Permit CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT Permit ft: BUP2021-00013
T f C.;A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/2/2021
Parcel: 2S 110DC90132
Jurisdiction: Tigard
Site address: 15655 SW 114TH CT 13
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 13
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: STAYTON, BARBARA JANE
15280 SW 94TH AVE 15655 SW 114TH CT#13
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: VB Permit Fee-Additions,Alterations, 02/02/2021 $134.54
Occupancy Grp: U Occupancy Load: Demolition
12%State Surcharge-Building 02/02/2021 $16.14
Dwelling Units: 0 Plan Review 01/20/2021 $87.45
Stories: 0 Height: 0 ft 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: Roily VavvDe. 4ege Permittee Signature: Ovtwr4ppU;catCovt
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 / 3
/ / 2. f3
Commercial FOR OFFICE USE ONLY y�
City of Tigard RECEIVED Received Dl 14 2! aUPZ 14 a DateBy: fe Permit No. OH -a/C//3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.71 R_2439 Fax: 503.598-7960 JAN 1 1 2021 Date/BY' j'e��'.1..� Other Permit
T I GA RD Inspection Line: 503.639.4175 Date ReadyBy: tugs: 05ce Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. h , Supplemental Information I
Fi(III WING DIVISION
TYPE OF WORK SQUIRED DATA:I-AND 2-FANIILY DWELLING
❑New construction 0 Demolition Permit fees'are based on the value of the work performed.
Indicate the value(sounded to the nearest dollar)of all
0 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-famil 5 g dwellin Valuation: $
❑Commercial/industrial
❑Accessory building ®Multi-family Number of bedrooms:
O Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION ANDLOCATION Total number of floors:
Job site address: }5518.SW 114'h Com.t /56J S s(// / i'79,, c_1, New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 ( Garage/carport area: square feet
Suite'bldg./apt.fro.:6ff — 13 1project name:DeelrRetm'bla1,hig+ Covered porch area: square feet
Cross street/directions to job site: 771 Z )t%I14 / Deck area: square feet
6ti—SifyY!!Zf T r6`"i6,. 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.
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,re latx compliant53448.00
p guardrar7with42"codccmm hart Valuation:
Existing building area: square feet
New building area square feet
IN PROPERTY OWNER ❑ TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums
Type of-construction: 5B
Address:15371 SW 116'h Ave.#110
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
0: APPLICANT New:
® CONTACT PERSON BUILDING PERMIT FEES*
Business name:
(Please refer m feesehedalef
Contact name:Jon Erickson Structural plan review fee(or deposit): g7 sec-
Address:15280 SW 941h 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@grnail.c n, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PholoVoltaic Solar Panel System.
Business name:Jon Erickson Submit two(2)sets of roof plan with connection details
Address:15280 SW 941tr Ave. and fire department access,along wills the 2010 Oregon
Solar Inslallatiom Specialty Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review
and administrative tees): $t 50.00
Phone:(503)730 9220 Fax:( )
CCB lie.: 162397 !f/ z State surcharge(12%of permit fee): S21.60
v Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as complete.
Print name: Jon Erickson ( , Date:3f}4h2939 /,///2 02/ * Fee methodology set by Tr-County Building Industry
Service Board.
I:\Building\Permits\BUP-CObf PermitApp.doe 02/24/2011 440-4613T(11/02/CO ell/WEB)