Permit .CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00812
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DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
._�f 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/07/c/ PARCEL: 2S110AA -01500
SITE ADDRESS: ,ID-594 SW CANTERBURY LN BLDG 21 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 21, 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:
MANF HM/ SVC/ FDR: 0 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 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 f. • - : R 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rule direct questions to OUNC at
503 - 246 -66' • or 1 -800- 3 - '4.
Issued B : 44{__4_14 Permittee SignaturC____1,
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.
ect
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El l Pern�tit App FOR OFFICE USE ONLY
City of Tigard EC L ' E�
Date/B � I ttttl Permit No.:6 Aysd
ppp
13125 SW Hall Blvd., Tigard, OR 97223, Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 i.ovi I "� Date/B : Other Permit:
, "�i
Inspection Line: 503.639.4175 1 4 20
�jx- OC T Date Ready/By: IMMI ® See Page 2 for
Internet: www.ci.tigard.or.us l Notified/Method: Supplemental Information
TYP,E►Q4 Rom ARD . PLAN REVjEW. : :? ..
® New construction ❑ Addotr/ t tiEd/ epl eluilent 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 ❑ CommerciaUindustrial ❑ 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: /7/ SW Canterbury Lane ❑Health care facility ['Other:
Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 9722. / The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Bldg.,-,/ Project name: Canterbury Crest
FEE* •SCHED,UIV ' :;
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.
d� 1-C Includes attached garage.
1,000 sq. ft. or less ' 145.15 1415] • /5'. 5
Subdivision: Canterbury Place Lot no.: Ea. add'l 500 sq. ft. or portion _ / 33.40 33.
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 3 00,00
Limited energy, non - residential 75.00
DESCRIPTION OF WORK Each 3
New Construction of Condominium Units dwelling, service and/or feeder rip ° a67 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30
❑ PROPERTY OWNER ❑ TENANT 01 amps to 400 amps _ 106.85 -
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 I ® CONTACT PERSON A. Fee for branch circuits with
Place LLC service or feeder fee, each
Y branch circuit 6.65 2
Business name: Canterbury
B. Fee for branch circuits
Contact name: Dave Gutschmidt
without service or feeder fee,
Address: 11624 SE 5 Street each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City/State /ZIP: Bellevue, WA 98005 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (503) 221 -1920 Fax: : (360) 693 -4442 Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
I DMS Electric Electrical 57 -742C energy panel, alteration or
Busi 8504 SE Stark CCB -11873 extension. Describe: HVAC & Page 2
Add] I I -Gresham, OR 97216 Each additional inspection over i gable in any of the above
1 Pililailielnia Per inspection 62.50
City i Investigation per hour (1 hr min) I 62.50 62 50
Phone. Industrial plant per hour 73.75
/ I r ax: l ) ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lie.: Subtotal
Suprv. Electrician signature, required: P gn eq S 01/ Plan review (25% of permit fee) •
Print name: Date: State surcharge (8% of permit fee) _ /
TOTAL PERMIT FEE 0
Authorized signature: This permit application expires if a permit is not olla‘ed within I 8(
days after it has been accepted as complete
Print name: I Date: ,- c • Fee methnxlnlnw set by Tri- Cnnnty Bnildinp indnatry Service Board
.. _e. -,•. eras ,e
CITY OF TIGARD
BUILDING DIVISION e PERMIT #: ELC2006-00a12
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: 7/10/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 603-209-92913
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description bnZ Contact # Message
199 Electrical final 051705-02 03-313-7398
•
Corrections /Comments / Instructions:
e >r<ASS pi PARTIAL APPROVAL n CANCEL fl NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N 6e LE Date: oi Phone #: (503) 718_140-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00812
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
:ity 16 I l
Inspection Requests (24 Hrs.): (503) 639-4175 Z 1
INSPECTION WORKSHEET FOR DATE: 7/1012007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, 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: 7/10/2007 Pour Time:
Code # Inspection Description - -. ' ---# Contact # Message
135 Low voltage 051705-01 503-313-7398 N
V c 4.
_.......----)
Corrections/Comments/Instructions:
21 PASS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS
0 FAIL I I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
Inspector: C...) N cs8 Le' Date: 711( (T1 Phone #: (503) 718- AYX_
- - ,
- I _
CITY OF TIGARD s.
BUILDING DIVISION PERMIT #: ELC2005-00812
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 .aAtb
"oligitt 11-
Inspection Requests (24 Hrs.): (503) 639-4175 Asir 111.
INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
• DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 04633E41 503-645.3654 N
Corrections/Comments/Instructions: •
i APASS LII PARTIAL APPROVAL . 0 CANCEL fl NO ACCESS
FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: LA \ IL On Phone #: (503) 718- ),LILf•L
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00012
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: 4/11/2007 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 • CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: MS ELECTRIC INC PHONE #: 503-209-9290
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 046336-03 503-545-3654
Corrections/Comments/Instructions:
•
PASS El PARTIAL APPROVAL fl CANCEL r NO ACCESS
I I FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: N Date: q Phone #: (503) 718-*1(7
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00812
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 /VI t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 14
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SITE ADDRESS: 10719 SW CANTERBURY LW BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 3611695
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 4111/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 046336-02 503-545-3654 N .
Corrections/Comments/Instructions:
"PASS n PARTIAL APPROVAL LI CANCEL NO ACCESS
I FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: LE Date: 4(11101 Phone #: (503) 718- 21M-6