Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
0 0 1 1 DEVELOPMENT SERVICES PERMIT #: ELR2006 -00133
'` Al. 13125 SW Hall Blvd., T igard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
131 PARCEL: 2S 110AA -01500
SITE ADDRESS: j S W CANTERBURY LN BLDG 16 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 16: 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 $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to folio r leur s adopted b the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
throw OAR 952 - 00'1(1 0. Ou may ob ain copies of these rules or direct ions to OUNC at 503 - 246 -6699.
Issue By: , .1414 w Permittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: • DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
HECE
Electrical Permit Application. \I 0 {� FOR OFFICE USE oNLY
r Application.
20t. Received //_ /
City of Tigard Date /By. (0" / o , i Permit No.: / 0 ■ � � � / ,... '
13125 SW Hall Blvd., Tigard, OR 97223
CITY Y OF T! D Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 BUILDING D / Ni a� �
„ I '' ° t' Date /B : Other Permit:
Inspection Line: 503.639.4175 a r .,... Date Ready /By. IMEI ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method Supplemental Information
.,. .. ,:;. , ,$ <... .., . , � „. . -. »_ �.. ... » ;,, .., tic• `, °:
..: ,: .ter a.::_ ;_?
- -..... ,z .,.,... TYPE ,.OF WO K ..- . - -...� ..�... < .�.. ,, -. :.,..a <� „ ' :y- `
�. � ° °:��> , ?`;
® New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑ Other: v u
Service over 225 amps, comm'l Hazardous s location
❑Service over 320 amps rating ❑ Buildng over 10,000 sq. ft.
°`�, , i`.e;3•. `, :. o residential
�' ��i , e.;r:CA�TEGORYOFG01 `S TRUCT[ON' of 1- and 2 famil dwellings 4 or more new
,
❑0 1- and 2-family dwelling Commercial /industrial Accessory ��
y g ❑ ❑ ccessory building ❑System over 600 volts nominal units in one structure
® Multi- family ❑Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
, - e•, persons - < -” ", ,� " ",.,, "..�..,..;.,,,r.•. rsons red structures or
E ,- ❑Occupant load over 99 e EManufactured
Via , RV
:JOB-= :SIT � RIVIAT`CON AND: "IsOCATION": ~`��'��y;<'` plan park
P
'fir:: • ..... ... -- .... -. T _...., O ,.. , ,.. �..._ .._.,,.,<- ,- <,.,,.v..,.,...., - �;,;�; ..... -_ ... >Tea ❑Egress /lighting p a
❑Health -care facility DOther:
Job no.: Job site address: 1.0.74-5 SW Canterbury Lane Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 ' ' 73 7 The above are not applicable to temporary construction service.
fir" "';,: ?- . <y FEE* SCHEDULES . s r M s -. , .
Suite /bldg. /apt. no.: 16 Project name: Canterbury Crest ..
Description • Qty. Fee. I 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'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
= : __ .::- ,.,,,<.. <,,.,H..•. y „ e non-residential . 75.00 2
Limited nergy, non es enna
�_ `;:DE ": ;� %:-- �:�, -,..
°,:, .. ...... .... .::.: `.�.�:.:`. =?. ......,........... � .. .� � a.., v, ,.,..�., _F ...- .- ... -..1 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
..:: <�. ; >,• `.:.::. ,: : � .. ,,� � ,:;:.;. , <_..,.. «._�: � > °; 201 amps to 400 amps 106.85 2
< ®. PRQP " "ER TzY 'OWNER:, ?Qs" ❑ TENANT c:`' {.; ;, `
:•..� ..:. ....�v, ':�� <'s�..- -•.a� , , �r 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
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
F , . t,�,., >" A Fee f or branch circuits with
>APPLICANT =.: �;,,;. - CONTA'CT,PERSON`` , .'
;: -,> :..:,.._, -s❑ feeder fee, each
service or ee er ee, eac 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)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
��`� �,��_ �:a ::�:. %:�? %' > °r .� "':� ener panel, alteration, or
ac .:`;CONTRACTOR .�= >: �:- energy P -
q _�..�; :`:`:� �. „.. �- ..._. ...,.. "a,........,,.,,ww . <. ....v...... •..:,`•`` ' : "•, >.;:• � �;�`> i;F_�,»:- .ten.- h.:, -.5. r• , ,- ' a,�+. p
extension. Describe: Fire -1 Page 2 7. 5 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
Phone: (503) 209 -9298 Fax: (503) 252 -6611 Investigation per hour (I hr min) 62.50
Industrial plant per hour 73.75
E,LECTRIGA"L PERMIT PEES,,
CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 4542S - ,�;�•�:$ ; ` , :,,; c: , tt
Subtotal 7J p
Suprv. Electrician signature, required:
0. <<' /e E'r% Plan review (25% of permit fee)
Print name: ( ” e l e Pe .F�, l � Date: 6' 1 5 / a , State surcharge (8% of permit fee) U 0 J
1/ 6 Authorized signature: TOTAL PERMIT FEE �! I 0
This permit application expires if a permit is not obtained within 180
Print name: ,5, _ c , , ,=-- Dater'._ j° O f /` days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i.' Building \Pennits\ELC- PermitApp doe 1 2/03 440- 4615T(I0 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION A
PERMIT #: ELR2006-00133
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/21/2007 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 8/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 054342-01 503-5727015 N
Corrections/Comments/Instructions:
•
ItAt__, s k0b's 0 `1.6 mo ivici.e.DAL__
i3 k.0 iSQ; obi 0 i 0 pgr-ica,
PASS I I PARTIAL APPROVAL fl CANCEL n NO ACCESS
I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Ic ik
Inspector: G --- , 1\,) (A LE" Date: on Phone #: (503) 718- 1-14i1ib
CITY OF TIGARD
- A it
BUILDING DIVISION PERMIT #: ELR2006 -00133
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7 :07AM PAGE: 53
SITE ADDRESS: 10739 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16: Fire alarm panel.
Addresses: Units '101,102,1 83,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360.695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209 -9298
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code #! Inspection Description Confirm • Contact # Message
135 Low voltage 053069 -05 503.313 -7398 N
Corrections /Comments /Instructions:
' 9° () ‘ , •\ t\) (\1\
■Ioguum
PASS ❑ PARTIAL APPROVAL I CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G' 06 Date: 0 Phone #: (503) 718
, {