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CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2021-00115
Date Issued: 8/4/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB01000
Jurisdiction: Tigard
Site address: 12442 SW 72ND AVE
Project: Hampton Park Apartments-Bld.6 Subdivision: None Lot: None
Project Description: Remove and replace siding,WRB,windows and guard railing on balconies 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, 06/08/2021 $993.00
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 06/08/2021 $119.16
Dwelling Units: 0 Plan Review 05/12/2021 $645.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/08/2021 $17.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $85,000 Plan Review-Fire Life Safety 06/08/2021 $397.20
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,172.31
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: J- oiby VavvDe/Wege Permittee Signature: OVti7ppL{,CGtttan
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 Ap licati EC E I1/E B-5(i0(202
Commercial FOR OFFICE USE ONLY
M1 0
City of Tigard �`�� 21 Received // 200 ;1 f
DateBy: Permit No.:. ��� 9
11 't 13125 SW Hall Blvd.,Tigard,OR 97225' OF TIGARD Plan Review
a< Phone: 503-718-2439 Fax: 503-59 - 1( Date/By: 6 Related Permit:
TIGARD Inspection Line: 503-639-4175 LDING DIVISION i Ready/By: ��r 7arie: ® See Page 2 far
a Internet: www.tigard-or.gov fied/Method: / �,e, I SupplementalInformation
TYPE OF WORK REQUI DATA:1-AND 2-FAMILY DWELLING
❑New Ttruction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
lal'Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Copimercial/industrial Valuation: $
❑Accessory building kl 'I�QJulti-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /2 4/9 2_ ? r% 72. New dwelling area: square feet
City/State/ZIP: I`� eft.- n /2 el-7 ZZ y Garage/carport area: square feet
Suite/bldg./apt.#: Project name: /�F,,r ii.i j,,_,t /et`,l� /fly ' Covered porch area: square feet
Cross street/directions to job site: "� / 'j '' Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
t �, Valuation: $ J f�'
iZt'r�lo VC. Ct t4-01 r d-p ici.,t c .5-e K ,e f3 1 G,r itekk,h
Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories: •2.
Name: g' yl C C L iVt Pie,pelf- i 9 �- r vt Alt°it:t-i r�i Type of construction:
Address: e G =2 I% J Occupancy groups:
City/State/ZIP: �,//`�� r ,,,��,� �/ l�
1 �5"��3ts��{ ( i� 9.�z c 7 Existing:
Phone:(553) '7 900 47 Fax:( ) / New:
APPLICANT Ift,' OONTACT PERSON BUILDING PERMIT FEES*
Li (Please refer to fee schedule /�
Business name: L1.1r I d`t t e X iI P t tc C_ `15
Structural plan review fee(or deposit):
Contact name: (,t,,t (! - i_)c ' C'>
_ FLS plan review fee(if applicable):
Address: i tot, 6 L 1 1 7,i-4-1. Avc ,
City/State/ZIP: Lille 9z6-wL/ Total fees due upon application:
Phone:(f 7/ ) s20/__y 7 Q 7 Fax::( )
Amount received:
E-mail: �` G(' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�(.(4 vt z'j G i r t: C'T-i b+-+-F — f= '`>L e 4`t 4'r'S .. VVl-C,'1.'
1 (/ Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: L,.44_ X 4--,ri ��fs Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: i/op A/i ; 1 7 .4--1-1 l e.. Solar Installation Specialty Code checklist.
c'
City/State/ZIP: i _ C'fti-���'�4/ Permit fee(includes plan review
c�l�_< U ,- Lt l and administrative fees): $180.00
Phone:(gip_ ) _6.- [/rJ Fax:( ) State surcharge(12%of permit fee): $21.60
/ '
CCB Lie.: S7 7 7 7
i P J �C- Total fee due upon application: $201.60
4 Authorized sigma �� t__ —f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�^'�C • * Fee methodology set by Tri-County Building Industry
Print name: K (.77 Date: . 2d
Ito
`L'L' 7� Service Board.
yy I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613TO1/02/COM/WEB)
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