Specification 06 -26 -1991 03 :53PM FROM MES—Aumsu i 1 le TO 916847297 P.03
9
` i ± / ` PREFABRICATED STRUCTURE
COMPLIANCE CERTIFICATE (Manufacturers Copy)
�� State of Oregon
` �F' Building Codes Agency 1tilPUR"I' \NT NOTICE.
Manufactured Structures and Parks Section This Coenpaaam Certificate vadat,thatthiasanctum has been
1535 Edgewater NW, Salem, Oregon 97310 Inspscsed and found in compliance with applicable Oregon
(503) 373 FAX (503) 373.1014 specialty codes by the State of Oregon Belding Codes ABaay.
Mae enforcement agencies shall accept this structure in ac-
awthww with the al so
Applicant: Modern Building Systems 'Mfr. No: M -16 _
Mailing Address: Po 139x 750 1 PROVED6p
City: Tualatin State: OR Zip Code: 97062 / �
Phone: �N3 Fax: 503- 682 -3685 r A��21 OR — /
—
�1t: OR DATE
ilEtit( :N CRITERIA INSIGNIA \St': \M'AI'PI.IC'A "ZION
• TYPE OF STRUCTURE: ' D PERMANENT' APPLICATION FOR f INSIGNIA 0 STAMP .
(See OSSC Chapter 50) (S RELOCATABLE
0 COMPONENT
APPLICABLE CODES: 0 1 & 2 FAMILY MANUFACTURERS USE I : < r 'AGE Cy.LJSg'; ?: ';;,.:• •
CI OSSC j :> 17, %;....,. . : . : .: ,: •`• Y ;;:.;
GS OMSC SERIAL NO FEE , ":ACEt . CY ' N : t • , > »it B'Y
el OESC 0 oPSC 1 -923 - B 20 r . ::;.:� r: >:' ::. •
PLAN APPROVAL NUMBER - - � . :' �s6• � aR ..•
// - / • • Ii�:e�o.".C. '`.fir. � ,::^{ :ar,R� "�' :.. ...' ° &'
NO OF MODULES , . : .x.: z = = . :4;,•:4:t.',:':.:.
CTLE�S OR COMPONENTS �� ' ;'.
TYPE . F CONSTRUCTION UCTI w^ 5N I ; •' . ?; x; ; : „' R .z :< , , yx k
SOO OSSC Cha • ter 17 {� Wu _ h 22 �1 .. : .:p: n : xh r�5�+rxy:t:. .� :.................... w x R='R.:• >:
•- • • . ` Y RO r P A ... ,., ` • ,^ w:. ° x:� = > " ". "'r fI l
S •SSG Ch .ter. 5 throu:h 12 El `'�" 6 R :!4..` " ;Zis ::' " "m''
DESIGN TEMPERATURE .... ' n .. ' " , P , ' , , , , ,- 4. , -;
See OSSC 53 ! 7 of _ i :::A ;••:> ;: n,� rxV ..'::R x. A ;;
ELECTRICAL SERVICE LOAD " AMPS V " #s'y�'„ s '.:
FL e ' re AD ive Load • P.SP.S.F. wx . x , ":..:
ROOF L • AD (Live =M. ItlIP ix F � .. .... .
• WIND LOAD Horizon "- Ind Load 90 M.P i ME •: g.R ". "° " : "` " ' ` ` '`"
WIND EXPOSURE: Wi .' ^ :; ` ; .Z
E E XPOSURE B .y R. °„ £.$.K•`. " �., .,..n : .R RL =: w:6W
WIN r h
See OSSC Section 2311(c)) 0 EXPOSURE C fi•'' ."" ° : °° .`" " "" •° •':_" '
GAS TYPE: 0 LP GAS 0 NATURAL GAS ' :;° "i :„ :'' 1 ir'•'
mi MIC ZONE: al 2b 0 3 NM ' g .:>; _
x�
SIZE OF STRUCTURE: O 2 ' Z A ,r ; a r a n kR. .,:- ."..."-
'
INCOMPLETE SYSTEMS: O ELECTRICAL ;. , � °MAR';;:::: =•
(S ubnut a "Notification to D PLUMBING FOR a A t:1'. N t 1 t SE c► N 1. Y ,
Local Enforcement A ne " 0 MECHANICAL -; . , +kri ,, )ml 4 ,.x "" ` ': : r
Ee y �., � �x � i ^ `+rn:h•
form with thus appltcadon) D STRUCI'U tAL • " , .. ; : � k • M ; w3 °:.z t < x - � •
•
�jek w, ;' t ' i Nn ', r: :a�"!irM 1. •..•:°,.'w'"?'e`a.+iwMaYM;
. LOCA•fIUN t)1'" FIR INSTALLATION: ' :: N• : , • .
p .1:, e ' A x ' . ''''.". : ;,: >' <�:..
'1 r ;; : a. s x. ::.,:
}:sx , .r�bib$,Rye;W i`, r, � yx � L `: �e. rax� .«K•.'•; >:x:i)';r;� % ^y�rA
OWNER/LEASEM Tom iity Jr_ Hi g� S_ n_ , " " "�� _+ ' s .� M Y: x ��r,.,x ��,a ;..rr .
ADDRESS: 14650 _5W 97th _ „ ::w.g: 'r s fi►1 o7iA q. `~ k . ;:fir,
'.; ^ '•rR •£'s R . ..w � �R �:r6x<M L', }; .L':;= =: J•:.. : :',..�. : ..:?^`?'
:n A �'.. a 4 :='s • e • !V • . ��.. ..;i : r:•: > ^•'i •�.
Pig n _ County _ WA p 97 7 > fi Q 3; 1.R . • : >; •�: ;;: ;::: :, : :•... ; .; . ::f:.::
M ;HI PMI NT 1■ront *WWI that : ` ";::f .:s< :ax . .,? >.:;>:o: e.e'scaei :x a _:.
w+ �+�+ 9►M ! t. tl realwali w'° -- • - - 1uA6 al =o d coo s j {t p ppf IRCrID rm N
Meal and =Ply mat au SIR - Iil k and ti10 Oregon gptltt =meal= � p pli mph a b Censenuf W
an oregm 7 nsi8ma� d wiJl� - , or utst.11 ! d in • gam Plan Approvals. aillt a �w •` r!'r• , •�••
neceuary �p +; - a drenal to the issuance of of Approval
�^rr
It _. 4 •T "ti• ttti-_'.1 �aL2 -lsLl 1
•'pplicultoos I% ill not be processed $ilhiint .itt.iullluiviiit'd sign.11uri.
r.
031.244 4r1�i■0:'
TOTAL P.03