Permit CITY TIGARD PLUMBING PERMIT
I DEVELOPMENT SERVICES PERMIT #: P -00556
T DATE ISSUED: 6/29/20029/2%0 6
�-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/6 731 PARCEL: 2S 110AA -01500
SITE ADDRESS: 491-5 SW CANTERBURY LN BLDG 16 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 16, 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 2 or 7 804- 332 -2344.
Issued By. ��l � i 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.
A f 0 / s'C -t- 6 ‘14:n Lam.., C. i
Plumbing Permit App e l 1:011 OEPIC l': 151: o 1.1
City of Tigard Dat I „� 11 u) /� / Pe r mit Nis.-TA �'� Y/0) A
13125 SW Hall Blvd., Tigard, OR 97223 DateB : U j!U (/
Plan Review •
Phone: 503.639.4171 Fax: 503.598.1960 ®C1 1 4 2005 Gy.. 1 I , I A Date/By: 1 J J J �f a t( other Permit No 6, 5 , 00 565"
24- Hour Inspection Line: 503.639.4175 ,, ■ Date Ready/By: rulie:" ...._ 0 See Page 2 for
Internet: www.ci.tigard.or.us C'ITy OF 7l �� � " Notified/Method: 'S I V Supplemental Information
TvaucelyNGRI6rvisloN FEE* SCHEDULE '
® New construction ❑ Demolition For special information use checklist
Description I Qty. 1 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
/ p 7 JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: /0 `J 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 /to 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.: I Page 2 s, OD
Storm sewer (no. linear ft.: I Page 2 I 01 , `ID
Subdivision: Canterbury Place 1 Lot no.: Water service (no. linear ft.: 100) I Page 2 SS , Oa
Fixture or item
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 16.60
DESCRII'TION OF WORK Backflow preventer ® Page 2
New Construction of Condominium Units Backwater valve 16.60
Clothes washer Li 16.60 ( , LI Q
' Dishwasher N 16.60 (p(,, , N Q
® PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Canterbury Place LLC Expansion tank Li 16.60 ( , 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 y 16.60 LAD , y 0
® APPLICANT ® CONTACT PERSON Hose bib 16.60 (y(o , c (Q
Ice maker A 16.60 t' e r l
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 16.60 7,32 ,00
E -mail: Tub /shower /shower pan g 16.60 132 , 3 0
Urinal 16.60
CONTRACTOR Water closet I '2, 16.60 f q g ,9., 0
Business name: Cromwell Plumbing Inc Water heater LI 16.60 L L , y V
Address: 30855 S Kauffman Road Other:
City/State /ZIP: Canby, OR 97013 Subtotal / ? �. 90
Minimum permit fee: $72.50
Phone: (503) 266 -4790 Fax: (503) 266 -4792 Residential backflow minimum permit fee: $36.25
CCB Lie.: 44712 Plumbing Lie, no.: 34-167 PB /3/Z Plan review (of permit f ii .. _ _
State surcharge (8% of permit fee) 1 I £ ,5 9
Authorized signature: TOTAL PERMIT FEE / 597. g
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 E
IMPORTANT PERMIT NOTICE JUL
CROMWELL PLUMBING
30855 S. KAUFFMAN RD. m
CANBY, OR 97013
Plumbing Signature Form
Permit #: PLM2005 -00556
Date Issued: 6/29/2006
Parcel: 2 S 110AA -01500
/b731 Site Address: 1.0�9 CANTERBURY LN BLDG 16
Subdivision: CANTERBURY CREST CONDOS
Block: Lot: 010
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 16, 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
X
Sig : ure of Authorized Plumber
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
BUILDING DIVISION
Ai!
PERMIT #: PLM2005-00556
13125 SW Hall Blvd., Tigard, OR 9722 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 ge8/4001111
Inspection Requests (24 Hrs.): (503) 639-4175 - -
INSPECTION WORKSHEET FOR DATE: "10123/1007 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium.
Addresses: Units 101,102,103;104. Other fixtures: (4) expansion tank & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: '10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # . Message
399 Plumbing final 058133-03 503-572-7015
Corrections/Comments/Instructions:
Cale, 94"
PASS L1 PARTIAL APPROVAL CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
. Inspector: a4lv1.-/i Date: /0/23 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005.0055E
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: 7/1212007 TIME: 7:04AM PAGE: 4G
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, 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: 7/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 051870.03 503-313-7398 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: NI t v Date: PlY‘ Phone #: (503) 718=2
CITY OF TIGARD •
• BUILDING DIVISION PERMIT #: PLM2005.0056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 N011llt
A_
Inspection Requests (24 Hrs.): (503) 639- 4175±i
INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7 :03AM PAGE: 68
SITE ADDRESS: 107.39 SW CANTERBURY LW BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4 -unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tar & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360 - 695.7700
CONTRACTOR: CROMWF_LL PLUMBING PHONE #: 503 - 266 -4790
Inspection Request Scheduled For: Date: 5/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 047842 -02 503- 313 -7398 N
•
Corrections /Comments /Instructions:
)17 ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
1
Inspector: Date: / 6 / Phone #: (503) 718-
,
��U�~�� OF
CITY ��o TIGARD
BUILDING DIVISION PERMIT #: PLA+1200&00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ~ „,_111~ 1 J1.
INSPECTION WORKSHEET FOR DATE: 3V1E/2007 TIME: 7:01Alvl PAGE: 66
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16. new 4-unit condominium.
Addresses: Units 101.102 Other fixtures: (4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 960-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503'266'4790
Inspection Request Scheduled For: Date: 3116/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 044920^03 5O3-545-3654 N
Corrections/Comments/Instructions:
. .
PARTIAL APPROVAL EI CANCEL | | NO ACCESS
| |
FAIL | I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
'%'^ �� / /1
Inspector: � | »'--' Date: `-�� //�� /� 2 Phone #: (503) 718-
- . _ . ' ' -
, - . '
CITY OF
��um m ��n TIGARD
BUILDING DIVISION PERMIT #: PLM2005-00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E/23V2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639~4175
INSPECTION WORKSHEET FOR DATE: 3V16/2007 TIME: 7:01AKA PAGE: 66
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16.nmtN 4-unit condominium.
Addresses: Units 101.102.103,)04' Other fixtures.: (4) expansion tan & (4) hose bibs.
OWNER: CANTERBURY PLACE LL{J, PHONE #: 360-6957700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 3/16V2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 044920-02 503- EA 5-3654 N
Corrections/Comments/Instructions:
PASS PARTIAL APPROVAL CANCEL NO ACCESS
| | El ��
FA|L El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
^ /
|nepInspector: PI \ \ V_u�~ Date: / / Phone K�O3\718-
^
'� �
-- ' • __
_ --~
CITY OF
��nu � ��n TIGARD
BUILDING DIVISION ' PERMIT #: PUN2005-00556
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 :ir
INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01Atvi PAGE: 67
SITE ADDRESS: 10739 SO/ CANTERBURY LW BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium.
Addresses: Units 101,102,103,104. Other Fixtures: (4) expansion tanks 8,(4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: CRC`A8M&ELLPUJ&4B|N(3 PHONE #: 503266-4790
Inspection Request Scheduled For: Date: 3/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
506 Smnhnrym*wer 044926-01 603'515'3854 N
Corrections/Comments/Instructions:
PASS
•
7 PARTIAL APPROVAL El CANCEL I NO ACCESS
7 FAIL 7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
/'
« �'
Inspector: iv) \ 1�. Da�a� / / ' Phone#: /6O3) 718'
| [—~ '' ` '
_� . __—
CITY OF ��nm x m�'m mm�m��nm��
BUILDING DIVISION PERMIT #: PLM2005-0056 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 aca1.1 «�J�
INSPECTION WORKSHEET FOR DATE: 3V16/2007 TIME: 7:01AM PAGE:
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16. new 4-unit condominium.
Addresses: Units "101,102,103,104. Other fixtures: /4\ expansion tanks 8,N\ hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360'695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 603'266-4790
Inspection Request Scheduled For: Date: 3/1613007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 044928-04 503-545'3654 N
Corrections/Comments/Instructions:
•
V_PASS •
[l PARTIAL APPROVAL CANCEL I I NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
| Inspector: / v / �
) /1/
Date: ■ Phone #: (503) 718-
,
• /