Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00339
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2019
TfLo� r Parcel: 2S110DB90802
Jurisdiction: Tigard
Site address: 15478 SW 114TH CT 80
Project: FOUNTAINS AT SUMMERFIELD Subdivision:fAINS AT SUMMERFIELD CONDO-PHI Lot: 80
Project Description: Repair dry rot,re-coat decking,replace guardrail,and install 4x4 ft exterior of the brick column for post on left side.
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: 858-212-9105
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/22/2019 $77.00
Demolition
Occupancy Grp: R-2 Occupancy Load: 2 12%State Surcharge-Building 01/22/2019 $9.24
Dwelling Units: 0 Plan Review 12/05/2018 $50.05
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/22/2019 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $138.79
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 m- •.ain a copy o - les or direct questions to OUNC by calling 503 .1987 or 1.800.3 .2
_AolIssued By: Permittee Signature: Ae
)'
Call 503.639.4175 by 7:00 a.m.for the next available inspec• n date.
This permit card shall be kept in a conspicuous place on the job site un. completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE ISE ONL\
Received
City of Tigard Date/By: I Z 1 c/I 4 Permit N6�,„�/j,e )�‘9
t , . I i,_� vw' K/
1111 I
° 13125 S W Hall Blvd.,Tigard,OR 972 �. �- � Plan Review �
Phone: 503.718.2439 Fax: 503 598.1960 Date/By: Jot ' ) is • Other Permit:
T I G A RD Inspection Line: 503.639.4175 Date Ready/By: ` Juris_ H See Page 2 for
Intet: www.tigard-or.gov �Iotified/Meth..•/_ / 1 ( Supplemental Information
66 �/d AA
TYPE OF WORK "REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15478 SW 114`6 Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 e f---S4 kdort.IS e lid Garage/carport area: square feet
Suite/bldg./apt.no.:80 Project name:Fountain 7 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.
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant Valuation: $$1,200.00
INSTALL 4X4 PT EXTERIOR OF THE BRICK COLUMN FOR BEAM SUPPORT. Existing building area: square feet
•Th1., 5 .v,'- 00e /0027 P' /e7 ,1-6(e.. New building area: square feet
0 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:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
—" (Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:Jon Erickson
FLS plan review fee(if applicable):
Address:15280 SW 94th Ave.
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Amount received:
Phone:(503)730-9220 Fax: :( )
E-mail:jon.evenjobs@gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Jon Erickson Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15280 SW 94th Ave. 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
Total fee due upon application: $201.60
Authorized signature: ' Sits This permit application expires if a permit is not obtained
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.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15478 SW 114TH CT 80, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00339
Inspection Type: Inspector:
295 Misc. inspection Jeff Grove
Result:
PART
Comments:
Consultation
Violation Summary:
Inspector Contractor