Permit . r•
•
CITY OF TIGARD PLUMBING PERMIT
iTl i DEVELOPMENT SERVICES PERMIT #: P 29/200 -00544
��� DATE ISSUED: 6/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/0e74 PARCEL: 2S 110AA -01500
SITE ADDRESS: 46823 W CANTERBURY LN BLDG 1 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 1, 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 6/29/2006 $1,519.40
[PLMPLN] Plan Review 6/29/2006 $379.85
Phone : 360-695-7700 [TAX] 8% State Surcharl 6/29/2006 $121.55
Total $2,020.80
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 rules or direct questions to OUNC by •
calling 503- 2 -..99 or 1- 800 - 332 -2344.
Issued By: ✓ L ��Q -ter / 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.
6 ?23 cc..-)C"
c t,,ft, lot 4,1, (.E,.e .
Plumbing Permit Applic ! ' 1 �� �� , roa oFFIc ' UUSE. ONLY '
City of Tigard OCT 1 4 2i, Dat I,�/ t/J �)� 2 /45 --- 00 5
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ��'/trA'dl Other Per. 49'"
i , 1 Date Re NM �' Permit No a Page �75Z'10
24- Hour Inspection Line: 503.639.4175 CITY OF TI n www.ci.tigard.or.us Date ed/Me y: Juris: / 0 See Page 2 for
Internet: www.ci.ti
g BUILDING D Notified/Method: m 61 Supplemental Information
TYPE OF WORK.. FEE* SCHEDULE .
® New construction ❑ 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
❑ Accessory building ® Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ O ther Fire sprinkler ( sq. ft.) Page 2
' /n '7 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 / 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 55 , op
Storm sewer (no. linear ft.: 200) j Page 2 j o I, 40
Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) i Page 2 55 , Oz)
Fixture or item
Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 1660 f�
DESCRIPTION OF WORK Backflow preventer O Page 2 ( . V,0 New Construction of Condominium Units Backwater valve 16.60 (((
Clothes washer ( 16.60 Cjc{ J 60
Dishwasher ( - 16.60 GI cj , (p()
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Canterbury Place LLC
Expansion tank 6 16.60 9 q , (.,, 0
Address: 109 East 13 Street Fixture /sewer cap 16.60
City/State/Z1Pi Vancouver, WA 98660 Floor drain/floor sink/hub 16.60
Phone: (503)221 -1920 Fax: (360)693 -4442 Garbage disposal ( 16.60 9°I joy
® APPLICANT ® CONTACT PERSON
Hose _bi-b_ 16.60 9 a , (0 p
Ic 1 ' 16.60 -c Q/
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 I Fax: : (360) 693 -4442 Sink /basin lavatory 2,,C) 16.60 2 00
Tub /shower /shower pan ) D 16.60 I (.o& , OC
E -mail: Urinal 16.60
CONTRACTOR Water closet 10 16.60 jL, L , p a
Business name: Cromwell Plumbing Inc Water heater tf/ 16.60 9 , (op
Address: 30855 S Kauffman Road Other:
City /State /ZIP: Canby, OR 97013 Subtotal 6L /..Y0
Minimum permit fee: $72.50
Phone: (503) 266 -4790 Fax: (503) 266-4792 Residential backflow minima ' fee: $36.25
CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB Plan r ie (25% of ermit fee) 3-73..Z67
State surcharg ° of permit fee) 1M i, 5 .--
Authorized signature: TOTAL PERMIT FEE , aoao- a
Print name: Greg Cromwell Date: This permit application expires if a permit is not obtained within
180 days after it has been accented as comnlete.
CITY OF TIGARD
13125 S.W. HALL BLVD. , . :1 '\
TIGARD, OR 97223
Ebt
IMPORTANT PERMIT NOTICE 2 1 1
0- r`
CROMWELL PLUMBING , �1. O_ To _f
30855 S. KAUFFMAN RD.
CANBY, OR 97013 8 1,1113 '
Plumbing Signature Form
Permit #: PLM2005 -00544
Date Issued: 6/29/2006
Parcel: 2S110AA -01500
071 Site Address: 4- 6823 - SW CANTERBURY LN BLDG 1
Subdivision: CANTERBURY CREST CONDOS
Block: Lot: 010
Jurisdiction: R -12
Zoning: TIG
Remarks: Building 1, 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 #:360- 695 -7700 Phone #: 503 -266 -4790
Reg #: LIC 44712
PLM 34 -167PB
AN INK SIGNATURE IS REQUIRED ON THIS ' M •
4 1 I I I I I I I I I I r:,_----
Signa,r4 of Authorized Plumber
If you have any questions, please call 503.718.2433.
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BUILDING #: | ~ ��~~~^~~��U���� ~^"~~° ~�"°"~~"~~" K�UY�U��U��0� ~ PERMIT � PLk42OO5-O�G44
| 13125SVV Hall B|vd.. Tigard, ORO7223 DATE ISSUED: 6/29/2006 �EV�00S
Phone: (503) 639-4171 - At 1
Inspection Requests (24 Hrs.): (503) 639-4175 ~��W� ^ �L.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � . 10127/2008 � -�OOAW � 14
SITE ADDRESS: � SW CLASS 1O871�AMTER0URYLWBLOG1 �
SUBDIVISION: LOT#� TYPE � CANTERBURY CRE�'{�OND0k8|N|UK� #: �
PROJECT NAME: � CANTBRBJRYCRFSF
DESCRIPTION: � 8ui|ding 1. new 6 unit condominium. Units 1Oi.1O2.2O1.2O2.203.204. {)the|fixiVrms: (6) expansion
tanks &(8) hose bibs.
OWNER: � CANTERBURY PLACE, �NTERBURY PL���. LLQ. 3360-695.7700 CONTRAOTOR� WOLCOTT OLC0TT PLUk8BUMG PHONE #: : g03-667'1781
Inspection Request Scheduled For: Date: 10/27/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077202-01 971'663-9339 Y
Corrections/Comments/Instructions:
Ca v't_ ("~ika- i e---A 91")
7 i (PASS 0 PARTIAL APPROVAL 0 CANCEL [7 NO ACCESS
| | FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
|nepgoInspector: 6D �� �`\�n~~~q_~ Date: \�� -
��� |���� Phone #: (503) 718- . .. - --~ . . � ' �� � � ~ . ` ' .
CITY OF TIGARD .
i BUILDING DIVISION , ' A . '
ii ,
, PERMIT #: PLM200 -00644
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2W2006 Phone: (503) 639 -4171 vA iih
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: .10124/2008 TIME: 7:01AM PAGE: 13
SITE ADDRESS: 10871 SW CANTERBURY Lip BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST -
DESCRIPTION: Building 1, new 6 unit condominium. Units 101,102,201,202,203,204. Other fixtures: (6) expansion
tanks & (6) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360,695.7700
CONTRACTOR: WOLCOTT PLUMBING PHONE #: 503 - 667 - 1781
Inspection Request Scheduled For: Date: 10128/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077149-01 971- 663-9339 Y
Corrections /Comments /Instructions:
L .--"O ' we./ `TO 11 V 4--' a Nipv Arckc7-frh C kci,■ ,
Q \. L \ + ` .A. g C e w e/ � 1 Ce �-0 c- c S 1 ,,,TL S rAt. i
Ulu 17
I PVa z,c, (3 tom' „ v.A d 1,.) c 9.
T \--ai ,r -) i(,,A. ‘c - -- c.... u a 1 v 2,,; S c . �%„-A. a i C� may.,; VV t tu-,.
1 tA-1.0 -e.i A ,- 9 L- l r (2-O A c v. e v''
FT PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
y FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ ", Date: 1 n (7. (O 1 Phone #: (503) 718-
.,,
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•-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 PLM2005
DATE ISSUED: 6/29/2006
Phone:.(503) 639-4171 i ia_2#1011 1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 803/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 10871 SW CANTERBURY LN BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1, new 6 unit condominium. Units 101,102,201,202,203,204. Other fixtures: (6) expansion
tanks & (6) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.,695.7700
CONTRACTOR: woLcorr PLUMBING PHONE #: 503-667-17o1
Inspection Request Scheduled For: Date: 8/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 074099-01 503-312-6213
Corrections/Comments/Instructions:
N IVI PASS PARTIAL APPROVAL 0 CANCEL El NO ACCESS
. ,
El FAIL CALL FOR INSPECTION E] ADDITIONAL FEES ASSESSED
Inspector: Q1 \n/3-Aji t ( Date: CT - 70 7) Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM2006.00544
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2a'200$
Phone: (503) 639 -4171 % irrdi��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 70
SITE ADDRESS: 10371 SW CANTERBURY LW BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1, new 6 unit. condominium. Units 101,102,201,202,203,204, Other fixtures: (6) expansion
tanks & (6) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 - 695-7700
CONTRACTOR: WOLCOTT PLUMBING PHONE #: 503- 667 -1781
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 066184-01 503-572-7015 N
Corrections /Comments /Instructions:
."'t PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: m Dater 3 t 1 Phone #: (503) 718-
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: PLM2005.00544
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 4 Z+ rid u
Inspection Requests (24 Hrs.): (503) 639 -4175 ''III..
INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 69
•
SITE ADDRESS: 10871 SW CANTERBURY LW BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1, new 6 unit. condominium. Units 101,102,201,202,203,204. Other fixtures: (6) expansion
tanks & (6) hose bibs.
OWNER: CANTERBURY PLAGE, LLC, PHONE #: 360- 695-7700
CONTRACTOR: WOLCOTF PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm .# Contact # Message
330 Water service 066184 -02 503.672 -7015 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 67) Date: 31 1 1 `) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION •.
PERMIT #: PLIVI2006-00A.44
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6090006
Phone: (503) 639-4171 4,70,1
Inspection Requests (24 Hrs.): (503) 639-4175 wAJ 1. L
INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 68
SITE ADDRESS: 10071 SW CANTERBURY LN BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: E3uilding 1, new 6 unit condominium. Units 101,102,201,202,203,204. Other fixtures: (6) expansion
tanks & (6) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360695-7700
CONTRACTOR: WOLCOTT PLUMBING PHONE #: 503-667-1781
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 066184-03 503.572-7015
Corrections/Comments/Instructions:
gi PASS 0 PARTIAL APPROVAL pl CANCEL El NO ACCESS
I I FAIL fl CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: CR Date: . 1, ()s Phone #: (503) 718-,.
'
CITY ���� ������U�U�
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BUILDING DIVISION
PERMIT #: PLM2005-00544
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006
Phone: (503) 639-4171
Inspection Requests (24'Hmj: (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 10871 SW CANTERBURY LN BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1, new 6 unit condominium. Units 101.102.201.202.203.204. Other fixtures: (6) expansion
tanks &(6) hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 380'895'7700
CONTRACTOR: $VoLcQTT PLU&4B|NG PHONE #: 603
Inspection Request Scheduled For: Date: 317/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain ' 068184-04 503-572-7016 N
Corrections/Comments/Instructions:
PASS ri PARTIAL APPROVAL CANCEL ri NO ACCESS
n FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
�')n�\
Inspector: ��-� `�L- - Date: `^v '�'{} Phone #: (503) 718-
C ITY OF ��um n n�pm om�m�mnn��
BUILDING DIVISION PERMIT #: PlN2005-00544
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6C29/2()06
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 630'4175
INSPECTION WORKSHEET FOR DATE: 3V7V2008 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 10871 SW CANTERBURY LN BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1 new 6 unit condominium. Units 1O1.1OJ.JD1.2U2.%08.2Od. Other fixtures: (6) expansion
tanks &/61 hose bibs.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695.7700
CONTRACTOR: WOLCOTT PLUMBING PHONE #: 603
Inspection Request Scheduled For: Date: 5/772008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Sa0horyxewsv 068184'05 503-572-7015 �
Corrections/Comments/Instructions:
`
��
^� PASS PARTIAL APPROVAL __ �
SS |ALAPPL � �ANCEL NO ACCESS
| |
FAIL [11 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
( � ^ �^ ) (
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Inspector: .. '^l �-~�- Date: , l / ~] / ��� Phone (503)
-• ^ ' ' _