Permit CITY OF TIGARD COMMERCIAL MANUFACTURED
- STRUCTURE PERMIT
COMMUNITY DEVELOPMENT
Permit#: CMS2022-00001
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/26/2022
Parcel: 2S102DA00400
Site address: 13005 SW HALL BLVD Jurisdiction: Tigard
Project: City of Tigard-Modular Classroom Subdivision: None Lot; None
Project Description: New 1,792 sq.ft.modular classroom building in northeast caner of city parking lot,adjacent to skate park.
Contractor: PACIFIC MOBILE Owner: TIGARD, CITY OF
PO BOX 1404 13125 SW HALL BLVD
CHEHALIS,WA 98532 TIGARD, OR 97223
PHONE: 360-748-0121 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM MH State Admin 04/26/2022 $30.00
Class of Work: OTR Type of Const: VB MH BLD Permit 04/26/2022 $275.50
Occupancy Group: B 12%State Surcharge-Building 04/26/2022 $33.06
Stories: 1 Height: 15 ft Info Process/Archiving-Sm$0.50(up to 04/26/2022 $10.00
Project Valuation: $0.00 11x17)
Floor Areas:
First Floor Area: 1766
Second Floor Area: 0
Third Floor Area: 0
Total Area: 0
Required Setbacks:
Left: 0 Right: 0
Front: 0 Rear: 0
Required:
Parking Spaces: 1 Fire Sprinklers: No Total $348.56
Smoke Detectors: Yes Party Wall: No
Required Items and Reports(Conditions)
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 Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Sig nature:
.�J
. 39.4175 by 7:00 a.m.for the next available inspection date.
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.
Manufactured Structure
Placement 'Permit ApplicationRECEIVE
g APR 18 2022 E!iew
C,� a� Permit No.: 1`S13125SWHallBlvd,Tigard,OR 97223 11111 _
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ZS� Z Other Permit:
Ins oon Line: 503.639.4175 CITY OF TIGARD Date Read/s Jars
�c Y Y ® See Plan Submittal
TIGARD
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Met od: if Requirements
JOB SITE INFORMATION OWNER INFORMATION
Site Address: 13005 SW Hall Blvd Name: City of Tigard
Park Name:Subdivision&Lot#: Address: 13125 SW Hall Blvd
Directions to inspection site: City: Tigard I State: OR I ZIP:97223
Phone: I Fax:
Is property inside city limits? ® Yes 0 No E-mail: justinj@tigard-or.gov
LOCAL GOVERNMENT APPROVALS
Zoning Sanitation
Signature: Signature:
Jurisdiction: Jurisdiction:
Date: Date:
MANUFACTURED PLACEMENT PERMIT FEES
Cost(each) No.of Sum
(1) Installation/re-inspection Items
(a) Placement(includes placement,electrical feeder,30'of water/sewer connection). $ 275.50 $
(b) State surcharge at 12%(of placement fee only). $ 33.06 $
(b) Re-inspection(includes inspection and 12%state surcharge)- $ 100.80 $
Placement permit to be obtained only by homeowner,or Oregon-licensed manufactured dwelling installer.
(2) Electrical
(a) Service and/or feeder(new service installation or alteration/relocation of existing service). $ See Electrical Permit Application
Electrical service permit to be obtained only by homeowner performing work or signing supervisor of Oregon-licensed electrical contractor
performing work.
(3) Plumbing
(a) New water service(for services over 30 lineal feet). $ See Plumbing Permit Application
(b) New sanitation/storm sewer or rain drain(for services over 30 lineal feet). $ See Plumbing Permit Application
Plumbing permit to be obtained only by homeowner performing work or Oregon-licensed plumbing contractor performing work.
(4) Miscellaneous fees
(a) Administrative fee(State of Oregon). $ 30.00 $
1 (b) System development fees(sewer connection,storm water,parks development&traffic impact). $ See Permit&System Development Fees
SUB-TOTAL $
SET-UP OR INSTALLATION CONTRACTOR APPLICANT
Name: Name: Justin James
Pacific Mobile Structures
Address: 13970 Fir St. Address: 13125 SW Hall Blvd
City: Oregon City I State: Or I ZIP:97045 City: Tigard I State: Or I ZIP:97223
Phone: 971-233-0222 Fax: Phone: 971-808-8897 I Fax:
CCB No.: 50832 f/ MDI No.: E-Mail: justinj@tigard-or.gov
Name: I hereby certify that the information above is true and correct.
Same All work to be performed shall be in accordance with all
Address: governing laws and rul
City: State: ZIP: 1/—f 8-20 12
Phone: Fax: Authori d Signature Date
CCB No.: MDI/LSI No.: Print Name: ..U5 f„h� \ a e5
`
I:\Building\Permits\CMS-PermitApp.doc 02/27/2018 V `J
lTi tJ1U-.
INI " Building Permit Application
Plan Submittal Requirements
T t c A k Manufactured Dwelling
1. SITE PLAN-Three(3)copies,fully dimensional and drawn to scale,labeled with:
A. ❑ map&tax lot# ❑ subdivision name ❑ subdivision lot# ❑ site address
El zoning ❑ applicant name ❑ phone number
Size requirement: 8-1/2"x 11",to a maximum 11"x 17".
All details listed below shall be incorporated into the site plan:
B. North arrow.
C. "Drawn to scale"indicates standard architect or engineer scale.
D. Footprint of structure,including accessory structures,garage,carport and decks shall reflect actual building
dimensions,including retaining walls.
E. Finished floor elevations,all levels.
F. Garage finished floor elevation.
G. Corner lot elevations. If more than 4 feet elevation differential,plan must show contour lines at 2-foot intervals.
H. Location of all cuts and fills on the lot.
I. Driveway corner elevations.
J. Zoning setbacks (front,side and rear).
K. The location of all public and private easements.
L. The location,termination,and all invert elevations of all drainage piping(sanitary and storm)showing all
elevations necessary to show positive gravity flow to the approved drainage device (i.e. peepholes,storm lateral,
sanitary lateral).
M. Residential driveways,sidewalks will be shown on site plans and will be in accordance with the City of Tigard
standards. Driveway cuts shall not be permitted within 30 feet of intersecting right-of-way lines,nor within 6 feet
of property lines. Weep holes/drain pipes will be installed 6 feet from adjoining property lines. Multiple
driveways on individual parcels of land must have 30 feet of separation;joint-use driveways require a formal
agreement.
N. Show all erosion control devices proposed for site. Contact Clean Water Services (CWS) at 503-681-5113 for
assistance.
O. Show location of existing facilities and new or relocated structures (utilities,well/septic systems,mailboxes,
power poles,water meter,light pole, stop sign,etc.).
P. Indicate property slope directions.
Q. Existing and finished contours when slope in any direction exceeds 20% (additional requirements may apply-see
grading policy).
R. Site plan to include tree size,type and location per approved project street tree plan (if applicable),and City of
Tigard Street Tree List.
S. 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.
2. BUILDING PLANS-Three (3) full sets for illustrating the manufactured dwelling foundation or basement
construction(no redlines or tape-ons accepted).
Size requirement: up to 24"x 36"maximum,folded into eighths (9"x 12")with the plans inside. No rolled,
reversed or mirrored plans will be accepted.
All details listed below shall be incorporated into the building plans:
A. Scale(architectural or engineering only).
B. Cross sections of the manufactured dwelling foundation or basement(every set of plans shall contain a
minimum of two cross sections at mid-point of each direction).
C. Exterior elevation(all views shall be shown).
D. Basement wall,foundation and retaining wall sections.
E. Documentation by manufacturer indicating that manufactured dwelling roof can support over-framing of
garage roof.
F. Driveway construction.
I:Building\Permits\CMS-PermitApp.doc 02/27/2018
City of Tigard
1,11 COMMUNITY DEVELOPMENT DEPARTMENT
1��, rzD Building Permit Review — Commercial - With Land Use
5 Building Permit #: C !Yl S a0�a-Qpooc
Site Address: 13005 SW Hall Blvd Suite/Bldg#:
Project Name: Modular Training Classroom
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: New 28'x 64' modular building
® Verify site address/suite# exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes ® No
® Land Use Case #: DDR2022-00001/LLA2022-00004/ADJ2022-00004
Plans Match Approved Land Use:
Ll Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
Building Height: Maximum Height 45' Actual Height 11.75'
® Conditions Met?? ❑ Prior to Submittal ❑ Prior to Permit Issuance
NA f3-Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
VPublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified K7 No Applied For: ❑ Yes ❑ No,stop intake
Notes: *Condition on land use decision will need to be met prior to final occupancy
Approved by Planning: Date: 4/19/22
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: J 0 5l)
Site Plans: #
Building Plans: #
Building Permit#: EEnter building permit#above.
Workflow Routing: ['Planning ISKEngineeringermit Coordinator [ Building
Workflow Sign-off: Vign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: auAA Date: q
I:\Building\Fonns\BldgPennitRvw_COM_WithLandUse_111819.docx
1
Engineering Review
13 Slope at building pad: 2J
Er PFI Permit#: 11&,.
, Conditions "Met"prior to issuance of building permit it/o`—
L�/ asements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) h ic.
ET Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes o
Assess Water Quantity Fee in-lieu: ❑ Yes L�✓1/No
LIDA Facility on lot: 0 Yes LK No Add Fee: El Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: �w,Gt...f 1?1,717 Date: 'ff2a 1 ZD
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review
Nlk Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
0 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 1/1 N/A - e- �rG+-�
Tigard Trans SDC: CI Yes 'N/A 1
Parks SDC: ❑ Yes Z N/A `'41
LIDA Fee: ❑ Yes 0 N/A
OK to Issue PermitAry
/�
Approved by Permit Coordinator: (�/ — Date: 4`2..5 j'2 '12-
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