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Permit i CITY TIGARD PLUMBING PERMIT AlA i1 IT DEVELOPMENT SERVICES PERMIT #: P 29/200 00570 Fail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006 3 PARCEL: 2S 110AA -01500 SITE ADDRESS: �b S CANTERBURY LN BLDG 24 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 24, 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 -000 0TM OAR 952 - 0001 -0100. You may obtain copies of these rules r direct questions to OUNC by calli n 03- 246 -6699 1, 1- 332 - 2344. Issue By: ! �) / 1 ((42 if 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. l 6 9 C, C.a.. e.. Plumbing Permit Applic ' '�an� NL.l F �E1VE.. JOR OFFICE USE O City of Tigard Received DateBy. 0 _ I �) S Permit y� �7D 13125 SW Hall Blvd., Tigard, OR 97223 r e rm 1�V� Phone: 503.639.4171 Fax: 503.598.1960 OCT 14 . %:4� y;N i P�,� i � Date/By: ' /O Plan Review/ ) Other Permit No �.� ,z3g3 24- Hour Inspection Line: 503.639.4175 a.14. `I I 1 Date Ready/By: Jurisi, r 0 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGA • Notified/Method: ) tV Supplemental Information TYPE ot3MIORZIG DIVISION FEE* SCHEDULE } ® 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 it 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 7(/3 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,4''/ I Project name: Canterbury Crest Footing drain (no. linear ft.: 200) I Page 2 I p I 10 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.: 1A0) I Page 2 5 S , 0 Storm sewer (no. linear ft.: 20 I Page 2 l p \ , y b Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) I Page 2 5 6 , 0 0 Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item Absorption valve • 16.60 DESCRIPTION OF WORK Backflow preventer 6) Page 2 • ( KO New Construction of Condominium Units Backwater valve 16.60 Clothes washer t.{ 16.60 ( , y 0 Dishwasher t,} 16.60 (, (o , N D ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Canterbury Place LLC Expansion tank IA 16.60 (p ( , y C) 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 1,6 , 0 ® APPLICANT 0 CONTACT PERSON Hose bib 16.60 ( (a , y D Ice maker R" ' 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 2,c1 $ , 20 Tub /shower /shower pan D 16.60 f 3 2. g 0 E -mail: Urinal 16.60 CONTRACTOR Water closet ( 2 16.60 f clot ,LO Business name: Cromwell Plumbing Inc Water heater 4 16.60 (,, (o , H0 Address: 30855 S Kauffman Road Other: City/State/ZIP: Canby, OR 97013 Subtotal /3S .40 Minimum 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 e / Plan review �� of permit fee) I ( 80 •4 /� State surcharg (8% of permit fee) // / , 6 . 71 Authorized signature: TOTAL PERMIT FEE • / (2 � 9 . 9 Print name: Greg Cromwell Date: This permit application expires if a permit is not obta,nea within 180 days after it has been accented as comolete. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ! ECE! fl CROMWELL PLUMBING 30855 S. KAUFFMAN RD. JUL 21 2006 CANBY, OR 97013 CITY ur QUIT fTT" , Plumbing Signature Form Permit #: PLM2005 -00570 Date Issued: 6/29/2006 Parcel: 2S 110AA -01500 / 3 Site Address: 1e7o: SW CANTERBURY LN BLDG 24 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 24, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & ( 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 Signatu of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT #: pLm2005.00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 „_ill iv ,.. # 4 : 110 111 11 t i at INSPECTION WORKSHEET FOR DATE: 9128/2007 TIME: 7 PAGE: 36 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, 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 #: 503.2664790 Inspection Request Scheduled For: Date: W28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 056568-01 503-5717015 Corrections /Comments/ Instructions: Citce.ACt 9 PASS PARTIAL APPROVAL I I CANCEL LI NO ACCESS n FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: \n'T Date: l (2T(.O7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION #: PLM2006 006,70 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639 -4171 ��i �l) it Inspection Requests (24 Hrs.): (503) 639 -4175 ':_.. INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7 :01AM PAGE: 67 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, 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: 9/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066342 -01 603- 572 -7016 N Corrections/Comments/Instructions: 1 1— .;A PASS I PARTIAL APPROVAL fl CANCEL n NO ACCESS I. 'FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: \ -A‘ 1;\--•-.- Date: c 1 j 07 Phone #: (503) 718- t • ' . CITY OF TIGARD ~ ' ��wm n ��m mu�m��un�� BUILDING DIVISION ~�~°"~~~°""~~" ~�.°"~~"~~"~ PERMIT #: PLh82005-0O570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E/29V2006 Phone: (503) 639-4171 0- |nopechon Roquoa��Hro��U�O3)63O~�175 .44, «4 INSPECTION WORKSHEET FOR DATE: 7/102007 TIME: 7:00AM PAGE: 43 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT CANTERBURY CREST DESCRIPTION: Building 24, ew 4 unit condominium. Addresses: Units 101.102.103.104. Other fixtures: (4) expansion tanks & (4) hose bibs, 2QO'fmotingdrain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-6957700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4700 Inspection Request Scheduled For: Date: 7Y10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 051708-01 503-545-3654 Corrections/Comments/Instructions: ~ASS | I PARTIAL APPROVAL CANCEL NO ACCESS I FAIL I I CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED ��.'~ / �� . . ^ Inspector: � ^��J O1e: �^' � Phone #� ��O3) 718' ~r _ ` - . . ^ —�' _ CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200S 1)0670 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006 Phone: (503) 639 -4171 u,iil Inspection Requests (24 Hrs.): (503) 639-4175 :_.. INSPECTION WORKSHEET FOR DATE: 7/5/2007 TIME: 7 :03AM PAGE: 55 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, new 4 unit condominium. Addresses: Units 101,102,103,101. Other fixtures: (46) 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: 7/512007, Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 051451 -03 - - 513.313 -7398 N Corrections/ /Comments /Instructions: PDT Rt-A.cj, , , ❑ PASS ❑ PARTIAL APPROVAL I I CANCEL n NO ACCESS KFAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: '-2-1.-JM — Date: V - 7/ -SJ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200&00670 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 u Phone: (503) 639 -4171 iii @ + Inspection Requests (24 Hrs.): (503) 639 -4175 ., 1..L. INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:01AM PAGE: 47 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, 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: 6/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 050841 -01 503-545-3664 N . Corrections /Comments /Instructions: I f PASS n PARTIAL APPROVAL !/ ANCEL ❑ NO ACCESS v FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: O ' Date: l/ ."1- i -\-) Phone #: (503) 718- -- -- . . • i CITY OF TIGARD BUILDING DIVISION 6/ PERMIT #: PLM2005-00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 . "o Inspection Requests Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, 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: 11/14/2006 Pour Time: - Code # Inspection Description Confirm # Contact # Message 335 Rain drain 039728-01 503-545-3654 N Corrections/Comments/Instructions: 1 ,- 4 l z J 1 - 1 0 k- L e-le-L * k ,.. - 7--1 6 CA tk,,J2-Ce_. L I t . ./I.L.-41. c.)t....„K ,...._ \t 4-S - \7‘2,A.L-e— vi k __ __ • PASS PARTIAL APPROVAL fl CANCEL NO ACCESS _ • El FAIL pi CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: \Al - Date: 1 VtVb Phone #: (503) , .. _ „ . CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 :;1e0 tvi Inspection Requests (24 Hrs.): (503) 639-4175 L. INSPECTION WORKSHEET FOR DATE: 10131/2006 TIME: 7:01A1v1 PAGE: 44 SITE ADDRESS: 10743 SW CANTERBURY LW BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) wpansion 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: 10/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 039055-03 603-545-3654 Corrections/Comments/Instructions: II PASS 0 PARTIAL APPROVAL n CANCEL EI NO ACCESS I F'IL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED • --\(X k Inspector: \ Date: Ilt Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PUO2005-00570 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 I L . INSPECTION Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 43 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, 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: 10131/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Sanitary sewer 039055-04 503-545-3654 Corrections/Comments/Instructions: 'ASS • El PARTIAL APPROVAL n CANCEL n NO ACCESS I FAIL EI CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: \ V\ Date: 3 1 Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 &W t INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 42 SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 24, 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: 10/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 039055-05 603-515-3654 Corrections/Comments/Instructions: 4 .... LDAss Ti PARTIAL APPROVAL El CANCEL n NO ACCESS El FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: • kiN Date: tit )J Phone #: (503) 718- ,P