Permit ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2005 00802
.� V ,� i �, i DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
� "�-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
la 73 PARCEL: 2S110AA -01500
0 -
SITE ADDRESS: U1-5.SW QA NTERBURY LN BLDG 16 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 16, new 4 -unit condominium. 12,330 AIC
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
[ELPLCK] ELC Pln Rev 6/29/2006 $186.60 SUP 45425
[TAX] 8% State Surcharge 6/29/2006 $74.64
REQUIRED ITEMS AND REPORTS
Total $1,007.63
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 thes- es or direct questions to OUNC at
503 - 246 -669: or 1- 800 -33 3 •
Issued B • G _ �0 .,i ./ i Permittee Signatu - • '''' ‘ '" "
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: ---W 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.
. - ,. 0'
'Electrical Permit FOR OFFICE USE ONLY •
City of Tigard E,I I M R eceived ,J 7
DateB /
: /O QS Lc' -Die_ Permit E S 0 0 go.
13125 SW Hall Blvd., Tigard, OR 97223 C2,s =0� d
Phone: 503.639.4171 Fax: 503.598.1960OCT ll ! 20 0,5 o a'di� �iIl`�� Dat /B new Other Permit: a
Inspection Line: 503.639.4175 llr� Date Ready/By: SI See Page 2 for Notified/Metho
Internet: www.ci.tigard.or.us Supplemental Information
iTY C. C TICm:I� -
16 L 11,} ISIOIV PLAN-KEVIEW. -.
IN New construction ❑ Addition/alteration/replacement Please check all that apply:
El Demolition ❑Other: ❑Service over 225 amps, comm'I ❑Hazardous location
OService 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
❑Building over three stories ['Feeders, 400 amps or more
® Multi - family 0 Master builder 0 Other:
['Occupant load over 99 persons ['Manufactured structures or
• JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site addresss-495 SW Canterbury Lane ❑Health -care facility ['Other:
/ 73 9 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 * - 'SCHEDULE :I;; a ' ``''
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.
1 2 338 AI / 14 P LE & 1,000 sq. ft. or less / 145.15 /41 I5'
Subdivision: Canterbury Place Lot no.: Ea. add'l 500 sq. ft. or portion / . 33.40 33.40 1 l
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 3� j
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK rnemsfoutembernmktlat
New Construction of Condominium Units
dwelling, service and/or feeder p' o�b afio ?•o T 2
Services or feeders installation, alt' etion, and/or relocation
-
200 amps or less 80.30
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 I L
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 0 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'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 -
CONTRACTOR energy panel, alteration, or •
131 extension. Describe: HVAC & Page 2
Fire Alarm ,
DMS Electric Electrical 57 -742C Each additional inspection any ction over a able in an of the above
'��' 8504 SE Stark CCB -11873 Per inspection 62.50
Cil Gresham, OR 97216
Investigation per hour 0 hr min) 62.50
Ph
l Industrial plant per hour 73.75
, ELECTRICAL PERMITitFEES *.�' :; . ` :..': - J1 fg.
CCI3 Lie.: l Electrical Lie.: I Suprv. Lie.: Subtotal 7 eg l 39
Suprv. Electrician signature, required: 50'70 Plan review (25% of permit fee)
1 8 b• 6 0
Print name: Date: State surcharge (8% of permit fee) (i -i, 14-71.1„1
TOTAL PERMIT FEE 1 ' n/ 1 ]
Authorized signature: r This permit application expires if a perm is not obt__ S -_ . ., V I oo h'
days after it has been accepted as complete
Print name: " e I Date: s , • /� o / Fee merhnrinlnav set by Tri Cnumiv Rnitdine Industry Cervi�.e Rnarrl
C
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00802
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 amyl PAGE: 41
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium. 12,330 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LW, PHONE #: 360.695-7700
CONTRACTOR: DIAS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electri final 058133-02 503-572-7015
Corrections/Comments/Instructions:
\ N_ \
V
•
VI! PASS ( PARTIAL APPROVAL pi CANCEL El NO ACCESS
fl FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
•
Inspector: N6GE--t Date: 1OJi_i Phone #: (503) 718- Vi
_ , -
• • ,
' CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: ELC2005-00802
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006
Phone: (503) 639-4171 ANAlooti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 PAGE: 42
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium. 12,330 AIC
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: 10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13 Low voltage 058133 603-572
Corrections/Comments/Instructions:
FA PASS El PARTIAL APPROVAL LII CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C5 0 Le Date: la 13 01 Phone #: (503) 718- *A)
•
CITY OF TIGARD
' BUILDING DIVISION PERMIT #: ELC2005-00802
13125 SW Hall Blvd., Tigard, OR 97223 L DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 p
Inspection Requests (24 Hrs.): (503) 639 -417 141494 III
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 10739 SW CANTERBURY LW BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4 -unit condominium. 12,330 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DIMS ELECTRIC INC PHONE #: 503 - 209 -9298
Inspection Request Scheduled For: Date: 812/2007 Pour Time:
Code # Inspection Description •airm # Contact # Message
120 Elertrical rough -in 053263-01 503- 313 -7398 N
Corrections /Comments/ Instructions:
Cr? •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
-A L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cs s 1\1()(2) �� Date:
Ile 2 -" 0 1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S-00802
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: 8/2/2007 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 10739 SW CANTERBURY LN 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium. 12,330 AIC
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: 8/2/2007 Pour Time:
Code # Inspection Description (ConfiiM-# Contact # Message
115 Electrical service 053265-01 503-313-7398
Corrections/Comments/Instructions:
°Pitkr: vri -Om LI T ilaRSCuit
z ts RAI
toa-iNg.vv. *i■ 4&s
•
PASS PARTIAL APPROVAL fl CANCEL fl NO ACCESS
I FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: KlwaLe' Date: i'l-r Phone #: (503) 718- IMO
CITY OF TIGARD
A -
BUILDING DIVISION PERMIT #: ELC2005-00802
,_
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 :inglIit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 00
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium. 12,330 Ale
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: 7/31/2007 Pour Time:
Code # Inspection Description Cfffii#— , Contact # Message
120 Electrical rough-in 053069-03 ) 503-313-7398 N
""
Corrections/Comments/Instructions:
lt4..
lb S Ve130 S el- F-QED 5 el k) i i C.16 Lr 11 4 I r
c t, (\I A ep RIZNi MAN CIL
•
417t1 S'E" S424J1 C-11 - 1/1 4 Ce&F I ea
•
•
I PASS 0 PARTIAL APPROVAL fl CANCEL I I NO ACCESS
II FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G N6e) ... Date: 11 1 i 11 Phone #: (503) 718
_ _ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&00802
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006
Phone: (503) 639-4171 , 411/1
Inspection Requests (24 Hrs.): (503) 639-4175 . Y
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 56
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium. 12,330 AIC
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: 7/31/2007 Pour Time:
Code # Inspection Description Contact # Message
115 Electrical service 053069-02 503-313-7398
Corrections/Comments/Instructions:
6.) t•-) C f■C4,\,' (t. FOIL
6 -e-(k.,)%1 bl 6 coo b 1 3 Kg
%Q445 Now 4tL .1
I PASS PARTIAL APPROVAL 0 CANCEL EI NO ACCESS
4 FAIL )4 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
'
Inspector: i•t 11 Se ) Date:11 IIO1 Phone #: (503) 718- 1.41/t )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00802
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 /12 i Vj e •
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 64
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4 -unit condominium. 12,330 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 36(3 -695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209.0298
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code # Inspection Description ,,._Confirm# Contact # Message
135 Low voltage 063069 -04 ) 503-313-7398 N
Corrections /Comments /Instructions: T
Qom, PASS fl PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �T' . CYN Date: 1 11101 1 Phone #: (503) 718- Wilk
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00802
1, A
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: 6/28/2007 TIME: 7:01AM PAGE: 76
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4-unit condominium. 12,330 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-696-7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 061097-03 503-313-7398 Y
Corrections/Comments/Instructions:
E tkV FSesFa Tr 'S bA) it 1
fl PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
.NO2) Date: C . IA " '
Inspector: Phone #: (503) 718 1 A L VO
. . . .