Permit CITY OF TIGARD BUILDING PERMIT
it •, COMMUNITY DEVELOPMENT Permit#: BUP2021-00025
TT GAR.T) 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 2/8/2021
Parcel: 2S110DC90682
Jurisdiction: Tigard
Site address: 15510 SW 114TH CT 68
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH/ Lot: 68
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: BLACK, KAREN D
15280 SW 94TH AVE 15510 SW 114TH CT#68
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, 02/08/2021 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 02/08/2021 $16.14
Dwelling Units: 0 Plan Review 01/21/2021 $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 $2.50
Value: $3,448 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: D
Mezzanine: 0
Total S294.45
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: I-t" S�" Wm.DO' e Permittee Signature: DyV.App Uccittta-n
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 ( 74 g 1
Commercial (2 qFOR OFFICE USE ONLY
City of Tigard RECEIVED Received DateBy o/ r4 .20,2( '- Permit Nu.. P.2/-k�?�
y
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
a)-
_
3 Phone: 503.71 R.243e Fax: 503.598.1960JQN 1 1 2021 Uetc/By. �� al
other
permit.
lures_ � See Page2 for
Inspection Line: 503.639.4175 Date Ready By: / Supplemental Information
1'IGARD Internet: www.tigard-or.gov CITY OF IIGAHI3 N lied7:bfethod:/� r;
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 till
❑Addition/alteration/replacement ®Other:repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑ 1-and 2-family dwelling 0 Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
0 Master builder ❑Other; Number of bathrooms:
JOB SITE INFORMATION AND LOCATION 1 Total number of floors:
Job site address: /5570 514 l lr/V 747 GZ , New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.a60- be Project name:Deck Refurbishing Covered porch area: square feet
Cross strect/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Valuation: $3448.00
Repair dry rot,re-coat solid decking,replace guardrail with 42>.code compliant
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of 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: (Please refer to fee schedule)
Structural plan review fee(or deposit): b 7%-
Contact name:Jon Erickson
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 Fax: :( ) Amount received:
E-mail:jon.evenjobs@gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
rooftop 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 Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review 5180.00
and administrative fees):
Phone:(503)730-9220 Fax:( )
State surcharge(1290 of permit fee): 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.
y/
Print name: Jon Erickson (.�� U-L Dater4lt§1202t1 /////ZOZ/ * Fee methodology set by Tri-County Building Industry
Service Board.
t:1Building\Permits\BlJP-COM PcnnitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)