Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00376
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2018
( '' ' Parcel: 2S102BA01900
Jurisdiction: Tigard
Site address: 9885 SW JOHNSON ST
Project: Landwehr Subdivision: None Lot: None
Project Description: Replacing water piping throughout house;replacing drain piping for(3)lavatories,(1)sinks,(1)tub/shower,(1)
clothes washer,and(1)water closet;Installing(2)hose bibs,and(1)ice maker.
Contractor: CLASSIC PLUMBING LLC Owner: LUKE AND JENNIFER LANDWEHR
521 S BALINE ST 9885 SW JOHNSON
NEWBERG, OR 97132 TIGARD, OR 97223
P
PHONE: 503-741-9792
HONE: 503-554-1605
FAX: 503-538-8570
FEES
Quantity Description Date Amount
1 ea Clothes Washer 08/06/2018 $25.02
Specifics: 2 ea Hose Bib 08/06/2018 $50.04
1 ea Ice Maker 08/06/2018 $12.51
Type of Use: SF 4 ea Sink 08/06/2018 $100.08
Class of Work: ALT 1 ea Tub/Shower/Shower Pan 08/06/2018 $12.51
Type of Const: 1 ea Water Piping/DWV 08/06/2018 $56.29
Occupancy Grp: 1 ea Water Closet 08/06/2018 $25.02
Stories: 1 12%State Surcharge- 08/06/2018 $33.78
Plumbing
Total $315.25
Required Items and Reports(Conditions)
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 •• -in a copy of the rules
or direct questions to OUNC by calling 503.232.1987 • :I.. .
Issued By: --er -
Call 503.639.4175 by 7:00 a.m.for the next available inspectio ate.
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.
Plumbing Permit Application,-,1,- r
Building Fixtures FOR OFFICE USE ONLY
City of Tigard AUG 8 2018
ReceiDate/By:
�� �g , PermitNo.: /24/09,e/r,.- �7/_
41 III13125 SW Hall Blvd.,Tigard,OR 97223 L r, Plan Review
t�
_: Phone: 503.718.2439 Fax: 503.598.1 l p t Date/By: Other Permit
;,,-;•
No.:1M/"Y )jr-/
j/2
Inspection Line: 503.639.4175 R1 !tvi(' D1,a; ;,, (,bate Ready/By: '''}f..,, ® See Page 2 for TIGARD
www.ti and-or. ov Notified/Method: /�Gai Supplemental Information
. TYPI: bE WORK • ,, ." t'; FEE* SCHEDULE' .
I=1 New construction El Demolition For special information use checklist
Description Qty. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
„s ct ATEGORY OF CONSTRUCTION SFR(1)bath 312.70
' .1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 500.32
❑Accessory ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
10I# SITIE 'NjINIMATION AND LOCATION Site utilities:
Job site address: GJ�( 6 S ),A1 6" J k-- Catch basin or area drain 18.76
t 4 V'lb G 4
Drywell,leach line,or trench drain 18.76
City/State/ZIP:
Tl e 2 X 1 C q "7 Z2 Footing drain(no.linear ft: ) Page 2
Suite/bldg./apt.no.: IProject name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
t' l h�u 1, G v.`l Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESS (JN OF WORK - } _ Backwater valve / 12.51
,rl t "fix Clothes washer ✓ I 25.02 ?S';ilk
tt,Q. in �
.1 lt/v X.. h OT A C dc 11t I u�,J t2 ?t' i 1t. Dishwasher 25.02
\'PVS v t'9 i lam} b .5 `c1 U S t \ S WC V 't - ilA�t L Drinking fountain 25.02
,v Ejectors/sump 25.021'ROI'Et 5
v ,
' • - ; 1 ❑ TENANTht Expansion tank 12.51
L 14 4t"e�� Fixture/sewer cap 25.02
Name: ""i en ylt&v -t-'
Address: 'to ti bI _co) VAC .- (L Floor gedroor sink/hub 25.02
�y Garbage disposal 25.02
City/State/ZIP: ArAvo t 0,� `1 n O0'1 Hose bib .....''' 25.02 57? /21
Phone:(gips) ci - 0fl 6j Z Fax:( ) Ice maker ./ 1 12.51 j)„.:5-1
25.02Ty x 1#1,icANT ®NT PERSON Interceptor/grease trap
Business name: Medical gas(value:$ ) Page 2
Contact name: 6 vim q U .vol �y Primer 12.51
y�� Roof drain(commercial) 12.51
Address: \,tiat( I St.„.) VA ciLi� K-e` , Sink/basin/lavatory 25.02 /(/(;)." Cir
City/State/ZIP: bctivtl~'wl`( `1 e76 O'7 Solar units(potable water) 62.54
Phone:(S(;-)14- _9'7C12 ,...7.--...al Fax: :( ) Tub/shower/shower pan 12.51 1),_�7
E-mail: 0 0 ,: ;0•� )L(ilv16L4 \3j �si *G t Gt/F1
Urinal 25.02
£. ,. a Water closet t 25.02 ?5A5t
CO Water heater 37.52
Business name: C1() is f\livMb;1 Waterpiping/DWV / 56.29 sq).)
Address: la..1 S . 6i mi, , .. Other: 25.02
City/State/ZIP: �,Z .-e 0� �+�132 Subtotal 4ot G�7
Phone: c5``� Fax:
Minimum permit fee: $72.50
CCB Lic.: i C'1 3,73i, Plumbing Lic.no.: Te 5 1 D f W Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE 4 ,3
Print name: 9 1 ,� ,� Date: /11,/ �13 This permit application expires if a permit is not obtained within 180 days
17 it 1 `y'H i_- <. after it has been accepted as complete.
i ‘'LtWe,litv *Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
ite Ut ties Q Fee(ea) Total Square FootageY , , Fee:
Footing drain-151 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 'Valuan Permit Fee:
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
lj-Jher echt S pin Fees Fee(ea) Total
each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge 1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for * tubing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Frrel) e for r Replace/ Please check all that apply.
W.ol~tPerformed:. Capped Added Relocate 0 Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial
0 Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
r4 : sometee or Riser fDia r t s
4„
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regardingfixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Sery/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9885 SW JOHNSON ST, TIGARD, OR, 97223 September 25, 2018 at
11 :02:15 AM
Record Type: Record ID:
Residential - Plumbing PLM2018-00376
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor