Permit A._ CITY OF T GARD ELECTRICAL PERMIT
PERMIT #: ELC2005 - 00814
DEVELOPMENT SERVICES DATE ISSUED: 5/18/2006
. :° 4 - 1 - 11 'l 13125 SW Hail Blvd., Tigard, OR 97223 503 - 639 -4171
1/0 y PARCEL: 2S110AA - 01500
SITE ADDRESS: 1.965 SW CANTERBURY LN BLDG 4 ZONING: R -
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 4, new 3 unit condominium.
Addresses: Units 1 thru 3.
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: 3 401 - 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: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
CANTERBURY PLACE LLC DMS ELECTRIC INC
109 EAST 13TH ST. 8502 SE STARK ST
VANCOUVER, OR 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 5/18/2006 $582.11 LIC 118073
[TAX] 8% State Surcharge 5/18/2006 $46.57 SUP 45425
Total $628,68 REQUIRED ITEMS AND REPORTS
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 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: j 6.0 Permittee Signature:
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: DATE:
LICENSE NO:
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.
` T trical Permit Application .. I oR tai I IC F. usi: C) \` .
Received
Cit of Tigard ECEIV ',� Date/B . r Permit No. __�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 i A 11 t '',,, i i I i ? ` DateB : Other Permit:
Inspection Line: 503.639.4175 OCR „�_ "__,, !,;; Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: SupplementalInformation
TYPE O T 1 1U _ PLAN REVIEW
t � c n pNtS 1
® New construction ❑ Additi Edl� o replacememe
nt Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'I ❑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 ❑ Commercial /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
❑Health -care facility ❑Other:
Job no.: Job site address: /C'g S SW Canterbury Lane Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 9722. /0 8'37 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Bldg. Project name: Canterbury Crest
FEE' SCHEDULE
Description I Qty. I Fee. I Total , '�
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. ' /
--ra i P Le 1,000 sq. ft. or less _ . / 145.15 1 �-f 4
Subdivision: Canterbury Place Lot no.: Ea. add'I 500 sq. ft. or portion / 33.40 33.10 1
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential _ `� 75.00 a.2� Q 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK . Each 87•QE)
New Construction of Condominium Units
dwelling, service and/or feeders 9$90 i'J$.� 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 ; 2
. IA, PROPERTY OWNER . ❑ TENANT 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 ® 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,
each branch circuit 46.85 2
Address: 11624 SE 5 Street Each add'I 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-
,--- - ,. . energy panel, alteration, or
' t DMS Electric Electrical 57 -742C extension. Describe: HVAC & Page 2 ' 2
Busin ' 8504 SE Stark CCB -11873 _ Fire Alarm l
• Addre Gresham, OR 97216 Each additional inspection over allowable in any of the above
PH: 5 ' — Per inspection 62.50
City /S I Investigation per hour (I hr min) 62.50
Phone. Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal ,5 it —
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee) •41ho0 67
TOTAL PERMIT: FEE / .. , jo )
Authorized signature: This permit application expires if a permit is not ob,oiu within
days after it has been accepted as comp! e
Print name: I Date: = Fee methrvinlnnv set by Tri-Cmmfv Rnildinn fndns Service Rnard
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` BUILDING DIVISON PERMIT #: ELC2005-00814
13125 SW Hall Blvd..Tigard, OR 97223 DATE ISSUED: 5/1012000
Phone: (503) 639-4171
Inspection Roquea�C24Hmj �
Hrs.): 839~4175 ~ ��m �" 4 ��
INSPECTION WORKSHEET FOR DATE: 10K6/2006 TIME: 7:O3AM PAGE: 57
SITE ADDRESS: 10839 SW CANTERBURY LNBLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
• DESCRIPTION: Building 4, new 3 unit condominium.
Addressee; Units thru 3.
OWNER: CANTERBURY PLACE LLC. PHONE #: 360-095-7700
CONTRACTOR: [>kAS ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time:
°° - • ^'- Description Confirm # Contact # Message
199 Electrical final 037770-04 503-572-2961 M
Correction - ° — - t ^ • ' ions:
��RA R T|AL�PPR�VAL � - CAN{�EL ��NDACCESS
APASS
� �� | |FA|L CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
�~ � »��v�~�� h ��
Inspector: «��^ 1 \ 1 C Date: VQ/ 0 Phone #: /503\ 718''
''
CITY OF TIGARD
BUILDING I # : 2 0 6 5 - - LDING DI a o 87 y
. A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �'. "'f L
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / /0 7 6 LASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: /� /J �
DESCRIPTION: Ca.Lt ! `V
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Insgec io Req st cheduled For: Date: C ? -D'' Pour Time:
Code # - .n Description Confirm # cGontact #f Message
V_
g nslComments /Instructions:
B 1 Aa r ESQ A1... IAtZ ow,c3 .1, e fu 4Q__.
6 PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL I 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NO c Le Date: 4, IA' Phone #: (503) 718- 2t11/6�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C2005•00814
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/181200 e
Phone: (503) 639 -4171 o(I ?
Inspection Requests, (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 1:05AM PAGE: 32
SITE ADDRESS: 10765 SW CANTERBURY LN BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 0 i TYPE OF USE:
PROJECT NAME: CANTERBURY CREST .
DESCRIPTION: Building 4, rseW 3 unit. condominium.
Addresser:.: Units 1 t.hsu 3.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-fba3u -?'700
CONTRACTOR: DIAS ELECTRIC INC • PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 8126 {106 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 • Electrical rough in 032354 -01 97 - 563 -69i1 N
Corrections /Comments/ Instructions:
tA(Vai3JtaL
cq cAL- s.v c Y
ca N `S" 2-
s�� c i� w o 4 , 6 0E1 E 6' Z 3 - 6 J
n PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,AIL CALL FOR INSPECTION I X ADDITIONAL FEES ASSESSED
Inspector: N (zse Date: 6 6b Phone #: (503) 718- /14A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t..C2t30lt`00q 14
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511212006
Phone: (503) 639 -4171 n
Inspection Requests (24 Hrs.): (503) 639 -4175 • 1!
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:1C'AM PAGE: . l °'
SITE ADDRESS: 10765 SW CANTERBURY LN BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 4, new 3 unit condominium.
Address 1.Unit.s; 1 t.hw 3.
OWNER: CANTERBURY PLACE LLB. PHONE #: 360'695-7700
CONTRACTOR: Div e, ELECTRIC INC' PHONE #: 503-209-92M
2M
Inspection Request Scheduled For: Date: 612372006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 032277-01 971-563-6984 N
Corrections /Comments /Instructions:
S crV > LI_ C ke I NI AT{' 1 C) e uL It? 33 s . o
FR off, 112 U6',5 CitU(\) `Gi 3&.
f klzv\o pj " G 13 6J% s 7& 6'rzoT ALL
• c1,8 `-? ► N `r\P oAai t ats CALL)g I/ o
Pr&°v +OC Q� s co z -�� a. ALL Ftci i C A; Q, o i Ts Aer 43D ,10
Pcte,/ - 2.-13 N - lo P►-L 6Z ie,4 N
CsS �00l1_ (`TR& v N1 7 - Aar 210 5t
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' FAIL !I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ►V � Date: ‘13 04) Phone #: (503) 718- 2.1fift)
Project: CANTERBURY
Building: BLD 4
Unit Type H 19553 x # of units 2
Unit Type G 19486 x # of units i 1
Unit Type G1 19499 x # of units I 0
HOUSE PANEL 5250 x *of units ; 1
Unit Type x # of units 0
Unit Type x # of units 10
TT /9'd
Load SubtotE 63842 VA
Demand at 100%
Demand Loa 63842 VA
Misc Load
Total Load 63842 VA
240 V
PHASE 266 AMPS
V ftd V
1892b2920S:ol
Rev 4/26/2006
Total
S.
39106 VA
19486 VA
0 VA
5250 VA
0 VA
0 VA
63842
DMS - Electric, inc.
8504 SE Stark St.
Portland, OR 97216
(503)209.9298
MA 1 5 2006
CITY F TIGARD
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