Permit CITY OF TIGARD BUILDING PERMIT
S. COMMUNITY DEVELOPMENT Permit#: BUP2021-00015
T f f3A R T? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/2/2021
Parcel: 2S110DC90212
Jurisdiction: Tigard
Site address: 15605 SW 114TH CT 21
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 21 •
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner:
VANDERMEULEN, YUN TOK
15280 SW 94TH AVE 15605 SW 114TH CT#21
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
Demolition
Occupancy Grp: U Occupancy Load: 0 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: Ho Vav De/We�e Permittee Signature: O W Appi.caruYvt
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 Z ) / II 21
Commercial RECEIVEp�� ii spy FOR OFFICE USE ONLYt n M /��t
City of Tigard t d iRJeatee Bye ��,if7 �i� Permit No.:0111 2O2f-Wo 15
13125 SW Hall Blvd.,Tigard,OR 97223 JAN 11 2021 Plan Review 1 �'
= Phone: 503.718.2439 Fax: 503.598.1960 D teiny. Other Permit:
Inspection Line: 503.639.4175 Date Reay �/ /� mns: Ed See Page 2l fInformation
TIGARD CITY OF IIGARD No Ffiedetho:d Supplemental Information
Internet: www.tigard-or.gov 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
0 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 0 Commercial/industrial
Number of bedrooms:
❑Accessory building ®Multi-family
N um ber of bathrooms:
0 Master builder ❑Other:
JOB SITE INFORMATION AND LOCAATION Total number of floors:Job site address: Lh / ibO S Syti ,/9 Gf New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg/apt.no.i,Allr 2. I Project name: Covered porch area: square feet
Cross street/directions to job site: C ..- k ks, I Deck area: square feet
at 5#�,1 fL -le IAA 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.
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.
S3448.00
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant
Valuation:
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number ot'stories:
Name:The Fountains at Summerfield Condominiums Type of construction: 5B
Address:15371 SW 116th Ave.#110 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(858)212-9105 Fax:( )
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: (ems refer to feeechednle
Structural plan review fee(or deposit): g.45-
Contact name:Jon Erickson
Address:15280 SW 94`a Ave. FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 I Fax::( ) Amount received:
E-mail:jon.evenjoh0i:gmail.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 94ta Ave. and fire department access,along with the 2010 Oregon
Solarinslallanon Specialty Code checklist
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review $150.00
and administrative fees):
Phone:(503)730-9220 Fax:( )
State surcharge(12%of permit fee): S21.60
CCB lie.: 162397
Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
/ s within 180 days atter it has been accepted as complete.
Print name: Jon Erickson ('.f� 1 Date:3H91SH6•-0 2D2 t ' Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Pemmits1BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l!02%COMIW EB)