Permit CITY OF TIGARD COMMERCIAL MANUFACTURED
11111 ^ STRUCTURE PERMIT
COMMUNITY DEVELOPMENT
TFL®ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: CMS2018 00015
Date Issued: 07/05/2018
Parcel: 2S111ACO2700
Site address: 14650 SW 97TH AVE Jurisdiction: Tigard
Project: Twality Middle School Subdivision: None Lot: None
Project Description: (1)relocated 2,100 sq.ft.modular classroom building.
Contractor: PACIFIC MOBILE Owner: UNION HIGH SCHOOL
PO BOX 1404 DISTRICT NO. 3 JT
CHEHALIS,WA 98532 00000
PHONE: 360-748-0121 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: CMS MH State Admin 07/05/2018 $30.00
Class of Work: NEW Type of Const: MH BLD Permit 07/05/2018 $275.50
Occupancy Group: 12%State Surcharge-Building 07/05/2018 $33.06
Stories: 0 Height: 0 ft
Project Valuation: $0.00
Floor Areas:
First Floor Area: 0
Second Floor Area: 0
Third Floor Area: 0
Total Area: 0
Required Setbacks:
Left: 0 Right: 0
Front: 0 Rear: 0
Required:
Parking Spaces: 0 Fire Sprinklers: Total $338.56
Smoke Detectors: Party Wall:
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 ru es 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 5032.1987 or 1.800.3 .- 44.
Issued By: ••• mittee Signature: „id,` ,-
,i1f03.639A175 by 7:00 a.m.for the next available inspecti."riate. OP
This permit card shall be kept in a conspicuous place on the job site until completion of the p•
Approved plans are required on the job site at the time of each inspection.
1
Manufactured Structure - : ` Via` ' ,
Placement Permit Application
\a`r�'N 1 U 13 Received r s—
it
of Tigard Date/By: , lei ti Permit No.: ,a)
111111 a 13125 SW Hall Blvd.,Tigard,OR 97223 . x ‘- . y ( , r Titan Review v` j S
■ Phone: 503.718.2439 Fax: 503.598.1960 T ii t I 1 + o ;' Other Permit: 4,f rte,igi-ax 77
Inspection Line: 503.639.4175 t f r TfigI Read B auris:
T I G A R D " z y y: ® See Plan Submittal
Internet: www.tigard-or.gov t ed/Method: t
"] J�„ Requirements
.7 r /[moi ,.._� S �.�-
JOB SITE l\IOR\l,IN IORNIA IlO\ OW\ER I\1,0R\1:k I ION
Site Address: 14650 SW 97th Ave. Tigard, OR 97224 Name: Tigard Tualatin School District
Park Name:
Subdivision&Lot#: Twality Middle School -Track Address: 6960 SW Sandburg Road
Directions to inspection site: City:Tigard I State:OR I ZIP: 97224
Twality Middle School-Track-Behind Main Bldg. Phone: 503.523.8103 I Fax:
Is property inside city limits? Yes. ►1 Yes 0 No E-mail: acaffrey@daycpm.com
1,0( NA, GO\ ER\\IEN"L .aPPRO\ .kLS
Zoning Sanitation
Signature: Signature:
Jurisdiction: Jurisdiction:
Date: Date:
NI.AV11 kt.'l t RED PI._10E\IE\T 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 $
(b) System development fees(sewer connection,storm water,parks development&traffic impact). $ See Permit&System Development Fees
SUB-TOTAL $
SET-t P OR INS!':1LL.it I ION C'OV"FR.1(TOR kPPLIC:1V'F
Name: Pacific Mobile Structure Name: Day CPM I Angela Caffrey
Address: PO Box 1404/ 1554 Bishop Road Address: 6960 SW Sandburg Road
City: Chehalis I State: WA I ZIP: 98532 City:Tigard I State: OR I ZIP:97224
Phone: 800.225.6539 Fax: Phone: 503.523.8103 I Fax:
CCB No.: #50832 MDI No.: E-Mail: acaffrey@daycpm.com
SKIRTING CON-FR k(-TOR
Name: Pacific Mobile Structure I hereby certify that the information above is true and correct
A' work to be ,erfo ' ed shall be in accordance with all
Address:PO Box 1404/ 1554 Bishop Road '1 'rning la ,s and les.
City: Chehalis State: WA ZIP: 98532 $ 3l I 4 L..
Phone: 800.225.6539 Fax: Arori -d Signa, e ' Date
CCB No.: #50832 MDI/LSI No.: Print Name: DAN I n C. /14 ui e
I:\Building\Permits\CMS-PermitApp.doc 02/27/2018
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Albert Shields
From: Albert Shields
Sent: Wednesday, March 28, 2018 11:03 AM
To: Angela Caffrey
Cc: Monica Bilodeau; Mike White
Subject: Twality Middle School - Modulars
Angela, on reviewing your applications for CMS2018-00002,-00011, and -00015,we note that none of the required
conditions of approval for PDR2017-00002 have been met and that PFI2018-00038 has not yet been issued. Accordingly,
I am classifying these permits as"Approved (for Plan Review) but Not Released." Plan Review will proceed but the
permits will not be issued until the required conditions have been met.
Also,can you give me figures for the number of students being served:
• Now,with the current school configuration;
• With the 9 new modular classrooms added;and
• When renovations to the building are complete.
These will be helpful for me in determining and SDC charges on the project.
Thanks,Albert.
Albert Shields
Permit Coordinator
City of Tigard
A1bert(2 tigard-or.gov
503-718-2426
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
ill I
T 1 c �ll Building Permit Review — Commercial - With Land Use
Building Permit #: `S'�; / u, `Site Address: ( (4.50 S 1;v Cl 7 tin ow-e. . Suite/Bldg#:
Project Name: -TM`� / W S Mod J ic'\rl
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: r W(A.C, M i vt citt &61 00 - i r1 S i—jJ 13 Ni r o cLi;i vi r un i s
D I'LL vela(cA-11/4-a. r 0C{.AJ i Clr 01 C'i S S r't j rn
7 Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes /in No
IiLand Use Case#: P o 20 Il- 00002
Plans Match Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
Cf7 Building Height: Maximum Height 3 Actual Height
Conditions Met: ❑ Prior to Submittal .0 Prior to Permit Issuance
S--$usiness License:
Exists: [—Yes EtNo,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit: 'pc-s z01.6 C7 00 3
Required: 0 Yes,applicant was notified ❑ No Applied For: ' Yes ❑ No,stop intake
Notes: 0VTSIZ9ndArl GonCLAnonj i-o b 1Y)61t' pri ( 10 1SStJGIn
Approved by Planning: Date: / 13 / 18
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal f
Original Submittal Date: 3/1//y
Site Plans: # '3
Building Plans: # 2
Building Permit#: rter building permit#above.
Workflow Routing: ,,_ems ning Lc YEnglneering mit Coordinator ❑—BTxil�g
Workflow Sign-off: LY Sign-off for Planning(include notes from planning review)
Route Application Documents: L215ilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 3/47//
3r47/
/ ,
I:\Building\Forms\BldgPermitRvw COM_WithLandUse_060116.docx
\ S
Engineering Review
, fl
Slope at building pad:
❑ PFI Permit#:
El Conditions "Met"prior to issuance of building permit
El Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
,Z Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 4n.No
Assess Water Quantity Fee in-lieu: ❑ Yes ET No
LIDA Facility on lot: ❑ Yes P No
❑ NOT Approved by Engineering: Date
Notes: u)4 t 1` L— 9c..f i r % c f.Jt i
Approved by Engineering: G11 i64 I?- i Date: /z �/8
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved 1
Revision 3: ❑ Approved El Not Approved
Permit Coordinator Review
Conditions"Met"prior to issuance of building permit
Approved,NOT Released: 4,,,,K.--40-.-‘,/ IV.,-
/��rGn Date: 3�Z8�
/i Y
Notes: 4- I _ e e -cz-K
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:
"y SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes •01 N/A romp,
Parks SDC: ❑ Yes a /A StrULAIA1'Ci
OK to Issue Permit
Approved by Permit Coordinator: -I irr, a (Q'etJv Date: (P)2` \I S
C to ISci pear eln 4° pIAihn 1 nc ..
I:\Building\Forms\BldgPermitRvw COM_WithLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14650 SW 97TH AVE, TIGARD, OR, 97224 August 30, 2018 at
1 :31 :47 PM
Record Type: Record ID:
Commercial - Manufactured Structure CMS2018-00015
Inspection Type: Inspector:
899 MFG-Structure final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor