Permit C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00159
''. 13125 SW Hall BB
7 lvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S DATE ISSUED: 4/25/2006 CC001
SITE ADDRESS: SW CANTERBURY LN BLDG 1 ZONING: R - 12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Backflow preventer for irrigation. Common water.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
CANTERBURY PLACE, LLC
109 EAST 13TH STREET Description Date Amount
VANCOUVER, WA 98660 [PLUMB] Permit Fee 4/25/2006 $72.50
[TAX] 8% State Surcha 4/25/2006 $5.80
Phone : 360 - 695 -7700 Total $78.30
Contractor:
ANCTIL PLUMBING INC
16900 SW MERLO RD
BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 642 -7323
FAX 503- 642 -7755
Reg #: LIC 24184
PLM 26 -162PB
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: L" ! , 2 I i 7 Permittee Signature: . %, ,CT
Call 503 -6 63 -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.
APR -24 -8006 01:49P FROM :ANCTIL PLUMBING 58136427755 T0:58359819 P.2
Plumbine Permit Application 1014 (II 1 It 1 1 NI ()NI 1
City of Tigard
A IMF ReceivIMF "'-'17,2/ 0K'yl -- Pem,it r4 , X04 03/) q
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Dato/Oy, 011ie* Permit No.:
24- Hour Inspection Line: 503. 9 7 ) J _ a •r.it 1
Intenct: www,tigard -u.gov I, 1 ! - i - - + Hale Ready/By / S See Page 2 far
NotifiotYMethod � , r' S■pplemeatat tafoneatioa
.1.,...s ;t ,g - giAit}lei. T YPE OF WORK` 0,15 o -`#4y ` - . «, , y ' :' FEE *&SCQIEDULE S, ' l> "a ,trl
w construction ❑ Demolition For 'pedalInforntarlol ale ekerhllsr.
Description I Qty. I Ea. { Total
❑ Addition /alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
" h ‘.'•••""' 1 1' " t'y CATEGORY OF' CONSTRUCTION "trrWd,`', ; ' A. ? % SFR (1) bath 24920
❑ I- and 2 -family dwelling Commercial /industrial SFR (2) bath 350.00
❑ Accessory building vtulti- family SFR p) bath 399.
171 Master builder Each additional bath/kitchen 45.00
❑ other:
�;a- yr�3 r , :� „1,,. t Fire sprinkles ( s9. !l.) .....
1 Page 2
,' JOB SITE INFORMATION 'AND LOCATION „;. L { 'a' It' . 4, site atilitk,
Job site address: i C .5 a 5- Sw N 7 130 Catch basin or area drain 16.60
City/State/ZIP: /6 , 7/ / Drywcll, leach lint, or trench drain 16.60
Suite/bldg. /apt. no.: j Project name: 014)14./16/13L/ fli W000.5 , Footing drain (no. linear ft.: ) . Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear R.: ) Page 2
Skim, sewer (no. linear fl: ) Page 2
Subdivision: 1 Lot no.:
Water service (no. linear fL: ) Paget
Flst•re or item
Tax map /parcel no.: Absorption valve 16.60
DESCRIPTION OP, WORK a » a"` te r" Back flow preventer .- ---- -, ( Page 2 4./ t , • Lie
"'- V -c- Ii pt.J - pe u, c E FolL Back water valve 16.60
I Y -06- . 3 P - 4-1 S , fr
y � Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
'32PROPERTY OWNER 1 w / ❑TENANT
Ejectors/sump 16.60
Name: 2a � � o� P. - (Al W Expansion tank 16.60
Address: i 049 ll S 13 -4-ft St Fixture/sewer cap 16.60
V
City /State/ZIP: J (...--U (,(v5 ` p n $ k, ) Floor drain/floor sink/hub 16.60
Z �] i - ( 9 Garbage disposal 16.60
Phone: (43,3) Gr p Fax: (• ) .
❑ APPLICANT C] CONTACT PERSON Hose bib 16.60 -
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name. Medical gas (value: S ) t Page 2
Address: Primer 16.60
City /State/ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone:
( ) I Fax: : ( )
Tub/shower/shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: f- /G -1' (.. el L ,y J e r I� 3 _ Water heater 16.60
Address: / (o 9 C 3W /'Y e („, p Other: - -
� Subtotal '_ -so
City/State/ZIP: f, 5# ✓>��� v� VW' ? / Minimum permit fee: 572.50
Phone: (5l>3) ct-i 2,- l 3 2 Fax: ( 563 C 2.- - 3- "� Residential backflow minimum permit fee: 576.25
CCB Lic.: 2 , -f ( Q L, Plumbing Lie. no ' C - I (PZ P6 Plan review (25% of permit fee)
State surcharge (8% of permit fcc)
Authorized signature: �- TOTAL PERMIT FEE 1 ' :30,
Print name: 4 (. G 1 . L Date: 14- 2.. / oC.1 This permit application expires If a permit fa not obtained width
Igo days after It has been accepted as complete.
•Fee methodology set by Tri -County Building Industry Service Board.
1 \Buddin1V'mnio\PL51- PemitApp doc I2/30'OS 440- 4616T( IOri2COM/WEB I,
4- lot 643e g N 5b 3 - ('i Z- "4-"?-5S
__-
CITY OF TIGARD
BUILDING DIVISION PERMIT .: : ,PL12006-00169
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISS . / 4/7
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/14/2008 el 7:00AM PAGE: 17
fit5 / ---- 61:5
SITE ADDRESS: 10871 SW CANTERBURY LN BLDG • CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Backflovv preventer for irrigation. Common water.
...
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-6957700
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503-62
Inspection Request Scheduled For: Date: 11/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes a e /\t
399 Plumbing final 078083-01 971-563 Y
Corrections/Comments/Instructions:
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200B- 00159
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/21/20013 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 15720 SW GREENS WAY CLASS OF WORK:
SUBDIVISION: SUMMERFIaD NO.2 LOT #: 121 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Repipe entiro condo.
OWNER: DROWN, JEFFREY PHONE #: 503.291 -9191
CONTRACTOR: AAPPLE PLUMBING PHONE #: 603 - 935 - 7461
Inspection Request Scheduled For: Date: 4/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
399 Plumbing final 068627 -01 503- 936 -7461 Y
Corrections /Comments /Instructions:
•
� r
X PASS ❑ PARTIAL APPROVAL CANCEL rI k"' 1 n NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: c11 Date: t-t \07) Phone #: (503) 718-
CfTY SF G J
�. � '� � �. � yip
.Z. WILDING 0 HVISOON PERMIT # „"` ' CMS' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: CT
Phone: (503) 639 -4171 r� ,4P91iitAlI
Inspection Requests (24 Hrs.): (503) 639 - 4175,,_. : -;.
INSPECTION WORKSHEET FOR DATE: 4 . Vert) liS TIME: PAGE:
SITE ADDRESS: 151 20 S W 6°RSE0 S W Ay CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date:M ` 1 SI Ql Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
NU. l'.' 5 r i.66 1.
/A PASS I I PARTIAL APPROVAL I CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: G'" Atk r'k O € Le" Date: L iI t s' oc, Phone #: (503) 718 - 14417
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: pi NV006.00159
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412E42006
Phone: (503) 639-4171 444 1 1 4.1 tit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/4/2008 TIME: 7 PAGE: 29
SITE ADDRESS: 10871 SW CANTERBURY LN BLDG 1 CLASS OF WORK: I
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: LuarVi p r oT n t e,! - \ f ri i r r i- 9 ., i t i ci n 0 m m oil wa
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-696-7700
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503-642-7323
Inspection Request Scheduled For: Date: 11/4/2008 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077586-02 971-563-9339 Y
Corrections/Comments/Instructions:
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K FAIL El CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
Inspector: <Pi ' ( Date: niiiion Phone #: (503) 718-