Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00021
T'lll DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
13125 SW Hall BI d. ard, OR 97223 503 - 639 -4171
�v T' PARCEL: 2S110AA -01500
SITE ADDRESS: CANTERBURY LN BLDG 15 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 15, fire sprinklers for new 4 unit condominium. Addresses: Unit 1 through 4.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: Y MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: 4 FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,200.00
Owner: Contractor:
CANTERBURY PLACE, LLC JND FIRE SPRINKLER INC
109 EAST 13TH STREET 12155 SW GRANT
VANCOUVER, WA 98660 STE D
TIGARD, OR 97223
Phone: 360- 695 -7700 Contact #: PRI 503 - 968 - 5200
FAX 503 - 968 -5920
FEES Reg #: LIC 64395
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/6/2006 $139.30
[TAX] 8% State Surchari 1/6/2006 $11.14
[FLS] FLS Pln Rv 1/6/2006 $55.72
Total $206.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001- 0010_through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 5 - 246 - 66991, -8 0- 332 -2344.
Issued y: �-r _ /A Permittee Signatur-. ,!/► !�.iii�.
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.
I
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Building Permit Application FOR OFFICE USE ONLY
City of Tigard NA' EC E � L ® D KecetatelBed v ' 3 D W l Permit No / 1,906/0-6,00c/
t
13125 SW Ball Blvd., "Tigard, OR 97223 . i Cher Permit
Phone: 503.639.4171 Fax: 503.598.1960 "'�1tk3 t "• DateBv
Inspection Line: 503.639.4175 `_d ^^ ' '.}' � - Date Rea c' See Attached Checklist for
Internet: www.ci.tigard.or.us
�� ^ Notified/Method ®� 0 , Supplemental Information
CITY OF TIGAllll
TYPE OF � 9 ING DMSION REQUIRED DATA: 1 AND 2 FAAIILYDWELLING
XNew construction ❑ Demolition Permit tees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑ 1- and 2- family dwelling lit Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' • /0 g 73 JOB SITE INFORMATION AND // LOCATION M / Total number of floors:
Job site address: to 95 Sw CrJ1v I l 9vtkR LN . New dwelling area: square feet
City /State/ZIP: G,Q{� A i ?Ps. Garage /carport area: square feet
Suite/bldg. /apt. no.: `^^ iC��``�� Project name.z to ,,,,„,,, 3 Covered porch area: square feet
v
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL CHECKI.IST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION 'OF WORT: work indicated on this application.
►t )3 H nr• .c�n t.,1
Ic.' r- .S Valuation: $9 ( zoo
�IVV I '� 1� "' N1VhlCr � Existing building area: square feet
' New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: p ( g A' Type of construction:
Address: l o C G ) 3 TIT T Occupancy groups:
City /State/ZIP: �-Ifcor_ t _ A pp r ci gu a Existing:
615z:
Phone: (360) -7-76 c Fax: (36o) 6 (3 — I (� / �/ YZ New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: ,31F- licensed d with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR y� s `
Business name: JLtt) F...‘ 9.,E ...cro 1ciez i N c -
BUILDING PERMIT FEES*
Address: I Zvcs" SW 6MIJT soi d
ty 1 4kfTll.0 v q7 2 z Please refer to fee schedule
City/State/ZIP:
' � A I Fees due upon application
W
Phone: 3) 9 8 - zoo Fax: (573 SqZ 0 Amount received
CCB lie.: (043 Olt 5
/� �'` Date received:
Authorized signature: ( / �f This permit application expires if a permit is not obtained
`sue III / /(((///�'� I` within 180 days after it has been accepted as complete.
Print name: t . 0 . N Date: ` 3ki * Fee methodology set by Tri- County Building Industry
V Servn,e. Roam
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BUILDING DIVISION , PERMIT #: BUP2006-00021
13125SVV Hall Blvd.. Tigard, ORQ7223 DATE ISSUED: 6/2912(06
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 "40. -
INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7:01Alvl PAGE: 41
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 15, fire lJers for new 4 unit condominium.
Addresses: Unit 101.102.1[)3,184.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-895-7700
CONTRACTOR: JMDF|RE SPRINKLER INC PHONE #: 603-968-6200
.
Inspection Request Scheduled For: Date: 11/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9a9 Sohnkderfinm| 059706-01 603-572-7015 Y-M -----
Corrections/Comments/Instructions:
't � L_ eft____20.._-----
^ `--^`�� ^ ~---*
� � PARTIAL APPROVAL �� CANCEL [ I NO ACCESS
� -__ __
I FAIL al CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
� " A ~—
Inspector: ' — "IN- ��~�
*� Date: it �� Phone #: (503) 718-
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