Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2021-00096
Date Issued: 5/10/2021
Tr G R n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB00800
Jurisdiction: Tigard
Site address: 12400 SW 72ND AVE
Project: Hampton Park Apartments Subdivision: None Lot: None
Project Description: Building 4:Remove and replace siding,WRB,windows and guard railing on balcony only.
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:
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 05/04/2021 $993.00
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12"/o State Surcharge-Building 05/04/2021 $119.16
Dwelling Units: 0 Plan Review 04/21/2021 $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 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: Nally Va.w De,We.e Permittee Signature: OWApp Li:ca-t[.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 ApplicatilECEIVED 20 .t
Commercial EE�� FOR OFFICE USE ONLY
City of Tigard Ar,, O TOT s Received
te/By:� 21 221 �' Permit Nr.: ( p J-%)(o
114 ^ 13125 SW Hall Blvd.,Tigard,OR 97� Plan Review
I Phone: 503-718-2439 Fax: 503-59s OF TIGARD DateBy: y aci-aJ , Related Pe`mu'
TIGARD Inspection Line: 503-639-4175 i S-w11 /+ r� ('�l. DateReady/By: f 0 See Page 2for
n. Interne: www.tigardor.gov ", -° } !^I��I`-��`-''`� piffled/Me e / Supplemental Information
TYPE OF WORK /QUBtED DATA:I-AND 2-FAMILY DWELLING
❑New traction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID I-and 2-family dwelling CICorprnercialindustrial Valuation: $
M Number of bedrooms:
Ld
0 Accessory building uln-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /2. New dwelling area: square feet
Y Q(� Sly ,Z. ��:j
City/State/ZIP: eLr(SC 0t2_ 41 ' 2-7- 5' Garage/carport area: square feet
Suite/bldg./apt.#: 7p Project name: N�rstJ 3 / /}1l 4 0 i k - 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: S k
/Ze ftI0 YC- ct R,(� re_e iCt.C e .5:0 ct-r y(y l L.J (� / t-Jt'ltda.:b Existing building area: square feet
uur) rjaUr"r'I rcl'i iiA1\- Oil h.ilc,a.tlteS r11t .
�''' New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories: 2
Name: / -f P1 a ,,r4- ti 4.4 . r tt f— Type of construction:
t iNC� J
Address: 7.' 5'/ S 44 ke g . - Occupancy groups:
City/State/ZIP: a 4--j 4 "le 9:7 2 c 7 Existing:
Phone:(5'rj3) 75.,_4/f 9cc,ei Fax:( ) New:
APPLICANT FL"fONTACT PERSON BUILDING PERMIT FEES*
.� ,� (Pleare refer to fee aehedafe)
Business name: L .-/-6 dti4-! t X' P r t,`J(l1
S
Structural plan review fee(or deposit): (pqj•5f
Contact name: (,L� t/ c "i c)
Address: v•' FLS plan review fee(if applicable):
11 oc) f I f 7J 4-iic .
i Total fees due upon application:
City/State/ZIP:
,f i4 c )v-e [_JJ- �?6n"(
Phone:(y ) ) Fax;;( ) Amount received:
jai--4?8
E-mail: / 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
t ! (/ Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Li..I. g ir� S Submit two(2)sets of roof plan with connection details
_ /r � and fire department access,along with the 2010 Oregon
Address: //00 lI e- I 7 •4--LI Ayr. Solar Installation Specialty Code checklist.
City/State/ZIP: lici:i_viz-i-juit-eir (n) j�6a7y Permit fee(includes plan review
and administrative fees): $180.00
L
Phone:66.3) •71 p _� /i 7 f Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: ' ii?O 1 7 7 Total fee due upon application: $201.60
Authorized signs 2:1 _ _. This permit application expires if a permit is not obtained
� L—�,_7 within 180 days after it has been accepted as complete.
Print name: - Pl 14 6�'t'�0`t c, Date: U/26 2 * Fee methodology set by Tri-County Building Industry
/ Service Board.
I:\Building\Permits1BUP_COM_PermitApp.doc Rev.04/21/2014 440.4613T(11/02/COM/WEB)