Permit (41) s 4,
CITY OF TIGARD BUILDING PERMIT
. COMMUNITY DEVELOPMENT "' x
Permit#: BUP2017-00085
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2i . Date Issued: 04/20/2017
TtG��' R.L'� 439 t, !
Parcel: 2S101DA01900
Site address: 7000 SW YARNS ST Jurisdiction: Tigard
Project: Madrona Recovery Subdivision: VARNS ACRES
Project Description: Interior demolition prior to TI remodel. 9/12/17:REPRINT to change address from 6996 to 7000 SW Varns. Lot: 3
Contractor: PREMIER REMODELING&DESIGN LLC
1725 COMMERCIAL ST Owner: NELSON VIAL LLC
SALEM, OR 97302 7155 SW VARNES ST#120
TIGARD, OR 97223
PHONE: 503-209-3578 PHONE:
FAX:
Specifics: FEES
Type of Use: COM Description Date
Amount
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/17/2017 $553.13
Occupancy Grp: B Demolition
Occupancy Load:
Dwelling Units: 12%State Surcharge-Building 04/17/2017
Plan Review $66.38
Stories: Height: ft 04/07/2017 $359.53
Bedrooms: Info Process/Archiving-Lg$2.00(over 04/17/2017
Bathrooms: 11x17) $8.00
Value: $33,385
Floor Areas:
Total Area: 6948
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $987.04
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: • h`.`"
-4.- , Permittee Signature: (-7.7
Call 603.639.4175 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 04°A
Permit#: BUP2017-00085
, •y!; Date Issued: 04/20/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1,�� Parcel: 2S101 DA01900
10 r Jurisdiction: Tigard
Site address: 7000 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Interior demolition prior to TI remodel. 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: VB Permit Fee-Additions,Alterations, 04/17/2017 $553.13
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 04/17/2017 $66.38
Dwelling Units: Plan Review 04/07/2017 $359.53
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 04/17/2017 $8.00
Bedrooms: Bathrooms: 11x17)
Value: $33,385
Floor Areas:
Total Area: 6948
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $987.04
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. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: L / Permittee Signature: .47/9//
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
°F' N. ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00085
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2017
T t _, p° 9 Parcel: 2S101 DA01900
Jurisdiction: Tigard
Site address: 6996 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Interior demolition prior to TI remodel.
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, 04/17/2017 $553.13
Demolition
Occupancy Grp: B Occupancy Load:
12%State Surcharge-Building 04/17/2017 $66.38
Dwelling Units: Plan Review 04/07/2017 $359.53
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 04/17/2017 $8.00
Bedrooms: Bathrooms: 11x17)
Value: $33,385
Floor Areas:
Total Area: 6948
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $987.04
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 - ' r $3.232.1987 or 1.800.332.2344.
Issued By:A9--4,0,71.7.6„,..... j Permittee Signatu ••
/P .639.4175 by 7:00 a.m.for the next available insp • on date.
This permit card shall be kept in a conspicuous place on the Job site til completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial Ft)ltFt►R 01 1( is 1 N► ovt 1
City of Tigard EC1 VE R ,tea . AMMO" �'
Date/I3 : , .1 Permit
111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Roview
t Phone: 503.718.2439 Fax: 503.598.1960 Q Other Permit: ' 7_ �AS
APR V 2 17 Date It : r
Tic.;\t:i, Inspection Line: 503.639.4175 AP Date /BY.
Internet: www.tigard-or.gov Notified/Methodle . AIMMIEREIEEM
��
CITYui�� *OF TIGARD ai � 6,��,�,e, ,
TYPE OFlibilkDING DIVISION' REQUIRED DATA 1-AND2-FAIMIILYDWELLING
❑New construction ®Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement Other: equipment,
the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑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:6996 SW Varns Street-Building A 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 72id 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.: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: 6,948 square feet
New building area: 0 square feet
0 PROPERTY OWNER ., TENANT Number of stories: 2
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
r
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:CB Two Architects (1'/rare Peer w lee red rtee)
Structural plan review fee(or deposit):
Contact name:Gretchen Stone
Address:500 Liberty Street SE,Suite 100 FLS p resew fee(if applicable):
City/State/ZIP:Salem,OR 97301 Total fees due upon application: 357.53
Phone:(503)480-8700 Fax::( ) Amount received
E-mail:gretchen®ebtwoarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONI RACTOtt Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System
Business name:TBD i
..-4'.' / p i l p J Submit two(2)sets of roof plan with connection details
Address: / x 1�s/^ and e department access,along with the 2010 Oregon
7 (r!i ,, ' . Solar Installation Specialty Code checklist.
,` q
City/State/ZIP: b.,,,,,,,, 7/0 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of
CCB lic.: le 35 permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: 2--gt, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:John Thor ton Date: 41141117- • Fee methodology set by Tri-County Building Industry
Service Board.
I:\Duilding\Permita\HUP-COM PetmitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
l . ',4 r
City of Tigard
'PI
r COMMUNITY DEVELOPMENT DEPARTMENT
1 1 c A n Building Permit Review — Commercial - With Land Use
Building Permit #: ia,0G/7-C k)v Tt j
Site Address: /ko��iz ircrov Oniec- Suite/Bldg#:
Project Name: ((990- • 'h-,00 t7g ) V s CY—
(Name of commercial business •_ upying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /p1 e, c mO/hc
TZ(Verify site address/suite# exists and active in permit syst .
f "ever Terrace Neighborhood: 0 Yes V No
ireand Use Case#: CIJ Q J( — C? IMP-__ _C)710 _ OL)
la s Match Approved Land Use: /
•I kite Plan i►2.andscape Plan ether:
7 ban Forestry Plan S ‘'elevation Plan
'Building Height: Maximum Height (� �X
1.R" Actual Height '7i '
Cionditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
usiness Licen e:
l Exists: Yes 0 No,applicant notified to obtain business license
OI kblic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified 'c No Applied For: 0 Yes 0 No,stop intake
Notes:
Approved by Planning: 65_ Date: 7-,4 -/7
Revisions (after Building Submitta only'" Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 1,A//7
Site Plans: #
Building Plans: # 1 L
Building Permit#: [ -�r building permit#above. �
Workflow Routing: L E L Tanning ngineering B 1 mit Coordinator C' Building
Workflow Sign-off: [[7.-Sign-off for Planning(include notes from planning review)
Route Application Documents: p...„26gaing: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: yA//)
.fdie.....„.
I:\Building\Forms\BldgPermitRvw COM WithLandUse__060116.docx
„0' r r
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: ❑ Yes El No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: A.2) Date: �,��--17
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
R74evision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
47,------
OK to Issue Permit
Approved by Permit Coordinator: Date: f O 1
I:\Building\Forms\BldgPermitRvw_COM_W ithlandUse_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
i . 44 Transmittal
Letter
r;(„\li I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE C I ED:
DEPT: BUILDING DIVISION
ECEIVEL)
APR 2 0 2017
FROM: ( r--(A-zik-onS)(C' CITY OF TIGARD
vw) Prkid/1 t,k�r -S
BUILDING DIVISION
C \
COMPANY: / ,,\\
2„,0NE: Cq .) `J I 0 —J5V By:
94 � V7'
� •
RE:: (Sit�p A�ddress) (Permit Number) / 7—G100 S'---
(Project name or subdivision nam an lot numb
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: Copies Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 3) e e-v,P'Q JLp_..1_z o J0...4,0 .
FO O E USE ONLY
Routed to Permit Technician: Date:
�,,� '24� k--c• Initis:A ,7 Ti
Fees Due: ❑ Yes EJ-K; Fee Description: Amount s ue:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes 0 No 0 Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc