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Permit C T Y TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 -00557 "`` I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 6394171 DATE ISSUED: 6/29/2006 (D23( PARCEL: 2S110AA -01500 SITE ADDRESS: 04.9 SW CANTERBURY LN BLDG 17 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 17, new 4 -unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. CLASS OF WORK: NEW GARBAGE DISPOSALS: 4 MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 4 BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R1 FLOOR DRAINS: 0 TRAPS: STORIES: 3 WATER HEATERS: 4 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 URINALS: GREASE TRAPS: LAVATORIES: 16 OTHER FIXTURES: 8 TUB /SHOWERS: 8 SEWER LINE: 100 ft WATER CLOSETS: 12 WATER LINE: 100 ft DISHWASHERS: 4 RAIN DRAIN: 200 ft Owner: FEES CANTERBURY PLACE LLC Description Date Amount 109 EAST 13TH STREET VANCOUVER, WA 98660 [PLUMB] Permit Fee 6/29/2006 $1,319.90 [PLMPLN] Plan Review 6/29/2006 $171.59 Phone : 360-695-7700 [TAX] 8% State Surcharl 6/29/2006 $105.59 Total $1,597.08 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- 6 699 1, 00- 332 -2344. Issued B • & j ' 24 Permittee Signatu • : ' .C. / CaII 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. 06, 7 q G.,-.1-c./.1...„C.4-1.....e., .:- - i Plumbi® Permit A l'� •.• : ,.: Plumbing App l;,,: t �, � I�illz OI lr 1 i;v t)l 1 City of Tigard ` _ '' �� ! Received 1 ' . �. `'r ll Date/By: 1Q -' 1 -0_) Permit Ncr: Ve2OQ' pi 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie ,,� n - � I / v � Phone: 503. 9.4171 Fax: 503.598.1960 � � 4 �o f M nu d � i � I � Date/By: l i j /610 S Other Permit No. .,� s. �� 24- Hour Inspection Line: 503.639.4175 TYPE ®1t�'iRnrv _;, Date RReady/By: X'/ El See Page 2 for Internet: www.ci.tigard.or.us Cl,�y Notified/Method: J -U Supplemental Information 0rnilivGgR� FEE* scHEDULE lsto� .tr, ® 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 249.20 ❑ 1- and 2- family dwelling ❑ Commercial/industrial 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 73/ JOB SITE INFORMATION AND LOCATION Site utilities Job site address:)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[ L I Project name: Canterbury Crest Footing drain (no. linear It: ) 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.: 100 ) I Page 2 SS 00 Storm sewer (no. linear ft.: ( Page 2 1 01 . 40 Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) ( Page 2 LS , 00 Fixture or item Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 16.60 / DESCRIPTION OF WORK Backflow preventer ® Page 2 Y CIO New Construction of Condominium Units Backwater valve 16.60 Clothes washer ' I 1 ' 16.60 (p( ,y Q '1 Dishwasher 16.60 (p(p , LID 0 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Canterbury Place LLC Expansion tank t. 16.60 ( , y 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 LI 16.60 (AA , y 0 0 APPLICANT 0 CONTACT PERSON Hose bib 16.60 L9(,, , '40 Ice maker 4 16.60 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 72,32 ,00 Tub /shower /shower pan g 16.60 13.30 Z E-mail: Urinal 16.60 CONTRACTOR Water closet 12. 16.60 1 q Q , ), a Business name: Cromwell Plumbing Inc Water heater "I 16.60 ( (, , y D Address: 30855 S Kauffman Road Other: City/ State/ZIP: Canby, OR 97013 Subtotal ,90 Minimum permit fee: $72.50 Phone: (503) 266 -4790 Fax: (503) 266 -4792 Residential backflow minimum permit fee: $36.25 CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB ` f N Plan review o of permit fee) / 7/• S9 Authorized si afore: State surch (8% of permit fee) 1 / D 5 . ? TOTAL PERMIT FEE / 597. D $ Print name: Greg Cromwell Date: This permit application expires if a permit is not obta -... wrtntn 180 days after it has been accented as complete. CITY OF TIGARD - BUILDING DIVISION PERMIT #: PLM2005-00557 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 s -__.. INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 69 SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 17, new 4 -unit condominium. Addresses: Units 101,102,103,'iO4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360. 695 -7700 CONTRACTOR: CROMWVELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 5/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 047842 -01 503- 313 -7396 N Corrections /Comments /Instructions: ...‘.4. i .a 3 4 (._) it)1 7 Z.-- / `' r Y PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED 4 iit„ S / /�) y�y Inspector: Date: Phone #: (503) 718- CITY �� mm m OF oo��m�� BUILDING DIVISION PERMIT #: pLIv12006-00537 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/20OG Phone: (503) 639-4171 Ah Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7:00AK8 PAGE: 32 SITE ADDRESS: 10731 SWCANTERE3URY LN BLDG 17 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: E3ui|din0 17, new 4-unit condominium. Addpaoueu: UniU;121.1O2.1O8 Other fixtures: (4) expansion tanks&Nl hose bibs. OWNER: CANTERBURY PLACE LLC. PHONE #: 360F695-7700 CONTRACTOR: CR0KHVVELLPLUk4BING PHONE #: 503-286-4790 Inspection Request Scheduled For: Date: 2121/2007 PourTiMng: Code # Inspection Description Confirm # Contact # Message 320 P1umbiug rouQh'in 043053-01 603-545,3654 N Corrections/Comments/Instructions: SS | 1 PARTIAL NO ACCESS �� AN�EL __. . . -_ | | FA|L ri CALL FOR INSPECTION || ADDITIONAL FEES ASSESSED 1«� « � / � y�� |naoeutoc �« ) )r-1- Da�m' ^�-/ 0 / Phone (503\ 718' " ' . . �- /~ ' / #: ` ' ' / CITY OF TIGARD BUILDING DIVISION PERMIT #: PLiti'12O0 -00557 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &29/2 06 Phone: (503) 639 -4171 A � , ,[� v , Inspection Requests (24 Hrs.): (503) 639 -4175 — "__.. INSPECTION WORKSHEET FOR DATE: 2'20/ zQ07 TIME: 7:09AM PAGE: 80 SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 17, new 4 - unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360 CONTRACTOR: CROMWELL PLUMlBINC PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 7/2003t)7 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -ire 043550-02 503 - 545.3554 N Corrections /Comments /Instructions: At 4 J , _z & 40 . eir PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: M I Date: c2 / r q Phone #: (503) 718- / CITY ��Q�~�� H��J�� m on�� BUILDING DIVISION ' PERMIT #: PLk4M06-00657 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/20O6 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639~4175 INSPECTION WORKSHEET FOR DATE: 11/20/2008 TIME: 7:O1A04 PAGE: 7 SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMIMUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: 3uJIdin9 17, new 4-unit condornnium. Addresses: Units 10'1,102,103,104. Other fixtures: /4\ expansion taroks &(4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-095-7700 CONTRACTOR: CRDAAVVELLPLUKAB|NG PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 11/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 PonUbeamp|unobiog 040051'05 503-645,3054 M Corrections/Comments/Instructions: n PARTIAL APPROVAL n CANCEL | | NO ACCESS | �FAIL n CALL FOR INSPECTION | 1 ADDITIONAL FEES ASSESSED |napeotoc ^��' Date: //79 �� Phone #� ��O3\ 718- `- - • CITY ��N�~�� &�� `- - ��o mV��a�� BUILDING DIVISION PERMIT #: PLM2005-00657 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: G/23/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 1O731SW CANTERBURY LN BLDG 17 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 17, new 4-unit condominium. Addresses: Units 101.102.105.104. Other fixtures: (4) expanion tank &[4) how bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360'6567700 CONTRACTOR: CR0kVVVELLPLUKNB|NG PHONE #: 503-286~4790 Inspection Request Scheduled For: Date: 11/2012006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 ��cmdkain 040061'04 503-U5-9664 N Corrections/Comments/Instructions: PIE ~ASS PARTIAL APPROVAL | CANCEL 7 NO ACCESS 111 FAIL | | CALL FOR INSPECTION ' �� / ADDITIONAL FEES ASSESSED Inspector: �K ^ d�.� Oa1�� / v Phon�#� /603)718' ' )41 ' ` ' - CITY ��&�~n�" �� ~N�� o� om��»^m�m�� BUILDING DIVISION PERMIT #: PLhA2O0�00557 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &/28/2808 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 Ai «l INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7:O1AM PAGE: 10 SITE ADDRESS: 10731 SW CANTERBURY UW BLDG 17 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMIMUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: 8ui|dinQ 17, new 4-unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion 1anks&(4)hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360 CONTRACTOR: CH{)h4WELLPLU&40|NG PHONE #: 503'256-4790 Inspection Request Scheduled For: Date: 11/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanbarynnme/ 040051'02 503-545-3654 N Corrections/Comments/Instructions: PASS pi PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS � FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED 1 Inspector: ��| ~/� � � /' Date: j y ' 6 4 Phone #: (503) 718 ' � , �~ — -'� ` ' CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00657 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5129/2006 Phone: (503) 639 -4171 Attl, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7 :01AM PAGE: 11 SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 17, new 4 -unit condominium. Addresses:: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360 -695 -7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 -e66A790 Inspection Request Scheduled For: Date: 11/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 040051 -01 503. 545-3654 N Corrections /Comments /Instructions: • • Y IN=ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: f Date: z Phone #: (503) 718- CITY ��7N�� °nn m OF wom�|��a�� BUILDING DIVISION PERMIT #: PL&�]O{��OOS67 13125SVVHaUB�d..Tlgavd.ORQ7223 DATE ISSUED: 6y2912008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 �8�m-� |NSPECT|ONVVORKSHEET FOR DATE: 11/�O/�DO TIME: 7:O1Am PAGE: 9 SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK: SUBDIVISION: cANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 17.next, 4'vnitcondomniniuno. Addresses: Units 101.102.103 Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, pHONE'#: 380695'7708 CONTRACTOR: cR0|N\VELLPLUh4B|NS PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 11/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 040051'03 503'545-3664 N Corrections/Comments/Instructions: PASS | | PART/ALAPPRO\AL 1 1 CANCEL fl NO ACCESS | 1 FAIL 1 1 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED -� Ins l �' �' Oata' '' ' / Nx � � Phona#� 0�O8} 718' . PI � �. �� . ' � `' ' v I: CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RE6itdi4- CROMWELL PLUMBING 30855 S. KAUFFMAN RD. JUL 2.1 2006 CANBY, OR 97013 ell YU ijit Plumbing Signature Form Permit #: PLM2005 -00557 Date Issued: 6/29/2006 Parcel: 2 S 110AA -01500 / Site Address: 40679 SW CANTERBURY LN BLDG 17 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 17, new 4 -unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) 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 STREET 30855 S. KAUFFMAN RD. VANCOUVER, WA 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 ORM Signa • re of Authorized Plumber If you have any questions, please call 503.718.2433. •u 1 -3 1- 1 -6 1 -6 '. q 1 1 1 083 t 6; 10831 �P 10819 10807 4- i _ cc) ♦��'� ,7 10 10813 10801 = ,,;N y 6- '^2 '. .1 0 m 1 4 _ ,5 TIT r mw ' • # •: , 4.,/ � _- wjP �� f3 .` ` a a ,, 4 p • "3,, 1 �I" 10775 10769 10765 } 0 1�j� 1 0�r � • 1 2 ° � o b� o /, 6z'. <• .'s i Ali! .• iii v e° ' ",� ` ti 0 i re. : . �4. cr y �,�. lw�•�7 5 ' `s� a �. `� "`, v�j' s I l' a l ., N �.r .¢•,` $. —, — ' 1 "`', i �: S ' 1� I 4 , Z' \'. x ''1'1 1 • ' ` � 10779 y 10771 � a a • A _ • S) '- \ '411,-,. ' e ./:?,, • s� c I • q^ •.40- ' e- �v% -, '�- • 1 ` • { "y�� X 0 1 �4 r�� " � 7 " 10731. :,_ }�� r �,i. t \ � } ti p ; �� t ) yy 1 1073 S; M 1 7 \ a � � a_s ..�•�?,t.- , :i e +� f .- ' 1 10711 o h .,.. . � 1 Iv' 1071 . i . f v �: ' �� 7 t , 5 ■ 10 , y 'n, 1. \ ` ` ' 9 -, .. \. J 9 ` 10 7 43 , y . } ,- } -q rxa y ��ry� N „ �Yi rf,-.. -4 4 i' BETHANY STEWART ' ' � . `�, • CITY EERI DEPARTMENT NOTE: ALL ADDRESSES ARE OFF OF CANTERBURY LANE 13125 S.W. HALL BLVD. F°X: �fOREGON 4x52 ADDRESS REVISIO \S 10/1/2006