Permit i •
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
.1111 COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00296
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/1/2006
PARCEL: 2 S 102AA -04700
SITE ADDRESS: 08900 SW COMMERCIAL ST ZONING: CBD
SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG
Project Description: Fire alarm low voltage.
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:
BROWN, DEAN A PERFORMANCE SYSTEMS INTEGRATION
PO BOX 583 7324 SW DURHAM RD.
CARLTON, OR 97111 PORTLAND, OR 97224
Phone: Contact #: PRI 503- 641 -2222
FAX 503- 641 -1464
Reg #: ELE 34- 522CLE
FEES LIC 150747
Description Date Amount
[ELPRMT] ELR Permit 12/1/2006 $75.00
[TAX] 8% State Surcha 12/1/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Sta ,; • • Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if w.rk is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law req you • follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 +100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. / '
Issued By: Tic � �/, Permittee Signature: i , g► SIM
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 Applicatioi E jV j FOR OFFICE USE ONLY
Cl of Ti and Received (2�
•J g Date/By: �� ! ��J jYJ Permit rr Od 9
13125 SW Hall Blvd., Tigard, OR 97223 DEC 0 1 2006 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 u Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Ed See Page 2 for
Internet: www.tigard- or.gov TIGARD Notified/Method: Supplemental Information
BUILDING , , r ._.TYP I�p / ' gy p
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... �- � � .... - .. , ,.. , . 7 :PLAN -REPIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
spy , I'''''''' 7'' .... ii.x._,� ,' °.s ' '°'''-
- E
- . —,,„ , ,- F CONSTRUCTION �_ „ 1 =. ., - exceeds 10,000 amps at 150 volts or Floating buildings.
� �'�# ' '" ` - , -,, less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
, t ,, ID Emergency system. larger separately derived system. •
,_ r. :. y J OB S . , -I N F� �K M TION A� A „ I ,„ #.44 _ € El Addition of new motor load of ❑ "A > «E ` 1.2 "1.3
Job no.: 102207 Job site address: 8900 S. Commercial Street 10OHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Dance Studio ❑ Service or feeder 600 amps or more.
'r:" `
1. f.. FEE SCHEI)ULE';'a' e E;- -';.a=t rs�
Cross street/directions to job site: De j Qty. I Fee. I Total
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential
ar 75.00 2
i` mss t. ` :A q.. . DESCRH?TI01 W W < � ,. " ' _ ' i , : (with abovesq.ft.)
Add Fire Alarms stem to Dance Studio Limited energy, multi - family 75.00 2
Y residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
°ia # . tc ®:PR
i OPERTX 5 0Wr1ERr 1 „ ' ; P i ,, ' ” 4V @ ® 4ITEN A NT * ; = '0 _ k 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 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 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
' . „:'14, �' APPLICAN
T ';. ” ,, °- " °' : D. ,�CONTACT PERON` :..�;': /; '
p above s erv i ce or f f ee,
�, m �, t'�r r _ 6.65 2
each branch circuit
Business name: Performance Systems Integration, Corp. B. Fee for branch circuits
Contact name: Patrick Stine without service or feeder fee 46.85 2
first branch circuit
Address: 7324 SW Durham Rd. Each add'l branch circuit 6.65 _ 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Portland, OR 97224 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 641 -2222 Fax: : (503) 641 -1464 Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
ii _ N '.t r t ' :/" .CON'TR,ACTORe ;, 7r= $« i s ;;"t°. ` Sign or outline lighting 53.40 2
Business name: Same As Above Signal circuit(s) or limited -
energy panel, alteration, or
Address: extension. Describe: 1 Page 2 2
Fire Alarm System
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lic.: 150747 Electrical Lic.: 522C Suprv. Lic.: 3456LEA Industrial plant per hour 73.75
;r.; ° r- `.., '`EI:EGTRICA_ L' kt,g' IIT FEES °, , ',:e' :L_ ,1
Suprv. Electrician signature, required: Subtotal:
Print name: Scott Dulaney Date: ! Plan review (25% of permit fee):
State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\ Building\Permits\ELC- PermitApp. doe 05/23/06 440- 4615T(1 t /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006- 00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1/2006
Phone: (503) 639 -4171 !o�u�d�pullu�tl'�il
Inspection Requests (24 Hrs.): (503) 639 -4175 " __..
INSPECTION WORKSHEET FOR DATE: 5110/2007 TIME: 7:02AM PAGE: 50
SITE ADDRESS: 00900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: Fire alarm low voltage.
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATION PHONE #: 503 - 641.2222
Inspection Request Scheduled For: Date: 5/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 048010 -01 503 - 969-6949 Y'
Corrections/Comments/Instructions:
f .. ' - = I. R 1!'
4?)\\ g vil...p nl 1 0•15 - Ms � •
►► ?Q PASS n PARTIAL APPROVAL IT CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: '\ O L Date: Phone #: (503) 718- Vitt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200G- 00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1 /2006
Phone: (503) 639 -4171 .�h��tidl1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: Fire alarm low voltage.
OWNER: BROWN, DEAN A, ��
PHONE #:
CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATIO c c PHONE #: 503.641 -2222
f
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Coafi. "rm # Contact # Message
135 Low voltage 045764 -01 503-96%6949 N Y
Corrections /Comments /Instructions:
l f\ e-- 1 L- - iLgo q -- q gz _ E' ��.
iNflozNED
---_______,.......... ----,....„...„..,,,„_)
PASS ,PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: r 0 08 Date: 1 ' 30• O Phone #: (503) 718- -44b
CITY OF TIGARD ..M_
BUILDING DIVISION PERMIT #: ELR2006 -00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211/2006
Phone: (503) 639 -4171 1641111111 Ihl
Inspection Requests (24 Hrs.): (503) 639 -4175 ATIA
INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM- PAGE: 51
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: Fire alarm low voltage.
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATION PHONE #: 503.611 -2222
•
Inspection Request Scheduled For: Date: 3/28/2007 Pour Time:
Code # Inspection Description Confl # Contact # Message
135 Low voltage 045563-01 503969 -6949 Y
Corrections /Comments /Instructions:
(W5 N €.1C wic1 0■80o )C
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: T ' IW Date: '3 Z%` dt7 Phone #: (503) 718- -1}14
CITY OF TIGARD . �.
BUILDING DIVISION PERMIT #: ELR2006 -00 96
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12//12005
Phone: (503) 639 -4171 :alt
i�
Inspection Requests (24 Hrs.): (503) 639 -4175 :..'._W -�I
INSPECTION WORKSHEET FOR DATE: 2/13/2007 TIME: 7:03AM PAGE: 30
SITE ADDRESS: 0$000 SW COMMERCIAL. ST CLASS OF WORK:
SUBDIVISION: MORNS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: Fire alarm low voltage.
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATION PHONE #: 503 - 611 - 2222
Inspection Request Scheduled For: Date: 21812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 043095 -01 5503.859.6949 N
Corrections /Comments /Instructions:
I A O SERF )Nc_. rn o va 'O %tft 4LL.oW. 9
•
•
PASS ❑ PARTIAL APPROVAL Ti CANCEL n NO ACCESS
FAIL ,CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
N i I �,
Inspector: N % E I� Date: D O Phone #: (503) 718-24/6