Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit A: BUP2021-00093
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 5/10/2021
TIGARD9
Parcel: 2S101AB00801
Jurisdiction: Tigard
Site address: 12366 SW 72ND AVE 211
Project: Hampton Park Apartments Subdivision: None Lot: None
Project Description: Remove&replace siding,WRB,windows&guard railing.
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 $993.00
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 05/04/2021 $119.16
Dwelling Units: 0 Plan Review 04/19/2021 $645.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/04/2021 $37.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $85,000 Tigard CET-Non-Residential-Admin 05/04/2021 $34.00
Tigard CET-Non-Residential-AH 05/04/2021 $816.00
Plan Review-Fire Life Safety 05/04/2021 $397.20
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,042.31
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 160 days of issuance, or if work is suspended far 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: Permittee Signature:
4-7151 Mann,f)p.,ulp.je OwApplizatitrn
Call 503.639.4176 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 �- - 115i
Commercial FOR OFFICE USE ONLY
City of Tigard p& y`d. ,WIt 2011 iii, Pemaallo.:{ JP2I22J (C ?3
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I
Phone: 503-718-2439 Fax: 503-598-1960 Dale/By. Related Permit:
TIGARD Inspection Line: 503-639-4175 ;ITY OF TIGARD Date Ready/By: /' ) lw QI See Paget for
a Internet: www.tigard-or.gov BUILDING DIVISIO, yxScdtPJJethod. G/ A`I / �K'4' Supplemental Information
TYPE OF WORK REQUIRED 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
jl�tcddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
I-and 2-familydwellingValuation: s
El El Co ercial/industrial
ElAccessory building ['Pk -family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /2_3` j G S"t) Z ' '° Afe • New dwelling area: square feet
City/State/ZIP: kt_,-e d 7 7- 2_, j Garage/carport area: square feet
Suite/bldg./apt.#: 2!? Project name: Ake_frriene-ekt /4 /<
,
` 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.
1- Valuation: S '�
_gdallid
4 f;ZC o2J ' (5 LO a= .l Existing building area: square feet
( New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: P /X(-se-f- Pco re r / 7 r t K .� Type of construction:
Address: 7y
( `SF /�`2.< Occupancy groups:
City/State/ZIP � �G��Q �4 9'��c Existing:
Phone: a ' - �! —"e?"00 Fax:( ) New:
APPLICANT Lt—S C/ONTACT PERSON BUILDING PERMIT FEES*
Business name: / - (Please refer to fee schedule)
t , y.T Structural plan review fee(or deposit):
Contact name:___jd iLG1 /,., _j , l G
Address: 7/�f j 1V f t✓//2 1- `-V-e FLS plan review fee(if applicable):
/ Total fees due upon application:
City/State/ZIP: 1,�� C,..rn L/ - 4 j r - �?c,8 t'
Phone:(,j p3 4-7(9, _ ( , (i t� Fax: :( ) Amount received:
E-mail: �� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�rs�t v� 4 J .I I T R r�_ - c K Tzl 1 .v 3 t Lf':>� Commercial and residential prescriptive installation of
CONTRACTOR / roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Ll . A-isr:_r•-t" .4r-S Submit two(2)sets of roof plan with connection details
and tire department access,along with the 2010 Oregon
Address: //co iV fr. /f 7 .4-1-, /J .•.e Solar Installation Specialty Code checklist.
City/State/ZIP: �"t Permit fee(includes plan review
1 "`'"� '''i s '!` '/ r� and administrative fees): $180.00
Phone:(C!7/�'._ O C/ — cf'73 j Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: /�, "EC n Total fee due upon application: $201.60
Authorized signature: Jv E) N / 1 1 1 rY ,uc�` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: G%LujJ ( 1-}L- ,,; Date; / OC G * Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)