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Permit (38)
FOR OFFICE USE ONLY-SITE ADDRESS: (a7&„, I700 S&) ‘4j2n/S This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT = r1,111 • Transmittal Letter r i ,1 u n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION FROM: /41:4y,ve- COMPANY: PHONE: - 3 �,d 1-7e,---6 Brf'l f RE: (Site Address) 60°,, "(Permit N j b/) — 7 y �� /cl'b4 o AJ A2E--60.7,47 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: 1 opies: Description: Additional set(s)of plans. ►, Revisions: Cross section(s) and details. I Wall bracing and/or lateral analysis. Floor/roof framing. ( Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): 4 ) , v REMARKS: t \�J 4.14,41-,5f-7C,- r'i t* .4:1-C FOR OfCE USE ONLY Routed to Permit T; hnici. •. Date: ( k c--7 Initials:,-- 4* j Fees Due: ❑ Y: E o Fee Description: Amount ►ue: $ $ $ Spec'.1 I e: ctions: Reprint Permit(per PE): ❑ Yes [No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc CITY OF TIGARD BUILDING PERMIT ' COMMUNITY DEVELOPMENT ,i,,,,1„.1;,-� �f Permit#: BUP2017-00092 ' Date Issued: 06/12/2017 F[C 1 g 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /�� i Parcel: 25101 DA01900 Jurisdiction: Tigard Site address: 6996 SW VARNS ST Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3 Project Description: TI for new tenant: Interior remodel of an existing commercial office building to change to an inpatient rehabilitation medical center. Remodel includes installation of laundry,patient rooms,bathrooms,and treatment,activity,and administrative spaces. 9/12/17: REPRINT to change address from 6996 to 7000 SW Varns. Contractor: PREMIER REMODELING&DESIGN LLC Owner: NELSON VIAL LLC 1725 COMMERCIAL ST 7155 SW VARNES ST#120 SALEM, OR 97302 TIGARD, OR 97223 PHONE: 503-209-3578 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 06/12/2017 $3,195.79 Demolition Occupancy Grp: R-4 Occupancy Load: 29 12%State Surcharge-Building 06/12/2017 $383.49 Dwelling Units: Plan Review 04/11/2017 $2,077.26 Stories: 3 Height: ft DC Provision Review,COM TI-Ping 06/12/2017 $357.00 Bedrooms: 8 Bathrooms: Plan Review-Fire Life Safety 06/12/2017 $1,278.32 Value: $445,182 Info Process/Archiving-Lg$2.00(over 06/12/2017 $46.00 11x17) Info Process/Archiving-Sm$0.50(up to 06/12/2017 $12.50 Floor Areas: 11x17) Metro Const.Excise Tax 06/12/2017 $534.22 Total Area: 5729 Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $7,884.58 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: .GZ D(S .a��,1 i..Gfi,%(�_ Permittee Signature: . C �� k /jL2 /`� Cf't� Call 503.639.4175 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 project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD BUILDING PERMIT a a .. COMMUNITY DEVELOPMENT Permit#: BUP2017-00092 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 r Date Issued: 06/12/2017 .1 '7R g ` ��fj Parcel: 2S101DA01900 Site address: 6996 SW VARNS ST ®� r'` Jurisdiction: Tigard Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3 Project Description: TI for new tenant: Interior remodel of an existing commercial office building to change to an inpatient rehabilitation medical center. Remodel includes installation of laundry,patient rooms,bathrooms,and treatment,activity,and administrative spaces. 9/12/17:REPRINT to change address from 7000 to 6996 SW Varns. Contractor: PREMIER REMODELING& DESIGN LLC Owner: NELSON VIAL LLC 1725 COMMERCIAL ST 7155 SW VARNES ST#120 SALEM, OR 97302 TIGARD, OR 97223 PHONE: 503-209-3578 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/12/2017 $3,195.79 Demolition Occupancy Grp: R-4 Occupancy Load: 29 12%State Surcharge-Building 06/12/2017 $383.49 Dwelling Units: Plan Review 04/11/2017 $2,077.26 Stories: 3 Height: ft DC Provision Review,COM TI-Ping 06/12/2017 $357.00 Bedrooms: 8 Bathrooms: Plan Review-Fire Life Safety 06/12/2017 $1,278.32 Value: $445,182 Info Process/Archiving-Lg$2.00(over 06/12/2017 $46.00 11x17) Info Process/Archiving-Sm$0.50(up to 06/12/2017 $12.50 Floor Areas: 11x17) Metro Const.Excise Tax 06/12/2017 $534.22 Total Area: 5729 Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $7,884.58 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.0,(6 ^—� Issued By: �i�2�e T // Permittee Signature: Sr' : ad)�t�Cc //�/ ��/ `7 Call 503.539.4175 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 project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD BUILDING PERMIT a ; COMMUNITY DEVELOPMENT Permit#: BUP2017-00092 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2017 Parcel: 2S 101 DA01900 Jurisdiction: Tigard Site address: 7000 SW VARNS ST Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3 Project Description: TI for new tenant:Interior remodel of an existing commercial office building to change to an inpatient rehabilitation medical center. Remodel includes installation of laundry,patient rooms,bathrooms,and treatment,activity,and administrative spaces. Contractor: PREMIER REMODELING&DESIGN LLC Owner: NELSON VIAL LLC 1725 COMMERCIAL ST 7155 SW VARNES ST#120 SALEM, OR 97302 TIGARD, OR 97223 PHONE: 503-209-3578 PHONE: FAX: Specifics; FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/12/2017 $3,195.79 Occupancy Grp: R-4 Occupancy Load: 29 Demolition 12%State Surcharge-Building 06/12/2017 $383.49 Dwelling Units: Plan Review 04/11/2017 $2,077.26 Stories: 3 Height: ft DC Provision Review,COM TI-Ping 06/12/2017 $357.00 Bedrooms: 8 Bathrooms: Plan Review-Fire Life Safety 06/12/2017 $1,278.32 Value: $445,182 Info Process/Archiving-Lg$2.00(over 06/12/2017 $46.00 11x17) Info Process/Archiving-Sm$0.50(up to 06/12/2017 $12.50 Floor Areas: 11x17) Metro Const.Excise Tax 06/12/2017 $534.22 Total Area: 5729 Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $7,884.58 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Manual Pull Stations: Accessible Parking: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: „.<1./eff"3/e4._.--,�C_�_ Permittee Signature: d —,aill Call 503.639.4176 by 7:00 a.m.for the next available inspectio .ate. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. iLd" l' . Building Permit Application Commercial '$.: 4:1 1OR11111( 1. 1 �1:t)v1 l 4 e _Y City of Tigard 4 Racelved . /ill 7 67...x.. .�: `D. III • 13125 SW Hall Blvd.,Tigard,OR 97223 !!/ Phone: 503.718.2439 Fax: 503.598.1960 1/12 p w � 7,(11,--," '��.�����r oto Pest: /4�1. TI c A it n Inspection Line: 503.639.4175 t�pData � �� to See Page t for Internet www.tigard-or.gov Y Notificd/Metbod: :/ Supplemental Intermatlon ' x a' ; i,7.41',,.._ TYPE OP e`? 'ii 3 �9,t !)s r i' - REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction .bemolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: S ❑1-and 2-family dwelling I Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address• 4Q00 SW yarns Street-Building B New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Madrona Recovery Covered porch area: square feet Cross street/directions to job site:SW 72 Ave 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. Tax map/parcel no.:2S1O1DA-01900 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Interior remodel of and existing commercial office building to change to medical Valuation 38445,182.00 center-inpatient rehabilitation. Remodel includes installation of laundry, Existing building area: 5,729 square feet patient rooms,bathrooms,treatment,activity&administrative spaces. New building area: 0 square feet 0 PROPERTY OWNER , TENANT Number of stories: 3 Name:Madrona Recovery Center Inc.,DBA Madrona Recovery Type of construction: V-B Address:1566 SE Linn Street Occupancy groups: City/State/ZIP:Portland,OR 97202 Existing: B Phone:( ) Fax:( ) New 11.-4 BI APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:CB Two Architects (Please MT?m}*e aeludnte) Contact name:Gretchen Stone Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address:500 Liberty Street SE,Suite 100 City/State/ZIP:Salem,OR 97301 Total fees due upon application: 10/ 0 7.7w 6 Amount received: Phone:(503)480-8700 Fax::(503)480-8701 E-mail:gretchea@cbtwoarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* a mmercial and residential prescriptive installation of CO CTOR 6 l i r.f-top mounted Photo Voltaic Solar Panel System. Business name:pH (J`s' g�lrC2 I2-tly0Vc1,d6,` -1)7/1 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) 2 State surcharge(12%of permit fee): $21.60 CCB lic.t �7 5(3 _ Total fee due upon application: $201.60 Authorized signature: on / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:John Thorn Date: 4,907— * Fee ice Board. �methodology set by Tri-County Building Industry Sl:\BuildingTennits\BUP-COM PennitApp.doc 02/24/2011 440-4/6137//,3T(1l/02/COM/WEB) - City of Tigard lig COMMUNITY DEVELOPMENT DEPARTMENT l: T 1 G A K n Building Permit Review — Commercial - With Land Use Building Permit #: eirwox' 7-- )r/ Site Address: cokit? A9p_revr'.n 0,61°- Suite/Bldg#: Project Name: O''!.,- --.- --a007-& Ic) j/ng 3 ff ame of comm: tial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: J -eXJ.S 7L.0 kidaso 4(--- tirwc-/c., / az/V site address/suite# exists and active in permit syst . f "*ver Terrace Neighborhood: 0 Yes V No and Use Case#: CkLk2D - �/Loj Z -,�rgOi 0 - 074 la s Match Approved Land Use:eJ •i ite Plan 4ands cape Plan O5ther: ' la I ban Forestry Plan • �'.levation Plan Building i Height: Maximum Height 10. Actual Height -Xfs.7i i ❑ Pri❑ onditions Met: or to Submittal ❑ Prior to Permit Issuanc Business Licen e: (EExists: Yes 0 No,applicant notified to obtain business license ka C�hblic Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified No Applied For: 0 Yes 0 No,stop intake Notes: Approved by Planning: 6..oDate: 7- -f Revisions (after Building Submitta Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Building Permit Submittal Original Submittal Date: VA//7 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: a�,-�11arming 3 i ineering t Coordinator li't3uilding Workflow Sign-off: ic�'Sign-off for Planning(include notes from planning review) Route Application Documents: ®--$'ceding, original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. • Notes: .t. 1.1 a ` - a A_, :.. .. .••Ail._..., a ' '-f J By Permit Technician: _ y �` Date: y/j// 7 /% Engineering Review 0 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) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No LIDA Facility on lot: 0 Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: 44'017 /fit•<12 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 63 /A Tigard Trans SDC: 0 Yes i-N/A Parks SDC: 0 Yes rif /A OK to Issue Permit y Approved by Permit Coordinator: Date:`� 1•41nildinv\Forms\Rld'PermitRvw COM WithlandUse 070915.docx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT r Transmittal Letter I ;c.n h 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: V)' DATE RE RInivEn DEPT: BUILDING DIVISION c,Jam, JUN 2 2 2017 • � J FROM: 1 I 1 �.IT ot, r 4 RD COMPANY: � I (�l� F��T S BUILD! ' "VISION PHONE: (9) -�s�C CB-206 By RE: ©eD VA-1/7/1 •' (Si aAddress) (P: it Number) 'reject name or su••'vision name an• of num•er ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Co. es: Description: Additional set(s)of plans. Revisions: stvw7/v&A !4 Cross section(s) and details. r_ Wall bracing and/or lateral analysis. 5 Floor/roof framing. .. '` Basement and retaining walls. Beam-calculations:— r l\ Engineer's calculations. �1 Other(explain): \(/ REMARKS: AIo {,- FORPFFI E USE ONLY Routed to Permit Techni an Date: `2...G�7 Initials: Fees Due: [ Yes kV, 10 Fee Description: Amount ue: Special Instructions: Reprint Permit(per PE): ❑ Yes [No fl Done Applicant Notified: Date: &�,,«//] Initials: fr.- 6Poi<c 7'2, I:\Building\Fomes\TransmittalLetter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6996 SW VARNS ST, TIGARD, OR, 97223 November 21 , 2017 at 7:23:56 AM Record Type: Record ID: Commercial - Building BUP2017-00092 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor