Permit (20) CITY OF TIGARD BUILDING PERMIT
a * * COMMUNITY DEVELOPMENT Permit#: BUP2019-00301
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2019
T i t,a�R g Parcel: 2S110DC90702
Jurisdiction: Tigard
Site address: 15510 SW 114TH CT 70
Project: The Fountains at Summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PHI Lot: 70
Project Description: Repairing dry rot,re-coating sold decking,and replacing guardrail.
Contractor: JON EDWARD ERICKSON Owner: NEFF,VALERIE KAY
15280 SW 94TH AVE 15510 SW 114TH CT UPPER UNIT
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-730-9220 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/21/2019 $134.54
Demolition
Occupancy Grp: R-3 Occupancy Load: 0 12%State Surcharge-Building 11/21/2019 $16.14
Dwelling Units: 0 Plan Review 11/06/2019 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 11/21/2019 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 11/21/2019 $2.50
Value: $3,448 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $294.45
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 t forth in OAR
952-001-0010 through OAR 95 001-0090. You m y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
,.,. - r 0 , ,,„,,,,-
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection•.te. dr. K
/// 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 7 d FOR OFFICE USE ONLY
Cityof Tigard ` Received Permit No.:
f
g DateBy: 5' L�l t ti :, it
"1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 Other Permit:
' Phone: 503.718.2439 Fax: 503.598.1960 DatelBy:
C[GARD Inspection Line: 503.639.4175 C 'I Date ReadyBy! /ay ��% s: See Page 2 for
Internet: www.tigard-or.gov REOL9:18/
l _, ,, ted Me �` f ( `� i' I Supplemental Information
TYPE OF WORK '' 4 MY REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction I De 9l ti -fir;`Apf Permit fees*are based on the value of the work performed.
`.,>2t t..1s Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration replacement ®Other:'iepalirjiVi 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:
Cl Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15510 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:70 Project name:Dbishing Fes, .. ^
�,W , Covered porch area: square feet
Cross street/directions to job site: �(5-" 7 - + Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ! Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
$3448.00
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant
Valuation:
Add external 4x4 PT posts to support beam Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ 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:
® APPLICANT ® 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: 7 4.15._..-
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 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 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 lie.: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 Eric n Date:11/4/19 * 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)