v \l Land use approval: BUILDING DIVISION l &2 family: Simple Complex: h.. . ';'., TYPE OF PERMIT II 1 & 2 famil dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition 0 Additi • alteration/re , acement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: — JOB SITE INFORMATION ' Job address: (0 10 0 U..) - kW,* l Bldg. no.: Suite no.: g l � � OYL Q ?1.13 g• S 1 Lot: I Block: ISubdivisi•n: [Tax map /tax lot/account no.: Project name: A _/ • / A \ Description and location of work on prem•ses/s t al conditi, l 9. Q Ctap.�m * 1 NAB S i . i ,.•.t fu ri7 ''' i A Ai-•_JI . .. �4 V ii!4,/L — r'l ' ' ;OWNER . i . . FOR SPECIAL INFORMATION, USE CHECKLIST .. �, i Name: 3 ` I0� (Floodplain, septic capacity, solar, etc.) p Mailing address: (1. Q (J LW Cret; (c 1 } %u b' I & 2 family dwelling: N City: T,g44 'State:oQ IZIP: g7 a.1„ - Valuation of work $ 6 Phone: S03- -_ -5 or IFax$pi -c2.H S(lai I E -mail: yeR0 67 c9 c((p . k No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E-mail: New dwelling area (sq. ft.) APPLICANT _ Garage/carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) r City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /mull}- family: b y CONTRACTOR Valuation of work $ Business name: (� W Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: City: I State: I ZIP: Number of stories Type of construction Phone: I Fax: I E -mail: CCB no.: Occupancy group(s): Existing: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ., ARCI1lTECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: I ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: Name: Contact person: Fees due upon application - $ Address: Date received: City: (State: IZIP: Amount received $ Phone: I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and ex s application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All pro f isi ns of aws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied wi h, r • s , - i e i II - in or not. Credit card number: / / Expires Authorized signatu - n ) l Date: 10-10-6- Name of cardholder as shown on credit card Print name: 3 �� !C Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted is complete. 440 -4613 (6/00/COM) $4 ,Cp3 One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: ryofTigard Associated permits: City City of Tigard .. El Electrical ❑ Plumbing O Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 O Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 . 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. 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 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 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614 (6/00/COM) . RECEIVED Permit #: ,i6u 6.09,,9-0:2eiq DEC 27 2002 CITY OF TIGARD Address: /o /DD ac) 4_)/k Cr BUILDING DIVISION , Issued by: t j Date: / -- / 9 - ‘ 7 3 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: lit 1. I own, reside in, or will reside in the completed structure. V 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale I e 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 1E1( 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 CC: . d will immediately notify the office issuing.this building permit of the name of the co ctor. I hereby certi that t • e above information is correct and that I have read and do understand the Information Notice to Pr I ,s erty ti wners abou Construction Responsibilities on the reverse side of this form. /1 ' . i / ( 0i — fi Z IF _ (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) • � s - e �%• • fin ; 1 _��'� Enfoumadon MaNce Prr *pe Menem- - Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with C)RS 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. EIIMPLSfYER RESPOHISHSBUTfES: 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 bean employer and the people you hire will be employees. 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 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. Ifyou fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs ifoneofyouremployees is injured on the job. For more information, " 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 RESP NSI LOTIES AND AREAS OF CONCERN: Code compliance: As the perm it 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 ifyou have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures. tire. 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 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503)439.4175 6 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP — e)0 Received Date Requested G ° F AM PM BUP Location / a / ay h.:P Suite MEC Contact Person • Ph ( ) PLM Contractor Ph ( ) SWR UI LDD Tenant/. 6 9* ) ELC Footing (/ / J 5r.3 ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: -C r / D cirne.H 7IT Post & Beam Shear Anchors Ext Sheath/Shear — Int Sheath/Shear - -� Framing • Insulation ( ~ ` Drywall Nailing ' 1i� 6-� Firewall t _ — 7 t✓��� Z — V ' �`7S Fire Sprinkler Fire Alarm / /'/ V a Z CFC) . Susp'd Ceiling Roof Othe • PART FAIL BING Post & Beam Under Slab Rough -In 11467 Water Service Sanitary Sewer X I ' Rain Drains '' 1 Catch Basin / Manhole U 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 1 _ Approach/Sidewalk Date `/ / Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL