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Permit
CITY TIGARD PLUMBING PERMIT ' I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00562 •� �� DATE ISSUED: 11/29/2005 " - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 / ��� j � PARCEL: 2S110AA -CC001 SITE ADDRESS: -4-@7'x'1 SW CANTERBURY LN BLDG 30 ZONING: R -12 SUBDIVISION: CANTERBURY CREST LOT: 001 JURISDICTION: TIG Project Description: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200' of 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 11/29/200: $1,388.40 [PLMPLN] Plan Review 11/29/200E. $180.49 Phone : 360-695-7700 [TAX] 8% State Surcharl 11/29/200E. $111.07 Total $1,679.96 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 -6.A- or 1- 800 - 332 -234 . Issued By: • _ , _� ' i Permittee Signature: �'"1 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. 1 !y7 rj Cc -- 4 -c...- , l.- .n... -e., Plumbing Permit ApjQre lr�I INE® FOR OFFICE USE ONLY City of Tigard ��ii lL Date/By: � `) 65---p�J� Permit Nol: 02a0 3 13125 SW Hall Blvd., Tigard, OR 97223 °OC 1 1 4 200 Plan Review J Phone: 503.639.4171 Fax: 503.598.196 @@ 2005 O a'N� p s � Date/By: / /I / ,�J 0 rC " Other Permit No.�� S 15'5' 24 - Hour Inspection Line: 503.639.4175 ■ *'L f'� Date Ready/By: )urs: El See Page 2 for Internet: www.ci.tigard.or.us CITY OF U F TIGARD Notified/Method: • , Supplemental Information TYr P I5P 61a VII S,IiO.N • ,FE SC ''' " - . . ® 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 ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 /b f s/ JOB SITE INFORMATION AND LOCATION Site utilities Job site addressSW 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& I Project name: Canterbury Crest Footing drain (no. linear ft : Z00) I Page 2 I o (, -i 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 5. , 00 Storm sewer (no. linear ft.: 200) 1 Page 2 101 , H 0 Subdivision: Canterbury Place Lot no.: Water service (no. linear ft.: 100) I Page 2 5 5 , OD Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer © Page 2 l-I k .LID New Construction of Condominium Units Backwater valve 16.60 Clothes washer I.{ 16.60 ( y 0 Dishwasher t4 16.60 (,,( , ND ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Canterbury Place LLC Expansion tank / (-I 16.60 CA, , , -1D 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 16.60 106,1-10 ® APPLICANT ® CONTACT PERSON Hose bib 16.60 (a 6 , 1 -1 a Jae-maker ., LI Business name: Canterbury Place LLC , b.o0 I.,_ 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 1 $ 16.60 �,9 , g Tub /shower /shower pan D 16.60 132 , g 0 E -mail: Urinal 16.60 CONTRACTOR Water closet I Z 16.60 1 9 Q ' Z Business name: Cromwell Plumbing Inc Water heater `[ 16.60 ( (. , '1 0 Address: 30855 S Kauffman Road Other: City/State /ZIP: Canby, OR 97013 Subtotal / 3Sg , L • Minimum permit fee: $72.50 Phone: (503) 266 -4790 Fax: (503) 266-4792 Residential backflow minimum permit fee: $36.25 S010 0 "10 Plan review ,3 permit fee) Lie.: 44712 Plumbing Lic. no.: 34-167 PB �� ) .I / go. 9 State surcharge (8% of permit fee) // ,/, 02 Authorized signature: TOTAL PERMIT FEE / (97p, Print name: Gyfc : Date: This permit application expires if a permit is not obta. _ .y___._ 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 -00562 Date issued: 11/29/2005 Parcel: 2S110AA -CC001 gsi Site Address: 1 -978 SW CANTERBURY LN BLDG 30 Subdivision: CANTERBURY CREST Block: Lot: 001 Jurisdiction: R -12 Zoning: TIG Remarks: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200' of 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 T FORM x Sign.' re of Authorized Plumber If you have any questions, please call 503.718.2433. 1 . CITY OF TIGARD BUILDING DIVISION Ar PERMIT #: PLM200&00562 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/290006 Phone: (503) 639-4171 Jai l Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/16/2006 TIME: 7:05AM PAGE: 63 /08'Si SITE ADDRESS: 1-0 SW CANTERBURY LN BLDG 30 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200 of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 36 CONTRACTOR: CROMWELL PLUMBING PHONE #: 59266-4/90 Inspection Request Scheduled For: Date: 8/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 035061-01 503-572-2961 N Corrections/Comments/Instructions: .----? ...5 7 , 0 1-\•2 1)■.PASS I I PARTIAL APPROVAL 0 CANCEL NO ACCESS 1 El FAIL I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED , Inspector: r 1 )/ Date: I ( /,' Phone #: (503) 718- ) Y// CITY OF TIGARD BUILDING DIVISION 1 : 13125 SW Hall Blvd., Tigard, OR 97223 '- Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 1. INSPECTION WORKSHEET FOR jor5-i DATE: ' ' „ ....,J+I■ E 4,124120 TIME: 7:02 ISSUED: 11/29/2005 i D ATE PERMIT #: PLM200500932 PAGE: 55 SITE ADDRESS: - .1.9 SW CANTERBURY LN BLDG 30 CLASS OF WORK: , SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Budding 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 4/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 028642-01 603.757 N Corrections/Comments/Instructions: -1;---- A;'AI .111 MP.AM' Inil ArAF"ZAA/fd. ," • i BSS El PARTIAL APPROVAL fl CANCEL I I NO ACCESS I I FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: / , ' - ,A j . ci. .., . \, -,---- Date: . # Phone #: (503) 718- ._ .. 'r CITY OF TIGARD , BUILDING DIVISION `' : PERMIT #: PLIVI: 006 00562 13125 SW Hall Blvd., Tigard, OR 97223 ° DATE ISSUED: 1 9, 0Ot Phone: (503) 639 -4171 9utl,v 'i �I I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/22/2006 TIME: 7:02mM PAGE: Si 0 %51 SITE ADDRESS: +(WI SW CANTERBURY LN BLDG 30 , CLASS OF WORK: SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: (Pudding 30,ie a 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks (4) hose bibs. 200' of footing drain. OWNER:' CANTERBURY PLACE, LLC, PHONE #: 360 064700 7700 CONTRACTOR: CROMVVELL PLUMBING PHONE #: 50-3266,. Inspection Request Scheduled For: Date: 2/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 027301 -01 503- 757 -3865 N Corrections /Comments /Instructions: i r - ;,Pr' - • ( PASS I f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: b 7 • Date: 2- ,, Phone #: (503) 718- CITY OF TIGARD, - <..,-.,, BUILDING DIVISION PERMIT #: Pl.M200 - 005172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /1/290005 Phone: (503) 639 -4171 / ve��i "� Inspection Requests (24 Hrs.): (503) 639 -4175 . J'W IL . INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: 67 bg s ■ SITE ADDRESS: 1 7i3 i ' SW CANTERBURY LN BLDG 30 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST ` LOT #: 001 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695 -7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503.266 -41790 Inspection Request Scheduled For: Date: 4/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 028454 -0'1 503 - 473 N Corrections /Comments/ Instructions: /I G m om.; PASS 4 PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL V.ZALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED Inspector: Date: , Phone #: (503) 718 -d If-) CITY OF TIGARD ti A BUILDING DIVISION PERMIT #: PLM2005-00562 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005 Phone: (503) 639-4171 1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/8/2005 TIME: 7:00AM PAGE: 16 lot 51 SITE ADDRESS: W71 SW CANTERBURY LN BLDG 30 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 603 Inspection Request Scheduled For: Date: 1218/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 023156-01 971-563-6984 Corrections/Comments/Instructions: _PASS 0 PARTIAL APPROVAL [7 CANCEL I I NO ACCESS I I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- k CITY OF TIGARD . . BUILDING DIVISION . PERMIT #: PLM2005-00562 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005 Phone: (503) 639-4171 .4700, Inspection Requests (24 Hrs.): (503) 639-4175 .4141; 411. INSPECTION WORKSHEET FOR DATE: 12/8/2005 TIME: 7:00AM PAGE: 15 og SITE ADDRESS: *781 SW CANTERBURY IN BLDG 30 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200 of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503266-4790 Inspection Request Scheduled For: Date: 12/812005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain draih 023156-02 971-563-6984 Corrections/Comments/Instructions: PASS L1 PARTIAL APPROVAL CANCEL fl NO ACCESS n FAIL [7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED • / A Inspector: /79 Date: d/o/ Phone #: (503) 718- / • CITY OF TIGARD „. At, BUILDING DIVISION PERMIT #: PLM200S-00562 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005 Phone: (503) 639-4171 evio Inspection Requests (24 Hrs.): (503) 639-4175 MJ — INSPECTION WORKSHEET FOR DATE: 12/8/2005 TIME: 7:00AM PAGE: 14 SITE ADDRESS: ',MI - SW CANTERBURY LN BLDG 30 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 12/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 023156-03 971-563-69B4 Corrections/Comments/Instructions: • • PASS 7 PARTIAL APPROVAL LIII CANCEL 7 NO ACCESS 7 FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspect/ — Date: , /1) Phone #: (503) 718- CITY OF TIGARD ,.. , BUILDING DIVISION . PERMIT #: PLM2005-00562 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005 Phone: (503) 639-4171 *oho Oil Inspection Requests (24 Hrs.): (503) 639-4175 _AV Ai ,..",_.„... ■•••.21 INSPECTION WORKSHEET FOR DATE: 12/5/2005 TIME: 7:00AM PAGE: 39 I 451 SITE ADDRESS: 11:17Er1 SW CANTERBURY LN BLDG 30 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST LOT #: 001 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 30, new 4 unit condominium. Addresses: Units 1 thru 4. Other fixtures: (4) expansion tanks & (4) hose bibs. 200' of footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 12/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 022925-01 971-563-6984 N Corrections/Comments/Instructions: -/...---- A i i Pir _I _ . — _. _■of _41 - ...- A / lit%!1/4 H PARTIAL APPROVAL E CANCEL fl NO ACCESS I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED - . . Inspector: )- Date: ' -. . Phone #: (503) 718- _ .