Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00807
�4, DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
,, f II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/p 7 PARCEL: 2S110AA -01500
SITE ADDRESS: 1$11 /W 9 CANTERBURY LN BLDG 25 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
' Project Description: Building 25, new 4 unit condominium. 10,853 AIC
Addresses: Units 1 thru 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
[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 se 'orth in • • R 95 1 -0010 through OAR 952 - 001 -0100. You may obtain copies of these ru , or direct questions to OUNC at
503 - 246 -6:z 9 or 1 -800- 3 34 .0
'
Issued B : ej0_41A Permittee Signature: i, /
..,
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: C 1.f)--e X-g* 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.
' •• + i`ertricaL. J e rrit A heat' E® FOR OFFICE I: l SE ONI.l'
City of Tigard # DateB : a - 1 — 6 111� � Permit No.: " __ ,0S - • 1,D
13125 SW Hall Blvd., Tigard, OR 9 2
Plan Review
Phone: 503.639.4171 Fax: 503.59819 1 4 & a - 04 dQ�` 14 Date/B : Other Permit:
.
Inspection Line: 503.639.4175 �,, I. �J; . ^ •I ,, Date Ready/By: El See Page 2 for
Internet: www.ci.tigard.or.us CARD Notified/Method: Supplemental Information
C r"
C E r PE PEI-y.08 ,
PLANE VIEW' p ,-' . . , . . ..
® New construction 03Naanion/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: OService over 225 amps, comet ❑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
❑Building over three stories ❑Feeders, 400 amps or more
® Multi - family 0 Master builder 0 Other:
JOB SITE INFORMATION AND LOCATION ❑Occupant load over 99 persons ❑Manuf red structures or
❑Egress/lighting plan RV park
Job no.: Job site address Canterbury Lane ❑Health care facility ❑Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 9722. (' 74 '' The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Bldg. 6 ..- Project name: Canterbury Crest' SCIIEDULE: ;' °"
Description 1 Qty. 1 Fee. 1 Total 1
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.
10,135 3' AK-. c / 1 4 PLE )C. 1,000 sq. ft, or less ( 145.15 /54.76
Subdivision: Canterbury Place Lot no.: Ea. add'l 500 sq. ft_ or portion / 33.40 33 • fib' ' — -
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 ?cool
Limited energy, non - residential 75.00 C ..
DESCRIPTION OF WORK Each 4nemaittstavackiamodalia 3, GG
New COnstruction of Condominium Units dwelling service and/or feeder D'e ?. 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 - _
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 I 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 I ® 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'I 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
Bush', extension. Describe: HVAC & Page 2 - 'I
DMS Electric Electrical 57 -742C Fire Alarm
Addr Each additional inspection over allowable in any of the above
8504 SE Stark CCB -11873 Per inspection 62.50
Gresham, OR 97216
cit ),1 Investigation per hour (I hr min) 62.50
Phone Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES.
., .
CCB Llc.: 1 BIeeLrL, a1 'Au.. 1 J1.1111 V. Law.. Subtotal 17 g& -.3 . ^
Suprv. Electrician signature, required: _ ian review (25% of permit fee) 1 1 L , b 6' "
Print name: Date: State surcharge (8% of permit fee)] rv9 - I LI 1
TOTAL PERMIT FEE — ..4th m1.0
Authorized signature: „,wz. permit This application e: pP lication P Tres if a permit is not obtained withiN",
days after it has been accepted as complete N
Print name: I Date: • / • Fee methndnlnov gel by Tri- County Rnildina rndoetry Service Board
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BUILDING DIVISION �
~�~,"~~~°""°~� =°"°,~,"~~"° PERMIT #: ELC2005-00807
13125SVV Hall 8|vd.. Tigard, OR07223 DATE ISSUED: E/29V2005
Phone: 503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/4K2087 TIME: 7:01Ak4 PAGE: 27
SITE ADDRESS: 10749 SW CANTERBURY LN BLDG 25 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINiUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20, new 4 unit condominium. 10,853 NC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695.7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 593-209-9238
Inspection Request Scheduled For: Date: 12/6/2007 Pour Time:
`3
Code # Inspection Description Confirm # Contact # Message
199 E]wcbic@}finm| 060733-06 503572-7015 N
Corrections/Comments/Instructions:
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PASS || PARTIAL - '
�� L fl NO ACCESS
FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G" Date: . 2- -1 1 Phone #: (503) 718-
^
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005- 00007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639- 4171 1 I
Inspection Requests (24 Hrs.): (503) 639 -4175 f �..
INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7 :01AM PAGE: 29
SITE ADDRESS: 10749 SW CANTERBURY LW BLDG 25 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 25, new 4 unit condominium. 10,1153 AlC
Addresses: Units 101,102,103,10 4.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 -695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503. 209 -9298
Inspection Request Scheduled For: Date: 12/412007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 060733 -05 503-672-7015 N
Corrections /Comments/ Instructions:
7 1,A PASS ❑ PARTIAL APPROVAL L 0 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N 6V i Date: I /A Phone #: (503) .718- 1-70
CITY OF TIGARD
BUILDING DIVISfOW A
PERMIT #: ELC2005-' 00807
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 „JAI- 1.12.
-INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 10749 SW CANTERBURY LW BLDG 25 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 25, new 4 unit condominium. 10,853 AIC
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: 9/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 05E468-04 503.313-7398
Corrections/Comments/Instructions:
Lt (eVfie )z47 ,/1/ ffl, 0
4 ' 2 I /
K
P2 PASS r PARTIAL APPROVAL fl CANCEL NO ACCESS
7 FAIL CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: - -/5 ) Z--/A/e - - Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISIbN PERMIT #: ELC2005 -00807
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171
Attr
Inspection Requests (24 Hrs.): (503) 639 -4175
• INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 10749 SW CANTERBURY LN BLDG 25 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 25, new 4 unit condominium. 10,853 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 2099298
Inspection Request Scheduled For: Date: 9/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 055468 -03 503-313 -7398 N
Corrections /Comments /Instructions:
./; l/'
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 Date: 40 Phone #: (503) 718-
CITY OF TIGARD 1
BUILDING DIVISION '' PERMIT #: ELC2005- 00807
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 a411
Inspection Requests (24 Hrs.): (503) 639 -4175 A.
INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7 :0'iAM PAGE: 43
SITE ADDRESS: 10749 SW CANTERBURY LN BLDG 25 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 25, new 4 unit condominium. 10,853 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: 9/4/2007 Pour Time:
Code # Inspection Description ,_—Co irm # Contact # Message
120 Electrical rough -in K 055039-02 503. 313 -7398 N
Corrections /Comments /Instructions: �2
2 �`-p `� N OA cAQ( ((Zom Fr5p/\ sF ` tom
wti I �, �" � 6F 1 spry oiCI-K,
S vp S - - 10.0 , v "►J I`r'S -� --
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•
PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0.��at , x4 V
Inspector: I�+vv� / Date: ' �� Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISI'�N ' PERMIT #: ELC2005 -00807
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 4 200 11 �l�
Inspection Requests (24 Hrs.): (503) 639 -4175 =, �
INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7 :01AM PAGE: 44
SITE ADDRESS: 10749 SW CANTERBURY LN BLDG 25 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 25, new 4 unit condominium. 10,853 AIC
Addresses: Units 101,102,103,104.
O WNER: CANTERBURY PLAC LLC PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209-9298
' Inspection Request Scheduled For: Date: 9/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
,x
115 Electrical service 0 -01 503. 313 -7398 N
Corrections /Comments/ Instructions:
cb ?D,oN1ZYe - A )0 04&i a Sp•G� Il'N)
CLO 4I b S R-k i CE \ k V
ciz. rti Lis Vi Na\1 co. 2
❑ PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
4 FAIL 2 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C?''-. 6 ?) , Date: e t ' .O ' ) Phone #: (503) 718- Ptilito
CITY OF TIGARD ,
BUILDING DIVISION '
AR PERMIT #: ELC2005.00807
I ! 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 ,. u tlfigii i it
Inspection Requests (24 Hrs.): (503) 639-4175 ,,J.11 1.!..
INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7 : 01 AM PAGE: 42
. , SITE ADDRESS: 10749 SW CANTERBURY LW BLDG 25 CLASS OF WORK:
f SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 25, new 4 unit condominium. 10,853 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: 9/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage I - ,J139-0 503-313-7398 N •
Corrections/Comments/Instructions:
ve 1)
CD w) I- 5 c(731\riatt__
'LL
PASS A PARTIAL APPROVAL fl CANCEL fl NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
6_____
Inspector: G .--4 N ()Ie U --- Date: * 1 Phone #: (503) 718- 2_,Ltitt