Permit (167) CITY OF TIGARD MASTER PERMIT
11,,,,,
II. v COMMUNITY DEVELOPMENT Permit#: MST2018-00212
Date Issued: 08/13/2018
- t C fd D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 102 BA01900
Jurisdiction: Tigard
Site address: 9885 SW JOHNSON ST
Subdivision: None Lot: None
Project: Landwehr
Project Description: Converting existing room into a new master bathroom. All trade permits to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Yes
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors:
Total: 0 sf Value: $7,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF RainStorm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LUKE AND JENNIFER LANDWEHR INTEGRA BUILT Required Items and Reports(Conditions)
9885 SW JOHNSON 16772 ELK CT
TIGARD,OR 97223 97739,OR 97739
PHONE: 503-741-9792 PHONE: 971-235-6214
FAX:
Total Fees: $320.40
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 er. Those rule re set •,rth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop or direct questions to OUNC by calling 503.2 2.198 or 1.800.332.23.
Issued By: %L�--e..r.r. �_ Permittee Signature:
(
. I"39.4175.539.4175 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 pro/ ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 1,9 Et i' £ s°"-`,;
Residential , , FOR 011 l( 1. 1 sF l.
O. r
iLUL 2 6 2018Received �j.�y>'
City of Tigard r DateBy: 7 Cr/`f 7 Perm It r)-U1 D r(�S 12—
III • 13125 SW Hall Blvd.,Tigard,OR 97223(.s i I dk 3 Plan Review ,13 A , O'
Phone: 503.718.2439 Fax: 503.598.1 (( I l ! 3 1 's`' t i(:-',, Date/By. Other Permit:
1I GA1 U
Inspection Line: 503.6394175 Date Ready/By. Juns: el See Page 2 for
Internet: www.tigard-or.gov No ed/Method: g//. /1(/ /I/ Supplemental Information
111 /
TYPE OF WORK P- �t fees* . based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑New construction ❑Demolition equipment,materials,labor,overhead,and the profit for the
18 Addition/alteration/replacement ❑Other: work indicated on this application.
CATEGORY OF CONSTRUCTION Valuation: $ -Loo00
0 I-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
❑Multi-famil
❑Accessory building y Number of bathrooms:
❑Master builder ❑Other: Total number of floors:
JOB SITE INFORMATION AND LOCATION New dwelling area: square feet
Job site address:9885 SW Johnson Street Garage/carport area: square feet
City/State/ZIP:Tigard,OR 97223 Covered porch area: square feet
Suite/bldg./apt.no.: I Project name:Landwehr Residence Deck area: square feet
Cross street/directions to job site:Main Street turng into Johnson. Cross street is Grant Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Permit fees*are based on the value of the work performed.
Subdivision: I Lot no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Tax map/parcel no.:2S102BA01900 work indicated on this application.
DESCRIPTION OF WORK Valuation: $
Making andexisting room into a new master bathroom. 4(/ t ew i Existing building area: square feet
7_) hr-.!94e/fir ( SYppe rd*i' . New building area: square feet
/ Number of stories:
El PROPERTY OWNER 0 TENANT Type of construction:
Name:Luke and Jennifer Landwehr
Occupancy groups:
Address:9885 SW Johnson Street
Existing:
City/State/ZIP:Tigard,OR 97223
New:
Phone:(503)741-9792 Fax:( ) BUILDING PERMIT FEES*
Ill APPLICANT ❑ CONTACT PERSON (Please refer to fee schedule)
Business name:Conecption Studios LLC Structural plan review fee(or deposit):
Contact name:Jenny Landwehr FLS plan review fee(if applicable):
Address:16669 SW Rigert Road Total fees due upon application:
City/State/ZIP:Beaverton,OR 97007 Amount received:
Phone:(503)741-9792 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:jennylandl3@gmail.com Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
CONTRACTOR Submit two(2)sets of roof plan with connection details
Business name: f and fire department access,along with the 2010 Oregon
�ebr B ,
Solar Installation Specialty Code checklist.
Address: Q.0. l>i 1, 2011 2 Permit Fee(includes plan review
City/State/ZIP: II 'II �, 7 and administrative fees $180.00
State surcharge(12%of permit fee): $21.60
Phone:(11') Z(r1 2_9 10 Fax:( )
CCB lie.: t C) Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: /7)---o. ../..../L__ within 180 days after it has been accepted as complete.
t *Fee methodology set by Tri-County Building Industry
Print name: Date: ,, Service Board.
(vl v�, GM wz h,t —z 6 _zo t,a
REQUIRED DATA :AND 2-FAMILY DWELLING
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9885 SW JOHNSON ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00212
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor