Permit (225) CITY OF TIGARD COMMERCIAL MANUFACTURED
,• STRUCTURE PERMIT
1 - COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: CMS2018-00010
L �li• Date Issued: 07/05/2018
Parcel: 2S111 ACO2700
Site address: 14650 SW 97TH AVE Jurisdiction: Tigard
Project: Twality Middle School Subdivision: None Lot: None
Project Description: (1)of(9)new 2,100 sq.ft.modular classroom buildings.
Contractor: PACIFIC MOBILE Owner: UNION HIGH SCHOOL DISTRICT
PO BOX 1404 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 rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of therutesor direct questions to OUNC by calling 50 - 2.1987 or 1 =60.332.2344.
��Lr ,� �.JL�
Issued By: er gnature:
�j ;E� .1..639.4175 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 pro -
Approved plans are required on the job site at the time of each inspection.
Manufactured Structure #
Placement Permit Application 1 OR OU IR I: t SE: 0y 1.1
City of Tigard NRReceived
a eBy: 1l:�t0 -- C, S„2,61/P al CO
V 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' _
: ® Phone: 503.718.2439 Fax: 503 5980 t i'0:7,' tit l, „� Date/By: 'i . -1 Q Other Permit:��'� �/it f o- 77
Inspection Line: 503.639.4175 r r r n "'t Date Ready/By: Juris: ® See Plan Submittal
Ticnho f,
Internet: www.tigard-or.gov „,! Notifie. ethod:7 Requirements
JOB SI I F I\FORA k I ION OW\E:R I\FOR\I\11O\
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. ® Yes 0 No E-mail: acaffrey@daycpm.com
Zoning Sanitation
Signature: Signature:
Jurisdiction: Jurisdiction:
Date: Date:
NI:1\L F:a(TI RED Pl..1('E\IE\T PER\III- FEES
(1) Installation/re-inspection Cost(each) No.of Sum
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-IP OR INSI.kik:1"I ION COV'IR:ICTOR 1PPI.1C.1\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 f ZIP:97224
Phone: 800.225.6539 Fax: Phone: 503.523.8103 I Fax:
CCB No.: #50832 MDI No.: E-Mail: acaffrey@daycpm.com
Name: Pacific Mobile Structure I ereby certify that the in i rmation above is true and correct
work to be performed all be in accordance with all
Address: PO Box 1404/ 1554 Bishop Road 't 'ming laws nd rule
City: Chehalis State: WA ZIP: 98532 1 l 3 ( 3 ��
Phone: 800.225.6539 Fax: Aut P d Signature Date
CCB No.: #50832 MDULSI No.: Print Name: Q4 ,, Q c. 111°(i A F,
I:\Building\Permits\CMS-PermitApp.doc 02/27/2018 ✓� 1V
Albert Shields
From: Albert Shields
Sent: Wednesday, March 28, 2018 11:18 AM
To: 'Angela Caffrey'
Cc: Monica Bilodeau; Mike White
Subject: RE:Twality Middle School - Modulars
Angela,these same comments apply to your applications for CMS2018-00003,-00004, -00005,-00006,-00007, -00008, -
00009, &-00010, plus-00012, -00013,and -00014. Albert.
From:Albert Shields
Sent:Wednesday, March 28, 2018 11:03 AM
To:Angela Caffrey<acaffrey@daycpm.com>
Cc: Monica Bilodeau<MonicaB@tigard-or.gov>; Mike White<MikeW@tigard-or.gov>
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
A1bertAtigard-or.gov
503-718-2426
, /
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
II
TIRD Building Permit Review — Commercial - With Land U s e
Building Permit #: £2v jr-c lc
Site Address: f 41 4050 S try Cl .7 ft, otf-e, . Suite/Bldg#:
Project Name: -TM P / Til S. M O Gi U i(A(
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -t--Wa t1) (V)i c AAL SC1IQ01 - 111 St-c ,u . 13 IV-N./ rnoCI+il CI r LY 1C3
anL re_I0((ri r noc4AJ1Ci)r- (>CilSSrev Gn")
4 Verify site address/suite# exists and active in permit system.
0 River Terrace Neighborhood: ❑ Yes A No
0 Land Use Case#: P D tO I1— 0000'L
j6 Plans Match Approved Land Use:
0 Site Plan ❑ Landscape Plan ❑ Other: '
❑ Urban Forestry Plan ❑ Elevation Plan
y[ Building Height: Maximum Height '3 0 Actual Height
pConditions Met: ❑ Prior to Submittal , Prior to Permit Issuance
l —Bt[siness License:
Exists: D---Yes 8"No,applicant notified to obtain business license
0 Public Facilities Improvement(PFI)Permit: -tocS z a I.6 -- 0002,6
Required: 0 Yes,applicant was notified ❑ No Applied For: Xil Yes ❑ No,stop intake
Notes: 00- r1d.A11 tj (>Gn(IA tio/)S fio ht 1))(1 t f'.it r to •1SSticincc
Approved by Planning: 111 L.4.,‘,....::._. V'---�; Date: •3.--)/ I ,� / I c
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: , ,3A r'
Site Plans: #
Building Plans: #
Building Permit#: [2.nter building permit#above. 51-151-C11
, _�---��
Workflow Routing: [ 1 lanning 111.,E gineering 3-15;7-mit Coordinator Lh'8utlding
Workflow Sign-off: �(''S�i -off for Planning(include notes from planning review)
Route Application Documents: L - uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: i - — Date: 3AGA f"
I:\Building\Fonns\BldgPernutRvw_COM_WithLandUse_060116.docx
4,\
-4
Engineering Review 2- 7°
Slope at building pad:
0 PFI Permit#:
0 Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I2 No
Assess Water Quantity Fee in-lieu: ❑ Yes ,er No
LIDA Facility on lot: ❑ YesNo
❑ NOT Approved by Engineering: i\ Date
Notes: 2 0r i -- ( `Z (--j311310KNCI 10 155-V k___
3//e
Approved by Engineering: /1/1, iLtL `V Date: i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
INK
Permit Coordinator Review
,Permit
"Met"prior to issuance of building permit
)11Approved,NOT Released: Date: .3` /,
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:
XSDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes f N/A
Tigard Trans SDC: ❑ Yes N/A �XYl
Parks SDC: 0 Yes N/A S
,IOK to Issue Permit �Q,,
Approved by Permit Coordinator: 'f' (� �1.,�;,v c-- Date: (Q 'l.
1 I 1
Dy- - 1c4 �0 pituln 1
vvil
I:\Building\Forms\B1dgPeImitRvw_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 :30:16 PM
Record Type: Record ID:
Commercial - Manufactured Structure CMS2018-00010
Inspection Type: Inspector:
899 MFG-Structure final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor