Permit a CITY OF TIGARD BUILDING PERMIT
i : ,1 PERMIT #: BUP2007 -00088
COMMUNITY DEVELOPMENT DATE ISSUED: 3/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DA - 00800
SITE ADDRESS: 07105 SW VARNS ST 100 ZONING: C -P
SUBDIVISION: VARNS ACRES LOT: 011 JURISDICTION: TIG
PROJECT: VARNS STREET BUILDING
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: 14 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: $ 6,750.00
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
Phone: 503 - 597 -7350 Contact #: PRI 503 - 597 -2425
FAX 503 - 297 -2428
Reg #: LIC 167458
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 2/13/2007 $71.83
[FLS] FLS Pin Rv 2/13/2007 $44.20
[BUILD] Permit Fee 3/7/2007 $110.50
[TAX] 8% State Surcha 3/7/2007 $8.84
Total $235.37
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.
Issued By: ( ,�� Ag.,C�� � Permittee Signature:
..4.4../ 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.
j Building Permit Application 11 O Sw Vf t 5 517
11 Commercial .Tenant Improvement FOR OFFICE USE ONLY .
City of Tigard { .-- Dateived ' ►���% '
il
° 13125 SW Hall Blvd , Tigard, OR 97223 ( � A ) Plan Review
C Other Permit.
• Phone. 503.639.4171 Fax: 503 5 1 DateBy
Inspection Line: 503.639 417 D ate Read B 1 • ^ El See Page 2 for
T 1 G A R U ard -or gov Noti fi e d/M e th o d (f Supplemental Information
Internet: www.ti
g f
TYPE OF I' 1'3 1*1 REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑New construction ❑ I?e°t °1 Permit fees' are based on the value of the work performed.
gUO° ��1"� Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement `��� -n� • '1 p equipment, materials, labor, overhead, and the profit for the
CATEGORY O CTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling gl Commercial/industrial
Number of bedrooms:
❑ Accessory building
❑ Multi - family
❑ Master builder
❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 ` S Sw v � . ST New dwelling area: square feet
City/State /ZIP: lei "74).4.,44 G t 51 ; 7, 1 Garage /carport area: square feet
Suite/bldg. /apt. no.,j QQ ) Project name: Covered porch area: square feet
Cross street/directions to job'site: -17,/J1) 4 1p,Q A)3 .3 r 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.
Valuation: $ (9CI) I Z S
11 a. A t Po -4- C -k 2 f S
Existing building area: square feet
cJl•cny 1 c Ot i ►'y
New building area: square feet
17) PROPERTY OWNER I ❑ TENANT Number of stories:
Name: !>y M p 0 j ?AllQ,i.l, 4 c-oµp Al P. C. X
" Type of construction: 43
Address: • ( 5 4,...) I M-?4 . 5,j so t ) Occupancy groups:
City/State /ZIP: C ',,R., T ..,,,..M Ott_ 1 7 2- L 5 • Existing: a
Phone: (ty3 ) 5-,T _ 1 3 5c) Fax: ( ) New:
`APPLICANT ❑ CONTACT PERSON NOTICE
Business name: V 1 Ai— 4 P tfik-AA V Lr . All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 14 I ( Vi Al.-- under ORS 701 and may be required to be licensed in the
�� jurisdiction in which work is being performed. If the
Address: -� 1 S 5, t /�{ /L/ 5( Svi 1 tz (a applicant is exempt from licensing, the following reasons
City/State/ZIP: .P T ."6 — n.. 2. > apply:
Phone: ( Q$ ) 1 10 — "23 (E0 ( Fax: : ( ?)) e.;--/ e.;--/ `l - 2. `t 2 8
E -mail: / t C_ (u _ v I a. l ( p Vl wa . C.¢..)wl
CONTRACTOR
Business name: pp BUILDING PERMIT FEES"
Address: (T (
S (Please refer to fee schedule) � U a
� % J 5
Structural plan review fee (or deposit):
City/State/ZIP: G
�! FLS plan review fee (if applicable): q Li , Q
Phone: ( ) 1 Fax: ( )
Total fees due upon application:
CCB lic.:
Amount received: f/ ip . 0
Authorized signature: c--- : y / This permit application expires if a permit is not obtained
• within 180 days after it has been accepted as complete.
Print name: A . 14 (pu s ( 4-- L Date: Z l g I 67 ' Fee methodology set by Tri-County Building Industry
Service Board.
I: \Buildtng\Permits\BUP -TI- PermitApp doc 12 /27/06 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD ,
BUILDING DIVISION . #: BUP2007-00088
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _ "'I �..
INSPECTION WORKSHEET FOR DATE: 9/7/2007 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE:
PROJECT NAME: VARNS STREET BUILDING
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC PHONE #: 503- 597 -7350
CONTRACTOR. VIAL & PHAM LLC PHONE #: 503597 -2425
Inspection Request Scheduled For: Date: 9/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 055313-01 503- 740 -7340 N
Corrections /Comments /I structions:
'T gi 8 Z_/so 6 fZec:�c" � �1 S
c'c'i-
�ASs:9 • - . -TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
#'
Inspector: Date: OA? P hone #: 503 718- P ( ) Z-‘5 ",f
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 ANdowit ;:.1 IL
Inspection Requests (24 Hrs.): (503) 639 -4175 F_
INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 44
SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE:
PROJECT NAME: VARNS STREET BUILDING
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503- 597 -7350
CONTRACTOR: VIAL & PHAM LLC PHONE #: 503597 - 2425
Inspection Request Scheduled For: Date: 8/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 054439 -02 503 - 718.2426 Y
Corrections /Comments /Instructions:
1
A VILQ T t G7-e, ( foo)
e k _ Z A v /./ / / `mil I "-04 /. ' ! I w J h(
6 tri.46-e-2914-k ( (pi, 6 1- , %,,,),- 0 5 F 4 4„.„.„ "4,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ar CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 Inspector: _ r/ Date: IZ U � - 2 ��
Ins p � - Date. Phone #: (503) 718
'C c
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00038
13125 SW Hall Blvd., Tigard, OR 97223 A, ,. DATE ISSUED: 3(7/2007
• Phone: (503) 639 -4171
L ,
Inspection Requests (24 Hrs.): (503) 639 -4175 Lilt
• INSPECTION WORKSHEET FOR DATE: 8/15/2007 g t TIME: 7:00AM PAGE: 6
SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE:
PROJECT NAME: VARNS STREET BUILDING
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 -02 503-740-7340 N
Corrections /C mments /Instructions: a 0 - >ali .\- i iLk
. (2--A.A—c-- , .9@ -•- .,ti' `- , _ C Q S�.�c
�� t
0 i . - • rie.....-
/ .(1
•
Oi
❑ PASSARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: k4) ` _ Date: RI Phone #: (503) 718- 2 "�
f z
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2007 -00088
1 13125 SW Hall Blvd., Tigard, OR 97223 - - DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 l'
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ' I I-.
INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE:
PROJECT NAME: VARNS STREET BUILDING .
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503.597 - 7350
CONTRACTOR: VIAL & PHAM LLC PHONE #: 503
Inspection Request Scheduled For: Date: 311612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 044951 -01 503- 740 -7340 , /K' ''
Corrections/Comments/Instructions:
F 1 P QA. & Ok
A- p-.- , t3K
---,/,' ,
Jo / . map . ,J�
`I
❑ PASS PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ FAIL " CALL FOR INSPECTION ❑ ADDITION • L FE S ASSESSED
Inspector: 6,...----. Date: i i Phone #: (503) 718 - lam
' 4
,--______—_ ______ _._ _ _ ... .. _ _..__ ___ -- . ___________ _ _ _ ,.-
CITY OF TIGARD
- BUILDING DIVISION PERMIT #: BUP2007 -00088 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639-4171 1 1.
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �..
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 1
15
SITE ADDRESS:
7/ 07105 SW VARNS ST 1 0 CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE:
PROJECT NAME: VARNS STREET BUILDING
DESCRIPTION: TI
OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503597 - 7350
CONTRACTOR: VIAL & PHAM LLC PHONE #: 503 - 597
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•
275 Framing 044890 -01 503-740-7340
4
Corrections/Comments/Instructions:
❑ PASS 7 - , RTIAL APPROVAL ,_ Q + CANCEL ❑ NO ACCESS
❑ FAIL • ' ALL FOR INSPECTION ❑ ADDITIO AL FE: S ASSESSED
Inspector: .. Date. , l Phone #: (503) 718 - IS
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