Permit ;a
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
l DEVELOPMENT SERVICES PERMIT #: ELR2006 -00124
_,� .� DATE ISSUED: 6/6/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/a7 PARCEL: 2S110AA - 01500
SITE ADDRESS: SW CANTERBURY LN BLDG 12 ZONING: R -
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 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
Reg #: ELE 37 -742C
FEES 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: ,✓ ��� tires aw, Permittee Signature: 07 4w: /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 Appib FOR OFFICE USE ONLY
City of Tigard Received (� (; , ( Permit No : /^
g JUN V :., 2UUt, Date/By: E G[ o. -- ' a,'
13125 SW Hall Blvd., Tigard, OR 97223 �' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 411 A.'1 l t Date /By. Other Permit:
C
Inspection Line: 503.639.4175 Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVI •' Notified /Method Y IC8 Supplemental Information
a t,. ,. : ° ;PLANREVIEVI!- �.
,..;. >,,._..
. -TYPE OF >•WORIC
� ., , ';fin: .
® New construction ❑ Addition /alteration /replacement Please check all that apply_
EService over 225 amps, comm'l EHazardous location
❑ Demolition 111 Other:
���::;x ;a"::,;.�r... ,< "., . ;., ',� :,.... : , „ , „ ; ::. „ ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
`;. :`:.` ''CATE0°, 4, OF; •C;NSTRUCTION "` ,s
r�' ?��', � ' pa of 1 -and 2- family dwellings 4 or more new residential
'3i:�.`••'e^�t,�M� fF`v '�`•�E,`,:., .'+` �:�. ",. ; H;,. ; ,,.z: •a-,. =... <?: -r; °�' ,.:.�� , < E; ..• �,� :,.;� ::':,.. ...,s.,o•, <:..:..•:`> .a• .a" ,' �:e'$''u :.�„•'I >��'s>
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
® Multi- family El Master builder El Other:
1:3 Building over three stories ['Feeders, 400 amps or more
:: _ Multi -family ... .....:. .....,E ,.> N ., .<.,.. ; T : O der ` ".:; ......•:•.....;:..;... cupan 99 persons red structures or
❑Oc t load over 9 ['Manufactured
t : - ' ,IO& STT=E IE;RMAINs;ANDwL;CATION' ; 'c. ' , , :`:, E r /li htin plan RV park
,,xY
Job no.: Job site address: - 1175 1 31-SW Canterbury Lane
EHealth-care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 (G76 The above are not applicable to temporary construction service.
,; xs„
Suite /bldg. /apt. no.: 12 Project name: Canterbury Crest °" '' ° "° " ` FEE * <<;SGHEDULEw� :' ;' ' ""``' °"
Description I Qty. 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'( 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel
no.:
Limited energy, non- residential 75.00 2
t. �• ; 'OR
�� ' " ,. � � ,� „�;��a�,:: < - Each manufactured or modular
WORK:.,:,. '.:ya;:`
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
,, ,p x•: ,: ; r ;. `rn °. !, w:`;; st.,> 201 amps to 400 amps 106.85 2
fkA PERTH A WN R', alt a.; „:: ,-
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 l w ..: ., ,-;., = A. Fee for branch circuits with
r e4;:10 ` „�APPL[CAlV'I";° ry, ; ®•>- CON TA C , , , ,, RSON . 0 W; ;”
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 •> •:, t< •< ; ;": ; ,`; : -o' = ti ; : �< =fix:`:•.' R energy panel, alteration, or
�.€, _, ;" ;CONT.RACT ;R:; • \.....> �.:.� r „s •:. ,�: <`: ,.,.� gY P o
J
Business name: DMS Electric Inc. AlarmlPanDescribe: Fire / Page 2 75 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
Phone: (503) 209 -9298 Fax: (503) 252 -6611 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 4542S > :,it, i'”, ,ELECTRICALwPERIVIIT?rEES ,, '< ,
� / Q G •' j P , /o Subtotal 7 5 0 3
V
Suprv. Electrician signature, required: ,
C Plan review (25% of permit fee)
Print name: 1 Date: (8% u-D
��C ' / C Q ` f� + / D
� 6 �. $ State surcharge ( /o of permit fee)
Authorized signature �� TOTAL PERMIT FEE J
'� This permit application
after expires it has been if a permit is as not obtained within 180 •Print name cZ ti� , Date: 4' , v S — days accepted complete t/ C * Fee methodology set by Tri- County Building Industry Service Board
i \Building\Permits\ELC- PermitApp doe 12/03 440- 46t5T(I0 /02 /COM /WE3
H
CITY OF TIGARD 2'
. a--
i BUILDING DIVISION / PERMIT #: ELR2006-00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171 Vult
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:00AM PAGE: 45
SITE ADDRESS: '10765 SW CANTERBURY LN BLDG 12 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 12: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: OMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: •u30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040459-02 503-313-73913 N
Corrections /Comments/ Instructions:
( PAS - 6 EI PARTIAL APPROVAL
....... EI CANCEL pi NO ACCESS
I I FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 1 Date: II 3 IA Phone #: (503) 718- 14
\ ,
. . . . . .
CITY OF TIGARD - A ,
BUILDING DIVISION PERMIT #: ELR2.006-00124
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 6/6/2006
Phone: (503) 639 -4171 gaaiu
Inspection Requests (24 Hrs.): (503) 639 -4175 I..
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7 : 00AM PAGE: 46
SITE ADDRESS: 10765 SW CANTERBURY LW BLDG 12 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 12: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360. 695..7700
CONTRACTOR: MS ELECTRIC INC PHONE #: 503. 209 -9298
Inspection Request Scheduled For: Date: 11/30/2006 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 040459-0/ 503-313-7398 N
Corrections/Comments/Instructions:
c ,
PASS ❑ PARTIAL APPROVAL ❑ NO ACCESS I I
❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: '`r VU Date: II 3 W Phone #: (503) 718- 14114)
CITY ������U�������� -
��nn w ��m mn�m��nn�� . -
BUILDING DIVISION PERMIT #: BR2006-00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/612006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 s41~ IL
INSPECTION WORKSHEET FOR DATE: 10/3/2000 TIME: 7:06AM PAGE: 21
\ b-7/-5
SITE ADDRESS: lD�67fW CANTERBURY LW BLDG 12 CLASS OF WORK: '
SUBDIVISION: CANTERBURY CREST-CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 11: Fire alarm panel.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: Dk4S ELECTRIC INC PHONE #: 503-2O9-9298
Inspection Request Scheduled For: Date: 1013/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 037552'04 971'563-69G4 N
Corrections/Comments/Instructions:
.
• :
•
I I PASS PARTIAL APPROVAL ri CANCEL NO ACCESS
n FAIL 7 CALL FOR INSPECTION EI ADD|T|ONALFEES A�ESSEO
K � ��
|nop*�1or'
C!).--' N Date: o�� � �� � Phone (503) 718-
' ' K k .` '
CITY OF TIGARD .,, .....
BUILDING DIVISION PERMIT #: ELR2006-00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2006
Phone: (503) 639-4171 _, 1
Inspection Requests (24 Hrs.): (503) 639-4175 b11111W IL.
INSPECTION WORKSHEET FOR DATE: 9/2612006 TIME: 7:06AM PAGE: 21
1 19-11 05
SITE ADDRESS: *147; , SW CANTERBURY LN BLDG 12 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: ai0 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 11: Fire alarm panel.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 9/26/1006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 037161-01 971-563-6984 N
Corrections/Comments/Instructions:
•
•
*PASS PARTIAL APPROVAL CANCEL 7 NO ACCESS
I I FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
G • D ate: zo______
Inspector: Date: 1(24a Phone #: (503) 718-