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10200 SW KATHERINE STREET I O N O O x H lT1 :U H z t� H L� CI] H I i I �„ 10200 SW KATHERINE STREET ...- CITY CF TIGARD �l DEVELOPMENT SERVICES ^e-1,;ZALM 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 I,'ERT I F 1 cri-r E. OF Gf.;CLJPAIdIW Y PERMIT #. . . . . . . : MST93-•0447 DA I-E ISSUED- 1111/19/96 PARCEL: 251 Oct:B--00500 I TE ADORES'1. . . : 1O200 !JW KATHERIIVE 51- 1HDIVISION. . . . : GREENNURU HEIGHTS ADDI'llml ZONING: R--4. 5 I._OCK. . , . . . . . . . . LOT. . . . . . . . . . . . . :0115 .JUI`415DICTIOIJ: 116 _AFiC. OF WL)I<I;. :NE4J YPE OF UGF. . . :SF YPIE--' OF CON':3TR:bN C:LUPANCY GRP. :R3 CUPANCY L OAU: 1 k e ni a4 r k W&FACTURLD HOME FOUNDATION AND SET UP Owner : NLNNE"M FUI._LIVER 1 d3 75 SW 131H S1 bE--AVERTU4 OR 97005 Phone #: 64:3-9L:15 OhITIAM Ii[JMF.::a iARVE:R E.NT'ERF'Rlcjf-.* 'i LLC L3/3 MILL_ CREEK RD �-11YISV I LLE. OR 97325 none #: SN - ((7y�69 Ler^tific.atp grants occupancy of the above referenced building or, portion er^eoi and confir-ms that the hi.tilding h,.--m; been in:apec-ted for compliance with btate of Oregon Specialty Lodes for the group, ocr_upancy, and use 1-index, , i.c~h the refPrE:AnL:f?dr^mit Was Issued. ihJG 1N' FNC IUI'2 y INSPC c: i SI.JF'E::RVISOR POSY 11\1 L ONSP I LUOU5 PLACE. I ELECTRICi1L. PERMIT L/ CITY OF TIGARD PERMIT # : ELC95--OC.6i COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/28/95 13 125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)539-4171 PPiR;CL.- 5fTE. ADDRESS. . . : 10200 'SDW KATHERINE ST SUBDIVISION. . . . : GFREENBURG HEIGHTS ADDITION Z ON I NG: R-4. 5 BLOCK. . . . . . . . . . . L-01.. . . . . . . . . . . . . .. 1'1 Projec-t Description: Inspection of permit originally iSSUE'd at Washington Cot.nit and now exnirpd. LINTT-- -------'TEMP SRYC/FCEDERS_._. ........... 100 Sf- OR LESS. . . . 0 0 200 amp. . . . . . . . 0 PUMP/I RR I GAT I ON. . . 0 FOCH ADD' L. 500517. 0 "'.01 400 amp. . . . . . . : 0 SIGN/OUT I t,117 1._T , IP MITED ENERGY_ 0 401 600 anio. : 0 SIGNAL/PANEL. . . . . . . . 0 HM/ SVC/FDR. . : 0 601-1-amri1000 volts. : 0 MTNOP 1_.ASE1. - 0 ICE'/FEFDPP-------- -----SrANCH CIRCUITS—— ----ADD' L INSPECTIONS— ,amp. . . . . . : 0 W/3E_R4ICE OR FEEDER: 0 rcp TNr)pr-.c,rION. . . . . 1 400 am;). • . . . . ; 0 1st W/O 5RYC OR FDR. :DR. : 0 PER HOUR. . . . . . . . . . V, 1, Will : 0 En ADD' l_ 1_3RNCH (--IRC ' 0 1 ki PL A N 7. . . . . . . . . . 0 '10 __.._.________.__---PLAr\l REVIEW I 10k amp. . . . . :. : 0 ,100 4 AM()/Vljlt. . . . . : 0 ) =4 RE!'3 UNITS. . .. . . . . . : 61710 VOL.T NOMINAL— : Reconnect only. . . . . : 0 SVC/FDR > = 22'5 AMPS. CLASS AREA/SPEC OCC. : FEFS �N TOLLIVER type amoullt by date ret-pt 200 SW KATHENTNE PRMT $ 35. 00 JSD 111,1'8/95 95 5F-ICT $ I. 75 JSD 12/28/95 95--E744 q, OR ')76'.J'.1-. none #- 6A4-8. :QWN ..WNUP 3r,. 75 TOTAL. PEDUIRED INSPECTIOW! Elert, I F'irlal P h(I This oersit is issued subiect to the Peoulatiors contained in the Tioard Municipal Code, State of rlv-e. Soecialt, Codes and all ether P P r al I t t R,r,, i resat 1_1r v anplicable laws. All work will be done in accordance pith aDoroved olans. This oereit will exDire if work is not started within 180 days of issuance. or if work is suscended for ove than IN days, iP C, I. TNI;TAI.',.ATI(') ONLY The installation is being made on property I own whir--h is not 4 -itended for Salo. 1pase. or V-011t. OWNS L4 . .GNAIURI'-: DATE INSTALLATION ON1_Y-.---------- SIGN01'URE OF' SUPR. ELECT N: DOI E 1_ 1:12ENSE1 NO: Cs I I for n sr Pct i on - 63,9--4175 -ommunity Development ELEC1I—AL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Parrr # Date Issued Phone (503) 639-4171 CITY OF TI�ARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. ,lob Address: 4. Complete Fee Schedule Below: Name of Developmentf IAp _ Number of Inspections per permit allowed Address'�.)x S� / �,V!C st Service included items Cost(ea) Sum City/State/Zip TOW11' ig713 4a. Residential -per unit Y " '' Q 1000 sq. ft or less $110.00 _ 4 Name (Or name of business) i!-im Iodivf " Each additional 500 an,ft.or portion thereof $25.00 Commercial ❑ Residential Limited Energy $29.00 1 Each Manurd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $86 00 - 4b. Services or Feeders lostallation,alteratiro,or relocation Electrical Contractor.Y___ 200 amps or leas $6000 Address _ 201 amps to 400 amps $8000 2 City State ( 401 amps to 600 amps $12000 2 Phone No. -- — 601 amps in 1000 amps $18000 Over 1000 amps or volts $:,40 OC Job NO. Reconnect only $50 90 ` contractor's license NO. 14c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,alteration,or relocation Signature of Supr. Elec'n 200 amps or leas (' 201 amps tc 400 snips _ $5000 —�--- 2 License No.�_- r n hone N0. 401 amps to 600 amps $75 63 ---- Over boo amps to 1000 volts $100 Or ------- 2b. For owner installations: see'b"above 4d. Branch Circuits Print Owner's Name e `� __ New,alteration or extension per pane Address S a)The fee for branch circuits with purchase of service or feeder fee. City State,6a Zip _ Each branch circuli $5 Phone NO. _ �LL"Y) T b)The fee for branch circults without The installation is being made on property I own which is purchase of service orfiedorto*, � _ not intended for sale, lease or rent. First branch Ifcull $35 0(1Each ad .tlonal branch circuit $500 Owner's Signature __----. 40. Miscellaneous (Service or feeder not included) 3. Each pump or inrgation circle $4030 ? Plan Review $PCt/Qn (if required): Encti sign or outline lighting _ $40 00 -- Slgral circult(s)or a limited energy --- -- ? Please check appropriate item and enter fee In section 6B. pnnet,alteration or extension __ $40 00 4 or more residential units in one structure Minor Labels(10) $10001) _-_ Service and feeder 225 amps or more System over 600 volts nominal 4f Each additional Inspection over Classifijd area or structure containing special occupancy the allowable in any of the above as described in N.E C Chapter 5 For insp,lctton ) $3500 Per hour $5500 � - Stlhmit 2 sets of plans with application where any of the abov-! In Plant $5500 apply. Not required for temporary construction services. 5. f=ees: NOTICE 5a. Enter total of above fees $ 5%Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUC'ION bb. Enter Subtotal of line A for $ AUTHORIZED IS NOT COMMENCED WITHIN 180 Dil YS• t'S'IF CONSTRUCTION OR Vr ORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DA O'S ATANY TIME AFTER WORK IS Subtotal $ COMMENCED. wodee, l Trust Account 6 .rm $ Balance D!,e CITY OF TIGARD COMMJNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tigard,Oregon 97223.8180 (503)838-4171 I I �,. IA: CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 67223.9130 (503)836-417q CITY OFA Z IGA►_R1D 131B SW ti,u nna PLNCK/RECT # COMMUNITY DEVELOPMENT 7EPARTMENT ra�4ckcg><,9nv PERMIT N //+��T_;' Y / (503)63917 DATE ISSUED JOB ADDRESS: JL�Z UD S n q tip - reW TAX MAP/LUT I S J Z SUB: -- --- - ----- -- Loc: _—�--- — (AND USE: VALUATION: -% OWNER SPECIAL NOTES NAME: _ em—&CVL—0- — �_ REISSUE: OF: �— ADDRESS: 2 3 �_��"� �� LAST REISSUE: ---_ `/ J�OD✓t –` — FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR / [ APPROVALS RFOUIRED AY-. (moi^!r /� St / 1 NAME: P_�' �,r PLANNING: �b'ACI�S �'fC � p��D Al�bl�� ) nrlDRESS: -Y2USL ENGINEERING: FIRE DEPT: PHONE: l F,I�.�V�{.�.(J`'1 Q.QG U �L�, Z -- OTHER: Tl f _ CONTR. BOARD #: EXP \! ITEMS RFQq-RFD SUBCONTRACTORS: PLUMB: _ _ _ LIST/SUBCONTRACTORS: �r f MECH: BUS TAX: ARCH�ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: 01-11ER: 6'-AS +aE✓"F�r r s�DurSr!J d PHONE: ------ 8�C geFa<E if CEiviwf- A- 91"e, A04 TiY+E AAD Ile0o\)' PROPOSED BLDG. uSE: i Wof 1� COMM ENTS: _% t ! APPLICANT SIGNATURE Received By: 4 _ Date Received: I %- PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PO BAL. DUE /�,1f •UL��y 10-432 00 Building Permit Fees /O S'- J 10-431 00 Plumbing Permit Fees 0 _ � 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) �'- 45 Building Plumbing Mechanical 1G- 433 00 Plans Check Fee Building _�- Plumbing Mechanical 10-2.30 06 Fire 30-202 (10 Sewer Connect 4 on y•; r ✓ ,Z Z O d / 30-444 00 Sewer Inspection 25-448-02 Conunercial TIF Fees 25-448-04 Industrial 11F Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 2.5-448-01 Residential Traffic Fees �lv 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) ' J 24-445-01 Water Quality (Fee in fieri of) 24-445-02. Water Quantity (Fee in I ieu of) IOTAt_ �� )',fir 5 ' _ d nm/3587P.WP! CITY OF TIGARD OREGONi 7 VOLUNTARY COMPLIANCE AGREEMENT I, Kenneth Tolliver. , do hereby agree to provide at least one on- site covered parking space and one additional on-site parking space for the manufactured home to be located at 10200 SW Kathreine. Street in the City of. Tigard within 90 days of the issuance of the Certificate of Occupancy. I understand that if I fail to satisfy the terms of this Voluntary Compliance Agreement I may be subject to receiving from t,,a City of Tigard a Notice of Complaint and a Summons to appear in court and that I may be fined up to $2.50.00 per day for every day tha required on-site parking, as described above, is not provided. -22 Signature Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 —---- — - Details of Mfg. Home Proposed site 10200 SW KATHERINE STREET Owner: Kenneth Tolliver 32375 SW 13TH STREET Beaverton OR 97005 643-9215 or (800) 289-0001 x6398 Manufacturer: Skyline Corporation-- McMinnville, OR. Model : BROOKSTONE #9607 Dimensions: 28 ' x 66 ' Walls: 2" x 6" i611on center Wall Coatings: Wall Paper in Utility & 2nd Bath; rest will be "Tape & Textured" sheetrock Exterior Coating: T-111 painted light grey Floors: 2" x 6" Floor. Covering: Carpeting throughput except ; Bathrcoms, Utility, Dining & Kitchen will be vinyl. Roof: 3 : 12 Pitch, ' Tab Fiberglass Shingle3 Foundation: 6" nominal thickness concrete runners per attached Manufacturer's specs . Skirting: Cinder, Blocks i Building mast k:e c-)mpletad POST$TRIET A09RESS NUMBER UN according to CIS'y cr,tJWS anJ !OO .'I t E PRIOR TO FRSI CALLED final inspet;tictrt r-Yide, bed a INSPECTION' "O THAI IT IS READABLE CITY ( 'ric',mr) Fhom URB, f; ,•.v, /01 rw /z N/-r S.T: N,f�G K,7uy[r , a � I.; Z).Plufuiily el v , t.l a �n 34.-l_ �.3 '�. .r��... ........ .. . . ...._....�_ 17- �. N `�` �Oh3t „.w.w•..w�wuru... . r . . ! s 41� !,rrl l{/ILIr , (SCI lot) I`4(•�y11•.)'� Y4I v ��bF � II• �.('/ufc�ilyy �` p l l IraPosr4 i' s •� - -..7..7•._.1-_.. _...____. .. �_ w�o�"' M__......._.._..._•.............. ..`�..1�.r�...-...._,.. .. . . ....... �/Y i Ti� l✓oeh C� ��J �` tic It' IvT CITY OF TIGARD F'ERMIITS#ER. ... .II rMST9`o+%+a COMMI,INITT' DEVELOPMENT DEPARTMENT DATE ISSUED: 11/19/93 13125 SW Hell BI -iCerd,Oregon 97223.9199 (503)639-4171 PARCEL: 2S 102BLA 00500 SITE ilDDRFSS. . . : 10t 0121 SW KATI-IERINE ST SUBDIVISION. . . . : GREENBURG HEIGHTS ADDITION ZONING' R-4. 5 C'Lt)l: .. . ' _' '.__' - ' LOT. . . . . . . . . . . . . . 15 -------- BUILDING RGI aJEDI _ _--�BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :-IVEW aC6 OEDRMS:2 BATHS: 1 GARAGE. . . . . . . . . . :7E0 S SF- FLOOR AREAS - _..._.._ ..--._.. REQUIRED SETBAC:I'.S_.___.__--_._._._ TYPE OF USE, . . - . TYPE OF CONST. :5N FIRST. . . . :490 s f LEFT. . :0 ft R I GHT. :8 ft OCCUPANCY GRP. :R3 SECOND. . . :0 s f FRONT. :40 ft REAR. . :30 ft STORIES. . . . . . . : 1 THIRD. . . . :0 ,f REQUI 14E 1 GHT. . . . . . . . : 14 ft TOTAL.---•- - . - :49 0 s f SMOKE: DETECTORS. -.Y FLOOR LOAD. . . . : 40 ps f VALUE. . . . . $ : 35500 PARKING SPACES. . : 1 Remarks : ADDITION OF 490 SO FT LIVING AREA AND 720 SLS FT GARAGE PATH I PLUMBING SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTt;S. . :0 L.AVATORIES. . . . . . i WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0 TUP/SHOWE:RS. . . . : 1 LAUNDRY TRAYS— :0:0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . : 1 f _WER LINE (ft ) . :0 GREASE TRAPH,. . . . . . . :0 D I E,)HWASHERS. . . . :0 WATER I.-INE (ft ) . '0 JTHE12 FIXTURES. . . . . :0 GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :0 WASHING MACH. . . :0 SF RAIN DRAINS. . : 1 MECHANICAL ------------------------ FEES FUEL. ,'YPES-•----•-•-•------ UNIT HTRS. . .0 type amo+.tnt by date recpt /GnS/ / / VENTS . . . . . :4 BPRT $ 220. 00 JH 11/19/93 MAX INPLIT:O BTU VENT FANS. . :0 BPLC $ 143. 00 JH 11/19/9:3 - r URN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 11. 00 JH 11/19/93 I- URN ) =1001j, . . :0 WOODSTOVE3. :0 MPRT $ 28. 00 JH 11/19/93 FLUOR FURN. . . . :0 CLO DRYERS. : 0 MPLC $ 7. 00 j'H 11/19/93 - IIOIL/CMF' ( 31•lP:01 OTHER UNITS:O M5PC b 1. 40 JH 11/19/93 - GAS OUTLETS:O PF'RT $ 37. 50 JH 11/19/93 Owner : _____-----_.____._______.__.--•--.--_ .__._ _._.._-F'SPC f 1 . 88 JH 11/19/93 KENNETH TOLLIVER 1 :375 SW 13TH ST 0EAVERTON OR 97005 Phone #: 643-9215 ,'ontractor: OWNER Rhone #. Reg #. . : 00000 $ 449. 78 TOTAL This permit is issued subject to the regulations cont fined in the --- - REQUIRED iN:iPECTIONS - -•_._.___._. Tigard Municipal Code, State of Orr. SpPLialty Codes and all other Foot/fo+_tnd Insp Gyp Board Insp applicable laws. All work will be done in acnrda%e with approved Post/Beam 3tr+.1c,t Rain drain Insp plans. This permit wall expire if work is rn` ,.arted within 180 Post/Beam Mechan Mechani;:al Final days of issuance, or if work is suspp-.,;ed for more than 180 days. PLM/Underfloor 1711+.tmb Final � L Mechanical Insp B+..tilding Final Permittee Signat+_tre ; i _t �c __ ._----.._..___ 'lamb Top O+_tt Erosion Control Framing Insp Crawl Drain Ins+_tl.at ion Ins p I s s+_ted l�y : 1._/ _ -- -.e..._.—..._ i �., Cell for inspection -- 639--41'75 CITY OF TIG AD 131Z5SWIi,utMva- PLNCK/RECT # COMMUNITY DEVELOPMENTDEPARTMENTTTgard,Om"9ru.3 PERMIT # &73(f, U�fc(Y (507)63"171 DATE ISSUED JOB ADDRESS: fir,,�% 1 .— TAX MAP/LOT SUB:C'w't, 6 y�._q .tib LOT: > LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: �n•�_� +/ — — REISSUE OF: ADDRESS: �3_'' > } �.<- / .l 1� LAST REISSUE: _ --- ); PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 7sa -v 10-431 01 Mechanical Permit Fees %��' / _ abs•' 10-230 01 State Building Tax (5%) Building –Z—/ Plumbing IJ Mechanical U 10-433 00 Plans Check Fee Building 7 Plumbing Mechanical 7 v� 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) A _ -- 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTALS 1 nm/3587P.WPF Permit No: _ Address: M Issued by: Date: -_FOR OFFICE USE ONLY----- STATEMENT: NLY— —_STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plufobing 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 applicable blanks, and initial boxes 1 and 2, and either box 3A or 313: 1 . I 1 I own, reside in, or will reside in the completed structure. 2. 1 u iderstand that I must register as a construction contractor if the structure is sold or offered for sale before or upono on. I 3. A.C��_ I My general contractor is _- _- - "- __ -- _ ___ __ - ___ __ - , r'.ontractor registration number ----- I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered witn the Construction Contractors Board. OR 3. B L � I will be my own general contractor. If I hire si:hcontractors, I will hire only subcontractors registered with the Construc- tion Cr.-tract., b Duard. If I change my mind and do hire a general contractor, I will contra-.t with a contractor who is registered with the Construction Contractors Board and I w:!' immediately notify the office issuing this building permit of the name of the contactor. I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Signature of Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8/01 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NC71 E: This Information Notice to Property Owners About Construction Responsibilities was developed by is Construction Contractors Board in accordance with ORS 701.055, passed by the 1989 Orogon 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 areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Goostruction Contractors Board to do labor ir, constr,.lctmg or assisting n the construction or improvertient of a residential structure, you will, in most instances, be ruled to be an "employer'' and the people you hire will bo "emp�oyees- As the employer, you must comply with the following. Oregon's Withholding Tax Law. As an employer, yc,�J must withhold incorne taxes from bmployee wages at the tirne employees are paid You will be lia0e, for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390. Une,nployment 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 Division DHR at 378-3224. 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 b,4 liable for all claim costs if one of your emplc:, ss is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434 nternal Revenue Service As an employer. you must withhold federal income lax from employees' ,Alage-: You will ba liable for the tax payment even if you didn't actually withheld the tax, For more information, call the Internal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Coc'e Complianc As the permit holder for this project, you are responsible for resolving any fail ore to meet code requirem•:ints that may he brought to your attention through inspections. Liability and Property Damage Insurance. Contact your insurance agent to see if you have ader•,iate insurance coverage for accidents and ornissions such as falling tools, paint overspray, water damage from pipe punc- tures, fire, or work that must be re-done. Time to Supervise Employees: Make sure you have sufficient time ,n supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the %vork 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 to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-46c' 0244J 10/24/89 CITY OF TIGARD ikDEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 r_,E:RT(F 1CATt- OF OCCUPANCY PERMIT #. . . . . . . . ME;T9 3-0447 DATE ISSUED; t0l'19/98 6't' PCE~L i 29102D9- 00500 f P E ADDR'.,S 7. . . s 10i 00 SW KATHERINE: `aT �(1rAD I V I S I ON. . . s GREE�;�SURG HEIGHTS ADD I T I.ON �r�N T NG:R--4. 5 D;.00K. . . . . . . . . . s LOT. . . . . . . . . . . . . ..0155 JURISDIC".TTONiTIG (J-AS OF AORK. s Nk:W 'TYPE OF USE. . . :SF JYPF OF CON T R a aN 0(.;(-'LJPANC`; GPP. A R,3 r-)(C1JPANCV LOAD a 1 Pe ea,, r•k-,s . MRNI.1`KTUNEO HEIME I CANNIT ION ANI+ 117 UP 1"C"NNErTH TO LIVER 1J.'375 173W 13TH ST IAF:AVE RITON OR 97012;; r,hune #: 643 -9215 ,r-4NT I AM HOMES ,.AkVER E'.NTE:FtPPISFI;; I.I_.C' 11. 372 14P..I_ C REFKl RD fiI.IMC_VIL.LE OR 973,.'5 ''Phony #: 503-7611, 1906 Thi • Cyr^ ificat:e grants occupancy of the, above referenced building ot� portion '-h—f�vaf and confirms thAt the building has been inspected fnr c:ompl. iaoce with ( hr- St;Ate of Cberjr.n Specip.ity C:cydet, for the �r..0, P, r,rrrrp.7rrcy, critt use under tri , 1, the r^r?tr?rpnc:erd mi.t vyas is5d. I_i1T. C�1.1JF? PECTOR l,Pi Pr-.(-'1 _ 'J :--I.1AL--RVItafJF3 IN C:0WJ:,1(_ 1)nUe, PLF CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: ' 9 U A.M. P.IV" _ MST: 7 ' � 7 Location: � �, 1k I,( f'1C_ - 4grll-7 4.S -05�`�� Tenant: ll// //Suite:/ p BEldg: MC: Contractor:, (�'}l .J� �.(l`t Phone: IG'i�c> '0 •� C' PLM: �. Phone: ELC: ---- -- - ---- ad, EI.R: — — -- � U') SIT: BU 'ZING BLDG(con's) PLUMBING MECHANICAL ELECTRICAL SITE — Site PostMearn Post/ITcam Post/Beam Cover/Service Sewer/Storni Footing; Roof TindFl/Slab Rough-In Ceiling Water Line Slab Framing 'fop Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer II l/Duct Rmonmet Vault Bsmt Damp Drywall Storm Fumace Temp Service MISC. Masonry Ceiling Raul Drain A/C TTG Slab Shenr/Sheath I.ir Im Crawl/Found Ir Ileat Pump I.ow Volt C rove ' Approved Approved Approved Approved Appr/S(Iwlk Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL Let C. A�tlaaei a (t 4-0 r —/Alm ^ U c �" 'G� r L�c%—To IAoc1l1P,)o.r& 6%r--r7/ - --------------- O Call for retnspecti C3,Reinspection fee of S L,required before next inspection U I Jnnble to inspect (nspector:� __ Date: _ Page ___oC_ ��H � '� _ � '�'a ' * � J a .� r1•. . 1 , , �—ter! ._. �._. ._ _ .� �-� �� f i i I I �- Page No, 1 CASE HISTORY FOR CASE NO.: MST93-0447 KENNETH TOLLIVER 10200 SW KATHERINE ST 12/08/98 Action Description Req/ Schd/ Er-d/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 08/09/93 PASS JLH 10/19/98 TLP MSTA010 Plan check deposit paid / / / / 08/09/93 PASS JLH 08/16/93 BLT MSTA020 Plan check by 08/16/93 / / 08/16/93 PASS RT 08/16/93 BLT MSTA030 Check for prci. restrict. / / 08/16/93 08/16/93 PASS VO 08/16/93 BLT MSTA092 (F) Issue combination permit / / / / 08/17/93 PASS JLH 08/17/93 JH MSTA125 PERMIT EXTENSION REQUEST / / / / 07/22/97 PER DAVID PERMIT EXTENSION FOR MFG FAIL JT 07/22/97 JT ( DWELLING, DENIED. MUST HAVE INSPECTED BY MAY 1997. SEE RICK'S 4/16/97 INSPECTION. LETTER WAS RECEIV8D ON 4/9/97 TO REQUEST AN EXTENSION ON ELC95-0661, MST93-0447, MST93-0448. DAVID WANTED TO KNOW IF SOMEONE WAS LIVING IN MFG, SO THAT•S WHY RICK DID THE OBSR/SITE VISIT. DAVID ALSO TOLD ME THAT THEY MUST NOT BE USING THE ADDITION. RICK CONFIRMED, NO THEY ARE NOT (4/16/97), "IT'S STILL OPEN FRAMED." JT MSTA125 PERMIT EXTENSION REQUEST / / % / 11/25/97 Upon receipt of letter of agreement to PASS HAP 11/26/97 JT finish work and have final approval of this permit within 6 months (May29-97), this permit is extended until that date. The ovner agrees to pay full fee reinstatement or reissue if not complete by 6-29-97 (See letter in file) 11/25/97 letter received from K.Tolliver, to confirm above conversation; egrees to provisions. MSTA127 PRPMIT EXTINFION REQUEST / / 01/01!^1 119!.i/95 extend till 1/9/96 APPn DS 08/11/95 DS MSTA705 Foot/found Insp / / / / 08/27/93 SEE REPORT PEND RB 00/27/93 RB MSTA735 Gas Line Insp / / / / / / 08/16/93 BLT MSTA755 Rain drain Insp / / / / 09/15/13 need to drop water dawn before you exit FAIL MS 09/16/93 MRS valve box MSTA760 Water Line Insp / / / / 09/21/93 PAFS M9 09/21/93 MRS Page tic. 2 CASE HISTORY FOR CASE NO., MST93-0447 KENNETH TOLLIVER 10200 SW KATHERINE ST 12/08/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA770 Misc. Inspection / / / / 04/16/97 observation inspection- OBSR RB 11/25/97 J*H exhaust venting at bathroom, collar tie ridge rafters, egress windows req'd * see note on MST97-0448 MSTA775 MFG Home Set-Up Final / / / / 09/29/93 MARRIAGE LINE OK PASS RE 03,'24/98 TLP MSTA795 Mechanical t'inal / / / / 09/24/93 BEE REPORT- MANUFACTURED HOME FAIL RB 09/27/93 RD MSTA797 Plumb Final / / / / 09/24/93 SEE REPORT- MANUFACTURED HOME FAIL RB 09/27/v3 RD MSTA799 Building Final / / / / 09/24/93 SEE REPORT- MANUFACTURED HOME FAI: RB 05/28/98 TLP MSTA799 Building Final / / / / / / 10/19/98 TLP MSTA799 Building Final / / / / 10/19/98 PASS TLP 10/19/98 TLP MSTA970 Case Finaled / / / / 10/19/98 PASS TLP 10/21/98 J*H MSTS706 Erosion Control / / / / / / 08/16/93 HLT MITE710 Miec. Inspection / / / / 03/27/98 'hest ro:k separation completed. MEMO TLP 05/28/98 TLP Building final approved on addition only. one Hap's extension note of 11/25/97 MSTE770 Misc. Inspection / / / / 05/28/98 NOTE TLP 05/28/98 TLP OWNER CALLED DRIVEWAY NOT INSTALLED NEEDS 90 DAY EXTENSION TO POUR DUE TO FOUL WEATHER............. MSTE775 MFG Home Bet-Up Final / / / / 10/19/98 driveway okay PASS TLP 12/08/98 JT street opening permit• was acquired see log note MSTE960 (F) Issue Cert. of Occupancy / / / / 10/19/98 12/08/98 JT Page No. 1 LOG NOTES FOR CASE NO. : MST93-0447 KENNETH TOLLIVER 12/08/98 10200 SW KATHERINE ST By Date Text of log note JT 04/2.8/97 on 4/9/97 ken tolliver responded, in writing to inactivity letter. through site visit by Rick Bolen and several conversation: with David Scott ; no one is using the addition so an extension is granted until October 1 , 1997 . However, there is no extension granted for this permit for manufactured dwelling or the electrical permit . According to Rick, there is someone living in manufactured home . ; ;Contacted Mrs . Toliver this date . Told her extension for addition was granted. She must call for an inspection of electrical and manufactured dwelling within two weeks of this date . Gave her the 24-hour number.