Permit 1 Y OF TI RD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00804
� DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
- - ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
/07.3L. PARCEL: 2S110AA 01500
SITE ADDRESS: 1069 S CANTERBURY LN BLDG 17 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 17, new 4 -unit condominium.
Addresses: Units 1 through 4.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 1 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 4 401 - 600 amp: SIGNAL/PANEL: 0
MANF HM/ SVC/ FDR: 0 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 0 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 0 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: X > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC:
Owner: Contractor:
CANTERBURY PLACE LLC DMS ELECTRIC INC
109 EAST 13TH STREET 8502 SE STARK ST
VANCOUVER, WA 98660 PORTLAND, OR 97216 -1140
Phone: 360- 695 -7700 Contact #: FAX 503 - 252 -6611
PRI 503 - 209 -9298
. FEES
Description Date Amount Reg #: ELE 37 - 742C
[ELPRMT] ELC Permit 6/29/2006 $746.39 LIC 118073
[TAX] 8% State Surcharge 6/29/2006 $59.71 SUP 4542S
[ELPLCK] ELC Pln Rev 6/29/2006 $62.50
REQUIRED ITEMS AND REPORTS
Total $868.60
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 AR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503-246-6 9 or 1-80 -3�4�
Issued B / / i & Permittee Signature: __ a.'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 411& Zzir DATE:
LICENSE NO:
CaII 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.
}
________ 0-0 eu
E1ectricaD PP.4.4mi pplicattigft J x . ,'; ,� ' .. I clot 01:I.:1( 1 ti'l 0\1.,
City of Tigard �� i ( DateB� /O / q OS ELD PermitNo.: E449.00 5 - g.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.5 9600E - iu�rnr'y � DateB j : Other Permit: a, n S
o - t 1? 1
Inspection Line: 503.639.4175 `D ING pnI1S ■ 1� i ` '' I_I Date Ready/By: J ' ® See Page 2 for
Internet: www.ci.tigard.or.us BU Notified/Method: / . Supplemental Information
TYPE OF WORK .. PLAN REVIEW : • ..
® New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service ['Hazardous over 225 amps, com'l Hazardous location
- ❑Service over 320 amps - rating ® Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commereial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
® Multi - family ❑ Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
['Occupant load over 99 persons [(Manufactured structures or
JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park
Job no.: Job site address:4SW Canterbury Lane ❑Health care facility ['Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 9722. / o � j The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Bldg. /7 Project name: Canterbury Crest FEE* SCHEDULE
. Description I Qty. I Fee. I Total I ••
Cross street/directions to job site: Canterbury Lane off HWY 99 SW of McDonald New residential single- or multi- family dwelling unit.
Includes attached garage. _
P L_ G Y. 1,000 sq. ft. or less I 145.15 I /t/ /5
Subdivision: Canterbury Place Lot no.: Ea. add'I 500 sq. ft. or portion / _ 33.40 33, , - / b
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential _ / 75.00 300,09 z
Limited energy, non - residential 75.00 2
DESCRIP'T'ION OF WORK Each f,�
dwelling, service and/or feeder 3 d /. .67 2
New Construction of Condominium Units
. Services or feeders installation, alteration, and/or relocation
200 amps or less i 8r 0
IA PROPERTY OWNER 0 TEN D 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Canterbury Place LLC 601 amps to 1,000 amps 240.60 2
Address: 109 East 13 Streen Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: Vancouver, WA 98660 Temporary services or feeders installation, alteration, and/or
Phone: (503)221 -1920 Fax: (360)693 -4442 relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
® APPLICANT 1 ® CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Canterbury Place LLC branch circuit
B. Fee for branch circuits
Contact name: Dave Gutschmidt without service or feeder fee, 46.85 2
Address: 11624 SE 5 Street each branch circuit
Each add'1 branch circuit 6.65 2
City/State /ZIP: Bellevue, WA 98005 Miscellaneous (service or feeder not included)
Phone: (503) 221 -1920 Fax: : (360) 693-4442 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
- - — - - - extension. Describe: HVAC & Page 2
Bus Fire Alarm
— Ads DMS Electric Electrical 57 -742C Each additional inspection over allowable in any of the above
- 8504 SE Stark CCB -11873 Per inspection 62.50
Cit) Gresham, OR 97216 Investigation per hour (l hr min) 62.50 6a, 60
Pho - ;i:P O'fik{5• Industrial plant per hour 73.75
— ELECTRICAL PERMIT
ERMIT FEES*
r_ -
CCB.,.,,.. l •.iccu 'Lodi LK... Suprv. Lic.: Subtotal f
Suprv. Electrician signature, required: Plan review (25% of permit fee) • n
Print name: Date: State surcharge (8 %ofpennit fee) '5 7/
TOTAL PERMIT FEE ' 8
Authorized signature: This permit application expires if a permit is not obtaiyfd mum' au
• days after it has been accepted as compute \ \vl
Print name: Date: • Fee methfvinlnov sex by Tri- Cnnnty Building, Imheary Servier Anent
e .. c/�� C'
le a d l-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00804
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 � ti
Inspection Requests (24 Hrs.): (503) 639 -4175 A �_ _...
•
INSPECTION WORKSHEET FOR DATE: 6/8/2007 TIME: 7:01AM PAGE: 2.6
SITE ADDRESS: '10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Budding 17, new 4 -unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 -209 -9298
Inspection Request Scheduled For: Date: 6/8/2007 Pour Time:
Code # Inspection Description Confirm=# Contact # Message
199 Electrical final 049871-01 \ 503-313-7398 N
Corrections /Comments /Instructions:
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PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL [ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: v • 6\( Date: ■7 Phone #: (503) 718 - Alik:1"
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00804
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 w ° ` "'III
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME:. CANTERBURY CREST
DESCRIPTION: Building 17, new 4 -unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049719 -01 503 - 313.7398 N
Corrections /Comments/ Instructions:
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I PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
" FAIL CALL FOR INSPECTION KADDITIONAL FEES ASSESSED
Inspector: N �� >C Date: t ' Ib' 0 Phone #: (503) 718- l'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200E- 00804
13125 SW Hall Blvd., Tigard, OR 97223 - • DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 ,�I,,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:O1AM PAGE: 53
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17, new 4 -unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503.209.92913
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final ( ) 503-313-7398 N
Corrections /Comments /Instructions:
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1 PASS Fl PARTIAL APPROVAL n CANCEL n NO ACCESS
,I, FAIL 1 I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: • LE Date: 4' 4' Q1 Phone #: (503) 718 - 1�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00804
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/201)6
Phone: (503) 639 -4171 °' t,���� � � t � !
Inspection Requests (24 Hrs.): (503) 639 -4175 • '�±i -
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7 :01AM PAGE: 54
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17, newv 4 -unit condominium.
Addresses: Units 101,102,103,104
OWNER: CANTERBURY PLACE LLC, PHONE #: 360 - 695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503- 209 -9298
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description / Confirm. #� � Contact # Message
j
135 Low voltage t 049513-02 "\ 503-313-7398 N
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Corrections /Comments /Instructions: ■,.
7 PAS I 1 PARTIAL APPROVAL 1 I CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: (3 1`� '6® L T Date: 6 '4' Q ) Phone #: (503) 718- 11414
CITY OF TIGARD
- BUILDING DIVISION PERMIT #: ELC200S -00804
13125 SW Hall Blvd., Tigard, OR.- 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 - 4171��
Inspection Requests (24 Hrs.): (503) 639 -4175 • ,- !s {•,__. •
INSPECTION WORKSHEET FOR -_ - DATE: 5/11/2007 TIME: 7:01AM PAGE: 65
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTER BURY CREST
DESCRIPTION: Building 17, new 4 -unit condominium.
Addresses: Units 101,102,103104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360. 695.7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209 -9298
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time:
Code # Inspection Description _Confirm - #,.. Contact # Message
135 Low voltage 048124 -01 \`' 503- 313 -7398 N
J
Corrections /Comments /Instructions:
c i Ik 2x 6 S ).
1 PASS I I PARTIAL APPROVAL fl CANCEL NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: ' N O I V'"" Date: 1 ' 1 O Phone #: (503) 718- 7.141K)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00804
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 � �i��_
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/11 /2007 TIME: 7:O1AM PAGE: 84
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17, new 4 -unit condominium.
Address&'.: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
• CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209 -9290
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time:
Code # Inspection Description Confirm - # Contact # Message
199 Electrical final 048124 -02 503-313-7398 N
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Corrections /Comments /Instructions:
H ' o 6 E fa A N L-. PRA v i Da' bi c"P o21�y-,
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❑ PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
AIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: &---N vv L-= Date: 61 u o Phone #: (503) 718 Itilik)
CITY OF ��G��������
�*wo w n�'n� mn�����m�� .
BUILDING DIVISION =�~°,~~~°,,�~� ~°,",~,,~~,° PERM|T#: ELC2005-005C4
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: 3y27/2007 TIME: 7:O1AM PAGE: 51
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMNUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17. new 4'uniicondominium.
Addresses: Units 101.102.103.104.
OWNER: CANTERBURY PLACE LLC. PHONE #: 360'69E-7700
CONTRACTOR: D&4S ELECTRIC. INC PHONE #: 503-209'9298
- Inspection Request Scheduled For: Date: 2/27/2007 Pour Time:
Code # Inspection Description onf|rnn.# \ Contact # Message
135 LmwvuUa8e 043954-02 \\ 503'546-3654 N
Corrections/Comments/Instructions:
•
2 PASS ri PARTIAL APPROVAL 7 CANCEL 1 | NO ACCESS
| | - CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 6 ��~� l
CITY OF ��M��������
n�`n� nm���nom��
BUILDING DIVISION PERMIT #: EUC2005-00804
13125 SW Hall Blvd., Tigard, OR 97223 _ � DATE ISSUED: 6/29/2O05
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ' -�Q�-�4,1.-
INSPECTION WORKSHEET FOR DATE: 212E42007 TIME: 7:O8Am PAGE: 58
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST C.ONDOM1NIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURYCRES7
DESCRIPTION: Building 17, new 4-unit condominium.
Addresses: Units 101,102.103.104.
OWNER: CANTERBURY PLACE LLC. PHONE #: 360-G9�7700
CONTRACTOR: DK4S ELECTRIC INC PHONE #: 503-209'9298
Inspection Request Scheduled For: Date: 2/26V2087 Pour Time:
Code # Inspection Description Contact # Message
120 Beutriue|rough'in 5D3-5A6'JGFA N
Corrections/Comments/Instructions:
•
)4\PASS [ 1 PARTIAL APPROVAL [-� CANCEL ri NO ACCESS
n FAIL CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
�-� �J �[1 �~�� Mv�
Inspector: �� ` »~^ v������ Date: u''«��~w Phone #: (503) 718- 1'41'6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ac2005.00804
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7912006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 212612007 TIME: 700A1v1 PAGE: 60
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17, new 4-unit condominium.
Addresses: Unils 101,102103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360.695-7709
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503.209-92913
Inspection Request Scheduled For: Date: 212612007 Pour Time:
Code # Inspection Description fififiTm--# Contact # Message
115 Electrical service 043859-01 503-545-3654
Corrections/Comments/Instructions:
NJA-A LAl2)--
Vt PASS I I PARTIAL APPROVAL LIJ CANCEL fl NO ACCESS
I FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: (/ Date: 14 4Y 09 Phone #: (503) 718- *A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20O5- OOB04
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 , r p,
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 212&20C)7 TIME: 7:OOAm PAGE: 58
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
• DESCRIPTION: Building 17, new 4 -unit condominium.
Addresses: Units 101,102,103,'104.
OWNER: CANTERI3URY PLACE LLC, PHONE #: 360.693.7700
CONTRACTOR: DIMS ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 206/2007 Pour Time:
Code # Inspection Description onfirm # Contact # Message
135 Low voltage (�i?4. "1t35r 3\ 50:3-545~3654 N
Corrections /Comments /Instructions:
•
[1 _
•
•
n PARTIAL APPROVAL n CANCEL n NO ACCESS
k■ ! i FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: I� (O Le Date: I 2)—t Phone #: (503) 718-
.
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: FLC2005-00004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/79f7006
Phone: (503) 639-4171 •
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/20/2007 TIME: 7:O9AM PAGE: 90 '
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT.#: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17, new 4-unit condominium.
Addrees: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9290 •
Inspection Request Scheduled For: Date: 2/2012007 Pour Time:
Code # Inspection Description Contact # Message
120 Ilea( al rough 043550 \ 603-545
Corrections/Comme Instructions:
aH)
soff kive-kNO 410p Ro■gi
•
PASS PARTIAL APPROVAL n CANCEL 7 NO ACCESS
7 FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: GAR.N8 Nbg Date: 21 Phone #: (503) 718-144(0
CI ■ Y OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005•00004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 ° "' i
Inspection Requests (24 Hrs.): (503) 639 -4175 ° "_I
INSPECTION WORKSHEET FOR DATE: 2/16/2007 TIME: 7:00AM PAGE:
SITE ADDRESS: 10731 SW CANTERBURY LI'NP BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST'
DESCRIPTION: Building 17, new 4 -unit. condominium.
Addresse.: units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360.695.7700
CONTRACTOR: CMS ELECTRIC INC PHONE #: 503..209 -92%
Inspection Request Scheduled For: Date: 2/°1642007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 043490-01 -01 503 -EA &3654
Corrections /Comments /Instructions: ~ - - - --
PASS PARTIAL APPROVAL CANCEL I NO ACCESS •
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: &� e t 0 Date: Z' 1 1 0 — d Phone #: (503) 718- 2 -1-V1