Permit C ITY TIGARD PLUMBING PERMIT
„mo DEVELOPMENT SERVICES PERMIT #: P /22/20 00547
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
DATE ISSUED: 12/22/2005
3� PARCEL: 2S110AA -CC001
SITE ADDRESS: SW CANTERBURY LN BLDG 5 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 5, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) hose bibs.
CLASS OF WORK: NEW GARBAGE DISPOSALS: 6 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 6 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: 3 WATER HEATERS: 6 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 6 URINALS: GREASE TRAPS:
LAVATORIES: 14 OTHER FIXTURES: 12
TUB /SHOWERS: 10 SEWER LINE: 100 ft
WATER CLOSETS: 10 WATER LINE: 100 ft
DISHWASHERS: 6 RAIN DRAIN: 200 ft
Owner: FEES
CANTERBURY CREST Description Date Amount
109 EAST 13TH STREET
VANCOUVER, WA 98660 [PLUMB] Permit Fee 12/22/200E $1,519.40
[PLMPLN] Plan Review 12/22/200`. $197.52
Phone : 360-695-7700 [TAX] 8% State Surcharl 12/22/200`. $121.55
Total $1,838.47
Contractor:
CROMWELL PLUMBING
30855 S. KAUFFMAN RD. REQUIRED ITEMS AND REPORTS
CANBY, OR 97013
Contact # : PRI 503- 266 -4790
FAX 503- 266 -4792
Reg #: LIC 44712
PLM 34 -167PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. 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
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344. - •
Issued By: - 0f l %`' j Permittee Signature: � - 1 ' _
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.
07 // C a,--k.i 6..i C -a ,e.
Plumbing Permit Application r - (iiz (art is 1 1'tii (1 1
City of Tigard 1"� 2 ` Date/By It� )`/ 72 S� Permit No') l�'200� 06 5 4/
13125 SW Hall Blvd., Tigard, 0 ' Plan Review ED
Phone: 503.639.4171 Fax: 503.598.1960 - 4 ' .rrl irllI Date/By: /, ] Sl 0 f it /'� Other Permit No.:
24- Hour Inspection Line: 503.637 201)5 _ Date Ready/By: -5 t El See Page 2 for
Internet: www.ci.tigard.or.us gyp Notified/Method: ' Supplemental Information
r! I Y 6F OTF WORK FEE* SCHEDULE '
® New construction BUILDING DR/ dA emolition For spedai information use check list
Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
ID Accessory building ® Multi - family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ O ther.
Fire sprinkler ( sq. ft.) Page 2
/0 8.3 JOB SITE INFORMATION AND LOCATION Site utilities .
Job site address: ' 7� SW Canterbury Lane Catch basin or area drain 16.60
City/ State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: BLDG 1 Project name: Canterbury Crest Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: Canternury Lane off HWY 99 S of SW McDonald Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear R: 110) t Page 2 5S , 00
Storm sewer (no. linear ft.: 200) 1 Page 2 10 t) , 4 0
Subdivision: Canterbury Place 1 Lot no.: Water service (no. linear ft.: 100 ) 1 Page 2 55 , 00
Fixture or item
Tax map /parcel no.: WCTM 2S110AA, 01500,01400
Absorption valve 16.60
DESCRIPTION OF WORK Bacldlow preventer Q Page 2 f. to
New Construction of Condominium Units Backwater valve 16.60
Clothes washer (p 16.60 9q ,(/ 0
Dishwasher ( 16.60 q9 , (D D
® PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Canterbury Place LLC Expansion tank (p 16.60 CI Cj 1 to 0
Address: 109 East 13 Street Fixture/sewer cap 16.60
City/ State/ZIP: Vancouver, WA 98660 Floor drain/floor sink/hub 16.60
Phone: (503)221 -1920 Fax: (360)693 -4442 Garbage disposal to 16.60 11 C( , (r o
® APPLICANT ® CONTACT PERSON Hose bib 16.60 C(q , L 0
Ice maker I A ,, 16.60 f(/( ,p/
Business name: Canterbury Place LLC
Interceptor /grease trap 16.60
Contact name: Dave Gutschmidt Medical gas (value: $ ) Page 2
Address: 11624 SE 5'" Street Primer 16.60
City/State/ZIP: Bellevue, WA 98005 Roof drain (commercial) 16.60
Phone: (360) 695 -7700 Fax: : (360) 693 -4442 Sink/basin/lavatory - 16.60 3 3z, 0 0
Tub /shower /shower pan t 0 16.60 / ( L, , 00
E-mail: Urinal 16.60
CONTRACTOR Water closet j 0 16.60 ( , 00
Business name: Cromwell Plumbing Inc Water heater (p 16.60 qC(, (p 0
Address: 30855 S Kauffman Road Other:
City/State/ZIP: Canby, OR 97013 Subtotal (s/ 1 ,yv
Minimum permit fee: $72.50 j
Phone: (503) 266-4790 Fax: (503) 266-4792 Residential backflow minimum permit fee: $36.25
CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB 6016 /S Plan review ( of permit fee) I l 9 7. 52.1
Authorized signature: State surcharge (8% of permit fee) / • 56
TOTAL PERMIT FEE / S - 5 g • / 7j
Print name: Greg Cromwell Date: This permit application expires if a permit is not obtained within
180 days after it has been accented as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005-00547
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12122/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10116/2006 TIME: 7:06AM PAGE: 40
SITE ADDRESS: 10831 SW CANTERBURY LN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures'. (6) expansion tanks & (6) hose bibs.
OWNER: CANTERBURY CREST, PHONE #: 360-695-7700 '
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 10/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038406-08 603-672-2961
Corrections/Comments/Instructions:
PASS n PARTIAL APPROVAL n CANCEL 0 NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
pe
Inspector: Date: r6t 1 Phone #: (503) 718- --1/
1 . -
CITY OF TIGARD ' ,
BUILDING DIVISION #: PLM2006.00547
..
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/22/2005
Phone: (503) 639-4171 _
Inspection Requests (24 Hrs.): (503) 639-4175 ,........„ ---
INSPECTION WORKSHEET FOR DATE: 8/1/2006 TIME: 7•01Am PAGE: 33
I6g3(
SITE ADDRESS: 1-07-44-SW CANTERBURY LN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) hose bibs.
OWNER: CANTERBURY CREST, PHONE #: 360-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-166-4790
Inspection Request Scheduled For: Date: 8/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 034164-01 971-563-6984 N
Corrections/Comments/Instructions:
xp ASS 111 PARTIAL APPROVAL _ CANCEL n NO ACCESS
I I FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
,
.
'
Inspector: /l/ Datel/ 6 Phone #: (503) 718- 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLI ?005.00 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
9 17122I2006
Phone: (503) 639 -4171 *spilt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6 :50AM PAGE: 37
/0 8` .
SITE ADDRESS: 1-8-74-4 -4 SW CANTERBURY IN BLDG 6 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tank: & (6) hose bibs.
OWNER: CANTERBURY CREST, PHONE #: 360,-695-7700
CONTRACTOR: CROMLL PLUMBING PHONE #: 603 - 2664780
Inspection Request Scheduled For: Date: 1/2412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 026597 -01 503-757 -3865 N
Corrections /Comments/ Instructions:
rlt PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/,,x) Inspector: / /�� v & Date: / Phone #: (503) 718 - 411
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIMI200 .tU &.;7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1207"2 }00,
Phone: (503) 639 -4171 .6p /0 9iul& f Il
Inspection Requests (24 Hrs.): (503) 639 -4175 °__..
INSPECTION WORKSHEET FOR DATE: 1 }74/2006 TIME: 6 : J0AM PAGE: 36
/b g �r
SITE ADDRESS: 10711 SW CANTERBURY LN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 6, now 6 unit condominium.
• Addresses: Unit: 1 through 6. Other fixtures; (6) expansion tanik & (6) hose bibs.
OWNER: CANTERBURY CREST, PHONE #: 350 - 695.7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503266-4790
Inspection Request Scheduled For: Date: 1/24/2106 Pour Time:
Code # Inspection Description Confirm # Contact # Message
336 Rain drain 025597 -0 503757-3865 N
Corrections /Comments /Instructions:
•
4 pASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ' / / 1 4 1 ' ( (/ Date I v
h '7" 7/ I 6 Phone #: (503) 718- •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: l LM200S -00&47
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12127/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: 7 :04AMMi PAGE:
lag3
SITE ADDRESS: i074.1 SW CANTERBURY LN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) hose bibs.
OWNER: CANTERBURY CREST, PHONE #: 360-696-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: '503-266-4790
Inspection Request Scheduled For: Date: 1/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 025453.01 503-757-3065 N
Corrections /Comments /Instructions:
44--P-A
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 01 A Date: / , Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200S.00517
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I2122/2006
Phone: (503) 639 -4171 . rooip Ljll ct%
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: 7 :04AM PAGE: 7
/083/
SITE ADDRESS: 40 :- SW CANTERBURY IN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) hose bibs.
OWNER: CANTERBURY CREST, PHONE #: 360-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503. 266.4780
Inspection Request Scheduled For: Date: 1/ 23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 026453-02 503-757-3865 N
Corrections /Comments/ Instructions:
•
•
_SASS n PARTIAL APPROVAL n CANCEL I NO ACCESS
I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: • PLtdi O05 00 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/
Phone: (503) 639 -4171 :4N�� �
Inspection Requests (24 Hrs.): (503) 639 -4175 . ''I I�?
..
INSPECTION WORKSHEET FOR DATE: 1/23/2005 TIME: 7 :04AM • PAGE: 6
)b 8` 31
SITE ADDRESS: 1H SW CANTERBURY IN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tank:: & (6) hose bibs.
OWNER: CANTERBURY CREST, PHONE #: 360-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503.2 %S4790
Inspection Request Scheduled For: Date: 1/34/2O0X Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 02E453-03 503 - 757.3865 N
Corrections /Comments /Instructions:
°1 ' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 Date: / Phone #: (503) 718-
1