Permit A? CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00574
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/11 /2006
bpp -77 PARCEL: 2S110AA -CC001
SITE ADDRESS: 19b // CANTERBURY LN BLDG 20 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 20, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4)
expansion tanks & (4) hose bibs & 200' of 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 4/11/2006 $1,388.40
[PLMPLN] Plan Review 4/11/2006 $180.49
Phone : 360-695-7700 [TAX] 8% State Surcharl 4/11/2006 $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 :: I through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling :03 -246 -. • • • 800 - 332 -2344.
Issued : y: tit Permittee Signa 41131111W
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.
1
J O SS3 Ce„-A-t. Jo
Plumbi ®g Permit Applicat ∎ -�.
CA City of Tigard Rece DateByived _ Qs / Permit No. 1 `+ \ ?L/
13125 SW Hall Blvd., Tigard, OR 97223 OCT y :
Phone: 503.639.4171 Fax: 503.598.1960 �Lr I . �f /� rurll,; Da an 1I (. 0 Other Permit No. s�� `3'
24- Hour Inspection Line: 503.639.4175 a • f Date Ready/By: rug See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TI GARD Notified/Method: .1 Supplemental Information
TYPE OF ifilitiDING 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 ft. for each utility connection)
CATEGORY OF CONSTRUCTION _ SFR (1) bath I 249.20
❑ 1- and 2- family dwelling ❑ Commercialindustrial SFR (2) bath 350.00
1=1 Accessory building ® Multi - family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
D 7/1 JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 2. 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/bldgiapt. no.: BLDG I Project name: Canterbury Crest Footing drain (no. linear ft.: 200) I Page 2 1 p I y0
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 , 00
Storm sewer (no. linear ft.: 200) I Page 2 X 01 , H 0
Subdivision: Canterbury Place Lot no.: Water service (no. linear ft.: 100) I Page 2 5 5 0 0
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item
Absorption valve I 16.60
DESCRIPTION OF WORK Backflow preventer CO Page 2 4 •Ya
New Construction of Condominium Units Backwater valve 16.60
Clothes washer 4 16.60 V. , y 0
Dishwasher t4 16.60 (A , ND
0 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Canterbury Place LLC
Expansion tank L4 16.60 (A, , y Q
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 i.1 16.60 to 6 , y 0
0 APPLICANT 0 CONTACT PERSON Hose bib 16.60 Gap , y a
Ice maker ltilA 16.60 WX,y
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 1 g 16.60 2 < , 90
E -mail: Tub /shower /shower pan S 16.60 1 3 2, g 0
Urinal 16.60
CONTRACTOR Water closet 12 16.60 t q ot ' 2- 0
Business name: Cromwell Plumbing Inc Water heater Li 16.60 ( ( • HO
Address: 30855 S Kauffman Road Other:
City/State/ZIP: Canby, OR 97013 Subtota / 3 S .16
Minimum permit fee: $72.50
Phone: (503) 266 -4790 Fax: (503) 266-4792 Resi ntial bacck minimum ;qt fee: $36.25
CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB /73 Jlan review (,§�iof permit fee) 1 �c, . (/7
State surcharge (8% of permit fee) I ii / . 07 I
Authorized signature: / / 7Q �/ to 1
TOTAL PERMIT FEE `
Print name: Greg Cromwell I 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 97223
IMPORTANT PERMIT NOTICE ice.
CROMWELL PLUMBING
30855 S. KAUFFMAN RD. APR 21 2006
CANBY, OR 97013 8141)/NGA /GARD
/ S /ON
Plumbing Signature Form
Permit #: PLM2005 -00574
Date Issued: 4/11/2006
Parcel: 2S110AA -CC001
0 it Site Address: 1.8555 SW CANTERBURY LN BLDG 20
Subdivision: CANTERBURY CREST
Block: Lot: 001
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 20, new 4 unit condominium. Addresses: Units 1 through 4. Other:,
fixtures: (4) expansion tanks & (4) hose bibs & 200' of footing drain. s�
Your company has been indicated as the plumbing contractor for the permit indicated above. I n 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 • RM
Efor
Signa • e of Authorized Plumber
If you have any questions, please call 503:718.2433.
, ‘
CITY OF TIGARD
BUILDING DIVISION
A DATPERMIT #: PU0005-00574
13125 SW Hall Blvd., Tigard, OR 97223 :/ DATE ISSUED: ziti li2006
Phone: (503) 639-4171 47 44111 1 `
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12f29/2006 TIME: 7:01Alvl PAGE: 33
SITE ADDRESS: 10711 SW CANTERBURY LN BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST .
DESCRIPTION: Building 20, 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, LW, PHONE #: 360-696-7700
CONTRACTOR: CROIVIWELL PLUMBING PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 12/2W2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 041568-06 503-672-2961 N
Corrections/C•mments/Instructio s:
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V PASS I I PARTIAL APPROVAL I I CANCEL I ] NO ACCESS
I FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: \4 j)
- Date: 2 / 2 -:( 6-4 Phone #: (503) 718- 2 — c l 2-Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00574
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -41.71 Mm�iy1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7 :02AM PAGE: 49
/v71(
SITE ADDRESS: ._�f E SW CANTERBURY Lip! BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20, 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 - 696.7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 -266 -4790
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Sanitary sewer 028306 -02 971-50-6994 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J n Date: C Phone #: (503) 718 - 0-1-13
; •
CITY OF TIGARD
, BUILDING DIVISION PERMIT #: PLM2005-00574
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11M06
Phone: (503) 639-4171 balk
44/ 01101 6
i I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7:02AM PAGE: 47
/07/!
SITE ADDRESS: :1-(43WCANTERBURY LN BLDG 20 . CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20, naW 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 #: 3606957700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 603-266-4790
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 028306)-03 971-563-694
•
Corrections/Comments/Instructions:
•
•
bIl 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: / Fr 6- Date: /// /7/ Phone #: (503) 718-
;.•
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CITY OF TIGARD a f , -
BUILDING DIVISION PERMIT #: PLM200S Ot)574
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1 i/2(306
Phone: (503) 639 -4171 Av tI�V � � I t
Inspection Requests (24 Hrs.): (503) 639 -4175 '. L.
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7 :02AM PAGE: 46
P
SITE ADDRESS: 1 x5-GGW CANTERBURY LN BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20, new 4 unit. condominium. Address-es: Units 1 through 4. Other fixtures: (4) expa»sian '
tanks & (4) hose bibs & 200' of footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 - 695-770()
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503. 266.4780
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing undeislab 028306.04 971- 563.6934 N
Corrections /Comments /Instructions:
•
•
-PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , / ,..)
Inspector: A/1 , r , ' ' � . " Date: / Phone #: (503) 718- .7'1'-
•
' CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM2OQ&00574
; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2000
Phone: (503) 639 -4171 A l
Inspection Requests (24 Hrs.): (503) 639 -4175 67 J—
.
INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: 66
•
/674(
SITE ADDRESS: t 55 SW CANTERBURY LW BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion
tans & (4) hose bibs & 200' of footing drain.
OWNER: CANTERBURY PLACE, l-t.C PHONE #: 360.6357700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503.266.4790
Inspection Request Scheduled For: Date: 4/21/3006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 1Natcr servi 028451 -02 503-473-1789 N
Corrections /Comments /Instructions:
td I I PARTIAL APPROVAL fl CANCEL n NO ACCESS
I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 1 Date: l / i Phone #: (503) 718 3/
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200 -00574
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 / 4d� �
Inspection Requests (24 Hrs.): (503) 639 -4175 �,.._..' $__.. �/k ;1
INSPECTION WORKSHEET FOR DATE: 5/812006 TIME: 7:07AM PAGE: 78
/671
SITE ADDRESS: . ity,wi SW CANTERBURY LN BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20, new 4 unit. condominium. Addresses: Unit; 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: 5/80:006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 029448-01 503- 757 -3865 N
Corrections /Comments Instru tions:
1 . A,2- 4- A--8-\-ia OP-,( cis
ko 3 ..
. \ - 4-- c . _j - u
Ub \
l iZ1. 1 43 mess v
4 a,5 ` ZL& P It--V 6
? PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
•
Inspector: Date: t 'Vi/ d Phone #: (503) 718-
CITY OF - `
��mw m n�'m TIGARD
BUILDING DIVISION PERMIT #: PLM2005-00.57
13125SVV Hall Bkd.. Tigard, DRQ7223 DATE ISSUED: 4/11/2006
Phone: (503) 639-4171 titilliii
Inspection Requests (24 Hrs.): (503) 639-4175 .-31,11- ^��..
INSPECTION WORKSHEET FOR DATE: 9/2912006 TIME: 7:06AM PAGE: 21
ioN
SITE ADDRESS: 40�5� CANTERBURY LN BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 810 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST •
DESCRIPTION: Building 20, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion
tmmkm&/4l hose bibs &2OO^of footing drain.
OWNER: CANTERBURY PLACE, [LC ' PHONE #: 360-695.7700 DO
1 CONTRACTOR: CROlvIVVELL PLUMBING PHONE #: 5O3'266.4790
Inspection Request Scheduled For: Date: 912912000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 037407-03 971-663-6984 N
Corrections/Comments/Instructions:
•
.
PASS I I PARTIAL APPROVAL KCANCEL El NO ACCESS
I | FAIL El CALL FOR INSPECTION p . DDITIONAL FEES ASSESSED
L� �� � 6/1 ] �/,
��� B ~�-~ �~/ ~ ^ |napeo�o,� � / » , Oo��� u� Phone #� (5O3\ 718' / ` '
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1 CITY �~�����U�������� . ~
��n n n OF n n�m��nm��
BUILDING DIVISION , PERMIT #: pLN|2006'00674 '
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639-4171 Ai A 1
Inspection Requests (24 Hrs.): (503) 639-4175 v��W�«���
INSPECTION WORKSHEET FOR DATE: 10/2/2000 TIME: 7:08AM PAGE: 61
S|TEADDRESS: —1-9�S6EW CANTERBURY U4BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: .
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 2O. new 4unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion
benka& (4) hose bibs &2OO'mffooting drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360'695'7700
CONTRACTOR: CRDKAWELLPLUK4B|MG PHONE #: 509-266-4790
Inspection Request Scheduled For: Date: 10/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 037459-03 971'563-9346 N
Corrections/Comments/Instructions:
fAs I PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
I I FAIL III CALL FOR | |AOO|T0NALFEESASSE6SEO
/
D�/ / / // P/6i Inspector: �" k / Date: / w Phone #: /503\718'�~ Y.
.