Permit CITY OF TIGARD BUILDING PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: BUP2021-00095
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 5/10/2021
TIGARD9
Parcel: 2S 101 AB00800
Jurisdiction: Tigard
Site address: 12388 SW 72ND AVE
Project: Hampton Park Apartments Subdivision: None Lot: None
Project Description: Building 3: 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:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/03/2021 $993.00
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 05/03/2021 $119.16
Dwelling Units: 0 Plan Review 04/21/2021 $645.45
Stories: 0 Height: 0 ft Into Process/Archiving-Sm$0.50(up to 05/03/2021 $37.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $85,000 Tigard CET-Non-Residential-Admin 05/03/2021 S34.00
Tigard CET-Non-Residential-AH 05/03/2021 $816.00
Plan Review-Fire Life Safety 05/03/2021 $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, Stale 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: Houy Vail/ Wezle Permittee Signature: 0 In/App ban
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 Applicati *� IVET — 1/90I
Commercial FOR OFFICE USE ONLY
City of Tigard Aft " 0 71E j Received �// �^
II e DateBy: G 2/ 2 02/ (' Permit No.:BUp2.0Z1-ou0 J 5
13125 SW Hall Blvd.,Tigard,OR 972a OF TIGAR[) Plan Revie q 0 Phone: 503-718-2439 Fax: 503-598- Date/By: ��1--Q J Related Permit:
TIGARD Inspection Line: 503-6394175 'WILDING DIVISION Date Ready/By: / ® See Page 2for
. Internet: www.tigardor.gov ..iBed/Method:` e A, �r�, �' Supplemental Information
//i i///L/
TYPE OF WORK
''+`QUIRED DATA:1-AND 2-FAMILY DWELLING
❑New traction ❑Demolition Permit fees*are based on the value of the work performed.
ddition alterafion replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-familY llig dwen Valuation: $
❑Co ercial/industrial
ElAccessory building LP -family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /Zz 3 ' ' 574) ' 7 Az--- New dwelling area: square feet
! '/,
City/State/ZIP: -r7 . e () [i'7 2 7 3' Garage/carport area: square feet
Suite/bldg./apt.#:`3.� Project name: /-1; L/0 ,I 267,4. '-S 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 IW,ORK work indicated on this application.
/ e..41/10 L/� Zt id-of i+'e~p fax_e ,Sid;JI)o / LJ Z 6j/ cJikv,�`1:.,�5 Valuation: $ Q �-
CC H ra %h a U Irf't rcI t L t'Ft 7- o v( 1,41(04 t eS 011,( . Existing building area: e square feet
r�^"� New building area: square feet
L "rIROPERTY OWNER ❑ TENANT Number of stories: 2
Name: /71.t'NGc_-1-2.41 f n(a r Imo/
� w H« AAA N q,n .�"'f"' Type of construction:
Address: ' S/ 5 E // 1 / tl
G-ci. C id - Occupancy groups:
City/State/ZIP: /9"(,4-- ,ryy4 (F e 9: z Existing:
Phone:( ) •7900 ej Fax:( )
New:
APPLICANT ILefONTACT PERSON BUILDING PERMIT FEES*
Business Dame: L; �.�-�-" '� (Please refer la fee schedule)P f„'�t-,r �X P r 4c"'f's Structural plan review fee(or deposit): ;' .
Contact name: 1,U,1 ��- -.c 'in
�1 � ' ELS plan review fee(if applicable):
Address:
f(ob K I I Z CrrvG ,
City/State/ZIP: 4!x vl c ,,ti}1,�� Lilt 9*r�( Total fees due upon application:
Phone:(till .�Q r�1 3— Far::( ) Amount received:
"� 1 (-0'1' G111^'LF ` x'�t'l-rie r I r VI r""� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
✓ VF CONTRACTOR Commercial and residential prescriptive installation of
_ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Li.,.�r ir�cv- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: ii 00ivI l-7- 4.-Li f L C 7/ � Solar Installation Specialty Code checklist.
City/State/ZIP: Ultvi%rA J t.'"eir 1-t)!T �d g 237 t7 Permit fee(includes plan review $(80.00
and administrative fees):
Phone:(95, ) -71 c !6-y y Fax: )
(? 7 7 Aye2)
State surcharge(12%of permit fee): $21.60
CCB Lic.: ' 6,5,70``t�PP Total fee due upon application: $201.60
Authorized signs r �'/j �_ ,. This permit application exppires if a permit is not obtained
/ � �—'�.� / within 180 days after it has been accepted as complete.
Print name: - ki,,i gt v L k Q Date: �%-i/�2 f * Fee methodology set by Tri-County Building Industry
rService Board.
I:\Building\Perrnits\B1JP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)