Permit CITY OF TIGARD BUILDING PERMIT
11111
I. COMMUNITY DEVELOPMENT Permit#: BUP2022-00247
Date Issued: 11/15/2022
TI G A Pi a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DB00801
Jurisdiction: Tigard
Site address: 13375 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
Stories: 0 Height: 0 ft $ .71
Info Process/Archiving-Sm$0.50(up to 11/09/2022 $43.00
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 $1,893.91
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 C er. 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. 8 or 1.800.332.2344.
Issued By: -1 j n _/1 (��y/ �1' Permittee Signature:
l l�/�� `(/�' C��allll 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 completio the project.
Approved plans are required on the job site at the time of each inspecti n.
Building Permit Application _
Commercial : i' E J V E l t,it t t i r i f i ,} (»i v
City of Tigard Received
Eli tj 122 Date/B : .. _ i Permit No.: ', ' A • ,,iii..t. '.
1111= 13125 SW Hall Blvd Tigard,OR 97223 Plan Revie
Phone: 503-718-2439 Fax: 503-598-1960 tr Related
IP( uF TIGARD Date: : a Apil
"ftGAtiU Inspection Line: 503-639-4175 .' H a. - Ed See Page 2for
Internet: www.tigardrozgov 1 i DING I' /ISIO „t,,..., i ® Sapp/counts!Information
Ei to c•- 0(10t6
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWItLI ING
Permit fees'are based on the value of the work performed
ID New nstruction 0 Demolition
Indicate the value(rounded to the nearest dollar)of all
ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Co ciallindustrial Valuation: $
❑Accessory building ulti-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total nusnberof floors:
Job site address: 3 3 ZJ C G 3 7L k t./ Ave = New dwelling area: square feet
City/State/ZIP: `.7`- � ' 7 22.. 3" Garage/catport area: square feet
Suite/bldg./apt.#: l Project name: ,n / , 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 it: Permit fees'are based on the value of the work performed.
Taxmap/parse!#: 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.
geiett)1re , K[.r r-ri �ci.c-e _Siiti2f 4��y/�� Valuation: S yZ k
` ' Existing building area: square feet
r../traditti .1 att col/ (/tebeZ/C psi y ....9(/4rri r-et t rl11 CAS'- e a...L.�i
New building area:�� yM square feet
ROPERTY OWNER 0 TENANT Number of stories: 2
Name: Pi^i Nt P TO v( pro pe p^"�y+ Type of construction:
Address: "7 1, -' / ._,S.A." /. 1C t , o<r i:/r S 1, Occupancyo
J� /r / �+/� ,zGC. groups:
City/State/ZIP: C"crv7-/k,.- , V/C 9 7z.. au F.-
Existing:
Phone:(j'CG z��jtS Fax:( �)/ New:
APPLICANT IIKONTACT PERSON BUILDING PERMIT FEES*
1 Business name: Lt /_ CJ'taaun�errofe schre+W
�-y-�- ' ' �� /Y ! `�'?' Structural plan review fee(or deposit):
Contact name: n it ti /2,, �Lt 0
t' —i-
t( FLS plan review fee(if applicable):
Address: f)OtI �� //2
City/State/ZIP: �- , ))d r Total fees due upon application:
li`tC.L1[rr't I:I�.v LLJ/ A 7 ``t
Phone:(971#i�U/ _.r 3 Fax::( ) Amount received:
E-mail: k� ! . ✓ .%_ r C1r PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
01 i X 1 S. KO—
-
Commercial Commercial and residential prescriptive installation of
r 1 roof-top mounted PhotoVoltaic Solar Panel System.
Business name: L/ T.�,,/`)I/S, Submit two(2)sets of roof plan with connection details
� l and fire department access,along with the 2010 Oregon
Address: /l f 6, /V „! /T✓7j .d-1 �f - Solar Installation Specialty Code checklist.
City/State/ZIP: t Permit fee(includes plan review
K t r9J✓-e t f - ��r t� Y and administrative fees $180.00
Phone:cyl: 0 ?/c/ _ sit/ I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: tr gG z
! `,J Total fee due upon application: S201.60
Authorized signature: -�/� _ This permit application expires if a permit is not obtained
// within 180 days after it has been accepted as complete.
Print name: �Yl „ v{„�� DateJ>0e z z * Fee methodology set by Tri-County Building Industry
�� ` Service Board.
1:\BuildinglPermits\BUP COM_PemtitApp.doc Rev.04121/2014 440-4613T(I1/02/COM/WEB)