Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00173
� l�l DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S1 10AA -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 for new 4 unit condominium. Addresses: Unit 1 through 4.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: 1HR
BSMT ?: Y MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: 4 FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:N
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 1,000.00
Owner: Contractor:
CANTERBURY PLACE LLC DMS ELECTRIC INC
109 EAST 13TH STREET 8502 SE STARK ST
VANCOUVER, WA 98660 PORTLAND, OR 97216
Phone: 360- 695 -7700 Contact #: FAX 503 - 252 - 6611
PRI 503 - 209 -9298
FEES Reg #: LIC 118073
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Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/29/2006 $62.50
[TAX] 8% State Surchaq 6/29/2006 $5.00
[FLS] FLS Pln Rv 6/29/2006 $25.00
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 10 Through OAR 952 - 001 -0100. You may obtain a copy of thes- -s or direct questions to OUNC by
calling 03- 246 -66 °' or 1 • e 332 -2344.
Issued 1 / : Permittee Signatu ••
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.
F,ifig Protection System
Building Permit Application HC kL ‘ I , _ FOR OFFICE USE ONLY
u C�
R eceived �I 1 , J
City of Tigard ` Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Date/B
APR 2 6 /r u r M Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 l 1 4i ' I ' Date/B : i f Other Permit:
Inspection Line: 503.639.4175 l I Date Ready /t : p ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF A a1 /41 Notified/Method: WHAM Supplemental Information
PT ,''fl T1Q
TYPE OF WORK • REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
C AT EGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Comercial /industrial Valuation: $
m
❑ Accessory building ® Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION - Total number of floors:
Job site address: 10797 SW Canterbury Lane New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 26 Project name: Canterbury Crest Covered porch area: square feet
Cross street/directions to job site: Hwy 99 between Macdonald and Bull MT RD Deck area: • square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Canterbury Place Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: WCTM 2S110AA, 1400 / 1500 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of Fire Alarm Valuation: $1,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Canterbury Place LLC Type of construction:
Address: 109 East 13th Street Occupancy groups:
City/State /ZIP: Vancouver, WA 98660 Existing:
Phone: (503)221 -1920 Fax: (360)693 -4442 New:
. ® APPLICANT ® CONTACT PERSON
NOTICE
Business name: Canterbury Place LLC All contractors and subcontractors are required to be
Contact name: Dave Gutschmidt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11625 SE 5th Street jurisdiction in which work is being performed. If the
City/State /ZIP: Bellevue, WA 98005 applicant is exempt from licensing, the following reasons
Phone: (360) 695 -7700 Fax: : (360) 693 -4442 apply: _ / !
E -mail: � s ...5 1
? C
CONTRACTOR / 7;20 ‘ Business name: DMS Electric
BUILDING PERMIT FEES'
Address: 85 SE Stark St
Please refer to fee schedule.
City /State /ZIP: Gresham, OR 97216
Fees due upon application
Phone: (503) 209 -9298 Fax: ( ) ., U
CCB lic.: 1.1873— ( f �� Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: %..5")��, Date: /„.„ /(;G=: * Fee methodology set by Tri- County Building Industry
CITY OF ��m o m n�'m TIGARD
BUILDING DIVISION - '
~°~~""~~=""~~= ~~"°"~~"~°"~ ' PERMIT #: BUp2006-00173
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: (5/290O05
Phone: (503) 639-4171
Inspection Requests C24Hmj: (503) 639-4175 . 440 4
INSPECTION WORKSHEET FOR DATE: 1GV. ,*8 TIME: 7:00AkVI PAGE: 66
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, tire alarm for new 4 unit condominium.
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 300-695'7788
CONTRACTOR: DM5 ELECTRIC INC PHONE #: E03-209-9298
Inspection Request Scheduled For: Date: 1/3K2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 062438-03 503'313-7398 N
Corrections/Comments/Instructions:
•
•
•
El CANCEL E NO ACCESS
FAIL CALL FOR INSPECTION || ADDITIONAL FEES ASSESSED
' �^ �-
|Inspector: ~���m�, Date: ^ y AP Phone #: /5O3\718-c-~��
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