Permit ~ CITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
k il 1 DEVELOPMENT SERVICES PERMIT #: ELR2006 -00130
, _ 171 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE I
/ O�'-7/ PAARR E CELL : : 2511 S110AA -01500
SITE ADDRESS: 1. 8 SW CANTERBURY LN BLDG 1 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 1: 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 -661 1
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 Surcharl 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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OA 52=001 -0100. You may obtain copies of these rules or direct g estions to OUNC at 503 - 246 -6699.
Issued By: / t ) Permittee Signatur: , .' �• 1 "
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 A lir
ctioD(tiati
\JED
., FOR
. . :
, . , :E:=4t;.:... - -. ,- OFFICE USE ONLY
ll •iii6mpi . 6.-
City of Tigard : eceived, ,_ ,. ,
Date/B :4, (0" 0 6/ 4# Permit No.. .Et ., _ 0 .... 0030
r .- N
13125 SW Hall Blvd., Tigard, OR 97223 U 0 ' 2006 ilk Plan Review
Phone: 503.639.4171 Fax: 503.598.1960.1 0 Date/B . Other Permi .;
t:
Inspection Line: 503.639.4175
O TIGAR r
CITY Notified/Method: F ,
:
th -.2-1111■_..,.. • fgl i ' Date Read /B p l e ni P Page g e a2l i nformation
formation
a
Nj r
Internet: www.ci.tigard.orus
t..'vIk, ';:i:',Nt-,Lwmvotatroisr.:Ro**th:iiiixtttoiir.:.w
El New construction 0 Addition/alteration/replacement Please check all that apply:
0
['Service over 225 amps, comm'l 0Hazardous location
Demolition 0 Other:
„ , „ 0Service over 320 amps - rating 0Buildng over 10,000 sq. ft.,
IIN,0311.4",:tilETKOASOINi*StR40:01■IRa,%,wAknotv; 4 , oi of I - and 2-family dwellings 4 or more new residential
0 1- and 2-family dwelling 0 Commercial/industrial D Accessory building 0System over 600 volts nominal units in one structure
['Building over three stories EFeeders, 400 amps or more
El Multi-family 0 Master builder 0 Other:
['Occupant load over 99 persons ['Manufactured structures or
I at. iatti.A.a.A.;:„,a;VP,011itta,F,M11A14011. ,, 0Egress/lighting plan RV park
Job no.: Job site address:40Sn SW Canterbury Lane 0Health-care facility 00ther:
j o
g-7, 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.
FrmitheowatoRrovaiguiiingi;:ar::
Suite/bldg./apt. no.: 1 Project name: Canterbury Crest
Description Qty. 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') 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
W4ait. , ..'' . 1 E. r. c A
'' ..,'" 'Y'' S -',' '' -;->,,', ,; : i - A--.:;-,--- e:I n C, E ac h manu 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
:1:,:ittoAktOi5Wkgie:':AO 7:4:4VIKOP0 ":'';:rfkl4W0iii 201 am to 400 amps 106.85 2
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 I
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
lzmatwtriagoitie m-f).-;nAlflf misiF„,I,01;0:40,,,,i.:E:tatit 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,
first branch circuit 46.85 2
Address: Each addl 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-
Nilia.: ,I energy panel alteration or
,-. -0
extension. Describe: Fire 0
1 - 7,
Business name: DMS Electric Inc. Alarm Panel Page 2 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 (1 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. Lie .: 4542S :ir::::Mat
'
Subtotal 75 0 13
. _.
Suprv. Electrician signature, required ",...,.- /
K -4_ Plan review (25% of permit fee)
Print name: V cr / Pe 7 %/at Date: 6 z A, ,..., State surcharge (8% of permit fee) . (0
Authorized signaturs---... TOTAL PERMIT FEE S I
This permit application expires if a permit is not obtained within 180
Print name:S7K„e. ,„4F,e/r .,.." Date: --. . ..,c, ( days after it has been accepted as complete
- * Fee methodology set by Tri-County Building Industry Service Board
i . \ Building \Permits \ELC-PermitApp doc 12/03 440-4615T(10/02/COMMEB
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: EI.R2006-00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E,129,11006
Phone: (503) 639-4171 bodit
Inspection Requests (24 Hrs.): (503) 639-4175 .1.3. AL
INSPECTION WORKSHEET FOR DATE: 'I0/24/2008 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 10871 SW CANTERBURY LW BLDG 1 CLASS OF WORK:
SUBDIVISION:
CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC,
''------- PHONE #: 30,695.7700
CONTRACTOR: Dts/IS ELECTRIC INC PHONE #: 503-7Q99298
Inspection Request Scheduled For: Date: 1012412008 Pour Time:
Code # Inspection Description Co firm # Contact # Message
199 Electrical final 077147-4) 971-563-9339 Y
Corrections /Comments/ Instructions:
(:
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6 r U cf 7 - 0V
la-7L ki—Ail—M, -■
1
I N1/4
ill
PASS I] PARTIAL APPROVAL El CANCEL 0 NO ACCESS
n FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: & --1 NOCL‘ Date: (.)1 Phone #: (503) 718- 1-4
. • ‘ • • .
- - 1
CITY OF TIGARD
..._
BUILDING DIVISION , Al PERMIT #: FIR2006-00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 , hietot i 4
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10124/2008 TIME: 7 PAGE: 16
SITE ADDRESS: 10871 SW CANTERBURY LN BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DIvIS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/2412008 Pour Time:
Code # Inspection Description Confiffn .# Contact # Message
/
135 Low voltage 077147-01 971-683-9339 Y
Corrections/Comments/Instructions: ...\.3
1 - ASS PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: G- Nte a" Date: 16/ Phone #: (503) 718- 2 41(7
, . . .. .,
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: FLR2006-00130
I I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 NIPPII t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 10871 SW CANTERBURY LN BLDG 1 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 1: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 8/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13E Low voltage 074463-04 503-572-7015 N
Corrections/Comments/Instructions:
ASS- El PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
0 FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Ni CZ I-- Date: S 21 ' CY% Phone #: (503) 718- too