Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
? ° ' I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00145
:� I. 13125 SW Hall DATE ISSUED: 6/29/2006
/ Blvd., Tigard, OR 97223 503 - 639 -4171
„ Q �. PARCEL: 2S 110AA -01500
SITE ADDRESS: 1-� W CANTERBURY LN BLDG 32 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 32: 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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OA 95 001 -11 50. You may obtain copies of these rules or direct q ions to OUNC at 503 - 246 -6699.
Issued By: /A ) // �' /44211 Permittee Signatures ,, :es t
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 AVI7, ;d II FOR OFFICE USE ONLY
0 cf tLR
City of Tigard Da1
V Permit Nd� Q �!� VMVV
/ a i (p)
• 13125 SW Hall Blvd., Tigard, OR 97223 HJN i t• 2006 Plan Review i/"�4x
Phone: 503.639.4171 Fax: 503.598.196 Date /By: Other Permit:
Inspection Line: 503.639.4175
CITY OF ( AR® ' ll I Date Ready /By 1 r" L ®u le See Page 2 for
Internet: www.ci.tigard.or.us �p ` � Fy V ����� Notified/Method Supplemental Information
t,., v
�:: ,.TYPE.,.OF M!ORK,' _�„ ; ��: � -°
di �, � . -, '..;c:;;:
® New construction ❑ Addition /alteration /replacement Please check all that apply: �^
❑ Demolition ❑ Other: over u
ervice o r amps, comm'l Hazardous location
,-a, ,t�,:">., „ .�;:".:':_;;:.CATEGORY: , o,,,CONSTRUCTION;:";":>'. ; : of I - and 2-family s l dwellings or more new residential
rating Boe sq.
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure
® Multi- family El Master builder ❑ Other:
Building over three stories ['Feeders, 400 amps or more
n ,.a - :..; E 99 persons red structures or
\\ ❑Occupant load over 9 ['Manufactured
,, : , ,.;'T'1, n- RV park
..� JOB & SIT
:�RMATIO �, >Nt<A.�l�'D"zI OGAIONT�� :: .� .� ;, -- , :g:.: � _ . li htin Ian P
Y %�: %�: :,.,
�,..;:. � � 6...�.> ,...�.�,�, .n , ,. ��� � ...,., ..��,��...,..,_... . , ._.. ❑Egress / g g P
Job no.: Job site address:49 9 Canterbury Lane ❑Health - care facility ['Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 / r77 The above are not applicable to temporary construction service.
;fir':;' :.. _, i F'EE' SCHEDiJLE -r ENS_ ",
Description Qty. Fee. I Total
Suite /bldg. /apt. no.: 32 Project name: Canterbury Crest °° ° ° "~ � "" "` ,; "
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'! 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
..DESCRLPTION-rOFrWORK- -� ;- :.,s ;,,a , .�°
.. ,„ ,,, , , , "....._.. . ;A ‹, :- &,,r;:.'..,...„:"n; 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
" > . .= r: / anzK�;.:. a : ; 201 amps to 400 amps 106.85 2
❑., R4P T ,oWlvER�._?.::mm ,,� �. ,,E`;� „ ®��1'ENA
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 _
x `;° `a `M” �"``W°' with
<�: APRLICAN'[', ' ..ti; COIV 'TACTPERSON,�t'' •- ``<:;i °?.:��`' A. Fee for branch circuits
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 -
°. - •,.a', «•- =''s pNTRACTo, `i `9 >i<:.x:.,.,..,.,; energy panel, alteration,
�� �., �_ae�_,,, �,. �. ^� -� -:: extension. Describe: Fire
I 75
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 Lie.: 118073 Electrical Lie.: 37 - 742C Suprv. Lie.: 4542S `- TW' , iiSV ELECTRICAL` PERMIT FEES] IV" ;' "y';
7 - Subtotal 7 5 0 0
uired nature,
Suprv. Electrician signature, —
p g 9 / 4' / / -° ��' `/ / Plan review (25% of p ermit fee)
Print name: '/ Date: 6 — , � S tate surcharge (8% of permit fee) (� J
Authorized signature: ) O` / / TOTAL PERMIT FEE g) � �
Phis permit application expires if a permit is not obtained within 180
Print name: t �_ ' Dare: S ... -- 5 — U ^ 6 days after it has been accepted as complete 4. * Fee methodology set by Tri- County Building Industry Service Board
I: \Building \Permits\ELC- PermitApp doe 12/03 440- 4615T(10/02 /COM/WEB
_
CITY OF ��ux n n�'m TIGAR,D
BUILDING DUV UON
PERMIT #: ELR2006'00145
13125SVV Hall B|vd, Tigard, ORQ7223 DATE ISSUED: 6/20/2000
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): 03 630'4175 :414ctilt
INSPECTION WORKSHEET FOR DATE: E/17/2008 TIME: 7:00Ak4 PAGE: 7
SITE ADDRESS: 10977SW CANTERBURY LN BLDG 32 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 32: Fire alarm panel,
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-T700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: E03-209-9298
Inspection Request Scheduled For: Date: 9K17/2008 Pour Time:
-
Code # Inspection Description Contact # Message
199 Electrical final • / ` 075571'05 \ 503-572-7015 5 N
)
Corrections/Comments/Instructions:
h/ « /
� PARTIAL � CANCEL NO ACCESS
�
r~= PAS �� / /
| | FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
� . ��� �~^ [1 |Inspector: o i Date: Phone #: (503) 718- / Ltbi /
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00145
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 /om10, rl
Inspection Requests (24 Hrs.): (503) 639 -4175 A 'I L.
INSPECTION WORKSHEET FOR DATE: 9117/2008 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 32: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 304695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 603- 208.9298
Inspection Request Scheduled For: Date: 9/17/2008 Pour Time:
Code # Inspection Description C irm # Contact # Message
135 Low voltage 076571-04 603-672-7015 Y
Corrections /Comments /Instructions: ,
' ,it. lia. hi a - & 0 & '61. L "7-iti I,z1 ii ity. it-, 'PA
MIN 5 IIDESTEETIFIll
X PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: IS . MC3 Date: 1 Vi 11 Phone #: (503) 718- ILfgb
_ „ , .
.... _. _ . •
CITY OF TIGARD
.... .
BUILDING DIVISION
Ak PERMIT #: ELR2006-00145
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 Jill
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/15/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 32: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-6957700
CONTRACTOR: LAMS ELECTRIC INC PHONE #: 603-209-9298
Inspection Request Scheduled For: Date: 9/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 075466-03 603-572-2701 N
Corrections/Comments/Instructions:
• .
El PASS pi PARTIAL APPROVAL Z CANCEL NO ACCESS
-
Li FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector C )--- ' N 63LE Date: I 1 t Phone #: (503) 718- UM)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2006 00145
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 609/2006
Phone: (503) 639 -4171 a , .N 4p�� y i ° i ,
Inspection Requests (24 Hrs.): (503) 639 -4175 A- ''I ..
INSPECTION WORKSHEET FOR DATE: 9/15/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 10877 SW CANTERBURY LN BLDG 32 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 32: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360.695 -7700
CONTRACTOR: IDS ELECTRIC INC PHONE #: 603- 209
Inspection Request Scheduled For: Date: 9/1512008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075466-04 503-572-2701 N
Corrections /Comments /Instructions:
n PASS El NO ACCESS
❑ PARTIAL APPROVAL CANCEL
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: • N Date: J16 Phone #: (503) 718- 2..4
•
i
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELR2Q06.00145
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 �r��j@ �Ypi� i
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 10877 SW CANTERBURY LW BLDG 32 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 32: Fire alarm panel.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 200 -9298
Inspection Request Scheduled For: Date: 7/18/2008 Pour Time:
Code # Inspection Description Co frlm # Contact # Message
135 Low voltage 072864 -17 -A 503-572-7015 N
Corrections /Comments/ Instructions:
•
•
PASS El PARTIAL APPROVAL _ CANCEL I I NO ACCESS
( FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 INite3 I Date: 111 (ti Phone #: (503) 718- 7.tili>t