Permit INCITY OF TIGARD BUILDING PERMIT
■ COMMUNITY DEVELOPMENT Permit#: BUP2021-00161
Date Issued: 8/19/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB01000
Jurisdiction: Tigard
Site address: 12456 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, 08/04/2021 $993.00
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 08/04/2021 $119.16
Dwelling Units: 0 Plan Review 07/08/2021 $645.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/04/2021 $397.20
Bedrooms: 0 Bathrooms: 0
Info Process/Archiving-Sm$0.50(up to 08/04/2021 $17.50
value: $85,000 11x17)
Tigard CET-Non-Residential-Admin 08/04/2021 $34.00
Tigard CET-Non-Residential-AH 08/04/2021 $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 -.uires 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 .0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i
Issued By: �, ,/� r Permittee Signature: 5eghq L(6
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
Commercial #E C E :. FOR OFFICE USE ONLY
Mil
Ci of Ti and ! dJ Received ._
. /
13125 SW Ha11 Blvd.,Tigard,OR 97223 i�V 2 4 20 2' Date/By. /. L/ �'G / Permit Na -,4 t/ `C`)
Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Davy; -� —�i Related Permit:TIGARD Inspection Line: 503-639-4175 '(� TiGPJ /
DateReady/By: ( /' e, ® See Page 2for
a Internet: www.tigard-or.gov :fied/Method: 2 AI Supplemental Information
I %s1�vu
TYPE OF WORK r QUIRED DA -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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ElCo ercial/mdustrial Valuation: $
ElAccessory building ulti-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /2. q5 S '.) -77 /1'r� New dwelling area: square feet
V
City/State/ZIP: " l ,r_rd 0 )2_ 7 z_2_ y Garage/carport area: square feet
Suite/bldgJapt.4: / //t//;;// Project name: f- l `` k / ,/'/4rj
'-'. 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: 1 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: $ k
efvlovc. clitcl rep lc_cc .S; .K./ 1�e15 / L..Xitr./t..S
6C t-t!4 r: CCU y^{ c _ O tA /�/ •
Existing building area: square feet
New building area: square feet
PROPERTTY OWNER L ��t ❑ TENANT Number of stories: 2.
Name: f l,t plc e ` clvl 1 , _T-( O w .1- Type of construction:
(G ..� f N K 4 vN P N..
Address: -7.'� ?/ S p
G« �C tat .. Occupancy groups:
City/State/ZIP: 4-1,ty o te 9.7-z 7 Existing:
Phone:(So y) ]G' 9 Fax:( ) / New:
APPLICANT [ CONONTACT PERSON BUILDING PERMIT� FEES*
/ X' (Please refer to fee ackedul
L�
Business name: l.1�ti i't-i-! P r-'LC CS
/ Structural plan review fee(or deposit): -
T Contact name: I.j,t !":�.-, i 7 f 'in '-
^ � , FLS plan review fee(if applicable): I
Address: r t IX), Mi L f 2.- C't� • Total fees due upon application:
City/State/ZIP: j/ vl c ,�y 4'- v tJ V'�?- l(
Phone:(d17/ ) go _4 q,' Fax::( ) 1 Amount received:
) l ' 1't.-'GG-��, _ ,,�,.e-c,V,t C ri ,YL-t?':T PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
E-mail: K
VJ Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 6 ct+i- - v.L.,�s` Submit two(2)sets of roof plan with connection details
_ and fire department access,along with the 2010 Oregon
Address: i f oo N£ I I 7 "4--1'i A-I/c. Solar Installation Specialty Code checklist.
G tif-flu L-ei I-t. e Permit fee(includes plan review City/State/ZIP: Ci�7� $180.00
Phone:(5()j) -71 q _ / 7
y r/ Fax:( L ) and administrative fees):
tC State surcharge(12%of permit fee): $21.60
CCB Lic.: 1g'' Z
1 4 Total fee due upon application: $201.60
Authorized sigma r _ This permit application expires ifa permit is not obtained
within 180 days after it has been accepted as complete.
Print name: - (, 0 t_t / /6 Date: / zy 2c2/ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COMJWEB)
7650 SW Beveland Street
TM RIPPEY CONSULTING ENGINEERS Suite 100
Tigard Oregon 97223
Phone: (503)443-3900
Fax: (503)443-3700 RE CEIVED
LETTER OF TRANSMITTAL
JUN 2 4 2021
Date: Tuesday,April 13,2021 Project Number: 21105 CITY OF TIGARD
BUILDING DIVISION
To: Life Time Exteriors
Attention: John Gattucio
•
Project:
Hampton Park Apartments
Enclosed: ❑Plans ❑Shop Drawings
Calculations ❑Specifications
®Details Copy of Letter
❑Other:
•
Number of Copies: Descriptions
1 Details & Calcs
®For Your Use QFor Your Review
LiFor Your Approval DAs Requested
Remarks:
Copy to:
Signed: Kyle Kruger
❑Mailed
❑Delivered
®To Be Picked Up