Permit CITY OF TIGARD BUILDING PERMIT
V1 a COMMUNITY DEVELOPMENT Permit#: BUP2021-00010
Date Issued: 7/27/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 110 D B90782
Jurisdiction: Tigard
Site address: 15478 SW 114TH CT 78
Project: The Fountains at Summerfield Condominiums Subdivision:TAINS AT SUMMERFIELD CONDO-PH/ Lot: 78
Project Description: Repairing deck joist dry rot,replacing perimeter joists, and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: ENGLE, CLARA H REVOCABLE LIVING TRUST
15280 SW 94TH AVE 15478 SW 114TH CT#78
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, 06/10/2021 $134.54
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 06/10/2021 $16.14
Dwelling Units: 0 Plan Review 06/10/2021 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 0611 0/20 21 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 06/10/2021 $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: Permittee Signature: On.AppLicari-an
44 any yam,77viwPgo.
Call 503.639.4175 by 7:00 a.m.for the nest 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
II q City of Tigard JAN 1 1 YQZt Date;lly• t`1\\I-4).L\ V.V..) Permit No..W,.)~-Z,cz I —oco\O
13125 SW Hall Blvd.,Tigard,OR 97223 elan Bent
Phone: 503.718 2439 Fax: 503.598.1960 CITY OF TIGARD pt> 1 DateD .f y�i •• Other Permit
T 1 C A K D Inspection Line: 503.639.4175 p� r�t.��r ry�t7/t(1�f�1L1., Date Ready/By. lads ® See Page 2 for
Internet: www.tigard-or.gov BUILDING Dty1S ON Notifie., ethod:— ,ir 1 I Supplemental Information
:di/i. . i;/
TYPE OF WORK 'EQ ' t 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/alteration/replacement ®Other:repair equipment,materials,labor,overhead_and the profit for the
CATEGORY OF CONSTRUCTION I work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial I Valuation: $
0 Accessory building In Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: Y
Job site address: 15M0 :P i-14i c: 454/7 t7 g ski // c.t. I New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage./carport area: square feet
—
Suite/bldg./apt.no.:69r' 7s I Project name:Deck Refurbishing I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
IOther structure area: square feet
I 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: 53448.00
Existing building area: square feet
New building area: square feet
frA PROPERTY OWNER I 0 TENANT
Number of stories:
Name:The Fountains at Summert-teld Condominiums Type of construction: 5B
Address:15371 SW 116''Ave.#110 I
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
I3usiness name: I !Please refer to fee schedule)
Contact name:Jon Erickson Structural plan review fee(or deposit): I
Address:15280 SW 94th Ave. FLS plan review fee(if applicable):
City/StateiZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 I Fax::( ) I Amount received:
E-mail:jon.evenjoha)gmail.com I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaie 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,alone with the 2010 Oregon
Solar Installation.Specially Code checklist.
City/State/ZIP:Tigard,OR 97224 I Permit fee(includes plan review 5150.00
Phone:(503)730.9220 I Fax:( ) I and administrative fees):
CCB lie.: 162397 —
I I State surcharge(12%of permit fee): S21.60
ITotal fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
�Ff / I within 180 days after it has been accepted as complete.
Print name: Jon Erickson ' I Date:,449/20241— 0/A021 I * Fee methodology set by Tri-County Building Industry
/ - - Service Board.
I:1 Building\Permits\BUP-COM PermitApp.doc 02)24 2011 440-4613T(l I i02/COM/WEB)