Permit (100) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00099
T 11,_i r1 i 13 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2019
Parcel: 2S110DB91052
Jurisdiction: Tigard
Site address: 15373 SW 114TH CT 105
Project: Fountains at Summerfield Subdivision:fAINS AT SUMMERFIELD CONDO-PHI Lot: 105
Project Description: Repairing dry rot,re-coating sold decking,and replacing guardrail.
Contractor: JON EDWARD ERICKSON Owner: SCHADE, NANCY J
15280 SW 94TH AVE 15373 SW 114TH CT#105
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, 05/16/2019 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 05/16/2019 $16.14
Dwelling Units: 0 Plan Review 04/25/2019 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/16/2019 $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 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 87 or 1.800.332.2344.
Issued By: n *P Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspecti 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
RECEIVED Received / t ."9,0t0/�� 0,,
City of Tigard Date/By. � �7 � P° " ' (�'/ l 7
e y
13125 SW Hall Blvd.,Tigard,OR 97223 n nn 1 6 Plan Review
II Phone: 503.718.2439 Fax: 503.598.196 2019 DateBy: 0' Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: Ea See Page 2 for
I I C ARD
Internet: www.tigard-or.gov CITY N tified/Methed: Supplemental Information
TIGARD 7 %`
BUILDINNGG DIVISION /
TI'PE nF WfiRK ''°REQU1C1&—I)A 'A 1 ND 2-rANttr r ri`4VELLING
❑New construction 0 Demolition Indicate the value ased on theded the
of the work performed.
Permit fees*are based on value
t
he 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.
Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial
0 Accessory building ®Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFOR1%4ATION`AND LOCATION Total number of floors:
Job site address: 15373 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Nf?+fN5 al-St Sjw,tl'G r 61 Garage/carport area: square feet
Suite/bldg./apt.no.:105 Project name:Du-k Ref b aiwg— 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: $3448.00
Existing building area: square feet
New building area: square feet
1775 PROPERTY OWNER 0 TENANT Number of stories:
Name:The Fountains at Summerfield Condominiums Type of construction: 5B
Address:15371 SW 116th Ave.#110
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( )
New:
7.'" CI 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 94th 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@gniail.com gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRAC"1.'OR 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 94t'`Ave and fire department access,along with the 2010 Oregon
Solar Installation Specially 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 lie.:162397
Total fee due upon application: $201.60
Authorized signature: e This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jon Erickson Dat 9---1//6//?' * Fee methodology set by Tri-County Building Industry
Service)ward:
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15373 SW 114TH CT 105, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2019-00099
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor