Permit (118) CITY OF TIGARD• BUILDING PERMIT
a COMMUNITY DEVELOPMENT
Permit#: BUP2019-00030
Date Issued: 03/12/2019
T f C;A h I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110DB90362
Jurisdiction: Tigard
Site address: 15485 SW 114TH CT 36
Project: Fountains at Summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 36
Project Description: Repairing dry rot,recoating solid decking,and replacing guardrail.
Contractor: JON EDWARD ERICKSON Owner: FELDMEIER, HELEN D FAMILY TRUST
15280 SW 94TH AVE PO BOX 8
TIGARD, OR 97224 CANNON BEACH, OR 97110
PHONE: 503-730-9220 PHONE: 858-212-9105
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/11/2019 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 03/11/2019 $16.14
Dwelling Units: 0 Plan Review 02/27/2019 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/11/2019 $2.50
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 $240.63
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 N ' 'on Center. Those ules 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 lling 50 .232.1987 or 1.800. 2 2344.
Issued By: Ati/fr(leY‘-----Permittee Signature: L .
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
r
City of Tigard ,`-` Received r /��- s� /,'
M 13125 SW Hall Blvd.,Tigard,OR 9720[
Plan te/By:Review,� / G` (,%j P p�O/ `/�/(,t��
Phone: 503.718.2439 Fax: 503.598.P9KfX-Y ,(' y_ Other Permit:
9 DatoB `
T 1 C ARU Inspection Line: 503.639.4175 ., Date ReadyBy: Jutis: Fa See Page 2 for
Internet: www.tigard-or.gov Notified/Metho /
\e ISA" /�` l I Supplemental Information
TYPE OF WORK /e UFRED DATA
:1-AND 2-FANCILY 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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-famil Y llig dwen Valuation: $
❑Commercial/industrial
0 Accessory building 0Multi-family Number of bedrooms:
0 Master builder 0 Other: Ntnnber of bathrooms:
JOE SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15485 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224
T71 e 14-747f!.S /-kt Garage/carport area: square feet
Suite/bldg./apt.no.:36 Project name:WishingC A,X/� Covered porch area: square feet
Cross street/directions to job site: •!Gf e,d+ 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: $3448.00
Existing building area: square feet
New building area: square feet
.4 PROPERTY OWNER .. 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:( )
r APPLICANT 4New:
CONTACT"PERSON
BUILDING PERMIT FEES*
Business name: gYease fie,to fee schedule)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 94°i 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 94°'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
and administrative fees): $180.00
Phone:(503)730-9220 Fax:( ) )
CCB lic.:162397 N- State surcharge(12%of permit fee): $21.60
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 Eric n Date:02/11/19 * 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)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15485 SW 114TH CT 36, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2019-00030
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor