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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 -00551 '�I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 /G1 DATE ISSUED: 6/29/2006 33 PARCEL: 2S110AA -01500 SITE ADDRESS: 'SW CANTERBURY LN BLDG 27 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 27, 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 CROMWELMBING 308zet.,0 FMAN RD. REQUIRED ITEMS AND REPORTS CA 97013 Contac t # : PRI 503 - fs6 4790 FAX 3- 266 -4792 Reg #: I I( 44712 7 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 -e - 0 , . hrough OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 13-246-6 9 r 800- 332 - 2344. . Issued y: rt i .4 Permittee Signatur s , %� 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. , f -- 1 / t?7 ' 9 Ce..-ltil..u..!_, Lc., -- ., Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard / Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 £? d 111 u 1, e ; : � ° a +` j, DateBy:� ' ��� �y�j�- )� I{ f Plan Revi _ ) � Date Ready /By: Phone: 503.639.4171 Fax: 503.598.1960 '� f � l ; D ate B y: 11110 0 C J Other Permit No e O��/ , '4110 24- Hour Inspection Line: 503.639.4175 Internet: www.ci.ti azd.or.us 4 g 1 1 I_, J Notified/Method: 1 Juris: `^�� lk 8 See Page 2 f Supplemental Information OCT , x TYPE OF WORK FEE* SCHEDULE . ® New construction C 'it?] CDEIrIltit&R D For special information use checklist 1311 t� UIV151UN Description � Qty. I Ea. Total ❑ Addition/alteration/replacement ether: 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 /p 79 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.: BLDQC 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 ,js 0D Storm sewer (no. linear ft.: 200) ( Page 2 lot , y a Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: M) , Page 2 SS , 0 Fixture or item Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 16.60 DESCRIPTION OF WORK , Backflow preventer ID Page 2 1. 7 • ‘ New Construction of Condominium Units Backwater valve 16.60 Clothes washer 1,1 16.60 Lk, , y Q Dishwasher 1-1 16.60 (.0(0 , LI 0 . ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 • Ejectors /sump 16.60 Name: Canterbury Place LLC Expansion tank t 16.60 ( , 4 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 CAR , y 0 ED APPLICANT El CONTACT PERSON Hose bib 16.60 �DO , 4 -10 Ice maker. 16.60 Business name: Canterbury Place LLC Interceptor /grease trap 16.60 Contact name: Dave Gutsehmidt 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 3 , b© E -mail: Tub /shower /shower pan g 16.60 132 , 5 0 Urinal 16.60 CO." ' • CTOR / Water closet 12_ 16.60 / qq , o Business name: Cromwell PI • 1 ing Inc I ,Z) V " / �(� / �76t Water heater 16.60 (p (, ■ Li Q Address: 30855 S Kauff,- an Road Other: City/State /ZIP: Ca , y, OR 97013 Subtota a .. 7 0 Minimum permit fee: $72.50 Phone: (503) 2 , , • 790 Fax: (503) 266 2 Residential backflow minimum permit fee: $36.25 ,q CCB Lic.: 712 Plumbin ic. no.: 34 -167 PB ` o /3% Plan review (2 permit fee) / 7 , . ,7 i State surcharge (8% of permit fee) /05 Authoriz signature: TOTAL PERMIT FE:_ / 597 O� 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 • .: COMMUNITY DEVELCUPMENT 13125 SW Hall SIvd., Tigard, OR 617223 W3.039.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 20698 PORTLAND, OR 97294 Permit #: PLM2005 -00551 Date Issued: 6/2912006 ParCOI: 28110AA- CCOMMON Site Address: 10793 SW CANTERBURY LN BLDG 27 Subdivision: CANTERBURY CREST CONDOMINIU Lot: Jurisdiction: R - Zoning: TIG Project Name: CANTERBURY CREST Description: Building 27, new 4 unit condominium, Addresses: Units 101,102,103,104. Other fixturee. (4) expansion tanks & (4) hose Your company has been indicated as the pIL:mbing 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, 13126 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 603.718.2431 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 20898 VANCOUVER, WA 98660 PORTLAND, OR 97294 Phone #: 360- 695 -7700 Phone #: 503 - 235.8784 Reg #: LIC 23847 PLM 26-208P3 AN INK SIGNATURE IS REQUIRED ON THIS FORM X J. 2.i■ vNI , Si 4Authorized PI / ber Name (printed) E0 /Z0 39 d 1d3Q 9NIa1Ifa aitiN1 T89EtZ9E09 5E :0T LOWL /TZ/90 Td Wd8Z:ZT LOOZ Ti✓ . unf 1686L9920S: '0N Xt3d : WOdd CITY OF TIGARD BUILDING DIVISION PERMIT #: ptiyugo!-7,0055 13125 SW Hall Blvd., Tigard, OR 97223 411A09011■\ DATE ISSUED: 6129/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ..114li 'AL INSPECTION WORKSHEET FOR DATE: 1 71 1 4 / 2007 TIME: 7:01AM • PAGE: 32 1 SITE ADDRESS: 10793 SW CANTERBURY LW BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, 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 #: 503-236-8784 Inspection Request Scheduled For: Date: 12/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 081551-01 503-572-7015 N Corrections/Comments/Instructions: Ca ire, f c 1.-A Iv U:1 PASS 0 PARTIAL APPROVAL E] CANCEL El NO ACCESS FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED , Inspector: (T6VYNA-A 1,‘ 46:L.,- Date: /2fi WO - 7 Phone #: (503) 718- ~'..• CITY OF ' ��nm m m�'m TIGARD . BUILDING DIVISION PERMIT #: Km2005.00661 13125SVV Hall B|vd.. Tigard, OR07223 DATE ISSUED: 6/2a Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 �141 INSPECTION WORKSHEET FOR DATE: 8K26/2007 TIME: 7:01AM PAGE: 70 SITE ADDRESS: 10793 SW CANTERBURY LN BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, new 4 unit condominium. Addresses: Units 1O1.1O2.1D3.1D4 Other fixtures: (4)evansion'Lantz &(4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-6E5-7700 CONTRACTOR: WOLCOTT PLUM13ING CONTRACTORS PHONE #: 505-235-0784 Inspection Request Scheduled For: Date: 9/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 056337c02 503-572-7015 N Corrections/Comments/Instructions: N PASS � ���ALAPPR�� NO ACCESS � �ANCEL I w�� / / / / / | | FAIL El CALL FOR INSPECTION I | ADDITIONAL FEES ASSESSED Inspector: /�r�~�^�\--~^-^- Dote: 4 1 ~ ' f Phone #: (503) 718- ^' - ' CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00551 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 #0111pil 74 I Inspection Requests (24 Hrs.): (503) 639-4175 ■■..a INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 49 SITE ADDRESS: 10793 SW CANTERBURY LW BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, 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: 8/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 053779-01 503-313-7398 Y Corrections/Comments/Instructions: " 0 - _ # I - • , 11/ PASS PARTIAL APPROVAL El CANCEL I I NO ACCESS I I FAIL 7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED \ Inspector: 011/1...R.--)1 1 )\1t4AA..4.--- Date: 1,0 J 07 Phone #: (503) 718- • CITY OF ��um w ��m TIGARD BUILDING DIVISION PERMIT #: PLM2006-0066 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7y30/2007 TIME: 7:03AM PAGE: 39 SITE ADDRESS: 10793 SW CANTERBURY LN BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanhn&(W) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-2358704 Inspection Request Scheduled For: Date: 7y20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 F1umbingundmnamb 052145,01 503-313-7398 N Corrections/Comments/Instructions: 0� PASS I1 PARTIAL APPROVAL El CANCEL fl NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED r-T Inspector: �\ � Date: — 7 | ) 61 Phone #: (503) 718- _ - . . CITY OF TIGARD BUILDING DIVISION PERMIT #: PLIv12005-00561 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 ,..4111411111 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 38 SITE ADDRESS: 10793 SW CANTERBURY LW BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 3611695-7700 CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-235-13784 Inspection Request Scheduled For: Date: 7/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 052445-02 503-313-7398 Corrections/Comments/Instructions: b 1 V4 PASS fl 7 PARTIAL APPROVAL 7 CANCEL I I NO ACCESS 7 FAIL [ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: c:1-13 Date: "7 ) ) 6 - 7 Phone #: (503) 718- , . CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00551 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 imoNttill Inspection Requests (24 Hrs.): (503) 639-4175 I INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 37 SITE ADDRESS: 10793 SW CANTERBURY LN BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, 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: 7/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 052445-03 503-313-7398 Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL ri CANCEL I I NO ACCESS n FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: <TO Date: -) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00551 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006 Phone: (503) 639- 4171 fl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7 :03AM PAGE: 36 SITE ADDRESS: 10793 SW CANTERBURY LN BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, 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 -770(1 CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503. 235.8784 Inspection Request Scheduled For: Date: 7/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 052445-04 503 -313 -7390 N • Corrections /Comments/ Instructions: Co w e , l r Co 4 C PASS PARTIAL APPROVAL n CANCEL NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: TTil 1, ∎. Date: –) 2 -J) a °) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • PERMIT #: PLM2006-00561 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/29/2006 Phone: (503) 639-4171 Ak do Inspection Requests (24 Hrs.): (503) 639-4175 . L. INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 35 SITE ADDRESS: 10793 SW CANTERBURY LN BLDG 27 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 27, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs. OWNER: CANTERBURY PLACE LLC, PHONE #: 380-05-7700 -CONTRACTOR: woLcorr PLUMBING CONTRACTORS PHONE #: 503-235-87134 Inspection Request Scheduled For: Date: 7/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 062445-05 503-313-7398 Corrections/Comments/Instructions: - rL c -4- or T; 01 k aciir CLA.„ C rb et kt (,J 5■(1 PASS fl PARTIAL APPROVAL fl CANCEL NO ACCESS [ FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: .Crb Date: 7) Phone #: (503) 718-