Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00165
u • li DEVE all BMENT R9 I CES -639 -4171 DATE ISSUED: 6/29/2006
(0723 PARCEL: 2S110AA -01500
SITE ADDRESS: 19629 SW CANTERBURY LN BLDG 18 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 18, fire alarm for new 4 unit condominium. Addresses: Unit 1 through 4.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: 1HR
BSMT ?: Y MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: 4 FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:N
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 1,000.00
Owner: Contractor:
CANTERBURY PLACE LLC DMS ELECTRIC INC
109 EAST 13TH STREET 8502 SE STARK ST
VANCOUVER, WA 98660 PORTLAND, OR 97216
Phone: 360- 695 -7700 Contact #: FAX 503 - 252 -6611
PRI 503 - 209 -9298
FEES Reg #: LIC 118073
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/29/2006 $62.50
[TAX] 8% State Surcharl 6/29/2006 $5.00
[FLS] FLS Pln Rv 6/29/2006 $25.00
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 1- 0- thrugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 3-246-6
Issue 41-44-1 Permittee Signat -- /i , Q%
j , "
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.
„4 Eke Protection System
Building Permit AppLcat �.n . FOR OFFICE USE ONLY
City of Tigard Date/B 4 d i /111.4 Permit No.: l P _ CO 162 c)
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 APR 6 2006/ Date/B : �/ � . ��i /ice!/)' Other Permit:
Inspection Line: 503.639.4175 „A I Date Ready /: y: ,o■ El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF .1 ,;/-aw Notified/Method: Supplemental Information
DT ITT TAAATr Tart TTCTI ''
TYPE. OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
•
• CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building ® Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
16)72,3 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address :40629.1SW Canterbury Lane New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 18 Project name: Canterbury Crest Covered porch area: square feet
Cross street/directions to job site: Hwy 99 between Macdonald and Bull MT RD Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERC1AL -USE CHECKLIST
Subdivision: Canterbury Place Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: WCTM 2S110AA, 1400 / 1500 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of Fire Alarm Valuation: $1,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Canterbury Place LLC Type of construction:
Address: 109 East 13th Street Occupancy groups:
City/State /ZIP: Vancouver, WA 98660 Existing:
Phone: (503)221 -1920 Fax: (360)693 -4442 New:
• ® APPLICANT ® CONTACT PERSON
NOTICE
Business name: Canterbury Place LLC All contractors and subcontractors are required to be
Contact name: Dave Gutschmidt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11625 SE 5th Street jurisdiction in which work is being performed. If the
City /State /ZIP: Bellevue, WA 98005 applicant is exempt from licensing, the following reasons
Phone: (360) 695-7700 Fax: : (360) 693-4442
apply: (D Z SO
E -mail:
CON TRA CTOR�
Business name: DMS Electric �- So
BUILDING PERMIT FEES*
Address: 85SE Stark St
Please refer to fee schedule.
City/State /ZIP: Gresham, OR 97216
Fees due upon application
Phone: (503) 209 -9298 Fax: ( )
Amount received
CCB , 101
Date received:
Authorized signature: __ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: — I Date: . Ao * Fee methodology set by Tri -County Building Industry
CITY OF ��mn n p�'u� oo���m�m��
BUILDING DIVISION
'
~°~~"~~~~""°~� ~~"°"~°"~~"~ PERMIT #: SUP2006-00165
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E/2EV2005
Phone: (503) 639-4171
Inspection Requests �4Hxsj:(50o)G3Q~4176 " �J�
INSPECTION WORKSHEET FOR DATE: 4U18/2007 TIME: 7:00AN| PAGE: 37
SITE ADDRESS: 10723 SW CANTERBURY LN BLDG 18 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 18. fire alarm for new 4 unit condominium.
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360'69577O0
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-3298
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 046097-04 503.313-7398 N
Corrections/Comments/Instructions:
•
•
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�� �� ��
PASS �� PARTIAL APPROVAL �� CANCEL / / NO ACCESS
0 FAIL CALL FOR INSPECTION | j ADDITIONAL FEES ASSESSED
�
Inspector: Date: � � - Phone #: (503) 718-