Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
r DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00117
�I DATE ISSUED: 6/6/2006
--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
Z625:3j PARCEL: 2S 110AA -01500
SITE ADDRESS: 1071 1 SW CANTERBURY LN BLDG 5 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 5, Fire Alarm Low voltage.
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 CREST 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
[TAX] 8% State Surcha 6/6/2006 $6.00
[ELPRMT] ELR Permit 6/6/2006 $75.00 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: ,fig r. «sc� if Permittee Signature: dY/ � , tft4 ,(:,jyt
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 A 21j jl lin �.., f : FOR OFFICE USE ONLY
C1 Of Tl and 4-1 .• �., \ ,! d 1 r ' ) Received Permit No. I
�' g Date/By: � _ - oo — or, 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review r
Phone: 503.639.4171 Fax: 503.598.10Q, . • .- 2006 _�� f �i l Date /B :
e . Other Permit:
Inspection Line: 503.639.4175 i M.' .L Date Ready /By: � ® See Page 2 for
Internet: www.ci.tigard.ocus� 01 fGA1-,D Notified /Method: I■■ Supplemental Information
8UJL1 DIDA r:ION PLAN REVIEW
® New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition 1=1 Other:
Service over 225 amps, comm'I ❑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 ['Feeders, 400 amps or more
® Multi- family 0 Master builder 0 Other:
❑Occupant load over 99 persons DManufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
❑Health -care facility ['Other:
Job no.: Job site address: .1-0 SW Canterbury Lane
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 /4 8.3/ The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: 5 Project name: Canterbury Crest FEE* SCHEDULE
Description 1 Qty. I Fee. 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 I
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 I
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'l branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Fire ad
Business name: DMS Electric Inc. Alarm Panel Page 2 7 g 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*
_ Subtotal `l 5 G o
Suprv. Electrician signature, required: / ,
Q G / t? { e . I d‘. Plan review (25% of permit fee)
Print name: Uu • 1 C Pe- --i- ' 1 Date:C 1 S /G c State surcharge (8% of permit fee) 6 al
Authorized signature: TOTAL PERMIT FEE g t I)
This permit application expires if a permit is not obtained within 180
Print name: j'„te,:_.--7 K. �<.-- /- Date: ' - 5 _ oe - days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \ermits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: ELR20(16-00117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/612006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7:06AM PAGE: 42
SITE ADDRESS: 10831 SW CANTERBURY LN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5: Fire alarm panel.
OWNER: CANTERBURY CREST, PHONE #: 3%695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/1012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038406••06 503-572-2961
Corrections/Comments/Instructions:
rictA ALINuoy. fkeppxplok..
-T isece51441.z. 6 fr e tabi I
PASS PARTIAL APPROVAL EI CANCEL fl NO ACCESS
I I AIL I CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: G I N68 L Date: ti 01)1017 Phone #: (503) 718-
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BUILDING DIVISION ,- PERMIT#: B-R2006-00117 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: �(5O3) 639' 4171 |�
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Inspection Roquo�a(24Hmj:(603)G3Q'4175 ~� 8�� �
INSPECTION WORKSHEET FOR DATE: 10/102008 TIME: 7:O6AIVI PAGE: 43
SITE ADDRESS: }OB31EW CANTERBURY LN BLDG 6 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5: Fire alarm peo&
OWNER: CANTERBURY CREST. • PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 603-209-9288 •
Inspection Request Scheduled For: Date: 10/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage azo406-05 603'672-2961 N .
Corrections/Comments/Instructions:
•
PAS ri PARTIAL APPROVAL CANCEL El NO ACCESS
/ _.
| | FAIL I | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: ~ � ~ "�*� Date: it0 C Phone #: (503) 718- 14
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELI:0006 -00117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2006
Phone: (503) 639 -4171 fi li
Inspection Requests (24 Hrs.): (503) 639 -4175 fit °I t
INSPECTION WORKSHEET FOR DATE: 7/17/2006 TIME: 7:04AM PAGE: I
SITE ADDRESS: 10711 SW CANTERBURY LN BLDG 5 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 5: Fire I r panel.
OWNER: CANTERBURY CREST PHONE #: 360 - 695.7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503. 209 -92913
Inspection Request Scheduled For: Date: 7117/2006 Pour Time:
# Inspection Description Confirm # Contact # Message
135 Low voltage
033190-04
04 503 57 ? 281 N
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 068 t-- Date: '7/1 ) G Phone #: (503) 718- 2446.