Permit (119) CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT
Permit#: BUP2019-00032
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2019
T f C;A I Dg Parcel: 2S110DB90962
Jurisdiction: Tigard
Site address: 15437 SW 114TH CT 96
Project: Fountains at Summerfield Subdivision:IAINS AT SUMMERFIELD CONDO-PHI Lot: 96
Project Description: Repairing dry rot,recoating solid decking,and replacing guardrail.
Contractor: JON EDWARD ERICKSON Owner: SAMPSON, BEVERLY
15280 SW 94TH AVE 15437 SW 114TH CT UNIT 96
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-730-9220 PHONE: 585-212-9105
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/12/2019 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 03/12/2019 $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 03/12/2019 $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 No' cation 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 (ling 3.232.1987 or 1.800.332.2344.
Issued By: ,�2N,6,; e e Signature:/ej.
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date. .)s---- - C"----2--->
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 OFFIC'F USE ONLY
Received �-,�
City of Tigard t-i_ 2„ DateBy: l ? P& 1/p !�O g�
r 13125 SW Hall Blvd.,Tigard,OR 97223 L—'-/ A.0i Q I(� Plan Review ,
t I Phone: 503.718.2439 Fax: 503.598.1960;_,__, Date/By: Other Permit:
T t G A R D Inspection Line: 503.639.4175 Date Ready/13y. funs: Bf See Page 2 for
Internet: www.tigard-or.gov No d/Method: / ll 7 / I Supplemental Information
`L I /i
TYPE OF WORK R i UIIRED DATA:1--AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement ®Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder ❑Other: Nuniber of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15437 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 7Z —ire 1k s u f Garage/carport area: square feet
Suite/bldg./apt.no.:96 Project name: 5uk!In,./-J 0( Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CIIECKLIST
Subdivision: 1 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
o+ PROPERTY OWNER 0 TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction: 5B
Address:15685 SW 116a'Ave.#105
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
New:
►. APPLICANT r� CONTACT PERSON
BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 94"'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:( )
` State surcharge(12%of permit fee): $21.60
CCB lic.:162397
74
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 Erickson 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:
15437 SW 114TH CT 96, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2019-00032
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor