Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00143
-ma �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
�
SITE ADDRESS: �4� PARCEL: 2S110AA -01500 SW CANTERBURY LN BLDG 28 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 28: Fire alarm panel.
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 6/29/2006 $75.00
[TAX] 8% State Surcharl 6/29/2006 $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 re set forth in OAR 952 - 001 -0010
through 0 9 2,00 • c. You may obtain copies of these rules or direct qmetlie s to OUNC at 503 - 246 -6699.
Issued B j Nu Ih Permittee Signature: AM -
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 Ap li e do FOR OFFICE USE ONLY . '
M
City of Tigard JUN 0 5 2006 Date /B I / � / Permit No.. 9 '- �D� � I
13125 SW Hall Blvd., Tigard, OR 97223 OF Plan Review
Phone: 503.639.4171 Fax: 503.598.19603 Y OF TIGAR .l ;r ` � Received Date /B : Other Permit:
Inspection Line: 503.639.4175 ; Y a1 I� Date Ready /By: lift Page 2 for
Internet: www.ci.tigard.or.us
BUILDING t�, �IV' f; a z . Notified/Method: Supplemental Information
�., s.TYPE . OF�..NORK. ii- yREVIEW; = "-'' � K
F,
�L. � ,i'.. ,,.o"....., n � : a .. H .,..� � + ACS ...
® New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑Other: El Service over 225 amps, comm'I ❑Hazardous location
- ft.,
a; 4;.,.:;�:., : ..: - , .. � , ..,�. , .,. �,�� �.r- . .,�• ,:, ..,� � �
. �.::::, ^ °. '> amps rating dng over sq. ft
Service over mil a rat Boil ve 10 sid
> -.._. - ,.....; CAT EGO R Y ;OF ; :, COSTR U ,CTIO N : . ; _. .. ,H, :A`°� , of 1 - and 2-family dwellings 4 or more new residential
❑ 1 and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
® Multi family ❑Master builder ❑ Other:
��ii� ❑Occupant load over 99 persons ❑Manufactured structures or
i;., W ;ttil*B SIIE;.INFQRIVIATIo AND,. LOCATI 7$,- >?• ':,- -W,'- : 1,; El Egress/lighting pIan RV park
❑Health -care facility ❑Other:
Job no.: Job site address: 49939 - SW Canterbury Lane
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 7078? The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: 28 Project name: Canterbury Crest €:" '_:..: ;= , a;z;:: .FEE S CHEDU E z :' :r it
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'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
\, ,, '. „� =i Limited energy, non- residential 75.00 2
� �q t DESCRIPTIONOF WORK �? : ' ` �� i
ti
,� '''' � " -. _ ' ` "`'\`\ 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
❑
S ,
I ° V PROPEROER '5; '', , ;' :'g AN •. t ';; ; 201 amps to 400 amps 106.85 2
:','*,:'W:::' , ' Y .. • V N 7 > EN
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
t ,,,,;;, ,,, ; .•„ , „ : '..= _ ; �� = A. Fee for branch circuits with
;.' ....<.....::..,,�,, ,,�•,® AP1'LICANT,''s�' CONT AGT-40,
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 -
,: z „ ;.:'; :'-'F:�'�'`_-::;:� .<?.., _: �,•, Eiii. ;•1 _F.•'. :.-:;a >\v —t =s ' . &,,.,; ��,;
,,_�:,••,;? c
�= ° --' .. -�_ ".: aa CONTRACTOR. te`a.; _ "?� �° -�t energy panel, alteration, or
extension. Describe: Fire ad
Business name: DMS Electric Inc. Alarm Panel ? Page 2 7 J r ` 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
CCB Lie.: 118073 Electrical Lie.: 37 -742C Suprv. Lie.: 4542S fit• r''3tELECTRICAI, PERMITRF.EES `'''''' M
p0
% / Suprv. Electrician signature, required: , ( �� , // a Subtotal S
Plan review (25% of permit fee)
Print name: V c ± , 1 Date: 6'�S� C State surcharge (8% of permit fee) 6 oD
Authorized signature: h TOTAL PERMIT FEE l I 00
This permit application expires if a permit is not obtained within 180
Print name: `� r /f/k t C- ]^' Date: — 5 ^OX days after it has been accepted as complete
vv * Fee methodology set by Tri- County Building Industry Service Board
i.\ Building \Permits\ELC- PermitApp.doe 12/03 440.4615T(I0 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: ELR2006•00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/29/21)06
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 JJ ;11!.
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28: Fire alarm panel.
Addresses: Units 101,102,103,10e1.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-696-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 12/12/2007 Pour Time:
Code # Inspection Description , C fm-.& Contact # Message
199 Electrical final 06i38(3.(
Corrections/Comments/Instructions:
t■ G
A ame■J M et.E I E1 -
N . s.
n\
\s)) 8\i\
PASS PARTIAL APPROVAL CANCEL NO ACCESS
FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: S€ Date: I Id Phone #: (503) 718- 1,4 417
' - - - -
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELR2006-00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612912006
Phone: (503) 639-4171 -.41 •
Inspection Requests (24 Hrs.): (503) 639-4175 „.,..,-411 AIL
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:04AM PAGE: 68
./----
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST C/ r
DESCRIPTION: Building 28: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360,695_7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503209-9298
Inspection Request Scheduled For: Date: 1002007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 056750-02 503-572-7015 N
Corrections/Comments/Instructions:
•
•
I I PARTIAL APPROVAL fl CANCEL NO ACCESS
fl FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: / 0 2 7 Phone #: (503) 718-
( 0.44.41