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Permit CITY TIGARD PLUMBING PERMIT I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00555 `''` '� 13125 W Hall Blvd., Tigard, OR 97223 503 - 639 -4171 S DATE ISSUED: 4/11/2006 6 PARCEL: 2S110AA -CC001 SITE ADDRESS: 1~05� 7 SW CANTERBURY LN BLDG 12 ZONING: R -12 SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG Project Description: Building 12, 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 4/11/2006 $1,319.90 [PLMPLN] Plan Review 4/11/2006 $171.59 Phone : 360-695-7700 [TAX] 8% State Surcharl 4/11/2006 $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- - 66999 1- 800 - 332 -2344. Issued B : J 1�,�161� Permittee Signat ID- 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. _' d \;,...,L-,... / b 55 7 C,. . 6 N ., C..,,_, Plumbin Per g mit APPIiciQ M _ IO • FOR OFFICE USE ONLY City of Tigard g Permit No.: ,, ,�, 13125 SW Hall Blvd., Tigard, OR 97223 ®r1r Pla Rev �� (�s�� -) � ��1' �/0,5--0453-75- Phone: 503.639.4171 Fax: 503.598.1960 !!,d 9 ",'0,40110A (I, °i D atte/ R By a i) ) 610 rJ'� Other Permit No.: e � 24- Hour Inspection Line: 503.639.4175 . Date Ready/By: Imis: ® See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: '�, `r Supplemental Information TYPE &1 DIVISION ® New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total El 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 a 76,__6- 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 /a 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 00 Storm sewer (no. linear ft.: 200) I Page 2 f OI , y 0 Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100 Page 2 f S , oO Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item Absorption valve 16.60 DESCRII'TION OF WORK Backflow preventer © Page 2 !�� New Construction of Condominium Units Backwater valve 16.60 n Clothes washer 4 16.60 ( , -I O Dishwasher I-1 16.60 (p( , N 0 ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Canterbury Place LLC Expansion tank L i 16.60 to Co i L I 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 Li 16.60 (o(a , y 0 ® APPLICANT ® CONTACT PERSON Hose bib 4 16.60 (y(a Q Business name: Canterbury Place LLC Ice maker Note 16.60 (��,h , �yq � , 'p�. 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 72 ,ceO E -mail: Tub /shower /shower pan g 16.60 132 . 3 0 Urinal 16.60 CONTRACTOR Water closet 12 16.60 1 9 q, a Business name: Cromwell Plumbing Inc Water heater 44 16.60 ( , Li V Address: 30855 S Kauffman Road Other: I City/State /ZIP: Canby, OR 97013 Subtotal r%O Minimum permit fee: $72.50 Phone: (503) 266 -4790 Fax: (503) 266 -4792 *io Residdential backflow minimum rmit fee: $36.25 CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB /3Z Plan review (�,� a of permit fee) , 7/ . 5 7 State surcharge (8% of permit fee) I , J j Authorized signature: TOTAL PERMIT FEE 1557.4 Print name: Greg Cromwell Date: This permit application expires if a permit is not obta__............ 180 days after it has been accented as complete. CITY OF TIGARD 13125 S.W. HALL TIGARD, OR 9722B CEi V 1 IMPORTANT PERMIT NOTICE APR 21. 2006 QITY Ch- I t(Hrsu CROMWELL PLUMBING mfl:DING DIVISION 30855 S. KAUFFMAN RD. CANBY, OR 97013 Plumbing Signature Form Permit #: PLM2005 -00555 Date Issued: 4/11/2006 Parcel: 2S110AA -CC001 / Site Address: 1.955 -SSW CANTERBURY LN BLDG 12 Subdivision: CANTERBURY CREST Block: Lot: 001 Jurisdiction: R -12 Zoning: TIG Remarks: Building 12, 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. 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 T I RM X Signatof Author Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION I, A DATE ISSUED: , PERMIT # : 4 P I L 1 M 1/ 2 2 0 0 0 0 r 0555 131 125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,....... INSPECTION WORKSHEET FOR DATE: • 9 avhip _:; I TIME: 12/2 /2006 1111141 7:00AM PAGE: 25 SITE ADDRESS: 10785 SW CANTERBURY DI BLDG 12 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: PHONE #: CANTERBURY PLACE LLC, 360 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: •2/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 041640-01 503-313-7398 N Corrections/Comments/Instructions: 1\16-it I ko...2_, -DA- 1-2--/-z-Voc (ez) (t 6 ) 1 , t--/Z/ 10 ,7 0 .11\164-1-c-1 to "( . c Ste Lkut-e-e I 4 -- ... s- I r( ( - , - , . , tcs- • - I ... .da■ ' ik T kAJN-A -C- P 1 o )1j.e./' • . /41AS-S--- • I I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED ii------- Date: 2124/0 I Inspector: Phone #: (503) 718- _ , CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005- 00565 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006 Phone: (503) 639 -4171 A i Inspection Requests (24 Hrs.): (503) 639 -4175 -� INSPECTION WORKSHEET FOR DATE: 12128/2006 TIME: 7 :01AM PAGE: 38 SITE ADDRESS: 10765 SW CANTERBURY LN BLDG 12 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC 3 60 -695 , 700 , PHONE #: t ".-� CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 12/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 041568 -01 503.572 -2961 N ( Corrections/ omments /Instructions: w/4- c_,,,,,,,,_.}&-re_S A.oLs-eiL -Ci.'?_4‘,, . 169 A„,-,_4. Ol( ( _ _ , ( _4 - .. c &.),-- , 2__(e_ , S Lr-ck..L--,' / 0 1_,, ‘4,---o Li\,&...sic-cia___ -- f-e..A...____p_ (1 1 .7— \ ,�.f _ k – .� i R._- r ._ -t'e.,� W + „.��/ -k <. i, U . 'z \ 2 2 t i jsV ikka„. - Vki-/A/L_Af-u--<R u a_kt_fr_ "7 VLei (10 $) 113 . z° \\ Ty, t . OP( (------- -' 2 -3 V 4--/,,vv,c(0J,<- 7— c:e c — 0.1 w a. s 2 � �� I I PASS MI PARTIAL APP 'OVA L CANCEL '2 i © �� NO ACCESS 'FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: • V l- (44 `. Date: ` � 16 (2 Phone #: (503) 718- ty , \ . . . CITY OF TIGARD • BUILDING DIVISION - PERMIT #: PLM1005-00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/200€b Phone: (503) 639-4171 :rill i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 PAGE: 24 • SITE ADDRESS: 10.56 CANTERBURY LN BLDG 12 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS ' LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-696-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 9/2112006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 036971-01 971-563-69B4 N Corrections/Comments/Instructions: - 1 - 1 _ 1 / _ ■s■ 0 - 74 kA ere ASS 1 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 71 / I kt■// .2- ,t-• I Date: a r(0 f(t Phone #: (503) 718- ' -- _ � ' ' / \ CITY OF � - ��om w ��m TIGARD � 4Ik BUILDING DIVISION ' ~�~,"~~~~""°~° ~�"�"~~"~°.~ PERMIT #: PLM2005'0O565 13125 SW Hall Blvd., Tigard, OR 97223 ~ DATE ISSUED: 4/11/2006 Phone: (503) 639-4171 \ Inspection Requests (24Hnoj:(503)639~4175 "41p- 1.1— INSPECTION WORKSHEET FOR DATE: 6/31/2006 TIME: 7:07Alvl PAGE: 19 SITE ADDRESS: 1Wok / SyV CANTERBURY LN BLDG 12 CLASS OF WORK SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: /4\ 0xponuion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC PHONE #: 360'595'7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: []ate: 5/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 030856-01 971-563-6984 N Corrections/Comments/Instructions: . • PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS FAIL -- CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED . P / - 1 Inspector: 1 r�� 4I Phone #: (503) 718- '(r CITY OF TIGARD BUILDING DIVISION PERMIT #: p1_I ��1( }�i C)t�5��?� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/111 2006 .., Phone: (503) 639 -4171 � • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5131/2006 TIME: 7 :07AM PAGE: 113 ( b SITE ADDRESS: 1 SW CANTERBURY LN BLDG 12 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360.635 -7.00 C ONTRACTOR: CROMWELL PLUMBING PHONE #: 503 - 2664750 Inspection Request Scheduled For: Date: 5/31 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service; 030856 -02 371 - 563.6384 N Corrections /Comments /Instructions: i4PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ��� Date- Phone #: (503) 718- ° Y�J CITY OF CI O TIGARD BUILDING DIVISION PERMIT #: PLid1:2005.005% 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/20105 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/30/2006 TIME: 7:15A1v1 PAGE: 63 �d �l (s SITE ADDRESS: ' —SIN CANTERBURY 1_N BLDG 12 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 unit condominium. Addresses: Unit: 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: :3634395.7700 CONTRACTOR: C.RO1Y11+Vi.=LL. PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 5/3012006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 030718 -02 603- 757 -3865 N Corrections /Comments /Instructions: IF 'ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: MI/ 7 Date �1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2003 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/30/2005 TIME: 7 :15AN1 PAGE: 54 b1c SITE ADDRESS : 1`FSW CANTERBURY LN BLDG 12 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 unit condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks & (4) hose bibs, OWNER: CANTEROURY•PLACE L1.C, PHONE #: 360- 69Er7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503- 266.479() Inspection Request Scheduled For: Date: 5/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 030718 -01 50-767-3865 N Corrections /Comments /Instructions: g pASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: b Date:. / 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: Pi-.M2005 -00555 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1'i/2006 Phone: (503) 639 -4171 �0""AmNP °I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/30/2006 TIME: 7 :15AM PAGE: 62 W1 SITE ADDRESS: 1 W CANTERBURY LN BLDG 12 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 12, new 4 trait condominium. Addresses: Units 1 through 4. Other fixtures: (4) expansion tanks (4) hose bibs. OWNER: CANTERBURY PLACE LLC, 'PHONE #: 36- ,,95.7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 5021-266-4790 Inspection Request Scheduled For: Date: 5/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary Eiewei 030718-03 503457-3865 ICI Corrections /Comments /Instructions: SS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: lin 14_ Date: i. / Phone #: (503) 718 -