Permit P ti CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00810
4 D EVELOPMENT SERVICES D ATE ISSUED: 6/29/2006
''�! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
10 73 PARCEL: 2S110AA -01500
SITE ADDRESS: 1-06& CANTERBURY LN BLDG 23 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 23, new 4 unit condominium.
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:
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
[TAX] 8% State Surcharge 6/29/2006 $59.71 LIC 1 ] 8073
SUP 45425
[ELPRMT] ELC Permit 6/29/2006 $746.39
[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 set .orthin OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 -246 -6 99 or 1 -800 � 4
Issued B • ( da/l Permittee Signatur _
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
SIGNATURE OF SUPR. ELEC'N: � A�� 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.
"E1e6trie - r
I Permit A plic,�>�ia '-� �1D FOR OFFICE USE ONLY'
City of Tigard r1/4L,� Received . A � _
Date/B : 11 I _ _ D5` Permit No.' > ✓ ,, /GIJ QI a
13125 SW Hall Blvd., Tigard, OR 97223 fl e� Loo Plan Review
Phone: 503.639.4171 Fax: 503.598.19eC `} - . v -,ry,, 1 , (' DateB : O ther Permit:
Inspection Line: 503.639.4175 n'i lI Date ReadyBy: S Page 2 for
Internet: www.ci.tigard.or.us F ��Gpf1D Notified/Method: Supplemental Information
ti� it lc�i
i C PLAN REVIEW :: • ... ...
E New construction ❑ Addition/alteration/replacement Please check all that apply:
1=j 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 ❑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 ❑Egress/lighting plan RV park
Job no.: Job site address: SW Canterbury Lane ❑Health care facility ❑Other:
Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 9722. /7,33 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Bldg.,,�JS Project name: Canterbury Crest
': FEE* 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.
P 1— 1,000 sq. ft. or less _ I 145.15 ` / 45. /5 4
Subdivision: Canterbury Place Lot no.: Ea. add'l 500 sq. ft. or portion / 33.40 33. . C' 1
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 ' "DIJ"
DESCRIPTION OF WORK Limited energy, non - residential 75.00
New Construction of Condominium Units Each mandastaxedgetarnodutar
I
dwelling, service and/or feeder ' f3 X/ . a4 a 2 (07.$ 2
Services or feeders installation, alteration, and/or relocation
—
200 amps or less t 80.30 _
❑ 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 0 CONTACT PERSON A. Fee for branch circuits with
Place LLC service or feeder fee, each 6.65 2
Business name: Canterbury 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 -
CONTRACTOR energy panel, alteration, or
Bus. / extension. Describe: HVAC & Page 2 l
Fire Alarm
Addy CMS Electric Electrical 57-742C Each additional inspection over allowable in any of the above
8504 SE Stark CCB -11873 Per inspection 62.50
City Gresham, OR 97216 Investigation per hour (1 hr min) 1 62.50 6 2 , 60
Phon 1 Pagicallinale Industrial plant per hour 73.75
ELECTRICAL PERMIT. FEES*
CCB L..,.. I I Suprv. Lie.: Subtotal 7
"' J I `1_
Suprv. Electrician signature, required: ` j 01/ Plan review (25% of permit fee)
Print name: Date:
State surcharge (8% of permit fee) .. f.
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtayedwithin 1801
days after it has been accepted as complete v
Print name: I Date: J ^ /o / t . Fee methMolnov set by Tri- C:onnty Rniklino Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00810
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006
Phone: (503) 639 -4171 /onunve "
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/1412007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 10735 SW CANTERBURY LW BLDG 23 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: •
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 23, 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: 8/14 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 063936-02 . 503-313-7398 N
Corrections /Comments /Instructions:
'ASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
• FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �� N .% t LE Date: V C) Phone #: (503) 718- 1--ff6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005- 00810
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -41714111 Inspection Requests (24 Hrs.): (503) 639 -4175 �..
INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 10735 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.
Addresses: Units 101,102,103,104. •
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 - 695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503.203.9298
Inspection Request Scheduled For: Date: 8/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 35 Low voltage 053936 -01 503-313-7398 N
Corrections /Comments /Instructions:
•
•
16 -ASS n PARTIAL APPROVAL n CANCEL I NO ACCESS
I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: CY 1 "*)v Date: 1 4 I Lt u 1 Phone #: (503) 718- V' V
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00810
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 10735 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.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695-7700
CONTRACTOR: DIMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description yrifirfn-#J. Contact # Message
120 Electrical rough-in 048499-02 \ 503-313-7398
Corrections /Comments / Instructions:
PASS fl PARTIAL APPROVAL CANCEL fl NO ACCESS
FAIL I CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
Inspector: Date 0 1 cCI 1 Phone #: (503) 718- 1 4A
, . „
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELC2006-00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/17/2007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 10735 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.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 380-695-7700
CONTRACTOR: DIMS ELECTRIC INC PHONE #: 503-209-9290
Inspection Request Scheduled For: Date: 5/1712007 Pour Time:
Code # Inspection Description Grifirm-# Contact # Message
115 Electrical service 048499-01 503-313-7398
Corrections/Comments/Instructions:
- ASS n PARTIAL APPROVAL fl CANCEL NO ACCESS
FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G" 1\ ‘' Date: 5 11 Phone #: (503) 718- 1,41A)
'• CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005- 001310
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 h op,yp0p,1A
Inspection Requests (24. Hrs.): (503) 639 - 4175±+
INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 10735 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.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 -695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 603- 209-9296
Inspection Request Scheduled For: Date: 6/17/2007 Pour Time:
Code # Inspection Description Confirm' # Contact # Message
136 Low voltage 048499 -03 503- 313 -7396 N
Corrections /Comments/ Instructions:
X PASS I I PARTIAL APPROVAL ❑ CANCEL , I NO ACCESS
FAIL J CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
• Inspector: C)'" 1v '`-"'`^ Date: S 11 Phone #: (503) 718 - 2,�1kr