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Permit C ITY OF TIGARD PLUMBING PERMIT Iei\ DEVELOPMENT SERVICES PERMIT #: PLM2005 -00571 DATE ISSUED: 6/29/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 / 23 PARCEL: 2S110AA-01500 SITE ADDRESS: i.98&7 SW CANTERBURY LN BLDG 23 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 23, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' footing drain. 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: 14 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 $1,388.40 [PLMPLN] Plan Review 6/29/2006 $180.49 Phone : 360-695-7700 [TAX] 8% State Surcharl 6/29/2006 $111.07 Total $1,679.96 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 irect questions to OUNC by calling 503 -2 . -.09 or 0 - 332 -2344. Issued By: ar 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. • / 0 C Cc, ,, - ( .b :it 03 l,e. Plumbing Permit Applicati Folz OFFICE USE oNLV City of Tigard OCT 14 2Q�r RDeact i J � � -- Permit No . 2 4 96 / / j 17 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revievy Phone: 503.639.4171 Fax: 503.598.1960 /1,nn.,mstryi NGI' II \ Date/By: /' J ) 6'� 0 :_( Other Permit N S..e0 J ? 24- Hour Inspection Line: 503.639.4175 CITY OF TIGF, L, .- • Date Ready/By: tom" la See Page 2 for Internet: www.ci.tigard.or.us BUILDING D ION Notified/Method: '11IIV Supplemental Information TYPE OF WORK FEE* SCHEDULE . cl ' - '' ® 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 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 Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 0 735- JOB SITE INFORMATION AND LOCATION Site utilities Job site address: / 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 I Project name: Canterbury Crest Footing drain (no. linear ft.: 200) Page 2 I p I .I 0 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.: 1�) I Page 2 5 s , 00 Storm sewer (no. linear ft.: 200) I Page 2 101 , y I) Subdivision: Canterbury Place Lot no.: Water service (no. linear ft.: 100) I Page 2 S 5 0 D Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item Absorption valve 16.60 / i , ` DESCRIPTION OF WORK Backflow preventer (1) Page 2 ,L6. . YO New Construction of Condominium Units Backwater valve 16.60 Clothes washer 14 16.60 (DG , y C Dishwasher t,{ 16.60 p( , ND ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Canterbury Place LLC Expansion tank 4 16.60 (p( . 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 4 16.60 1, G . 0 ® APPLICANT .1 CONTACT PERSON Hose bib 16.60 (p (p , y D Ice maker it. ' 16.60 , Business name: Canterbury Place LLC 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 I 16.60 ,Lci $ , 20 Tub /shower /shower pan S 16.60 132. go E -mail: Urinal 16.60 CONTRACTOR Water closet 12..... 16.60 ( 9 9, ,2- Business name: Cromwell Plumbing Inc Water heater t4 16.60 (, (a , HD Address: 30855 S Kauffman Road Other: City/State/ZIP: Canby, OR 97013 Subtotal /..5 D ��i . Mnimum 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 455 Plan review ( f permit fee) 1 $Q .4 7 State surcharge 8% of permit fee) / / / , O 7, ' Authorized signature: TOTAL PERMIT FEE / 7 0 a Print name: Greg Cromwell Date: This permit application expires if a permit is not obtamou wnnto 180 days after it has been accented as complete. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ! CROMWELL PLUMBING 30855 S. KAUFFMAN RD. CANBY, OR 97013 JUL 21 2006 CITY Of L R piiu) Plumbing Signature Form BITTT,nDJr. nv4T QTry Permit #: PLM2005 -00571 Date Issued: 6/29/2006 /6735 Parcel: 2S110AA -01500 Site Address: 40687 CANTERBURY LN BLDG 23 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 23, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' footing drain. 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 X Signature of Authorized Plumber If you have any questions, please call 503.718.2433. - ~ ' ��N~��� OF CITY n�pm un����nm�* BUILDING DIVISION ' PERMIT #: PLM2005-006 1 13125 SW Hall Blvd., Tigard, OR 97228 DATE ISSUED: 5/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7:03AhA PAGE: 49 SITE ADDRESS: 1U735EW CANTERBURY LNBLDG 23 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM 'LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs, 2OO' footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695~7700 CONTRACTOR: CROh4YVELLPLUh1B1M{3 PHONE #: 503-266-4730 Inspection Request Scheduled For: Date: Et1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 053164'01 503-572-7015 N Corrections/Comments/Instructions: / ��Lr, i ;kJ • �� PASS I I PARTIAL APPROVAL �� CANCEL �� NO ACCESS / / . �� �� | | FAIL [7 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED /~7—� i ��`/1 i���� Inspector: `_, w '`��^~°~ ' / m^—=—' Oata�� � ' \-~ , Phone #: (503) 718- � �. CITY OF TIGARD BUILDING DIVISION Ai& PERMIT #: PLM2005-00571 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 6/29/2006 Phone: (503) 639-4171 I Inspection Requests (24 Hrs.): (503) 639-4175 &W LLI INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 73 SITE ADDRESS: 10736 SW CANTERBURY LW BLDG 23 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs, 200 footing drain. OWNER: CANTERBURY PLACE, LLC, • PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing fin 053033-02 503-313-7398 Corrections/Comments/Instructions: jb aot,3 PASS P1 PARTIAL APPROVAL ri CANCEL ri NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 06 k, Date: 1-..? /0 Phone #: (503) 718- , CITY OF TIGARD 4 ' BUILDING DIVISION , A ...............„....-- S DATE #: PLM2006-00571 DA E D: 13125 SW Hall Blvd., Tigard, OR 97223 6/29/2006 Phone: (503) 639-4171 iii itzt,pv u ll i r Inspection Requests (24 Hrs.): (503) 639-4175 , . 1 --.. ,,,„ . INSPECTION WORKSHEET FOR DATE: 4/27/2007 . TIME: 7:00AM PAGE: 39 SITE ADDRESS: 10735 SW CANTERBURY LW BLDG 23 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs, 200 footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-265-4790 Inspection Request Scheduled For: Date: 4/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 047270-02 503-545-365.4 N Corrections/Comments/Instructions: I'll PASS 0 PARTIAL APPROVAL fl CANCEL n NO ACCESS 1 I FAIL 1E1 CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: k&I V Date: L Phone #: (503) 718- 2.01/40M1 , .. . . . _ CITY OF TIGARD • BUILDING DIVISION PERMIT #: PLM2005-00571 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 40,7 ?\ Inspection Requests (24 Hrs.): (503) 639-4175 Asir IL INSPECTION WORKSHEET FOR DATE: '10/11/2006 TIME: 7:02AM PAGE: 36 SITE ADDRESS: 10735 SW CANTERBURY LN BLDG 23 CLASS OF WORK: • SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200 footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 0313017-05 503.302-4575 Corrections/Comments/Instructions: ,,■?. SS PARTIAL APPROVAL ri CANCEL I I NO ACCESS FAIL P1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspectori )('(-/ Date: 0 Phone #: (503) 718- • , . __ • , CITY OF TIGARD BUILDING DIVISION ' PERMIT #: PLM200&-00571 . 13125 SW Hall Blvd., Tigard, OR 97223 A\ DATE ISSUED: 6/29/2006 • Phone: (503) 639-4171 /4040 i pr Inspection Requests (24 Hrs.): (503) 639-4175 431- flail. , INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7:02AM PAGE: 37 SITE ADDRESS: 10735 SW CANTERBURY LW BLDG 23 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200 footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266•4790 Inspection Request Scheduled For: Date: 10/11/2006 Pour Time: . Code # Inspection Description Confirm # Contact # Message 330 Water service 038017-04 503-302-4575 Y Corrections/Comments/Instructions: . , . , . , PASS I I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS El FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: M _2 t R-U Date: 1 6 p 0 _ Phone #: (503) 718- - ; . _ .. „ _ CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00571 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 P INSPECTION WORKSHEET FOR DATE: 10/10/2006 TIME: 7:06AI Vi PAGE: 42 SITE ADDRESS: 10736 .5W CANTERBURY LN BLDG 23 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & 4) hose bibs, 200' footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360,695-7700 CONTRACTOR: CRONIWELL PLUMBING PHONE #: 503-266.4790 Inspection Request Scheduled For: Date: 10/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 330 Water service 037927-06 503-545-3664 N Corrections/Comments/Instructions: • 4% "-- • •.‘ lil9g"ASS El PARTIAL APPROVAL CANCEL Li NO ACCESS . 0 1 7 - AIL n CALL FOR INSPECTION I l ADDITIONAL FEES ASSESSED .za Inspector: t, Date: Phone #: (503) 718- 09 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00671 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 642912006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/1012006 TIME: 7:06AM PAGE: 40 SITE ADDRESS: 10735 SW CANTERBURY LW BLDG 23 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200 footing drain. OWNER: CANTERBURY PLACE, LLC, • PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 1G/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 037927-08 503-E45-36.64 N • Corrections/Comments/Instructions: • / A ..LLIad Ataid111 / IN PASS El PARTIAL APPROVAL fl CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: A, Date: 6 0, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200500571 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/10/2006 TIME: 7:06AM PAGE: 41 SITE ADDRESS: 10736 SW CANTERBURY LN BLDG 23 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST • DESCRIPTION: Building 23, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' footing•-drain. OWNER: CANTERBURY PLACE, LLG, PHONE #: 360.6957700 CONTRACTOR: cROMWELL PLUMBING PHONE #: 503-266-4790 . Inspection Request Scheduled For: Date: 10/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 037927-07 503-5453654 Corrections/Comments/Instructions: • • • • *ASS El PARTIAL APPROVAL I I CANCEL I NO ACCESS P1 FAIL I I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED • • -- Inspector: 11/\ NV(/ Date: A u i Phone #: (503) 718- r.)