Permit it CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00302
TIC ARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2019
Parcel: 2S110DC90102
Jurisdiction: Tigard
Site address: 15655 SW 114TH CT 10
Project: Fountains at Summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 10
Project Description: Installation of posts to support the beam for the deck. Previous deck dry rot repair work completed under
BUP2018-00182.
Contractor: JON EDWARD ERICKSON Owner: WHITTEMORE, JOAN M
15280 SW 94TH AVE 15655 SW 114TH CT 10
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, 11/21/2019 $83.78
Demolition
Occupancy Grp: R-3 Occupancy Load: 0 12%State Surcharge-Building 11/21/2019 $10.05
Dwelling Units: 0 Plan Review 11/21/2019 $54.46
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 11/21/2019 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,350
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $149.79
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 sh in OAR
952-001-0010 through OAR 952-001-0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1.87 or 1.800.332.2344.
Issued By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection•ate.
This permit card shall be kept in a conspicuous place on the job site until co pletion 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
City a Tigard Received
�,d/pypi Permit No p )/q o30 4
14 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: )�--7- 1 Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juns: Bl See Page 2 for
T 1 C;A K IZ Internet: www.tigard-or.gov I j g� Notified/Metho • ` /1l/f iJ v I Supplemental Information
TYPE OF WORK, ,6 1 f: REQUIRED DATA:1-AND 2-FAMILY DW EI,LING
I, Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition
x,tTF ' , Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Othet.repair equipment,materials,labor,overhead,and the profit for the
'w' , , work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
0 1-and 2-family dwelling 0 Commercial/industrial
CIAccessory building
®Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE PVFORMATION AND LOCATION Total number of floors:
Job site address:15655 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:10 Project name:Dec fishingn1_ ,k d eql Covered porch area: square feet
Cross street/directions to job site: St-v•v.ee c\ e( 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Add external 4x4 PT posts to support beam Valuation: $$1,350.00
NOTE: THE BASIC DECK REFURBISHING HAS BEEN COMPLETED AND Existing building area: square feet
INSPECTION.
—5.41 u 1/ / e e k. 5G1/ 5;de_ New building area: square feet
2+ PROPERTY OWNER I 0 TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction: 5B
Address:15371 SW 116f°Ave.#110 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(858)212-9105 Fax:( ) New:
® APPLICANT ® 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. Total fees due upon application: F3, 78'
City/State/ZIP:Tigard,OR 97224
Amount received:
Phone:(503)730-9220 I Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:jon.evenjobs@gmail.com Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:Jon Erickson and fire department access,along with the 2010 Oregon
Address:15280 SW 94th Ave Solar Installation Specially Code checklist.
Permit fee(includes plan review $180.00
City/State/ZIP:Tigard,OR 97224 and administrative fees):
Phone:(503)730-9220 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:162397 ea- Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: 0,/
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: Jon Erickson Date:11/4/19 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)