Permit l
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
i DEVELOPMENT SERVICES PERMIT #: ELR2006 -00132
F �' II 13125 SW Hall Blvd.,, Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2006
/p7 3 PARCEL: 2S110AA -01500
SITE ADDRESS: *6 SW CANTERBURY LN BLDG 15 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 15: 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through O 952 -0 10.0. You may obtain copies of these rules or direct que to OUNC at 503 - 246 -6699.
Issued B • � t Permittee Signature: - e ; , )
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 Application t' - FOR OFFICE USE ONLY
City of Tigard JUN 0 5 20' I Date/B �p 5 Oh ', Permit No. l bp6� �/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF Ti a ►% ' / 'pt Y� �`� Date /B : Other Permit:
Inspection Line: 503.639.4175 ; : !_ I Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us BUILDING Ni D' , - Notified/Method: Supplemental Information
�� REVIEW- ���.
-.� :.PLAN'. ��.: -� < ::,
RK
V
�,. 'TYPE, OF` =1V0 ��:,
.�. _, . ��..� >, Wiz. >.,.: ,
® New construction ❑ Addition /alteration /replacement Please check all that apply:
CI 1=1 Demolition III Other: v amps,
:> $ >s -.:,.: .. •,:, .x _._,.R..: ..; k,t mps i g ❑B dngo sq.ft,
Service o er 225 corn Hazardous location
Service over 320 a rating uil over 10,000
' "' """`CATEGARY OF CON
��.- s` -.�< '.-:-; >? >_�,;,.:;; yX >� > „� t - „- Y::::�, -� � " -':�:� - ,�, of I - 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 121 Other:
❑ Building over three stories ❑Feeders, 400 amps or more
;• ,: .:z ::. , . • ste , : ,, :,• , ,:- ; ::N : =:. cupan 99 persons red structures or
❑Oc t load over 9 Manufactu
= _: : ,, ,? - JO =SI TE'1NF, ORiv ail N `:A'N C oa >::' '' E ress /li htin Ian RV park
x.:<.•:, ,.„, : - L ;n,:.. „.. - y z:_3s..,- „, „ „., _M•.:r.F „.a ,ma x;;_ ,; ,.- -, ` _ ,,� ❑ g g g p
CI Health-care facility ❑Other: _
Job no.: Job site address: 4-0695 SW Canterbury Lane Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 /4,87_3 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: 15 Project name: Canterbury Crest M,. 'FEE* SCJ-IEDULE;< -�-,, F *' °`
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
Tax map /parcel no.: Limited energy, residential 75.00 2
_,,,..,.,�..• ., : -.c> <: ;....,..,,> _.:.. energy, non-residential 75.00 2
Limited n on enna
„• ;,�;;�;..,, , ,_ .. �' ° ` z = =:.�x�.;,- �.;�,.,,. -::__ - . ; ” , °w� 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
.t"°.:: -:, : :.. ; ^, ,•° . ::. A,; , : :rt 201 amps to 400 amps 106.85 2
,
., PROPERTY ,OWNER ❑-,`I'ENAi- I_: -s...
`-” ' ”` �� � - "'`° ��'� ' 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
" � �:', � ''�'"' "� °'s, � Q'= °���`�° '" �� A. Fee for branch circuits with
_ ,.
,�.: _��� APl'LICANT,��> �''� � ®:`CONTACT:.'PERSON �;;_�• A
m, ,
,.�_ -�: w ,,.,,., • >. ,. ,, - � » �, service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
46.85 2
Address: first branch circuit
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 -
- :>!;: ^' energy panel, alteration, or
^� ° M'�;. °G(1NTRACT012; .,w. l i O
. >. „ • . .r , :•, ;«, • ., . _ Describe: Fire I - C 0
extension. Des Paget 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 Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: 4542S -. 1 ;- ; , ; ELECTR3CAL'IPERMIT;; FEEiigglfit .,,
Subtotal 7 J C 0 J
Suprv. Electrician signature, required: 1
C •t )e e iz ' 1(Y Plan review (25% of permit fee)
Print name: v 1 a- ■ r , l e P f lc--, Date: S PU c State surcharge (8% of permit fee) 6 \
5 f
Authorized signature TOTAL PERMIT FEE ��
This permit application expires if a permit is not obtained within 180
Print name: (. 5„ T � Date: . c ._ c , _ V 6 / days after it has been accepted as complete
* Fee methodology set by Tri- County Building Industry Service Board
i \Building \Permits \ELC- PermnApp. doe 12/03 440- 4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00132
13125 SW Hall Blvd., Tigard, OR 97223
A .
DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 14.11P1110 .
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7:02AM PAGE: 33
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 16: Fire alarm panel.
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 11/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage . 059617-01 603-672-7015
Corrections/Comments/Instructions:
\\\\
\kJ
V
f PASS n PARTIAL APPROVAL [I] CANCEL I NO ACCESS
fl FAIL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: 3 —" Date: \A iii(a Phone #: (503) 718- IYAr_
. ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200&00132
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 60917006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 16 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 15: Fire alarm panel.
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 11/14/2007 Pour Time:
Code # Inspection Description Confirrrift, Contact # Message
199 Electrical final 59611101 603672-7015
Corrections /Comments/ Instructions:
?0 skVQ(z tL
? :)ASS PARTIAL APPROVAL n CANCEL I NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 3 L Date: VI I 0 Phone #: (503) 718- 2-4410
• CITY OF TIGARD
- BUILDING DIVISION PERMIT #: ELR2006- 00132
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639 -4171 140ry6'�
Inspection Requests (24 Hrs.): (503) 639 -4175 § ' I �..
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 51
SITE ADDRESS: 10783 SW CANTERBURY LN BLDG 15 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 15: Fire alarm panel.
Addresses: Unit 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 368.695 -7700
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 -203 -9298
Inspection Request Scheduled For: Date: 7/2512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 052693 -05 503 - 313 -7338 N
Corrections /Comments /Instructions:
� v/ ' 4 / o UfrA / i/
-PASS ❑ PARTIAL APPROVAL I I CANCEL I I NO ACCESS
f FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
I s n pect G • • Date: `1 16 0 Phone #: (503) 718- 1•1•