Permit IN ,i V . CITY TIGARD BUILDING PERMIT
d +. PERMIT #: BUP2007 -00087
COMMUNITY DEVELOPMENT DATE ISSUED: 3/7/2007
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
"" '''' " "'` PARCEL: 2S101 DA -00800
SITE ADDRESS: 07105 SW VARNS ST 150 ZONING: C -P
SUBDIVISION: VARNS ACRES LOT: 011 JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N • sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 13 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 23,000.00
Owner: Contractor:
SYMONDS EVANS & COMPANY PC VIAL & PHAM LLC
7105 SW VARNS RD SUITE 200 7145 SW VARNS ST
TIGARD, OR 97223 TIGARD, OR 97223
Contact #: PRI 503 - 597 -2425
Phone: 503 - 597 -7350 FAX 503 - 297 -2428
Reg #: LIC 167458
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUPPLN] Pln Rv 2/13/2007 $171.67
[FLS] FLS Pln Rv 2/13/2007 $105.64
[BUILD] Permit Fee 3/7/2007 $264.10
[TAX] 8% State Surcha 3/7/2007 $21.13
Total $562.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
1
Issued By: 1614.40- Ad Permittee Signature: x
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application So VAR40 5 .'
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C om>r�erc�al Tenant I � m �-- pr_o�ement� � ° � �� � � � � �"r `�
7' ° CI of Tigard � r �)� =' I; Received i 1
X~ a g 1 �` DateB : „ M Permit No a i to _taps
13125 SW Hall Blvd., Tigard, OR 97223 TV Plan Review
Date/By: Other Permit:
` ,: Phone: 503.639.4171 Fax: 503.59$: 1 ZO y
T I G A K p Inspection Line: 503.639.4175 r 1..v Date Ready /By: Jur ® See Page 2 for
` >'+*3 Internet: www.tigard or.gov t Z .k Notified/Method: (� Supplemental Information
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TYPE, % REQUIRED DATA: 1- AND 2- FAMILY DWELLING
1 ' . Permit fees* are based on the value of the work performed.
El New construction ❑Demolition p
Indicate the value (rounded to the nearest dollar) of all
fk Addition/ a1teration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling 0 Commercial /industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
El Master builder l=1 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 1 S w ✓ A-�� S ST New dwelling area: square feet
City /State /ZIP: • -- n 0 . „4 OA 51 Z 2_ 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 U v' v�
Project name: g.t� (�% Covered porch area: square feet
1.
Cross street/directions to job 'site: ivi0 4 vp JS • Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
- ri 134 cK t ,0o- SP►>- - 2 5.0, tfv-S Valuation: $ 23 t �
��a� �UI i li Existing building area: square feet
New building area: square feet
44 PROPERTY OWNER ❑ TENANT Number of stories:
Name: 54/A pa OS V.Jyb 4 c..D )? Q, C4 Type of construction:
Address: ---(105— j vt iws. Sri"
� so I T 1. Occupancy groups:
City /State /ZIP: f at ,, 04._ 1 7 L L 5 Existing:
Phone: ( rya ) - -7 _ 1 3 co Fax: ( ) New:
'APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1,6 i kL 4 MA-74.k 1.-LL All contractors and subcontractors are required to be
Contact name: . ` Y / licensed with the Oregon Construction Contractors Board
1 Le e fil-- under ORS 701 and may be required to be licensed in the
Address: .. i , -E- , 5 ..J till -/-NS rc7 ,S c_71 iz (P L jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
PQ2.1 ,e5 -t - 7 1 2. > apply:
Phone: (g ) Z ID — - 23 40 ( Fax: : ( - --6) �� - Z f 2 ` 8
E -mail: A 1 L C - j a, ( pc wt • (.4)v4
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: s'T 4 (Please refer to fee schedule
L J e A > Structural plan review fee (or deposit): / -7 ' . 6.7 City /State /ZIP: G dam_ f
/�� i
/�` I/ � FLS plan review fee (if applicable): / 0 . (pl�
Phone: ( ) ` Fax:( )
CCB lic.: Total fees due upon application:
Amount received: 7 ?. 3/
Authorized signature: <— a -�
This permit application expires if a permit is not obtained
A within 180 days after it has been accepted as complete.
Print name: A 1\11 � s Y / (� Date: 718 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP- TI- PermitApp.doc 12/27/06 440- 4613T(11 /02 /COM/WEB)
" Building D
4 Plan Submittal Requirement Matrix
T I CA D< Commercial & Multi- Family. - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at .
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
* For over -the- counter commercial tenant improvements, submit 2 sets of plans:
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I:\ Buildin \Pemvts \BUP- TI- PermitApp. 03/23/06
CITY OF TIGARD
BUILDING DIVISION ' 1 PERMIT #: BUP2007- 00087
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 r'�Il
Inspection Requests (24 Hrs.): (503) 639 -4175 -..
INSPECTION WORKSHEET FOR DATE: 917/2007 TIME: 7.00AM PAGE: 3R '
SITE ADDRESS: 07105 SW VARNS ST 150 CLASS OF WORK:
SUBDIVISION: YARNS ACRES LOT #: 011 TYPE OF USE:
PROJECT NAME: SPED SPACE
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503 - 597 -7350
CONTRACTOR: VIAL & PHAM LLC PHONE #: 503-597 -2425
Inspection Request Scheduled For: Date: 9/712007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 055321 -01 503-740-7340 Y
Corrections /Comments /Instructions:
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b2AS , - . IAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL % • OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
l
Inspector: - Date: 7 / �
Phone #: (503) 718- 7
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00087
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 .!�-
INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:0'1AM PAGE: 43
SITE ADDRESS: 07105 SW VARNS ST 150 CLASS OF WORK:
SUBDIVISION: YARNS ACRES LOT #: 0.1 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503-597-7350
CONTRACTOR: VIAL & PHAM LI PHONE #: 503 - 597 -2425
Inspection Request Scheduled For: Date: 8/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 054439.03 503.718 -2426 Y
Corrections /Comments /Instructions:
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n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: .074 07 Phone #: (503) 718 - 'lb
CITY OF TIGARD M
BUILDING DIVISION PERMIT #: BUP2007- 00087
13125 SW Hall Blvd., Tigard, OR 97223 _DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 "''_L
INSPECTION WORKSHEET FOR DATE: :8/15/2.007 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 07105 SW VARNS ST CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503 -597 -7350
CONTRACTOR: VIAL & PHAM LLC PHONE #: 503- 597 -2425
Inspection Request Scheduled For: Date: 8/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 054053 -03 503-740-7340 N
Correc ions /Comme v-Instr ions:
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PlAL--1-i -8d lac
PASS V r''d'-
TIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED 1
Inspector: Date: Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION -1 r PERMIT #: BUP2007 -00087
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 °� �� �.• ,���
Inspection Requests (24 Hrs.): (503) 639 -4175 __.,'
INSPECTION WORKSHEET FOR DATE: 16/2007 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 07105 SW YARNS ST 150 CLASS OF WORK:
SUBDIVISION: VAIRNS ACRES LOT #: 011 TYPE OF USE: '
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503.597.73550
CONTRACTOR: VIAL. & PHAM LLC PHONE #: 503. 597-2425
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 044949-01 503. 740.7340 N
Corrections /Comments /Instructions:
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...: -- air t_ 1 l ib A
n PASS Z PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEE ASSESSED
Inspector: it Date: .' Ass 1 Phone #: (503) 718
Illb