Permit . . CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00801
l DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
a 1.' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
�
/07g3 PARCEL: 2S110AA -01500
S
SITE ADDRESS: CANTERBURY LN BLDG 15 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 15, new 4 unit condominium. 10,537 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: 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 4542S
[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
n 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of thes�les or direct questions to OUNC at
503 - 246 -66 - 800 -3 4.
Issued B � c... , ��Q - P e rmittee Signature / - - , r te- �� �
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:
e TRACTOR INSTALLATION ONLY
. ,—.1. - /
SIGNATURE OF SUPR. ELEC'N: - - .y�� �� 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.
lectrlca� Permit Application
`, g . FOR OFFICE USE ONl. \` ■
City of Tigard Rec eived , L i _ �� 0 , u � *CEIT4E1
DateB : i - Permit No. 13125 SW Hall Blvd., Tigard, OR 97 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 L ft 209 �� ""� 1 h Date/B : Other Permit:
Inspection Line: 503.639.4175 0 ^ 0 �t ■ ? Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
axon
TYPPEI OF- W p1[S ,,:- . :•r , k,OvIEWI' ` n * ;;;' . V.:
® New construction ❑ Addi o i ait e atton/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'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 ❑ Commercial/industrial ❑ Accessory building ❑S over 600 volts nominal units in one structure
❑Buildin over three stories ❑Feeders, 400 amps or more
® Multi - family ❑ Master builder ❑ Other:
JOB SITE INFORMATION AND LOCATION
DOccupant load over 99 persons 0 RR V park red structures or
ION
, ION ❑Egress/lighting plan P
Job no.: Job site address:r�r.J SW Canterbury Lane ❑Health care facility DOther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 9722. AO g 73 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Bldg. /5 Project name: Canterbury Crest
FEE* SCHEDULE . ` .',
Description I Qty. I Fee. I Total 1 ••
Cross street/directions to job site: Canterbury Lane off HWY 99 SW of McDonald New residential single- or multi- family dwelling unit.
1 Co s 31 AI t C Includes attached garage. —
/ 44 PLC X 1,000 sq. ft. or less 145.15 j /1 /'
Subdivision: Canterbury Place Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 33, ' IO
Limited energy, residential 75.00 300
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, non-residential 75.00 I 2
DESCRIPTION OF WORK Each trourtfeetarednuonvaidtdar- ', Y
New COnstruction of Condominium Units
dwelling, service and/or feeder I �• c h,1, # 2
Services or feeders installation, se' *inn, and/or relocation
200 amps or less 80.30 i
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 am 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 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'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-
( energy panel, alteration, or -
Bu DMS Electric Electrical 57 -742C Fire Alarm
Describe: HVAC & Page 2
--1': Fire Alarm
8504 SE Stark CCB -11873 Each additional inspection over allowable in any mule above
Adi Gresham, OR 97216
Per inspection 62.50
Cicit.' P Investigation per hour (1 hr min) 62.50
Pho, Industrial plant per hour 73.75
ELECTRICAL PERMIT. FEES A
CCB Lic.: Electrical Lic.: 7 Suprv. Lic.: Subtotal 1 Lko• 39
Suprv. Electrician signature, required: _ an review (25% of permit fee) I 8 & . 6 0
Print name: State surcharge (8% of permit fee) --5;9-,....../4.11-1.6•4
Date:
TOTAL PERMIT FEE -,�,0
Authorized signature: 100143 This permit application expires if a permit is not obtain within It
days after it has been accepted as co 1
Print name: , I Date: / • Fee methndnlnw vet by Tri- ('.Ditty Ruildinv Industry Service Arlan, f
i / s aa.. $ / ; C' C
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00501
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006
Phone: (503) 639-4171 Apo lio
Inspection Requests (24 Hrs.): (503) 639-4175 ■
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7:02AM PAGE: 29
SITE ADDRESS: 10783 SW CANTERBURY LW BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 15, new 4 unit, condominium. 10,537 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-69&7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503M9-9298
Inspection Request Scheduled For: Date: 11/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage OE03 503.572-7015
Corrections/Comments/Instructions:
\\,
1 1/ \ \
•
•
PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: I I I 0 1 Phone #: (503) 718-1-4ito
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00801
13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 6,/2912006
Phone: (503) 639 -4171 i u�4pnobl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7:02AM PAGE: 28
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Diilding 15, new 4 unit condominium. 10,537 AIC
Addresses: Unit: 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: 11/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final c618-04 503.572 -7015 h!
Corrections /Comments/ Instructions:
•
•
•
PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V 1 v Se ( T Date: N �� �� Phone #: (503) 718 -1114
1 '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLC2005-00801
13125 SW Hall Blvd., Tigard, OR 97223 ' , DATE ISSUED: 6/29/200Ei
Phone: (503) 639-4171 400,0i
Inspection Requests (24 Hrs.): (503) 639-4175 AA 'III.
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: 35
SITE ADDRESS: 10783 SW CANTERBURY LW BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMI UM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 15, new 4 unit condominiun • 10,537 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: 11/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 068798-04 503-672-7016 N
Corrections/Comments/Instructions:
CJ ?Oil" bet Ke 6-Ttsa.. 1 Sen(kvit. --1=t
'1Z-6■01\ A NAM 6 a LZ:NSO 4
CI f uxisich al, N PRIL 14--G-. sTithAgt.134 . fko. 01(9
rni 6 ii y.1) cillimizT ItY124
726-L)
ct.iNss 1. A ci,ms 3 coiv 4 ottS p
13P4M:it' sn.._
11-0 j. 11 (1/ 0 Ahtp 800
Ci) A) 0 tcZ"S .
- ''A6f$406) i() cs3/47iA0E. .
I I PASS PARTIAL APPROVAL XLCANC NO ACCESS
I I FAIL fl CALL FOR INSPECTION --- DDITIONAL FEES ASSESSED
Inspector: G" I LE Date: a-I,- in Phone #: (503) 718-
______
I '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200E-00801
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 6/29n006
Phone: (503) 639-4171 kollt
Inspection Requests (24 Hrs.): (503) 639-4175 ,..,..-4.1 '‘.....
INSPECTION WORKSHEET FOR 'DATE: 11/1/2007 TIME: 7:02AIVI PAGE: 36
SITE ADDRESS: 10783 SW CANTERBURY LW BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16, new 4 unit condominium. 10,637 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-696-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time:
Code • - _ •• • Description Coirart # Contact # Message
135 Low voltage 058798-03 503-572-7015 N
Corrections --• men s nstructions:
•
---.!
PARTIAL APPROVAL .-- 11 CAN 0 NO ACCESS
A s,11.' CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G NiSg LE" Date: 11 ' Phone #: (503) 718- 1-
_ „., , .• .
■..., c •
CITY OF TIGARD =J
BUILDING DIVISION PERMIT #: ELC2005-00801
13125 SW Hall Blvd., Tigard, OR 97223 . , DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 . µiy10 ill\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 55
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION:_ _ Building 15, new 4 unit condominium. 10,537 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503.209 -929B
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 052693 -02 503 - 313 -7398 N
Corrections/Comments/Instructions:
t-4- ,6c. S v /fi /
•
RASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Ir sector: Gr 1'v � Date: ' ( )
�, Phone #: 503 718- 1,13
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005"00801
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 Ay A ii i
Inspection Requests (24 Hrs.): (503) 639 -4175 �'I 1 ..
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 54
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 15, new 4 unit condominium. 10,537 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: 7/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 052693-03 503-313-7398 N
Corrections /Comments /Instructions:
6/ C - ( o /7,1 c — .
1
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: or: 3 t U8 L Date: I 2 41 Phone #: (503) 718- YA
- •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00801
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 /Ay/40101 AI\
Inspection Requests (24 Hrs.): (503) 639-4175 111.
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: '7:02AIVI PAGE: 53
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG '15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 15, new 4 unit condominium. 10,537 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 052693-04 503-313-7398
Corrections/Comments/Instructions:
526 / /V 5'7)12-
t" 10,48vM ?z'
gi PASS LII PARTIAL APPROVAL PI CANCEL n NO ACCESS
0 FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
44 : Date: 1 14 Phone #: (503) 718- lif4