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Permit f a CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00798 DEVELOPMENT SERVICES DATE ISSUED: 5/25/2006 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 / $ 3 PARCEL: 2S110AA -01500 SITE ADDRESS: - 186 -7 SW CANTERBURY LN BLDG 9 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG Project Description: Building 9, new 4 unit condominium. 15,491 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 5/25/2006 $746.39 LIC 118073 [ELPLCK] ELC Pln Rev 5/25/2006 $186.60 SUP 4542S [TAX] 8% State Surcharge 5/25/2006 $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 these r , or direct questions to OUNC at 503 - 246 -669 r 0033 Issued By• , L. ,, Permittee Signat re: j . �1, / � ',y OWNER INSTALLATION ONLY / The installation is being made on property I own which is not intended for sale, lease, or rent. l/ OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION NLY SIGNATURE OF SUPR. ELEC'N: 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. L . . Electri, al Permit Ap`p7�it q�I & .1-- ) FOR' OFFICE USE ONLY u ui =-..- City of Tigard Received �/! ^.ii? 13125 SW Hall Blvd., Tigard, OR 97223 6 " • `J Date/B `- L.. Perm No.: P / " b r = 6 5 - � 4 2 005 w Phone: 503.639.4171 Fax: 503.598.19 1 � �"'^ Plan Review u' Date/B : Other Permit: Inspection Line: 503.639.4175 ■ .. �� Date Ready/By: EMI El See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD " " "" Notified/Method: Supplemental Information DlNC DIVISION OF WORK PLAN REVIEW "_ ;` a ; - n ® New construction ❑ Addition/alteration/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- a nd 2-family dwelling ❑System over 600 volts nominal units in one structure ❑ y g ❑ Commercial/industrial 0 building ® 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 ❑Egress/lighting plan RV park Job no.: Job site address; SW Canterbury Lane ❑Health care facility DOther: Submit 2 sets of plans with any of the above. City/State/ZIP: Tigard, OR 9722. (0 (F/J The above are not applicable to temporary construction service. Suite/bldg. /apt no.: Bldg. 9 Project name: Canterbury Crest *SCHEDULE ? Description I Qty. I Fee' I Total 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 5 1 49 I At C., / 1 4. PLE )L 1,000 sq. ft. or less 1 1 145.15 / /5 , Subdivision: Canterbury Place Lot no.: Ea. add'l 500 sq. ft. or portion / 33.40 : t -33,1/0 Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 300• • _ DESCRIPTION OF WORK Limited energy, non - residential -: 75.00 i 2 Each tetffeazilmidmmitonfilltr A'DD New COnstruction of Condominium Units dwellin service and/or feeder A/ a /• a1p7 .�� Services or feeders installation, alteration, and/or relocation 200 amps or less L 0.30 • 2 ❑ 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 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 service circuits f Contact name: Dave Gutschmidt without service or feeder fee, 5th each branch circuit 46.85 2 Address: 11624 SE 5 Street 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 Bu. extension. Describe: HVAC & Page 2 1 `, Fire Alarm _ —� DMS Electric Electrical 57 -742C Each additional inspection over allowable in any of the above Adc 8504 SE Stark CCB -11873 Per inspection 62.50 Cit i Gresham, OR 97216 Investigation per hour (1 hr min) 62.50 Pho !MI NIMUM. Industrial plant per hour 73.75 ELECTRICAL PERMTT,FEES \' •/ n CCB Llc.: _- _ - I Suprv. Lie.: Subtotal /j9 . 39' Suprv. Electrician signature, required: " review (25% of permit fee) 1 1 86. G O 1 State surcharge (8% of permit fee) _?L1 1 4. ,9 Print name: Date: I' TOTAL PERMIT FEh 449:1t1 I 0 C)7 h j Authorized signature: This permit application expires if a permit is not ob within 1SQ days after it has been accepted as comp! Print name: I Date: • Fee metbndnlnw ant by Tri- Cnnnty Rnildinp Tndudry . .rviee Retard MAY -12 -2006 15:34 From: r• NO1cw: UNIQ`iil"t2 AO Ain 9002 I ,NNW ZSLZB VA 0 VA VA 0929 VA 0 VA b9Z8£ VA 8626£ 86Z6 9IZL6 HO VuullJed 3 S VMS aS POST a�g 'a!J ;aa • Siva 9O0ZI9Z /P ?h 5 IeloJ. naa 0 o! ' of ZI To:5036243681 - ,1l - 7'I c SdINV SVC 3SVHd A OtZ VA Z5LZ9 VA Z9LZ8 %001- VA Z9LZ8 spun io #x sliun # x spun )o # x 05ZS spun Jo #x sliun to # x ZPI 66 spun ;o ## x 60966 - o/ peo l lelol peoi oslw eon puewaa ae puewaq 'lolgnS peol J 6 019 )anaa3J.NVO P.7/11 edAj llun adRi 4iun �3NVd BsnoH ed /i hull adA1 Pun ads l Pun :Bu! piing laafoJd CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 ; IMPORTANT PERMIT NOTICE ��(�'�� Viµ=- � _ C 1-x DMS ELECTRIC INC MAY 2006 8502 SE STARK ST G l�t'� PORTLAND, OR 97216 -1140 CITY BUILDING 1-).1"\ VT T0,,h Electrical Signature Form Permit #: ELC2005 -00798 Date Issued: 5/25/2006 Parcel: 2S110AA -01500 Ug/3 Site Address: 10675 SW CANTERBURY LN BLDG 9 Subdivision: CANTERBURY CREST CONDOS Block: Lot: 010 Jurisdiction: TIG Zoning: R -12 Remarks: Building 9, new 4 unit condominium. 15,491 AIC Addresses: Units 1 thru 4. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL 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 Phone #: 503 - 209 -9298 Reg #: ELE 37 -742C LIC 118073 SUP 4542S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00798 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25P006 Phone: (503) 639-4171 4 0190i# Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7:03AM PAGE: SITE ADDRESS: 10813 SW CANTERBURY LN BLDG 9 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 9, new 4 unit condominium. 15491 AIC Addresses: Units 1 thru 4. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: DmS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 1016/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 037770-03 503-572-2961 Corrections /Comments/ Instructions: ( t ° F.g2c.f ir:1 Es (I PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: G°- OZ LE- Date: tO k7 Phone #: (503) 718- 12-01:7 CITY OF TIGARD t ....• . , BUILDING DIVISION A PERMIT #: ELC2005-00798 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5126/2006 Phone: (503) 639-4171 hw tfoii t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8M/2006 TIME: 7 PAGE: 29 [ OV3 SITE ADDRESS: 4i367-5 SW CANTERBURY LN BLDG 9 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 9, new 4 unit condominium. 15,491 Ale Addresses: Units 1 thru 4. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 8/4/2006 Pour Time: Inspection Description Confirm # Contact # Message 120 Electrical rough-in 034400-04 603-572-2812 N Correction • , PASS 7 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 146 e) (- Date: 1 et Phone #: (503) 7181A_ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00798 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2006 Phone: (503) 639-4171 44 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET WORKSHEET FOR DATE: 7/31/2006 TIME: 7:06AM PAGE: 41 1 04 SITE ADDRESS: - WS SW CANTERBURY LN BLDG 9 CLASS OF WORK: ' SUBDIVISION: CANTERBURY CREST CONDOS LOT #: ow TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 9, new 4 unit condominium. 15,491 AIC Addresses: Units 1 thru 4. OWNER: CANTERBURY PLACE, LLC, PHONE #: 36695-7700 CONTRACTOR: DIVIS ELECTRIC INC PHONE #: 5032Q9-9298 Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: - Code # ' Inspection Description Confirm # Contact # Message 120 Electrical rough-in 034055-02 503-672-2812 N Corrections/Comments/Instructions: 1 1% . Is ilk et I, Pcif 1,-- 4/ 1--t 1, Fsaa • :._c%(- , t.. a 4\R_ , - 3 i 1 1 k4vkitku6 - Matw n PARTIAL APPROVAL 1 CANCEL n NO ACCESS .FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: GM 0 ()BI--E., Date: 1 VI 0 Phone #: (503) 718- L1101.4 .... ._ ._ , .. ' CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: ELC2005-00798 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/212006 Phone: (503) 639 -4171 A�, �� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 .11. INSPECTION WORKSHEET FOR DATE: 7/28/2006 TIME: 7 :01Am PAGE: 45 I bgo SITE ADDRESS: 1'0 SW CANTERBURY LN BLDG 9 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 9, new 4 unit condominium. 1 AIC Addresses: Units 1 thru 4. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: DIM ELECTRIC INC PHONE #: 5 209..9298 Inspection Request Scheduled For: Date: 7/28/2006 Pour Time: Code ection Description Confirm # Contact # Message 115 Electrical service 033970 -01 971- 563.6984 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I\M'E lam' Date: Z. O Phone #: (503) 718- 1-40 % ,- CITY OF TIGARD BUILDING DIVISION „m PERMIT #: ELC2005•00798 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2006 Phone: (503) 639-4171 -10 2,-1114414' Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7:04AM PAGE: 34 1 oq■3 SITE ADDRESS: 4067-6 SW CANTERBURY LN BLDG 9 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 9, new 4 unit condominium. 15,491 AIC Addresses: Units 1 thru 4. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: MIS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 7/25/2006 Pour Time: C.: - 7 - , - tion Description Confirm # Contact # Message 136 - Low voltage 033663-04 971-563-6984 N Corrections/Comments/Instructis - s: PASS PARTIAL APPROVAL 0 CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Gqk it t\r€VS k... Date: t- 6L Phone #: (503) 718 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: FLC2005-. 00798 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/200(3 Phone: (503) 639-4171 :00/ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 712512006 1, TIME: 7:04AM PAGE: 33 SITE ADDRESS: tintra SW CANTERBURY LN BLDG 9 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 9, new 4 unit condominium. 15,491 AIC Addresses: Units 1 thru 4. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9290 Inspection Request Scheduled For: Date: 7/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 033663-05 971-563-6984 120 ELEcT14 CA„, Corrections/Comments/Instructions: MAW WtoCkCl Sixt" E5 , 1 4 411 6 c_tto V.VILSIALM 4. RI t•- 5•)61 S'ERN rE ' s c tcc ‘k4 Crikz% FINN) ZktA - 10 bi0 504 oir? AgO Mart* oar 5 6■),%( Ratnic)c set.r...4411 p 33q . (44 it) MA) OW N61 4.1..okAt F.moke-1, (sNv'er - TetzLw\ioiati cr CA0x, Zs Fuse. \>annk I I PASS El PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL )CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G4 C -()% N %11 Date: a Phone #: (503) 718- 2.14.46