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Permit CITY TIGARD PLUMBING PERMIT °°""g' Ik DEVELOPMENT SERVICES PERMIT #: P -00559 ��i DATE ISSUED: 6/29/20029/2%% 6 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 110AA -01500 SITE ADDRESS: -e W CANTERBURY LN BLDG 19 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 19, 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: 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 503 699 1- 800 - 332 -2344. Issued B j k 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 . /' 0 573 A-4c., 1...,, tc„,e, Plumbing Permit Appl1 a' OVE City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 OCT 20 DateBy ��' �`� �� d j f Plan Revie , Phone: 503.639.4171 Fax: 503.598.1960 u,nra,N1011140 � Date/By: I / I / d!) O $.- J � ,t Other Permit No. o L. S _ '�°t ? 24- Hour Inspection Line: 503.639.4175 1 _. __ ' I Date Ready/By: lur Internet: www.ci.tigard.or.us CITY OF TIG;:f4► is: g RUlLnlnin f1PV14lf�PU Notified/Method: 'r� (j 65 See Page 2 for Supplemental Information TYPE OF WORK FEE* SCHEDULE .'`. ® New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath ( I 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 ❑ Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 to 7/S JOB SITE INFORMATION AND LOCATION Site utilities Job site address: /73 - 3 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 /9 I 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.: a.)0 I Page 2 SS 00 Storm sewer (no. linear ft.: 200) ( Page 2 1 cm , y 0 Subdivision: Canterbury Place 1 Lot no.: Water service (no. linear ft.: 100) I Page 2 cS , oO Fixture or item Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 16.60 // DESCRIPTION OF WORK Backflow preventer W Page 2 ` • ''77 New Construction of Condominium Units Backwater valve 16.60 Clothes washer Li 16.60 CA ' LI 0 Dishwasher LI 16.60 (p(p , L. Q ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 • Ejectors/sump 16.60 Name: Canterbury Place LLC Expansion tank LI 16.60 t ( , 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 (Ai , y 0 ® APPLICANT ® CONTACT PERSON Hose bib 16.60 (p( , Q Business name: Canterbury Place LLC Ice maker 16.60 �r C!'`�''' 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 9,Q 16.60 2,32 ,OO E -mail. Tub /shower /shower pan g 16.60 32- , 3 0 • Urinal 16.60 CONTRACTOR Water closet 11 16.60 1 q q ?. a Business name: Cromwell Plumbing Inc Water heater 14 16.60 (, , , y V Address: 30855 S Kauffman Road Other: City/ State/ZIP: Canby, OR 97013 Subtotal /3�.�Q 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 5010 Plan review (25% of permit fee) / 7/ • Sf State surcharge (8% of permit fee) 1 IOC .5 ' Authorized signature: TOTAL PERMIT FEE ` 1 _51 Print name: Greg Cromwell Date: This permit application expires if a permit is not obtained within 180 days after it has been accented as comolete. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE • t -- CROMWELL PLUMBING 30855 S. KAUFFMAN RD. JUL 21 2006 CANBY, OR 97013 Plumbing Signature Form 'lTTl- 17�11�� Permit #: PLM2005 -00559 Date Issued: 6/29/2006 Parcel: 2S110AA -01500 /b715 Site Address: 10573 SW CANTERBURY LN BLDG 19 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 19, 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 FORM Signature of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00659 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612912006 Phone: (503) 639-4171 : Inspection Requests (24 Hrs.): (503) 639-4175 „_, INSPECTION WORKSHEET FOR DATE: 3/3012007 TIME: 7:00AM PAGE: 24 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, 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 #: 503-266-4790 Inspection Request Scheduled For: Date: 3/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 045765-01 503-545-3654 Corrections /Comments/ Instructions: S - t-I 1-4 Os. I D rc, 0 1. P (.44-/ c-4 4-131 4711.tei ca R)..r.A-144 9 44) • • g.11 PASS E PARTIAL APPROVAL 0 CANCEL fl NO ACCESS I I FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Cig 11 Date: 3 1311 I 0) Phone #: (503) 718- ' CITY OF ` ' �wnm n ��m TIGARD � BUILDING DIVISION ' PERMIT #: PLM2005-00559 13125SVVHall Blvd., Tigard, OR 97223 DATE ISSUED: 61230O06 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 m�� « IlL INSPECTION WORKSHEET FOR DATE: 1/4/2807 TIME: 7:00AkA PAGE: 24 SITE ADDRESS: jO715SW CANTERBURY 0M BLDG '}9 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Add Units 1O1 1O3 1O3 1O� Other fixtures (4) i tanks & bibs. Addresses: n . . . . mo n��,oxponmnn om �� OWNER: OANTBRBU��YPLACE LLC. '� PHONE #: 360'695-7700 CONTRACTOR: CR0&4VVELLpLUK8[5|NG PHONE #: 503-265'4790 Inspection Request Scheduled For: Date: 114/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 041785-02 503-545-36M N • Corrections/Comments/Instructions: . • . ~ASS PARTIAL ' �� 0 CANCEL | I NO ACCESS 0 FAIL I | CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED 14(4_ Inspector: Nt \IVIA/ Date: Phone #: (503) 718- 2_141___,_ CITY OF TIGARD 't BUILDING DIVISION . PERMIT #: PLM2005-00559 13125 SW Hall Blvd., Tigard, OR 97223 40111hi . DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 lartoptt i# Inspection Requests (24 Hrs.): (503) 639-4175 . - - AL. INSPECTION WORKSHEET FOR DATE: 1/2/2007 18 TIME: 7:00AM PAGE: 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, new 4 unit. condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 36D.695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 1/212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 04'1684-02 971-563-9346 N Corrections/Comments/Instructio . ( L.4 L . cLimr c .t_.. ___ \L(Le u_ s A .,,,:, _ ID V— 04 - . . , • ,,, • PASS n PARTIAL APPROVAL CANCEL fl NO ACCESS I I FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: A ( - Date: I 11 ( 61 Phone #: (503) 718- 1)1 01 _ , ' CITY OF ° _.` ��mn n ��m TIGARD BUILDING DIVISION ' PERMIT #: PL��5-O056 13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: W29/2006 Phono:(503)630-4171 Inspection Roquea�(24Hnuj:�@3)83Q��175 ~ « -J. irK INSPECTION WORKSHEET FOR DATE 12/2912006 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 10716 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Addresses: Units i01.10I Other fixtures: Al expansion tanks. & bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360'695'7700 CONTRACTOR: CROMVVELLpLUh4BING PHONE #: 503'206A790 ' Inspection Request Scheduled For: Date: 13y2912000 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 041638-01 571-563-9345 N Corrections/Comments/Instructions: . � . . ( � /' .;1._.) . y / � �.� 1 / o� � ` / . / � V i M P lj | | PASS | | PARTIAL APPROVAL b;Y1ANCEL | NO ACCESS El FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Va Date: 1 (J P Phone #: (508) 718- 2- ?---Y CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00659 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Alf° Inspection Requests (24 Hrs.): (503) 639-4175 i INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 34 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures; (4) expansion tans & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: CRONIVVELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 038325-08 503-545-3654 Corrections/Comments/Instructions: PA' ASS PARTIAL APPROVAL El CANCEL NO ACCESS I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: AV Date:/// Phone #: (503) 718- . , CITY OF TIGARD BUILDING DIVISION A PERMIT #: PLM2005-00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006 Phone: (503) 639-4171 —11801111?` Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 35 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC. PHONE #: 360-6957700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10117/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 3.40 Storm drain 038325-07 503-545-3654 Corrections/Comments/Instructions: • PASS El PARTIAL APPROVAL fl CANCEL I I NO ACCESS fl FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: --( Date: 41' Phone #: (503) 718- L ) • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/290006 Phone: (503) 639-4171 Agoviltli111' Inspection Requests (24 Hrs.): (503) 639-4175 ,,.„...,-44ir FIL., INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AIVI PAGE: 36 SITE ADDRESS: 10715 SW CANTERBURY LW BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 038325-06 503-5453654 N Corrections/Comments/Instructions: I PASS Ti PARTIAL APPROVAL 0 CANCEL NO ACCESS I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: ' 4- -- e A Date: / .0 / Phone #: (503) 718- , ,_ . • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/7006 Phone: (503) 639-4171 Asb tivi ?t\ Nij, Inspection Requests (24 Hrs.): (503) 639-4175 411 INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 37 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 038325-05 503-545-3654 Corrections/Comments/Instructions: LJ.ASS • 0 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS n FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: / Date: a Phone #: (503) 718-f • _ , .„ CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61290006 Phone: (503) 639-4171 4704, Inspection Requests (24 Hrs.): (503) 639-4175 '1J1. INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-69-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbi g rou 11-in 038169-01 503•545-3654 C- Corrections/C mments/Instructions: • i PASS fl PARTIAL APPROVAL fl CANCEL NO ACCESS FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- LP V • _ ' CITY ��'��U�� '- �wxo o ��m nnv�m�mnn�� BUILDING DIVISION PERMIT #: PLM2O05-00659 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006 Phone: (503) 639-4171 Inspection Requests (24Hm.):(503)830'4175 .� �N r ^�� INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME: 7 PAGE: 19 I SITE ADDRESS: Y06 CANTERBURY LN BLDG 19 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 19, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks &(4) hose bibs. OWNER: CANTERBURY PLACE LW. PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE It: 5O3'266'4790 Inspection Request Scheduled For: Date: 10y3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 037662'06 971'563'8984 N . Corrections/Comments/Instructions: Fr / ^� ~ ` __ a PASS V AL APPROVAL I I CANCEL ri NO ACCESS I | FAIL | I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED �' �/ ( ��' y '� I Inspector: / v �~�~^~ Daba�/ /7 /� Phone#: (GO3) 718' . ^ ' '. ~ - '