Permit r.
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
4 DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00123
. +L � �' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/6/2006
`b 761, PARCEL: 2S110AA -01500
- &
SITE ADDRESS: O€ S CANTERBURY LN BLDG 11 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 11: 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
109 EAST 13TH STREET
VANCOUVER, WA 98660
Phone: 360 - 695 -7700 Contact #:
Reg #:
FEES
Description Date Amount
[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.
7,
Issued By: Permittee Signature: 19-71 ZZ ,,,,f _ dG%�1
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 Appl t _ t� -- -- .... - . .FOR•OFFICE- USE-ONLY .
City Of Tigard � Date /By: V / / i 7 6.6 Permit No. b4. = CO t Z3
13125 SW Hall Blvd., Tigard, OR 97223 .UN I i ' ' 200'' Plan Review ���[[[
Phone: 503.639.4171 Fax: 503.598.1960 _ n 'I p 1 I ('� Date /By: Other Permit:
Inspection Line: 503.639.4175 CITY Y OF'FEG - n7 II Date Ready/By: luny • ® See Page 2 for
Internet: www.ci.tigard.or.us BUILD(\IG DI\ a I Notified /Method. Supplemental Information
n 1 4.
TYPE<O* =W..ORK•t•::K
® New construction ❑ Addition /alteration /replacement Please check all that apply:
e ['Service over 225 amps, comm'I ['Hazardous location
❑ De molition ❑Other: =.;:, _:•::, �,;.� ..; : �_ _ . �r l "..... , .., :.:;;:, >'•;a: ,: , ;;.; , I ,. ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
g R k: F t�4" TI e "i' ` of 1- and 2-famil dwellings ',� ° °-::'• CATEGO Y �O ,�,CO . STRUC. ON.�1 ='..•,',�,,;> ; " �� >•_:�,:,� ,�,,,: y s 4 or more new residential g
tars .,:, � � ;,.�,, � -�
El 1- and 2- family dwelling ill Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
® Multi - family ['Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more
n, > «_.,,.. ,, :;,,, ._ -y., _ua: ,. , •, ",,, ..,D;LOC
.: persons red structures or
❑Occupant load ove 99 e EManufactured ` JOB, SITE; INFORMATION ANATIOIV :'.: - :,: '-:-; ❑ Egress/lighting plan RV park
Job no.: Job site address: t8SSW Canterbury Lane ❑Health -care facility ❑Other:
f10
e� Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 /d 76, / The above are not applicable to temporary construction service.
'. r `'i:; FEE ' SEDULE , . a) ,,� . ".' ,...;
Suite /bldg. /apt. no.: 11 Project name: Canterbury Crest ` '` ° °'° CH ' :'::fall
„ "
Description 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'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
s t \ I , ql , Limited energy, non- residential 75.00 2
: 9- ?DESCRIPTION:` OF:. WORK, . „ " , :1 / 1 1 h l f
°• �:_.i:�';:'�...,y.,..., ... �•��..,., ... , ,�, >,. ,, ",.�. ":., ".,.�.. a :��a�..- :�,na,�,��,- ,.,� ➢ >,� Ea nanu actured 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
= - - - E
., RTY 'OWi , , ��.: TEN
;; ;: 4 201 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
1 „ o : ,<', ,. A. Fee for branch circuits with
AEPLICANT� > ,���,. �, "; s`ti� hCO1�TACT�"P >- ER50N::�ti i'N '�`
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 -
,:e energy panel, alteration or
COIVTR "A'CTOB;- �;:_�' gy p C
_ - 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 (l hr min) 62.50
Industrial plant per hour 73.75
CCB Lie.: 118073 Electrical Lie.: 37 -742C Suprv. Lic.: 4542S , LECTRIGALtiPERMIT I'EES ; ; 1 "' ;";: ;'_'
Subtotal 5 0'3
Suprv. Electrician signature, required:
C° l ,/
/ox Plan review (25% of permit fee)
Print name: , Date: ¢ State surcharge (8% of permit fee) & O o
Authorized signature: TOTAL PERMIT FEE
Print name: S f Date 1 This permit application expires if a permit is not obtained within 180
� ..." . C. �_ ps . days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i.\Buitding \Permits \ELC- PermitApp doc 12/03 440- 4615T(10/02/COM /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00123
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/6/2.006
Phone: (503) 639 -4171 -711491011#
I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/16/7006 TIME: 7 :00AM PAGE: 36
SITE ADDRESS: 10769 SW CANTERBURY LN BLDG 11 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 11: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 350- 695 -7700
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039871-09 503- 31373913 N�
Corrections /Comments /Instructions:
(
arhilif AID l r- 4 '1
v
-les/ d v 6 y Cl- y 1( / ,A '1
•
''ASS RTIAL n CANCEL NO ACCESS
/1 AIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: :ke-./ Date : /F /0 a ao Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171
.11
Inspection Requests (24 Hrs.): (503) 639-4175 #
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 10769 SW CANTERBURY LN BLDG 11 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 11: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 039871-07 503-313-7398
Corrections/Comments/Instructions:
PARTIAL APPROVAL CANCEL fl NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
17/04
Inspector: . Date: 1 / —16 — Phone #: (503) 718-
_ , „.