Permit _ .
CIT OF TIGARD PLUMBING PERMIT
I� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00543
�1`,x., DATE ISSUED: 11/29/2005
- 13125 SW Hall Ivd., Tigard, OR 97223 503 - 639 -4171
9 PARCEL: 2S 110AA -CC001
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SITE ADDRESS:5 SW CANTERBURY LN BLDG 4 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 4, new 3 unit condominium. Addresses: Units 1 thru 3. Other fixtures: (3) expansion
tanks & (3) hose bibs.
CLASS OF WORK: NEW GARBAGE DISPOSALS: 3 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 3 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: 3 WATER HEATERS: 3 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: GREASE TRAPS:
LAVATORIES: 12 OTHER FIXTURES: 6
TUB /SHOWERS: 6 SEWER LINE: 100 ft
WATER CLOSETS: 9 WATER LINE: 100 ft
DISHWASHERS: 3 RAIN DRAIN: 200 ft
Owner: FEES
CANTERBURY PLACE LLC Description Date Amount
109 EAST 13TH ST.
VANCOUVER, OR 98660 [PLUMB] Permit Fee 11/29/200: $1,054.60
[PLMPLN] Plan Review 11/29/200`. $263.65
Phone : 360 [TAX] 8% State Surchari 11/29/200E $84.37
•
Total $1,402.62
Contractor:
CROMWELL PLUMBING
30855 S. KAUFFMAN RD. REQUIRED ITEMS AND REPORTS
CANBY, OR 97013
Phone : 503 266 - 4790
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 -6 99 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: Cd J
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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Plumbing Permit App : • I '{ ,,, ' I O. : .: I !1 ' l + hO\ l 1 i " ,T:.‘ �}
F.,i d 3 t t , , r i ..:AA t., a L .. . . . r .
City of Tigard ' t -" Vf : _ Received _6 ✓
g Date/By: IQ 1 �/� . , 411 permit No . 3 /� C�,
13125 SW Hall Blvd., Tigard, OR 97223 ,
Phone: 503.639.4171 Fax: 503.598.1960 ; OCT .d 1 4 2001-1 d�d :t l ) . , 1 Date/gy // 4 . /D <-!rj,,,f Other Permit No 5,M35j
24- Hour Inspection Line: 503.639.4175 D ate Ready / Jury W
; "�I - L -; : eadY Y� 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: '"1 �J Supplemental lnformation
CITY OF TICAFIC
TYPOUtir NI41nR FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist
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 24920
❑ 1- and 2- family dwelling ❑ Commerciallindustrial SFR (2) bath 350.00
❑ Accessory building ® Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
/0 f(' c JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: ,&: W Canterbury Lane Catch basin or area drain 16.60
City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldgiapt. no.: BLDG 7 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 ft.: 1111 )0 I Page 2 , 0 0
Storm sewer (no. linear ft.: 200) I Page 2 j 01 , 4 0
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft I Page 2 55 0 (7
Tax map /parcel no.: WCTM 2S1110AA, 01500,01400 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer 0 Page 2 i4*, 4O
New Construction of Condominium Units Backwater valve 16.60
Clothes washer 3 16.60 (.1 ei 22
Dishwasher .3 16.60 y C(, c6U
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Canterbury Place LLC Expansion tank 3 16.60 y CA , g /7
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 3 16.60 y C , 8 ti _
® APPLICANT ® CONTACT PERSON Hose bib 3 .. 16.60 y a , ti
Ice maker - 16.60 14 ^(, %'a
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 15 16.60 7, ,OC
Tub /shower /shower pan (O 16.60 1 et , (
E -mail: Urinal 16.60
CONTRACTOR Water closet _I 16.60 Net yo
Business name: Cromwell Plumbing Inc Water heater 3 16.60 (,{C% , tip
Address: 30855 S Kauffman Road Other:
Subtotal /� , j 64
City/ State/ZIP: Canby, OR 97013 Minimum permit fee: $72.50 '
Phone: (503) 266 -4790 Fax: (503) 266 -4792 Residential backflow minim •:. it fee: $36.25 .
CCB Lic.: 44712 i& Plumbing Lic. no.: 34-167 PB Plan re ew (25% of permit fee) 243,4, 5"
State surc .. It : % of permit fee) g 37
Authorized signature: 1 , z TOTAL PERMIT FEE
t_ 0 10
Print name: i g nsirelL Date: This permit application expires if a permit is not obtained within
180 days after it has been accented as complete.
CITY OF TIGARD ,� I�,,� ���� -,
13125 S.W. HALL BLVD. , `t
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CROMWELL PLUMBING
30855 S. KAUFFMAN RD.
CANBY, OR 97013
Plumbing Signature Form
Permit #: PLM2005 -00543
Date issued: - 11129i2805
Parcel: 2S110AA -CC001
P83? Site Addre:65 CAN LN BLDG 4
Subdivision: CANTERBURY CREST
Block: Lot: 001
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 4, new 3 unit condominium. Addresses: Units 1 thru 3. Other fixtures:
(3) expansion tanks & (3) hose bibs.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
CANTERBURY PLACE LLC CROMWELL PLUMBING
109 EAST 13TH ST. 30855 S. KAUFFMAN RD.
VANCOUVER, OR 98660 CANBY, OR 97013
Phone #:360- 695 -7700 Phone #: 503- 266 -4790
Reg #: LIC 44712
PLM 34 -167PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Sig ure of Authorized Plumber
If you have any questions, please call 503.718.2433.
CITY OF TIGARD ..
BUILDING DIVISION , . ..
' PERMIT #: pLM2005-00643
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11129/2005
Phone: (503) 639-4171 .,.. 4pli i t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7:04Alvl PAGE: 36
SITE ADDRESS: 10839 SW CANTERBURY LW BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 4, new 3 unit condominium. Addresses: Units 1 thru 3. Other fixtures: (3) expansion tanks
& (3) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-2661790
Inspection Request Scheduled For: Date: 10/2312006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038627-06 50:3-572-2961 N
Corrections/Comments/Instructions:
— 11 71 -6(`6t / 5 °Y
PASS n PARTIAL APPROVAL D CANCEL I l NO ACCESS
I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: A ),(qy Date: e ' 0 Phone #: (503) 718-) ,.3/
CITY �~�����N��������
��mn m OF uw�m�mmu��
BUILDING DIVISION ` PERMIT #: PLNi2005-00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29K2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 _BM. ^
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AKM PAGE: e �
SITE ADDRESS: ' SW CANTERBURY LN BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: ridding 4, new 3 unit condominium. Addresses: Units 1 thru 3. Other fixtures: (3) expansion tanks
& (3) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: CR0AXVVELLF»LOk8BUNG PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 6/9/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 P}un8biO8rough~io 031457-01 503.757'3865 f
Corrections/Comments/Instructions:
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q__PASS
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�� PARTIAL APPROVAL CANCEL NO ACCESS
I I FAIL ri CALL FOR INSPECTION | | ADDITIONAL FEES ASSESSED
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Inspector: t^/// ^ Oote: 4" Phone #� (503) 718' Fl e�
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CITY OF TIGARD
BUILDING DIVISION P PERMIT #: PLIVI2005-00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/290005
Phone: (503) 639-4171 vimpOI
241, I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7: 00kail PAGE: 66
10 3
SITE ADDRESS: tr1TZ CANTERBURY LN BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 4, new 3 unit, condominium. Addresses: Units 1 thru 3. Other fixtures: (3) expansion tanks
& (3) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360.69&4700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 50:3
Inspection Request Scheduled For: Date: 1/10/2006 Pour Time:
Code # Ins. - in Description Confirm # Contact # Message
330 Water service 024649 503
Corrections/Comments/ ns - Ictions:
LI
•
ri PASS II] PARTIAL APPROVAL Ti CANCEL Ti NO ACCESS
111 AIL I ICA. FOR INSPECTION ri ADDITIONAL FEES ASSESSED
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Inspector: .7, Date: ///6 6rr Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM20[100513
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/29/2005
Phone: (503) 639 -4171 A I �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/5/2006 TIME: •7 :00AM PAGE:
/OF 3 7
SITE ADDRESS: < SW CANTERBURY LW BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Nii krig 4a. newel _ usut condorniniurn. Addresses: Units 1 thru 3. Other fixtures: (3) expansion tank
(3) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360. 695-7700
CONTRACTOR: C ROMWELL PLUMBING PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 115/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
336 Rain drain 024411 02 971- 563 -6984 N
Corrections/Comments/Instructions:
1 &t'a IAA d-(
4---- S
0 4 4 -
- C)Z 4� -�',C� -
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t o . PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ;
n FAIL - CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: `47` Date: 1 -'/ cl Phone #: (503) 718- Lj 2"17
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM200&00&13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005
Phone: (503) 639 -4171 ! i I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/512006 TIME: 7 :00AM PAGE: 60
/o $ I
SITE ADDRESS: . , `; ,,. ; SW CANTERBURY IN BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 4, new 3 unit condominium. Addresses: Units 1 thru 3. Other fixtures: (3) expansion tanks
& (3) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360. 695.7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 - 266.4700
Inspection Request Scheduled For: Date: 1/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing. 02441B -01 971- 563 -69 N
Corrections /Comments /Instructions:
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ct / S� .
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;► SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: '\71\
Date: ' / C / 6 Phone #: (503) 718 - -2-4 7