Permit K
C ITY OF TIGARD
PLUMBING PERMIT
I 1 ° l DEVELOPMENT SERVICES PERMIT #: PLM2005 -00552
..� I 13125 SW Hall Blvd., T igard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
PARCEL: 2S 110AA -01500
SITE ADDRESS: 1-9-7-3 'S� W CANTERBURY LN BLDG 28 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 28, 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 6/29/2006 $1,319.90
[PLMPLN] Plan Review 6/29/2006 $171.59
Phone : 360-695-7700 [TAX] 8% State Surcharl 6/29/2006 $105.59
Total $1,597.08
Contractor:
CROMWELL P MBING
30855 S. FFMAN RD. REQUIRED ITEMS AND REPORTS
CANBY R 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 01hrough OAR 952 - 0001 -0100. You may obtain copies of these rules direct questions to OUNC by
calling 03- 246 -669 or 0 332 -2344.
Issued y: K. '� �c �`—�i
'U 0n , Permittee Signature:
', j
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.
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Plumbing Permit Appli EIV tl=,& lOR OFl:ICI: USE ONLY -
City of Ti and Received . _/� p /� �!�p� �^�
�' �'` Date/By: 1,� - T 1 �,1 S , �tj Permit No.. 1 , /2�/J f/V J J 4
13125 SW Hall.Blvd., Tigard, OR 97223 ®ur 4 2O Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 t 1 41 i g 11141114 Date/By: 1 i I j ,,r/ O (S.-11'j Other Permit No.:
�'
24- Hour Inspection Line: 503.639.4175 {_
Internet: www.ci.ti ard.or.us CITY OF TI c` i Date Ready/tho 1uris: S See Page for
g ,'IV Notified/Method: 1 1 tr Supplemental Information
TYPE OI F D,
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
ID Accessory building ® Multi - family SFR (3) bath 399.00
❑ Master builder ❑Other: Each additional bath/kitchen 45.00
Fire sprinkler ( sq. ft) Page 2
/) 781 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 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.: I Page 2 „S'S OP
Storm sewer (no. linear ft.: 2)0) ( Page 2 1 OI ,'I D
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100 Page 2 Ls pa
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item
Absorption valve 16.60 /�// '/
DESCRIPTION OF WORK Backflow preventer 0 Page 2 ! 70
` f' ,
New Construction of Condominium Units Backwater valve 16.60 111 "'
Clothes washer '1 16.60 (p(, , 0
Dishwasher 1.4 16.60 (p(,, , l. Q
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Canterbury Place LLC Expansion tank 4 + 16.60 (p (o i 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 4 16.60 (,k , 0
® APPLICANT ® CONTACT PERSON Hose bib 16.60 (y (,, , Q
Ice maker x.r 16.60 1_ 66.J. J .
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 I Fax: : (360) 693 -4442 Sink/basin / lavatory 16.60 : 2,32 ,00
E -mail: Tub /shower /shower pan q 16.60 Z
3 , 5 Z)
Urinal 16.60
CONTRACTOR Water closet I 1 16.60 1 c q , 7, a
Business name: Cromwell Plu mg Inc i Water heater 14 16.60 (,,(, , '. V
Address: 30855 S Kauf n Road Other: I I
City/ State/ZIP: Can , O 97013 Subtotal 13 ?' 90
Minimum permit fee: $72.50 I '
Phone: (503) 26 790 Fax: (503) 2 Residential backflow minimum permit fee: $36.25 �p
CCB Lic.: 12 Plumb' ic. no.: 34-167 PB /3% Plan review {C.l.` of permit fee) t r �7 l
•
State surcharge (8% of permit fee) /
Authorized signature:
TOTAL PERMIT FEE 1 1 07 d ,s
Print name: Greg Cromwell Date: This permit application expires if a permit is not of .mu
180 days after it has been accented as complete.
I >y CITY OF TIGARD
• COMMUNITY DEVELOPMENT
" 13125 SW Hall Blvd., Tigard, OR 97223 503,639.4171
Plumbing Signature Form
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONTRACTORS
PO BOX 20698
PORTLAND, OR 97294
Permit #: PLM2005
Cate Issued: 6129/2006
Parcel: 2811 QAA- CCONIMON
Site Address: 10789 SW CANTERBURY LN BLDG 28
Subdivision: CANTERBURY CREST CONDOMINIU
Lot:
Jurisdiction: R -12
Zoning: TIO
Project Name: CANTERBURY CREST
Description: Building 28, new 4 unit condominium.
Addressee: Units '101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose
Your company has been Indicated as the plumbing contractor for the permit referenced 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. Please mail the form to: City of Tigard, Building Division,
13125 SW Hall Blvd,, Tigard, OR 97223, or you may fax the form to: 503.524.3681,
If you have any questions please call 503,7113.2433.
No plumbing inspections will be authorized until this completed form is received
OWNER; PLUMBING CONTRACTOR:
CANTERBURY PLACE LLC WOLCOTT PLUMBING CONTRACTORS
109 EAST 13TH STREET PO BOX 20698
VANCOUVER, WA 98660 PORTLAND, OR 97294
Phone #: 360 - 696 -7700 Phone #: 603 -235 -8784
Reg #: LIC 23 847
PLM 26 -208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM v 1 - 17? )11 sc
Signatu e authorized Plu /•er Name (printed)
60/60 39dd ±d11 9NIalIf1E aweiL I89Et' 9E95 SE :Oti LOo /l'U /90
0d Wd6E:ET L2JE Iz . unf I686L9920S: '0N XdJ : Wald
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CROMWELL PLUMBING - 1
30855 S. KAUFFMAN RD.
CANBY, OR 97013 JUL 21 nnfi
TY Ur 1113 rjt
Plumbing Signature Form BW zr�a�
Permit #: PLM2005 -00552
Date Issued: 6/29/2006
Parcel: 2S110AA -01500
!07$4 Site Address: 'khan-SW CANTERBURY LN BLDG 28
Subdivision: CANTERBURY CREST CONDOS
Block: Lot: 010
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 28, 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 #: L1c 44712
PLM 34 -167PB
AN INK SIGNATURE IS REQUIRED ON THIS F M
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-006 52
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6f29/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12i6/007 TIME: 7:06AM PAGE: 46
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, new 4 unit condominium.
Addresses: Units 101,102103,104. Other fixtures: (4) expansion tank, & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 30.695.7700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503 -235 -8784
Inspection Request Scheduled For: Date: 12/612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 060938 -01 503 - 672 -70166 N
Corrections /Comments /Instructions:
" i.> A201 RID gcw i e t,J 4-.- o Ps - 6 -- 7, C.
CO len lam. -t 6-e, f o- t t J�� ro ✓ &t i l � . r( u,v
/' �.� %• O . tea: `✓ •"x,4)-0 , � `' �' 1 • _
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -- 6 Date: 12/ C 1-07 Phone #: (503) 718-
CITY OF TIGARD ' ..
BUILDING DIVISION '
A t
PERMIT #: PLM2005-00552
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U29/2006
Phone: (503) 639-4171
I ntiolliti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/19/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, 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: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-236-87
Inspection Request Scheduled For: Date: 9/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 055936-02 503-313-7398 Y
Corrections/Comments/Instructions:
•
X PASS I I PARTIAL APPROVAL fl CANCEL NO ACCESS
n FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: c .16 Inrrn—/1 b V-----d--- Date: c fl 1 cA kY Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005.00552
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
,.„.1
Inspection Requests (24 Hrs.): (503) 639-4175 111
INSPECTION WORKSHEET FOR DATE: 8/8/2007 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 - CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, 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: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503.235-8784
Inspection Request Scheduled For: Date: 8/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 053609-01 503,313-7398
Corrections/Comments/Instructions:
Cc C
•
PASS I I PARTIAL APPROVAL fl CANCEL EI NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: p
Date: T )/t)? Phone #: (503) 718-
_ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -005 2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 629 /2006
Phone: (503) 639 -4171 /or�i�9 tl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST •
DESCRIPTION: Building 28, new 4 unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tank: & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360 - 695.7700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503 - 235.8764
Inspection Request Scheduled For: Date: 7/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 052445 -06 503 - 313 -7398 N
Corrections /Comments/ Instructions:
$—I I r ?v im -(4, An
PASS ❑ PARTIAL APPROVAL n CANCEL I NO ACCESS
❑ FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: l J i Phone #: (503) 718-
CITY OF TIGARD $ ,
- BUILDING DIVISION PERMIT #: PLM2005 005"2
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 0/2912006
Phone: (503) 639 -4171 uptit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 61
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #:' TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, 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: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503 - 235 -8784
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 052123 -04 503. 545.3654 N
Corrections /Comments /Instructions:
tir ( I GCe, -KA' S3 - . r'y d C'ue,-,
•
X PASS I I PARTIAL APPROVAL U CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: Q Date: 7/010 7 Phone #: (503) 718-
r .
CITY OF TIGARD
{ - - BUILDING DIVISION PERMIT #: PLM200&- 00&62
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 : ��nitt'�il
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 63
SITE ADDRESS: 10769 SW CANTERBURY LN BLDG 28 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.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360- 695.7700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503235.8784
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
33 Rain drain 052123-02 503-545-3654 N
Corrections /Comments /Instructions:
PASS ( I PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 14•4,J 3 ) ) Y - Date: 1 ) 7 J- Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00552
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 hAli m nipl@ (
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 64
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, 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: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503 - 235 - 8784
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 052123-01 5(3545 -3654 N
•
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
I 1 FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C3 ) 1 J Date: 7/171 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200S -00662
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 M
' INSPECTION WORKSHEET FOR DATE: 7/17/2017 TIME: 7:03AM PAGE: 62
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, new 4 unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360695.7700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503- 235.8784
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
J05 Sanitary sewer 052123 -03 • 503 -545 -3654 N
•
Corrections /Comments /Instructions:
•
PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,Inspector: CA 1 1/-4‘;)) )I P-1-./ Date: - 7 11 ?/•b7 Phone #: (503) 718-