Permit Building Permit Application
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City of Tigard �,,�n Res
• 13125 S W Hall Blvd,Tigard,OR 970RMR 1 9 2020 Dawsy:erved i 'Z 4 —e F 7
Plan Review( t-
= Phone: 503.718.2439 Fax: 503.598.1960 ^� pa�gy� f Other Permit:
1'I G A R In Inspection line: 503.639.4175 CITY ,Ti,-' t GA D Date Resdy/By: )� loda El see Page 2 for
Internet: wwwligard-or.gov B(�i�-�1�IRif.". ivIsi Th lionfi thud: 'f?jam/ I Supplemental Information
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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 nearest dollar)of all
❑Addition/alteration/replacement ®Other:repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑1-and 2-family dwelling
❑Commercial/iodustrial
❑Accessory building El Multi-familyNumber of bedrooms:
0 Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15518 SW 114ta Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg.apt.no.:60 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: 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
DESCRIPTION OF WORK - work indicated on this application.
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant
Valuation: 53448.00
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums - Type of construction: 5B
Address:15371 SW 116th Ave.#110 Occupancygroups:
p%
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
New.
El APPLICANT ig CONTACT PERSON BUILDING PERMIT FEES'
Business name: --.(Please refmmjeeahcdaiea..
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 94ta 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.evenjobati gmaiteom 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 94t0 Ave and fire department access,along with the 2010 Oregal
Solar Irwallalton Specialty Code checklist
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review 5180.00
Phone:(503)730-9220 Fax:( ) and administrative fees):
State surcharge(12%of permit fee): 521.60
CCB lic.:162397
Total fee due upon application: S201.60
Authorized signature: This permit applcatioo expIres If a permit is not obtained
within l80 days after it has been accepted as complete.
Print name: Jon Erickson Date:3/19/2020 • Fee methodology set by Tri-County Building Industry
Service Board.
I I:113utiding1Permits\BUP-COM PermitApp.doc 02/24/2011 440.4613T(ll/02/COM/WEB)