Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00007
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 2/8/2021
TtC ARC7 9
Parcel: 2S110DC90592
Jurisdiction: Tigard
Site address: 15518 SW 114TH CT 59
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 59
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: NORTON,WILLIAM L&KAY M
15280 SW 94TH AVE 15518 SW 114TH CT,#59
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
Occupancy Grp: U Occupancy Load: 0 Demolition
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: 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: .jf,:7`^'J' Van,D�Wege Permittee Signature: O t wAppucc 1,o11
" 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 RECEIVED FOR OFFICE USE ONLY
. Cityof Tigard Received ` , Q 2 Qcj) 1
g Re eivv. `\\`'�)Z` �V Permit No.-AVP GV2•, �v\/wi'1
14 in 13125 SW Hall Blvd.,Tigard,OR 97223
JAN 1 1 2021 Plan Review r�
Phone: 503.718.2439 Fax: 503.598,1960 tit."/ Other Permit:
Uatc/n}':
T I GA RD Inspection Line: 503.639.4175 CITY OFTIn p pn Date Readyr'By: luris_ ® See Page 2 for
Internet: www.tigard-or_gov �V1 p�±TIGARD
tifiedl5dcih Z
BUILDING DIVISION
�" Supplemental Information
TYPE OF WORK R D 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/alterationireplacement ®Other:repair equipment,materials,labor,overhead.and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ❑Commercialiindustrial Valuation: S
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7SS18 8W tl1 7.5-5-1 ' �t� I/Lr4 4 t• New dwelling area: square feet
City!State/ZIP:Tigard,OR 97224 Garage./carport area: square feet
Suite/bldg.apt.nu.:5W ,j q Project name:Deck Refurbishing 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.: 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.
448'00Re air dryrot re-coat solid decking,re ►axguardrail with 42"code compliant Valuation:
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I 0 TENANT
Number of stories:
Name:The Fountains atSummerfield Condominiums
Type of construction: SB
Address:15371 SW 1161"Ave.#110
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
New:
r APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 94t"Ave. FLS plan review fee(if applicable):
City/State/ZlP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 Fax::( ) Amount received:
E-mail:jonevenjobsAgmaii.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaie Solar Panel System.
Business name:Jan Erickson Submit two(2)sets of roof plan with connection details
Address:15280 SW 94t"Ave. and fire department access,along wills the 2010 Oregon
Solarinstallation Specially Code checklist.
City!State.!ZIP:Tigard,OR 97224 Permit lee(includes plan review SI 80 00
Phone:(503)730-9220 Fax:( ) and administrative fees):
CCB lie. 162397 State surcharge(12%of permit fee): S21.60
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 �� � Date:3f}9f2020 ////�Z * Fee methodology set by Tri-County Building Industry
Service Board.
I:11-3uilding\Permits1BUP-COM PermitApp.doc 02/24;2011 440-4613T(11!02/COM'W EB)