Permit CITY TI GARD • ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 -00131
4 DATE ISSUED: 6/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
? PARCEL: 2S110AA -01500
SITE ADDRESS: 1 SW CANTERBURY LN BLDG 2 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 2: 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 Surchar€ 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 • es a. . pted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through 0 R 952 -001 0 :I. You may obtain copies of these rules or direct gpestions to OUNC at 503 - 246 -6699.
Issued B : j it 1 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.
Electrical Permit Appl � FOR OFFICE USE ONLY
�� R eceived
City of Tigard Date /By: (i /1 /OA 061) Pennit Nof op 00 & —OV/N
13125 SW Hall Blvd., Tigard, OR 97223 JUN Plan Review t1`
Phone: 503.639.4171 Fax: 503.598.1960 JUN 0 v 2000%01 �� ' I Date/By: Other Permit:
Inspection Line: 503.639.4175 s' Date Ready /By: Jun See Page 2 for
(,,
Internet: www.ci.tigard.or.us CI - FY OF 'J - jIG • Notified /Method: Supplemental Information
�s.r..... -.mow -, .... h,. ,
r <.., .- ...�.::....., - 7: :6'.;., emu , -. - - •_ . ; "
� �s_. >: .. .: -:. .°- .; > , ,. . PhAN REVIEW-:
® New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑ Other:
z• :,N;: , . <., >. °. ft.,
Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps rating ❑ Buildng over 10,000 sq. ft.
g V . _ ' ` y`� +• e... CAT OFr?;Cp LS1R TU,CTIO.N .,. >� > -• . • '; >x -� '' of 1- and 2-family dwellings 4 or more new residential
4 .-- .- _�:v.. s- d �'�1vr' ,��., �;.�,M �,. ,,nrr,: „�, ,�.,... -,. ��.�t::.; -• • All Y g
❑ 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
;:- ;.• b .: t „; persons ['Occupant load over 99 e Manufactu
red structures or
I
.•..:z RV park
t ” q.,."„ �' - _�:,`�, ? Egress/lighting plan P
',. w,v,� JOB $ TE:` LOCAT[O �'`
Job no.: Job site address:40T SW Canterbury Lane ❑Health - care facility ['Other:
ld FS Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 l The above are not applicable to temporary construction service.
,.
3,a F >.; ,—g:4 _, :,., :5 '° FEE' SCHEDULE <: ::. , . , :=.;''`u`;:'': '_
Suite /bldg. /apt. no.: 2 Project name: Canterbury Crest '' ° "` °` "` "'`' `
Description Qty. Fee. 1 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'! 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.:
s
' \Dr ° - iV" 1+ _, ,
Limited energy, non - residential 75.00 2
,a, '�'v ESCR O , O O
w'y, r <�� `��� .'��. � ZU.�, 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
M •; ro� a s ^ N> :mm, 201 amps to 400 amps 106.85 2
( e tiiii ' RTY ro � :„ .,,. _.,TElVf1t\T: ;, " ; =°
,,,,-=',',,,,', ',k Q , ,.\ ems: .,. r - ;�_a, ...- :- . ..: "d. . .. -_
° `> °� �° — 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; :: A. Fee for branch circuits with
". : ��' >'ARPLICANT :. >CONTACT�� , �ERSON•' „,,
a •'�� �� _ . _.. �.. Vi a•.. - -� . >, __ axr >a °... ., s. e� . °:.F °
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] 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-
_ ,, ,, -; I _"-•:->- !W:.; _ :; tF"N ener CONTRACTOR ,.- gY P anel alteration or
extension. Describe: Fire I Pa 2 is r 2
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 by min) 62.50
Phone: (503) 209 -9298 Fax: (503) 252 -6611 Industrial plant per hour 73.75
'Air Ny `�� L,,FCT[l;C:81 ' REIt1VII;Tl S,,, ;, < = t ” '-°
CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 45425_ a.v"
Subtotal 7 5
Suprv. Electrician signature, required: e / ,
C- e P ( P lan review (25% of permit fee)
Print name: , c , i ' /P P c- 1 ,/, Date: (8% "
G S State surcharge (8 /o of permit fee) (,� OD
Authorized signature: TOTAL PERMIT FEE 3
This permit application expires if a permit is not obtained within 180
Print name' /l ,� Dater _ S _g c days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\ELC- PermuApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION Al. ''. PERMIT #:
ELR 2006-00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 Am i 1 i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/16/2008 7:01AM 11
SITE ADDRESS: CLASS OF WORK:
10857 SW CANTERBURY LN BLDG 2
SUBDIVISION: LOT #: TYPE OF USE:
CANTERBURY CREST CONDOMINIUM
PROJECT NAME:
CANTERBURY CREST
DESCRIPTION:
Building 2: Fire alarm panel.
OWNER: PHONE #:
CANTERBURY PLACE 1.1C, 360-695•7700
CONTRACTOR: PHONE #:
DIAS ELECTRIC INC 503-209-9298
Inspection Request Scheduled For: Date: Pour Time:
10/16/2008
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076811-03 503-672-7015 N
Corrections /Comments/ Instructions:
_______F i tvik(, P &I\IZ'giv `Ta 614 Aep pvg._
"r3 It e vaa iNsert)
\s.
N
Ns N
0:1, PASS El PARTIAL APPROVAL 1 CANCEL fl NO ACCESS
• I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G ---, N c6(2) Date: 01101 Phone #: (503) 718- 1.147
e- -
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
ELR2006-00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE
Phone: (503) 639-4171 ISSUED: .,.
6/2912005
:Witt'
Inspection Requests (24 Hrs.): (503) 639-4175 -„, ......
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/16/2008 7:01AM 12
SITE ADDRESS: CLASS OF WORK:
'10857 SW CANTERBURY LN BLDG 2
SUBDIVISION:
CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 2: Fire alarm panel.
OWNER CANTERBURY PLACE LLC, PHONE #: 360-695.7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date
• 10/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 076811-02 503-572-7015 N
Corrections/Comments/Instructions:
•
P m PASS 0 PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
n FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G N 0i3 LE" , Date: 161 I 4(T6 Phone #: (503) 718- 1A___
CITY OF TIGARD ,,,
BUILDING DIVISION PERMIT #:
ELR2006-00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 iityllit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/10/2008 7: 00Alvl 30
SITE ADDRESS: CLASS OF WORK:
10857 SW CANTERBURY LN BLDG 2
SUBDIVISION: LOT #: TYPE OF USE:
CANTERBURY CREST CONDOMINIUM
PROJECT NAME: CANTERBURY CREST
DESCRIPTION:
Building 2: Fire alarm panel.
OWNER: PHONE #: 360
CANTERBURY PLACE LLC,
CONTRACTOR: PHONE #: 503-209-9298
DMS ELECTRIC INC
Inspection Request Scheduled For: Date: Pour Time:
10/10/2008
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076545-03 503-572-7015 N
Corrections /Comments/ Instructions:
/10
PASS 0 PARTIAL APPROVAL —.NCEL n NO ACCESS
n FAIL '‹ FOR INSPECTION 0 ADDITIONAL FEES ASSESSED .
Inspector: /7- Date: /0 -70 -do Phone #: (503) 718-
-., ,
CITY OF TIGARD ..., ..„
BUILDING DIVISION A . PERMIT #: ELR2006-00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
• Phone: (503) 639-4171 Avello
Inspection Requests (24 Hrs.): (503) 639-4175 11:, ti.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/10/2008 7:00A1Vi 31
SITE ADDRESS: CLASS OF WORK:
10857 SW CANTERBURY LW BLDG 2
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: C ANTERBURY CREST
DESCRIPTION: Building 2: Fire alarm panel.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: )MS ELECTRIC INC PHONE #: 603-.209-9298
Inspection Request Scheduled For: Date: 10/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'135 Low voltage 076515-02 603-572-7015 Y
Corrections/Comnnents/Instructions:
N o'r i•e_Q d-,
I I PASS El PARTIAL APPROVAL ANCEL I I NO ACCESS
n FAIL <KZALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
9...it_t
Inspector: Date: / —/ 4 Phone #: (503) 718-
. . ,
CITY OF TIGARD .._
BUILDING DIVISION PERMIT #: ELR2006-00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U29/2006
Phone: (503) 639-4171 . 211, 9 00
Inspection Requests (24 Hrs.): (503) 639-4175 -_-_,Iffli- 11-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
816/2008 7:03AM
SITE ADDRESS: CLASS OF WORK:
10857 SW CANTERBURY LN BLDG 2
SUBDIVISION: LOT #: TYPE OF USE:
CANTERBURY CREST CONDOMINIUM I
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 2: Fire alarm panel.
OWNER: PHONE # 360_6957700
CANTERBURY PLACE LLC,
CONTRACTOR: DMS ELECTRIC INC PHONE #: 603-209-9298
Inspection Request Scheduled For: Date: 8/612008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 073812-05 503-572-7015 N
Corrections/Comments/Instructions:
PASS 0 PARTIAL APPROVAL ri CANCEL n NO ACCESS
n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Gm N 66 1--Q' Date: Vb' 1 Phone #: (503) 718-1)44k)
S . ..