Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
1 I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00136
_,_�I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
iQ w PARCEL: 2S110AA -01500
SITE ADDRESS: 165 - n SW CANTERBURY LN BLDG 19 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 19: 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 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 6/29/2006 $75.00
[TAX] 8% State Surcharl 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 0 r ef.//4_44.-7 5-2=00 100. You may obtain copies of these rules or di rect que *ins to OUNC at 503 - 246 -6699.
Issued B Permittee Signature:_ / A f ' i Ale
i
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 Applic g d CE F i E C FOR OFFICE USE ONLY .. . .
H,y� Received 6/3 �h
City of Tigard Date /By. (GAS / 6/3 Permit No / : �OO r/` — DV/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 JUN 0 5 20 -'., ' ��+I Date/By: Other Permit:
Inspection Line: 503.639.4175 s m,,
Internet: www.ci.tigard.or.us Ci7 OF - I Date Ready /By. RI See Page 2 for
TIGA
f Notified/Method: Supplemental N of th M I ettod Su lemental lnformaon
r T �Gr1
, . ... < .,,, ..... T �. C 4� ... .... ..... .,,,,� .:: PLAN ; REV : ga:_`4:.
® New construction ❑ Addition /alteration /replacement Please check all that apply:
111 Demolition ❑ Other: El Service over 225 amps, comm'l ❑Hazardous location
c z :.:: :.:::. :....: . ... -' ,, .:.. rating ft.,
,, ❑Service over 320 amps ratin DBuildng over 10 000 sq. fr.
. .,, R F' - N TRIJ r r10Nk ' ='i. ;: -`=F;);?' :.•._ '` `' a` `" of 1- and 2-family dwellings 4 or more new residential
�CATEGO Y `0- - CO, S �C•
❑ 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 ❑ Other: red structures or
lit `JOB SITE INFO A OC ❑Egr sss /li o lan Ru p
i��• .;,..� =:« _��,.. ,,,,.�..,.L �.,. .D L �. TION =< ,,, -�. , ..,� g g b p 99 persons
Job no.: Job site address: 4 5 3 SW Canterbury Lane EHealth facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 /07/5 The above are not applicable to temporary construction service.
F
Suite /bldg. /apt. no.: 19 Project name: Canterbury Crest `" "' .'::...;EE* SG$EDUliE,;, :WAX: :'• < , ,; .:,°;;
Description Qty. 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: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited ener
Tax map /parcel no.: gy, residential 75.00 2
��•,,:•�.•,; ;.�< `b�a,'a., ....,., . �,n . >r >. " "i3 ,�vi.. � }x; �,��::?
Limited energy, non - residential 75.00 2
z.. ;•;., , DESCRIPgTION Of.,,WOl2K' t.,,`,Ya '. 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
, ;tv .. �, .,;,.. a ,,, ; ..,,.,, amps to 400 amps 106.85 2
;7''t, N,' , P O
R PE RT OWNER ❑ TENAV'T; -'' 201
` , 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
__ _ "� r. A. Fee for branch circuits with
CT `PERSON;::• <.: "
�,
�;> `[]N'APRLICANT:; ' t,.,; €? : "% �`- � <r:.CONTA, ,.
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)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting _ 53.40 2
E -mail: Signal circuit(s) or limited -
705,.,`:: `; ; sir. r�. ,� ; :, :, ' ` :° •.° ..�;r�• e energy panel, alteration, or
- gYp I °
x ti �- - ._.,.. -_ �__ - �, _ . G ._�' °? extension. Describe: Fire Page 2 7J 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 (I hr min) 62.50
Industrial plant per hour 73.75
CCB Lie.: 118073 Electrical Lie.: 37 - 742C Suprv. Lie.: 4542S ; s, >,' ELECTRICAAL PE0010:7 ES :•z'E ::%M•
Subtotal 7 5 0 0
Suprv. Electrician signature, required: p
m. G /r, R° ,' /0, Plan review (25% of permit fee)
Print name: V U C1 ' e, l fr,Ick /8
Date: 6,04. State surcharge (8% of permit fee) ( ° u
Authorized signature r— ' TOTAL PERMIT FEE '/ 6 d
1
This permit application expires if a permit is not obtained within 180
Print name: ��4„.1 ���c Date: •--,• ,... O g days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
is \Bwlding\Permits\ELC -Permit App. doe 12/03 440- 4615T(10/02/COM /WEB
. CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2006-00136
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 I 1
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 24
SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 19: Fire alarm panel.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description eonfircp # Contact # Message
199 Electrical final 97602N 503-313-7398
Corrections/Comments/Instructions:
t\14>k- - Par4•\ OA IF--
it% y cubokl, Lb1 O9E
•
I PARTIAL APPROVAL ri CANCEL ri NO ACCESS
H FAIL n CALL FOR INSPECTION _ n ADDITIONAL FEES ASSESSED
, Inspector: G CV) Le Date: t i 1 - 1 Phone #: (503) 718- 2- 4 1 /4
. ,
_ . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200&00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 - 4171 'aMP��lpitll
Inspection Requests (24 Hrs.): (503) 639 -4175 .�_' �'_�..
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 25
SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 19: Fire alarm panel.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360 -695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209-9298
Inspection Request Scheduled For Date: 4/4/2007 Pour Time:
Code # Inspection Description # Contact # Message
135 Low voltage 045976 -01 503- 313 -7398 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Date: "t `4"' bn Phone #: (503) 718 - 244
•
• -
CITY OF TIGARD
BUILDING DIVISION La
PERMIT #: ELR2006-00136
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 a#80/4
Inspection Requests (24 Hrs.): (503) 639-4175 AU- 61 .1.L
INSPECTION WORKSHEET FOR DATE: 11912007 TIME: 7 PAGE: 13
SITE ADDRESS: 10715 SW CANTERBURY LN BLDG 19 • CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 19: Fire alarm panel.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DivIS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 119/2007 ' Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 041929-03 503-545-361 N
Corrections /Comments/ Instructions:
PASS I 1 PARTIAL APPROVAL 0 CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C.) N()ie)ttf Date: ‘ --- S' 0 7 Phone #: (503) 718- 1-A
a..A._