Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2006 -00025
- �� "'_'I� DEV W H BMENg r So R9 ACES -639 -4171 DATE ISSUED: 6/29/2006
77��� PARCEL: 2S110AA -01500
SITE ADDRESS: 4�I&i8 CANTERBURY LN BLDG 19 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 19, fire sprinklers for new 4 unit condominium. Addresses: Unit 1 through 4.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: 4 FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 8,640.00
Owner: Contractor:
CANTERBURY PLACE LLC JND FIRE SPRINKLER INC
109 EAST 13TH STREET 12155 SW GRANT
VANCOUVER, WA 98660 STE D
TIGARD, OR 97223
Phone: 360- 695 -7700 Contact #: PRI 503- 968 -5200
FAX 503 - 968 - 5920
FEES Reg #: LIC 64395
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/6/2006 $129.70
[TAX] 8% State Surchari 1/6/2006 $10.38
[FLS] FLS Pln Rv 1/6/2006 $51.88
Total $191.96
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 50 4 .-6691 .r 800 - 332 -2344.
Issued B :,� d �,, / y� ; j Permittee Signature 4
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.
. ' , 1.1 PRO() ■s o
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Building Permit Applie ED FOR OFFICE USE ONLY
City of Tigard R 1 1, / 3 /
Date -Bc Pert No �CG /-
13125 SW Hall Blvd., Tigard, OR 97223 (n� Cab /c >y Permit / /J��O ���1��
g i �� 0 3 1Jo11 P lan Ra ir« 1 ` j/
� Other Pernut
Phone: 503.639.4171 Fax: 503.598.1960 t� �/ ' 4 . l' JJi + DateBv. / t/ I
Inspection Line: 503.639.4175 - •1 4., Date Ready. h 0 See Attached Checklist for
Internet: www.ci.tigard.or.us c1 OF TIGP. L' Notified/Method. 1' / " -et Supplemental Information
!1 11I_D1NG DIVISIO
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TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
litNew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
76 7/S---- JOB SITE INFORMATION AND /`r. t LOCATION Total
/ Total number of floors:
Job site address: 5w l...rJ1 9v� LN • New dwelling area: square feet
City /State/ZIP:11 GAg0 i O R Garage /carport area: square feet
Suite/bldg. /apt. no.: 19 Project name S t,( tdi j o e3 0 3 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: t Lot no.: Permit fees* are based on the value of the work pertOrmed.
• Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
,, QQ
DESCRIPTION 'OF WORD work indicated on this application.
tN fr 139, t-1 /Pork 2 S Valuation: $ 8 ( (, f 0
!Y 1�1.7C1� Existing building area: ` square feet
New building area: square feet
KPROPERTY OWNER ❑ TENANT Number of stories:
Name: pe) Lq (�JN *1h J Type of construction:
Address: 1601 � / I 37e1-",,Sri: (� / Occupancy groups:
City /State/ZIP: c t _ (ifA- 9 O �tpa Existing:
Phone: (36O) 4, 7766 OO Fax: (36O) 673 tikitra New:
❑ APPLICANT JR'C'ONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: 3 f- Donors) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: j 4) }-.1 f4e. SppJ , Oci ,- -y� . 10c_
,/� BUILDING PERMIT FEES'
Address: 11 SW 0,0r/qr. l/ U
SUITE
Please refer to fee schedule.
City /State/ZIP: W:4%20 Q v h 0(7 2 'Z 3
�� T 8 ( �3)gc3cp ,s-c? Fees due upon application
Phone: Fax: Amount received
CCB lie.: Ct7430f5-
Date received:
Authorized signature: c /��/� This s permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ` 1 ,�� w J IV N Date: ` 3e,10 * Fee methodology set by Tri- County Building Industry
•l Service Board
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' . CITY OF TIGARD
BUILDING DIVISION , PERMIT #: BUP200B-00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 ha/41i et
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 19, fire sprinPiers for new 4 unit condominium. 1
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: MD FIRE SPRINKLER INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinider final 045974-01 603-313-7398 N
Corrections/Comments/Instructions:
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t ■ PASS a PAR IAL APPROVAL r7 CANCEL 0 NO ACCESS
I FAIL ra ■ L FOR INSPECTION
/ 0 ADDITIOIA FEES ASSESSED
Inspector: C-------6---
' Date: 4 b ' . Phone #: (503) 718- 7 -- - C 2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2806-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/7006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6 PAGE: 413
SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 19, fire sprinklers for new 4 unit condominium. •
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: JND FIRE SPRINKLER INC PHONE #: 583.95182m
Inspection Request Scheduled For: Date: •2/112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler. rough-in/test 040533-01 503-939-9824
Corrections/Comments/Instructions:
q...06 Ai4 i coo
PASS fl PARTIAL APPROVAL 0 CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Date: 0-- /6=. 4 Phone #: (503) 718- 742/2/