Permit (2) CITY OF TIGARD BUILDING PERMIT
.11114
COMMUNITY DEVELOPMENT Permit#: BUP2019-00262
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2019
TIG;\it f_7 g Parcel: 2S110DC90302
Jurisdiction: Tigard
Site address: 15525 SW 114TH CT 30
Project: Fountains at Summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 30
Project Description: Repairing dry rot,re-coating sold decking,and replacing guardrail.
Contractor: JON EDWARD ERICKSON Owner: MATHEWS, JOAN
15280 SW 94TH AVE 15525 SW 114TH CT#30
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: VBPermit Fee-Additions,Alterations, 10/02/2019 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 10/02/2019 $16.14
Dwelling Units: 0 Plan Review 09/11/2019 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/02/2019 $3.00
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 $241.13
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 s- 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 7 or 1.800.332.244.
Issued By: ` p /7, Permittee Signature: G�
Call 503.639.4175 by 7:00 a.m.for the next available inspect 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
CommercialE17,441---1
�� a ���� FOR OFFICE USE ONLY
City of Tigard :�� ., Dated If �i PA*,d()L7'6 )0/ A
1111 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 SEP 2019 _ �1 .� 9 , Other Permit:
Date/evr rj�
Inspection Line: 503.639.4175 Date Ready/By. ' Jug See Page 2 for
1 IGARD l! V OF TIGARD N..'.'ed/Method: a� if" / I SupplementalInformation
Internet: www.tigard-or.gov 1 �
�LftL /1711
TYPE OF WORK /EQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alterationireplacement N Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwellingValuation: $
0 1-and 2-family ❑Commercial/industrial
❑Accessory building N Multi-family Number of bedrooms:
LIMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15525 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:30 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: 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
® 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:
N APPLICANT N 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@gmaii.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR 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 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 $180.00
Phone:(503)730-9220 Fax:( ) and administrative fees):
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 Erickso Date:9/11/19 * 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)