Permit p CITY S OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00793
• i. • 411(1*‘ DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
'. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
�$$''66 PARCEL: 2S110AA -01500
SITE ADDRESS: / 3 SW CANTERBURY LN BLDG 31 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT : 010 JURISDICTION: TIG
Project Description: Building 31, 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
[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 a re set forth- in,OAR 952- 1 -0010 through OAR 952 - 001 -0100. You may obtain copies of thes7ps or direct questions to OUNC at
503 - 246 -669 or 1- 800 -33 34 .
Issued B • K___) a•AIKAP4 1 Permittee Signature
t
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:
TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: C 69 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 Appli k F OR.OFFI , C E—USE-ONL -I
City of Tigard Date/B i (/ 1 PermitNo.�� /Q 0, •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639 - 4171 Fax: 503.598.1960 OCT 14 201 - � f °thury0pi'(,°11' Datc/B : Other Permit:
Inspection Line: 503.639.4175 ^'f I' Date Ready/By: En El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
TYl' 1kiD11'11G121IVISION _ PLAN REVIEW
® New construction ❑ Addition /alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l 0 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 ❑ CommerciaUindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
® Multi - family ❑ Master builder 0 Other:
['Occupant load over 99 persons DManufactured 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. 70W. The above are not applicable to temporary construction service.
Suite/bldg. /apt no.: Bldgj/ 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.
Includes attached garage. _ _
L 1 P LE X 1,000 sq. ft. or less / 145.15 /./.7•/ S ,
Subdivision: Canterbury Place . Lot no.: Ea. add] 500 sq. ft. or portion / 33.40 33.4O 1
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Limited energy, residential 75.00 300.010
Limited energy, non - residential _ 75.00
DESCRIPTION OF WORK Each cianefeWapoimeiriediiew
2
�/ aC ;WV �
New COnstruction of Condominium Units dwelling, service and/or feeder J1Qp5
Services or feeders installation, alteration, and/or relocation
200 amps or less _ 80.30 ' 12
D. 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
Rcconncct 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 El 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,
each branch circuit 46.85 2
Address: 11624 SE 5 Street
Each add'l branch circuit 6.65 2
City/State /ZIP: Bellevue, WA 98005 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 limited-
1--- - - — — - -- — - energy panel, alteration, or
extension. Describe: HVAC & Page 2 2
Busin DMS Electric Electrical 57 -742C _ Fire Alarm I
Addre I 8504 SE Stark CCB -11873 Each additional inspection over a__- ,.-We in any of the above
;1 Gresham, OR 97216 Per inspection 62.50
City l' elibitiegearallie Investigation per hour (1 hr min) I 62.50 6 2 6p
Phon Industrial plant per hour 73.
ELECTRICAL PERMIT FEEk* ^
CCB Lie.: Electrical Lie.: Suprv. Lie.: Subtotal \ ///
Suprv. Electrician signature, required: Plan review (25% of permit fee) .
•
Print name: Date: State surcharge (8% of permit fees 59
TOTAL PERMIT FEl - g -=1.Q
Authorized signature: i'� This permit application expires if a permit is not _ \ 180 �
days after it has been accepted as comet 'e V
Print name: I Date: = Fee methndnioev set by Tri-Cce ntv Ruildine Twins Service Rnard
. - •/•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-09793
h
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U2912006
Phone: (503) 639-4171 :41
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/1212008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 603-209-9298
Inspection Request Scheduled For: Date: 911212008 Pour Time:
Code # Inspection Description iConfirrn Contact # Message
199 Electrical final t 075418-02 503-572-7015
Corrections/Comments/Instructions:
• ‘44,4„. c_isZ • V eA
cl,tA")Pn' isScoit■YETtIS.
to!\ U 6%eL ‘ia-vtV
C\ V
PASS I I PARTIAL APPROVAL 0 CANCEL n NO ACCESS
fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: CI'. N69) L-IL-f Date: I 1 .1 Phone #: (503) 718- VI L A)
•
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CITY OF ��nn n n�`n mn����om�� ° .',
BUILDING DIVISION PERMIT #: ELC2005'00793
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2000
Phone: (503) 639-4171 tilltimichlii
Inspection Requests (24 Hrs.): (503) 639-4175 s��■
INSPECTION WORKSHEET FOR DATE: 9y8/2009 TIME: 7:00AKA PAGE: 19
SITE ADDRESS: 10863SkV CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMiNIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new4 unit cndominium.
Addresses: Unito1Q1.1O2.1O3.1D4.
OVVNER: CANTERBURY PLACE, LLC, PHONE #: 360'5957700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 603-209-9298
Inspection Request Scheduled For: []ate: 9V8/2008 Pour Time:
Code # Inspection Description 'C|- f ' - Contact # Message
135 Low voltage \` 503-672-7O15 N
Corrections/Comments/Instructions:
X . PASS ri PARTIAL APPROVAL EI CANCEL 0 NO ACCESS
| I FAIL ri CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: &�� CI ��
' ���~ Q»J���K�� Date: ~�/���� Phone (SO3}718'
� -\ "` -- �� ' = #: ` ' e��_� -
- - • - _,
CITY OF TIGARD ...
BUILDING DIVISION PERMIT #: ELC2005-00793
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2006
Phone: (503) 639-4171 Joiyil lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/8/2008 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 10863 SW CANTERBURY LW BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DIGS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 9/8/2008 Pour Time:
.----:—
Code # Inspection Description Confir____m #-- Contact # Nssage
199 Electrical final 07600.06 503-572-7015 Y
Corrections/Comments/Instructions:
CI) G-f 1....14L sID1 K1,10-1'w 4 5 - ja. opli
I I PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
fP FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Cr t■)b4i L.g Date: 9, lyi) Phone #: (503) 718- 2-4
. ,: .. .
CITY OF TIGARD
, .•
BUILDING DIVISION PERMIT #: ELC2005-00793
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: 6/13/2008 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium.
Addtesses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: LAMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 6/1312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 071354-03 503-572-7015
Corrections/Comments/Instructions:
c A. Qkcil Ni fat W41 tYs• )11.11 k3A
H A PASS 0 PARTIAL APPROVAL fl CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: IQ 66 Le Date: Ci j Phone #: (503) 718-
•
• -
CITY OF TIGARD
,., • -
BUILDING DIVISION PERMIT #: ELC200.5-00793
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: 6/13/2008 TIME: 7:01AM PAGE: 25
SITE ADDRESS: 10863 SW CANTERBURY LN BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, new 4 unit condominium.
Addresses: Units 101,102,103,1M.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 6/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 071354-01 503-672-7015
Corrections/Comments/Instructions:
•
N A PASS fl PARTIAL APPROVAL CANCEL pi NO ACCESS
fl FAIL CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: oaLk Date: 3 1(16 Phone #: (503) 718- 1
, _
CITY OF TIGARD ., -
BUILDING DIVISION PERMIT #: ELC2005 -00793
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 : �u Ipu�i;�p���l�l
Inspection Requests (24 Hrs.): (503) 639 -4175 _� E
INSPECTION WORKSHEET FOR DATE: 6113/2008 TIME: 7 :01AM PAGE: 24 j
SITE ADDRESS: 10863 SW CANTERBURY LW BLDG 31 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 31, 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: 6/1312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 071354 -02 503- 572 -7015 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
Fl FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N O Le. Date: 610 et Phone #: (503) 718 - L