Permit (87) CITY OF TIGARD BUILDING PERMIT
NI- COMMUNITY DEVELOPMENT Permit#: BUP2018-00136
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2018
T t t;;\I'C7 g Parcel: 2S101DA02101
Jurisdiction: Tigard
Site address: 6958 SW YARNS ST
Project: CIC Portland Subdivision: VARNS ACRES Lot: 4
Project Description: Demo non-load bearing walls and existing restrooms for new ambulatory medical clinic TI. New interior walls,
plumbing,electric,and HVAC.
Contractor: EMMETT PHAIR CONSTRUCTION Owner: AVANOA, LLC
16650 FIR LANE 4904 S POWER RD STE 102-203
LAKE OSWEGO, OR 97034 MESA,AZ 85212
PHONE: 503-572-8606 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 08/06/2018 $1,407.95
Demolition
Occupancy Grp: B Occupancy Load: 22 12%State Surcharge-Building 08/06/2018 $168.95
Dwelling Units: 0 Plan Review 05/01/2018 $915.17
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/06/2018 $563.18
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 08/06/2018 $26.00
Value: $150,000 11x17)
Metro Const.Excise Tax 08/06/2018 $180.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,261.25
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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: 4/..,: ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. [� D
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
Commercial RECEIVED FOR OFFICE USE ONLY
Cl of Tigard
Received
- g Date/B : — e IliM` Permit No.:� /,
n 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 2018 Plan Review // "�� ' 3
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : i6 l Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY1OFA, -1GA} RD DateReady/By: ,, �,' Juris: H See Page 2for
Internet: www.tigard-or.gov BUILDING LJ'Vl.7IO- Notified/Method l� ' Supplemental Information
T ORK,
: 4 r. iii . t.v:. ,.0 ...... _�.- .' l D ' .ANI)2 ._DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
A Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
:y - OA, EGORY OF o-sTRIIGTf work indicated on this application.
❑ 1-and 2-family dwelling i Commercial/industrial Valuation: $ —
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
w
JOB SITE INFO . TI 1I1LOc IT -tv,
Total number of floors:
l.J/ lis 8` Sa Vin 1- d New dwelling area: square feet
Job site address:
City/State/ZIP: -7-7, i p q--72,2-5 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: c( C Foyi lakid Covered porch area: square feet
Cross street/directions to job site:S\,v f
V 'AS aDeck area: square feet
v Other structure area: square feet
REQUIRED DAM-C .I4I ig:*•AL-T SE CITE KLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
, ' DEQ ON OF W RK 1 ., work indicated on this application.
D
T '' '`, 6 �A 'n ►v�c.4.t.Col C AAA.,(c . Valuation: $ ��O j l��
hatA) yvsv – lI ice�ytilrl �n 0 r 4 oc,s-h Existing building area: �ji f�� square feet
• C.L '1 New buildingarea: square feet
Ki tA/V (14• V\O S l u t4n,��1, 1 .4€__4:-- a -t-f II4-L 1 1�'17 q
14
E ay 1 O?il RJ'Y 1 m;: , ❑ Nwo. Number of stories:
Name: ,E3evic,e V (AA l nvi/1^� Type of construction: 1 Ao.,
V
Address: Occupancy groups: '
City/State/ZIP: ,.A2_ Existing:
Phone:( ) Fax:( )
New:
h/ phaiu, ems cp 1y�'V o r feej(or deposit):u e
Business name: °
r n,^ n Structural plan review fee(or depo
Contact name: ( et vrid.vY
FLS plan review fee(if applicable):
Address: ( Q s SIN 1e_oc ityDty>1 _ Lit.1-fc, 6
Total fees due upon application:
City/State/ZIP: LAA ostiA p / q/035
Phone:(' 11) 2,9 5 —9 3 C� Fax:
( ) Amount received
Email ir.tin c'�2(�/ ,�y f,(i1iY c''p1/V .� .® .;, f :
® Commercial and residential prescriptive installation of
';1. -•. ... ,. -u ..,. .. .;. roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Lit T 1_ _ G J Submit two(2)sets of roof plan with connection details
and�4it/� and fire department access,along with the 2010 Oregon
Address: lit?,013 SW 0Q j( L/.p - s� Solar Installation Specialty Code checklist.
City/State/ZIP: J / (�t"("p"p� Permit fee(includes plan review
y Lek O "" `,/b t D3 7 and administrative fees): $180.00
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 142 i Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1_-t/Y l 6 e .Y11q„j V Date: ti Ab 1 If * Fee methodology set by Tri-County Building Industry
lG•u Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: /6 k 62,6J oO/ ,��
Site Address: osg S i \tirn.S S+ Suite/Bldg#:
Project Name: LEC Pu^4) J
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �• Q
Proposal: t• 7... c� my g ar (✓IH u"7 „t, o.1 Gki"C. D(a.0 nun-Tang ba(A,�y 4, lli : tgokn' ek S
kp,„ o. molts, ,1,6k, ele(. -, NV J
Existing Business Activity: b gilt
Proposed Business Activity: ® 1C
iVerify site address/suite# exists and active in permit systirn.
E,1'River Terrace Neighborhood: ❑ Yes nNo
Er'Zoning: l,-P
131ermitted Use: Yes ❑ No ❑ Spec Space
ionfirm no land use required.
I. Business License:
Exists: ❑ Yes LI No,applicant notified to obtain business license
Notes: AP4 par--)2;',17 rh,.vt-
f' ' oh sot. eta,. (-1 -" x,0,.4- „--r IL fc.„1u k (yo,k.
Approved by Planning: ,'! Date:
C---1—ii
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: <1///'1.-
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: iG i�_ _ .A.4.� l ;
� y, Date: ,S 7 //F
I:\Building\Forms\BldgPemiitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes R/A
Tigard Trans SDC: ❑ Yes C N/A
Parks SDC: ❑ Yes /A
(igOK to Issue Permit
Approved by Permit Coordinator: Date:
'6---- 1157---
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6958 SW VARNS ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00136
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor