Permit •
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n CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00481
COMMUNITY DEVELOPMENT DATE ISSUED: 9/11/2007
TIGARD 13125 SW Hall Blvd.,'Tigard, OR 97223 503.639.4171
PARCEL: 1S136DA-00900
SITE ADDRESS: 11552 SW PACIFIC HWY ZONING: C -
SUBDIVISION: FRUITLAND ACRES LOT: 002 JURISDICTION: TIG •
PROJECT: U -HAUL
Project Description: Tear off and re -roof.
REISSUE: FLOOR AREAS . EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
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. FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 39,000.00
Owner: Contractor:
U-HAUL REAL ESTATE CO SNYDER ROOFING OF OREGON LLC
ATTN: PROPERTY TAX DEPT PO BOX 23819
PO BOX 29046 TIGARD, OR 97281 •
PHOENIX, AZ 85038 . '
Phone: Contact #: PRI 620 -5252
• FAX 503 - 684 -3310
Reg #: LIC 135987
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9111/2007 • $623.00
[TAX] 8% State Surcha 9/11/2007 .$49.84
Total $672.84 •
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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 than 180 days. ATTENTION: Oregon law r quires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throu,OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. •
Issued By� �� i Permittee Signature: (
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
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7 .
Building Permit Application
Re -hoof co . FOR OFFICE USE O N L Y
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City of Tigard S E P 1 1 2001 Received
e is� q � , MB; , .7- 0• '/
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503 ®��Y ®F TiG�R� Date/B . Other Permit:
T I G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: 1uri VI See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
• TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
▪ w construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CO1'RUCTION work indicated on this application.
� Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 652 A4 ppm, 3 w New dwelling area: square feet
City /State /ZIP: �61 kd o •7 ,3 Garage /carport ar : square feet
Suite/bldg. /apt. no.: I Project name: Covered p area: square feet
Cross street /directions to job site: De • rea: square feet
• Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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 Gtr application. j
( Pe* oFF , .• n �� 7b , w1� p N 1 p � Va luation: $ ` io� I �, �
* ' l
' A L Y LAi f l. FQ! E Z k 1 the L (.vEL9-
r Existing building area: square feet
itIP (�1 �� 1 F 1�a L 7i 1�1
� . 1 New building area: square feet
LI PROPERTY OWNER L�J TENANT Number of stories:
Name: U L'1A v L C•)00 O (00\ Type of construction:
Address: 1V�2 S� '1�'l� Occupancy groups:
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City /State/ZIP: TICAtV C G� Existing:
Phone: ( yka � 2,1._ 1W3 ax: ( 1��). 11 U t0 6 1b New:
APPLICANT C ONTACT PERSON NOTICE
Business name: Tr rZ k (7 E V (C All contractors and subcontractors are required to be
Contact name: 1 \6,. �� t _ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: i"' � ` � jurisdiction in which work is being performed. If the
City /State /ZIP: 11 �� Ql &{00 % applicant is exempt from licensing, the following reasons
(!� n apply:
Phone: ( ` t ,,
) p W S'53 Fax: : ) 6b-� - t (tea 3 • oo
E -mail: V �{i�`�,✓ll�� o6 t \ C o v I I Lo. 89
CONTRACTOR
Business name: * j »jL RDO F,4„ 0\F Of b=01.) 11.c BUILDING PERMIT FEES* •
Address: 12E 6D 0 t� I, �v (Please refer to fee schedule) .
1l✓�/1"1 J Structural plan review fee (or deposit):
City /State/ZIP: Z 1�
pp FLS plan review fee (if applicable):
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Phone: (3) 6 . . -L Fax: (5 6gy -3S1O
CCB lie.: 7 °�
2 6) ell , - A / ) (I Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
�� d/ 1aw` within 180 days after it has been accepted as complete.
Print name: Y -�► N . 1 `k1lV Date: `( i ( 1 • Fee methodology set by Tri County Building Industry
_ / Service Board.
1:\ Building \Perm its \ ROOF-Perm itApp.doc 0626/06 440 -4613T( I 1 /02/COM/W
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City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAL (One- & Two - Family Dwelling)
El REPAIR (major) plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re -roof if not more than two (2) layers of
roofmg will exist upon completion of the re- roofmg.
COMMERCIAL (includes multi - family and condominiums)
❑ RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the Building Division at (503) 718 -2433.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre - inspection, plans may be required
to address any non - conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
8% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
l:\Building\Permits\ROOF- PermitApp.doc 2
fr f Tigard Building Department
City/ o g 9 P
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
Re -Roof Pre - Inspection Report Form krrtG A
Requested by `__..t4 _P iii Telephone j SD 3 4 13 lv
Job Address _ n _ mg'
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Roof Access Location / �y
Date Requested l -/0- 0 7 Time Requested 1
Type of Existing Roof
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1. Slope of roof deck ! foot A,2 %
2. Roof/Penetrations/General Conditions ❑ Fair [Poor
3. Are there blisters? ❑ Yes [A No
4. Are there cracks? [1 Yes ❑ No
5. Is there evidence of water ponding? [Yes ❑ No
6. Is moisture present under roofing (leak)? ❑ Yes [R No
7. Is roof insulation existing? ❑ Yes No
8. Is roof insulation wet? ❑ Yes !: No
9. Property Tine setbacks on an sides > 10 feet ' ] Yes ❑ No
10. Roof Area 6000 sq. ft ❑> 6000 sq. ft.
11. Building height ®. < 2 Stories ❑ > 2 Stories
12. Class of roof required ❑ Non-rated ❑ A. B. ❑ C.
13. Type roof deck /0..Combustible ❑ Non - Combustible
14. Roof drains ❑ Provided ❑ Required ®.Adequate
15. Overflow drains ❑ Provided ❑ Required Adequate
16. Attic ventilation ❑ Provided ❑ Required ,I Adequate
17. Roof listing Provided ❑ Required
18. Scope of work ,Tear off ❑ Overlay
To re -roof this structure the following conditions must be met
The re -roof proposal ' Appro for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the
Building Division for inspection when the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck
inspection. For a built -up roofing system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is
required.
Inspector Ext. 2 V 2 Date / //))/(i
lituldrictRerad Prenspeceon Report Form
SECTION 1506
FIRE CLASSIFICATION
1506.1 General. Roof assemblies shall be divided into the
classes defined below. Class A, B and C roof assemblies and
roof coverings required to be listed by this section shall be
tested in accordance with ASTM E 108 or UL 790.1n addition.
fire- retardant - treated wood roof coverings shall be tested in ac-
cordance with ASTM D 2898. The minimum roof coverings in-
stalled on buildings shall comply with Table 1505.1 based on
the type of construction of the building.
1506.2 Class A roof assemblies. Class A roof assemblies are
those that are effective against severe fire test exposure. Class A
roof assemblies and roof coverings shall be listed and identified 2 • c p 0 -Ti
as Class A by an approved testing agency. Class A roof assem- c z oo g 3 Z C CO is CA
blies shall be permitted for use in buildings or structures of all 3 c = =: -, 3 ° R. I
types of construction. _ = 8 s' 0, m
Exception: Class A roof assemblies include those with coy- c 17, „, s N . ri 5 8 cc m c 0 co Z
Z
erings of brick. masonry. slate, clay or concrete roof tile. ex- m 2 , 14 11 -14 a 4 a n
posed concrete roof deck, ferrous or copper shingles or `o fi 5 5 a ^ $ n w 54 C
sheets. g c c• g ' ' _ o , ;o av y 0 x
15063 Class B roof assemblies. Class 13 roof assemblies are c a: a ° g in c 3 O
those that are effective against moderate fire -test exposure. -.. = 7, .v ° g i s ° o. 3 _ O
ZS° Class B roof assemblies and roof coverings shall be listed and P o ? 5• - n w 5 f n to m n to
identified as Class B by an approved testing agency. n - ^ ^ , ^ p c'' --..0. ° O <
Exception: Class B roof assemb include those with coy- 3 § c g w n co n m 31 m
erings of metal sheets and shi ° ^ co g 3 Cm 2 3 Z Z ch
1506.4 Class C roof assemblies. Class C roof assemblies are ^ c m f• m R . F i _ to n
3
those that are effective against light fi - test exposure. Class C $ - > s ft . a ' S n CI 1 r Cr
roof assemblies and roof coverings shall be listed and identified a n n ° = a so n W
as Class C by an approved testing agency. mow s w' 3 -^ c Q 3 _ N
-i g - ^ i S r G 7 co < O 7t
15065 N roofing. Nonclassified roofing is ap- 7r _ 0 ^ rz o * s' c N Z 3
prov material that is not listed as a Class A, B or C roof cover- o n n - m 3 °, r
Z " �' ^ � < 0
mg . . . , s • D.. Z
1506.6 Fire- retardant - treated wood shingles and shakes. N y c 3 cc n 7 c
Fire-retardant-treated wood shakes and shingles shall be treated ? s m s• c '7 b y impregnation with chemicals by the full -cell vacuum -pres- ",. ° 3 3 9, 3 w n m •
sure process, in accordance with AWPA Cl. Each bundle shall N g R 3 3 n ' 1n
be marked to identify the manufactured unit and the manufac-
turer, and shall also be labeled to identify the classification of the
material in accordance with the testing required in Section
I I 1506.6, the treating company and the quality control agency.
1506.7 Special purpose roofs. Special purpose wood shingle
or wood shake roofing shall conform with the grading and ap-
I I plication requirements of Section 1508.8 or 1508.9. In addi-
tion, an underlayment of 0.625 -inch (15.9 mm) Type X
water- resistant gypsum backing board or gypsum sheathing '
shall be placed under minimum nominal 0.5- inch -thick (12.7 '
mm) wood structural panel solid sheathing or 1 -inch (25 mm)
nominal spaced sheathing.
City of Tigard, Oregon- . ® ' SW Hall Blvd. 0 Tigard, OR 97223
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FTIG�A R _
January 1.4, 2907
Snyder Roofing
P.O. Box 23819
Tigard, OR 97281
Attn: Dennis Vellenga
Re: Permit No. BUP2007 -00481
Dear Mr: Vellenga:
The City of Tigard has canceled the above referenced permit(s) and enclose - a refund for the
following:
Site Address: 11552 SW Pacific Hwy
Project Name: U -Haul
Job No.: N/A
Refund: ® Check #55380 in the amount of $538.28.
❑ Credit card "return" receipt in the amount of $ .
❑ Trust account "deposit" receipt in the amount of $ •
Notes: Per applicant's request as work was completed by another contractor. Refund 80%
of permit fees.
If you have any questions please contact me at 503.718.2430. •
Sincerely,
Dianna Howse
Building Division Services Coordinator
Enc.
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1:\ Building \ Refunds \ Administration \LtrRefund- CancelPermit.doc 01/16/07
Phone: 503.639.4171 ® Fax 503.684.7297 e www.tigard- or.gov e TTY Relay: 503.684.2772
City of Tigard
TIGARD Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees.
Rftceipts, documentation and the Request for Permit Action or Refund form if applicable) must be
attached to this form. Refund requests are due to Tidemark System Administrator by Friday
at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO: Snyder Roofing DATE: 12/26/07
P.O. Box 23819
Tigard, OR 97281 REQUESTED BY: Dianna Howse
Attn: Dennis Vellenga
co l
TRANSACTION INFORMATION:
Receipt #: 2007 -4140 Case #: BUP2007 -00481
Date: 9/11/07 Address /Parcel: 11552 SW Pacific Hwy
Pay Method: Check Project Name: U - Haul
EXPLANATION: Per applicant's request as work was completed by another contractor. Refund 80% of
permit fees.
REFUND INFORMATION. ;.::. -�:: ;: �.;:..` >;::;��:�•�:: ; ,: , .. ...
Fee. Description From Receipt :.' :.: Revenue A
Example: :‘ [BUILD] Permit Fee::'.:. ' Example:. 245- 0000432000: "' ": $ Amount
[BUILD] Permit Fee 245 -0000- 432000 S498.40
[TAX] 8% State surchage 100- 0000 - 207020 39.88
TOTAL REFUND: $538.28
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager ' Wrir --
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY,;::' " ": "
Case Refund Processed: I Date: j /a( /O 7 I By: I --
I: \Building\ Refunds \RefundRequest.doc 05 /23/07
CITY OF TIGARD 12/11/2.007.
� 13125 SW 1 -tall Blvd. 10:17:46AM
Tigard. OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000004140
Date: 09/1 1/2007
Line hems:
Case No Iran Code Description Revenue Account No Amount Paid
BU P2007 -0048I I BUILD] Permit Fee 245- 0000 - 432000 623.00
I3UP2007 -0048I [TAN] 8% State Surcharue 100 - 0000 - 207020 49.84
I..inc Item Total: S672.84
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check SN1'DER ROOFING BB 104076 In Person 672.84
• Payment Total: 8672.84
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° Community Development
TIGARD Request for Permit Action
TO: CITY OF TIGARD
Building Division Services Coordinator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard - or.gov
FROM: ❑ Owner ❑ Applicant ![Contractor ❑ City Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual) *I Gay Mis OF flit,. • NI
V 0 1 0 Mailing Address: [l) y`'( 1366
ja o7 0 Cit /State /Zip: !� £ (1p Y �7
/ Phone No.: b - Z �✓1'
0) - ) X552 ( : vl- •
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): f _\7` \
® CANCEL PERMIT APPLICATION.
® REFUND PERMIT FEES (attach receipt, if available).
❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). dv\� •
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). (/ y
Permit #: B(A p 00'7 — ODD Rsp
Site Address or Parcel #: I S w - PA2,1v l L. 4W l
Project Name: It:- t P'u.. L.
Subdivision Name: Lot #:
EXPLANATION: PQQU) F& AND M A kgMR �
0 Sw , , „ 10 DA — - AM> gozif cow
- . 22k • DasE 41\b Iv • {at.'
Signature: , Date: •
Print Name: NktvuNigvN
'r
Refund Policy V 6L t- GA
1. The Director or Building Official may authorize the refund of:
a) any fee which was erroneously paid or collected. •
b) not more than 80`1'o of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80° o of the land use application fee for issued permits.
d) not more than 804h of the building plan review fee when an application is canceled before any plan review effort has been expended.
c) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2. Refunds will be retumed to the original Paver in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to Sys Admin: Date I $1 /o) By BS Rte to Bldg Admin: Date j®pr By ,4
Refund Processed: Date 1,, yad, 6 7 By Invoice Processed: Date By
Permit Canceled: Date/e, �p 7 By Parcel Tag Added: Date By
Receipt #57- 0.90 Date �p air .' Method L Amount $
r
I:\ Building \ Forms \RegPenitAction. c Rev 07/26/07
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CITY OF TIGARD ea-Q. nn ti-e
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 - ! i- f ..
INSPECTION WORKSHEET FOR DATE: OA 13 /6 ' ? TIME: PAGE:
SITE ADDRESS: (1, Sc - poLt....4-0--e__ C S OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: , 1 L
DESCRIPTION: - r j AAA
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
(; de �
\ Vr$ PO IS ` "7 -k
Corrections /Comments /Instructions:
6kcsosr
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.t. p u'1
ti
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (A Date: 9/ ) Phone #: (503) 718 - ?__`/K2#