Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: P 2712%% -00565
' ', � �I DATE ISSUED: 1/27/2006
1 3125 SV�l H H Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA CC001
16
SITE ADDRESS: / 6t3 SW CANTERBURY LN BLDG 8 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 8, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: 200' of footing
drain, (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: 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 1/27/2006 $1,388.40
[PLMPLN] Plan Review 1/27/2006 $347.10
Phone : 360-695-7700 [TAX] 8% State Surcharl 1/27/2006 $111.07
Total $1,846.57
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 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 les or direct questions to OUNC by
calling 503 - 246 -6 -=9 or 1- 800 - 332 -234-.
Issued By: `� y, Permittee Signature:
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.
/ 0 6 / 3 C..-4-,....6, ( .
ECEll .
Plumbing Permit Applica >< r- FOR OFFICE USE ONE)
OCT � Received, _ _ �(( _
13125 SW W Hall B Tigard, OR 97223 " [ •1 Q5 Date/By: (® 11 65" '9C !` Permit Not, ,' �ac 65-
_' i
Phone: 503.639.4171 Fax: 503.598.1960 Gxm gli �• I�. Datte/By %)` l j sl l..J Other Permit No j 3,,
24- Hour Inspection Line: 503.639.4175 CITY OF TI/„...44 � Date Ready/By: Jwis: ® See Page 2 for
Internet: www.ci.tigard.or.us BUILDING / 4 r Notified/Method: ' - Supplemental Information
TYPE OF WORK FEE* SCHEDULE '•r:_
® New construction El 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
El Accessory building ® Multi - family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler (_ sq. ft.) Page 2
/Q ( T4/ 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 P 1 Project name: Canterbury Crest Footing drain (no. linear ft.: 200) I Page 2 101 , 0
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 5S , 0
Storm sewer (no. linear ft.: 200 I Page 2 101 , H I)
Subdivision: Canterbury Place I Lot no.:
Water service (no. linear ft.: 100) I Page 2 5 5 , 0 D
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer 0) Page 2 a� r
New Construction of Condominium Units Backwater valve 16.60
Clothes washer 4 16.60 ( (0 , y D
Dishwasher q 16.60 („4„, , L D
0 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Canterbury Place LLC Expansion tank i'l 16.60 (,,(, , y 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 b ( , q 0
0 APPLICANT e CONTACT PERSON Hose bib 16.60 (y 6 , N D
Ice maker 16.60 (410....e 0✓
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 n
Sink/basin/lavatory 1 g. 16.60 xq $ , 20
Tub /shower /shower pan U 16.60 132 , g 0
E -mail:
Urinal 16.60
CONTRACTOR Water closet 12_ 16.60 ( crick ,Z
Business name: Cromwell Plumbing Inc Water heater 14 16.60 G (o , J•I 0
Address: 30855 S Kauffman Road Other:
City/State /ZIP: Canby, OR 97013 Subtotal /3g8 ,
Minimum permit fee: $72.50
Phone: (503) 266 -4790 Fax: (503) 266-4792 p.,-;,i -t:.t I kflow minimum ^P^^;t fee: $36.25
CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB - _ ._ . _ - _ an review op"%f permit fee) 34 i 0
State surcharge (8% of permit fee) /( 1 , 0.7
Authorized signature: TOTAL PERMIT FEE r S y6. 57
Print name: Greg Cromwell Date: This permit application expires if a permit is not obtained within
180 days after it has been accented as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005- 00665
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006
Phone: (503) 639 - 4171 "dU�II
Inspection Requests (24 Hrs.): (503) 639 -4175 �.�_
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7 :04AM PAGE: 67
SITE ADDRESS: 10801 SW CANTERBURY LN BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8, new 4 unit condominium. Addresses: Units 101,102,103,104. Other fixtures: 200' of
footing drain, (4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 - 695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 -266 -4790
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 039616 -06 503 - 572 -2961 N
Corrections /Comments/ Instructions:
101 - •����L. ti6161. Ilk2. � 119' 44
\6 bl( l..v c c n .
} 0 Kov 5 9 3.1 ° F UTIA .
KiTcAke cs K. wevu1 ?
1n$ `tveMts �a.� � x:
L k kTr- -- N6/661)ret3S 41 2- s f 13(14(
`•c, 0K. l✓ vKE tirn
1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: cp ' ' V C Date: I I Phone #: (503) 718 -
'—
CITY OF ~ '
� ��nn n »��w TIGARD ^ '�
BUILDING DIVISION ` - / PERMIT #: PLkd2006-00668
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11n12006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503 ) 839-4175 A-"ta,
INSPECTION WORKSHEET FOR DATE: 8116/2006 TIME: 7:05AhA PAGE: 63
SITE ADDRESS: 1OG138WV CANTERBURY LN BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8, new 4 unit condominium. Addresses: Units 1 thru 1. Other fixtures: 2OO'*f footing drain,
(4) expansion tanks &(4) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: CROIVIWELLF»LUMBING PHONE #: 50J-266-4790
Inspection Request Scheduled For: Date: 8$16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 035059-01 971'663-6984 N
Corrections/Comments/Instructions:
y PASS ri PARTIAL APPROVAL CANCEL I I NO ACCESS
| | FAIL CALL FOR INSPECTION I ADDITIONAL E ASSESSED
Y �/�' �
Inspector: �"�. /4Oate� 'r f *- /��� Phune #� /SO3) 718' � ^ � �/ ' ' ...2,
/'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: P _vi200 _00E.65
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11270006
Phone: (503) 639 -4171 :miu 1��a i�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ���
INSPECTION WORKSHEET FOR DATE 2P1/2006 TIME: 7 :0 AM PAGE: 111
•
DSO(
SITE ADDRESS: ..10613 SW CANTERB LN BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: 200' of footinc, dra=in,
(4) expansion tanilss & (4) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 300.69 -77t1f
CONTRACTOR: CRUZ WELL PLUMBING PHONE #: 603 47e 0
Inspection Request Scheduled For: Date: 2/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'.335 Water service 021167 -01 (03- 757.3865 N
Corrections /Comments /Instructions:
•
•
•
1 i
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: flY) L 1, �-- Date: _� Phone #: (503) 718- 27 "11
CITY OF TIGARD =;`,, ,..
BUILDING DIVISION PERMIT #: P M2U(l6- Otf66.6�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112-11- -)006
Phone: (503) 639-4171 .I
/�maii���tp it
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I..
INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 1 :06A1' PAGE: 66
SITE ADDRESS: 10613 SW CANTERBURY Y I N BLDG' 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: 2(XY of footing drain,
(4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 -685 -7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 60:3-.26&4790
Inspection Request Scheduled For: Date: 2/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 027096 -01 503-767 N
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
L n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( /\. -C---/ Date _ 7 . a Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 00665
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006
Phone: (503) 639 -4171 a � i Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2116/2006 TIME: 7 :07AM PAGE: 50
bg°
SITE ADDRESS: .10613 SW CANTERBURY LN BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8, new 4 unit condominium. Addresses: Units 1 thrit 4. Other Fixtures: 200' of footing dr,:in,
(4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360_695.Tim
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 2/16/7005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 027002 -01 503 - 209.7978 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: 71 1 -1.✓ I I t W,,...2 Date: _Ill E /06 Phone #: (503) 718 -.
CITY OF TIGARD .. - ,
BUILDING DIVISION P ERMIT #• Pt_M3pf) i01 ;� J
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1177 /2OO6
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/16/2006 TIME: 7 :07AM PAGE: 49
jta
SITE ADDRESS: •f081 3 SW CANTERBURY LN BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST' LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8, new 4 unit condominium: Addresses: Units 1 thru 4. Other fixtures: 2(X)' of footing drain,
(4) expansion tanks & (4) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: -3 88± x. 7 70 0
CONTRACTOR: CROMWELL PLUMBING PHONE #: 593- 266478t)
Inspection Request Scheduled For: Date: 2/16/2006 Pour Time:
Code # Inspection Description. Confirm # Contact # Message
340 Storm drain 027002 -02 03- 209.7878 N
Corrections /Comments /Instructions:
•
•
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1 a r'.-Q Date: Z Phone #: (503) 718-