Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
l DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00122
DATE ISSUED: 6/6/2006
13125 SW Hall Blv ., Tigard, OR 97223 503 - 639 -4171
/ PARCEL: 2S 110AA -01500
SITE ADDRESS: T b CANTERBURY LN BLDG 10 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 10: Fire Alarm LV
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 6/6/2006 $75.00
[TAX] 8% State Surcha 6/6/2006 $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 OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: 4 .A. 1 ..a..d _ as... d ,d, tZ t.d Permittee Signature: Q1z � d f ��
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 Ap �'' a i° .,� - FOR-OFFICE-USE-ONLY .
CI of Ti and �� Received
i ' Permit No..
g Date /B : Q& _4 „_i i — c, ep
13125 SW Hall Blvd., Tigard, OR 97223 1 c Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JUN 0 5 2006 �I "OII', DateB • Other Permit:
Inspection Line: 503.639.4175 +t• W Date Ready /By Npl El See Page 2 for
Internet: www.ci.tigard.or.us GiTY OF TIGA IF Notified /Method: Supplemental Information
gg zrcco
VI>Jw i
® New construction ❑ Addition /alteration /replacement Please check all that apply:
Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other:
s -s � ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
z
a3 ;:
a ' �... �.� ��.. - dwellings 4 or more new residential
• � �CA.T,EGORY °.OFCfJNST �, of 1 -and 2 famil dwe s o o e e s
�•i�:S��:- �� . _..�.�:1 •:f.:F ��:.i ; °d..',�',.. ..:' \ti�x ��- a�+m5".., ..:' °eY. •'t: : , '�R.: ,. •Y Fy�yA '+.�
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure
® Multi - family ❑ Master builder ❑Occupant load over 99 persons ❑Manufactured structures or
❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
e �0 Other:
,r «:;e::.;;,..-:,. '`z :; >;. v:` RV
'; ` , ;iik JOB:OT QN-wp ,LQ CATION : ,;;• , ❑E Egress/lighting htin plan park
p
.�� . ,,... �:.� -..: - - m��;- .��� -�; -: ;, < . ,.�._ • <�.,.:. �'::.;; •,,.�3r�•,,1f: w .� s g g g p
❑Health -care facility ['Other:
Job no.: Job site address:40E63' SW Canterbury Lane
_ - Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 97223 /0 7 ' 5 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: 10 Project name: Canterbury Crest 14 ” °n ` to " ° ° .''' F tt "' °1 `` `
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. 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.:
,,:, a , "�;.. . , -,. - , , ..... ..:. :.:...........::..::,;;:; - . Each manufactured or modular energy, non-residential 75.00 2
Limited nergy non s denha
�< , >; lrtW_ ' DESC7tIPTI:O *oli , ; ' l
�,� � ";� . ... �......... �.. „,. :. >... <.. ; >�`���� r .a .:.... ..... ' .. .
- a �. m
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
thtt • P ,, T ;• a; h-, " 201 amps to 400 amps 106.85 2
1 `PROPERTY' OYVNER a ;• ' N
,. _ °T ANTS = � < '�:... . :: :�':'?• ;.
"° "" '' 401 amps to 600 amps 10.60 2
Name: Canterbury Place LLC 60i 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
__ '"t elf S "-'` 4 ='z *> :F A. Fee for branch circuits with
, , , APPT I C T 'I Ff CONTACT PERSON ; :.,>
�•:�>�, °. , . , , �. Via.. ,.,�t . ..m'0;.,..., «� . �T �.
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 -
=< -, ...�> ,:..:.� - ;�:: > -_t a ... , ,u. ,��,,: energy panel, alteration, or
` CO
.• , :, ._ NT •.RAGTOR•, . ":.:<. ; ;., • :.... ns p Describe: Fire
extension. De Page 2 7.) a
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
CCB Lie.: 118073 Electrical Lie.: 37 -742C Suprv. Lie.: 4542S gait :;:,_ ` ELECTRICAL< "PERMIT . LS* _ e
�
' Subtotal 7 5 0
Suprv. Electrician signature, required: C � �
/P ' , Plan review (25% of permit fee)
Print name: ViA C /‹. R. .i f. Date: c /5-A c g ( permit fee) 6 o d
State surcharge 8 /a of ermit fee
Authorized signature: TOTAL PERMIT FEE �- I 0
This permit application expires if a permit is not obtained within 180
4 ` �
Print name:�� �, Date: a _ s _ 0 e. days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
is \Building \ Permits \ELC - PermitApp doe 12/03 440- 4615T(t0 /02 /COM/WE6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-4171 Nolill\
Inspection Requests (24 Hrs.): (503) 639-4175 ..VW --..
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 38
SITE ADDRESS: 10776 SW CANTERBURY LN BLDG 10 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST '
,
DESCRIPTION: Building 10: Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-696-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 603-209-9298
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message ,
199 Electrical final 039783-04 503-672-2961 N
Corrections/Comments/Instructions:
f MAL. ( Cal
•
c
......) •
( )IC
•
ASS 0 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
o
Inspector: N 68 LE ( , ,
Date: i‘t Phone #: (503) 718
. . „
CITY OF ��nn m »��n on����nu��
BUILDING DIVISION ~°~,.~~~~..~~= ~~"°"~°"~~"~ . A PERMIT #: ELR2006-00122
/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006
Phone: (503) 639-41.71
Inspection Requests (24 Hrs.): (503) 639-4175 w �K @ �' *�
INSPECTION WORKSHEET FOR DATE: 11K16/2006 TIME: 7:07AM PAGE: 42
SITE ADDRESS: 1D776SVV CANTERBURY UN BLDG 10 CLASS OF WORK:
. SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST .
DESCRIPTION: Building 1(l Fire alarm panel.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360-63Fr7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 603'209
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 089783-01 603-573-2981 N
Corrections/Comments/Instructions:
•
.
' �� PASS I I PARTIAL APPROVAL 0 CANCEL I NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \ C Date: 0 \ 01 Phone #: (503) 718 ^
�. .
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2006-00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6160005
Phone: (503) 639 -4171 ,w b i �M'9Pi�@ ' �I
Inspection Requests (24 Hrs.): (503) 639 -4175 :.:' P �'L.
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7:05AM PAGE: 37
iO71$
SITE ADDRESS: 1fi3 SW CANTERBURY LW BLDG 10 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOS LOT #: 010 TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 10: Fire alarm panel.
OWNER: CANTERBURY PLACE LLC, PHONE #: 360 - 695.7710
CONTRACTOR: DNS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 8//6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 034971 -03 503 - 572 -2812 N
Corrections /Comments /Instructions:
ASS Ill PARTIAL APPROVAL I CANCEL 0 NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: '1 T � -0
Phone #: (503) 718-