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Permit C ITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2006 -00144 DATE ISSUED: 6/29/2006 `--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 110AA -01500 SITE ADDRESS: 19 W CANTERBURY LN BLDG 31 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG Project Description: Building 31: 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 re set forth in OAR 952 - 001 -0010 through AR 952 =001 • • 0 ou may obtain copies of these rules or direct q estions to OUNC at 503 - 246 -6699. L L A _L Permittee Signature. . Q_(J Issued 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. ElectriFal..PErmit Appj,aeatii'cF -. _ FOR-OFFICE-ESE-ONLY- �W City of Tigard Received / _ / '_ , O � /, e Date /B • ll/ / 010 I Penmt No • e f 13125 SW Hall Blvd., Tigard, OR 97223 1 ' � 1 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Jul@ 4 rJ LUU ° fit DateB Other Permit Inspection Line: 503.639.4175 ,, E' J Date Ready /By: ® See Page 2 for �Y I F' = . T� F Notif ied/Method. Supplemental Informs Internet: www.ci.tigard.or.us pp Information s;�, y a� LA "RE �:IEW.s m ��, =t ^ � W O R K s` , r .. .. .. a .,: ' +r .... ..,..,+.. ,�., .. -: :. .. "...,,. ,� 3 . .. . ".,, , . , : •., ,,,, a��, .,a „1'i = %'= �.. ��., .Y,,... �fj, a�"...� -.:3 .e.�..... \-.... F, �. ..�,.� ^M,... n ... ,,,, .. .. .�.F` - e_...., <'¢�.`�� V.. •�i+�'..F n� \��\'" _ .ins' ® New construction ❑ Addition /alteration/rcplacement Please check all that apply: ❑ Demolition ❑ Other: over amps, t' Hazardous location Service o r 225 am s corm I -�" •_, • „ "_, ;",_, EService over 320 amps rating EBuildng over 10,000 sq. ft. �' 4�'s< =,;. ";: �.�;- ::�':� =_'' " "�� >:' "';tCAT OF;, �CONSTRLJCT�ION- �"Ai.. 1 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 ❑Master builder ❑ Other: ['Building over three stories ['Feeders, 400 amps or more ;= m•: , .; , .,> .:.,::.. ,,,, ,,, _x.•_ „ ".:.:,:., , cupan 99 persons red structures or Oc t load over 9 Manufactured JOE ; ' 1NFO LOCATIO °'F' „ `' `` E ress /Ii htin plan RV park Job no.: Job site address:413793 -SW Canterbury Lane ❑Health - care facility ['Other: Submit 2 sets of plans with any of the above. City /State /ZIP: Tigard, OR 97223 / 3 The above are not applicable to temporary construction service. Suite /bldg. /apt. no.: 31 Project name: Canterbury Crest "`'� " " ”' °`" " "E "" "; ''?�5 =' ° ° ;R i Description Qty. Fee. 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'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 :;. >...,, ;.,.,..� energy, non-residential 75.00 Limited nergy non a 'dential 2 . V DESCRIPTIONr,OF =WORK., ,`; ;: .,� �� ti ,. xn,�.,, - .. >,,;p�� ., . �.�,.. ��_�:. _ ., ;� �, =.� >A•>. ,__ _ _ . ,. : 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 ,; .. 201 amps to 400 amps 106.85 2 - • u: P ARTY ='' <:: '' :T `'= ''' O ,E t . .:; ^. , >® ,E A T ; ' : .; ' „�: .:r�r ' "- ' °' " 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 i - °i, „,� A. Fee for ranch circuits with �` "s ®`AP�'LI �� ,�, CONTACT :'zL'ERSbNT, `,i ''tom,; "sra F,..,• �� service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, first branch circuit 46.85 2 Address: Each add') 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 T" R ". gY .: v� =�; �, ,.: � �;s;s'_` <` CON rRAC"I'O ��... Business name: DMS Electric Inc. extension. Describe: Fire ( Page 2 7 2 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 Lic.: 32420 Suprv. Lie.: 4542S A "", taiiateilAtOftl',.titt0140$*';k;" 4 =;; _ `' q / }/ Suprv. Electrician signature, required / A L'. 'r E' v r ' Plan review (25% of permit feeSubtotal ) 7 T ° ° Print name: / e Date: c / State surcharge (8% of permit fee) C9 0 d Authorized signature: �� r _ TOTAL PERMIT FEE 5 ° d This permit application expires if a permit is not obtained within 180 a Print name: - .` 4 o / i C E Date: 6'. 0 days after it has been accepted as complete * Fee methodology set by Tri- County Building Industry Service Board 1.\Building \Permits \ELC - Permit App doe 12/03 440- 4615T(I0 /02 /COM /WED _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 A, Inspection Requests (24 Hrs.): (503) 639-4175 JW IL INSPECTION WORKSHEET FOR DATE: 9/121200B TIME: 7:00AM PAGE: 17 SITE ADDRESS: '10863 SW CANTERBURY LW BLDG 31 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 31: Fire alarm panel. OWNER: CANTERBURY PLACE, LLC, PHONE #: 380-696-7700 CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503-2099298 Inspection Request Scheduled For: Date: 9112/2008 Pour Time: Code # Inspection Description fain iift Contact # Message 199 Electrical final 076 603572-7016 Corrections/Comments/Instructions: t P \Z■I topp . ■•!. t. • % c :Ani PAs fl PARTIAL APPROVAL CANCEL NO ACCESS F71t El CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: G �1B Lg Date: 91 ticA Phone #: (503) 718- '114 - . 1 . CITY OF TIGARD , BUILDING DIVISION r PERMIT #: ELR2006-00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006 Phone: (503) 639-4171 . e f igit* i i t Inspection Requests (24 Hrs.): (503) 639-4175 ...,191- LI- INSPECTION WORKSHEET FOR DATE: 902008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 10363 SW CANTERBURY LN BLDG 31 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 31: Fire alarm panel. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 9/W2008 Pour Time: Code # Inspection Description / Confirr Contact # Message 199 Electrical final 075207 503-572-7015 N Corrections/Comments/Instructions: / —:-)_____; . P • :4•51\1# WiaLkiZi n PARTIAL APPROVAL El CANCEL NO ACCESS ._■■.: N., .• N FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 0- . l' 6,6 (...t Date: VIA Phone #: (503) 718- l'Ott7 -— ' . .' CITY OF ��um m ��o no��mon�� ., .. BUILDING DIVISION --' '' ' ~�~°.~~~°""°~~ ~~...~°.~°.° PERMIT #: ELR2006'00144 13125SVV Hall B|vd.. Tigard, OR07223 DATE ISSUED: 6/2EV2008 � Phone: (503) 639-4171 Inspection Requests (24Hm.):(503)G3O'4175 ^��~ INSPECTION WORKSHEET FOR DATE: 303008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 1D803EW CANTERBURY LN BLDG 31 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 31: Fire alarm panel. OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 603309-9298 Inspection Request Scheduled For: Date: 9V8/2008 Pour Time: Code # Inspection Description Confirm. Contact # Message 155 Low voltage 603-572-7015 N Corrections/Comments/Instructions: IK PASS | I PARTIAL APPROVAL n CANCEL -- NO ACCESS -- 1111 FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED . �~�� _ �� ,� Inspector: �� Nit(?) I �� Date: - ^ �� ^ �� Phone #: (503) 718- Pi Lt --- . . CITY OF TIGARD BUILDING DIVISION ~°~~"°~~°""°~= ~~"°"~°"~~"~ PERM[T#: ELR2006-00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8f2812006 Phone: (503) 630'4171 lit 1 Inspection Reque�a(24Hm.):(503)G3Q'4175 imit INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 10863 SW CANTERBURY LW BLDG 31 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: CANTERBURY CREST DESCRIPTION: Building 31: File alarm panel. OWNER: CANTERBURY PLACE, LLC, PHONE #: 36(1695 7700 CONTRACTOR: DMS ELECTRIC INC PHONE #: 503,209-9298 Inspection Request Scheduled For: Date: 6/13/3008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 071354'04 603-672-7015 N Corrections/Comments/Instructions: PARTIAL APPROVAL 0 CANCEL n NO ACCESS I |' n FA|L I | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED � �� "�_ Inspector: «^J �� Date: k� [ ' Phone #: (503) 718- /..,1411-10 -^� -\~°- ` ' U