Permit CIT? O TI GARD BUILDING PERMIT
PERMIT #: BUP2006 -00175
� l�i DEVELOPMENT SERVICES DATE ISSUED: 6/29/2006
All- - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110AA-01500
SITE ADDRESS: &7 9 SW CANTERBURY LN BLDG 28 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 28, fire alarm for new 4 unit condominium. Addresses: Unit 1 through 4.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: 1HR
BSMT ?: Y MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: 4 FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:N
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 1,000.00
Owner: Contractor:
CANTERBURY PLACE LLC DMS ELECTRIC INC
109 EAST 13TH STREET 8502 SE STARK ST
VANCOUVER, WA 98660 PORTLAND, OR 97216
Phone: 360- 695 -7700 Contact #: FAX 503 - 252 - 6611
PRI 503 - 209 - 9298
FEES Reg #: LIC 118073
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/29/2006 $62.50
[TAX] 8% State Surchari 6/29/2006 $5.00
[FLS] FLS Pln Rv 6/29/2006 $25.00
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 - thrugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 50 - 246 -6699 • ' : II-332-2344.
__ ..-----: Issued B : , r ■ ; ,l�/l 1 J Permittee Signature _/ i1 Ad
1
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.
• h
Fire Protection System
Building Permit App _ 1 \ I �� ` FOR OFFICE USE.
City of Tigard U u LL F } 1 ' RDat eceived %. Permit No.: ' I OM O �/
13125 SW Hall Blvd., Tigard, OR 97223 Pl., R... •
Phone: 503.639.4171 Fax: 503.598.1960 /raMad j � �, Date/B : !� Other Permit:
APR 2 6 200 , 11
0
Inspection Line: 503.639.4175 Date Ready :: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: , Supplemental Information
CITY OF 1 !4tli
r'I�1'��PE'I7 OWORK usi01\ REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial
Valuation: $
❑ Accessory building ® Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
/0 7 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / -4 739 Canterbury Lane New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 28 Project name: Canterbury Crest Covered porch area: square feet
Cross street/directions to job site: Hwy 99 between Macdonald and Bull MT RD Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Canterbury Place Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: WCTM 2S110AA, 1400 / 1500 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of Fire Alarm Valuation: $1,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Canterbury Place LLC Type of construction:
Address: 109 East 13th Street Occupancy groups:
City/State /ZIP: Vancouver, WA 98660 Existing:
Phone: (503)221 -1920 Fax: (360)693 -4442 New:
® APPLICANT ® CONTACT PERSON
NOTICE
Business name: Canterbury Place LLC All contractors and subcontractors are required to be
Contact name: Dave Gutschmidt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11625 SE 5th Street jurisdiction in which work is being performed. If the
City/State /ZIP: Bellevue, WA 98005 applicant is exempt from licensing, the following reasons
apply f c o
Phone: (360) 695 -7700 Fax: : (360) 693 -4442 i�/l2 1 J
E -mail:
CONTRACTOR
Business nart;,e: DMS Electric
s C9 �, S O
f. BUILDING PERMIT FEES*
Address: 850/SE Stark St
Please refer to fee schedule.
City/State/ZIP: Gresham, OR 97216
Fees due upon application
Phone: (503) 209 -9298 Fax: ( )
$ Amount received
CCB lic. t t,1
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: A. d * Fee methodology set by Tri County Building Industry
CITY OF TIGARD
BUILDING DIVISION „.
PERMIT #: BUP2006-00175
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: m912006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 10789 SW CANTERBURY LN BLDG 28 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 28, tire alarm for new 4 unit condominium.
Addressw Unit 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: 12/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 061380-05 503-572-7015
Corrections/Comments/Instructions:
bli21, El PARTIAL APPROVAL El CANCEL El NO ACCESS
El FAIL I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Aaflar■ Date: 44 hone #: (503) 718-
. . „