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Certificate of Occupancy CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 -00558 J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006 p.?"723 PARCEL: 2S110AA -01500 SITE ADDRESS: 1 629 SW CANTERBURY LN BLDG 18 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 18, 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 [PLMPLN] Plan Review 6/29/2006 $171.59 [TAX] 8% State Surcharl 6/29/2006 $105.59 Phone : 360-695-7700 [PLUMB] Permit Fee 6/29/2006 $1,319.90 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 5 - 246 -6699 • 1'7: 0. 32- 2 Issued �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. l 062 q Cu....,.( icavt.3 ,._.`, Plumbing Permit App = 0 1 City of Tigard } _^a t Received Y ' _ Date/By: ) t9 ) 1 _ b °" '7 Permit No�j 1` A ''` 'F ' •� u f/)O5 / l)S3 j 13125 SW Hall Blvd., Tigard, OR 97223 OCT 4 200 Phone: 503.639.4171 Fax: 503.598.1960 �t t 1 x L U � � � t�h o di g ++ Date/By: Plan Review /l / 3'/O `� Other PermitNo.` s. "7 3 24- Hour Inspection Line: 503.639.4175 .' f I I �alJ Internet: www.ci.ti ard.or.us Date Ready/By: ]wis: Ea See Page 2 for g CITY OF TU 1&RII Notified/Method: "" ') L i- Supp Information TYPF3g&WAR {DNISION 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 ❑ Accessory building ® Multi - family SFR (3) bath 399.00 El Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler (_ sq. ft.) Page 2 /072 3 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: i 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.: ) 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.: 100) I Page 2 SS oD Storm sewer (no. linear ft.: 200) I Page 2 i pi , 40 Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) 1 Page 2 ,s , oO Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer @ Page 2 � . itp New Construction of Condominium Units Backwater valve 16.60 Clothes washer 1.4 16.60 Lk, , y O Dishwasher I-1 16.60 (p(,7 , y 0 ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Canterbury Place LLC Expansion tank t 16.60 (p(o , 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 1.1 16.60 L,(o a y 0 ® APPLICANT ® CONTACT PERSON Hose bib 16.60 (o , � y � Q �� Ice maker s(� 16.60 G ' , cry '' 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 I Fax: : (360) 693 -4442 Sink/basin/lavatory 16.60 2,32 ,00 E -mail: Tub /shower /shower pan g 16.60 2 3 , 3 0 Urinal 16.60 CONTRACTOR Water closet 12. 16.60 q q , 9., 0 Business name: Cromwell Plumbing Inc Water heater t.4 16.60 () (, , Y V Address: 30855 S Kauffman Road Other: City/State/ZIP: Canby, OR 97013 Subtota' 13z X90 Minimum permit fee: $72.50 Phone: (503) 266 -4790 Fax: (503) 266 -4792 Residential ba�c ow minimum nermiit fee: $36.25 CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB /3` Plan review (?moo of permit fee) 1I(..5/ State surcharge (8% of permit fee) , i 65 Authorized signature: TOTAL PERMIT FEE 6 01,6? Print name: Greg Cromwell Date: This permit application expires if a permit is not obtained within 180 days after it has been accented as complete. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR ECENIFP IMPORTANT PERMIT NOTICE CROMWELL PLUMBING JUL 2 711116 30855 S. KAUFFMAN RD. il» I - CANBY, OR 97013 46T117 r "' Plumbing Signature Form Permit #: PLM2005 -00558 Date Issued: 6/29/2006 Parcel: 2S 110AA -01500 /0717 Site Address: 1;9629 SW CANTERBURY LN BLDG 18 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 18, 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 Signature of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639 -4171 AzysllOpeii# Inspection Requests (24 Hrs.): (503) 639 -4175 allA INSPECTION WORKSHEET FOR DATE: 4/30/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 10723 SW CANTERBURY LN BLDG 18 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, 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: 4/3012007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 047293 -02 503 -313 -7398 N Corrections /Comments /Instructions: 9/‘- • [PASS ] PARTIAL APPROVAL I I CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C7/1-14-,.-i Date: q (c3 3 / 6- 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00558 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639 -4171 n Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 10723 SW CANTERBURY LN BLDG. 18 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanIcv & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 - 266.4790 Inspection Request Scheduled For: Date: 4/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 046697 -07 503-313-7398 N Corrections /Comments/ Instructions: t / Pro -he c--th � - �r 0,r 2. LJ '^..1.A `� /�.!i!�i ��� 1 = ., � (S - Lc--1-i' w-/ S67.6. OS f S C Sourt-L Cwt ut,1 .r C sQ, J 7 1, `") , 0 0,5 fs G '—r �'`^ C _- 1�L�vL1l.... �!i( .�2✓J -v.-.� 1�C L..L L ✓ 1 -c ° Alto) /J I l /J GT ( oss. yiq.a ) A elokterr • PASS n PARTIAL APPROVAL CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CV tla.MrA v∎,.. - -. Date: CV, 7 1'0) Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION s M u l T D # .: u p L 2 00558 13125 SW Hall Blvd., Tigard, OR 97223 1 , i DATE Phone: (503) 639-4171 tt Inspection Requests (24 Hrs.): (503) 639-4175 .-. INSPECTION WORKSHEET FOR DATE: 1/5/2007 TIME: 7:00AM PAGE 6 SITE ADDRESS: 10723 SW CANTERBURY LN BLDG 18 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new: condominium. Addresses: Uni sW , 02,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: CROIVIWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: •/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 041856.02 503-545-3654 N Corrections /Comments / Instructions: L" ) 1 — ■ .--' ' / ( A r - e A Le\A..5 0.-AGia u--v 3 ,12.1 , \)c)-- A,LAAA--z-- ryv-iuct ,-. s 1 C evL (z) '2--. -- V - Lek. Nia.,e5--x 6 ko s-‘24 v.e_e9 \NIA-cc') ‘\)--.i--\o\rJ c.,,--,•A _s P Z..L 3 tA PASS I 1 PARTIAL APPROVAL n CANCEL pi NO ACCESS U FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: \4,- Date: V 1 ' / - . 2--42-51 Phone #: (503) 718- . - -, . !......-, . CITY OF TIGARD BUILDING DIVISION A, PERMIT #: PLM2005-00558 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ed29/7006 Phone: (503) 639-4171 1iit Inspection Requests (24 Hrs.): (503) 639-4175 -- r INSPECTION WORKSHEET FOR DATE: 1011612006 TIME: 7:03Am PAGE: 33 SITE ADDRESS: 10723 SW CANTERBURY LN BLDG 18 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 10/1612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 038239-03 503-545-3654 N Corrections/Comments/Instructions: I ■Kc ) S . 0 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED th Inspector: l y Date: • i Phone #: (503) 718- • _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00558 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,&.. IL. INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME: 7:06AM PAGE: 20 0312-3 SITE ADDRESS: 1-0629-SW CANTERBURY LN BLDG 18 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 350-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266.4790 Inspection Request Scheduled For: Date: 1013/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 037562-05 971-563-6984 Corrections/Comments/Instructions: I I PASS X1 PARTIAL APPROVAL ri CANCEL NO ACCESS 1 1 FAIL 1 1 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: kt Date: / Phone #: (503) 718" _ - , CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00558 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 6/29/2006 • Phone: (503) 639-4171 4 410 Inspection Requests (24 Hrs.): (503) 639-4175 MJ i INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 43 7.0 SITE ADDRESS: SW CANTERBURY LN BLDG 18 CLASS OF WORK: • SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE 1.1C, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 038325-02 503-545-3654 Corrections/Comments/Instructions: SS • 0 PARTIAL APPROVAL n CANCEL I I NO ACCESS I I FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i- Date: e Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION _ PERMIT #: PLM2005-00558 , A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 betilo Inspection Requests (24 Hrs.): (503) 639-4175 .-4.1. - 'IL INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 44 SITE ADDRESS: 10723 SW CANTERBURY LW BLDG 18 CLASS OF WORK: . SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new 4 unit condominium. • , Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMVVELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 10117/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 038325-01 503-545-3654 N , Corrections/Comments/Instructions: , . [PASS fl PARTIAL APPROVAL n CANCEL I I NO ACCESS I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i 1\6- Date: /.. Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION ,.. PERMIT #: PLM2005.-005513 A, 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 koppit ii''' Inspection Requests (24 Hrs.): (503) 639-4175 - ea. • INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 38 SITE ADDRESS: 10723 SW CANTERBURY LN BLDG 18 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new 4 unit condominium. , Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: i''.:ROMWELL PLUMBING PHONE #: 503-2664790 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 038325-04 503-545-3654 N , Corrections/Comments/Instructions: . . • VI-PASS I I PARTIAL APPROVAL 0 CANCEL NO ACCESS 1 I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 114---- •_9--d./ tz / Inspector: Date: /6 // Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00558 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 39 SITE ADDRESS: 10723 SW CANTERBURY LN BLDG 18 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 18, new 4 unit condominium. Addresses: Units 1 through 4. 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: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 40 Storm drain 038325-03 503-545-3654 Corrections/Comments/Instructions: PASS El PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: /dp 7(6 Phone #: (503) 718- . .