Permit (2) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00168
Date Issued: 8/11/2022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DI300801
Jurisdiction: Tigard
Site address: 13325 SW 72ND AVE A
Project: Hampton Ridge Apartment Subdivision: None Lot: None
Project Description: Remove and replace siding,windows and balcony guard rails on all units. (entire building but Suite A selected for
permit.)
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-COM-New Construction 08/11/2022 $766.38
Occupancy Grp: R-3 Occupancy Load: 0 12%State Surcharge-Building 08/11/2022 $91.97
Dwelling Units: 0 Plan Review 06/23/2022 $498.15
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/11/2022 $28.00
11x17)
Bedrooms: 0 Bathrooms: 0
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 $1,384.50
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 952-00 90. You may o tain a copy of t e rule direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
r �
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.
Buildint Permit Application
Commercial DECEIVED
City of Tigard RceciD "ea ^ Pgy. ermit No.: _ ✓
13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 2 2022 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Da r. Related Permit:
Inspection Line: 503-639-4175 MY OF T) 'W D Date Ready/By: a see Page 2 For
Internet: www.tigard-or.gov )Ktified/Mthd.„,,,IOR tified/Method: supplementallaformatiaa
TYPE OF WORK 1` REQdMM DATA:I-AND 2-FAMILY DWELLING
❑Newttstrtu tion ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ddi8on/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 ❑CogolIrmiallindustrial Valuation: $
Accessory building inti-family
Number of bedrooms:
❑Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION-AND LOCATION Total number of floors:
Job site address: % k New dwelling area: square feet
City/State(ZIP: 7 Z Z Garage/carport area: square feet
Suite/bldgJapt#: Project name: tVj,, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA-COMMERCIAL-USS CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed
Tax map/parcel M Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORKwork indicated on this application.
K
f J� Valuation: $ Z lz
Existing building area: 1yo square feet
New building area:N� u�. ` square feet
M44ROPERTY OWNER ❑ TENANT Number of stories: 2
Name: &OLOCAS 9,4 r d Type of construction:
Address: =3 ( Occupancy y groups:
City/State/ZIP: A 7Z Existing:
Phone:(-5-03) _ Z Fax:( }
New:
GkIAPPLICANT ONTACT PERSON BUII DING PERMIT FEES*
Business name: ` lPleose to«s
r Contact name:
Structural plan review fee(or deposit): y is
Address: Q Z
FLS plan review fee(if applicable):
City(State/ZIP: Total fees due upon application
Phone.( ' _ Fax::( ) Amount received:
E-mail: _ PHOTOVOLTAIC.SOLAR PANE.SYSTEM FEES*
r0-y-51 xlja�
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: f iy„ ci27lS' Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: (j yG� Solar Installation Specialty Code checklist
City/State/ZIP: !�K Permit fee(includes plan review
Phone:(�(� _ y fe
CCB Lic.: Fax.( ) and administrative tees): $180.00
106
State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This Permit application
expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: -� Date: Z3 2DZ * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pctmits\BUP COM_PermitApp.doc Rev.04/21/2014 440A613T(il/02/COM/WEB)