Permit (30) CITY OF TIGARD BUILDING PERMIT
'- COMMUNITY DEVELOPMENT
Permit#: BUP2018-00319
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2018
Parcel: 2S110DB90872
Jurisdiction: Tigard
Site address: 15430 SW 114TH CT 87
Project: FOUNTAINS AT SUMMERFIELD Subdivision:MAINS AT SUMMERFIELD CONDO-PHI Lot: 87
Project Description: Repairing dry rot, re-coating solid decking, replacing guardrail 42"code compliant.
Contractor: JON EDWARD ERICKSON Owner: YEOMANS,THOMAS R REV LIV TRUST
15280 SW 94TH AVE 15430 SW 114TH CT#87
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-730-9220 PHONE: 858-212-9105
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/05/2018 $134.54
Demolition
Occupancy Grp: R-1 Occupancy Load: 0 12%State Surcharge-Building 12/05/2018 $16.14
Dwelling Units: 0 Plan Review 11/14/2018 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 12/05/2018 $5.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,448
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $243.13
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: ,
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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 , . 1.
Commercial FOR OFFICE USE ONLY
City of Tigard Received j( /Cr f 1 / 4 Pe *PO�.O/(-al)3l?
" 13125 SW Hall Blvd.,Tigard,OR 97223 y
g Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
i. ByOther Permit:
sti, DDaatteeReadInspection Line: 503.639.4175 yBy: Juts: I
BSee Page 2 forTIGARDInternet: www.tigard-or.gov iN died/Method: /f /�A
Supplemental Information
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 all
❑Addition/alteration/replacement ®Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
ElAccessory building ®Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15430 SW 114th Court / New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 ?'�_Z -k-v,(1/1.7"4/144- 5legfsrdCh`t/s1 Garage/carport area: square feet
Suite/bldg./apt.no.:87 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.: 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.
$3448.00
Repair dry rot,re-coat solid decking,replaceguardrail with 42"code compliant Valuation:
Existing building area: square feet
New building area: square feet
0114 PROPERTY OWNER 0 TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction: 5B
Address:15685 SW 116th Ave.#105
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)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 94th 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.evenjobsa gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic 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): $21.60
CCB lic.: 162397 O
J Total fee due upon application: $201.60
Authorized signature: 4 This permit application expires if a permit is not obtained
v within 180 days after it has been accepted as complete.
Print name: Jon Erickson Date:11/14/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doe 02/24/2011 440-4613T(11/02/COM WEB)