Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2020-00110
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/1/2020
T f t;A IZ I-7 9 Parcel: 2S110DC90032
Jurisdiction: Tigard
Site address: 15695 SW 114TH CT 3
Project: Fountains at summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 3
Project Description: Repairing dry rot,re-coating solid decking,replacing guardrail with 42"guardrail.
Contractor: JON EDWARD ERICKSON Owner: TRAINER, DIANE G
15280 SW 94TH AVE 15695 SW 114TH CT, UNIT#3
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: 503-730-9220 PHONE: 858-212-9105
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/21/2020 $134.54
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 503.232.1987 or 1.800.332.2344.
,11 Issued By: �"9 Permittee Signature: S et. opt
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 RECEIV,r. FOR OFFICE USE ONLY
City of Tigard APR 3 2020 11,77/ 1'1.1 'filififftV0/z//,0
13125 SW Hall Blvd.,Tigard,OR 97223 pae/ny: o1. 1 20
l'hoae: 503.718.2439 Fax 503.5911.L96CITY OF TIGARD Ov:elar: y Other Permit
71 ,Rn Inspection line: 503.639.4175 BUILDING DIVISION Dam Ready/By: �//� /� 0% la See Paget for
Internet www.tigard-or.goe �C! F! Loot //. . Supplemental Information
TYPE OF WORK REQIT1R D DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
-- -- Indicate the value(sounded 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.
❑1-and 2-family dwelling 0 Commercial/industrialValuation: $
❑Accessory building ®Multi-family Number of bedrooms
❑Master builder 0 Other. Number of badnooms
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15695 SW 114u Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldgJapt no.:3 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 CHECK IST
Subdivision: I 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: '
Existing building area: square feet
New building area: square feet
El PROPERTY OWNER Q TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction SB
Address:15371 SW 1164 Ave.#110 Occupancy groups:
Cityi State.ZIP:Tigard,OR.97224
Existing:
Phone:(858)212-9105 Fax:( )
._ New:
0 APPLICANT ® CONTACT PERSON BUILDING NG PERMIT FEES*
Business name: (Please refer to fee schedule)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address 15280 SW 941a Ave FIS plan review fee(if applicable):
City/Stat/ZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 Fax::( ) Amount received:
E-mail:fon.erenjohaJgrmaiLcom 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 94'*Ave and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist
`ity/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review SI80.00
me:(503)730-9220 Fax( )
and administrative fees):
e-. State surcharge(12%of permit fee): $21.60
tics 162397
Total fee due upon application: S201.60
zed signature: This permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
': Jon E Date:4/2/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
sits\SUP-COM PcrmitApp.doc 02/24/2011 440-4613T(1J AZ/COM/WEB)