Permit 110
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00120
• ��JI 13125 SW Hall Blvd., ., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/6/2006
// PARCEL: 2S 110AA -01500
SITE ADDRESS: SW CANTERBURY LN BLDG 8 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 8: 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: X 4144 Permittee Signature:
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.
Elec :_rlcal Permit AprliWRE1 - ;..__. , FOR OFFICE USE ONLY , . -
City of Tigard 0 V Received �J O,b ' � 6 Permit Noa Q6 O'' f
13125 SW Hall Blvd., Tigard, OR 97223 JUN v 2006 Plan Revie ''
Phone: 503.639.4171 Fax: 503.598.1960 `, „ , i t I t • . Date /By: Other Permit.
Inspection Line: 503.639.4175 CI iY OF 1 for E:W Date Ready /By. loos' ® See Paget for
Internet: www.ci.tigard.or.us BUILDING IU1 • Notified/Method: iNotified/Method: Supplemental Inf rm
o anon
2
PLAIV� :�'� %'u
�.., TYPE��`:O WOIiR
r„
® New construction El Addition/alteration/replacement t Please check all that apply:
Cl Demolition 111 Other: ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating ❑ Buildn over 10,000 sq. ft.,
:44,,GAT;EG911Y AF.'C9NST1UCT"IONs ° =; °.; `s, < " , of I - and 2 dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
® Multi- family CI Master builder ❑ Other: ❑Buildin over three stories DFeeders, 400 amps or more
_:.:_; °;."r ., ; ., ccupant 99 persons
❑O load over Manufactu red structures or
":: •: :_>> JO13 STE =INFORMATIONAD:�L;OCATION� Egress/lighting lan RV park
�,� .,. �..;.a;,M s - � =a�•a:.;::';�,.... ,,.,. °I
: ,•: •e. :.,a,,.••. •:. :•;;:... , ..;_ �. �.:.. N :,.._��� ..:....::...::.a,:.� °.�;� <,e €:':.i §•.:.�. >.- � ".., .:i.� „' _” ❑ P
[Health -care facility ['Other:
h er:
Job no.: Job site address:4146t3 Canterbury Lane
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 / 80 ( The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: 8 Project name: Canterbury Crest " , . CA : i';FEE S CHEDULE'',p; ;'1 I,__,I
Description 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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Tax �" _ . °._..., : non-residential
yr• ^• a y,.
Limited energy, non re dential 75.00 2
v
�"� :" AESCRIPTION OF;WORK� �' ° ~ °�"
;��' .� °�: `< ": .�. Each manufactured or modular
j`
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
;,,,; - 201 amps to 400 amps 106.85 2
PROPER TX :OWN1 T2'a > >. _ TE \All'
Y - > : :. ..-- -. -,", ..:�_, „e'.:%W • 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
, ; ; i " " " °' ' +, ;T I :. A. Fee for branch circuits with
1 .` " € AEPGICANT; C®
0 30>"..." �. < ,. .., AE ,n _ .. ' ... .. .+c F., �\; a ,,;(�.. i ... " s?.:°.�� \.. ��,.++ K' ..'. >.'.,. U � a >,
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 -
t �? �` ` `" �� Ifs,;.- energy anel alteration or
Describe: Oa
Business name: DMS Electric Inc. Alarm Panel Fire is 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
W;y C1C uPE S *' ' :. y ~
�''>,t" ;;': =_ ELETRICALRNII_T °EEE „ - ,>, .” , ::..� ` °E
CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 4542S �,:�.,;;., � °�-
Suprv. Electrician signature, required: I J Subtotal 7 , j
Su i
p g 9 �/� C ! ( ti �` lox.
Plan review (25% of permit fee)
Print name � o 3
: C , J L. b. t i n� Date: C /. / O c State surcharge (8% of permit fee) (�
(o)
TOTAL PERMIT FEE
Authorized signature I
e) This permit application expires if a permit is not obtained within 180
Print name: ...5,4/..--( / ,S Date: e � days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i.\ Building \ Permits \ ETC-Permit App doe 12/03 440- 4615T(I0 /02/COM/WEB
CITY OF TIGARD A
BUILDING DIVISION PERMIT #: ELR2006-00120 ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171 10 %
Inspection Requests (24 Hrs.): (503) 639-4175 ff.444. 111.
INSPECTION WORKSHEET FOR DATE: 10/25/2006 TIME: 7:03AM PAGE: il ,
SITE ADDRESS: 10801 SW CANTERBURY LW BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8: Fire alarm panel.
OWNER: CANTERBURY PLACE, LIC, PHONE #: 360.695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'199 Electrical final 038823-06 503-545.3654 N
Corrections /Comments / Instructions:
-
i.i A. ti\ Z vi Libi iv % N 6 figzIOCL- .4
i l
A PASS 0 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G's t Date: 101 elf:7 Phone #: (503) 718-
. , . .
, •, ...___ __ _
0 ,..
CITY OF TIGARD
1 - BUILDING DIVISION
PERMIT #: ELR2006-00120
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171 . ionlio t
Inspection Requests (24 Hrs.): (503) 639-4175 -IA- AL
INSPECTION WORKSHEET FOR DATE: 10/2512006 TIME: 7: 03Alv1 PAGE: 12
SITE ADDRESS: 10801 SW CANTERBURY LN BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8: Fire alarm panel.
•
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DIOS ELECTRIC INC PHONE #: 603-209-9296
Inspection Request Scheduled For: Date: 10/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 038823-05 503-545-3654 N
Corrections/Comments/Instructions:
IF; PASS I PARTIAL APPROVAL El CANCEL fl NO ACCESS
l] FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G Ntek- Date: toi N Phone #: (503) 718- 1 14 - 12
•
•
. i
CITY OF TIGARD
t _k•• , -'•
BUILDING DIVISION PERMIT #: ELR2006-00120
13125 SW Hall Blvd., Tigard, OR 97223 t - ' '-' DATE ISSUED: , 6/6/2006
Phone: (503) 639-4171 1/n4oibi
Inspection Requests (24 Hrs.): (503) 639-4175 . —A.111;
INSPECTION WORKSHEET FOR DATE: 8/9/2006 TIME: 7.Q4AM PAGE: 34
SITE ADDRESS: 4064&SW CANTERBURY LN BLDG 8 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: OW TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 8: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DIAS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 8/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 034646-07 971-563-6984 N
Corrections/Comments/Instructions:
3, I I PARTIAL APPROVAL fl CANCEL I I NO ACCESS
I FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: %• 06 1,/‘ Date: 41) • p t . 06 Phone #: (503) 718- Vc
. .