Permit 4 7,
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00500
' ° • COMMUNITY DEVELOPMENT DATE ISSUED: 9/2/2008
TIGARD 1 31 25 SW Hall Blvd., Tigard, OR 9.7223 503.639.4171 PARCEL: 1S134AB
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD ZONING: R - 12
SUBDIVISION: MUSLIM EDUCATIONAL TRUST LOT : JURISDICTION: TIG
PROJECT: MUSLIM EDUCATIONAL TRUST
Project Description: Install security lights, wire building with panel.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 6 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MUSLIM EDUCATIONAL TRUST INC WINNER ELECTRIC INC
PO BOX 283 5950 SW PROSPERITY PK
PORTLAND, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 638 -5028
FAX 503 - 638 -4242
FEES
Description Date Amount Reg #: ELE 34 -I50C
[ELPRMT] ELC Permit 9/2/2008 $120.20 LIC 14794
[TAX] 12% State 9/2/2008 $14.42 SUP 28255
Total $134.62 REQUIRED ITEMS AND REPORTS
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 - -= orth 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.- •99 or 1.80 I; -
Issue. By: I / Permittee Signatuf
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:
NTRACTOR INSTALLATION ONLY
•
SIGNATURE OF SUPR. ELEC'N: 4111111111Pf �,',���8 —�- 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.
'ctrical Permit A 1 1 lication FOR OFFICE USE ONLY
City of 'RECEIVE Date/By 8 / a ? fox 4-y Pernut No. E J- o0 -vo5L40
13125 SW Hall Blvd , Tigard, OR 97223 Q Plan Review
Phone 503 639 4171 Fax 503 598 1960 AUG 2 9 NOB Date /By Other Permit
T 1 G A R D Inspection Line 503 639 4175 Date Ready/ By )un ® See Page 2 for
IInternet: U www [igard - goy OF TIGARD Notified/Method Supplemental Information
TYPE OF W D ING DWI" PLAN REVIEW
❑ New construction 14 Addition /alteration /replacement Please check all that apply (submit 2 sets of plans wntenxs checked below)
❑ Service or (ceder 100 ,unoss or more ❑ Bmldine over three ,tones
❑Demul'non ❑Other I where the ,iv,ulable 'atilt uirrent ❑i,,trma>,indbiiarvaids
CATEGORY OF CONSTRUCTION I i , 2vicecds II) OM unua,it I :0 vow,. or ❑ rto,dul_ buildiri s
less to ground..tr exceeds 14.000 ❑ Commercial -use agricultural
❑ I 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
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E I -3 ", ' (- '
Job no I Job site address / 0 3 3 o 1M F �o igi ❑ Six or more more ❑ occupancy
� Y " Six or mare residential units Recreauonal vehicle Darks
C.Ity /State /ZIP• .. ^ y lti.1 0 `7'7 Z 2'7 ❑ Health -care c ❑ Supply voltage for more than
`Y V I / ❑Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: Project name:25 » ' i e T Cte.41 ❑ Service or feeder 600 amps ur more
FEE SCHEDULE
Cross street/directions to job site 0 A se etrf.. ,e, jZ fy g ! �i 1 a3 Description i Qo. I Fee. l total I '
I New residential single- in multi -family dwelling unit.
b I , 1 C. y vie 4- (S Includes attached garage.
1.000 sq 1t. or less 145 1 5 4
SulSavisiun: Lot nu.. 1
Ea add') 500 sq ft or portion 33 40 !
Tax map /parcel no I
Limited energy. tesidenual 75 00 2
DESCRIPTION OF WORK (with above .)q it 1
Limited energy, multi-family � . eCJ1Z.4 ' �y 1,JJ? I , re siuennal (wilt move ,.I it ; I 75 00 I 2
l I
l �
� p \ A �� D � r i S or feeders installahun..ilter: tion..urtd /or relocation
W
/ vV , 1 r 00 amps or less / 80 30 g(y S'[) 2
W PROPERTY OWNER I ❑ TENANT 201 amps to 401) amps / I 106 35
V X11 �� 11 .11)1 .imps to 600 .imps � I 160 6(1 � 2
1 - t - 1 -1 uC. A. 770 p ./ /} L / S/ / /LJ � 601 amps to 1.000 amps � 240 60 I I
Address. 7''‘, , ,x a 8 3 Over 1,000 amps or volts I 454 65 7
City /StateiZIP' T( o2_ 47x2-3 temporary services or feeders Installation, alteration, and /or
relocation
Phone: 1 ) I Fax 1 i 200 amps or less bit 35 I
Owner installation: This installation is heme made on property that f own which is not
2 01 amps to 400 amps I I 100 30 I 12
mended or `.ale. lease. rani, Jr'; Lilail_e. ,1euuruii1 to OR.; (-17. - 149. 67)). and 71)!. I 41)1 amps a f9') amps j I;; ? I I
Owner stgnu[ure' Date i I Branch circuits - new, alteration, or extension, per panel
A Fee For branch circuits It (di
❑ APPLiCANF I ❑ CONTACT PERSON above •,ervicc or (ceder gee. ,i �_ Q -
�q
cacti 5ranch circuit 6, J/w
Business name (3 Fec fur branch circuits
I i .e/thou/ ;ernce or reeu!er lee.
Contact tame' 4b
iirst circait I i I
Address I each ,idd'I brancn circuit i j n ‘15 I -
\'liscellaneous (service or feeder not inctudeti)
Cit'.' /State / I I
LaLII :n,Inuiacucd tit modular i 'N) - %0 I -
,Iwellin_. ,crt Ice ,Inibut recocr I
Phone i I I Fax: •' ) , Reconnect only I I 1iti , 1 5 I '
:: - .nii i I''Imn.r Irrloat•I:n IPiL i j ,: -u) _
t.iJINTR:ICTOR i ;nor it ,iodine Ii nunit — I .1-1) —
Spatial circuit(S) or limi ted-
1 3usiness name 10 ;Antre"- E 0 .-' ( energy panel. .alteration of '
Address: 6 (0 S.-Ai s ft AA- g extension Describe Page 2 2
(::t), /' "tate/ZIP 'r 4 1„4 04_ q /�[ Z
7 A Each .additional Insnecnon Ii. y ci
er allowable in air, the ,move
`{ o Per inspection 62 30 I
Phone: I y � ) 4,3g 65z Fax: (625 ) C3 $ '/) `4,1 Investigation per hour i 1 he twat 62 50
CCB Lic.: I L % i j I Electrical Lic . w /"it5QL Suprv. Lic : 2 s - G',f' Industrial plant per hour IIII 73 75
ELECTRICAL PERMIT FEES
Supry Electrician signature. required. npI p�Qil�� Subtotal ,1, 0
Print name' Wok VUW N1 '� Date: T.-, (- 6 _,0t. Plan review (25 °% of permit fee):
W State surcharge (12% of permit fee). 1 2.6 42--
Authorized si i\itAxit,
afore: TOTAL. PERMIT FEE 1 5 c.} C'L
Print name This permit application expires if a permit is not obtained within 180
Date: days after it has been accepted as complete.
r
CITY OF TIGARD ,_-.. ge
BUILDING DIVISION PERMIT #: El_C2008 li0tM0 1
Alk 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W2!7008
Phone: (503) 639 -4171 I►
Inspection Requests (24 Hrs.): (503) 639 -4175 °1 I �..
INSPECTION WORKSHEET FOR DATE: 12/1/20()8 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: MUSLIM EDUCATIONAL TRUST LOT #: TYPE OF USE:
PROJECT NAME: MUSLIM EDUCATIONAL TRUST
DESCRIPTION: Install security lights, wire building with panel.
OWNER: MUSI.IM EDUCATIONAL TRUST INC, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 6p3 -5028
Inspection Request Scheduled For: Date: 12/1/ 2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message 1
199 Electrical final 078631 -01 503 - 638 5028 Y
Corrections/Comments/Instructions:
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16'1 4 PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
,%1 AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins 4 2-1.42-A'
Date: / 2 -/ - C4 Phone #: (503) 718-
CITY OF TIGARD
1
•
BUILDING DIVISION PERMIT #: ELC200R- 00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 /7 /2008
Phone: (503) 639 -4171 y t
Inspection Requests (24 Hrs.): (503) 639 -4175 . !j +L e1 I 1 ..
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: MUSLIM EDUCATIONAL TRUST LOT #: TYPE OF USE:
PROJECT NAME: MUSLIM EDUCATIONAL TRUST
DESCRIPTION: Install security lights, wire building with panel.
OWNER: MUSLIM EDUCATIONAL TRUST INC, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503.6 3B -6028
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 078528.01 503-638-5020 ✓ Y v
Corrections /Comments /Instructions:
C 4.4 4 - - r e . . , c -+- cti c ii 0 1-" l e Ai k N l e c2 l
4.0 G -McH -1 o e �D hi ee- - le e rs g5 e_ i.J
Q,,., . k✓ -e-, -■ 1 Sit-✓` T C '
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //-LG - P Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION . . PERMIT #:
ELC2008.00500
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7J2008
Phone: (503) 639 -4171 . .
Inspection Requests (24 Hrs.): (503) 639 -4175 ..._ 4.
INSPECTION WORKSHEET FOR DATE: 9/2212000 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: MUSLIM EDUCATIONAL TRUST LOT #: TYPE OF USE:
PROJECT NAME: MUSUMVM EDUCATIONAL TRUST
DESCRIPTION: Install security lights, wire building with panel.
OWNER: MUSLIM EDUCATIONAL TRUST INC, PHONE #:
CONTRACTOR wINNER ELECTRIC INC PHONE #: 503638 -5028
Inspection Request Scheduled For: Date: 9172!2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 075679-01 503-638-5028 Y
Corrections /Comments /Instructions: J ��
IYI
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` ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
h FAIL e CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N LE Date: L 1 Phone #: (503) 718-