Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00061
Date Issued: 03/17/2020
Tic;_A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110DB90732
Jurisdiction: Tigard
Site address: 15480 SW 114TH CT 73
Project: Fountains at Summerfield Subdivision:IAINS AT SUMMERFIELD CONDO-PHI Lot: 73
Project Description: Repairing dry rot,re-coating solid decking,replacing guardrail with 42"guardrail.
Contractor: JON EDWARD ERICKSON Owner: RAMEY LIVING TRUST
15280 SW 94TH AVE BY RAMEY, MICHAEL A SR& SHEILA K T
TIGARD, OR 97224 15480 SW 114TH CT#73
TIGARD, OR 97224
PHONE: 503-730-9220
PHONE: 503-730-9220
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/17/2020 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 03/17/2020 $16.14
Dwelling Units: 0 Plan Review 03/05/2020 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/17/2020 $5.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,448 Plan Review-Fire Life Safely 03/17/2020 $53.82
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $296.95
Required Items and Reports(Conditions)
Required:
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 opy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8000..3332.22,2344.. yn/
Issued By: I Permittee Signature: S',
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.
Building Permit Application
Commercial RECEIVE FOR OFFICE use oNL1
�.°eceived � �/J
- City of Tigard Date/By- .5 3 /� Peyihtlq�; 0 �.�/
_ SW Hall Blvd.,Tigard,OR 97223 2�20 Plan Review Other Penn it
Phone: 503.718.2439 Fax: 503.598.1960 MAR DmdBy: /1 i./ t 3 "10^7-�
Inspection Line: 503.639.4175 Date Ready y: uric- See Page 2 for
TICARD ` otifiedltvjuthod: // /�/ I Supplemental Information
Internet: www.tigardor.gov �''�'�OF-MOP"'
6 .. iNG EIDASION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the newest dollar)of all
❑Additionialteration/rcplacement ®Other:repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ❑Commercial/industrial
ElAccessory building
El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15480 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 _ Garage/carport area: square feet
Suite/bldg./apt.no.:73 Project name:Deck Refurbishing Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no_: Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
S3448.00
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant
Valuation:
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction: 5B
Address:15371 SW 116"'Ave.#110 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(858)212-9105 Fax:( )
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES'
Business name (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Jon Erickson
Address:15280 SW 94th Ave. FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 Fax::( ) Amount received:
E-mail:jon.evenjobs@gmaiLcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Jon Erickson Submit two(2)sets of roof plan with connection details
Address:15280 SW 94th Ave and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)730-9220 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:162397 �.
,(......."
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: Jon Ericks n Date:3/2/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:5Building\Pemtits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)