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Permit (67) CITY OF TIGARD MASTER PERMIT : 1 COMMUNITY DEVELOPMENT Permit#: MST2018-00145 13125 SW Hall Blvd.,Ti Date Issued: 05/31/2018 TI(;,11t.() and OR 97223 503.718.2439 9 Parcel: 25111 CA00400 Jurisdiction: Tigard Site address: 15195 SW 98TH AVE Subdivision: ALDERBROOK FARM Lot: 10 Project: Nelson Project Description: Convert 756 sf basement into new habitable space for(2)bedrooms and(1)bathroom, and relocate stairwell. All trade permits under separate permits. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 2 First: 0 sf Basement: 756 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Yes Total: 756 sf Value: $15,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 756 Owner: Contractor: NELSON,GARY&SANDRA OWNER Required Items and Reports(Conditions) NELSON,KEVIN ERIC KEVIN NELSON 15671 SW SUMMERFIELD LN 15167 SW SUMMERFIELD TIGARD,OR 97224 TIGARD,OR 97224 PHONE: PHONE: FAX: Total Fees: $544.77 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification - . Those rules are set forth in OAR 952-001-0010 through O''952-001 1'•0. • ay obtain a • of the rul-or direct questions to OUNC by calling 50 . 32 -87_or_1_800.332.2344. Issued By: Permittee Signature: ��Le _ �,v Call 503.639.4175 by 7:00 a.m.for the next available insp ion date This permit card shall be kept in a conspicuous place on the job site until completion of, e project. Approved plans are required on the job site at the time of each inspection. Building Permit ApplicatiEIVED Residential 7 p FOIL OFFICE LSF ON 1.) City of Tigard MAY 21 !018 Received Date/B ®a I,00i Permit No&C":#20.4 —C20/4 il 13125 SW Hall Blvd.,Tigard,OR 97223)11 TIG p ��qq, Plan Review I Phone: 503.718.2439 Fax: 503.5 6 Tll5Ak1D Date/B : S i i Other Permit: Ti C,A R D Inspection Line: 503.639.4175 g� g� t� Date Ready/B } �� ® See Page 2 for Internet: www.tigard-or.gov BL IL l �Lj DIVISION Notified/Methods s Supplemental Information TYPE OF WORK REQUIRED DATA:1-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. ,611 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead, . •-..rofi tfor 41` CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ !-- ❑ 1-and 2-family dwelling IDCommercial/industrial " =� ❑Accessory building ❑Multi-family Number of bedrooms: M7).i Ale-CO ❑Master builder 0 Other: Number of bathrooms: hti. ol✓u✓hj JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /07 f j ...,74/ 9e-A gve. . New dwelling area: 7 square fee + Vk" City/State/ZIP: 77:14{d, ©g e i 2-.2-7.6 Garage/carport area: ‘140/ square feet r Suite/bldg./apt.no.: Project name: _ Covered porch area/ square feet Cross street/directions to job site: Deck area: QpP .k\ - fe t J Other structu4e i t : `5 kc-',od. REQUIRED DATA:COMMERCIAL-USikHECKLIST 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 �e✓ ,>F'/�c�i`I!1tS .` - - •. ipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK ' 'V work indicated on this application. Ai‘/E72_7---- . 1 —•v— ff3�:��L-S = id Valuation: $ //V7 6,!) / 0/7s- 1 iJ 6"�" 0/y &Z_ �')c",.` Existing building area: square feet .r/////2 e A*6 y .9 -r- "Jc-ig./y/- — New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: /Ker�i/V 04 S0r I .Aii mai/ Type of construction: Address: /'5/G 7 5 /11fir SOL pL/I/ Occupancy groups: City/State/ZIP: -7760D 0,e-7p>z-t� Existing: Phone:( ).,9D3 G 3 f lS'39 Fax:( ) 6v3 73't' X77, New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: �` (Please refer to fee schedule) S - _, Structural plan review fee(or deposit): /49` , 020 Contact name: Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: q1, ,.„;LO E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signature: ., �� This permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. Print name:fJ /1/VL , Date: 4-.--../- g *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE Isl: oyLv City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T I G A 12 D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les 1 0 V,a 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ ❑ 3 Verification of approved plat/lot. 0 0 0 • 4 ,,'Fire district approval required. Name of district: 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. 7 Water district approval. 0 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑ 9 Erosion control 0 plan 0 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 0 0 0 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 0 ❑ 0 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 0 ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑ 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- 0 0 0 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 0 ❑ ❑ 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 ❑ ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 ❑ 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 as slicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)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. ❑ 0 ❑ 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. Cl ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ El 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\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) : ' * Information Notice to Owners About Ohl° P Construction Responsibilities Niker_14 (ORS 701.325 (3)) Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: • Oregon's Withholding Tax Law: Employers 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: Employers 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. • Oregon's 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 go to http://www.oregon.gov/DOR/BUS/docs/211-055.pdf for the appropriate forms. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their 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 workers 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. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their website at www.irs.gov. Other Responsibilities of Homeowners: • Code Compliance:As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. • Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. CONSTRUCTION CONTRACTORS BOARD 700 Summer St NE, Suite 300, PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 —Fax: 503-373-2007 Website Address:www.oregon.gov/ccb f/property_owner adopted 9-23-08 This Copy for Permit Applicant RECEIVED Property Owner Statement ,q-.Y 2 1 2018 Regarding Construction Responsibilities iiyOFTIGARD Oregon Law requires residential construction permit applicants who are not licensBakBINEG DIVISION Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) 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. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. 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 select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. 1051 AioA so/ti6d g x� s4e,r/ Print Name of Permit Applicant / . 4.214-a— LA vr~ S-/7-i 8 Signature of Permit Applicant Date Permit#: Address —un ' ...***4.1..7 Issued by: Date: E1- This Copy for Permit Offices City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15195 SW 98TH AVE, TIGARD, OR, 97224 January 14, 2019 at 9:24:21 AM Record Type: Record ID: Residential - Master Permit MST2018-00145 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor