Permit CITY OF TIGARD BUILDING PERMIT
1111
I COMMUNITY DEVELOPMENT Permit#: BUP2021-00092
r l G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/10/2021
Parcel: 2S 101 AB00801
Jurisdiction: Tigard
Site address: 12320 SW 72ND AVE
Project: Hampton Park Apartments-Clubhouse Subdivision: None Lot: None
Project Description: Remove&replace siding,WRB&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: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/04/2021 $674.35
Demolition
Occupancy Grp: A-2 Occupancy Load: 49
12%State Surcharge-Building 05/04/2021 $80.92
Dwelling Units: 0 Plan Review 04/19/2021 $438.33
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/04/2021 $37.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $45,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,231.10
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 VafvDe,We,e Permittee Signature: O Ili Aph t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Y
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 A3-4 ( 15 21
Commercial RECEIVE I FOR OFFICE l;si ONLY p City of Tigard 1 c, 't" Received f?�2i -0e Permit No.ettP262 i�[736 /Z
Plan Revi
11711
13125 SW Hall Blvd.,Tigard,OR 97223 APR '� ' Date/By:
Phone• 503-718-2439 Fax: 503-598-1960 Date/By: a9 _aJ Related Permit:
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/ y 1, r H See Paget for
e Internet: www.tigard-or"gov 3UILDING DIVISIO'y�Notified/Metlt =�l'i/ r �,,Pt -7- Supplemental lnformanon
7 ,ice //,, .
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TYPE OF WORK REQ ' D 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
'addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling 0 Co ercial/industrial Valuation: $
❑Accessory building ulti-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I Z 3 Z 0 `'6� -�Z K 'a/Abe New dwelling area: square feet
City/State/ZIP: Cr;e, ;`y> J /J)� ?7-Z� , Garage/carportq
/��J�' `/'\ area: square feet
Suite/bld "/ t.#� name:g aP lri vy� Project7:_ka,i
+' � ���� � 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
fe DESCRIPTION OF WORK r�?? work indicated on this application.
r�'-- /. .�l LVG •S!G/"r at I -'/E3. ¢ Valuation: $ ,��
J,'"141 ,JS„ __� Existing building area: square feet
New building area: square feet
PROPERTY OWNER J 0 TENANT Number of stories: 1
Name: if !H G G LL Pico e. r' � • '� Type
rrrtr�_r� ofconstruction:
Address: /
l ,S L��G Occupancy groups:
City/State/ZIP: I` f-/ � 4 U4 7.z_to Existing:
Phone:(S Cj 'I� e:c/!—`"9 C�f� Fax:( )
' '/f New:
[a
APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: / 14
_c , 1-i g' 5
(Please refer to feeschedale
(. Structural plan review fee(or deposit): 95, 3.
Contact name ltfq f`7,��1L_ . L_ 4
I / FLS plan review fee(if applicable):
Address: 7/1'y3 t/U ✓✓ /f 2, �t• �!>Lv-e. ,
City/State/ZIP: , ! C= Total fees due upon application:
ai l r.-rAi t e_tom. j/I- /Li'6 `f
Phone:(, o I Fax: :( ) Amount received:
E-mail: ` 4 J /� f �� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
--3 CO I (.t 41a 2.,_ — t�K l_�Y Ll;1lj t �LE';1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: �) . I�� fix•. t^� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: //UGC ti/ // ? '1 ' ,4ar r Solar Installation Specialty Code checklist
Permit fee(includes plan review City/State/ZIP: ::% C ri1 f,./.,„,_,-,'
.. ;: -J C7 - /L
/ ' �l�T $180.00
C `� and administrative fees):
Phone:(f 70f_ O G r _ cll 7 � Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: /, ( ��C.:3
Total fee due upon application: $201.60
Authorized signature: J,��--- --._/zl tv f(7-7-64g1- L This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print nam LU& t t.) c r� Date;��5 2G ' Fee methodology set by Tri-County Building Industry
Service Board.
L1Building\Perm its 1BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(1l/02/COM/WEB)