Permit C ITY OF T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT
r DEVELOPMENT SERVICES PERMIT #: ELR2006 -00129
�� DATE ISSUED: 6/6/2006
'�' 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/b g-S% PARCEL: 2S110AA - 01500
SITE ADDRESS: X84 SW CANTERBURY LN BLDG 30 ZONING: R - 12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 30: 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
109 EAST 13TH STREET
VANCOUVER, WA 98660
Phone: 360 - 695 -7700 Contact #:
FEES Reg #:
Description Date Amount
[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: o _ Permittee Signature: /C i��
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.
P t 9'EIVFD J
=
Electrical Permit Appl ('at — FOR OF USE - — "
City of Tigard D a te /B : . • (Q ' Pe rmit No: r j , -
JUN 0 520/ , '
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF Ti " , p + Date /B : Other Permit:
Inspection Line: 503.639.4175 �_! � n'I I Date R /By. Jails' l0 See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DI r t w ` Notified /Method• 774. Supplemental Information
,, .. > ... . ...,.., v �, TY.PE _ _, _ __ ..., . .. I::`, � � �. .PLAN- i ' REVIEW;
a � .. � , W ORK .. �_.� _ • .,�,� >.. . ,.R 9 _ �, ,� � >s`
=, r. �,x.. � . __�.. n.,, t�.., `�.. ,�o� <.� �_ «`fi <_ �.-;;, „:- :��.�. ,','�.w -- _ . _ ,- .., ._ ..v .�•� ° .c , , , 71
® New construction ❑ Addition /alteration /replacement Please check all that apply:
1=1 Demolition El Other: v
z rating ,
Service over 225 amps, comnt'I Hazardous location
❑Service over 320 amps ratin ❑ Buildng over 10,000 sq. ft.
: � <: i° CATEOR.Y;.• ,, .., T C TTON' ? ` ” of I- and 2-family dwellings 4 r more new residential
�;.ls, ,�,._...,��`.. ;:�<�� "� �,•;, ,,, , G
,,,,,,� ,• CQNN, RUC .. ... _�_,;:� ;;- .x:::,...w,�: �`, Y ngs o o e
❑ 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
® Multi family ❑ Master builder ❑ Other: ['Building over three stories ❑Feeders, 400 amps or more
z.,; ',, l ti - :. ,•:.; .:.,. ::.� O aster . persons ['Occupant load over 99 e Manufactu red structures or
1 `1 ; ' `' ° JOB';�STTE IINF'RMATION;'A1�rD;'LO ;'': `''� ' ?T; ° ' :. RV park
%: Y •a� < '., Fr.; t :` .,.... , a:,, .,•,. .::. ,_.; e.. .. ,.. ,..,_. , , ❑Egress /lighting plan
Job no.: Job site address: 4O 84'SW Canterbury Lane EHealth facility ['Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 /Des/ The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: 30 Project name: Canterbury Crest r_ -.1 FEE*PSCI3PI E ' :, AF ,„ ' "-
Description _ Qty. I 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 I
Tax map /parcel no.: Limited energy, residential 75.00 • 2
Limited energy, non - residential 75.00 2
"D SC R: ' xF -- K� -
r,.
��. � v �, . 3`r;;, •.�� ,:: : �, ,. ., .. . ,..n ,. � ... ,...�.,.����_�r.`.:.�.,• .,.,. � ... . . .... . ...,. _. 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
.,; '. iI =?x=60,1 amps to amps 106.85 2
> ^, .:;PROPERTYOW.NER ' =a ❑ rTENANT: - :::.;•:
, .
.. u , � �,,,. T.., 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
.,,. ,'.<, ;- kCT PER , t o
.;,a" , ; ° — x "x A. Fee for branch circuits with
APP;,LICAN'T� �� -, � -;..�< GOt1 's'I'AGT =: PERSON>,w3�a�;,�'1�'
` " "' � ^ '� � �� ` 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 add'l 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- '
f.0 .`�; ;,CON- C °° " �, energy panel, alteration, or �
�..:, .. � .� TRA TOR =-_: ::.., , �=- a
Business name: DMS Electric Inc. Alarm Panel
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 (1 hr min) 62.50
Phone: (503) 209 - 9298 Fax: (503) 252 - 6611 Industrial plant per hour 73.75
I
CCB Lie.: 118073 Electrical Lie.: 37 -742C Suprv. Lie.: 4542S `; ": =` samELECTRICAT. PERMTT FEES ''?'
G /� / Subtotal ) —y r a
Suprv. Electrician signature, required: / /
� n'" -'� 'A, j Plan review (25% of permit fee)
Print name: V c e le -t t/� Date: Cy c -,„ / State surcharge (8% of permit fee) (i 0 u,
Authorized signature: m _ ' / lll (((��� TOTAL PERMIT FEE g'/ V ,
c
r This permit application expires if a permit is not obtained within 180
Print name: E M \ � 0 Gig Date: 6a S- O 6 days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\ELC- PermitApp.doc 12/03 440.461 5T( t 0 /02 /COM /WEB
CITY OF TIGARD : ---
BUILDING DIVISION PERMIT #: 2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 00 - Od / Q
Phone: (503) 639 - 4171 41 � I
Inspection Requests (24 Hrs.): (503) 639 -4175 .� :_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /7—t 0' ,, / CLASS OF WORK:
SUBDIVISION: iv #: TYPE OF USE:
PROJECT NAME: 7 0 ?�7
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: F- as- Pour Time:
C..- # Inspection Description Confirm # Contact # Message
gq IL, - _,t,__o s- 7/- 5'4 3 - Co? yy
-. - ..ns /Comments /Instructions:
PASS I i PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: o OB Date: D 2_�" 6(0 Phone #: (503) 718- Z2"\ '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-CXJ129
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171 . 0\
472
Inspection Requests (24 Hrs.): (503) 639-4175 1—
INSPECTION WORKSHEET FOR DATE: 6/18/2006 TIME: 7:03AM PAGE: 39
/e) g:..57
SITE ADDRESS: 40781 4W CANTERBURY LN BLDG 30 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 30: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695.7700
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6 I 1 8 I' 2 0 0 6 Four Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 03622B-06 971-663-6984
Corrections/Comments/Instructions:
F
AL IMLY'IN F NAL Appo.oav
- ?•et.1%; Noo Evt ppp .
Nov b L6cA<, 6 F leszT c;ia. tk;if e R2i; K
F; ALIANA\ P #20 61--. Nr 1((
() , - nkt- t:tk," 4
c.&.ok 1■1 PPP n .
1:1 5
tt,c3 6iDci
fl PARTIAL APPROVAL CANCEL I I NO ACCESS
al FAIL zs CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G Nt.*04 Date: II' (1 Phone #: (503) 718- 2)P110
CITY OF TIGARD
BUILDING DIVISION PERMIT # :l.ikOL - 0012 \ I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /ri�dypi iUll� (AI
Inspection Requests (24 Hrs.): (503) 639 -4175 MJ I L.
INSPECTION WORKSHEET FOR DATE: 4. 4, . TIME: PAGE:
SITE ADDRESS: / O F6( ea4 l-V CLASS OF WORK:
SUBDIVISION: OT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
t S-kc QLA ft ..1`N Ro4o11-k - i N
Corrections /Comments /Instructions:
i SPASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: v `` g N'• Le Date: G ' Phone #: (503) 718-
.