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Permit C ITY OF TIGARD PLUMBING PERMIT P lk DEVELOPMENT SERVICES PERMIT #: P 29120% 6 -00572 ' � 11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/200 PARCEL: 2S110AA -01500 SITE ADDRESS>W CANTERBURY LN BLDG 22 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 22, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' footing drai l07a 7 Ca-14 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 Surchari 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 or direct questions to OUNC by calling 50 2 699 r 1- 800 - 332 -2344. Issued B2U �� �,y,f 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. ,_ , �_ / b (o .3 r C6....- ../.h, i.,,... 1-4.,,e_, Plumbing Permit Appl n a . ,, bOR OFFICE USE ONl Receiv City of Tigard ►► �/ Date/By: 0 I 1 0rP "� A.i n �,j (gyp , Per mit No 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19T 1 2005 ^ / �� IWp�ii� j l i i Date/By: NJ 1 6 1 0, s✓'f 1.) Other Permit No. g 5 24- Hour Inspection Line: 503.639.4175 / l „ r ;, : Internet: www.ci.tigard.or.us - Date Ready y: ® See Page 2 for g Notified/Method: 1( Supplemental Information CITY or TIS_, ;� 1 DE\MTWISIoNt 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 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 E] Accessory building ® Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft) Page 2 / JOB SITE INFORMATION AND LOCATION Site utilities Job site addresss SW Canterbury Lane / O 7 . 7 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,U 1 Project name: Canterbury Crest Footing drain (no. linear ft.: 200) I Page 2 101 , `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.: 100) I Page 2 5 s , 0 Storm sewer (no. linear ft.: 200 I Page 2 10% , H 0 Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) I Page 2 5 5 , a D Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer 0 Page 2 4 . `/ O _ New Construction of Condominium Units Backwater valve 16.60 Clothes washer Li 16.60 (p(o , y 0 Dishwasher 14 16.60 (p( , 1 -11) ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Canterbury Place LLC Expansion tank 4 16.60 (DC, , y ID 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 b ( , Li 0 ® APPLICANT ® CONTACT PERSON Hose bib 16.60 (p (p , y D Business name: Canterbury Place LLC Ice maker 16.60 ( Arty 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 xcl 20 E -mail: Tub /shower /shower pan B 16.60 13 2 , $ 0 Urinal 16.60 CONTRACTOR Water closet 12_ 16.60 1 CO ' L0 Business name: Cromwell Plumbing Inc Water heater t{ 16.60 L (a , 1 -11.) Address: 30855 S Kauffman Road Other: City/State/ZIP: Canby, OR 97013 Subtotal / 3gs , &D Minimum permit fee: $72.50 Phone: (503) 266 -4790 Fax: (503) 266 -4792 Rest ential backflow minimum permit fee: $36.25 CCB Lie.: 44712 Plumbing Lic. no.: 34-167 PB 43 %Plan review ( of permit fee) I� _ _ 9 State surcharge (8% of permit fee) // / 0 7 Authorized signature: TOTAL PERMIT FEE / (ti9 96 Print name: Greg Cromwell Date: This permit application expires if a permit is not obtai..tu muuru 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 RECE 30855 S. KAUFFMAN RD. VFE) CANBY, OR 97013 JUL 21 2006 Plumbing Signature Form CITY Or t i Permit #: PLM2005 -00572 BITTTINNTG ''TVVTSTON Date Issued: 6/29/2006 Parcel: 2S110AA -01500 /0- a-7 'Site Address: 4063 SW CANTERBURY LN BLDG 22 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 22, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of 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 Signet re of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005- 00572 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639 -4171 ova payi Inspection Requests (24 Hrs.): (503) 639 -4175 :' -_.. INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 44 SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 22, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 - 695 -7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 - 266 - 4790 Inspection Request Scheduled For: Date: 7/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 052441 -01 503 - 313 -7398 N Corrections /Comments /Instructions: l ! I ✓ , ' G 1 v ►-�'�" 1 ' 2 C A ,V / 2 " ; j !'� S� r,,t 9 • Vj PASS n PARTIAL APPROVAL Ti CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED • Inspector: Q Date: Phone #: (503) 718- CITY OF TIGARD S BUILDING DIVISION PERMIT #: PLM2005 00fa72 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639 -4171 h�o pi Inspection Requests (24 Hrs.): (503) 639 -4175 M INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 22, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695 -7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 -266 -4790 Inspection Request Scheduled For: Date: 4/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 047270 -01 503.545.3654 N Corrections /Comments/ Instructions: 0(-PASS I I PARTIAL APPROVAL CANCEL I I NO ACCESS n FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: ` 6 7 Phone #: (503) 718- VI Vtf CITY OF TIGARD '- BUILDING DIVISION PERMIT #: PLM2005-00672 13125 SW Hall Blvd., Tigard, OR 97223 A, DATE ISSUED: 6129/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 11 11 „, INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 50 SITE ADDRESS: W CANTERBURY LN BLDG 22 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 22, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 9/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 036297-07 503-545-3654 Corrections /Comments/ Instructions: • IhPASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED • . I Inspector: / Date: Phone #: (503) 718- 21/ CITY OF TIGARD BUILDING DIVISION 41k PERMIT #: PLM2005-00572 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 6/29/2006 Phone: (503) 639-4171 komsopOlit:- Inspection Requests (24 Hrs.): (503) 639-4175 II INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 48 101 )-1 SITE ADDRESS: 1ft639 CANTERBURY LN BLDG 22 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 22, new 4 unit condominium._ Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200 of footing drain. OWNER: CANTERBURY 'PLACE, LLC, PHONE #: 360 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 . Inspection Request Scheduled For: Date: 9/1112006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 036297-09 503-545-3664 N • Corrections/Comments/Instructions: • 7 PASS P ARTIAL APPROVAL 7 CANCEL 7- NO ACCESS 7 FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: V )11 c Date: / Phone #: (503) 718- r —_- �*U�~�� OF CITY ��n TIGARD BUILDING DIVISION PERMIT #: PLM2005-00572 13125SVV Hall Blvd.. Tigard, OR07223 DATE ISSUED: 6/3EV2006 Phone: (503) 639-4171 |nupeodonRequea����Hmj:��%3 639'4175 ���� *-�� INSPECTION WORKSHEET FOR DATE: 9/11!2006 TIME: 7:00Ak1 PAGE: 49 I7 SITE ADDRESS: 19639 SW CANTERBURY LN BLDG 22 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: � PROJECT NAME: CANTERBURY CREST . DESCRIPTION: Building 22, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200 of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 380-695-77O0 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 9y11/2005 Pour Time: . Code # Inspection Description Confirm # Contact # Message 506 Sanitary sewer 036297'03 603-546'3664 N Corrections/Comments/Instructions: • ' • ' i q , • PASS . 0 PARTIAL APPROVAL n CANCEL n NO ACCESS | | FAIL I | CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED - | Inspector: fr/litiv(/ Date: / a Phone #: ` 5 3 718- . ■ • CITY OF TIGARD;:, " BUILDING DIVISION - AtIA, PERMIT #: PLM2006-00672 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612912006 • Phone: (503) 639-4171 k eih o wiler Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 61 I Oi a") SITE ADDRESS: 106-3.4 SW CANTERBURY LW BLDG 22 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 22, new 4 unit condominium, Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 9/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 036297-06 503 Corrections/Comments/Instructions: 1 ,1 „„ DASS n PARTIAL APPROVAL I CANCEL NO ACCESS I FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED C Inspector: Date: Phone #: (503) 718- , . . • CITY OF TIGARD BUILDING DIVISION . . PERMIT #: PLM2006-00672 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 AzomiPott I # Inspection Requests (24 Hrs.): (503) 639-4175 Agi■ '7E. INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7:04AM PAGE: 56 " 7"6 1 °-- SITE ADDRESS: *CIS SW 'ANTERBU Y LN BLDG 22 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 22, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-47W Inspection Request Scheduled For: Date: 8/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 034728-02 971-563-6964 N Corrections/Comments/Instructions: - ,/ '.— 4_ _ _•,i — .77 -1---- ../_-‘- //404 WIII IIIII W illi ff ir-- ..ii...t' '.... 1 - • , .---- - . idille — ■----- 4..v/ Ar , PASS P RTIAL APPROVAL 0 CANCEL 0 NO ACCESS I I FAIL I l CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ili 171 Datel) 0 6 6 Phone #: (503) 718- 2174' . -