Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: P 29/200 6
-00560
-- ' f 13125 S Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
",,Q,& `3 PARCEL: -01500
SITE ADDRESS: 1 S`W CANTERBURY LN BLDG 31 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 31, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion
tanks & (4) hose bibs, 200' footing drain.
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 6/29/2006 $1,388.40
[TAX] 8% State Surchari 6/29/2006 $111.07
Phone : 360-695-7700 [PLMPLN] Plan Review 6/29/2006 $180.49
Total $1,679.96
Contractor:
CROMWELL PLUMBING
30855 S. KAUFFMAN RD. REQUIRED ITEMS AND REPORTS
CAN BY, 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 rules or direct questions to OUNC by
calling -2 - 6=669 1 1 00- 332 -2344.
Issued y: (� , Permittee Signature: ( ------ e. 10
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 FOR OFFICE USE ONLY
City of Tigaral r° DateBy Ill - 11 - o" .-}�,- Permit No:� 'I bvN 5 -- -005 - 6 11
13125 SW Hall Blvd., Tigard, OR 97223 11 C j t r Plan Review / � J ��
Phone: 503.639.4171 Fax: 503.598.1960 ago , . Date/By: J/ i. 0-J t Other Permit t ��'��rf/r/�t.J 6•,��,
24- Hour Inspection Line: 503.639.4175 OCT _ 4 -4 Date Ready /By: J� "S D See Page 2 for
Int www.ci.tigard.or.us C. Notifie 'fl tJ" Supplemental Information
TYPE OF WO FEE* SCHEDULE
' � OF JIG A RJ For special information use checklist
® New construction 3[71 IUD f lit th
J3„ ION Description Qty. 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
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
/0 F6_3 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.: BLDG3/ I Project name: Canterbury Crest Footing drain (no. linear ft.: 200) Page 2 (Of 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) l Page 2 SS "
Storm sewer (no. linear ft.: 200) ) Page 2 10 I , y D
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) I Page 2 s5 , 0 0
Fixture or item
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 16.60
DESCRIPTION OF WORK Backfiow preventer Page 2 , , Ie.
New Construction of Condominium Units Backwater valve 16.60
Clothes washer LI 16.60 (a,2 , y 0
Dishwasher 9 16.60 („,( , y 0
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Canterbury Place LLC Expansion tank 4 16.60 (a , 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 9 16.60 (n (a , 4
® APPLICANT • ® CONTACT PERSON Hose bib 16.60 6 ( , 44 D
Ice maker 14.4 16.60 ,
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 $ 16.60 �� I'
Tub /shower /shower pan O 16.60 J 32, , s'a
E -mail: Urinal 16.60
CONTRACTOR Water closet 1 16.60 j 9 9 al
Business name: Cromwell Plumbing Inc Water heater 9 16.60 C t , 41 V
Address: 30855 S Kauffman Road Other: r�
City/State /ZIP: Canby, OR 97013 Subtotal X 388 . y0
Minimum permit fee: $72.50
Phone: (503) 266 -4790 Fax: (503) 266 -4792 Residential backflow minimum permit fee: $36.25
CCB Lic.: 44712 Plumbing Lic. no.: 34 PB / 30 Plan review z of permit fee) /?c . 99
State surcharge (8% of permit fee) 8/ . G 7
Authorized signature: TOTAL PERMIT FEE I & 7 96
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
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CROMWELL PLUMBING
S. KAUFFMAN RD. JUL 21 2006
CANBY, OR 97013
CITY Ot 11tut=iiku
Plumbing Signature Form BITJT,l TT rmi,ucToN
Permit #: PLM2005 -00560
Date Issued: 6/29/2006
Parcel: 2S 110AA -01500
$(03 Site Address: 1-0-7 SW CANTERBURY LN BLDG 31
Subdivision: CANTERBURY CREST CONDOS
Block: Lot: 010
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 31, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures:
(4) expansion tanks & (4) hose bibs, 200' footing drain.
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 #: LIC 44712
PLM 34 -167PB
AN INK SIGNATURE IS REQUIRED ON THIS FO' M
X gi
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
CITY ���������������
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BUILDING DIVISION PERMIT #: P1���O�O�8
13125 SW Hall ,
B|vdTigand. OR 97223 � DATE ISSUED: 6/39/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 AL
INSPECTION WORKSHEET FOR DATE: E,9/2000 TIME: 7:00AIVI PAGE: 29
SITE ADDRESS: 10MG3SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY. CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium. Units 101.102.103.104. Other fixtures: (4) expansion tookp&
(4) hose bibs, 200 footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360F69E-7700
CONTRACTOR: $V0LC[)Tl' PHONE #: 603
Inspection Request Scheduled For: Date: 9/9/2008 Pour Time:
Code # Inspection Description ' Confirm # Contact # Message
399 Plumbing final 075200-07 503'572-7016 Y
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Corrections/Comments/Instructions:
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Cot x
4PASS �� P�RT�LAPPRO\�L �� CAN[�EL NC�ACCESS
. . PARTIAL ��
| | FAIL 1 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: /~«[� \ Date: x�J m�\ r��� Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005,-0056'0 -
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: 5/16/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tanks &
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-2664790
Inspection Request Scheduled For: Date: 5/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 070002-01 503-572-7015
Corrections/Comments/Instructions:
•
•
•
tS.PASS PARTIAL APPROVAL EI CANCEL I I NO ACCESS
n FAIL EI CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Cralri-it„-AA Date: 1L Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200 &-00500
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29 /2006
Phone: (503) 639 -4171 A4 �'Ili�lf�I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02AM PAGE: 38
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tanks &
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695.7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 - 206.4790
Inspection Request Scheduled For: Date: 4//512008 Pour Time:
Code # Inspection Description Confirm # Contact # Message ,
320! Piumbing rough -in 088375 -01 503 -572 -7015 Y
Corrections /Comments / Instructions:
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PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CliN ,./\\V Date: Lf 1'} aYi Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL1v12005.00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/200t3
I
Phone: (503) 639-4171 Allin
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/14/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tanks &
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-696.7700
CONTRACTOR: WOLCOTT PLUMBING PHONE #: 503-667-1781
Inspection Request Scheduled For: Date: 2/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 064985-01 503-572-7015
Corrections/Comments/Instructions:
PASS I 1 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
111 FAIL Li CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: C Date: Ei Wzr Phone #: (503) 718-
' '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005&Qo560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2005
Phone: (503) 639- 4171�ii��l
Inspection Requests (24 Hrs.): (503) 639 -4175 .._��
INSPECTION WORKSHEET FOR DATE: 2/6/200€3 TIME: 7 :00AM PAGE: 40
SITE ADDRESS: 10063 SW CANTERBURY LW BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tank &
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360- 695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 -266 -4790
Inspection Request Scheduled For: Date: 216/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 • Water service 064560 -01 503.313- 7:398 V
Corrections/Comments/Instructions:
19 e U Zel M RC-6b 1 F�
13 Er✓` t ✓-4 i:.. L? ✓ " c - t r
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P ; OLn "1 .S GEC, Ar 1 vz)
I PASS P2 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 2 \ .o TZ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION
• PERMIT #: PLIvi2005-00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6729/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 214/200B TIME: 7:18AM PAGE: 30
SITE ADDRESS: • 10863 SW CANTERBURY LW BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 3•, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tanks &
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695.7700
CONTRACTOR: cROIvIWELL PLUMBING PHONE #: 503-2664790
Inspection Request Scheduled For: Date: 2/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing undetslab 06438501 503313-7398
Corrections/Comments/Instructions:
X PASS I I PARTIAL APPROVAL Lii CANCEL fl NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: (MAI, Date: \-\ \VC Phone #: (503) 718-
. . „ .
CITY OF TIGARD •
BUILDING DIVISION
PERMIT #: Km2005,00E:60
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129,0006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .1 -
INSPECTION WORKSHEET FOR DATE: 214/2008 TIME: 7:18AM PAGE: 27
SITE ADDRESS: 10863 SW CANTERBURY IN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST (.
DESCRIPTION: Building 31, new 4 unit condominium: Units 101,102,103,104. Other fixtures: 0) expansion tanks fs
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LW, PHONE #: 360-690700
CONTRACTOR: cROMWELL. PLUMBING PHONE #: 503-2664790
Inspection Request Scheduled For: Date: 2/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 0C4385-04 503-313-7398
Corrections/Comments/Instructions:
$4 PASS El PARTIAL APPROVAL E CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 6 Nih Date: ').\■:\\ DTI Phone #: (503) 718-
'
CITY OF TIGARD
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BUILDING DIVISION PERMIT #: PLM2005-0056O
13125 SW Hall Blvd., Tlgand, OR 97223 DATE ISSUED: 6/2912O06
Phone: (503) 689-4171
Inspection Requests (24Hmj:(503)63Q'4175 ..i. ^ ���
INSPECTION WORKSHEET FOR DATE: 2W/2008 TIME: 7:18AAd PAGE: 28
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTFRBWRY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Eiui(ding 31, new 4 unit condominium. Units 1D1.1O2.1O0.iD4. Other fixtures: (4) expansion tanha&
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY F-ACE. LLC, PHONE #: 360-695-7700
CONTRACTOR: CRC)MVVELL PLUMBING PHONE #: 603-306-4790
Inspection Request Scheduled For: Date: 2/4/2O08 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain O043M6'U3 503-318'7398 N
Corrections/Comments/Instructions: . -~,� •
•
.
^
0 PARTIAL APPROVAL El CANCEL n NO ACCESS
| | FAIL | I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: C3 Date: - ~� \ L\ \ {�q3 -Phone #: (503) 718- -
/ .
^ . . � ` ` ` - "
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: PLM2005-00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2008
Phone: (503) 639-4171 i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/4/2008 TIME: 7:18AM PAGE: 29
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: f3uilding 31, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tanks &
(4) hose bibs, 200' footing drain.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-479g
Inspection Request Scheduled For: Date: 2/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
336 Rain drain 064385-02 503-3134398 N
Corrections/Comments/Instructions:
•
IQ PASS 7 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
n FAIL 7 CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED
Inspector: CD\ivw.A.--1■ ■ q--t--- Date: 24141 t-ctr Phone #: (503) 718-