Permit CITY OF TIGARD BUILDING PERMIT
a , COMMUNITY DEVELOPMENT Permit#: BUP2020-00113
Date Issued: 10/1/2020
T f C;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DC90142
Jurisdiction: Tigard
Site address: 15655 SW 114TH CT 14
Project: Fountains at summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 14
Project Description: Repairing dry rot,re-coating solid decking,replacing guardrail with 42"guardrail.
Contractor: JON EDWARD ERICKSON Owner: CHRISTENSON, ROBERT FOX
15280 SW 94TH AVE 15655 SW 114TH CT#14
TIGARD, OR 97224 TIGARD,OR 97224
PHONE: 503-730-9220 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: MF Permit Fee-Additions,Alterations, 05/21/2020 $134.54
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 05/21/2020 $16.14
Dwelling Units: 0 Plan Review 05/21/2020 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/21/2020 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/21/2020 $2.00
Value: $3,448 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $293.95
Required: Required Items and Reports(Conditions)
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 copy of the rules or direct questions to OUNC by calling 503232.1987 or 1.800.332 2344_
Issued By: "1�`�-�-- Permittee Signature: S G pp1 t L
J 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 REcE VEID FOR OFFICE USE ONLY
City of Tigard >� `d 4127 ,20/�, ` PC)()) . //_1
IN13125 SW Hall Blvd.,Tigard,OR 9 RR 3 202U Plan Review
= Phone: 503.718.2439 Fax: 503.59 96o D,�g,. �� 0 OtherPennit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/By: H See Page 2for
Internet www.tigard-or.gov Notifi... .. . d Y1J I Supplemental Information
BUILDING DIVISION ' Y
TYPE OF WORK ti;IIREDBATA:I-AND 2-FALtiIILYDWRI.i,ING
❑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: $
❑1-and 2-family dwelling ❑Commercial/industrial
D Accessory building ®Multi-family Number of bedrooms:
❑Master builder 0 Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15655 SW 114a Court New dwelling area square feet
City/State/ZIP Tigard,OR 97224 Garage/carport area: square feet
Suite/bidgJapt.no.:14 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.
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.
$3448.00
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant
Valuation:
Existing building area square feet
• New building area: square feet
CR PROPERTY OWNER ❑ TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction: 5B
Address:15371 SW 1166 Ave.#110 Occupancy groups
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(858)212-9105 Fax:( )
New:
)gi APPLICANT ET CONTACT PERSON BUILDING PERMIT FEES*
Business name: gleam refer tafuuLedr*(5►
Structural plan review fee(or deposit):
Contact name:Jon Erickson
Address:15280 SW 94`k 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.evatjoNs(agmmloom
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 94u Ave and fire department access,along with the 2010 Oregon
Solarinstallation Specialty Core checklist
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review 5180
.00
and administrative feesk
Phone:(503)730-9220 Fax:( )
- State surcharge(12%of permit feek S21.60
CCB lict 162397
�/j Total fee due upon application: S201.60
Authorized signature: !J This permit application expires if a permit b not obtained
within 180 days after it has been accepted as complete.
l Print name: Jon Erickson Date:4/2/2020 • Fee methodology set by Tn-County Building Industry
Service Board.
L•1BuildinglPermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)