Permit CITY OF TIGARD BUILDING PERMIT
a:. COMMUNITY DEVELOPMENT Permit#: BUP2021-00023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/8/2021
Parcel: 2S110DC90642
Jurisdiction: Tigard
Site address: 15514 SW 114TH CT 64
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 64
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: MILLER, KEN
15280 SW 94TH AVE 15514 SW 114TH CT#64
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: 503-730-9220 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 02/08/2021 $134.54
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 02/08/2021 $16.14
Dwelling Units: 0 Plan Review 01/20/2021 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/08/2021 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/08/2021 52.50
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: j- o VafuDP'Wege Permittee Signature: 0WAppliccvti - 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 .. I t( ZI a'
Commercial FOR OFFICE USE ONLY
City g RECEIVED Da«�d! 14' 20 ( uP2o2 ..00:).2.3
of Tigard Z '� Pea,[[[N �
111 " 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 1 1 2021 _
Plan Review ^�
S Phone: 503.715-2439 Fax: 503.595.1960 llntemy ) '�� p�' ' (7ther Permi�
T[G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Dale ReadyBy �j /( funs ® See Page 2 for
Internet: www.tigard-or.gov gUlLDING DIVISION NadiG)TM p2, Supplemental Information
/ ,,.0R Q /
TYPE OF WORK R UIRED DATA:1-AND 2-FAMILY DWELLING I
❑New construction ❑Demolition 1 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alterationheplacement in Other:repair I equipment,materials.labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION I work indicated on this application.
I
❑ 1-and 2-family dwelling 0 Commercial/industrial
Valuation: S
0 Accessory building ®Multi-family Number of bedrooms.
0 Master builder LIOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: l55Ifl3W 1141"C.,,..t /5574 51.0 //,7`4 Ci. I I New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 I I Garage/carport area: square feet
Suite/bldg./apt.no.: I 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.: Pcnnit 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,replace guardrail with 42"code compliant Valuation: $3448.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I 0 TENANT ( Number of stories:
Name:The Fountains at Summerfield Condominiums
Type of construction: 5B
Address:15371 SW 116"'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: (Please re%r to fee schedule)
—
Contact name:Jon Erickson I I Structural plan review fee(or deposit):
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::( ) I Amount received: I
E-mail:jon.evenjobsv@gmail.com I + PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR I 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 SR'941"Ave. and tire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City./State/ZIP:Tigard,OR 97224 Permit fee(includes plan review $180.00
Phone:(503)730-9220 I Fax:( ) and administrative fees):
— I I State surcharge(12%of pennit fee): S2I.60
CCB tic.: 162397
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
/� within 180 days after it has been accepted as complete.
IPrint name: Jon Erickson I Date:3Fi9Li01 /////ZDZ/I * Fee methodology set by Tri-County Building Industry
/ Service Board.
1:1Building'\Pennits\BUP-COM PcrmitApp.doc 02)24/2011 440-4613T(11/02/COM/WEE)