Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2021-00020
Ti GAR 013125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/2/2021
Parcel: 2S110DB90362
Jurisdiction: Tigard
Site address: 15485 SW 114TH CT 36
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 36
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: FELDMEIER, HELEN D FAMILY TRUST
15280 SW 94TH AVE PO BOX 8
TIGARD,OR 97224 CANNON BEACH, OR 97110
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, 02/01/2021 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 02/01/2021 $16.14
Dwelling Units: 0 Plan Review 01/21/2021 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/01/2021 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/01/2021 $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 OAR952-001-0090. 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: 1 -' Va wDe/Werife Permittee Signature: OYLAp7 Uca Io't
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 X •ft
Commercial R , IVE® FOR OFFICE USE ONLY
Received
City of Tigard JAN 1 1 2021 Dale/By.D/ 0, 21 PcmitNo:�Up� 2D
III ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie 11 1
t! ' Phone: 503.718.2439 Fax: 503.598.1960 Uatelny: J'a�- a.J Other Permit:
Inspection Line: 503.639.4175 CIS OFTIGAND Date ReadyiBy. A htns: ® See Page 2 for
Ttca RD P g g DIVISION
Internet: www.ti and-or. ov BUILDINGN fied/:vlethod: / if Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 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: $
❑ I-and 2-family dwelling ❑Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of Floors:
Job site address:1 1414W I14 Lour" /,SfL8$ ,fs/ //V 746 c r New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feel
Suite/bldg.iapt.no.:fief 3 6 Project name:A...A ReharbMSldng covered porch area: square feet
Cross street/directions to job site: L 7 jy„4, �S Deck area: square feet
a�6 a-or e rtorP 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.
Repair dry rot,re-coat solid decking,replan guardrail with 42"code compliant Valuation: S3448.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stoties:
Name:The Fountains at Summerfield Condominiums Type of construction: SB
Address:15371 SW 116th Ave.#110
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
New:
P. APPLICANT ® CONTACT PERSON
BUILDLNG PERMIT FEES*
Business name: (Please refs to fee sebeduleel
Contact name Jon Erickson Structural plan review fee(or deposit): P 7gcr
Address:15280 SW 94"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.evenjobsLjgmail.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 94t"Ave. and fire department access,along with the 2010 Oregon
Solar Installation Specialty Carle checklist.
City/StateiZIP:Tigard,OR 97224 Permit fee(includes plan review 5180.00
Phone:(503)730-9220 Fax:( ) and administrative fees):
State surcharge(12%of permit tee): S21.60
CCB lie.:162397
Total fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
/ ` , within 180 days after it has been accepted as complete.
Print name: Jon Erickson ' i j✓ ,� Date:1199Q41 1// z02) * Fee methodology set by Tri-County Building Industry
/// Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02i24/2011 440-4613T(1 I/02iCOM/WEB)