Permit A -e-e--- e' / 51.044" ___- _p/Li /0___gawe___.
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00020
nl DEVELOPMENT SERVICES DATE ISSUED: 2/9/2006
13125 SW Hall 7 Blvd., Tigard, OR 97223 503 -639 -4171
7 q PARCEL: 2S110AA -CC001
SITE ADDRESS: -967-3 SW CANTERBURY LN BLDG 14 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 14, fire sprinklers for new 4 unit condominium. Addresses: Unit 1 through 4.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: Y MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: 4 FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,200.00
Owner: Contractor:
CANTERBURY PLACE, LLC JND FIRE SPRINKLER INC
109 EAST 13TH STREET 12155 SW GRANT
VANCOUVER, WA 98660 STE D
TIGARD, OR 97223
Phone: 360- 695 -7700 Contact #: PRI 503 - 968 - 5200
FAX 503 - 968 - 5920
FEES Reg #: LIC 64395
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/6/2006 $139.30
[TAX] 8% State Surcharl 1/6/2006 $11.14
[FLS] FLS PlnRv 1/6/2006 $55.72
Total $206.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 50 _1 6 -66.9 . r 1- 800 - 332 -2344.
Issued :y: ,_ ■ ! ■, .' �� _ _. Permittee Signature �, ,, P,c ji fj/ W f
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard _ ���� r »;` / 3 e , � ?J �;o. ,...• , Alp 13125 SW Hall Blvd., Tigard, OR 97223 =E Cuher Permit
Phone: 503.639.4171 Fax: 503.598.1960 l ' ' t `" "'"`$` ! ` / /'
Inspection Line: 503.639.4175 Date keade' .c IFI H See Attached Checklist for
Internet: www. ci.tigard.or.us AI (\ 3 UL" Notified/Method (0. Supplemental Information
TYPE OF \ OF TIGA C REQUIRED DATA: 1- AND 2- FAMILY DWELLING
New construction E ®W
i nt v 1 v Permit tees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION _work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling X Commercial /industrial
ID Accessory building El Multi-family Number of bedrooms.
1:1 Master builder El Other:
Number of bathrooms:
• . 1 O 77 f JOB SITE INFORMATION AND /., LOOCAATION Total number of floors:
Job site address: 1 �
3 � C. J - 6014-Y LN . New dwelling area: square feet
City /State/ZIP:""n cat, R Garage /carport area: square feet
Suite/b. /apt. no.: I {_ j ` Project name�.�t i,( (4pe�t 3 Covered porch area: square feet
Cross street /directions to job site: �'' rr�� Deck area: square feet
Other structure area: square feet
REQUIRED DATA: CO■MERCIAL - USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed.
• Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
• Nf'Qfl 13 ('2 t-1 1P oD^' 3 Valuation: $ 9 /2-0(10 'Y Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: p g A� Type of construction:
Address: I Oct ` � - S Occupancy groups:
City /State/ZIP: � WCOJ \f�^ L , Apr C I ea' GC) Existing:
Phone: (360 )61.5—_ ! 7 �� �� Fax: (6())6? _ Y ` 1 Z New:
❑ APPLICANT CONTACT PERSON _ NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: 3. D t./ 1 a inw licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: Jet) j.., 9,E sppts cieg I 4 c
I .' p BUILDING PERMIT FEES*
Address: 1Zs�
� Slit) ri� 'ANT-
1 Ave cvi 0
Please refer to fee schedule
City /State/ZIP: Tik, 0 of 97 2 Z 3 .
Phone: (9 9( l Fax: (�3)qw� Sq Z o Fees due upon application
Amount received
CCB lie.: cm3q's
/ D ate received:
YYYY ��/�
Authorized signature: � %3( f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J .eF� ii) orb N Date: ` 3lk6 * Fee methodology set by Tri- County Building Industry
Service Ibnrdl
CITY, OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00020
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/912006
Phone: (503) 639-4171 Aft4
Inspection Requests (24 Hrs.): (503) 639-4175 sc.. eLL
INSPECTION WORKSHEET FOR DATE: 11122/2006 TIME: 7:03AM PAGE: 20
SITE ADDRESS: 10779 SW CANTERBURY LW BLDG 14 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 14, fire sprinklers for new 4 unit condominium.
Addresses: Unit 10'1,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: MD FIRE SPRINKLER INC PHONE #: 503-953.5200
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 040183-01 503-572-2961
Corrections/Comments/Instructions:
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4 .4 1 " I I I I I 1 rffiBlip Van I .
•
PASS
fl PARTIAL APPROVAL CANCEL fl NO ACCESS
I I FAIL CALL. OR INSPECTION I I ADDITI•NAL F; ES ASSESSED
411 4■011
Inspector: 110 Date: Phone #: (503) 718 • MOW%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200S-00020
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 J a&
INSPECTION WORKSHEET FOR DATE 11/13/2006 TIME: 7:04AM PAGE: 65
SITE ADDRESS: 10779 SW CANTERBURY LN BLDG 14 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 14, fire sprinklers for new 4 unit condominium.
Addresses: Unit 101,102,103,104. •
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-696-7700
CONTRACTOR: ,IND FIRE SPRINKLER INC PHONE #: 503
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 039616-08 503-572-2961
Corrections/Comments/Instructions:
C• SSO e T o F L 4./ A/ t"
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PeZi-1177 Z- - oc:),
n PASS El PARTIAL APPROVAL fl CANCEL L NO ACCESS
FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C.-/ Date: otz, Phone #: (503) 718- Z‘gr
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• . •
CITY OF TIGARD 4,1‘
.A
BUILDING DIVISION - PERMIT #: BUP2006-00020
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 219/2006
Phone: (503) 639-4171 „ :",.4il i t i l
Inspection Requests (24 Hrs.): (503) 639-4175 „AIL 1-
INSPECTION WORKSHEET FOR DATE: 6/19/2005 • TIME: 7:05AM PAGE: 3
oli
SITE ADDRESS: 1 a"SW CANTERBURY LN BLDG 14 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 14, fire sprinklers for new 4 unit condominium, Addresses: Unit 'I through 4.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: JND FIRE SPRINKLER INC PHONE #: 503-9GB-5200
Inspection Request Scheduled For: Date: 6/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 031938-01 503-939-9824 N
Corrections/Comments/Instructions: •
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_77D ilAI___,> 14:7 F 1._ 472-,-ig 4z...-- .
74 PASS El PARTIAL APPROVAL D CANCEL fl NO ACCESS
I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: •it Date: C1/' 0 Phone #: (503) 718-
. ,