Permit CITY OF TIGARD BUILDING PERMIT
III 8. COMMUNITY DEVELOPMENT Permit ft: BUP2021-00011
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/29/2021
Parcel: 2S110DB90802
Jurisdiction: Tigard
Site address: 15478 SW 114TH CT 80
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PHI Lot: 80
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: SMITH, MARYANN
15280 SW 94TH AVE 15478 SW 114TH CT#80
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, 04/27/2021 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 04/27/2021 $16.14
Dwelling Units: 0 Plan Review 04/27/2021 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/27/2021 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 04/27/2021 $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: Nally VawDe/wefte Permittee Signature: OtvAppucat m.
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 EC �ED
Commercial FOR OFFICE USE ONLY
IN Date/By.ved .Q,��.2pZ`-C,x�\,
City of Tigard JAN 1 12021 Receive ` 11. 20 \1 Permit N C7V
u 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
S Phone: 503.718.2439 Fax: 503.598.1D..,Dy. a J• I Otter Permit.
��O�TIGARD Date Ready/By. tuns; H See Page 2 for
TIGARD Inspection Line: 503.639.4175 dY y ,p�
Internet: www.tigard-or.gov BUILDING DIVISION tifiea. -t�. �r,Z/ / / Supplemental Information
TYPE OF WORK REQUIREDDATA:1-AND 2-FAMILY DWELLING
' ❑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: S
❑ I-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building ®Multi-family
LiMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1t5519-f3W'lie Caret /54i 7$ ,ft) /1 Y 1h -Grit r New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage./carport area: square feet
Suitclbldgiapt.no.:_ r 0 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: 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.
$3448.00
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant
Valuation:
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:The Fountains at Summerlield 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 BUILDLNG PERMIT FEES*
Business name: (Please refer wise schedule)
Structural plan review fee(or deposit):
Contact name:Jon Erickson
Address:15280 SW 94" Ave. FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97224 Total tees due upon application:
Phone:(503)730-9220 Fax::( ) Amount received:
E-mail:jon.evenjobsFgmail.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 fire 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
and administrative fees):
Phone:(503)730-9220 Fax:( )
State surcharge(12%of permit fee): S21.60
CCD 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 ?.Je/A/ Date:31t9R020 /////202l * Fee methodology set by Td-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11:02/COM/WEB)