Permit 'i " 7 1/ d-e-Z/ /a-
tc' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00026
il11 DEVELOPMENT SERVICES DATE ISSUED: 2/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA CC001
/P77/__/
SITE ADDRESS: 40 SW CANTERBURY LN BLDG 20 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 20, 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 Surchari 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 50 4 -66 1 -800- 332 -2344. _
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Issued B Permittee Signature Q e
r
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 u. Pace's -(50 5 6
Building Permit Application FOR OFFICE USE ONLY ..
' ''Y' Receit'ed I / I �I
City of Tigard DI Date'Bv. l HO w em gop i - 04,0_
13125 SW Hall Blvd., Tigard, OR 9722ECE�� ��
,, I. �' Cither Permit
Phone: 503.639.4171 Fax: 503.598.1960 , �/„
Inspection Line: 503.639.4175 y .l f. � � Date Read n' 110 110 El See Attached Checklist for
Internet: wnvw.ci.tigard.ocus
p �� j
{� i`6 0 a� Notified/Method: ( ( a , Supplemental Information
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TYPEI IOyOI:4ISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
F
BULL Permit fees* are based on the value of the work performed.
V(New construction ❑ Demolition
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 Cl Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
/674 JOB SITE INFORMATION AND /`� , 9 R,7 LOCATION ' / 1.4,) Total number of floors:
Job site address: IV 5 S �7
5u,„ viol • New dwelling area: square feet
44) 0
City /State/ZIP:11 6, ' Garage /carport area: square feet
Suite/bldg. /apt. no.: ^^ Project name Ce woof) S 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: Lot no.: Permit fees* are based on the value of the work performed.
• Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
N ` , )3 I � s Valuation: $ q r Z� O ,../ Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Pe, Lk? J /V JJ Type of construction:
Address: 1® ` G" 13 "s Occupancy groups:
City /State/ZIP: GA* 9noGoo Existing:
Phone: (360) 64:15 776c, Fax: (360) 613 tit-viz New:
❑ APPLICANT 'CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: J �`���� 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: 4) iz_A spiw t N L .
Av
e e �-- ` BUILDING PERMIT FEES*
Address: 17_ 5s 5 ,t,) ("germ—
Of er 1 e SQlT� 0
Please refer to fee schedule.
City/State /ZIP: 1p v IK C 7 2 Z 3
/��3) 9 SZ� Fax: vg g „ `' —S Q a Fees due upon application
Phone: W Amount received
CCB lie.: cm3gS
Date received:
Authorized signature: 4 Or This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: V _ 1,Er 0011?) N Date: ` 3OL * Fee methodology set by Tri- County 1uilding Industry
Service Hoard
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BUILDING DIVISION '
\ ~°~~"=~~~""°~� ~°"°"~~"~~"° PERMIT #: BUp2006-00026 !
/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 213K2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): ��:3 839'4175 ° ��0- »�
INSPECTION WORKSHEET FOR DATE: 13/28/2006 TIME: 7:01Ak4 PAGE: 37
SITE ADDRESS: 10711 SW CANTERBURY LN BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: .
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20, fire sprinklers for new 4 unit condominium,
Addresses: Unit 101.103.109.104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.635-77OO
CONTRACTOR: JN[)FIRE SPRINKLER INC PHONE #: 503-968-52O0
'
Inspection Request Scheduled For: Date: 12120/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
899 Sprinkler final 041568-02 503-572'2381 N
Corrections/Comments/Instructions:
•
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di,
'
Eil PASS | I PARTIAL APPROVAL n CANCEL fl NO ACCESS
I | FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 148/06 Phone#: (503) 718- Z--CW
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