Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
l; DEVELOPMENT SERVICES PERMIT #: ELR2006 -00134
' I 13125 SW Hall Blvd., T igard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
� PARCEL: 2S 110AA -01500
SITE ADDRESS: 9 9 S W CANTERBURY LN BLDG 17 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 17: Fire alarm panel.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
CANTERBURY PLACE LLC DMS ELECTRIC INC
109 EAST 13TH STREET 8502 SE STARK ST
VANCOUVER, WA 98660 PORTLAND, OR 9721 6 -1 14 0
Phone: 360 - 695 -7700 Contact #: FAX 503-252-6611
PRI 503- 209 -9298
FEES Reg #: ELE 37 -742C
LIC 118073
Description Date Amount SUP 4542S
[ELPRMT] ELR Permit 6/29/2006 $75.00
[TAX] 8% State Surchart 6/29/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 OA' 952 -301- 0Q You may obtain copies of these rules or direct qt to OUNC at 503 - 246 -6699.
Issued By: ' ( / 41 / !4 J� / Permittee Signature: I_if' . A _
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 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 Application d '9 -'_: FOR OFFICE USE ONLY
d
City of Tigard �� I i Receive /By V r 11 613 Permit No.: r 17 hJ&•1,j13
13125 SW Hall Blvd., Tigard, OR 97223 • - Plan Rev ` - Q " -
Phone: 503.639.4171 Fax: 503.598.1960 . t �'` Date/By: Other Permit:
Inspection Line: 503.639.4175 V • t r ®r ! ; G I.,, e'I I Date Ready /By: s_ r ®See Page 2 for
Internet: www.ci.tigard.or.us �Y j4 nING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition /alteration /replacement Please check all that apply:
Service over 225 amps, comm'l DHazardous location
❑ Demolition 0 Other:
❑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
❑ Building over three stories ❑Feeders, 400 amps or more
® Multi- family ❑ Master builder 0 Other:
DOccupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
Job no.: Job site address: 18699 SW Canterbury Lane ❑Health -care facility ['Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 / 073 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: 17 Project name: Canterbury Crest FEE* SCHEDULE
Description Qty. I Fee. I Total
Cross street/directions to job site: Canterbury Lane East of Hwy 99 between New residential single- or multi - family dwelling unit.
Includes attached garage.
Macdonald and Bull Mt Road 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
Installation of Fire Alarm Panel dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
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 East 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 -4444 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 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax::( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or r 06
I
extension. Describe: Fire Page 2 7s 2
Business name: DMS Electric Inc. Alarm Panel
Address: 8502 SE Stark ST Each additional inspection over allowable in any of the above
City /State /ZIP: Portland, OR 97216 Per inspection 62.50
Phone: (503) 209 -9298 Fax: (503) 252 -6611 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 4542S ELECTRICAL PERMIT FEES*
Subtotal 7 S 6-' Suprv. Electrician signature, required: . ! t � Y i o
(L G . e 1 Plan review (25 /o of permit fee)
Print name: e � P ' I Date: G /5./0 (8% oa
State surcharge (8 /o of permit fee) 6
SL
Authorized signatur TOTAL PERMIT FEE j °
es T-r -� � �
This permit application expires if a permit is not obtained within 180
Print name:
, , S ;
Print �e j � , �.. Dater w 5`' 6 days after it has been accepted as complete
+1 ' Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\ELC - PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006- t)0134
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: 5/3 /2007 TIME: 7 :OOAM PAGE: 17
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360 -695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503. 2119 -9298
Inspection Request Scheduled For: Date: 5/3 /2007 Pour Time:
Code # Inspection Description Confirm # -- Contact # Message
199 Electri cal final 047587 -04 503=3:13 -7398 N
Corrections /Comments /Instructions:
•
11 ‘
Q i
PASS 1 PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N ( Date:,. 5 Phone #: (503) 718- 1-411410
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELR2006- 00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 6 I k:
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L
INSPECTION WORKSHEET FOR DATE: 5/3 /2007 TIME: 7:OOAM PAGE: 10
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 -209 -9293
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage \ 047587 -03 503- 313 -7398 N
Corrections /Comments / Instructions:
PASS n PARTIAL APPROVAL I I CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �'�t' q`+ 4 C-C6 Dater -3-(r) Phone #: (503) 718 - 'Olt
_.... _._...
CITY OF TIGARD
BUILDING DIVISION ,---- A PERMIT #: ELR 200G-0017,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6PM006
Phone: (503) 639-4171 .V(11
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 21 2€/7007 TIME: 7: 00AM PAGE: 57 •
SITE ADDRESS: 10731 SW CANTERBURY LN BLDG 17 CLASS OF WORK: .
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 17: Fire alarm panel.
Addresses: Units 101 :102:103, '1G1 .
OWNER: CANTERBURY PLACE LLC, ' PHONE #: 3604395-77GO
CONTRACTOR: , DIMS ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 2/26/2007 Pour Time:
Code # Inspection Description ---Confirm t Contact # Message
135 Low voltage 043059-04, 503-&15-3654 N
PiAt( kl-kutiN ev--F.'i
Corrections/Comments/Instructions:
i rA PASS 1 1 PARTIAL APPROVAL 0 CANCEL n NO ACCESS
FAIL 1 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: G R 0B 1- Date: 2 t Phone #: (503) 718- 2-41410