Permit ..CITY OF TIGARD ELECTRICAL PERMIT
b PERMIT #: ELC2005 -00791
nt DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
��' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
f � PARCEL: 2S 110AA -01500
SITE ADDRESS: . / S W CANTERBURY LN BLDG 28 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 28, new 4 unit condominium. 14,271 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:
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 LTC 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 rth in OAR 95 S 1 -0010 through OAR 952 - 001 -0100. You may obtain copies of these}utel or direct questions to OUNC at
503 -246 -6 99 or 1- 800 -33 ,
Issued B Permittee Signature`s / Gei
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:
C CTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 100`0 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.
- Electrical Permit Application FOR oF• FICI I Sl7 ONLY
City of Tigard _ Received �• 0� Permit No.: ED5 " 7 p
13125 SW Hall Blvd., Ti ard, OR 97223 ECE��� v I DateB . l 7 ♦� /
(,
g Plan Review
Phone: 503.639.4171 Fax: 503.598.19:1 �/ „ y p 'l 1,� Date/B : Other Pe'n't' /gtl,O�S� 7
Inspection Line: 503.639.4175 ^n^ Date Ready/By: See Page 2 for
11
Internet: www.ci.tigard.or.us c 1 1 4 201 Notified/Method: �� B Supplemental Information
TYPE OF WORK PLAN ',REV*W ,FS ' : .. ' . , .
® New construction ❑ Demolition Add itiotlTa'l'ter tioritf�` �g ent Please check all that apply:
❑ ❑ Other n UILDING Dlv�� "'� ['Service over 225 amps, comm'l ❑Hazardous location
['Service over 320 amps – rating ®Bllildng 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 0Egress/lighting plan RV park
Job no.: Job site address:tSW Canterbury Lane ❑Health care facility ❑Other:
Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 9722. ld 7g7 The above are not applicable to temporary construction service.
FEE*. Suite/bldg. /apt no.: Bldg.* Project name: Canterbury Crest 'SCHEDULE Fee. •'. Description l Qty. 1 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. _
IA+ , 21 1 Al C . / 11 P L E X 1,000 sq. ft. or less I 145.1: / / 4
Subdivision: Canterbury Place Lot no.: Ea. add'I 500 sq. ft. or portion / 33.40 33.40
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential y 75.00 3 pp, ties
Limited energy, non - residential _ 75.00 2
DESCRIPTION OF WORK Eachausauftsguatar 3
New Construction of Condominium Units , dwelling, service and/or feeder Atts S/F. g? -R1.97Vt 2
Services or feeders installation, alteration, and/or relnes*inn
200 amps or less 80.30 1
SD PROPERTY OWNER I (J 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
relocation
Phone: (503)221 -1920 Fax: (360)693 -4442 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, 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-
energy panel, alteration, or
"— extension. Describe: HVAC & Page 2
Bi DMS Electric Electrical 57 -742C Fire Alarm ____I
1 8504 SE Stark CCB -11873 Each additional inspection over ,~able in any of the above
A l l Gresham, OR 97216 Per inspection 62.50
c; PH: 5 Investigation per hour (1 hr min) 62.50
Ph, Industrial plant per hour 73.75
- ) ELECTRICAL PERMIT;`FEESf -.- �'
CCB Lic.: Electrical Lic.: Suprv. Lic.: �/ lo - 39
Subtotal i
Suprv. Electrician signature, required: Plan review (25% of permit fee) I ¶, 6. 6 -
State surcharge (8% of permit fee) 1
Print name: Date: �"
- TOTAL PERMIT FEE – i fl o
Authorized signature: This permit application expires if a permit is not of
days after it has been accepted as co lete
Print name: � � Date: 5/ s a � * Fee methnrinlnov at by Tr,- Cnnnty Anil/lino indnatry Service Rnarri
,f ,"" C C. E'i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00791
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6
Phone: (503) 639-4171 kolo A
Inspection Requests (24 Hrs.): (503) 639-4175 Asir 41
INSPECTION WORKSHEET FOR DATE: 12112/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 107139 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, new 4 unit condominium. 14,271 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-69&7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 12112/2007 Pour Time:
Code # Ins ection Description onfirm # , Contact # Message
199 Electrical final 061380•02 503-572-7015 y.
Correct!. nts/I structio .
m •
kitko_k ha I ftkki
lAVIN A. *1 r
'911ir \ • k l
PARTIAL APPROVAL CANCEL I NO ACCESS
FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: N'(4.3 L Date: 1'01:101 Phone #: (503) 718- 1,41716
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00791
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
A.
Phone: (503) 639-4171 tiodtwOi #
Inspection Requests (24 Hrs.): (503) 639-4175 A. - IL
INSPECTION WORKSHEET FOR DATE: 12/1712007 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, new 4 unit condominium. 14,271 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LW, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: •2112/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message 1
,---
. 135 Low voltage 0138001 503-572-7015 Y
Corrections/Comments/Instructions:
. I
I
/ PASS 0 PARTIAL APPROVAL El CANCEL fl NO ACCESS
7 FAIL El CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: G N 08 LE Dateltriircri Phone #: (503) 718- 144,10
CITY OF TIGARD • , i
BUILDING DIVISION PERMIT #: FL..C2005 -00791
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612912005
Phone: (503) 639 -4171 / 4puh1IiI`i
• Inspection Requests (24 Hrs.): (503) 639 -4175 . .��
INSPECTION WORKSHEET FOR DATE: 10,2,2007 TIME: 7:04AM PAGE: 55
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 23 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 23, new 4 unit condominium. 14,271 AIC
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LI-C, PHONE #: 360-695-7700
CONTRACTOR: DMa ELECTRIC INC PHONE #: 503.209 -9298
Inspection Request Scheduled For: Date: 10/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 056750 --05 503-572-7016 N
Corrections /Comments /Instructions:
5A'. • • • 603 1,4,s ba`ti
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 0 '2-' Phone #: (503) 718 -
,, ..
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E1C2005.00791
13125 SW Hall Blvd., Tigard, OR 97223 ihi,,A. DATE ISSUED: 6/2912006
Phone: (503) 639 -4171 �� � i iil l
Inspection Requests (24 Hrs.): (503) 639 -4175 : �i
INSPECTION WORKSHEET FOR DATE: 10/212007 TIME: 7:04Am PAGE: 67
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, new 4 unit condorniniu Map
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LW, PHONE #: 35(1 � 770p
CONTRACTOR: UlviS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/2/2007 Pour Time:
Code # I section Description Confirm # Contact # Message
115 Electrical service 056750.03 503 -572 -7015 h!
Corrections /Comments /Instructions:
K ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: r Date: d 0 - 1 — — 9 - Phone #: (503) 718-
'—^ " �
.
CITY ������U�������� .`
��nn n ��n wn�m�mnm�w
BUILDING DIVISION PERMIT ~~~~^~~~~^"~~= ~~"�"~°^~~"~ #: ELC2005-00791
13125 SW Hall Blvd., Tigard, OR 97223 ` DATE ISSUED: E/29y2000
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 a��M 41.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � 10/2/2007 � 7�O��N\ � 65
SITE ADDRESS: 10789 S CLASS � �� CANTERBURY �
SUBDIVISION: � LOT #: TYPE CANTERBURY CREST CONDOMINIUM
PROJECT NAME: � CANTERBURY CREST
DESCRIPTION: � Bui|tDng 20, new 4 unit. condominium. 14,271 AIC
Addresses: Units P HONE # 101
OWNER: �.
PHONE #: {�&NTERBUF�YPLA(�[�LL{�. � J8���Ci77O0
CONTRACTOR: � C*���5LE{�TR|(�|M�� #: 503_209_9290
Inspection Request Scheduled For: Date: 10y2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 E|ecthoalrnuud/-in 056750-04 503^672-7015 N
Corrections/Comments/Instructions:
' I I PARTIAL APPROVAL n CANCEL NO ACCESS
I FAIL ri CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector.
� Date: ( 0 ~ 1 -7 Phone #: (503) 718'
' �/ . ` v
F. '
mss,
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2005 -00791
13125 SW Hall Blvd., Tigard, OR 97223 s. DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
'INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7 :00AM PAGE: 23
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, new 4 unit condominium MEM
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC •i1rL, PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time:
Code # Inspection Description Con i Contact # Message
120 Electrical rough -in 055880.02 503-313 -7398 Y
Corrections /Comments /Instructions:
Ater s ofT Ems' ov . A p p ibb v4k u N\L
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Gm 1 V Li Date: C t Qr\ Phone #: (503) 718- 1-444