Permit CITY OF TIGARD BUILDING PERMIT
1114 a COMMUNITY DEVELOPMENT Permit#: BUP2021-00163
Date Issued: 8/2/2021
T I c;Al=.f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101 AB01000
Jurisdiction: Tigard
Site address: 12490 SW 72ND AVE
Project: Hampton Park Apartments 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: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/29/2021 $993.00
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 07/29/2021 $119.16
Dwelling Units: 0 Plan Review 07/08/2021 $645.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/29/2021 $397.20
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 07/29/2021 $17.50
Value: $85,000 11x17)
Tigard CET-Non-Residential-Admin 07/29/2021 $34.00
Tigard CET-Non-Residential-AH 07/29/2021 $816.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,022.31
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: How)' VahvDeeWegre Permittee Signature: OW>4p T U.Ct LOYt
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 Application .
ItCEIVE /� G zy 21
Commercial FOR OFFICE USE ONLY
"�' 2 4 2021
IN City of Tigard Dat�ey: 7d
21 4:(.' Permit Nt ic/02,024_0Ol4,3
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 •)FTlr.-iAR'D Date/By: :a...g.2 j Related Permit:
TIGARD Inspection Line: 503-639-4175 ,AG DIVISION Date Ready/By: farts: ® See Page 2 for
a Internet: www.tigard-or.gov otified/Metho ��/ I Supplemental Information
�!/l'C2^Oti!!fi
TYPE OF WORK REQ D DATA:1-AND 2-FAMILY DWELLING
❑Nevj.t.i..ofiStruction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Co ercial/industrial Valuation: $
0 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: r 2 cL( 0 ' '77 /1/t,�, New dwelling area: square feet
City/State/ZIP: /1;et_c, () � -7 1-7-3' Garage/carport area: square feet
/Suite/bldg./apt.#: 9 Project name: /.�c2,,t,. t / `,`e /ps--, 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: 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: $ <
Existing building area: square feet
ctuCI et3 LILO t:. r -4 k�iiA 01 btd COWI es (.4t
r' New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories: .2
Name: R-i yi C G ti3vt /"(,.1 Mc,o y0„.yf v,Lw 1 i— Type of construction:
Address: 7. �a ii 5 I L,i 1, 1,�d' / Occupancy groups:
City/State/ZIP: / ,
ty1ttt{ (�i 2 Z 4> Existing:
Phone:(5b ) 7 9'e C/ Fax:( ) New:
APPLICANT lfa'CONTACT PERSON BUILDING PERMIT FEES*
Business name: t.I4__;,;‘,,,, (Please refer to fee schedule)
rC �i X' F'( be" d J Structural plan review fee(or deposit): 64.5, ys
Contact name: T ' JCJ tt i,t -i J t i n
FLS plan review fee(if applicable):
Address:
1 tot) N l I Z_-E-t c .
City/State/ZIP: �'`r� C JA- Gt7G L( Total fees due upon application:
�iVl C r-�l�,��l,.Y
Amount received:
Phone:(4(7/ ) FO/—14.? _? Fax::( )
E-mail: �~ / •
1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�}�l vt(j „ +I. tic: — 'i C✓i C r S i t t,'T Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Li +i l ti �„f,ri�,�-S Submit two(2)sets of roof plan with connection details
x and fire department access,along with the 2010 Oregon
Address: J/00 V L 112. 1--t-t /; . Solar Installation Specialty Code checklist.
City/State/ZIP: 1eivi(1rfLJ t'€V- (.t)A cifyg �y Permit fee(includes plan review $180.00
and administrative fees):
Phone:(?t3) .7 i cr. _(y y v Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: '��/ -�
� k 0 z , Total fee due upon application: $201.60
Authorized signs j This permit application expires if a permit is not obtained
9 t--�,.,-) within 180 days after it has been accepted as complete.
Print name: ) li u v c--`ti,0
//Date: /Z7 2152 * Fee methodology set by Tn County Building Industry
Service Board.
I:Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4 13T(11/02/COM/WEB)
TM RIPP
7650 SW Beveland Street
G�,-\I Suite
Tigard,,Oregon 97223
CONSULTING ENGIN 41 4'6 n Phone: (503)443-3900
�-jk6W k4 Fax: (503)443-3700
LETTER OF TRANSMITTAL �� Q
Date: Tuesday,April 13, 2021 Project Number: 21105
To: Life Time Exteriors
Attention: John Gattucio
Project: Hampton Park Apartments
Enclosed: ['Plans ['Shop Drawings
®Calculations ❑Specifications
�IDetails ❑Copy of Letter
❑Other:
Number of Copies: Descriptions
1 Details & Calcs
►1For Your Use I IFor Your Review
nFor Your Approval ❑As Requested
Remarks:
Copy to:
Signed: Kyle Kruger
[Mailed
(Delivered
11 To Be Picked Up