Permit A' 'CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00465
I DEVELOPMENT SERVICES DATE ISSUED: 8/18/2006
` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
//O � S PARCEL: 2S110AA -01500
SITE ADDRESS: 1.9W CANTERBURY LN BLDG 30 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 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 8/18/2006 $53.50 LIC 118073
[TAX] 8% State Surcharge 8/18/2006 $4.28 SUP 4542S
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- fat:Tin-OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1 -800-. 2- , 4. G•:
Issued B .y � ) ' . , i Permittee Signature` a_ ' % ' / j5�f{ J
_
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:' �� e �3, � R ( . �-� 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.
- -, A .
Electri cal Permit Application --------:- --_-_FortoFFicE_usEoNLy. - —
City of Tigard Received
Date/B : s milism Permit No.: gi,e 6o ... ez x 6, s'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I
Phone: 503.639.4171 Fax: 503.598.1960 / 1/1 Date/B : Other Permit:
Inspection Line: 503.639.4175 _LIIIII- A I Date Ready/By: Jun El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: :/1 f(3- Supplemental Information
iW,35":'Kkilif ,,W :':::?-: M 4,116".:4
ftSSOMI:111,1FSAYTKR:f09W'Mormtv:4- - ., 4- 1- '- '''"-I -"' '' -""''.'---'-"'''''!'"'"''' '-''''
El New construction 0 Addition/alteration/replacement Please check all that apply:
['Service over 225 amps, comm'l ['Hazardous location
ID Demolition 11 Other:
, .._,„„ ,,,,„„_, 1:1Service over 320 amps - rating [IBuildng over 10,000 sq. ft.,
•13,72,11:521fEwt of 1- and 2-family dwellings 4 or more new residential
1=I 1- and 2-family dwelling El Commercial/industrial lil Accessory building 0System over 600 volts nominal units in one structure
['Building over three stories ElFeeders, 400 amps or more
Z Multi-family El Master builder El Other:
['Occupant load over 99 persons ['Manufactured structures or
RV park
.M.P.W'' 1' t
ikrIfiektii5W'' I:Egress/lighting plan
v4vamo.44 ',, ,,,',,,,,, 'uWa .'_. i '3,''' ':•f-t'
Job no.: Job site address: +OM SW Canterbury Lane IDHealth-care facility ['Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard OR, 97332 /651-5/ The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 30 Project name: Canterbury Crest IP: R*::AatN*tt+i:WktttWM:LliggN,V'aa
Description Qty. Fee. Total I **
Cross street/directions to job site: Eant on Canterbury Lane off of Hwy 99 New residential single or multi dwelling unit.
Includes attached garage.
South of McDonald 1,000 sq. ft. or less 145.15 4
Subdivision: Canterbury Lot no.: 30 Ea. addl 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: 25110AA-CC001
Limited energy, non-residential 75.00 2
;SCIMPaZiakie0:.**kir9SO4 WFMVPZ:fi ' Each manufactured or modular
Add exterior AC Unit q, .,.s 0 , 1 1.-. 3o. 2 - d service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
ri,:giglikonlifie6WARMAZM fiq: :',:4RiWiitirtigAN'egiiMPNA1,N 201 amPs to 400 amPs 106.85 2
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
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
so y4w4;tgfpkydx A. Fee for branch circuits with
service or feeder fee, each
Business name: Polygon NW branch circuit 6.65 2
B. Fee for branch circuits
i 46.85 2 ii
Contact name: Paul Templeton without service or feeder fee,
i Iv/ ""..
first branch circuit 46. GS
Address: 109 E 13th Street
Each add'I branch circuit i 6.65 (a -- 2
City/State/ZIP: Vancouver, WA 9866 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-
PtiVeatYkilikkaiMlitait .CONTCRA:XTpio;„ 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 (1 hr min) 62.50
Phone: (503) 209 Fax: (503) 252-6611 Industrial plant per hour 73.75
0:041*-1-
CCB Lie.: 118073 Electrical Lie.: 37-742C Suprv. Lie.: 4542S Subtotal 53 ..—"---
Suprv. Electrician signature, required: , t /4
/ Plan review (25% of permit fee) 4 -- -- '
'C, ra-■ aZ
State surcharge (8% of permit fee)
Print name: // . / Date: s r_ /6 .„.. c , ,
z 4 e • i r Ri-" A TOTAL PERMIT FEE 3
Authorized signatuai This permit application expires if a permit is not obtained within 180
.
— days after it has been accepted as complete
Print name: \S r,--
-' / c• er, c C Date: e ._ (-,..., 06 • Fee methodology set by Tri-County Building Industry Service Board
- ** Number of inspections per pennit allowed.
iMuildingWermits \ ELC-PermitApp.doc 12/03 440-4615T(10/02/COM/WEB
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2006-00465 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2006
Phone: (503) 639-4171
$ I
Inspection Requests (24 Hrs.): (503) 639-4175 AA 1
INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6:69AM PAGE: 27
SITE ADDRESS: 4a CANTERBURY LN BLDG 30 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 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 #: 360-69
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 8/24/2006 Pour Time:
Co. , trtsp- Description Confirm # Contact # Message
199 Electrical final 035494-06 971-563-6981
Corrections - • structions:
•
)c:IPASS I PARTIAL APPROVAL 7 CANCEL El NO ACCESS
I I FAIL El CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: N 6'6 Date: ( Phone #: (503) 718- 21 •