Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00029
'1' i fliW�
DEVELOPMENT H BMENg Tigard, -639 -4171 DATE ISSUED: 6/29/2006
76 733 PARCEL: 2S110AA -01500
SITE ADDRESS: 10687 SW CANTERBURY LN BLDG 23 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 23, 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 $206.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 50 46 -• • • 9 e • -800-332-2344.
Issued :4"/ Permittee Signature
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
iv BuildingPe rini t Application FOR OFFICE .USE ONLY
O 2 w- Received
of Tigard '! / O / O M r e
Permit No '�ol eco,g?
City
g rip) DateiB Q f(J
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review rther Permit
JA
Phone: 503.639.4171 Fax: 503.598.1960 JAN 0 3 �'" " ' t 1 ?$ ? I l',. Date'By' _ _ / �. /�j
Inspection 503.639.4175 1 n l '' i- Date Ready 'n huts El Sec Attached Checklist for
Internet: Line: .tigardor.us Notified/Method Supplemental Information
C!TY OF TlCAfu
WW -LONV a% ISlON REQUIRED DATA: 1- AND 2- FA11MILY DWELLING
New 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: S
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
/0 . -- JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: - haw 1 Slik.) C4 6 %A:4 1 -Y LN • New dwelling area: square feet
City /State/ZIP: G ` O R G arage /carport area: square feet
Suite /bldg. /apt. no.: 2 Project Project name: c( woof) 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 CHEMIST
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
DESCRIIPTION OF WORK work indicated on this application.
N- Pfr lag HP n�- �11C
504Inct � S Valuation: $ 9200 /
�tl Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: [ bL� ( 20N wM A ' Type of construction:
0
Address: ' G � , 1 3 ser Occupancy groups:
City /State/ZIP: �?„ L4 gec6a Existing:
Phone: (360) tp� - 7 - 7606 �� 606 Fax: 360) 6103 f i ! z New:
❑ APPLICANT CONTACT PERSON _ NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: J DUl 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 front licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR ,
Business name: J$ t""\ spik 1 t I ) c-
�/ p e . ` ,/� BUILDING PERMIT FEES*
Address: (7,1,53 Svt) Giterw Ave 5ij% 1-�
Please refer to fee schedule
City/State /ZIP: 'T 6� v p, q7 2 7, 3
�3 ( SZQ� a ) q�� Sq Z O Fees due upon application
Phone: Fax: Amount received
CCB lie.: 6,43gS
Date received:
Authorized signature:
kin
/'�' l This permit application expires if a permit is not obtained
YYYY f( within 1110 days after it has been accepted as complete.
Print name: J E1 0 N Date: ` 3/b * Fee methodology set by Tri- County Building Industry
Rervirr Rirarvl
CITY OF TIGARD
BUILDING DIVISION
PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: BUP2006
60912006
Phone: (503) 639-4171
:reihiiT
Inspection Requests (24 Hrs.): (503) 639-4175 l
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 10736 SW CANTERBURY LN BLDG 23 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 23, 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: 8/2/2007 Pour Time:
• '
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 053248-01 603-672-7015 N
Corrections/Comments/Instructions:
,--
/
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' PASS P P!TIAL APPROVAL n CANCEL NO ACCESS
• I I FAIL I , L FOR INSPECTION I I ADDITIO AL F ES ASSESSED
Inspector: .. Date: ._ Phone #: (503) 718- Z•C-9Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2006.00029
• - 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: 8/1/2007 TIME: 7:03AM PAGE:
SITE ADDRESS: 10735 SW CANTERBURY LN BLDG 23 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 23, 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 #: 503-9613-5200
Inspection Request Scheduled For: Date: 8/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 053163-01 503-572-7015
Corrections/Comments/Instructions:
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Az
ept7!4,2L--
•
PASS • °ARTIAL APPROVAL I I CANCEL NO ACCESS
FAIL r CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: L Date: 6 / Phone #: (503) 718- 7 Z Z- 7V
N%116..
• _
CITY OF TIGARD
,_,._:-_,
BUILDING DIVISION PERMIT #: BUP2006.00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 miltild i l'i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 10735 SW CANTERBURY LN BLDG 23 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 23, 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 #: 503-960
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M::. ag:7
910 Sprinkler rough-in/test 045601-01 503-939-9824 ' Y
Corrections/Comments/Instructions:
ZZ7 4 – 1 7 f e --- a : ., 0 0 "
fl PASS Ell PARTIAL APPROVAL [11 CANCEL fl NO ACCESS
I I FAIL g - 4LL FOR INSPECTION
I
i 0 ADDITIO AL FE S ASSESSED
Inspector: —. ■ .,...___/111.111110 Date: 4 7 .--- , 0 Phone #: (503) 718-
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- .
CITY OF TIGARD
, . BUILDING DIVISION .t. ,, '--.
PERMIT #: BUP2006-00029
, .
ll 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 7
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, 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: 3/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 045504-01 503-939-9824 N
Corrections/Comments/Instructions:
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•
PASS • •ARTIAL APPROVAL 0 CANCEL [1] NO ACCESS
FAIL .4 CA 1 FOR INSPECTION
Ar
......... fl ADDITIO 'L FEE ASSESSED
'
Inspector: IIIIIIMINIIII■.: Date. Z 0 Phone #: (503) 718-
41111