Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
i *A t hoI DEVELOPMENT SERVICES PERMIT #: ELR2006 -00141
R � l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
PARCEL: 2S 110AA -01500
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 26: 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 Surchart 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 foil r�u lur es . ed by the Oregon Utility Notification Center. Those rule re set forth in OAR 952 - 001 -0010
through AR 952-041-014 s You may obtain copies of these rules or direct- st ' o OUNC at 503 - 246 -6699.
Issued : Z j :/ - P ermittee Signatur :
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 411110 j Ali DATE:
LICENSE NO: I !
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.
-1 l
Eec trical Permit ApplicaftoniEIVE71)
, FOR OFFICE USE ONLY ..
.-,,,.
City of Tigard Receive.
Date/B . ' l a, 6 6 Permit WL aprib .... i
13125 SW Hall Blvd., Tigard, OR 97223 JUN 0 5 20'i 1 , , Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 " ilii' Date/B : Other Permit:
Inspection Line: 503.639.4175 CIFY OF Ti „AM.- ti, Date Ready/13y: 111=IIR 0 See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: =Eraiii Supplemental Information
i*.r00#0 :11::'"WrrWPW VII 1:ww:'imiomixii**;40roy:4:::;:
1E] New construction 0 Addition/alteration/replacement Please check all that apply: .
EService over 225 amps, comm'l ['Hazardous location
1=1 Demolition 0 Other:
SE ervice over 320 amps - rating EIBuildng over 10,000 sq. ft.,
I '`I`TeditY
'.:: '`:' ., .aa-',4, ,=.,„,,,..=, ..,....i:;;;W:0717;A:AW!VT,,A9 of 1- and 2-family dwellings 4 or more new residential
0 I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
OBuilding over three stories OFeeders, 400 amps or more
[E] Multi-family 0 Master builder 0 Other:
,,, pOccupant load over 99 persons EManufactured structures or
4=t
I ll RV park
EHealth-care facility IDOther:
Job no.: Job site address: 10797 SW 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.: 26 Project name: Canterbury Crest Zi:
Description Qty. Fee. 1 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 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non-residential 75.00 . 2
ittal IS=„R '''AM.Ita014):00760P::*,0k, ,'' Each 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
,if- irc 201 amps to 400 amps 106.85 2
" a " ..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
relocation
Phone: (503)221-1920 Fax: (360)693-4444
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
A144;ti 6:Ay ,• ',-,q ,,,,,7 A. Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address:
Each adcP1 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-
rtit::!.''A' c01.11:-. ),..;t::)!-44:§10P44:::::::7:11011F4Vil energy panel, alteration, or
.. r 40
extension. Describe: Fire
I .,
/
Business name: DMS Electric Inc. Alarm Panel Page 2 3 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 Lic.: 37-742C Suprv. Lic.: 4542S iii.47!).Y.O,C,OTIit0:
Subtotal
Suprv. Electrician signature, required: . 6 c ,f r . ., (
Plan review (25% of permit fee)
Print name: V c , l f Date: r .,_ /-
4 ,3 - 0 C State surcharge (8% of permit fee)
6
Authorized signature TOTAL PERMIT FEE g) 0
.------('.------
— This permit application expires if a permit is not obtained within 180
Print nall Date 7' days after it has been accepted as complete
* Fee methodology set by Tri-County Building Industry Service Board
iMuildingTermits \ ELC-Permit App.doc 12/03 440-4615T(10/02/COM/WEB
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00141
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 holt
Inspection Requests (24 Hrs.): (503) 639-4175 ,_......„.. --....
INSPECTION-WORKSHEET FOR DATE: 113/2008 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: cANTERBURY CREST
DESCRIPTION: Building 26: Fire alarrn panel.
Actresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DIvIS ELECTRIC INC PHONE #: W3-209.9298
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description onfirrn- Contact # Message
199 Electrical final 0624313-07 503-313-7398 N
, /
Corrections/Comments/Instructions: ---_______-
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\ PASS • El PARTIAL APPROVAL [i] CANCEL NO ACCESS
I FAIL El CALL FOR INSPECTION I] ADDITIONAL FEES ASSESSED
e-
Inspector: , wSe, t., Date: ‘ • • A Phone #: (503) 718- 7-41410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00141
13125 SW Hall Blvd., Tigard, OR 97223 A, DATE ISSUED: 6129/2006
Phone: (503) 639-4171 ANI II IIVIIA Ii
Inspection Requests (24 Hrs.): (503) 639-4175 .J1-• 11.
INSPECTION WORKSHEET FOR DATE: 1/3/20013 TIME: 7:00AM PAGE: 58
SITE ADDRESS: 10797 SW CANTERBURY LW BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 26: Fire alarm panel.
Adresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description c:Confirm-# Contact # Message
136 Low voltage 0624313-06 503-313-73913 N
Corrections/Comments/Instructions:
•
, 0 PASS Ej PARTIAL APPROVAL ri CANCEL rl NO ACCESS
• ' 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Nvti- Date: I . io6 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006.00141
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 , Nithltiiii,
Inspection Requests (24 Hrs.): (503) 639-4175 .._.,,_111 II..
INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: num PAGE: 3
SITE ADDRESS: 10797 SW CANTERBURY LN BLDG 26 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 2(: Fire alarm panel.
Adresses: Units 101,102,103,10
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage
c158457-04 503-313-7398 N
Corrections/Comments/Instructions:
qj PA I 1 PARTIAL APPROVAL n CANCEL n NO ACCESS
I FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: G • 1• 6e) L. Date: /0 I 3 ( O1 Phone #: (503) 718- 141110