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Permit • CITY OF TIGARD PLUMBING PERMIT 1, I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00566 ��I DATE ISSUED: 6/29/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 73 PARCEL: 2S110AA-01500 SITE ADDRESS: 'SW CANTERBURY LN BLDG 15 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 15, new 4 unit condominium. Addresses: Units 1 thru 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 6/29/2006 $1,388.40 [PLMPLN] Plan Review 6/29/2006 $180.49 Phone : 360-695-7700 [TAX] 8% State Surcharl 6/29/2006 $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 Muniapal 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 503-20 sir 1-800-332-2344. Issued B • A. �i � Permittee Signatur -: 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 Plumbing Permit Ap �' � � � t� / l�Olz Orrice: 1,s1 ONLY 1/ City of Tigard ' Permit No? 13125 SW Hall Blvd., Tigard, OR 97223 OCT y 4 9 1`bS!/�� b �j f) Phone: 503.639.4171 Fax: 503.598.1960 - 1 C 00 ,c // „N ,, � •; i � . Other Permit No.:, / „skip f , 24- Hour Inspection Line: 503.639.4175 � _ 4 9'I I Date Ready/By: Page 2 for Internet: www.ci.tigard.or.us B � IT OF TIG / %Rfl - Notified/Method: - - I (r Supplemental Information TYPE O� "Wb IS /OIV ' • 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 7 d O G 3 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: , 7!) - 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 /0 Project name: Canterbury Crest Footing drain (no. linear ft.: 200) ■ a 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 , 0 Storm sewer (no. linear ft.: 200) 1 Page 2 i o 1 , I-10 • Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) ( Page 2 5 j a D Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer ® Page 2 New Construction of Condominium Units Backwater valve 16.60 Clothes washer g 16.60 ( , 40 Dishwasher 14 16.60 ( , ND El PROPERTY OWNER l ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Canterbury Place LLC Expansion tank Li 16.60 (o t , '-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 4 16.60 ( 6 , y 0 ® APPLICANT ® CONTACT PERSON Hose bib r-{ 16.60 ( (o , y D Business name: Canterbury Place LLC Ice maker 16.60 (j 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 i $ 16.60 7,9 $ , g • E -mail: Tub /shower /shower pan 8 16.60 13 2 , $ 0 Urinal 16.60 CONTRACTOR Water closet 12_ 16.60 f 9 9, , Business name: Cromwell Plumbing Inc Water heater 14 16.60 ( ( , Li 0 Address: 30855 S Kauffman Road Other: City/ State/ZIP: Canby, OR 97013 Subtotal r3„g . g Minimum permit fee: $72.50 Phone: (503) 266 -4790 Fax: (503) 266 -4792 Residential backflow minimum permit fee: $36.25 _ gt CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB 7/3 lan review ( of permit fee) i vv. q 9 State surcharge (8% of permit fee) / / 1. e /- Authorized signature: TOTAL PERMIT FEE / 9.96, 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 97223 IMPORTANT PERMIT NOTICE iUL 21 2006 CROMWELL PLUMBING � LUt�;� 30855 S. KAUFFMAN RD. �1�� '`L r'- �I��'� CANBY, OR 97013 Plumbing Signature Form Permit #: PLM2005 -00566 Date Issued: 6/29/2006 Parcel: 2S110AA -01500 (d Site Address: 1-13695 CANTERBURY LN BLDG 15 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 15, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of footing drain. 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 TH . ORM X Sign ° of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT #: am2005,00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/292t)06 Phone: (503) 639 -4171 40 041 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7 :02AM PAGE: 37 SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15, 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, LLC, PHONE #: 350 - 695 4700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266.4790 Inspection Request Scheduled For: Date: 11/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 058798.02 603-572-7015 N Corrections /Comments /Instructions: Cec vre., 94,01 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CIVVYrA-J 1 ` `s P nom" Date: / 1 I/ 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005.00566 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 091200 ; Phone: (503) 639 -4171 / ar �l0wi��l "i t In Requests (24 Hrs.): (503) 639 -4175 ,_._t ' L INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 99 SITE ADDRESS: 10703 SW CANTERBURY LN BLDG 15 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15, new 4 unit condominium. Addresses: Unite 101,102,103,104. 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: 10/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 058683 -02 503- 572 -7015 . N Corrections/Comments/Instructions: )o tip/ `'O l/k LA -fr LJ 6. - 4--t. 1-4, c \-r ✓V Nu T r i` ✓{-dl vy. 1 1 PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS r2f,, FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \Al.A. -1A^^^- Date: I 0 ) ? I D) Phone #: (503) 718- 7 CITY OF TIGARD - b BUILDING DIVISION Ah, PERMIT #: PLM2005-00566 ll 13125 SW Hall Blvd.,.Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 -1 " 0 111Ali t i l■ Inspection Requests (24 Hrs.): (503) 639-4175 ,:. fl I ---- - -- 4 INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 24 SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 - CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15, new 4 unit condominium. Addreiges: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs, 200'4 footing drain. OWNER: CANTERBURY PLACE, LLC, i: PHONE #: 360-695-7700 CONTRACTOR: CROMVVELL PLUMBING — '--- • PHONE #: 503 Inspection Request Scheduled For: Date: 7/6/2007 " " " - Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 051540-02 503-E45z3654 N / Corrections /Comments / Instructions: e , X PASS 1 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS n FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (l 1.17 j 1 Pv--4--j Date: "7 ) 6 ) Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION ,,A1110 PERMIT #: PU0006-00566 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 1\ Phone: (503) 639-4171 —41 Wili f i 111 Inspection Requests (24 Hrs.): (503) 639-4175 ' f 1 INSPECTION WORKSHEET FOR DATE: 1212212006 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15, 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, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 4/44;5 Inspection Request Scheduled For: Date: •2/2712006 Pour Time: Code # Inspection Description Confirm # Contact # Mess 305 Plumbing underslab 041466-01 503-545-3654 Corrections/Comments/Instructions: C ., 9-t.7"C<._ ( W\;k\ 1- d ....1a. -.." • • ■ rirmss----- 7 PARTIAL APPROVAL pi CANCEL 0 NO ACCESS I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED \41. 711 7, 2- Inspector: Date: Phone #: (503) 718- —LS _, . ,. • | ' CITY OF ' ��nn n ��m TIGARD BUILDING DIVISION ~~~,"~~~~""~~° ~~"°"~°.~°"~ PERN1|T#: PL&j2006'00666 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912008 Phone: (503) 639-4171 h,,A,,, , A Inspection Requests (24 Hrs.): (503) 6304175 ,,,....ter r' INSPECTION WORKSHEET FOR DATE: 12B13/2006 TIME: 7:04Atvl PAGE: 38 SITE ADDRESS: 1O783GW CANTERBURY LN BLDG 16 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONE)OMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15. new 4 unit condominium. Addresses: Units 101.102.183.104. Other fixtures: (4) expansion tanks &f4\ hose bibs, ZDO of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 560_695-77O0 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-268'4790 Inspection Request Scheduled For: Date: 12/13/2000 Pour Time: • Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 041028-03 503'545.3654 N Corrections/Comments/Instructions: r ASS . 7 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS FAIL | I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED �� a� , / ~~- / � � /� , �� p Y J � /�� / '� .� Inspector: � v� /�- Date: ) ' -,�/W/� Phone (5U3\718' '` / / � ` ' CITY OF TIGARD BUILDING DIVISION .i. . PERMIT #: PLM2005-00566 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 5J29/2006 Phone: (503) 639-4171 40 / 4 4011# Inspection Requests (24 Hrs.): (503) 639-4175 .4.14- IL. INSPECTION WORKSHEET FOR DATE: 12113/2006 TIME: 7 PAGE: 39 SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15, new 4 unit condominium. Addresses: Units 101,102,103,101. 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: 12/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 04102B-02 503-545-3654 N Corrections/Comments/Instructions: PASS 1 PARTIAL APPROVAL n CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED y I Inspector: 1(1/1 1 L Date: / 0 / Phone #: (503) 718- , . . . . CITY OF TIGARD .BUILDING DIVISION PERMIT #: PLM2005-00566 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 A .„2,0,0011„, Inspection Requests (24 Hrs.): (503) 639-4175 — 14. IL , INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7 PAGE: 37 SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15, 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, LLC, PHONE #: 360-695-7700 CONTRACTOR: cROMVVELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 12/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 041028-04 503-545-3654 N Corrections/Comments/Instructions: • k fASS I I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED , Inspector: V )---(-, .(/ Date: /---- i Phone #: (503) 718- I • I/ . , CITY OF TIGARD ~. ' ��nn n ��m mm��mna�� BUILDING DIVISION PERMIT #: PLhA2005-00566 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/292009 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 "��' «�� INSPECTION WORKSHEET FOR DATE: 13/13/2006 TIME: 7:O4Akd PAGE: 38 SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 15, new 4 unit condominium. Addresses: Units 1O1.102.1O3.1O4. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360'695-770o CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 12/13/2006 . Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 041028-05 503-545-3664 N Corrections/Comments/Instructions: RART|AL APPROVAL CANCEL I NO ACCESS � || �� A|L ri CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED |nInspector: / Oate: �~ ' Phone#: (5O3) 718' ./ r /7 ` '