Permit �' CITY OF TIGARD PLUMBING PERMIT
•,1�.i DEVELOPMENT SERVICES PERMIT #: PLM2005 -00553
.{� �,�� DATE ISSUED: 2/14/2006
-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/b 77 PARCEL: 2S110AA -00001
SITE ADDRESS: 10603 SW CANTERBURY LN BLDG 10 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 10, 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 2/14/2006 $1,319.90
[PLMPLN] Plan Review 2/14/2006 $329.98
Phone : 360-695-7700 [TAX] 8% State Surcharl 2/14/2006 $105.59
Total $1,755.47
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 50 699 or 1- 800 - 332 -2344.
Issued B
C .
0... Permittee Signature: x
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.
t to c 6 3 -- -(-- ,4,4. (....
Plumbing Permit Applicatio ECEIVED FOR OFFICE USE ONLY
City of Tigard Received .� permit q ?
13125 SW Hall Blvd., Tigard, OR 97223 OCT 1 /. 20 : (� Date/By: I - 11 _5 ? \ \, /1)Q j55
Plan Revie � ) t�
Phone: 503.639.4171 Fax: 503.598.1960 Amp,* j Date/By: I I / )c`�5- �" Other Permit No.0 ,)/e 5 d4` s�
24- Hour Inspection Line: 503.639.4175 .._t i
Internet: ww.ci.tigard.or.us CITY 0:4-14 Date Ready/By: ®See Page 2 for
3�l�nl nr\IRION Notified/Method: '� i Supplementallnformat
w on
TYPE OF WORK 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
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
O - 7 'c7fOB 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 /D 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) 1 Page 2 I 01 , y0
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) Page 2 Ls 00
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer ® Page 2 6 /6
New Construction of Condominium Units Backwater valve 16.60
Clothes washer I,I 16.60 (,4, , 0
Dishwasher IA 16.60 (p(o , Q
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Canterbury Place LLC Expansion tank Lj 16.60 (p(, i 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 LI 16.60 (p(o • q 0
® APPLICANT ® CONTACT PERSON Hose bib 16.60 (Dv , qQ
Ice maker ,040 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 16.60 -2,32 ,p0
E -mail: Tub /shower /shower pan 43 16.60 i 3 Z, .5 0
Urinal 16.60
CONTRACTOR Water closet 2 16.60 (q q , a
Business name: Cromwell Plumbing Inc Water heater '4 16.60 (oC , ! V
Address: 30855 S Kauffman Road Other:
City/ State/ZIP: Canby, OR 97013 Subtotal 19.90
Minimum permit fee: $72.50
Phone: (503) 266 -4790 Fax: (503) 266 -4792 Res backflow minim • . ee: $36.25
CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB Plan revie' (25 %o >permit 3pt9. 9 S
State surcharg - : A of permit feed /O,S
Authorized signature:
TOTAL PERMIT FEE ' 77557
Print name: Greg Cromwell Date: This permit application expires if a permit is not obt :.......:.........
180 days after it has been accented as complete.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE RECEWED
CROMWELL PLUMBING FEB 2006
30855 S. KAUFFMAN RD.
CANBY, OR 97013 CITY OF TIGARD
BUILDING DIVISION
Plumbing Signature Form
Permit #: PLM2005 -00553 w' IV
Date Issued: 2/14/2006
Parcel: 2S110AA -CC001 }:Lk
)4775 Site Address: -1-8663 SW CANTERBURY LN BLDG 10
Subdivision: CANTERBURY CREST
Block: Lot: 001
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 10, 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 T ORM
X
Sign e of Authorized Plumber
If you have any questions, please call 503.718.2433.
7
CITY OF TIGARD
, BUILDING DIVISION
Alik PERMIT #: PLM2005-00553
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2/14/2006
Phone: (503) 639-4171 avortWii#
Inspection Requests (24 Hrs.): (503) 639-4175 „--41. 11.
' INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 10775 SW CANTERBURY LN BLDG 10 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
I DESCRIPTION: Building 10, 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 #: 503.2664790
Inspection Request Scheduled For: Date: 11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
399 Plumbing final 0404513-01 503-313-7398 N
Corrections/Comments/Instructions:
•
i •
I I PASS 0 PARTIAL APPROVAL g CANCEL 0 NO ACCESS
FAIL I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
• ,, .
Inspector: IVV1V-- Date: ) b I 1 Phone #: (503) 718- 1 1,1
_ -
. .
/ CITY OF TIGARD
BUILDING DIVISION -
PERMIT #: PLM2005-00553
13125 SW Hall Blvd., Tigard, OR 97223
AV ■il
DATE ISSUED: 2/14/2006 •
Phone: (503) 639-4171 4 5 , 014 .,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/5/2006 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 10775 SW CANTERBURY LN BLDG 10 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 10, new 4 unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tank & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 36&695
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790
I
Inspection Request Scheduled For: Date: 121512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final (140662-01 503-313-7398 N
Corrections /Comments/ Instructions:
I
I'
/
1:: 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: M \'1‹ Date: P/cP '--) Phone #: (503) 718-
. ,
. ,
. .
CITY OF TIGARD . .
A BUILDING DIVISION PERMIT #: PLM2005-00553
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/7006
Phone: (503) 639-4171 /4Witb.'
:i
Inspection Requests (24 Hrs.): (503) 639-4175 ,.., al--a t
INSPECTION WORKSHEET FOR DATE: 0/31/2006 TIME: 7 PAGE: 29
SITE ADDRESS: '10.463 SW CANTERBURY LW BLDG 10 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 10, 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 8131/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 035878-01 97'1-563-6984 N
Corrections/Comments/Instructions:
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_ c v e-k, ir tit (3 ‘ + "ea I Irr /V\ A----4 ee-1:1 1.--
C tc Ir-1
•
X PASS pi PARTIAL APPROVAL fl CANCEL I . NO ACCESS
F I FAIL CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
—
Inspector: 76 ti—t/ Fl 1 Date: ?-/ 3 // 0 C Phone #: (503) 718-
CITY OF TIGARD • '` _
BUILDING DIVISION , ; =? PERMIT #:Pj�►�oS 00 S5.3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 11"111110.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
7‘
SISUBDIVISION: D )4)4,r67-3 � LOT #: CLASS
TYPE OF ORK:
PROJECT NAME:
DESCRIPTION:
' OWNER: PHONE #�� 9757-3 c --6, s" ---
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 Pour Time:
Code # Inspection escription Confirm # Contact # Message
33 /_
Corrections /Comments/ Instructions:
7 n PARTIAL APPROVAL n CANCEL I NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
•
Inspector: K4 V `U Date: d Phone #: (503) 718 - `,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: p I yv _0Ds= OV575^3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 g Imyppl�"
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
(a7 - 7( rQ
SITE ADDRESS: /44 , b �W � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #: 53' 1.97
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -.7-3 —0 C. Pour Time:
Code # Inspection Description Confirm # Contact # Message
33,c
Corrections /Comments /Instructions:
., -
/ 4 , 1 01 ■r r `�
/d -e -411
i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
•
Inspector: / I r1�e Date: ) Phone #: (503) 718 -
CITY OF TIGARD i
BUILDING DIVISION PERMIT #:,26,W5 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 4�m�l
Inspection Requests (24 Hrs.): (503) 639 -4175 `_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
i
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: LaT #: TYPE OF. USE:
PROJECT NAME:
DESCRIPTION: /0775
7 3
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date:3 — . 0- °C" Pour Time:
Cod # Inspection
�
tion Description Confirm # Contact 7 # Message
Corrections /Comments/ Instructions:
•
i PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ffn 1 Date E ` Phone #: (503) 718-