Certificate of Occupancy (20) CITY OF TIGARD TEMPORARY CERTIFICATE OF OCCUPANCY
■; Permit#: BUP2017-00092
COMMUNITY DEVELOPMENT Permit Issued: 06/12/2017
Ti L)A 11') 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA01900
Jurisdiction: Tigard
Site address: 6996 SW VARNS ST
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. 11/10/2017: 30-DAY TEMPORARY CERTIFICATE OF
OCCUPANCY ISSUED FOR STAFF&EMPLOYEES ONLY—NO CLIENTS ARE ALLOWED
TO BE SERVED OR IN RESIDENCE AT THIS TIME.
Class of Work: ALT
Type of Use: COM
Occupancy Group: R-4
Occupancy Load: 29
Fire Sprinkler Required: Yes
Project Name: Madrona Recovery
Remarks: Temporary occupancy for 30 days from 11/9/2017
Owner: NELSON VIAL LLC
7155 SW VARNES ST#120
TIGARD, OR 97223
Phone:
Contractor: PREMIER REMODELING& DESIGN LLC
1725 COMMERCIAL ST
SALEM, OR 97302
Phone: 503-209-3578
Fax:
It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use
and/or occupancy of the structure located at the site address listed above (hereinafter "structure"), does not grant or convey
to the owner or tenant any property right or other protectable property interest in the use and/or occupancy of the structure for
any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from
the date of issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the
period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the
project's land use case(s) issued by the City's Development Services Department or the County's Department of Land Use
and Transportation and/or the Clean Water Services and all building and related code requirements and any other applicable
requirements have been completely fulfilled and complied with to the City's or County's satisfaction.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE
CITY OF TIGARDPPI CERTIFICATE OF OCCUPANCY
i `r Permit#: BUP2017-00092
COMMUNITY DEVELOPMENT Permit issued: 06/12/2017
1 1';A }I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA01900
Jurisdiction: Tigard
Site address: 6996 SW VARNS ST
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. 11/10/2017: 30-DAY TEMPORARY CERTIFICATE OF
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: R-4
Occupancy Load: 29
Fire Sprinkler Required: Yes
Project Name: Madrona Recovery
Owner: NELSON VIAL LLC
7155 SW VARNES ST#120
TIGARD, OR 97223
Phone:
Contractor: PREMIER REMODELING&DESIGN LLC
1725 COMMERCIAL ST
SALEM, OR 97302
Phone: 503-209-3578
Fax:
This Certificate issued 11/21/2017 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2014 State of Oregon Specialty
Codes for the group,occupancy,and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE