Permit �'V 1 O A ® ELECTRICAL PERMIT
PERMIT #: ELC2006 -00466
s . ��� . 1 _VELOPINIEIVT SE RVICES DATE ISSUED: 8/18/2006
i 3 125 SI Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA 01500
SW
SITE ADDRESS: S CANTERBURY LN BLDG 4 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: (2) branch circuits for a/c installs for units 1 and 2.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
CANTERBURY PLACE LLC DMS ELECTRIC INC
109 EAST 13TH ST. 8502 SE STARK ST
VANCOUVER, OR 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 8/18/2006 $53.50 LIC 118073
[TAX] 8% State Surcharge 8/18/2006 $4.28 SUP 45425
Total $57.78 REQUIRED ITEMS AND REPORTS
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'OA 5001 -0010 through OAR 952 - 001 - 0100. You may obtain copies of these rules or direct questions to OUNC at
503 -24616699 or 1 -80 3321344. / e' . _ .
IssuedvBy: k i . , ���% 1�. i L../ Permittee Signature: _ Le ' // --
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
- -- C ` i z r��U DATE:
SIGNATURE OF SUPR. ELEC NS //
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.
•
Electr* 'snit Application • FOR OFFICE USE ONLY
City of Tigard Date /B : g i��® Permit No.: G t-C X 1 ct t
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 . n e� i ' Date/B : Other Permit:
Inspection Line: 503.639.4175 �!� - % I Date Ready/By: Ell ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑Other:
ID 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 ['System over 600 volts nominal units in one structure
❑Buildin over three stories ['Feeders, 400 amps or more
® Multi- family 0 Master builder 0 Other:
['Occupant load over 99 persons ❑Manufactured structures or
JOB S1TE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
❑Health -care facility DOther:
Job no.: Job site address:. 010 SW Canterbury Lane
/ Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard OR, 97332 la �7 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: 4 Project name: Canterbury Crest FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
Cross street/directions to job site: Eant on Canterbury Lane off of Hwy 99 New residential single- or multi - family dwelling unit.
Includes attached garage.
South of McDonald 1,000 sq. ft. or less 145.15 4
Subdivision: Canterbury Lot no.: 4 Ea. add'I 500 sq. ft. or portion 33.40 l
Tax map /parcel no.: 2S110AA -CC001 Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
Add exterior AC Unit dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
Units 4.1 and 4.2 200 amps or less 80.30 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 E 13" Street 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 1 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Polygon NW branch circuit
B. Fee for branch circuits
Contact name: Paul Templeton without service or feeder fee,
first branch circuit 46.85 �� / 2
Address: 109 E 13th Street Each add'/ branch circuit 1 6.65 lc 2
City/State /ZIP: Vancouver, WA 9866 Miscellaneous (service or feeder not included)
Phone: (503) 221 -1920 Fax: : (360) 693 -4442 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or Iimited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: DMS Electric Inc
Address: 8502 SE Stark ST Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Portland, OR 97216 Investigation per hour (I hr min) 62.50
Phone: (503) 209 -9298 Fax: (503) 252 -6611 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 45425 Subtotal r Z J
Suprv. Electrician signature, required: V c , • J e Plan review (25% of permit fee) - � u
9.
State surcharge (8% of permit fee) i�
Print name: 1 P i t/ Date: 8 ., / �� TOTAL PERMIT FEE 5 7 . -
Authorized signature = This permit application expires if a permit is not obtained within 180
� days after it has been accepted as complete
Print name: 3; 471 /o A/G Date: g d. 4 la c • Fee methodology set by Tri- County Building industry Service Board
•• Number of inspections per permit allowed.
i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
._/
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: ELC200G-00466
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/7006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7:04AM PAGE: 37
SITE ADDRESS: 10839 SW CANTERBURY 1.1\I BLDG 4 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: (2) branch circuits for a/c installs for units 1 and 2.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-92913
Inspection Request Scheduled For: Date: 10/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038627-07 503-572-2961 N
Corrections/Comments/Instructions:
OM PASS
■ 7 PARTIAL APPROVAL CANCEL 7 NO ACCESS
7 FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: CY • %\.)(:)e)t....e Date: 1 C 1 Q31 Phone #: (503) 718- .2-44t