Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00008
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/8/2021
Parcel: 2S 110DB90742
Jurisdiction: Tigard
Site address: 15480 SW 114TH CT 74
Project: The Fountains at Summerfield Condominiums Subdivision:fAINS AT SUMMERFIELD CONDO-PH/ Lot: 74
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: NOELLE,WILDA
15280 SW 94TH AVE 15480 SW 114TH CT UNIT 74
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, 02/07/2021 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 02/07/2021 $16.14
Dwelling Units: 0 Plan Review 02/07/2021 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/07/2021 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/07/2021 $2.50
Value: $3,448 11x17)
Floor Areas:
Total Area:ea 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $294.45
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: H0123,voovDe�we)le Permittee Signature: Ovin47 7 icatlon
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 RECEI*ED FOR OFFICE USE ONLY
City of Tigard DatelBy. \ i2rbz\ , Permit No.:Wjl2,02A— tA1d
II ° 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 1 1 2021 Plan Review
2 Phone: 503.715.2439 Fax: 503.598.1960 Dafriny. , 1 41' I Other Permit
II G A R D Inspection Line: 503.639.4175 crry OF TIG RD Date Ready/ y. / ions ® See Page 2 for
Internet: www.tigard-or.gov TIGARD N ied/Method. i// I Supplemental Information
_
BUILDING `1i1-tn . ,.
TYPE OF WORK �REQU RED DATA:1-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
0 Addition/alteration/replacement ®Other:repair equipment,materials,labor,overhead.and the profit for the
- work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: S
ID1-and 2-family dwelling El Commercial/industrial
❑Accessory building ®Multi-family I Number of bedrooms:
C1 Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:45548 SW 114'"C.,...b 451410 51.601 //''"'I e f, I New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
SuitefbldgJapt.no.:or 7/. I Project name:Deck Refurbishing I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.: I 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 I ❑ TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums
Type of-construction: 5B 1
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: I (Please refer rafee schedule)
—
Contact name:Jon Erickson Structural plan review fee(or deposit):
•
Address:15280 SW 94th Ave. FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97224 I I Total fees due upon application:
Phone:(503)730-9220 I Fax::( ) I Amount received:
E-mail:jon.evenjohsgnail.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 Special'PCode checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review 5180.00
Phone:(503)730-9220 I Fax:( ) I and administrative fees):
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
// within 180 days atter it has been accepted as complete.
Print name: Jon Erickson _ Ai / I Date:3/19/202 -��a,a * Fee methodology set by'Pri-County Building Industry
Service Board.
1:1BuildinglPemtits1BUP-COM PermitApp.doc 02/24;2011 440.46131(11!02%COM/WEB)