Permit CITY TGARD PLUMBING PERMIT
�� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00563
�� DATE ISSUED: 12/22/2005
13125 S7 II Blv Tigard, OR 97223 503 - 639 -4171
// PARCEL: 2S110AA -CC001
SITE ADDRESS: 1'0 72 SW CANTERBURY LN BLDG 29 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 29, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion
tanks & (4) hose bibs, 200' footing drain.
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: TRAPS:
STORIES: 3 WATER HEATERS: 4 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 4 URINALS: GREASE TRAPS:
LAVATORIES: 14 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 12/22/200E $1,388.40
[PLMPLN] Plan Review 12/22/200E $180.49
Phone : 503-695-7700 [TAX] 8% State Surchar1 12/22/200: $111.07
Total $1 ,679.96
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: Permittee Signature:
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.
1 v 7 23 C,w ,. L.A..... Cam. -t..
Plulmbi®g Permit A 1 • �� I ()I I. I(I L SI t l
`-' i VE rit Received � .. /
City of Tigard Date/By: f Q - (1 "Q 5" L Permit No :: AN 0 p0 1.6 j
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �., y
Phone: 503.639.4171 Fax: 503.598.1 ft t T 1 4 2005 IL M ' (A Date/B / /1/Kit 6'.J -- Other Permit No � �� A , ',
24- Hour Inspection Line: 503.639.4175 a J, l 1'" . -._ Date Ready/By: Jur": 21 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 1I ( Supplemental Information
CITY or TiGAFtu FEE* SCHEDULE Mitri/ land SI .
® 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
❑ I- 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
/0Q 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.: BLDG2 ±/ Project name: Canterbury Crest Footing drain (no. linear ft.: 20(1) 1 Page 2 1 o 1 , y 0
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.: I Page 2 SL , 0
Storm sewer (no. linear ft.: 200) I Page 2 i 01 , H 0
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 10 I Page 2 5 J 0 0
- Fixture or item
Tax map /parcel no.: WCTM 2S110AA, 01500,01400
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer 0 Page 2 6 ya
New Construction of Condominium Units Backwater valve 16.60
Clothes washer 14 16.60 ( , y D
Dishwasher 4 16.60 (4, , 40
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Canterbury Place LLC Expansion tank '4 16.60 (p( , '40
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 14. 16.60 (06,40
® APPLICANT ® CONTACT PERSON Hose bib .4 16.60 (p (o , y a
Ice maker 16.60 ., i ••
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 I $ 16.60 1q Q , 91
Tub /shower /shower pan g 16.60 1 2 , g 0
E -mail: Urinal 16.60
CONTRACTOR Water closet 17_ 16.60 19 c' , LO
Business name: Cromwell Plumbing Inc Water heater 16.60 & (o , cl 0
Address: 30855 S Kauffman Road Other:
City/ State/ZIP: Canby, OR 97013
Subtotal /38g. g®
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 o 43Z Plan review (2,of permit fee) / SO.
Authorized signature: State surcharge (8% of permit fee) / / ( , 0 7
TOTAL PERMIT FEE /
Print name: Greg Cromwell I Date: This permit application expires if a permit is not obtain �/ ed within Y`
180 days after it has been accented as complete.
. CITY OF TIGARD
BUILDING DIVISION PERMIT #: pLM2005-00663
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12122/2006
Phone: (503) 639-4171
• A i
Inspection Requests (24 Hrs.): (503) 639-4175 A7148I- 164 Jj.,
INSPECTION WORKSHEET FOR DATE: 9/19/2006 TIME: 705A1v1 PAGE: 3"?
SITE ADDRESS: ADDRESS: 1.0i2 S SW CANTERBURY LN BLDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: F.Suilding 29, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks
& (4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 503-695-7700
CONTRACTOR: CROtviWELL PLUMBING PHONE #: 503-266-47M
Inspection Request Scheduled For: Date: 9119/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 036783-04 503-572-2961 N
Corrections/Comments/Instructions:
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N P-ASS 1 1 PARTIAL APPROVAL 0 CANCEL 1 1 NO ACCESS
7 FAIL fl CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
1 ' .2
Inspector: M Y Date: / of . Phone #: (503) 718- 2.1
, _ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIV120 5-. 00%
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1)i2?i20 h
Phone: (503) 639 -4171 i , '.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 0!20/2006 TIME: 7:01AM PAGE: 23
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SITE ADDRESS: ITTM SW CANTERBURY LN BLDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: Q TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 29, new 4 unit condominium. Addresses: Units 1 I.hru 4. Other fixtures: (4) expansion Links
& (4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 5
00
CONTRACTOR: CROMWELL PLIJMBING PHONE #: 5 266 -4ii30
Inspection Request Scheduled For: Date: 6/20/2006 Pour Time:
t
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 0320040/ 971- 563 -6984 N
Corrections/Comments/Instructions:
'BASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Datei // U v I Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: P1_IA2Ot)5.0±af. G3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2212005
Phone: (503) 639 -4171 ,49'
Inspection Requests (24 Hrs.): (503) 639 - 4175!+`
INSPECTION WORKSHEET FOR DATE: 1f20/2006 TIME: 7:00AM PAGE: ;(J
/ /B
SITE ADDRESS: SW CANTERBURY ERBURY LN IILDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY ERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: t,uild ng 2! :1, n ew 4 unit condominium. Addresses: Unite: 1 thru 4. Other fixtures: :: (4) expansion t::,inI;s
(4) hose bibs, 200' looting drain.
OWNER: UANTF_RD(JRY PLA(::;C, LI..C, PHONE #: W3
CONTRACTOR: CRO mELt.. PLUM Bill G PHONE #: 503-2.66-4790
Inspection Request Scheduled For: Date: i /20/2O00 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 025373 -02 971-563-6984 N
Corrections /Comments/ Instructions:
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(7,
141—PASS (l PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
(l FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: 1 /) 0 156 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Pl..M2006M0 f∎3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17/22/2005
05
Phone: (503) 639 -4171 /ru+ °, it 1,
Inspection Requests (24 Hrs.): (503) 639 -4175 F 1
INSPECTION WORKSHEET FOR DATE: 1/200006 TIME: 7:OOAM PAGE: ;3 i
/68' s"
SITE ADDRESS: Iii .E. :3 SW CANTERBURY 1 - N BLDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
• DESCRIPTION: Building 29, newAw 4 unit condominium. Addresses: Units 1 thou 4. Other fixtures: (4) expansion t:.:Enks
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLC GE, LI PHONE #: 503-695T/00
CONTRACTOR: CROMVVELL PLUMBING PHONE #: .503-2664790
Inspection Request Scheduled For: Date: 1/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
33 Rahn d:aiii 025373-0'1 971- .5E;3- 69 04I N
Corrections /Comments /Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 I FAIL CALL FOR INSPECTION — ADDITIONAL FEES ASSESSED
J--?Y) �
Inspector: Ins p Date: I (Df Phone #: (503) 718 -
•
CITY OF TIGARD : .
BUILDING DIVISION PERMIT #: PIM20050(.)663
13125 SW Hall - Blvd., Tigard, OR 97223 DATE ISSUED: 12J27/2006
Phone: (503) 639 -4171 i11
Inspection Requests (24 Hrs.): (503) 639-4175 ,. _
INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7 :0OAM PAGE: 62
7e g ' s
SITE ADDRESS: 1 SWCANTEREBURY LN BLDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 29, new 4 unit. condominium. Addresses: Units 1 thry 4. Other ii> ;Wires: (4) exp:-an :lor1 t.:. ;Irk.;
ex ( '1) hoe bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 603-69E:-7700
CONTRACTOR: CROMWELL PLUMMBING • PHONE #: 3- 2664790
Inspection Request Scheduled For: Date: 1//012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 024649 ..05 503-757..3865 N
Corrections /Comments/ Instructions:
0v 5iC;• pl., 1, ;
..---____.....__________.______ __________Th
n PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL ✓ ✓✓ fl CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0 ; 7 : f Inspector: / 9 Date: ' o$ Phone #: (503) 718- '2)446
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200 -0O5 a3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2712006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/1012005 TIME: 7:00AM PAGE: E
SITE ADDRESS: 1 CANrERE URY LN BLDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: . 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: €3uildinq 29, new 4 unit. condominium. Addresses: Units '1 thru 4. Other li:°lures: (4) expansion t r44h:
& (4) hose bibs, 200" rooting drain.
OWNER: CANTERBURY PLACE, LI_C, PHONE #: f.)03.69;■
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 - 260 -4790
Inspection Request Scheduled For: Date: 1110/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
306 Plumbing underslab 024649-03 503-757-3665 Y
Corrections /Comments/ Instructions:
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: V N "v Date: 1-10- d4 Phone #: (503) 718 - `'
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: Pl_M300s- oOr-53
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/22/2006
Phone: (503) 639 -4171 10
Inspection Requests (24 Hrs.): (503) 639 - 4175!+ `-
INSPECTION WORKSHEET FOR DATE: //1012006 TIME: :00AM PAGE: 65
SITE ADDRESS: t _, SWCAN'fERBURY LN BLDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 29, new 4 unit condominium. Addres::e : Unit: 1 thru 4. Other fixtures: (4) expansion t =Tiks
& (4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 503.696-7700
CONTRACTOR: CROMWELL.. PLUMBING PHONE #: 503266-4790
Inspection Request Scheduled For: Date: 11/012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
4: >t-anit.aiy senor 024C4I9 -02 503757 -3865 N
Corrections /Comments /Instructions:
RA CZ 6Ze4E4vica0 CI-2M
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL 1 1 CALL FOR INSPECTION ff ADDITIONAL FEES ASSESSED
Inspector: Crkat N se e Date: HO - 06 Phone #: (503) 718- Z -°b"‘
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1 1..M2005.O0&;
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/22/2000:■
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: '1/10/2006 TIME: 7:00AM PAGE: 63
/
SITE ADDRESS: '007' i SW CANTERBURY LN BLDG 29 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 00'1 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 29, new 4 unit. condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion L nk:.
& (4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, f_.LC, PHONE #: 03 595 - 7700
CONTRACTOR: CROMWEll PLUMBING PHONE #: &)3 -266. 4790
Inspection Request Scheduled For: Date: 1/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 024644:304 503-757-3865 N
Corrections /Comments / Instructions:
( ■ 0 CtoQt a ■5Sf4is c� vim,
&PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 10 ' de Phone #: (503) 718- IA