Permit ITY OF TIGARD PLUMBING PERMIT
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DEVELOPMENT SERVICES PERMIT #: PLM2005 -00546
• ��I DATE ISSUED: 11/29/2005
13125 SW all Blvd., Tigard, OR 97223 503 -639 -4171
/D S PARCEL: 2S110AA-CC001
SITE ADDRESS: SW CANTERBURY LN BLDG 3 ZONING: R -12
SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG
Project Description: Building 3, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) hose bibs.
CLASS OF WORK: NEW GARBAGE DISPOSALS: 6 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 6 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: 3 WATER HEATERS: 6 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 6 URINALS: GREASE TRAPS:
LAVATORIES: 14 OTHER FIXTURES: 12
TUB /SHOWERS: 10 SEWER LINE: 100 ft
WATER CLOSETS: 10 WATER LINE: 100 ft
DISHWASHERS: 6 RAIN DRAIN: 200 ft
Owner: FEES
CANTERBURY PLACE LLC Description Date Amount
109 EAST 13TH STREET
VANCOUVER, WA 98660 [PLUMB] Permit Fee 11/29/200E $1,519.40
[TAX] 8% State Surcharl 11/29/200E $121.55
Phone : 503-695-7700 [PLMPLN] Plan Review 11/29/200E $197.52
Total $1,838.47
Contractor:
CROMWELL PLUMBING
30855 S. KAUFFMAN RD. REQUIRED ITEMS AND REPORTS
CANBY, OR 97013
Phone : 503- 266 -4790
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 rules or direct questions to OUNC by
calling 503 246 or 1- 800 -332 -2i'�.
Issued By: �� A _ ` d, Permittee Signature: ___e22111.4raieilr.4±4.—
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 Application 77 n(jyy �� tt , //�� i OR OFFICE usl: ()NIA
LUUJ D a t e By ( IQ 1 V Permit N°77 � , 06 `S - 0 b 5 - ",
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223 � 1 4 DaeB
Plan Review ] ��)
Phone: 503.639.4171 Fax: 503.598.1960 beaunM� l tl Il Date/By: // � (�� Dc�:l ✓' der Permit No.: d oe act5 -- 9 3
24- Hour Inspection Line: 503.639.4175 CITY OF TIGA' 'law •-•I I Date Ready/By: ru' ® See P>ige 2 for �' /
Internet: www.ci.tigard.or.us BUILDING DIVIS O J Notified/Method: ,T.' i Supplemental Information
TYPE OF WORK FEE *.SCHEDULE'._ ,> .
® New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. ] 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
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 / U g 41 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 55 , OD
Storm sewer (no. linear ft.: 211 )0 2 Page 2 lot , 4 0
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) I Page 2 t Cj , D 0
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK Backliow preventer CD Page 2 t/ , qQ
New Construction of Condominium Units Backwater valve 16.60
Clothes washer / (p 16.60 9C ,(j 0
Dishwasher i % (p 16.60 q9 , ( D
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Canterbury Place LLC Expansion tank • (p 16.60 99 , (,, 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 to 16.60 C :( , (r 0
Hose bib , (0 16.60 q Cl , G 0
® APPLICANT 0 CONTACT PERSON
Business name: Canterbury Place LLC Ice maker 16.60
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 / U - 16.60 3 32..00
Tub /shower /shower pan v"/ 0 16.60 I L , 00
E -mail:
Urinal 16.60
CONTRACTOR _ Water closet / / 0 16.60 1 ( 00
Business name: Cromwell Plumbing Inc Water heater (p 16.60 cri , (, 0
Address: 30855 S Kauffman Road Other:
City/State/ZIP: Canby, OR 97013 Subtotal'
Minimum permit fee: $72.50 q y,}')
Phone: (503) 266 -4790 Fax: (503) 266 -4792 Residential backflow minimum permit fee: $36.25 // I /
CCB Lic.: 44712 Plum Lic. no.: 34-167 PB Plan review /,3' %. ermit fee) /g `.•', So Z
State surcharge (8% of permit fee) ' . � ,9,_/ , SS
Authorized signature: TOTAL PERMIT FEE / •^�. �. '--/
C,rr a J /
Print name:
Date: This permit application expires if a permit is not obtained mum
180 days after it has been accented as complete.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CROMWELL PLUMBING
30855 S. KAUFFMAN RD.
CANBY, OR 97013
Plumbing Signature Form
Permit #: PLM2005 -00546
Date issued: 11/29/2005
Parcel: 2S110AA -CC001
iv 8 Site Address: 147-77 SW CANTERBURY LN BLDG 3
Subdivision: CANTERBURY CREST
Block: Lot: 001
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 3, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) 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 #:503 -695 -7700 Phone #: 503- 266 -4790
Reg #: LIC 44712
PLM 34 -167PB
AN INK SIGNATURE IS REQUIRED ON THI FORM
X
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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CITY OF TIGARD .
1. r,
BUILDING DIVISION
Ahlo PERMIT #: PU/12005-00546
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/290005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,--4. - -YE.
INSPECTION WORKSHEET FOR DATE: 9/19/2006 TIME: 7 PAGE: 41
/68SIS .
SITE ADDRESS: 1.9-7 CANTERBURY LW BLDG 3 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 3, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures*. (6) expansion tanks & (6) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 503-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503.266-4790
Inspection Request Scheduled For: Date: 9/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 036781-06 503-572-2961 N
Corrections/Comments/Instructions:
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521
—AsP n PARTIAL APPROVAL 0 CANCEL EI NO ACCESS
I I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: a tZ Date: : ,,, ' Phone #: (503) 718-
CITY OF TIGARD • , ,:a. .
BUILDING DIVISION PERMIT #: RA2005-00516
13125 SW Hall Blvd., Tigard, OR 97223 ,A.
DATE ISSUED: 11/29/2005
Phone: (503) 639-4171 4441141 lit
Inspection Requests (24 Hrs.): (503) 639-4175 ,4,41 '
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 4
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SITE ADDRESS: terTRSW CANTERBURY LN BLDG 3 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 3, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) wpansion tanl & (6) hose bibs.
OWNER: CANTERBURY PLACE 11.C, PHONE #: 503-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266.4790
Inspection Request Scheduled For: Date: 6/ 9 / 2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in . 031457.02 503-757-3865 Y
Corrections/Comments/Instructions:
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-- PASS I I PARTIAL APPROVAL Ei CANCEL 0 NO ACCESS
• I I FAIL n CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
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Date: 0 & Phone #: (503) 718-
• Inspector:
CITY OF TIGARD
BUILDING DIVISION _ ' PERMIT #: PLM2006-00546
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639-4175 _AV I
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 37
SITE ADDRESS: 10777 SW CANTERBURY LN BLDG 3 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 3, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 603-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 603-266-4790
Inspection Request Scheduled For: Date: 12120/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 023749-02 971-563-6984
Corrections/Comments/Instructions:
g2 PASS El PARTIAL APPROVAL fl CANCEL n NO ACCESS
FAIL j CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: b Date: hi Phone #: (503) 718-
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CITY OF ' ' .. ��nn w n_pm TIGARD
BUILDING ��U���� ��U��U��U��0� PERMIT #: ~ • PLk42OD5'OOG45
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| 1312GSVVHaUBkd, Tigard, ORA7223 DATE ISSUED: 11/29V2005
Phone: (503) 639-4171 r .
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Inspection Requests (24 Hrs.): (503) 639~4175 ^JWI
INSPECTION WORKSHEET FOR DATE: 12/202005 TIME: 7:30AM PAGE: 38
SITE ADDRESS: Y��7-7 CANTERBURY LN BLDG 3 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 3, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tank & (6) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 503-6967700
CONTRACTOR: CR[)kVWELLPLUhNB|NG PHONE 503-266-4790 �
Inspection Request Scheduled For: Date: 13/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
390 Water service 023749-01 971-563-6984 N
.
Corrections/Comments/Instructions:
.
� I PARTIAL APPROVAL -- CANCEL �� NO ACCESS
t="ASS __ _ _ -- FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
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Inspector: hiii �� Date� �»+ /�i/ �/ Phona #� /5O3\ 718'
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CITY OF TIGARD
BUILDING DIVISION , • IA PERMIT #: PLM2005-00546
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,, . ,...... ■IMIII■a
INSPECTION WORKSHEET FOR DATE: 12113/2005 TIME: 7:02AM PAGE: 85
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SITE ADDRESS: 1e SW CANTERBURY LW BLDG 3 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 3, new 6 unit condominium.
Addresses: Units 1 through 6. Other fixtures: (6) expansion tanks & (6) hose bibs.
OWNER: CANTERBURY PLACE LLC, PHONE #: 503-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790
' Inspection Request Scheduled For: Date: 12/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 023316.01 971- 3-6984 Y
' Corrections/Comments/Instructions:
Trv,.
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hi
PASS
PARTIAL APPROVAL CANCEL NO ACCESS
1 FAIL 0
fl CALL FOR INSPECTION 0
7 ADDITIONAL FEES ASSESSED III
Inspector: tlYi
Date: ■ h Phone #: (503) 718-