Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00190
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/11/2022Parcel: 2S101 DB00801
Jurisdiction: Tigard
Site address: 13397 SW 72ND AVE A
Project: Hampton Ridge Apartment Subdivision: None Lot: None
Project Description: Removing and replacing siding,WRB windows,balcony guard,and railings.
Contractor: LIFETIME EXTERIORS Owner: HAMPTON RIDGE 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, 08/11/2022 $1,045.71
Occupancy Grp: R-2 Occupancy Load: 2 Demolition
12/o State Surcharge-Building 08/11/2022 $125.49
Dwelling Units: 0 Plan Review 08/11/2022 $679.71
Stories: 0 Height: 0 ft
Info Process/Archiving-Sm$0.50(up to 08/11/2022 $28.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $92,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,878.91
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: Permittee Signature:
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 ' '`• V
Commercial
2 6 2027:
City of Tigard Recciwed
v 13125 SW Hall Blvd.,Tigard,OR 97223 .,Jf TIGAR QawB .
>: Phone: 503-718-2439 Fax: 503-598-1960 i Plan Review Related Permit:
t�!U . ','';r OMS! t
Inspection Line: 503-or.gov 75 a Ready/By- Jug" 0 See Page 2 for
Internet www.tigard-or.gov gov otified/Me" Supplemental Information
TYPE OF WORK REQUhtED DATA:I-AND 2-FAMILY DWELLING
❑New nstruction ❑Demolition Permit fees*are based on the value of the work performed.
ddition/alterationIreplacement Indicate the value(rounded to the nearest dollar)of all
Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Co cial/industrial Valuation: $
❑Accessory building ulti-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: P. New dwelling area: square feet
City/State/ZIP:
' 7 2-Z Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCiiAL-USE CHECKLIST
ESubdivision: Lot#: [equipment,
ermit fees*are based on the value of the work performed.
ap/parcel#: ndicate the value(rounded to the nearest dollar)of all
materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
.g $ Valuation: $
r 1 4 j° Existing building area: square feet
{ New building area:. - square feet
ROPERTY OWNER ❑ TENANT Number of stories: •2Ran Name: ,4 i u truction:
Address: F 3J i r J 3
t~C Occupancy groups:
City/State/ZIP: 1( r>
`.y t i ' :
Phone:( C3) 7 rs Fax:( )
`APPLICANT ONTACT PERSONBUILDING PERMIT FEES*Business name: (Pleaseref-to eescheAvw
Contact name: review fee{or deposit):
"TeAddress: ��) F,v iew fee(if applicable):
City/State/ZIP: 1 'f Total fees due upon application:
Phone:( 7 j' a Fax::{ ) Amount received:
E-mail: ' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
•.
i—
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaie Solar Panel System.
Business name: r Submit two(2)sets of roof plan with connection details
and fire department partment access,along with the 2010 Oregon
Solar Installation S ecial ,Code checklist
City/State/ZIP: r Le.vr _ pv ,-. Permit fee(includes plan review
Phone:(r.-Gid : Fax:( ) and administrative fees: $180.00
CCB Lic.: -
State surcharge(12%of permit fee): $21.60
* t Total fee due upon application: $201.60
Authorized signature: "==°c' / - This
permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: � £ .y * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Pcrmits\BUP_COM_PermitApp.doe Rev.04/2112014 440-4613T(11/02/COM/WEB)