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Permit CITY F TIGARD ® ELECTRICAL RESTRICTED ENERGY PERMIT . ,_ ., i � DEVELOPMENT SERVICES PERMIT #: ELR2006 -00118 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/6/2006 /08/ PARCEL: 2S110AA -01500 SITE ADDRESS: SW CANTERBURY LN BLDG 6 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 6: Fire Alarm LV 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 97216 -1140 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 6/6/2006 $75.00 [TAX] 8% State Surcha 6/6/2006 $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 OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503- 246 -6699. Issued By: Permittee • S ignature: eyjL Ll 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: CaII 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 AD cati© FOR OFFICE USE ONLY � City of Tigard 006 Date /By: Received / 6k I Permit No. fr • • I cv ( 13125 SW Hall Blvd., Tigard, OR 97223 ! " t Plan Review Phone: 503.639.4171 Fax: 503.598.1960. n � !+�- Date /B Other Permit: Inspection Line: 503.639.4175 m Y Or l fuAt -i r• i �' � Date Ready /By: bill la See Page 2 for Internet: www.ci.tigard.or.us `l i[_D WG DIVIS • 1 Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑Other: El Service over 225 amps, comm'l El 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 ['Building over three stories ® Multi- family 0 Master builder 0 Other: ❑ 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 addresses SW Canterbury Lane ❑Health -care facility ['Other: Submit 2 sets of plans with any of the above, City /State /ZIP: Tigard, OR 97223 'O '/ �/ The above are not applicable to temporary construction service. Suite /bldg. /apt. no.: 6 Project name: Canterbury Crest FEE* SCHEDULE Description Qty. 1 Fee. Total I ** 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'I 500 sq. ft. or portion 33.40 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 extension. Describe: Fire a Business name: DMS Electric Inc. Alarm Panel Page 2 ?S 2 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 Investigation per hour (1 hr min) 62.50 Phone: (503) 209 -9298 Fax: (503) 252 -6611 Industrial plant per hour 73.75 CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 4542S ELECTRICAL PERMIT FEES* Suprv. Electrician signature, required: �/ e y Subtotal ? 5 ° ° / , / eA r e E' r Plan review (25% of permit fee) Print name: i s K 1/4.. c f �� D a te: ©��/6 St surcharge (8% permit fee} G Authorized signature: I _ TOTAL PERMIT FEE $' D J This permit application expires if a permit is not obtained within 180 Print name: / / 2 �— s Date: �` _s- _ (� 4 days after it has been accepted as complete Fee methodology set by Tri- County Building Industry Service Board i.\Building\Permits\ELC- PermitApp.doc 12103 440- 4615T(10 /02 /COM/WEB CITY OF TIGARD ,A BUILDING DIVISION PERMIT #: ELR2006-00118 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61612006 Phone: (503) 639-4171 41*/414114110 Inspection Requests (24 Hrs.): (503) 639-4175 Az .4 INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 33 SITE ADDRESS: 10819 SW CANTERBURY LN BLDG 6 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 6: Fire alarm panel. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 10/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 030406-14 603-572-2961 N • Corrections/Comments/ Instructions: PASS fl PARTIAL APPROVAL ri CANCEL Ll NO ACCESS I FAIL n CALL FOR INSPECTION Lill ADDITIONAL FEES ASSESSED Inspector: * N LE Date: i Cf Phone #: (503) 718- 1-44/6 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200&-00118 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006 Phone: (503) 639-4171 vi(ick Inspection Requests (24 Hrs.): (503) 639-4175 AO' INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:O6AM PAGE: 32 SITE ADDRESS: 10819 SW CANTERBURY LN BLDG 6 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 6: Fire alarm panel. OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 10/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038406-15 503-572-2961 Corrections/Comments/Instructions: &Ai L 51;1 k. F1 . 14 1 ve - =a0b\ (•) ev V413:4A--, oktilOWO PASS PARTIAL APPROVAL 0 CANCEL El NO ACCESS I FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 6- (Se)LIE--- Date: V 1 Phone #: (503) 718- Viih