Permit Ph
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00016
TIC;A R.T.) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/2/2021
Parcel: 2S 110 DC90252
Jurisdiction: Tigard
Site address: 15565 SW 114TH CT 25
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 25
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: SMITH, DAVID A& KATHLEEN J
15280 SW 94TH AVE 15565 SW 114TH CT, UNIT 25
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-730-9220 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 02/02/2021 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 0
12%State Surcharge-Building 02/02/2021 $16.14
Dwelling Units: 0 Plan Review 01/20/2021
Stories: 0 Height: 0 ft $87.45
Plan Review-Fire Life Safety 02/02/2021 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/02/2021 $3.00
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 $294.95
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.
Issued By: }fo-1y t' ' 1'e'We,,e Permittee Signature: Owl pplicatw-n
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 2- 5
sJ 1 it
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard ReceBedOy 19 �1 1 (jPZC21-CJOI
Dal Permit No..
13125 S W Hall Blvd.,Tigard OR 97223 Plan Review, ^
Phone: 503.718.2439 Fax: 503.598.1960 J A N 1 1 2021 llnte/3y, j ... ..CJ Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. .7.. /� /�t tuns: ® See Page 2 for
Internet: www.[igard-or.gov rfed/Me d `. / /.�. Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 ITi Other:repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and2-family dwelling 0 Commercial/industrial Valuation: $
❑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:4.1501.-FAV-H4th Q,wt /..r.S.4,5 $t,tf /I V*7 c t, New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:zetr z j Project name:Beiti Covered porch area: square feet
Cross street/directions to job site: nt c .. 64, th c At- Deck area: square feet
Ize `i PI rr tq t/el 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: $3448.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:The Fountains at Summerl-teld Condominiums Type of construction: 5B
Address:15371 SW 116ra Ave.#110
Occupancy groups:
CitvStatc/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
® APPLICANT New:
® CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer ru fee schedule)
Structural plan review fee(or deposit): 87 ef5
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.evenjobsafgmail.com 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 tire department access,along with the 2010 Oregon
Solar installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review S180.00
and administrative fees):
Phone:(503)730-9220 Fax:( )
State surcharge(12o%6 of permit fee): S21.60
CCB lie.:162397
Total fee due upon application: S201.60
Authorized signature: This permit application expires ira permit is not obtained
// within 180 days after it has been accepted as complete.
I Print name: Jon Erickson L-.. Date:MIAOW / ///202/ * Fee methodology set by Tri-County Building Industry
• Service Board.
I:\Building\Pemtits\BIJP-COILS PermilApp.doc 02/24/2011 440-4613T(I 1!02/COM/WEB)