Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00060
Ti G.1 R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/11/2020
Parcel: 2S110DC90172
Jurisdiction: Tigard
Site address: 15605 SW 114TH CT 17
Project: Fountains at Summerfield Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 17
Project Description: Deck dry rot repair and guardrail replacement.
Contractor: JON EDWARD ERICKSON Owner: THOMAS, WAYNE STEEL&MARIETTA H
15280 SW 94TH AVE REVOCABLE LIVING TRUST
TIGARD, OR 97224 9630 N 110TH AVE
SUN CITY,AZ 85351
PHONE: 503-730-9220 PHONE: 858-212-9105
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/11/2020 $134.54
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 03/11/2020 $16.14
Dwelling Units: 0 Plan Review 03/03/2020 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/11/2020 $5.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,448 Plan Review-Fire Life Safety 03/11/2020 $53.82
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $296.95
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 suspende for more the 180
days. ATTENTION: Oregon law requires you to follow th rules adopted by the Oregon Utility Notification Center. Those rules set forth in OAR
952-001-0010 through OAR 0090. ou may ain a of ules or direct questions to OUNC by calling 732.1987 or 1.800.332.234 .
Issued By: /// Permittee Signature:
Call 503.639.4176 by 7:00 a.m.for the next available inspect' n date.
This permit card shall be kept Ina conspicuous place on the job site until ompletion 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
I - Cityof Tigard {E�j'") P oQ
I ° 131SW Hall Blvd.,Tigard,OR 9722 LI %JL o•"� Plan Review p�J
Phone: 503.718.2439 Fax: 503.593.1960 2 q D twBy.Pu, 3- 10-,ryn Other Permit
T I G A.R D Inspection Line: 503.639.4175 MAR 2020 Date Ready/By: s//I/ t Jmi: See Page 2 for
Internet: www.tigard-or.gov NodlMethoc� ` ,�� Supplemental Information
TYPE OF NtiliDING' VISION REQUIRED 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
❑Addition/alteration/replacement ®Other:repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
LI Master builder LI Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15605 SW 114th Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:17 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: 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-east solid decking,replace guardrail with 42"code compliant
Valuation: $3448.00
Existing building area: square feet
New building area: square feet
.. PROPERTY OWNER I ❑ TENANT Number of stories:
Name:The Fountains at Summertield Condominiums Type of construction: SB
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:Jan Erickson
Structural plan review fee(or deposit):
Address:15280 SW 94 h Ave FES 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 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 tic.:162397
" Total fee due upon application: $201.60
Authorized signature: ./ This penmit application expires if a permit is not obtained
within 180 days after R has been accepted as complete.
Print name: Jon Erickso Date:3/2/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Pennits\BUP-COM PernitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)