Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
l DEVELOPMENT SERVICES
PERMIT #: ELR2006 -00125
; ,_ _ I
13125 SW Hall DATE ISSUED: 6/6/2006
Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA - 01500
SITE ADDRESS: 1 b �/ SW CANTERBURY LN BLDG 13 ZONING: R - 12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 13: 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 $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: P ermittee Signature: a 4 54 4 j « 1 i�
OWNER INSTALLATION ONLY �� �� _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RPePIVF
EFectrical Permit Applicati • oTi FOR OFFICE USE ONLY
City of Tigard JUN 0 b 2006 Receive. „..-- ,
Date/By: " .e:; 4/ I Penult No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503 639.4171 Fax: 503.598.19e
Date/B
1 I 1 OF TIGARD 48168 ' 1(1 4\ • Other Permit:
Inspection Line: 503.639.4175 - t- Date Ready/By: rzi 0 See Page 2 for
Internet: www.ci.tigard.or.us BLIILDING DIVISI cs-t- — Notified/Method: Supplemental Information
ItiliValt :: WCIFI4i
[E] New construction E Addition/alteration/replacement Please check all that apply:
Service over 225 amps, comm'l P Hazardous location
ID Demolition LI Other:
,..,,,,,„ , EService over 320 amps - rating DBuildng over 10,000 sq. ft.,
- - - — '''''' trilltpr enht 6 ' '-'0 ' : , :eiii;,: lw -1v,:,:-.,,
ric,,;; ; ,„.„,,, :,,,,,,,,F-,,,,,, , s ;j-,: ,,,,,$T. b 1 9o: : :. , .,, ?,-:' ',- of 1- and 2-family dwellings 4 or more new residential
0 I- and 2-family dwelling E Commercial/industrial El Accessory building ['System over 600 volts nominal units in one structure
EBuilding over three stories ElFeeders, 400 amps or more
EZ Multi-family 0 Master builder 111 Other:
, DOccupant load over 99 persons EManufactured structures or
11 4:010$' 0 Egress/lighting plan RV park
Job no.: Job site address:40631-SW Canterbury Lane EHealth-care facility ['Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 /0 7 7/ The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 13 Project name: Canterbury Crest i a litiEV', ',:v.fttgi$ditfi.0-014iikAitri:„Nr:'
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'l 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.:
, Limited energy, non-residential 75.00 2
VIEWRI manufactured or modular
dwelling service and/or feeder 90.90 2
Installation of Fire Alarm Panel
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
106.85 2
n t
- --- ' - - - 401 amps to 600 amps 160.60 2
Name: Canterbury Place LLC 601 amps to 1,000 amps 240.60 2
Address: 109 East 13th 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
da gr.:4 it ni 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,
2
first branch circuit 46.85
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-
Ii,,.1 „ energy panel, alteration, or o 6
extension. Describe: Fire
1 76
Business name: DMS Electric Inc. Alarm Panel Page 2 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 };,r '.27;'igkgt%CcliW8L:5"
o')
Subtotal ? ,S
Suprv. Electrician signature, required:
q., Plan review (25% of permit
c_. e -6-•,, 4\ fee)
Print name: V a... c ,, R 41 ,. / 41/4 Date: g /s-- A C State surcharge (8% of permit fee) 6 c' 6
_ ......,..,,ccop f )
d
Authorized signature TOTAL PERMIT FEE 75 )
- .
_-..—
C--' .- permit application expires if a permit is not obtained within ISO
Print name:_ , ,.fr .. , fic ,c. Date:- ... _ 4 - days after it has been accepted as complete
* Fee methodology set by Tri-County Building Industry Service Board
i. \Building\Perrnits\ELC-PermitApp.doe 12/03 440-4615T(10/02/COM/WEB
CITY OF ��nm m n��n nn�m�mna�� '
BUILDING DIVISION PERMIT #: BR2006-00126
] 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 vr
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 10771 SW CANTERBURY LN BLDG 13 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 13: Fire alarm panel.
Addresses: Units 101.102.103.1O4,
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360'69£-7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 5O3.209200
Inspection Request Scheduled For: Date: 11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040461-03 503-313-7398 N
Correctiono/Connmento/|nnbuotio ••
,�^
-- PARTIAL El CANCEL ��OACCESS
PASS __ __
I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
hJ���_� ^� �u
Inspector: 1\\ Date: l� �m� Phone #: (503) 718- ��11,
| '
CITY OF ��uw m n�'m mu�m�mnn�w
BUILDING K�U��U��8��0�
DIVISION PERMIT #: ELR2006-08125
13125 SW Hall Blvd., Tigar . OR 97223 DATE ISSUED: 6/6/2000
Phone: (503) 639-4171 141 44 I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:00AM PAGE: �2
SITE ADDRESS: 10771 SW CANTERBURY LN BLDG 13 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 13: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.895'77O0
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 11/30$3006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 040461-02 503-313-7398 N
Corrections/Comments/Instructions:
•
41/1
. 4iN' RA • 7 PARTIAL APPROVAL 7 CANCEL | I NO ACCESS
| | FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
^\�"� /7�� a�/ ~�UU
Inspector: t�V� Date: v� ~ ���� Phone #: (503) 718- �^ / �-�0
• ^ .
-- ~~
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00125
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/5/2006 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 10771 SW CANTERBURY LN BLDG 13 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 13: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 037738-05 971-563-6984
Corrections /Comments/ Instructions:
X LPASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Cr 4\1 Oe LE Date: 1 Oil Phone #: (503) 718- 204)!