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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00787 ,14+ DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA -01500 SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG Project Description: Building 26, 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 se orth in OAR 9. - •0 -0010 through OAR 952 - 001 -0100. You may obtain copies of these es or direct questions to OUNC at 503 -246 -6 9 •r 1- 800 Issued B : "(1 Jam Permittee Signaturt � <�- 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: CONT CTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: Ce-, DATE: LICENSE NO: i"/ 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 OFFICE USE ONLY City of Tigard 1'-- tj Received / D � / Permit No.: C j �'Qo7� 13125 SW Hall Blvd., Ti ard, OR 97223 CE�V't_ ` -) Date/By: Q 1�/v'-- g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 1 ,, , 40 1 11 IP'lI ' Date/B : Other Permit: ! 14 49 _ a8 Inspection Line: 503.639.4175 ^ / 11 ` 1 Date Ready/By: Jun ® See Page 2 for Internet: www.ci.tigard.or.us O C 14 Notified/Method: ../ /C/ Supplemental Information TYPE 9FT1134-KTIG4RD PLAN REVIEW N ew construction Ad % t Please check all that apply: N ❑ 1 ��d��l'd� t t ❑ Demolition El 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 El Commercial/industrial El Accessory building ['System over 600 volts nominal units in one structure ® Multi- family ❑ Master builder CI Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION_ AND LOCATION DEgress/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. The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Bldg. Project name: Canterbury Crest FEE* SCHEDULE 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. LE Includes attached garage. 1, P LE X. 1,000 sq. ft. or less „ / 145.15 /46./ 4 Subdivision: Canterbury Place Lot no.: Ea. add'I 500 sq. ft. or portion 1 33.40 ' S. `P I_ Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 3a�.00> Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each 3 New Construction of Condominium Units dwelling, service and/or feeder Z $ 2 Services or feeders installation, altertion, and /or relocation 200 amps or less 1 . 80.30 `! _ VI PROPERTY OWNER ❑ 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 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 ® 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'] 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 Signor outline lighting 53.40 2 E -r; Signal circuit(s) or limited - _I DMS Electric Electrical 57 -742C energy panel, alteration, or I extension. Describe: HVAC & Page 2 ` Bu I 8504 SE Stark CCB -11873 Fire Alarm _ All Gresham, OR 97216 Each additional inspection over a.. Jwable in any of the above Per inspection 62.50 Cit Investigation per hour (1 hr min) r 62.50 6 2 6'a Phone: ( ) I Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* A CCB Lie.: Electrical Lie.: Suprv. Lie.: Subtotal )N 7 . ■ Suprv. Electrician signature, required: Plan review (25% of permit fee) State surcharge (8% of permit fee) , J'/ Print name: Date: m. ■ - TOTAL PERMIT FEE -( (p ("O Authorized signature: �4 — ` This permit application expires if a permit is not obi cu days after it has been accepted as comPete Print name: G7 Date: 5 ey /(;: • Fee methodoloev set by Tri- County Building Indnstry Service Board CITY �� o n n OF �m^rl��nn�� BUILDING DIVISION PERMIT #: BC2005-00787 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006 Phone: (503) 639-4171 Inspection Requests �mj a�H: (503) 639-4175 ~ �JW- ^ �1. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AK4 PAGE: 36 SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 25. new 4 unit condominium. Addresses: Units 101.102.103.104. OWNER: <�ANllER[��RTPLACE LL(�. PHONE #: 360-696-7700 CONTRACTOR: DM3 ELECTRIC INC PHONE #: 603-209-3298 Inspection Request Scheduled For: Date: 1/11/2008 Pour Time: Code # Inspection Description /' Cm fi Contact # Message 199 Electrical final 503-672-7015 N Corrections/Comments/Instructions: \ \ \,, , t i rk ,--t\ ' WA /\ iilei \ -1( ` PASS __ PARTIAL APPROVAL F� �� CAN��EL / �� / NOACCESS N� CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED �� m�~ � �� Inspector: ^�r ` �wk�� Date: � Phone (503) � � kk ~~ - #: ` ' . ' ' CITY OF TIGARD BUILDING DIVISION PERMIT #: FLC2006-00787 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 . .4mitiNt IN.\ Inspection Requests (24 Hrs.): (503) 639-4175 .J.11- E. INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7:01AM PAGE: 44 SITE ADDRESS: 10797 SW CANTERBURY LW BLDG 26 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 'X, new 4 unit condominium. Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-696-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 Inspection Request Scheduled For: Date: 119/2000 Pour Time: Code # Inspection Description / C- onliffri# Contact # Message 199 Electrical final 062798-01 603-313-7398 N Corrections /Comments/ Instructions: 1 1 1 P M LI 0 , 2- I ( Mali . i il (\ I M C p ak 1...7____ 6 ' r (SO woczYN,61(10 I I PASS " fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS A FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G N 6ks Lc Date: l' 9/ li Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: FLC2005-00787 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6091100,6 Phone: (503) 639-4171 p I Inspection Requests (24 Hrs.): (503) 639-4175 r a V INSPECTION WORKSHEET FOR DATE: 102008 TIME: 7:00AM PAGE: SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: t3iiilding 26, 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: 1/312008 Pour Time: Code # Inspection Description " # Contact # Message 199 Electrical final 's 062438-05 \ 03-313-7398 Corrections/Comments/Instructions: Cb ART, 2. Z cso os bT& wiLs3t4Tit F f-a5itz WcoNis. z Ta0 ALL 6 c-IWA> - r") SKZ,Y7 C CoZhe(L FACIt iNeLT, 0;1 CC fl PASS PARTIAL APPROVAL • 0 CANCEL ri NO ACCESS , FAIL ,\ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 66 kk, Date: \' 1 Cl ) Phone #: (503) 718- )414. CITY OF TIGARD .„ ,.. BUILDING 'DIVISION PERMIT #: ELC2006-00787 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &29/2006 Phone: (503) 639-4171 •Ao 1101 Inspection Requests (24 Hrs.): (503) 639-4175 _ilj,.. A II — --.. INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 10797 SW CANTERBURY LW BLDG 26 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 26, near 4 unit condominium. Addresses: Unite 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: 1/3/2008 Pour Time: . Code # Inspection Description Confirm # Contact # Message _2 136 Low voltage u62438-04 603-313-7398 N Corrections/Comments/Instructions: N,. • fl PARTIAL APPROVAL 0 CANCEL El NO ACCESS FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 6 " N 6 6 1 -. Date: 1 ' i 'i1) Phone #: (503) 718- 1444) CITY OF �*mx w n^�m � m��n-m�� BUILDING DIVISION . - PERMIT #: ELC2005-��8y 13125 SW Hall Blvd., Tigard, OR 97223 '`' DATE ISSUED: 672912006 Phone: (503) 639-4171 / Inspection Requests (24 Hrs.): (503) 639-4175 a141-• *LL INSPECTION WORKSHEET FOR DATE: 10y260007 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 10797 S*y CANTERBURY LM BLDG 2G CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 26, new 4 unit condominium, Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLAC[LLC. PHONE #: 360-695-7700 CONTRACTOR: DIMS ELECTRIC INC PHONE #: 503'209-9I38 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description lfn Contact # Message 120 E|mr|icalruug||'in 0584 505'313-7398 N Corrections/Comments/Instructions: • 41711 PASS �� PARTIAL �- CANCEL ' NO ACCESS �� E. | | FAIL I CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED ��m�' Inspector: �`w(��K�� Date: A « 01 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00707 13125 SW Hall Blvd., Tigard, OR 97223 " DATE ISSUED: 6/2912006 Phone: (503) 639-4171 P Ro d tliiiit (it Inspection Requests (24 Hrs.): (503) 639-4175 , q1 INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 26, new 4 unit condominium. 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: 10/26/2007 Pour Time: Code # Inspection Description Contact # Message 115 Electrical service 584467-0 503-313-7390 Corrections/Comments/Instructions: • • PARTIAL APPROVAL LI CANCEL 0 NO ACCESS 0 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: NoS Date: k 011-610 Phone #: (503) 718- vob CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006.00787 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006 Phone: (503) 639-4171 1 /801,„„00,i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7•00AM PAGE: 4 SITE ADDRESS: 10797 SW CANTERBURY LW BLDG 26 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 26, new 4 unit condominium. Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: MIS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 068457-03 503-313-7398 Corrections /Comments/ Instructions: ■-■4 PAS PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED _Inspector: * ---1 el,4 Date: I 011410 Phone #: (503) 718- 1-4 . _ . . CITY OF TIGARD 1 BUILDING DIVISION • PERMIT #: FLC2005-00787 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/39,12006 Phone: (503) 639-4171 Zleti Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7:02AM PAGE: 47 SITE ADDRESS: 10797 SW CANTERBURY LW BLDG 26 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTFRBURY CREST DESCRIPTION: Building 26, new 4 unit condominium. Addresses: Units 101,102,103,104. OWNER: CANTERBURY PLACE LLC, PHONE #: 350..695,77m CONTRACTOR: Dr1IS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: Code # Inspection Description firTh # Contact # Message 120 Electrical rough-in 056953-02 ' 503-572-7015 Corrections/Comments/Instructions: s W1 VE ONti 0 PASS PARTIAL APPROVAL CANCEL ) NO ACCESS 0 FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G 1 —E 7 Date: V 7 Phone #: (503) 718- 114,