Permit (119) CITY OF TIGARD BUILDING PERMIT
2. ': COMMUNITY DEVELOPMENT 1 � Permit#: BUP2017 00093
x�" n Date Issued: 04/18/2017
T i Gf 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 so'
il.
Parcel: 2S101 DA01900
Jurisdiction: Tigard
Site address: 6996 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Interior demolition. 5/9/2017: REPRINT permit to correct site address from 6996 to 7000. 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: Permit Fee-Additions,Alterations, 04/17/2017 $553.13
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 04/17/2017 $66.38
Dwelling Units: Plan Review 04/11/2017 $359.53
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 04/17/2017 $4.00
Bedrooms: Bathrooms: 11x17)
Value: $33,385
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $983.04
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
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: AL‘j Permittee Signature: �� i 'a '
S /G 1�-
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
COMMUNITY DEVELOPMENT Permit#: BUP2017-00093
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2017
[ g Parcel: 2S 101 DA01900
Jurisdiction: Tigard
Site address: 6996 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Interior demolition.
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: Permit Fee-Additions,Alterations, 04/17/2017 $553.13
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 04/17/2017 $66.38
Dwelling Units: Plan Review 04/11/2017 $359.53
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 04/17/2017 $4.00
Bedrooms: Bathrooms: 11x17)
Value: $33,385
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $983.04
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 32.1987 or 00.332.
Issued By: Permittee Signature:
all 503.639.4175 by 7:00 a.m.for the next available insP ecti.,• date.
This permit card shall be kept in a conspicuous place on the job site unti ompletion of the project.
Approved plans are required on the job site at the time of•ach inspection.
WI"lir
Z
Building Permit Application
Commercial
> t '.
City of Tigard `Received t/ J J
Date/By: ( // / Pemrit No.:(34/2410
r,7_ciao i
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.7182439 Fax: 503.598.1960 A P i1 ).n PlanReview -j7'
Date/By:III
Other Permit:A"04 2 for �+�..`. j/
i-i ,„1,,, Inspection Line: 503.639.4175 Date Ready/By: / ruris: B See a 2 for tJt V
Internet: www.tigard-or.gov ,9$Notified/Method: I o _70/
i 7 t 7
( � Supplemental Information
%s% f% �e',L.—ft c4 ,.,1—e.•&,..--
TYPE
4,.,'e.'w.-.+
TYPE OF l.: i'�"t Di y a�a, REQUIRED DATA:1-AND 2-FAMILYDWELLING
❑New construction ®Demolition 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.
❑1-and 2-family dwelling ®Commercial/industrialValuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address 7000 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.: I 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:COMMEIICIAL-USE CHECKLIST
Subdivision: I Lot no.: rPermit fees*are based on the value of the work performed.
Tax map/parcel no.:2S101DA-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 demolition to allow for a future remodel. See plans for details. Valuation: $33,385.00
Existing building area: 5,729 square feet
New building area: 0 square feet
0 PROPERTY OWNER I �:i TENANT Number of stories: 3
Name:Madrona Recovery Center Inc.,DBA Madrona Recovery
Type of construction:
Address:1566 SE Linn Street
Occupancy groups:
City/State/ZIP:Portland,OR 97202
Existing: B
Phone:( ) Fax:( )
New: N/A
el APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:CB Two Architects (Please refer lo fesschedul#
Contact name:Gretchen Stone Structural plan review fee(or deposit):
Address:500 Liberty Street SE,Suite 100 FLS plan review fee(if applicable):
City/State/ZIP:Salem,OR 97301 Total fees due upon application:lel 5 7 53
Phone:(503)480-8700 I Fax::( ) Amount received:
E-mail:gretchen@cbtwoarchitects.com
com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD /.� 62„,./..;),_, Submit two(2)sets of roof plan with connection details
Address: 7.04S.--� 7 `� �j Jand fire department access,along with the 2010 Oregon
Cf�"v1^1`�' �;..„e + Solar Installation Specially Code checklist. _
City/State/ZIP: 5-:,,i,4,,,,/
Phone:( ) I Fax:( )e, 7.l.:�. .�, Permit fee(includes plan review
$180-00
and administrative fees):
.. � �/2 State surcharge(12%of permit fee): $21.60
.
CCB lic.: ♦-' — —
J Total fee due upon application: $201.60
This permit application expires if a
Authorized signature: / d'�-�----
J permit is not obtained
f within 180 days after it has been accepted as complete.
Print name:John Thornto I Date: Ll/q/��., I * Fee methodology set by Tri-County Building Industry
/Service Board.
I:\Building1Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB)
a A►
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
IIIIIa
T 1 c A D Building Permit Review — Commercial - With Land Use
Building Permit #: goloxi 7-000 6(3
Site Address: Mcodtpnc,2 ierevi SIP/et-. Suite/Bldg#:
Project Name: S, 4.%i �
,_ 00 V
7 ? X71 S'
ame of commer .al business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: // '/? Y f
C ile//'Air _
Verify site address/suite#exists and active in permit syst .
fd ".ver Terrace Neighborhood: ❑ Yes V No
and Use Case#: �e OkG- r ✓nr_ CiLo - 06L
10 Pla s Match Approved Land Use: 1
PU\ ite Plan takandscape Plan ether:
d ban Forestry Plan • k levation Plan
Building Height: Maximum Height Actual Heighti,
❑ onditions Met: CI Prior to Submittal ❑ Prior to Permit Issuanc
Business Licen e:
Exists: Yes ❑ No,applicant notified to obtain business license
O1 Iikblic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified V o Applied For: El Yes ❑ No,stopintake
Notes:
Approved by Planning: 65' Date: 7-4 -j
Revisions (after Building Submitta only)-- Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 1-0/// 7
Site Plans: # /p
Building Plans: # 3
Building Permit#: lig•- nte. ,
r building permit#above.
Workflow Routing: ® ninggineering 11--13-6:-Mit Coordinator alrrilding
Workflow Sign-off: 1 :1. Sign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: _ALA tAle . . '.
By Permit Technician: �,� _ 4//j/�,Date: 7
I:\Building\Forms\B1dgPermitRvw COM WithLandUse 060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes El No
Assess Water Quantity Fee in-lieu: El Yes El No
LIDA Facility on lot: ❑ Yes El No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 1,12 V Date: -.a-�
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
❑ 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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes T/A
Tigard Trans SDC: El Yes �N/A
Parks SDC: ❑ Yes N/A
YYOK to Issue Permit 1 2
//--?---
Approved by Permit Coordinator: ( •ate.
I:\Building\Forms\B1dgPermitRvw_COM_W ithlandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6996 SW VARNS ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00093
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor