Permit 14, CITY OF TIGARD BUILDING PERMIT
II COMMUNITY DEVELOPMENT Permit#: BUP2018-00180
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2018
TrGA I<Dg Parcel: 2S110DB90882
Jurisdiction: Tigard
Site address: 15430 SW 114TH CT 88
Project: FOUNTAINS AT SUMMERFIELD Subdivision:TAINS AT SUMMERFIELD CONDO-PHI Lot: 88
Project Description: Repairing dry rot,re-coating solid decking,replacing guardrail 42"code compliant.
Contractor: JON EDWARD ERICKSON Owner: FISH, RITA CHIQUITA
15280 SW 94TH AVE 15430 SW 114TH CT#88
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, 06/14/2018 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 06/14/2018 $16.14
Dwelling Units: 0 Plan Review 06/14/2018 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/14/2018 $6.50
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 $244.63
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 et forth 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 503.232.19: ,r 1.800.332.23�i4
4
Issued By:
Ad; Permittee Signature: —
Call 503.639.4175 by 7:00 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 FOR OFFICE USE ONLY
City of Tigard ? 4 lr IV 41 ;'•Y (/4///lfr Permit No.y */ a)`p
lig . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date
/By' 6
B - I LI-, e Other Permit:
T I G A R D Inspection Line: 503.639.4175 j`f N R L a 1 t Date ReadyBy: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method:�/Cf fi I I Supplemental Information
,. ,lik
_ s v i I ALL, a✓ iI7
TYPE OF WORK (( IPp� ' Ce. REQUIRED DATA:1 AND 2-FAMILY DWELLING
III New construction ❑De huDING IV I SION 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.
ID1-and 2-family dwelling ❑Commercial/industrial Valuation: $
ElAccessory building ®Multi-family Number of bedrooms:
❑Master builder CIOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15430 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:88 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: $$3,448.00
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: 5B
Address:15685 SW 116th Ave.#105 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)
Structural plan review fee(or deposit):
Contact name:Jon Erickson
FLS plan review fee(if applicable):
Address:15280 SW 94th Ave.
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 Fax::( ) Amount receive
E-mail:jon.evenjobs@gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Jon Erickson Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15280 SW 94th Ave. Solar installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)730-9220 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:162397
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jon Ericks n Date:June 6,2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildntg\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15430 SW 114TH CT 88, TIGARD, OR, 97224 November 20, 2018 at
10:00:14 AM
Record Type: Record ID:
Commercial - Building BUP2018-00180
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor