Permit (3) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00263
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2019
T f G A R - 9 Parcel: 2S110DC90292
Jurisdiction:
Site address: 15525 SW 114TH CT 29
Subdivision: FOUNTAINS AT SUMMERFIELD CONDO-PI Lot: 29
Project: Fountains at Summerfield
Project Description: Repairing dry rot, re-coating sold decking, and replacing guardrail.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: sf Basement: sf Left: 0 Parking Spaces:
Height: 0 Bathrooms: 0 Second: sf Garage: sf Front: 0 Smoke
Dwelling Units: 0 Third: sf Right: 0 Detectors:
Total: sf Value: $3,448.00 Rear: 0
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Drywell-Trench Drain: Other Fixtures:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT MF VB U
Owner: Contractor:
ZITZEWITZ,CHARLENE J JON EDWARD ERICKSON Required Items and Reports(Conditions)
15525 SW 114TH CT#29 15280 SW 94TH AVE
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: 858-212-9105 PHONE: 503-730-9220
FAX:
Total Fees: $241.13
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 f more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ru are -et forth in OAR
952-001-0010 through OAR 952-O,,0r'r. You . obtain opy of the r s or direct questions to OUNC by calling 503.232. : or 1.800.2.23 4.
Issued By: ' Permittee Signature: !/
i".' " all 503.639.4175 by 7:00 a.m.for the next available inspection date./ r
This permit card shall be kept in a conspicuous place on the job site until completi ' of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
RECEIVEI ateB / 5
City of Tigard eceived �s G� "4
Pe,i / 40X.,3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Q
I . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: /-els
. j C jo
Other Permit:
f I G A RD Inspection Line: 503.639.4175 SEP 11 2019 Date Re dyBy: Juris: [a See Page 2 for
Internet: www.tigard-or.gov N ed/Method: it)/ e7 041 I Supplemental Information
CITY OF TIGARD .„/7i..,,,;,:;„.. 2 to
TYPE OF WOR}�UILDING DIVISION
,QUIRED 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.
dwellingValuation: $
❑ 1-and 2-family 0Commercial/industrial
❑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:15525 SW 114"'Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:29 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.
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
® PROPERTY OWNER 0 TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction: SB
Address:15371 SW 116°i Ave.#110
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.evenjobs@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 94u'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 lic.:162397
/ Total fee due upon application: $201.60
Authorized signature: 7� This permit application expires if a permit is not obtained
6 within 180 days after it has been accepted as complete.
Print name: Jon Erickson Date:9/11/19 * 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)