Permit CIT OF TIGARD PLUMBING PERMIT
A I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00550
�l DATE ISSUED: 6/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 110AA -01500
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 26, 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: . , I
CROMW h. P_ d BING W
30855 S. • FMAN RD. REQUIRED ITEMS AND REPORTS
CANB� •R 9 ■13
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 r - or direct questions to OUNC by
calling 50 46 f99 00- 332 -2344. Ilp
Issued B l /� U1k)c Permittee Sign. - • / , 9
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.
/07 97 Cv4-e.. 6ui� Lx ,,e,
Plumbing Permit Applicati • 1 ECEIVED • . FOR OFFICE. USE ONLY
City of Tigard ��� Received ^/ Permit No. l t J 9 j5 `�
13125 SW Hall Blvd., Tigard, OR 97223 Q 200 , Date /By: el.._ 11
Plan Review j �Q �
Phone: 503.639.4171 Fax: 503.598.1960 A'arrr�Al����� i'',�� Date/By: / JI �l 0 (` / ) Other Permit N g% W �5 - 36Q
24- Hour Inspection Line: 503.639.4175 CITY 0 v� x:11 i Date Ready/By: luris: El See Page 2 for
Internet: www.ci.tigard.or.us BUILDING f)IVJSlpni Notified/Method: 11 Supplemental Information
TYPE OF WORK . FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description 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
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: /07 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.: 100) 1 Page 2 .5.5 of
Storm sewer (no. linear ft.: 200) ( Page 2 1 of , y'p
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100 ) I Page 2 s 5 , 00
Fixture or item
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 16.60
' DESCRIPTION OF WORK ' _ Backflow preventer ® Page 2 �� , e6
New Construction of Condominium Units Backwater valve 16.60
Clothes washer LI 16.60 £.o(, , '4 0
Dishwasher 4 16.60 GC, , y 0
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Canterbury Place LLC
Expansion tank Li 16.60 (o(0 r t.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 1-1 16.60 (o (o t y 0
. ® APPLICANT ® CONTACT 'PERSON Hose bib i 4 16.60 (� (o t( 0
Ice maker t 16.60 '" "� (. uQ
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 Q 16.60 32
Tub /shower /shower pan g 16.60 1 3j Z, 5 0
E -mail:
Urinal 16.60
CONTRACTOR . Water closet 4 7., 16.60 I q et, 20
Business name: Cromwell Plumbing : l �+ , lJ 1 Water heater q 16.60 (A 40
Address: 30855 S Kauffman ' ad Other:
City/State /ZIP: Canby i 97013 Subtotal ' /y950
Minimum permit fee: $72.50
Phone: (503) 2 , 790 Fax: (503) 266 2 Residential backflow minimum permit fee: $36.25
-
CCB Lic.: • • '12 Plumb' ic. no.: 34-167 PB 13y Plan review (X . of permit fee) / ?
Authorized signature: State surcharge (8% of permit fees w5' -
a
TOTAL PERMIT FEE /5 0
Print name: Greg C well Date: This permit application e xpires if a permit is not obtained within
180 days after it has been accented as complete.
;!! V CITY OF TIGARD
COMMUNITY DEVELOPMENT
lU) 13125 SW Hall Blvd., Tigard, OR 617228 503.5$9,4171
Plumbing Signature Form
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONTRACTORS
PO BOX 20898
PORTLAND, OR 97294
Permit #: PLM2005 00580
Date Issued: 6/29/2006
Parcel; 25170AA- CCOMMON
Site Address: 10797 SW CANTERBURY LN BLDG 26
Subdivision: CANTERBURY CREST CONDOMINIU
Lot:
Jurisdiction: R -12
2.ori frig: TIG
Project Name: CANTERBURY CREST
Description; Building 26, new 4 unit condominium.
Addresses: Units 101,1102,103,104. 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 I�ivlsion,
13125 SW Hall Blvd,, Tigard, OR 97223, or you may fax the form to; 503.624.3881.
If you have any questions please call 1303.719,2433.
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 PQ BOX 20998
VANCOUVER, WA 98660 PORTLAND, OR 97294
Phone #: 360 -695 -7700 Phone #: 603.235.8784
Reg #; LIC 23847
PLM 26 -208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Si natr lr4iuthoriZed Plum��Wr Nama rinted
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CITY OF TIGARD .,
BUILDING DIVISION
AA, PERMIT #: pLtv12005.00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006
Phone: (503) 639-4171 ia,4101111'
Inspection Requests (24 Hrs.): (503) 639-4175 A - -'t .1.. .,
INSPECTION WORKSHEET FOR DATE: 102008 TIME: 7:01A1v1 PAGE: 42
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, new 4 unit condominium.
Addresses: Units 101,102,103,1(4. Other fixtures: (4) expansion tank & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360695.7700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-235-8784
Inspection Request Scheduled For: Date: 1/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Piumbing final 062798-03 503-313-7398 N
Corrections/Comments/Instructions:
Care, 'c'l 't 91Q
. X PASS El PARTIAL APPROVAL 111 CANCEL fl NO ACCESS
I I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: criA/14-&-fl . Date: f /1/O?) Phone #: (503) 718-
, , . 4." . ' ' • '
_ .• . - . .. ,
CITY OF TIGARD -
BUILDING DIVISION . f PERMIT #: PI..M 3005- 00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 m u�M n I ,
Inspection Requests (24 Hrs.): (503) 639 -4175 -'I��
INSPECTION WORKSHEET FOR DATE: 113/200 TIME: 7 :00AM PAGE: 61
. SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, new 4 unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tank; & (4) hose bibs.
. OWNER: CANTERBURY PLACE LLC. PHONE #: 36G-6%4700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503 - 23643754
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 062438-03 503-313-7398 N
Corrections/Comments/Instructions: ,
; /�i'� t k ef— tiec ( ""U 1 oLJ f d c- f T'i..i � 2 \7 0 `F' °T.ye"
1, ;,�..' "C- .. a � a,.r ,e.� , C-t l 6 Vic, k/
S ChAkcAlik , rAk i lam, t.
A ... o k t it.,,ne.i./'v- - S 40.4-C..c:k
/Q l-,� L.) 4."
PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: v1,.� 1 \ Date: 11 3 1 67- Phone #: (503) 718-
CITY OF TIGARD "
BUILDING DIVISION PERMIT #: PI..M:9005-00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2892006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639-4175 '' �t
INSPECTION WORKSHEET FOR DATE: 10911/2007 TIME: 7 :01AM PAGE: 60
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, new 4 unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bits.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 5O3-23( -6764
Inspection Request Scheduled For: Date: 10/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 057405 -01 503.572 -7015 Y
Corrections /Comments/ Instructions:
c.L ter- l C 1 oe ,../1 'Sc Or ,,, /- C . v r e-T"
t I a -'S 6tLI,, . /- ' - ao / k4 , ✓ e� tJ a -�v,
yj PASS ❑ PARTIAL APPROVAL [l CANCEL n NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CM, t'Ir -� \ l"`` -`. Date: ) 0 J // /6 Phone #: (503) 718-
,. . ..,.......
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: puvi1006.00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/200C ,
Phone: (503) 639-4171 Wilt
Inspection Requests (24 Hrs.): (503) 639-4175 J.. - .......
INSPECTION WORKSHEET FOR DATE: 8/29/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: '10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, 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„87B4
Inspection Request Scheduled For: Date: 8/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 054813.01 503-313-7398 N
Corrections/Comments/Instructions:
EX PASS F PARTIAL APPROVAL fl CANCEL NO ACCESS
0 FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: (Tbl/vi■A_J \\ ,i Date: 712m to-7 Phone #: (503) 718-
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -005 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 Ipr n II)° r
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/20/2007 TIME: 7:02AM PAGE: 45
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, 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-B7&1
Inspection Request Scheduled For: Date: 8/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 054296 -01 503.572 -7015 N
Corrections /Comments /Instructions:
•
yi PASS I I PARTIAL APPROVAL CANCEL NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 0 ti--J\ Date: 7 !26 J 6`7 Phone #: (503) 718
CITY OF TIGARD . ,
BUILDING - .DIVISION PERMIT #: PLM2005- 00566()
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, new 4 unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 3601695 -7700
CONTRACTOR: WOLCOTr PLUMBING CONTRACTORS PHONE #: 503 - 235.8784
Inspection Request Scheduled For: Date: 8/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 05 Plumbing underslab 054 i12-03 503 - 313 -7398 N
Corrections /Comments /Instructions:
•
X PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C 1- "'t -'J k) �'^- -L Date: ?1 I0"7 Phone #: (503) 718-
CITY ��^����N��������
���N � ��m ww����on��
• BUILDING DIVISION
PERMIT #: 2005-00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: {J29,2]06
Phone: (503) 639-4171
Inspection Requests (24H_La; :(GU3)630'4175 =8� «���
INSPECTION WORKSHEET FOR DATE: 0K1802007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 2€ CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 38, new 4 unit condominium.
Addresses: Units 1D1.102.1D3,1O4. Oihr fixtures: 4) expansion tanks & 4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695'7700
CONTRACTOR: woLcoTT PLUK4B|NG CONTRACTORS PHONE #: 603-235-8784
Inspection Request Scheduled For: Date: 8/160007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 054112-04 603.313-7398 N
Corrections/Comments/Instructions:
7� PASS PARTIAL �� CANCEL I NO ACCESS
' ' �� /
I | FAIL 7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: r� �^^^\~J �~~�— Date: \ to /0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: PLM2006-00660
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006
Phone: (503) 639-4171 400
Inspection Requests (24 Hrs.): (503) 639-4175 ' 411
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AM PAGE: 416
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, new 4 unit condominium.
Addresses: Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 350-695-7700
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS " PHONE #: 503
Inspection Request Scheduled For: Date: 8/16/2007 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
340 Storm drain 054112 503
Corrections/Comments/Instructions:
•
PASS 1 I PARTIAL APPROVAL ri CANCEL fl NO ACCESS
Li FAIL I I CALL FOR INSPECTION I j ADDITIONAL FEES ASSESSED
Inspector: Cre Date: • ti /0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005•00S5(1
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: 8/1612007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26, 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 #: 503-235-87M
Inspection Request Scheduled For: Date: 81/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 054112-06 503 - 313 -7398 N
Corrections /Comments/ Instructions:
Ix PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: .Qa Date: P) 16 le'? Phone #: (503) 718-