Permit (230) CITY OF TIGARD COMMERCIAL MANUFACTURED
Ir < STRUCTURE PERMIT
. COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: CMS2018 00002
1Csy1.tf. 9 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)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: VB MH BLD Permit 07/05/2018 $275.50
Occupancy Group: E 12%State Surcharge-Building 07/05/2018 $33.06
Stories: 1 Height: 15 ft Erosion Control w/Development 07/05/2018 $80.70
Project Valuation: $0.00 Info Process/Archiving-Lg$2.00(over 07/05/2018 $34.00
11x17)
Floor Areas:
First Floor Area:
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: No Total $453.26
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 I
952-001-0010 through OAR 952-001-0090. You may obtain a co• of the rules or direct questions to OUNC by calling 5232.1987 or 1.800.332.2344.
Issued By: 4.,z r ...
Permittee Signature: I
%% or. •03.639.4175 by 7:00 a.m.for the next available inspectio •ate.
This permit card shall be kept in a conspicuous place on the job site until completion of the •`• ect.
Approved plans are required on the job site at the time of each inspection.
Manufactured Structure 9 'C F`
Placement Permit Application FUR OF I I(F. t SI. O\Iv
MAR
n�} s Received
City of Tigard !VI�`t'` 1 3 2,018 DateBy: ' Permit No.: Clryl c,2 0`V,,,f�,1 bo
IIIIe 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review � 0 (a4 y(
r U I Review' Other Permit: //yy--��,,,, p-
Phone: 503.718.2439 Fax 503.598.1960Cr t " iG ,ateBy: M • 4 It• g et/P Olio- ti)7'7
Inspection Line: 503.639.4175
Date Ready/By: Juris: H See Plan Submittal ubmittal
TtGA .D 7 � igpoll iSed/Method: /tInternet: www.tigard-or.gov -p�4 Requirements
•�.•.•cC t- _ ,rte.-.,.:rs
JOB SITE I\IOR\1.1'1 R)\ ON\N ER I\FOR\l.k 110\
Site Address: 14650 SW 97th Ave. Tigard, OR 97224 Name: Tigard Tualatin School District
Park Name: Twality Middle School-Track Address: 6960 SW Sandburg Road
Subdivision&Lot#:
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
LOCAL GOA E12N:kIE\T :1PPROV:ALS
Zoning Sanitation
Signature: Signature:
Jurisdiction: Jurisdiction:
Date: Date:
\1 v.AL E.5(-11 RED PL:5CE\IE\T PF.R\IIT FEES
(1) Installation/re-inspection Cost(each) I ems Sum
(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 $
SEI'-I P OR INSTALLATION CONTRA('FOR SPPLIC_5\T
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: Wq I zIP: 98532 City: Tigard f 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 CONTRACTOR
Name: Pacific Mobile Structure I hereby certify that the '4 ormation above is true and correct:
A work to be erforme' . ,Il be in accordance ith all
Address: PO Box 1404/ 1554 Bishop Road gov:rising I s and rul- ,
City: Chehalis State: WA ZIP: 98532 3 Id
Phone: 800.225.6539 Fax: Authorized Signature Date
#50832 tl lick I MDI/LSI No.: Print Name: DAV f 0 £j. laG
\Permits\CMS-PennitApp.doc 02/27/2018
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
A1bertAtigard-or.gov
503-718-2426
« /
City of Tigard
,14 " COMMUNITY DEVELOPMENT DEPARTMENT
T 1 n n Building Permit Review — Commercial - With Land U s e
Building Permit #: (./ 15 11r-- FO) -.
Site Address: ( 1 ((5O S vy Cl '7 owe . Suite/Bldg#:
Project Name: -1-M I' / TNY1 S Macl J r K
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1- (ALA-hn IV act' &c4QQ - i r1 St ,C( 13 1've4 / ro(ko c' r tin
al_ r 1vLe1+L r" ockVic4r c/1 C' SS
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Land Use Case#: P 00002
r Plans Match Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
T7 Building Height: Maximum Height 3 0 Actual Height
VI Conditions Met: ❑ Prior to Submittal Prior to Permit Issuance
I —Business License:
Exists: El—Yes El—No,applicant notified to obtain business license
VI Public Facilities Improvement(PFI)Permit:
f r 10 -- (i)003
Required: ❑ Yes,applicant was notified ❑ No Applied For: , Yes ❑ No,stop intake
Notes: 00-Stz;od 1 uoIf')CL.ltl n,i 1-0 h42. Cy)Li- prib r fiv iSSuCin
Approved by Planning: Date: 3/ 1 3 f l 8
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: /'3 J'4
Site Plans: #
Building Plans: #
Building Permit#: ding permit#above.
Workflow Routing: arming .En'gineering t Coordinator ding
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: [iding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: e: `6/ij
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_060116.docx
•
4
Engineering Review
Slope at building pad: 2
42b
PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
E Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
/Water
Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes --No
LIDA Facility on lot: ElYes No
❑ NOT Approved by Engineering: Date
Notes: ALT fat-- t....)4,---1 ` ft-1° IlW--1 14/"
Approved by Engineering: lgi(,L- tA,i, Date: 3 4.--1../1 6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions"Met"prior to issuance of building permit c�
Approved,NOT Released: ate: 3/7- "/' d
otes:
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A Tern 1 & L. -S
Parks SDC: 111 Yes N/A 1
OK to Issue Permit
Approved by Permit Coordinator: Date: 1,2;z5 il l
Pliwinlyierio-u --'--140 1, 1,1.-e,
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse 07091 5.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 :24:27 PM
Record Type: Record ID:
Commercial - Manufactured Structure CMS2018-00002
Inspection Type: Inspector:
899 MFG-Structure final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor