Permit . CITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
" ,� ", , I A, DEVELOPMENT SERVICES PERMIT #: ELR2006 -00142
,iAli DATE ISSUED: 6/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA 01500
SITE ADDRESS: 8&9 CANTERBURY LN BLDG 27 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 27: 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 Surchari 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 folio ales adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through AR 952 -01 -01 4 a. You may obtain copies of these rules or direct q - ions to OUNC at 503 - 246 -6699.
Issued y : },, ,.) I i, (0,1/A \i __/ Permittee Signature: , • . I G�
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 ApplicatiOpcFm=0 FOR OFFICE USE ONLY
City of Tigard Received ,„, EL /
o
Date/By: tr/ 1p ki Permit • e aookr
13125 SW Hall Blvd., Tigard, OR 97223 JUN 0 c OA Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 *II in' Datc/B • Other Peripit:
Inspection Line: 503.639.4175 CITY 0 I'D!, Date Ready/By: ffl See Page 2 for
Internet: www.ci.tigard.or.us BM ION
Notified/Method. Rani
■ Supplemental Information
niNtes, nivi
st ik<51110.-ii .'SP'n,ITAYT:Tt4W9PC,;_,,,,:' Af*Witix.,ir.::0- :.','',"::':,. 1 c 1 , ,,,, 4 , gLANT:f4YIKYVition;w:A41. 4 '
[E] New construction '11 Addition/alteration/replacement Please check all that apply:
EService over 225 amps, comm'l EHazardous location
0 Demolition E Other:
['Service over 320 amps - rating OBuildng over 10,000 sq. ft.,
W,V, ifit*LWOOTOP',(ON',Siagfib '1■1 'E'sit: 4::'' '‘: of 1- and 2-family dwellings 4 or more new residential
0
1- and 2-family dwelling E Commercial/industrial 0 Accessory building PS y stem over 600 volts nominal units in one structure
pBuildin over three stories [Weeders, 400 amps or more
[X] Multi-family E Master builder 1=I Other: ['Occupant load over 99 persons 0Manufactured structures or
lF'' - -'''t ,W RV park
,, , ,-...°'.4., , ', - : - ' :„„, -, ':::,-,- ;-:- ,--,-:: ' ,,,• , ,N pEgress/lighting plan
pHealth-care facility ['Other:
Job no.: Job site address: 4$9 Canterbury Lane
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 / The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 27 Project name: Canterbury Crest .: -,::.. t 4„ '!? ,": AP SCHEDULE
Description Qty. I Fee. Total ."
Cross street/directions to job site: Canterbury Lane East of Hwy 99 between New residential single or multi 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 I
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non-residential 75.00 2
i'MittAft"trZ : M iM 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
-,,,,-;- ,:A --,
TENANT ,,,...; 201 amps to 400 amps 106.85 2
;t:V.:—;m14:NzEL :::5, .,'-:,:'': ..::: '='
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
relocation
Phone: (503)221-1920 Fax: (360)693-4444
200 amps or less 66.85 l
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
garmik:i 7• -,:'--7,'',-,--,.'n-:-:::'m:iicoNiverot4§0ift:miki 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,
46.85 2
first branch circuit
Address:
Each adcfl 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-
comrootok.: 'it-.,,,,,,mv:7- -7 -7 ., energy panel, alteration, or
-, r
2
extension. Describe: Fire
Business name: DMS Electric Inc. Alarm Panel (.D
I Page 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 (I hr min) 62.50
Phone: (503) 209-9298 Fax: (503) 252-6611
Industrial plant per hour 73.75
CCB Lic.: 118073 Electrical Lie.: 37-742C Suprv. Lie.: 4542S C , : ,; ELECTRICAL -PERMIT ., ,':40;
Suprv. Electrician signature, required: "
7
22---D, .
...,.,/,! Plan review (25% of permit ibtt fee)
1 ?
Print name: V o1/4. c; I C .rtiN Date: / C State surcharge (8% of permit fee) (0 -
0
Authorized signature TOTAL PERMIT FEE 3 i
This permit application expires if a permit is not obtained within 180
Print name: /4 PO Date: Z — .„._ days after it has been accepted as complete
* Fee methodology set by Tri-County Building Industry Service Board
i. \Building\Permits\ELC-PerinitApp.doc 12/03 440-4615T(10/02/COM/WEB
CITY OF TIGARD '-
BUILDING DIVISION PERMIT #: ELR2006-00142
13125 SW Hall Blvd., Tigard, OR 97223 . •,. DATE ISSUED: 64
Phone: (503) 639-4171 avr
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/27/2007 TIME: 7:00AM PAGE:
SITE ADDRESS: 10793 SW CANTERBURY LN BLDG 27 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 27: Fire alarm panel.
Addresses: 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: 12127/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 062188-02 503-572-7015
Corrections/Comments/Instructions:
IZ PASS fl PARTIAL APPROVAL fl CANCEL I I NO ACCESS
I I FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: G-; 054...g Date: 0/2.1 t Phone #: (503) 718- 1-016
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13 R2006- 001112
13125 SW Hall Blvd., Tigard, OR 97223 0. DATE ISSUED: 6/2912006
Phone: (503) 639 -4171 �mnam✓Mptotil
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12127/2007 TIME: 7 :00AM PAGE: 34
SITE ADDRESS: 10793 SW CANTERBURY LW BLDG 27 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 27: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE L.LC, PHONE #: 360.695.7 700
CONTRACTOR: [)MS ELECTRIC INC PHONE #: 503 - 209-9298
Inspection Request Scheduled For: • Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 062160 -01 503.572 -7015 N
Corrections /Comments /Instructions:
ys PASS I f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G--- N % LE Date: 1 31 01 Phone #: (503) 718 -1 4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00142
13125 SW Hall Blvd., Tigard, OR 97223
A . ,,, DATE ISSUED: 6/2912006
Phone: (503) 639-4171 L . gmop y 4
Inspection Requests (24 Hrs.): (503) 639-4175 .„..,..M■ 112.
INSPECTION WORKSHEET FOR DATE: 1010/2007 TIME: 7 PAGE: 29
SITE ADDRESS: 10793 SW CANTERBURY LW BLDG 27 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 27: Fire alarm panel.
• Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DIAS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/lonoca Pour Time:
Code # Inspection Description /v.... csinfir- a • Contact # Message
135 Low voltage 057307-03 503-572-7016 N
Corrections /Comments/ Instructions:
•
•
y LpASS El PARTIAL APPROVAL I I CANCEL NO ACCESS
El FAIL H C LL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Adi Date: 1 0 07 Phone #: (503) 718- ISA_