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Permit tl CITY TIGARD PLUMBING PERMIT All DEVELOPMENT SERVICES PERMIT #: P -00561 .:ill DATE ISSUED: 6/29/20029/2%0 6 13125 W all Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA 01500 SITE ADDRESS: �19 CANTERBURY LN BLDG 32 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 32, 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 [PLMPLN] Plan Review 6/29/2006 $180.49 Phone : 360-695-7700 [TAX] 8% State Surcharl 6/29/2006 $111.07 Total $1,679.96 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 -0 rough OAR 952 - 0001 -0100. You may obtain copies of these rules .t direct questions to OUNC by calling 5 - 246 -66 0 0 332 -2344. ���--- Issued B • • k Permittee Signature:�,Q 9: 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. e 7 g q C .,, b:,., L....... Plumbing Permit App WE® FOR OFFICE USE ONLY City of Tigard OC 1 4 2005 Date/By: - } 7 -0 ' Z Permit No7t 1 ZDa ir I 13125 SW Hall Blvd., Tigard, OR 97223 2005 Mk v s� !/ v� xl [ Phone: 503.639.4171 Fax: 503.598.1960 /��, ?,loii lw Datte/RBy a i5 ®� Other Permit No 24- Hour Inspection Line: 503.639.4175 CIT OF TIG . Date Rear /By: Juris: p See Page 2 for Internet: www.ci.tigard.or.us BM WING ARL�� Notified/Method: '' f Q Supplemental Information 1VISION • 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 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 /d g - 77 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: / 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 ;al Project name: Canterbury Crest Footing drain (no. linear ft.: 200) Page 2 o 1 y 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. , d 0 Storm sewer (no. linear ft.: 200 ) I Page 2 1 o \ , ci 0 Subdivision: Canterbury Place I Lot no.: Water service (no. linear ft.: 100) 1 Page 2 5 6 • 0 D Fixture or item Tax map /parcel no.: WCTM 2S110AA, 01500,01400 Absorption valve 16.60 4 / DESCRIPTION OF WORK Backflow preventer Q Page 2 o , yQ New Construction of Condominium Units Backwater valve 16.60 Clothes washer 14 16.60 ( (y , y D Dishwasher 14 16.60 (A, , LID ® PROPERTY OWNER I TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Canterbury Place LLC Expansion tank i-1 16.60 (,p(, , r-5 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 4.. 16.60 (0 6 , y 0 ® APPLICANT ® CONTACT PERSON Hose bib 4 16.60 (p (o , y a Ice maker ti 16.60 \0 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 2,.q $ , go Tub /shower /shower pan U 16.60 13 2 , s 0 E -mail: Urinal 16.60 CONTRACTOR Water closet 12 16.60 1 clot , Business name: Cromwell Plumbing Inc Water heater 4 16.60 (, (o , 1 0 Address: 30855 S Kauffman Road Other: City/State/ZIP: Canby, OR 97013 Subtotal /31g.416 Minimum permit fee: $72.50 Phone: (503) 266 -4790 Fax: (503) 266 -4792 Re - ential backflow minimum permit fee: $36.25 • CCB Lic.: 44712 Plumbing Lic. no.: 34-167 PB midlan review (274 permit fee) /?.0 • itY State surcharge (8% of permit fee) I 1/ f • 67 Authorized signature: TOTAL PERMIT FEE / &7 9. 96 Print name: Greg Cromwell Date: This permit application expires if a permit is not obta__._.......wi 180 days after it has been accented as complete. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 REUEIVFE) IMPORTANT PERMIT NOTICE JUL 21 2006 CROMWELL PLUMBING Cif or tutatj 30855 S. KAUFFMAN RD. BUILDING D SION CANBY, OR 97013 Plumbing Signature Form Permit #: PLM2005 -00561 Date Issued: 6/29/2006 Parcel: 2S110AA -01500 /p 877Site Address: -1-0-799 CANTERBURY LN BLDG 32 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: R -12 Zoning: TIG Remarks: Building 32, 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 FORM X Signature of Authorized Plumber If you have any questions, please call 503.718.2433. CITY ������U�������� ��m n m OF x n�ma�uun�� ' ~ BUILDING DIVISION . ' • PERMIT PLM�0�O�51 --_'__--- _'''_'_'' • . � 13125 SW Hall Blvd., Tigard, OR 97223 . --' DATE ISSUED: 612E12008 Phone: (503)83Q'4171 Inspection Requests (24 Hrs.): (508) 639�4175 * ��� INSPECTION WORKSHEET FOR DATE: 9/10/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 1O877SyV CANTERBURY UN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 32, new 4 unit condominium. Units 101.1U2.1D3,iQM. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 300695'7700 CONTRACTOR: WOLCOTT PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 911812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 075641-82 503-572-7015 Y Corrections/Comments/Instructions: itA FA PASS 0 PARTIAL APPROVAL pi CANCEL fl NO ACCESS 0 FAIL I I CALL FOR INSPECTION P1 ADDITIONAL FEES ASSESSED Inspector: Date: a \ \ / OG Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005- 00651 13125 SW Hall Blvd., Tigard, OR 97 23 e DATE ISSUED: &29/2006 Phone: (503) 639 -4171 a +�i���l Inspection Requests (24 Hrs.): (503) 639 -4175 _W INSPECTION WORKSHEET FOR DATE: 9/17/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 32, 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: WOLCOTT PLUMBING PHONE #: 503 -687 -1781 Inspection Request Scheduled For: Date: 9/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 075571 -08 503. 572 - 7015 Y Corrections /Comments /Instructions: P ` ti e r s � #- I 1 G349 o Le. 1-1-c. . s r A, f-1-7\ i10✓ fi €L-el (A,, • L „,,,A, < 0 / 2 4.-A t.A>✓i fi ryb, o•.)ovtL s A. M KO tk Nam C- fie. I ,p�.� -atyn. 1`/�a -�T/ Q� ��laL r �.J C2pY 12) `vac -en 4 ti�el� .A T(4,L a--S veg. Lie ('t $ T -Fv Mvt $ yLe (� PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS yl FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 4 ■. \\ Date: 01 I I1 )071 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION A A PERMIT #: PLM200&.00561 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 „_. 1thitilill\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: 30 SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 32, 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: CROMWELL PLUMBING PHONE #: 503 26&4790 Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 . Plumbing rough-in 07014401 503-572-7015 Y .. . • Corrections/Comments/Instructions: v - Q ,,, ,,--„A T6 (,...).. t 1 c,-T-i- . cTi-J( l C1,-,rc ScveL 1.. F 116 (--le,(4 C 10,-;1 Fi, : I( PASS pi PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS 7 FAIL I I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector:0UNA—Ji \V1-__ - Date: (S 2.7 67'.) Phone #: (503) 718- _ _ CITY OF TIGARD BUILDING DIVISION PERMIT #: Pi_M2O()&.005 'i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2R Phone: (503) 639 -4171 �-�Np,v "It Inspection Requests (24 Hrs.): (503) 639 -4175 ..&W INSPECTION WORKSHEET FOR DATE: 4/21/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 32, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tank : & (4) hose bibs, 200' faotin.g drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.696 -7700 CONTRACTOR: CROIMMWELL PLUMBING PHONE #: 603 - 266 - 4790 Inspection Request Scheduled For: Date: 4/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 060667 -02 603.572 -7015 N Corrections /Comments /Instructions: . • ti r- V( C., L ry - „c vim, , iv% oL C o n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c1\' Date: Phone #: (503) 718- 1 1 • CITY OF TIGARD - . .. . i BUILDING DIVISION . PERMIT #: PLKA7005-00561 11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 A , rn itlil Inspection Requests (24 Hrs.): (503) 639-4175 it INSPECTION WORKSHEET FOR DATE: 2 1 1 3 1 2 0 0 8 TIME: 7:01AM PAGE: 48 1 SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 32, 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 #: 360-69?.3-7700 CONTRACTOR: CROivIWELL PLUMBING PHONE #: 503-26&4790 Inspection Request Scheduled For: Date: 2/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 064932-01 503-572-7016 N - Corrections/Comments/Instructions: 'X PASS 1 PARTIAL APPROVAL 111 CANCEL I I NO ACCESS III FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C3 I Date: 2.) V,S\ -0,7) Phone #: (503) 718- CITY OF TIGARD .. BUILDING DIVISION PERMIT #: PLM2005-00561 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 na i . alPggliti Inspection Requests (24 Hrs.): (503) 639-4175 ...„......„to■ 6 '. -... INSPECTION WORKSHEET FOR DATE: 2/13/2008 TIME: . 701/0/1 PAGE: 47 SITE ADDRESS: 10877 SW CANTERBURY LW BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 32, n 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) expansion tanks & (4) hose bibs, 200' footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-69&.7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 603 Inspection Request Scheduled For: Date: 2113/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 064932-02 503-572-7015 • N Corrections /Comments/ Instructions: PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (TIN hA..... \My Date: -2,0\ 0 . ze. Phone #: (503) 718- . .. . CITY OF TIGARD , . .., BUILDING DIVISION A PERMIT #: P1_1\42005-00561 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 6/290006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A. - 112. INSPECTION WORKSHEET FOR DATE: 2113/2008 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUIALOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 32, ne.w 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-G95-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-2664790 . Inspection Request Scheduled For: Date: 2J13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 064932-03 503-572-7015 N 1 Corrections/Comments/Instructions: • I 1 I - . X1 PASS fl PARTIAL APPROVAL 0 CANCEL fl NO ACCESS 0 FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: CJ 61' 144.4...illi ri--n._ Date:24_13_) o n Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00561 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612912006 Phone: (503) 639-4171 -4/as Inspection Requests (24 Hrs.): (503) 639-4175 AO IL. INSPECTION WORKSHEET FOR DATE: 2/13/2008 TIME: 7:01AM PAGE: 45 SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: C.:ANTERBURY CREST DESCRIPTION: Building 32, new 4 unit condominium. Units 101,102,103,104. Other fixtures: (4) orpansion tank & (4) hose bibs, 200' footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695.7700 CONTRACTOR: CROMWELL PLUMBING RHONE #: 503-265-4790 • Inspection Request Scheduled For: Date: 201392008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 064932-04 503-572-7015 N Corrections /Comments/ Instructions: I • IXI PASS Li PARTIAL APPROVAL r CANCEL fl NO ACCESS I I FAIL I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: CP VI/I-A—A \Atswz_. Date: 2 l 2 1.c), Phone #: (503) 718- ,) , CITY �~����7��������� ,, _ ��m m m OF m u���mnm�� - - 1 BUILDING DIVISION PERMIT #: PLM2005-00561 | 13125 SW Hall Blvd., Tigar . OR 97223 DATE ISSUED: 6/29V2006 Phone: (503) 639-4171 iiij Inspection Requa�o(24Hm.):(5O3)G30'4175 -��� v-..,.. INSPECTION WORKSHEET FOR DATE: 2y13/2008 TIME: 7:01AM PAGE: 44 SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CRE3T DESCRIPTION: Building 52. new 4 unit condominium. Units 1O1.1O2.1D3.1O4. Other fixtures: 4) expansion tan & (4) hose bibs, 200' footing drain. OWNER: CANTERBURY PLACE, LLC, PHONE #: 300`695-7700 CONTRACTOR: CROMWELL PLUMBING PHONE #: 603-266-4790 Inspection Request Scheduled For: Date: 2y13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message (�05 Sanitary sewer 064932-05 503-672-7015 N Corrections/Comments/Instructions: . `PASS pi PARTIAL APPROVAL 11 CANCEL [1] NO ACCESS | | FAIL 7 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: (\ �~-1— Date: 2.11(3 ,0<i) Phone #: (503) 718- .