Permit CITY OF TIGARD BUILDING PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: BUP2020-00114
Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 10/1/2020
Ffii; RL� g
Parcel: 2S 110 DB90832
Jurisdiction: Tigard
Site address: 15432 SW 114TH CT 83
Project: Fountains at summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH/ Lot: 83
Project Description: Repairing dry rot,re-coating solid decking,replacing guardrail with 42"guardrail.
Contractor: JON EDWARD ERICKSON Owner: LEACHMAN,TAMSEN L
15280 SW 94TH AVE KEENE, PHILLIP L
TIGARD, OR 97224 1901 SOUTH STREAMPOINTE LN
EAGLE, ID 83616
PHONE: 503-730-9220 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/21/2020 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 05/21/2020 $16.14
Dwelling Units: 0 Plan Review 05/21/2020 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/21/2020 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/21/2020 $2.00
Value: $3,448 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $293.95
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. ,l
Issued By: �\\, t- Permittee Signature: Tie o p - \
Call 503.639.4175 by 7:D0 a.m.for the next available inspection 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 I OR OFF It F I5L ON1.'
City of Tigard RECEIVE® Received If/ L<z 4 ' ° N .,2{,a �`f
13125 SW Hall Blvd,Tigard OR 97223 DawBy. '�
Plan Review
Phone: 503.7182439 Fax so359sa960 APR 3 2020 D S'4' 2
5
3 other permit:
T 1 c,A R D Inspection Lille: 503.639.4175 Date Ready/By: Id See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Noafietl/MRhod: J f ^ei���i/� Supplemental Information
BUILDING DIViSi� v6/G/ .‘..-z
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
0 Addition/alteration/replacement Other repair 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 El Multi-familyNumber of bedrooms:
❑Master builder 0 Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15432 SW Ile Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.:83 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:
S3448.00
Existing building area: square feet
New building area: square feet
I PROPERTY OWNER 1 ❑ TENANT Number of stories:
Name:The Fountains at Smanterfteld Condominiums Type of construction: SB
Address:15371 SW 116e Ave.#110
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
New:
181 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee srhedatte)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 94u'Ave FLS plan review fee(if applicablek
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 Fax::( ) Amount received:
E-mail:jonevenjobs@gntaiLcom P11W'OVOLTAIC SOLAR PANEL SYSTEM FEES'S
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 94'n Ave and fire department access,along with the 2010 Oregon
Solar lnsfallalion Specially Code checklist
City/State/ZIP:Tigard,OR.97224 Permit fee(includes plan review $180.00
Phone:(503)730.9220 I Fax:( )
and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lia:162397
Total fee due upon application: $201.60
Authorized signature:
W,....-•"----
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:4/2/2020 * Fee methodology set by Tri-Canty Building Industry
Service Board.
I:\Building\PermitswBUP-COM PermitApp.doc 01242011 440-4613T(l l/02/COM/WEB)