Permit CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
D EVELOPMENT SERVICES PERMIT #: ELR2006 -00127
�,� �.� DATE ISSUED: 6/6/2006
- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA - 01500
SITE ADDRESS: 1-w.4.. SW CANTERBURY LN BLDG 20 ZONING: R -
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 20: 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: Permittee Signature: (�' ' sxi -fJ'�l
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 App11 ,;Fh I j FOR OFFICE USE ONLY
City of Tigard n Date /B G ig f Permit N4 • 6 t
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I
Phone: 503.639.4171 Fax: 503.598.1960 JUN 0 b 2 I' utuu" � Date /B : Other Permit:
Inspection Line: 503.639.4175 s Date Ready /By: 10 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF Ti ° P Notified/Method: MI Supplemental Information
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® New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑ Other: v amps, ['Hazardous location
,..:• :�:, ,.. .. .�>��� .,.,••. _�...<... .., - : .. - amps c rating EBuildng over 10,000 sq. ft.,
EService over , o m'
EService over 320 r
n' " yCATEGORXaOF:ia °CONSTRUCTION.: a ` ' of 1- and 2-family dwellings 4 or more new residential
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❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
® Multi family ❑Master builder ❑Other: ['Building over three stories [Weeders, 400 amps or more
�^.�x;:- .:.; :::•.,••.�. ... OC .,..: .:-.Es, - persons Occupant load over 99 e ['Manufactured structures or
•- 1:4 ,SITE;INi'ORMATIO Kisib LATION.':: ;, " „: DE plan RV park
❑Health -care facility ['Other: Job no.: Job site address; 4953SSW Canterbury Lane
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 CU 7 i( The above are not applicable to temporary construction service.
::•,. ' ; FEE SCHEDU CZ`i 2 °'„ : halt
Description Qty. Fee. Total
Suite /bldg. /apt. no.: 20 Project name: Canterbury Crest ” ' "` 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: Lot no.: Ea. add'! 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
. :,= ,. , -- -. _.,.: -" ,"— .,..:; >,— r -,... ...... - N ,x ,, a,W ' -.:_;.,;.:.,, ;,; ;;. energy, non-residential 75.00 2
Limited nergy non sl entta
=.DESCRIPT1ON,.`-0F .WORK= .'<<<.- y, '„
_- - -.. >., .. a %.; -'.: ; "; 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
t,> Z;tl __ ,�,•, � ���:• �� »��� � �� 201 amps to 400 amps 106.85 2
PPR "'I' . kTy N R.. ' IENAIVT•; , '` li
... »„ .,. ... -- �•�,x,:::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
a,. `•y" ' `° f ° ° A. Fee for branch circuits with
,,,,,:,;‘,0 ' aARPtiIC: ®COt� ;PERSON
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 -
ig - -N <•,= _ energy panel, alteration, or
`; NTRA ,r,,..R ;,; gY p J
CO CO.
Business name: DMS Electric Inc. Panel
Fire Page 2 ?S 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 (I hr min) 62.50
Industrial plant per hour 73.75
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CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 4542S ":�� � °•� :'`
:� �_ ����ELECTRIGAL�PERMLT,;;F „ ;: ;„Y�ta' >, r$,'� ..;
Subtotal 75 °
Suprv. Electrician signature, required:
ek C,' / C f'• � c..\ Plan review (25% of permit fee)
Print name: ki C , k , / st:\ Date: �'��^ /n C State surcharge (8% of permit fee) b 0°
Authorized signature: TOTAL PERMIT FEE I O
This permit application expires if a permit is not obtained within ISO
Print name: ____SPati.., t S ,t., C Date: _. ,S' days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i\ Building \Permits\ELC- PernutApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
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CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELR2006-00127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171 leopivel I #
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1212a/2006 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 10711 SW CANTERBURY LW BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20: Fire alarm panel.
Addresses: Units '101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9296
Inspection Request Scheduled For: Date: 12/26/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 04156B-04 503-572-2961 N
Corrections/Comments/Instructions: •
F-'ituf,L -- P-arqb - IN), ‘ TS61 A Ob A c■idIvPi f •
, . 0
c „.
"(...). . \
ill \
A PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: .Y.- N (se)(..A Date: 1 7 -• Ot) Phone #: (503) 718- 1-4
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/612006
Phone: (503) 639-4171 Arpt .
Inspection Requests (24 Hrs.): (503) 639-4175
„4- 4.11.
INSPECTION WORKSHEET FOR DATE: 12/28/2006 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 10711 SW CANTERBURY LN BLDG 20 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20: Fire alarm panel.
Addresees: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695.7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 12128/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 041568-03 503-572-2961 N
Corrections/Comments/Instructions:
A, PASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
fl FAIL I I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
_ _.
Inspector: (*.-- N Ovo 1....c Date: V 2406 Phone #: (503) 718- 2-
. .
CITY OF TIGARD ...
BUILDING DIVISION PERMIT #: aR2006•00127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2006
Phone: (503) 639-4171
ti
Inspection Requests (24 Hrs.): (503) 639-4175 ,.&W'
INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7:01AM PAGE: - 33
SITE ADDRESS: 10711 SW CANTERBURY LW BLDG 20 CLASS OF WORK: ,
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 20: Fire alarm panel,
------...
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298 _
Inspection Request Scheduled For: Date: 18/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 037857-08 971-563-6984 N c.
Corrections/Comments/Instructions:
PASS 0 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G--- 00(3 t Date: 10 ' Oto Phone #: (503) 718-*L
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