Permit CITY OF TIGARD BUILDING PERMIT
s . COMMUNITY DEVELOPMENT Permit#: BUP2022-00249
T I[;A P,Tn 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2022
Parcel: 2S101 DB00800
Jurisdiction: Tigard
Site address: 13333 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, 11/09/2022 $1,045.71
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/09/2022 $125.49
Dwelling Units: 0 Plan Review 10/05/2022 $679.71
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 11/09/2022 $28.00
Bedrooms: 0 Bathrooms: 0
Value: $92,000 11x17)
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 it 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 OA 952.001-0090. 19 ou may ob ain a copy of the rules or direct questions to OUNC by calling 503.23 . 7 or 1.800.332,2344.
Issued By: /, � / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection d e.
This permit card shall be kept in a conspicuous place on the job site until com etion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ECEIVED
Commercial FOR OFFICE LSE ONLY
Cityof Tigard r 9 Q 7 Z
Rsceivcd
natrrar. ie_i�-WJ Permit No.: I l ap g,aa,r, c:;- l
1 e 0 13125 SW Hall Blvd.,Tigard,oR 97223 I7Y OF TIGARD Piaa Rericw
1 7 Phone 503-718-2439 Fax: 503 598 1 LDING DIVISION Dam f 0r 1 +2,. Related Permit:
Line: 503-639-4175 El See Page 2 for
TIGARD InspectionI}ate Rrae1YJ8Y• /I 1 >ure:
Intetnet: www.tigard-or.gov • Notified/method: 1I c a;- / Supplemental Information
11 aftqf jd14
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
El New nstruction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ddition/alterationlreplacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated application.
❑ 1-add 2-family dwelling 0 C cial/industrial Valuation: $
❑Accessory building ulti-family Number of bedrooms:
w
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: r 3 3 3 3 S f_ 7 >Z tt GJ Ave , New dwelling area: square feet
City/State/ZIP: R. y ("IC ///!///2 7 Z a 3t Garage/carport area: square feet
Suitelbldg apt.#: Project name: ,e,.�� �.1 ,_ ��Q Covered porch area: square feet
Cross street/directions to job site: , / �'�"" !ll���"' Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot it: 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.
gpp ® yr� Valuation: $ b
eOWVia cr`iGf rd/4l4lie. Si4�ii1S i LcJ'C/ N 12
.___.aeF6r ti 1 QLf c h lrsJti y gVQ(jrd ret t't N q S - Existing building area:[Gay x square feet
� J �! New building area:/ square feet
C37+5ROPERTY OWNER 0 TENANT Number of stories: 2
Name: jOr- NC- VI /0YplOg. f / Type of construction:
Address: 7 g...3 I // s� Ig'/ //n i t Mc,t v1,. Sur '"e Zoo Occupancy groups:
City/State/ZIP: OY'f'14.4. Gi Gx .77 Z two Z' Existing
Phone:(5 3) 4 Z Fax:( )
Q/ C—lYC/O New:
APPLICANT NTACT PERSON BUILDING PERMIT FEES*
Business name: L:_/_ it _/_` £��, (Weaserr to fee ckedn/e)
---�-�7T'' �X T`r Structural plan review fee(or deposit):
Contact name:----J , Li i.4 lTS G-t 0
Address: /Iota N //2 _ FLS plan review fee(if applicable):
City/State/ZIP: WC A- Q�/ p q Total fees due upon application
✓�tr ! �L1
Phone:(977 g _O/ j/ e 3 Fax::( ) Amount received:
E mail: �k n /�( I j't _ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
a4J l v r. . Y 1 L Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: L/Yt-C. h ,K ,74: , i�2� Submit two(2)sets of roof plan with connection details
, and fire department access,along with the 2010 Oregon
Address: //tea N!r /Z '544 �/,e - Solar Installation Specialty Code checklist
Permit fee(includes plan review
City/State/Z[P: `f
CcK rill i/-e f �y� �f y�Py and administrative fees): $180.00
Phone: -7/ y� Fax ( ) State surcharge(12%of permit fee): S21.60
CCB Lic.: / / 'O
A Total fee due upon application: S201.60
Authorized signature: , This permit application expires if a permit is not obtained
� C J within 180 days after it has been accepted as complete.
Pant nama
t t -Attic i3 Date: A^7/21 J�0Z * Fee methodology set by Tri-County Building Industry
�!/ Service Board.
I:1BuildioglPermits1BUP_COM PermitApp.doe Rev.04212014 440-4613T(11102/COM/WEB)