Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES 006 -00138
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: DATE ISSUED: ELR2006-00138
PARCEL: 2S 110AA -01500
SITE ADDRESS: .-1436 CANTERBURY LN BLDG 22 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 22: 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 0 952 -001 -I 00 - may obtain copies of these rules or direct qus to OUNC at 503 - 246 -6699.
Issued B : A -` .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.
EleC#>r'iCaldi'ermit Appl C ®7 - - ----- - - -, -- FOR- OFFiC-E -USE ONLY- --L-T- ---- -,- ----
City of Tigard Date /By / CO Q6 a / Permit No ,,,,, l i
13125 SW Hall Blvd., Tigard, OR 97223 JUG 0 h V 2 r Plan Review l'
Phone. 503.639.4171 Fax: 503.598.1960 �! ' I I +� Date /B Other Permit:
r-
Inspection Line: 503.639.4175 CITY Or - FIG � I � , Date Ready /By: � See Page 2 for
Internet: www.ci.tigard.ocus B- UILDING DI . ' Notified/Method 1 Supplemental Information
t , ... \•..,k .:.. >....,.,.,.a.z _,,.� \,,,.,., „ � „ , TYPE..OF...,WORK '. >.�
. ,.... -.. �„ -.. .�\....,.n_.�\ . \ter �..,,. �. . , ,.� �,
® New construction ❑ Addition /alteration /replacement Please check all that apply:
El Demolition ❑ Other: v p ,- t' EHazardous
�.. ,:..�a,__ .:: :. ". ..::r�.,,�f >.;:�.r;:.:,:, >,:,rr ,��,> amps
rating ❑B ngo sq. f ,
a t
Service over 225 a comm'l aza s location
❑Service over 320 amps rati uild over 10,000 t.
CATEGORY oF•:CONSTRUCTION:FA::`� l� °m of 1- and 2-family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
® Multi - family 111 Master builder El Other:
['Building over three stories ['Feeders, 400 amps or more
>: m. • „: x.az I <...,.,,;... _er y = ...:..._., ,`, �,,4, ; persons red structures or
❑Occupant load over 99 e ['Manufactured
”' ' 'a°` '' `� OBE SITE N ORMATION-nANND �LOCATIOIV '= `➢, °,: F ' RV park
:-� �� .,.w ....a,�. �• ❑Egress /lightingplalt
'�•:>�a.a ' � � '.;t;.;:. ,..e.•......... ,des.• ,.a e, r\ ,,.� .. ..,,, ., ..;:'. � . ,y
Job no.: Job site address:-106-35 Canterbury Lane 1=I Health-care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 /Oct 3 7 /6 7 a. 7 The above are not applicable to temporary construction service.
1„ 7 :.:'. , . :2.k';' . < =ti_i: '', ::_; "',
Suite /bldg. /apt, no.: 22 Project name: Canterbury Crest• ;;;;
Description Qty. Fee. Total I ""
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. fl. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40
Tax map /parcel no.: Limited energy, residential 75.00 2
( mot Limited energy, non - residential 75.00 2
o. ;` N3.. AESCRIP�TION .QF_ WORK. , 's,� 2.�, . 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
-
• E. ,,. 201 amps to 400 amps 106.85 2
N . R ®. BENA'N1
s i:l?ROPER`I'1'� ='OW . E �_�_ � 'I, , , °, `
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 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
tai a ,, A. Fee for branch circuits with
._
-:�,,, APEI:ICANT: ° tCON'PACT� �ERSON �•
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)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s)'or limited-
A:1igf,:gattili;,41;::'atiiViigg:;:'''':;:(I()1N,AIM°,P*jkilitiVSB:fM„,,,I,VE:,,,':::;,nttzvi,,I, energy panel, alteration or
extension. Describe: Fire
I Page 2 1 J 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 62.56
Phone: (503) 209 -9298 Fax: (503) 252 -6611 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
CCB Lie.: 118073 Electrical Lie.: 37 -742C Suprv. Lie.: 4542S .....,.,.,. ES' �^ '"
`.;`EIiECTRIGALRERMIT,a PE i'a' ° `
Subtotal 7 S 61
Suprv. Electrician signature, required
� tc le e -t r.,' /r\ Plan review (25% of permit fee)
Print name: Vok c ; I c e . -t r : /\ Date: 0/A loc. State surcharge (8% of permit fee) e
Authorized signature: TOTAL PERMIT FEE ql o t)
This permit application expires if a permit is not obtained within 180
9 N
Print name: .4� /6 f , lei, Dater — . _04 days after it has been accepted as complete
Fee methodology set by Tri- County Building Industry Service Board
i:t Buiidln g\Permts\ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00138
a .-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2912006
Phone: (503) 639-4171 84/11t
Inspection Requests (24 Hrs.): (503) 639-4175 •
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 51
SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 22: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 052895.02 503-313-7398
Corrections/Comments/Instructions:
•
t• i 0
JA PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
l FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: D ..Nt(6 Date: 141 Phone #: (503) 718- 1-111h
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006•00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 b4p�uI�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 52
SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 22: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 - 695••7700
CONTRACTOR: DIv1S ELECTRIC INC PHONE #: 503 - 209 -9298
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 Low voltage 062E395 -01 503 - 3 -739E3 N
Corrections /Comments/ Instructions:
!11PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I AIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: � 9VbU Le Date: 7' 1-7' al Phone #: (503) 718- VP/40
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005.00138
13125 SW Hall Blvd., Tigard, OR 97223 a: DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 Ii.
INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7 :03AM PAGE: 48
SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 - CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 22: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 - 695.7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209 -9296
Inspection Request Scheduled For: Date: 7/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 052440-02 503 -313 -7398 N
Corrections /Comments /Instructions:
c.. e. ps- super -✓',
PASS n PARTIAL APPROVAL CANCEL I I NO ACCESS
n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector / 4 _ 4< Date: 7 — 2 0 ` - Phone #: (503) 718-