Permit v
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
• COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00080
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/7/2008
PARCEL: 1S134AB-03300
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD ZONING: R -12
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: MUSLIM EDUCATIONAL TRUST
Project Description: Installing (1) low voltage security system.
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: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
MUSLIN EDUCATIONAL TRUST ADT SECURITY SERVICES, INC
PO BOX 283 2815 SW 153RD DR
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 4/7/2008 $75.00
[TAX] 12% State Surch 4/7/2008 $9.00 REQUIRED ITEMS AND REPORTS •
Total $84.00
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 OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: 1 Permittee Signature: qk/
OWNER INSTALLATION ONLY G �
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.
Apr 07 03 02.03p Stephanie Pate 503489 p2
v,•U cri [�it rerinir Application
FOR OFFICE t'SI: ONLY
sir' 131255 Tigard
a [ C CE�� l�D D� G �„ „t ots. 1 - - A k Vi
Max: 503.639.4171 Fax 50 . • • ,1960
Plan Review T I C „ � s. n Iin� 503.639.4) 75 b Ot her Permit /- . 7 _ [,
Interriet www.tignrd.pt.g,v A P R 20�c� ,,de,�. r a tiee Page zfor
TYPE OF,- ; F T GAHU PLAN Supplemental lnfmr%tstlos
❑ New oonstniction - 1tEV>�+ w
® Add i i - . i, I. y i i ; .r ,' 1.6. �� Please check an it ply' (submit a mu of pleas %Weems checked below)
❑ Demolition u )� ■
' L 1 tl`t�
�] Other: O Senior a loader 400 amps a mots ❑ uddiag over throe Arita
— where the available Earle corms D Marinas sad boatyards-
CATEGORY EGORY OF CONSTRUCTION
monads 10,000 amps m 150 vela or Q Floating building„
iquicuinvA
❑ 1 -and 2- family dwelling Commercial /industrial ❑ Accessory building lass to puma or weeds 14,000 O Camm+eeial -t„e
amps for ell oother imat$pmipm to m1 I ga
❑ Multi-family -family ty
Master builder 0 Other. O Fire pump. 0 twtallationof75 KVAor
forgot mparately derived *ohm.
J013 SITE INFORMATION AM) LOCATION ❑�agatcY system. forgot Job no.: tl;- / lob she attld[CZi ❑ A n of new mow bad of ❑ A- -E-, -I-2". ..r -3.
� �1 y /033 a � Srvschol/r �cc," o s � ' � � ,ia, mite. o Recreational
City/State/71P: TIGARD OR ❑Hearth cote facilities.
❑ Supply voltage for more than
Suite/bldg //apt no.: Palk:* ❑ SCf wk= locations. 600 voles oozier!.
USe ./ 6dl. �j 0 Servica er feeder 600 amps or mart
Cross sl t/direc1ions to job sits T � vS r b,,, E SCHEDULE
� � Ott. re., Tom I ,
New residential single- or multi - fatuity dwelling unit.
Subdivision:
Lot garage.
Lot no : 1.000 sq. R or less 145.15 ' 4
tnaplpmocl no.: Ea edd'I 500 sq, ft or portion
33.40 I
D TON OF WORK Limited energy, residential
(with dame sq. !1) 75.00 ' 2
-
�.,r. ... �/ Lim energy. multi-family
- residdtt with above . 0. 75.00 2
Services or feeders ltiftallad° alteration, nd/or relocation
❑ rROpt;ltl ow nicR 200 of less on, 80.30
Name: X 20 1 amps to400amps l06.85 2
-
40t amps to 600 amps 160.60 2
Addt+tU: — 601 amps to 1,000 corps 240.60 2
C tN71P: Over 1.000 amps or volts 45445
2
Temporary services or feeder, installation, alteration, and/or
1?6(rae: ( )
relocation
Fax (
Ow a:rr nstpltatlou: This instillation atinstillation is ) 200 amps or less 66.55 � I
ner i for sale, l being made on propt:rty that 1 awn which is not 201 amps to 400 amp 10 0.30
r rent, or ex. according to ORS 4 47.449.670, told 701. 401 aatps to 599 2
Owner signature; 133.75 2
Date: Rraneb eireaibr - new Siteration, or extension. r nei
❑ APPLICANP ch ry
A. Fee for breath irgh
s . CONTACT PERSON above service or fonder fac
Business norm:
each branch circuit 6.65 2
�� R. Fee fax branC4 circuits -^ -�
Contact name: without service or feeder fee.
Addrti'ss: first brax circurit 46 85 2
End] ,dell branch circuit 6.65 2
Miscellaneous scellaneous (terviee or feeder not included) uded
Each manufactured or modular -
Phone: ( ) f F , ( ) dwelling, service and/or feeder
90.90 2
E-mail: 1
Reconnect only 66.85 2
-- COIV7RACTORp or triton circle 53.40 2
R Sign or outline lighting S3 2
Rosiness name: pbT SECURITY
sib cinatit(s) or limier limited- i
Address: 2815 SW 11:53 DR.
energy pared, alteration. or
extension. Describe: 1 rage 75.00 2
City/State/72P: BEAVERTON OR 97006
Each additional inapeectioa over allowable to aster the above
Maas= (503) 469 -722 Fax: (503) 4694114 inspection 62.50
C�Ci3Lic.: 59944 Electrical Lie.: 26209Q,E Invcstoaper hotrr(I hr •) X
Suprv. Lie.: LEA389 Industrial plant per b uts 73.75
Suprv. Electrician signature. mini _ 1 EL..ECTRICAL PERMIT FEES
Gr Gr - G0^Y SubtoW: 75.00
Print name: KEN KRAUS r `
Date: + 0 P review (259'_of pemir fee):
Authorized si State surcharge (12%of permit fee): 9.00
ct'"O•J L TOTAL PERM[r FEE:
r
Print name: KEN KRAUS aalr 84,00
- ))8th: permit ap *lima a xp if a permit is sot obtained within 180
oar sow it hay b�
` � i,gyppt utyfg • lvvnnbor of otspeCi allowed per smeared as Complete.
`
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008- 000130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' L.
INSPECTION WORKSHEET FOR DATE: 5/9/2000 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MUSLIM EDUCATIONAL TRUST
DESCRIPTION: Installing (1) low voltage security system.
OWNER: MUSLIN EDUCATIONAL TRUST, PHONE #:
CONTRACTOR. ADT SECURITY SERVICES, INC PHONE #: 503 -469 -7212
Inspection Request Scheduled For: Date: 5/9/2000 Pour Time:
Code # Inspection Description �Confir -m # Contact # Message
- Low volta • - 0696013-01 503-519-5687 N
1 et Pi t J L- .
• . rrections - • -- •• - • • - - ons:
\ •
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 0 ve t Date: q 01 Phone #: (503) 718 - 2A
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR200B- 000630
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2000
Phone: (503) 639 -4171 l#
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I1.
INSPECTION WORKSHEET FOR DATE: 5/5/2000 TIME: 7 :01AM PAGE: 31
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MUSLIM EDUCATIONAL TRUST
DESCRIPTION: Installing (1) low voltage security system.
OWNER: MUSLIN EDUCATIONAL TRUST, PHONE #:
CONTRACTOR: AD'f SECURITY SERVICES, INC _ NARK - PHONE #: 503-4637212
Inspection Request Scheduled For: Date: 615!2008 Pour Time:
Code # Inspection Description C- onfirm Contact # Message
199 Electrical final 069352-01 360. 314 -4454 Y
Corrections /Comments /Instructions: i
DLL. Ut1t Re0► e6NOvitS I 2—
'P12t INQ ,>SV>) ti COs C(Z,
1jP
0 4 cb - - - r - - - i i 6N,s w - cAl.J ■ A)
% ibs: - 63 i CD hht Awl -
❑ PASS // PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
Ill FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G---k G---k N 1-,- ' Date: iitri Phone #: (503) 718 - ti 4 17
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008.00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 417/2088
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MUSLIM EDUCATIONAL TRUST
DESCRIPTION: Installing (1) low voltage sec:uiity system.
OWNER: MUSLIN EDUCATIONAL TRUST, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #. 6034637212
Inspection Request Scheduled For: Date: 4/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 E°Iectiical final 06043E -Q1 503. -0425 N
Corrections /Comments /Instructions:
3t.) bark. . one C bN& 5 44-
oN\- A i s f J 3 • s Nom. 0 A I?..
th,(y io lo 1.4 1°
Glick \) C CA Le
so1q u3qats . NaA • to , 3 (t] uyt4g-
Cts I ki cAg l- i - ov r£ b cAn L tall_
vCC . 1 60 N 1.044, .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL )4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & N (se Le Date: 411 A Phone #: (503) 718 - �,
May 18 08 01%43p Stephanie Pate 503-489 p.1
Vico
ID?' Sect, rity S
2 91 Skr 753• Dr
Fire & 1:2c:1/(2r:on ON 9700b
Security
TEL: 503-469-7100
Operating
Company OR & WA: 800-772-7078
FAX: 503-469-7114
,
spatc(cjoat.com
Telefax Transmission
rt.ia noq•mf:t. tron3micr;nn may C:OPialr and/or .)Lorno://c.2::ert
loTIvilogoo hjera.ucion h4.:ceelnw to the •ortor. Thin incormatLee 15 intondfo otify
for 17n0 OIV CI :OP 1 7r 0:Ary OUXCCI Or tAI tlm_oolOO NhOr■!;, :I yui,
ore? nit Cho intnnooa rev:plenc, rnv omplcsioo or •2?ent mvpcnzibJ ro 1hc
intonuoci rocip:ont, yvu ancu:id r to ;ordor niu, hcrety
notJli•d tnat ony aivolouro, cop/ 9q, di:itrloJcion t:le taxing or ary act/on In
reliance on the oontenta Z lecopied +ntOLMytiOn it. ntriClly prohlb:roC.
Date 5/1612008
Company City of Tigard
At tent ion Albert Shields
Fax tTo. 503 624 3681
From Stephanie
Subject Muslum Edu.
To t a I No.
of pages 2
Attached is NFPA form 72 per our discussion.
May 16 03 01:43p Stephanie Pate 503.469 p.2
.. .. .� ..... .Atv 1U11 Dbt.11(1 X 0004
72-27 7 t1 1 'lDAMENTAL O Flits ARM Sl'3TJ1;17
Ostler Supervisory Fnuccon(9) (specify)
-
6, Mann Notification Appliances sad Circuity
Types and Quantity of alarm inolcating apptianoea insedllett
a) gj foci
Sixakera
X Horns
Chimes
et1 Nice
e) X Viand Sipala 'typo HORN/VISUAL
22 With audible 6 without audible
1) l Local Anrrucciaiar
7. Signaling Linc Circuits;
Nandry and Styli (Sic NTPA 72, Table 3 -6.1) orsiSnal;rrg lion circuits connected to syamm;
Quantity: - 4 Styic B
8. Synem Power Supplies:
A) Primary (Main) Nominal Vona a 18 VAC Current Rating: 72 vq
Overen Protection: atan !S
Type DHDicAT$D BREAKER Current Rating: 20 ezap
Loeurionr aa*aatott„Fsanaco Room NE
b) Secondary (Ststdb»:
Storage % ay; Arep Hour Rmeg; Z(121r 7 Ail)
ccartgnted capacity to drive *acne, is homy: d
24 fd
Engine • tlrivea n et dedicated to Ile tam *
c ) [nation of noel ttwc —
Emergency a» Sbvtdby Syytan and an bolo." so primary Potwar Supply, instead prosie ; a Secondary
Emergency System described in NFPA 70, Article 700
t Power supply'
)Legally Rev:1114rd Standby System described in NFPA 70, Article 71
Optional Standby de scribed in NFPA 70. Article 702, which also netts the performance re:p ire nt: MS oi'Arviclo 700 or 70 t
9. System Software
a) Operating System, Software Revi sign Levet(t): N/A.
b) Application Software Re L N/
c) itevisinn Completed by: N / A
(nrrtp
JO, Cornmanta
(Signed) tbs. CcnErat station of Alarm Serv; w C empary (litho)
Frequency of routine renii ana 1nspoctione, if other than in accordance with the referenced NFPA stan derd(s):. NONE (dam)
--
System deviations from ttte refcrronce NFPA stsndard(s) arc:
(Sign "for Canna] S:• ion of Alarm Se vice Company ( ��� 7 ' '� '
(title) ( da
Upon compJa' or th (s) sattsfs story seat(s) witnessed Of by
X
C tile aln havirrgjurisditxi );
(tid
(Signed) tEptm�tta b of authoauthority ha�n8 jurisdiepos+ 4 /I 2--VO
e) (dt}
Figure 1 -7.2.1 Record ofCmirplOioo (continued).
1%,78 Exdtion