Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2006 -00027
i ?�►� DEVEL o -639 -4171 DATE ISSUED: 6/29/2006
SW
/�� /q PARCEL: 2S110AA -01500
SITE ADDRESS: 1J-1' S W CANTERBURY LN BLDG 21 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 21, 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 ?: Y 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: $ 9,200.00
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 $139.30
[TAX] 8% State Surcharl 1/6/2006 $11.14
[FLS] FLS Pln Rv 1/6/2006 $55.72
Total $206.16
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 503- 699 or 1-800-332-2344.
Issued B �� �, —t Permittee Signature /_tp _
I
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.
----- LP ' -cO36 8
Building Permit Application , FOR OFFICE USE ONLY
Tigard City of Ti g d ECEIVED Received
City Dale /A' 3 e9 (..„. Pernut ue;9 W' C c 7
13125 SW Hall Blvd., Tigard, OR 9 22 Plan Rey ie c other Pena
Phone: 503.639.4171 Fax: 503.598.1960 �� , '�TR; I DateB\'
Inspection Line: 503.639.4175 I �.1 '_� I - Date Ready 3c h El See Attached Checklist for
Internet: www.ci.tigard.or.us �� r' �� Notified/Method' Supplemental information
CITY Ci TlCA.^
R1Tr nIg6Y9fgio N 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: $
❑ I- and 2- family dwelling Commercial /industrial
ID Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms.
JO 7 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: SW C &► 4 I' - •'? L N . New dwelling area: square feet
City/State/ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: z ( ` Project name4t/ I 3 Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCLAL - USE CHECIUIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
• Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
N-FPA 13(, Hge" 5P �+J1V Nic lJCF � S Valuation: $ C ri 700 /
1 �fG � Existing building area: square feet
New building area: square feet
t' PROPERTY OWNER ❑ TENANT Number of stories:
Name: p A' Type of construction:
Address: 'O t G' / i - 3 " ` �!� Occupancy groups:
City /State/ZIP:� LoU\/ata (�� 6 6 9 (x) Existing:
Phone: (3100 - --7766 �� lJ �� Fax: (360)673. y I y2 New:
❑ APPLICANT , akCONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: J, D is) 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:
F- CONTRACT ` O � R �Q II ll !
Business name: F4 E S pj 4tiCt t k) c-
' , 1 BUILDING PERMIT FEES' • Address: tz. 5w (:) '- Wr 1 51 iTE d
716,M)..0 Please refer to fee schedule
City/State/ZIP: v 17 Z Z 3
i Fees due upon application
Phone: ( 2,3 ) 9 f 5 Fax: (,�3 s'q p Amount received
CCB lie.: (
Date received:
Authorized signature: This permit application expires if a permit is not obtained
YYY"' within 150 days after it has been accepted as complete.
Print name: J .EF Ot N Date: //y10,6 * Fee methodology set by Tri- County Building Industry
Servnx. Roam
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639- 4171 °bii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, 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 #: 503 -968 -5200
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 b prinller final 051703 -01 503- 313 -7390 N
Corrections /Comments/ Instructions:
y �
.Y
,P ASS ❑ PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
I I FAIL ❑ CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: Date: i /' 0 " 0 7 Phone #: (503) 718-
40
CITY
OF TIGARD
BUILDING DIVISION PERMIT #: BUP200 &.00027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 61
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, 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 #: 503-968-5200
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 051607 -01 503.313 -7398 N
Corrections /Comments /Instructions:
•
rl PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
)X'FAIL 31) n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7-1-07 Phone #: (503) 718-
r
• CITY OF TIGARD
- BUILDING DIVISION PERMIT #: BUP2006 00027
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 / v dpn� � H ��l ��ll�
Inspection Requests (24 Hrs.): (503) 639 -4175 ���
INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AM PAGE: 28
SITE ADDRESS: 10719 SW CANTERBURY LW BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, 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 #: 503968.5200
Inspection Request Scheduled For: Date: 7/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 051378 -01 503-313-7398 N
C: : ctions /Comments /Instructions: ,
/ �" "" Cl !/C- �e ---� //v% C3 /'7 -fig -s
0
404 is/ - ,�' ,,s_a f', L, ,, „ 2 _, € ,____________0-,-, �i - '
,6 # c$ 2Js
❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL L FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 7.-- ,-- 0 7 Phone #: (503) 718-
IA.
CITY OF TIGARD
BUILDING DIVISION ,• , .. PERMIT #: BUP200&-00027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 4 ' 0 44 I tit'
Inspection Requests (24 Hrs.): (503) 639-4175 -44- A i
,__.„.. ......
INSPECTION WORKSHEET FOR DATE: 3/1912007 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, fire sprinklers for new 4 unit condominium.
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-696-7700
CONTRACTOR: JND FIRE SPRINKLER INC PHONE #: 503-96B-5200
Inspection Request Scheduled For: Date: 3/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 045035-01 503-939-9824 N
Correctip.hs/coppments/Instructions:
iiic------
PASS m - . R T I A L APPROVAL fl CANCEL r7 NO ACCESS
FAIL 7/ CALL FOR INSPECTION 0 ADDITIO AL FEES ASSESSED
■1111111111W ZOY: ,
Inspector: AlioldiMillb■ Date: t 0 Phone #: (503) 718-