Permit 6
CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
1 I- DEVELOPMENT SERVICES PERMIT #: ELR2006 -00139
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6!29/2006
/ 7�{ PARCEL: 2S 110AA -01500
SITE ADDRESS: 4963 SW CANTERBURY LN BLDG 24 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 24: 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
PM 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 Surchari 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 r . es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through R 952 -∎01A 00• You may obtain copies of these rules or directLi.tergrons to OUNC at 503 - 246 -6699.
Issued =y: r_ I ,J A J Permittee Signatur =. _ , �` - AF
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 ApplicRiar n P iVEr) --___•-_--______ • -FOR-OFFICE-USE-ONLY-
-.....i f_..
City of Tigard i',.
Date/B :LO'v V V.4. 0e) 1 Permit No - RPM,. Mil
13125 SW Hall Blvd., Tigard, OR 97223 .111N 0'; 2M- i Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 c ' ititktv VII il\ Date/B : Other Permit:
Inspection Line: 503.639.4175 OF T 41
CI I .9"' ''.--- Dat lil See Page 2 for
Internet: www.ci.tigard.or.us En Supplemental Information
„ 5,0 NNG-DIVIS
letritaalW401:4'711iii f
4: 'A' ,t,tiv: , ,-0,,,, , :z,:.::, ,, : , ..kt:).z,:= , 3331 pip*" ', xaa
,,,,,,, ,,,,,,,,'-',.*-- :•,,,... k=r4i''''ta'' , ',", , 11, e ' 41111.1100 .11.• - 1 ,.5: , ,,,,,,6..*,, , '' , Z•. , . - Aft— ,1 ,-' : \ Air ,-' -
E New construction 0 Addition/alteration/replacement Please check all that apply:
EService over 225 amps, comm'l c]Hazardous location
El Demolition El Other:
N
OService over 320 amps - rating [IBuildng over 10,000 sq. ft.,
;.',.' ',,-,.• , t=:. ;•• ' "',-'-'''"' '"'• --"',' -, -- .:,
‘440.0 COI'4ISTRItclaI■If y ': ',T:: : - . '::... of 1- and 2-family dwellings 4 or more new residential
E 1 - and 2 dwelling 0 Commercial/industrial 0 Accessory building OSystem over 600 volts nominal units in one structure
fl Building over three stories ['Feeders, 400 amps or more
[X] Multi-family 0 Master builder 0 Other:
DOccupant load over 99 persons EManufactured structures or
‘. 1 0 Egress/lighting Plan RV park
EHealth-care facility DOther:
Job no.: Job site address:40-703'SW Canterbury Lane
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 /0 7 413 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 24 Project name: Canterbury Crest ,-AMR'ftkt*::0ktkt*',:ik::;:Ati'Adat,"
Description Qty. Fee. I Total i..
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'l 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
44:13r11:14A?:0( Each manufactured 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
a
krtTiiiniWAii'' ' -'-''-°'rifEr6r1W3rm'm''"'vgmi 201 mps to 400 amps 106.85 2
,:, ,... .,-:-;, k: ,',' ' '&1' .1',-* „.,,,,,:_,,,„*.„
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
relocation
Phone: (503)221 Fax: (360)693
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
,; : , t::Txo. , o - k Ac s , , riy,E . R :$: t . , *, :; ' , f,ktIt-, 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 add'I branch circuit 6.65 , 2
City/State/ZIP: Misc (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-
- „
mistslAmprom energy panel alteration or
-, e . 0 - 3
extension. Describe: Fire
1 / CD
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 Fax: (503) 252-6611
Industrial plant per hour - 73.75
CCB Lic.: 118073 Electrical Lic.: 37 Suprv. Lic.: 4542S :' jr.4.r.A.04E
Subtotal 7 , 0
Suprv. Electrician signature, required: 2 i (Pe. 'It i ,S
Plan review (25% of permit fee)
Print name: V . )
. 0%. C.. , t e..., .1?, /c2\_ Date: c tc h c State surcharge (8% of permit fee) b 6 j
Authorized signature - PERMIT FEE
,..- Ths permit application expires if a permit is not obtained within 180
Print name: „. , ‘ „, e , t .. ,,,(„c. , ..
Date'- days after it has been accepted as complete
* Fee methodology set by Tri-County Building Industry Service Board
i: \BuildingWermits\ELC-PermitApp doe 12/03 440-4615T( 10/02/COM/WEB
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELR2006-00139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: maima6
Phone: (503) 639-4171 po
Inspection Requests (24 Hrs.): (503) 639-4175 1411- I
INSPECTION WORKSHEET FOR DATE: 1 On 1r2uo7 TIME: 7:01AM PAGE: 62
SITE ADDRESS: 10743 SW CANTERBURY LN BLDG 24 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CRES'
DESCRIPTION: Building 2k Fire alarm panel.
Addresses: Units: 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMA ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 057407-01 503-572-7015
Corrections/Comments/Instriltions:
F 1W a_ PS - a) . s0 tir-CA AL 61
baN-
,
j )ASS I I PARTIAL APPROVAL El CANCEL NO ACCESS
FAIL 7 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
f"
Inspector: Date: Oi Phone #: (503) 718-
•
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CITY OF TIGARD
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BUILDING DIVISION PERMIT #: ELR2006.00139
\ 13125 SW Hall Blvd., Tlgard, OR 97223 DATE ISSUED: 6/29/200E3
Phone: (503) 639-4171 isiye
Inspection Roquee�(24Hro�:(5O3)G3Q-4175 a ���' *� � •
INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7:01AkA PAGE: 64
SITE ADDRESS: 10743 SW CANTERBURY LN BLDG A CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 241: Finmm|a/nl panel.
Addresses: Units: 101.102.103.104.
OWNER: CANTERBURY LLC,
PHONE #: 360-695-7700
CONTRACTOR: DMS E0FCTR|C INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 10X11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 057405-09 603-672-7016 N
Corrections/Comments/Instructions:
•
.
PASS) .
fl PARTIAL APPROVAL 0 CANCEL | I NO ACCESS
| | FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ''' q~\ Oote: . Phone #: (603) 718- . 1_4 1 46_
10_,I__.
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CITY OF TIGARD
BUILDING DIVISION , , N PERMIT #: ELR2006-00139
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 6/2912006
Phone: (503) 639-4171 Jalli lilt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 10743 SW CANTERBURY LW BLDG 24 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 24: Fire alarm panel. .
Addresses: Units: 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9290 •
•
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
135 Low voltage 051961-01 503-313-7399 N
Corrections/Comments/Instructions:
6i-fc. C 1 /5 "Z
PARTIAL APPROVAL n CANCEL I I NO ACCESS
0 FAIL - CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: (.; - Ht/ ( // - ‘ • Date: 7/ Phone #: (503) 718-
, • • . i. , •