Permit (72) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit#: BUP2019-00159
Date Issued: 4/2 19
7 I i;A u f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 07/2 0
Parcel: 2S110DC90262
Jurisdiction: Tigard
Site address: 15565 SW 114TH CT 26
Project: Fountains at Summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 26
Project Description: Repairing dry rot,re-coating solid decking,and replacing guardrail.
Contractor: JON EDWARD ERICKSON Owner: ARNOLD, MARJORY D TRUST
15280 SW 94TH AVE 15565 SW 114TH CT#26
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-730-9220 PHONE: 858-212-9105
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/24/2019 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 10
12%State Surcharge-Building 07/24/2019 $16.14
Dwelling Units: 0 Plan Review 07/03/2019 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/24/2019 $3.00
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 $241.13
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fre AI mt Pratec*r# ttrrie�r'}:
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 su-•ended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those r -s 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 cal'•• •x.232.1987 or .800.331 344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe ion 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 r — ..,,:f--:, 1 FOR OFFICE USE ONLY
City of Tigard Receiv
Date/Bed
7 ,_ 1, / " Pe /O/f�/G��/,(/ ""0 /—c7
- M 13125 SW Hall Blvd.,Tigard,OR 97223 J U L A 2 0 i 9 Plan Review uh "��LL
Phone: 503.718.2439 Fax: 503.598.1960 DateBy. �--)) Other Permit:
TI C ARD Inspection Line: 503.639.4175 ( Date ReadyBy: / loos: 0 See Page 2 for
Internet: www.tigard-or.gov bUh_c.r:h a Lri t, �;iv ified(Method: / ;/•,./1/
Supplemental Information
_..rl ;r" i-%s i s '8.1,11 ftp"`.
❑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
0 Addition/alteration/replacement ®Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building ®Multi-family Number of bedrooms:
CI Master builder 1:1 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15565 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:26 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.
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant
Valuation: $3448.00
Existing building area: square feet
New building area: square feet
►i4 PROPERTY OWNER D 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 gig CONTACT PERSON BUILDING PERMIT FEES*
Business name:
lease refer tufeeschedule)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 941`h Ave FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
E-mail:jon.evenjob 'a gmail.com PHOTOVOLTAICSOLAR 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
Phone:(503)730-9220 Fax:( ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lie.:162397
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
!ll��� within 180 days after it has been accepted as complete.
Print name: Jon Erickson Date:'OV01i;1T 7 ? 0, * 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:
15565 SW 114TH CT 26, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2019-00159
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor