Permit CITY OF TIGARD BUILDING PERMIT
• * COMMUNITY DEVELOPMENT Permit#: BUP2021-00078
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/14/2021
Parcel: 2S101AB00801
Jurisdiction: Tigard
Site address: 12332 SW 72ND AVE
Project: Hampton Park Apartments Subdivision: None Lot: None
Project Description: Building 1: Remove and replace siding and windows.
Contractor: LIFETIME EXTERIORS Owner: HAMPTON PARK APARTMENTS LLC
1100 NE 117TH AVENUE BY COOPER'S CHASE LLC
VANCOUVER,WA 98684 3528 SW GALE AVE
PORTLAND, OR 97239
PHONE: 971-801-4783 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/12/2021 $993.00
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 04/12/2021 $119.16
Dwelling Units: 0 Plan Review 04/06/2021 $645.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/12/2021 $17.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $85,000 Tigard CET-Non-Residential-Admin 04/12/2021 $34.00
Tigard CET-Non-Residential-AH 04/12/2021 $816.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,625.11
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 503,232.1987 or 1.800.332.2344.
Issued By: Hotly Va to 17e/Wecce Permittee Signature: OyuAppUcati.on
Call 503.639.4175 by 7:00 a.m.for the next available inspection 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 .. %Z;
Commercial FOR(1FFI( i.. I SR°NI.l
City of Tigard EC E I VE D Received )r
Date/By: /J it!, guti" 13I25 SW Flan Blvd.,Tigard,OR 9722 / f' `/L""' t.D E�Permit
Phone: 503-718-2439 Fax: 503-598-1960 Date/B viewr `Plan R v /i ppRelated Pe
TIGARD Inspection Line: 503-639-4175 MAR 2 2 2021 Date Ready/By: 4: ] kris: 0 See Paget for
Internet: www.tigard-or.gov `r-d/Method: /h q :phi Supplemental Information
TYPE OF WOBI(ILfING DIVISION 'QUIRED DATA:I-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
' ldition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Co ercial/industrial Valuation: $
❑Accessory building ulti-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /Z3 3 1 c S"(�/� . Z ° t'j /., New dwelling area: square feet
City/State/ZIP: t/ y I ak ?7-Z z, 3 Garage/carport area: square feet
.
Suite/bldg./apt.#: j Project name: �u j ��h 4 6 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
Valuation: $
/ j ( �;ZJs, �^ Existing building area: square feet
,,Lilt >
New building area: square feet
,/ PROPERTY OWNER ❑ TENANT Number of stories: 2_.�2t
Name: r s l L'I L -(<Gq t Pro e y 14 t ',e.'yL e t - .-- Type of construction:
Address: 7 3( s Ga.� Occupancy groups:
City/State/ZIP: r f je., "
,_„I 9 7.ZZ +� Existing:
5 E5
Phone:( 3 "7 c1/ a.9�}p C/ Fax:( ) New:
h-'/APPLIC ANT L ....C/ONTACT PERSON BUILDING PERMIT FEES*
Business name: Li. , L-A � �, , �-a_„y... ,� (Pleasefeee/( to deposit):schedule)
Contact name ,/Q lint /„ I,�
Structural plan review (or deposit):
1.
Address: //) ,/Z 4 Y� FLS plan review fee(if applicable):
City/State/ZIP: j4 c V V�v i /4- 9 to 6�7/! Total fees due upon application:
Phone:(66)3 71 G 6 c f Lf iFFaax: :( ) u 7 Amount received:
E-mail `,rain I� it i _} _. : x jar.11N�. f klP.1_. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
-Jl CONTRACTOR t ` t Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: LJf '1--(L t- X -.i Q fS Submit two(2)sets of roof plan with connection details •
A /F I/ and fire department access,along with the 2010 Oregon
Address: 4//9 D 'Y / 7 �4 , '-e Solar Installation Specialty Code checklist.
City/State/ZIP: 12,E t frc}J,`� /f 9?6 [F Permit fee(includes plan review $180.00
p Fax: ` and administrative fees):
Phone:
(/ 7�— ��� �7�3 J ( ) State surcharge(12%of permit fee): $21.60
�� tO 2 ��l
CCB Lic.: � "..` 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 nam iiU t (73 (] e c-.3. Datek3 1 Z / * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)