Permit (18) CITY OF TIGARD BUILDING PERMIT
1111
' COMMUNITY DEVELOPMENT Permit#: BUP2018-00160
Date Issued: 06/05/2018
T[G riR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110DC90042
Jurisdiction: Tigard
Site address: 15695 SW 114TH CT 4
Project: The Fountains at Summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 4
Project Description: Deck dry rot repair and replacing guardrail.
Contractor: JON EDWARD ERICKSON Owner: WESTBY, RICHARD E
15280 SW 94TH AVE 15695 SW 114TH CT#4
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, 06/05/2018 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 06/05/2018 $16.14
Dwelling Units: 0 Plan Review 05/23/2018 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/05/2018 $6.00
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 $244.13
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 .332.2344.
Issued By: s' Permittee-Signature:
••�^ '•°1 Call 503.639.4175 by 7:00 a.m.for the next available insp tion date.
This permit card shall be kept in a conspicuous place on the job site un I completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE_ USI: O\l"1'
City of TigardDate l: • ' Afirlin
» 5. �1�1!.
■11111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _
_ Phone: 503-718-2439 Fax: 503-598-1 Date/B : , Related Permit:
I I G A It D Inspection Line: 503-639-4175 Date Ready/By: H See Page 2 for
Internet: www.tigard-or.gov + Notified/Method: UR Supplemental Information
MAY 2 3 Z
TYPE OF WORK cya g; /- 1 REQUIRED DATA:1-AND 2-FAMILY DWELLING
7 I`��u.�1 Permit fees*are based on the value of the work erformed_
❑New construction ion y P
� �j DIVi �� ' Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement I:ti I equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: S
❑Accessory building AtMulti-family
Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /5-6, �5 5474/ , �G, �'(..</r 'L,Z New dwelling area: square feet
City/State/ZIP: i fir/ , 2 c72 Z / Garage/carport area: square feet
�� n„_ t, Jo .�
Suite/bldg./apt.#: I / Project name: , -r f iv•, Covered porch area: square feet
Cross street/directions to job site: //ur-- t'CrlwfClW ) Deck area: square feet
Other structure area: square feet
Cr kC G-770l l rd o 4/a7-- ,e,711/r_ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
f 8/0Q'r dryY0 ye L' t .X�li d A/44�-I Valuation: $ 91/q2,00
�/ � ��f � flak .�ife
re/ fits e �j'ioJ4t'/-`e(cai?'i/leu /- 91'f I!P.1.z/ fl"��g are square feet
New building area: square feet
g PROPERTY OWNER / 0 TENANT Number of stories:
Name:Th e I'dU�?14t.;IS el f Sairniferee IQ er f d Type of construction: cg
Address: /3-6F5- 5j, / //6, i4 Ave, /O5 Occupancy groups: v
City/State/ZIP: nyard/ 0/Z ?7 12-Lf Existing:
Phone:cycy)212.—etas Fax:( ) New:
APPLICANT $CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
j Structural plan review fee(or deposit):
Contact name:
011 8YI`�KS0sI
Address: /s 2,t,;'j) _5 974`) ,4ve_ FLS plan review fee(if applicable):
City/State/ZIP: f,` r j A l 7L 1.--V
Total fees due upon application: yls
Phone:(5)3)7p. 1 u.(7 Fax::( ) Amount received:
E-mail: t)ll. ,e14�obs g , 1f 6.1,?., �'�I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
d / Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ,J v -�rl`as pi,/ Submit two(2)sets of roof plan with connection details
R and fire department access,along with the 2010 Oregon
't
Address: I c?, l' 5,v C,// 7 ' 1l/ Solar Installation Specialty Code checklist.
City/State/ZIP: f j ,- (3/ r 17Z 2.Y Permit fee(includes plan review $180.00
and administrative fees):
Phone:S je3)7 jv J1Q Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lia 7 i /i �'d Total fee due upon application: $201.60
Authorized signature: �0 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: „1-0/17 bit/ spm�� Date: /zg * Fee methodology set by Tri-County Building Industry
` Service Board_
I:\Building\Permits\BUP_COM PennitApp.doc Rev.04/2112014 440-4613T(1I/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15695 SW 114TH CT 4, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00160
Inspection Type: Inspector:
275 Framing Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15695 SW 114TH CT 4, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00160
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor