Permit (144) .114CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT
Permit IS: ELR2017-00053
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date issued: 04/03/2017
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: TTSD-Tigard High Subdivision: None Lot: None
Project Description: Fire alarm system.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
7324 SW DURHAM RD 6960 SW SANDBURG ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics:
Restricted Energy Permit 04/03/2017 $75.00
12%State Surcharge-Electrical 04/03/2017
Type of Use: COM g $9.00
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 1
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting' 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: Total $84.00
Other Desc:
Required Items and Reports(Conditions)
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 the 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
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �[
Issued By: �. C.Gf Permittee Signature: fir_ 1! 71Gy
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shalt 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.
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2017-00053
Date Issued: 04/03/2017
T[c;a1 F o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: TTSD-Tigard High Subdivision: None Lot: None
Project Description: Fire alarm system.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
7324 SW DURHAM RD 6960 SW SANDBURG ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 04/03/2017 $75.00
12%State Surcharge-Electrical 04/03/2017 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 1
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: Total $84.00
Other Desc: Required Items and Reports(Conditions)
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 the 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
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.322. �[
Issued By: Ot jit .,,e Permittee Signature: JT G `80"d7/'/l�LG/GGh
�"G OWNER INSTALLATION ONLY !l/
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
r E' ctrical Permit Applicatio : .-, f,-) FOR OFFIc'F l:'SE ONLY
City ofTigard Received 3//&//7
j /7 /(/j �/f)�) 0p/�
City g DateBy: J//G � A�(]-' Permit#:���� /I�� (/
1114 +* 13125 SW Hall Blvd.,Tigard,OR 97223 t1 i 1 Z O I/ Plan Review Related Permit#: �� p
Phone: 503.718.2439 Fax: 503.598.1960-' Date/By:
Inspection Line: 503.639.4175 -,,,,.;,-.., .,—.,. . •1-::,:.:.-;:,,..::;y7 Ready DateBy: Auris: See Page 2 for
1 i6 AltlA Internet www.ttgard-or.govt
,,,,1,---,;:'1 Notified/Method:31.�Q//7 Ea Supplemental Information 1
a� o
'"-
-4-L,, \:. ;TYPE .® - .-fl , :} i, .... RE> W
0 New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked)
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
r altg t eto of ' z exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
it4bit'810 11STy "�'Io1+I 1( ( t,TTt)N'
❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 107844 Job site address: 9000 SW DURHAM ROAD 1ooHP or more. ❑"A "E "1-2","1-s
❑Six or more residential units. occupancy.
City/State/ZIP: TIGARD, OR 97224 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: TTSD-Tigard High ❑Hazardous locations. 0 Supply voltage for more than
600 volts nominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: r
Description I Qty.1 Each I Total I «
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft. r less 168.54 4
Tax map/parcel#:
Ea.add'l 500 ftor portion
n 33.92 1
', olff
,. �, 1 I Ulf("W
Limited energy,residential
75.00 2
(with above sq.ft.)
Upgrade Fire Alarm Monitoring
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
'` <a ; I * 2...---11;:0.41:50141g-i--4-i-,-0-;,,,,w'' Services or feeders installation,alteration and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
,i. • Branch circuits—new alteration or extension,per panel
61 ' '. : ,,,,,iii
° +>~oN TAt ll�lt ,,, ... A.Fee for branch circuits with i
Business name: Performance Systems Integration, LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Dan Schelhass B.Fee for branch circuits without
service or feeder fee,first
Address: 7324 SW Durham Road branch 56.18 2 circuit
City/State/ZIP: Portland, OR 97224 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 503)641 2222 Fax: :( 503)641 1464 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Dan@psintegrated.com
67.84 2
A\ RACTOR? Reconnect only
Pump or irrigation circle 67.84 2
Business name: Performance Systems Integration, LLC Sign or outline lighting 67.84 2
Address: 7324 SW Durham Road Signalnalteration,
or limited-energyxens . 1y{ See Page 2 J 2
panel,alteration,or extension. f"r
City/State/ZIP: Portland, OR 97224 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 503)641 2222 Fax:( 503)641 1464 Investigation(1 hr min) 90.00/hr
Email: Dan@psintegrated.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.: 205924 Electrical Lic.: CLE407 Suprv.Lic.: 3172LEA Specifically listed(vz hr min)
Suprv.Electrician signature,required: Subtotal:
Print name: William J. Driver, III: 3 7 EA Date: 1.z./ ( 0 Plan Review Required(25%of permit fee):
4l< State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Dan Schelhass Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
L:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Description I Qty Each I Total I "
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
1=1 Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically� listed(V2 hr mm)
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9000 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2017-00053
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor