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Permit
'' CITY OF TIGARD ELECTRICAL PERMIT lig e ° PERMIT #: ELC2008 -00214 COMMUNITY DEVELOPMENT DATE ISSUED: 4/14/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S134A6 03300 SIM ADDRESS: 10330 SW SCHOLLS FERRY RD ZONING: R -12 SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: MUSLIM EDUCATIONAL TRU Project Description: (1) branch circuit for power supply for fire alarm. Job No. 8176 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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 MILESTONE ELECTRIC PO BOX 283 1800 NW 169TH PL. SUITE B700 TIGARD, OR 97223 BEAVERTON, OR 97006 Phone: Contact #: PRI 503 - 645 -5323 FAX 503- 690 -4843 FEES Description Date Amount Reg #: ELE 34 -6I8C [ELPRMT] ELC Permit 4/14/2008 $46.85 LIC 153480 [TAX] 12% State 4/14/2008 $5.62 SUP 45745 Total $52.47 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 - _ •rth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies o . - e rules or direct questions to OUNC at 503.246.6• • 9 or 1.800. Issued B : - . . -/ Permittee Signa _ 1° /: / // / - / 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:., / ;i / _r l�`__ 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 requited on the job site at the time of each inspection. Y ' \ Apr.11. 2008 9:O0AM Milestone Electric No. 0551 P. 1 • .lectrical Permit Application FOR ctrl r_ 11.1: (.)1_‘ �,. City o Tigard y / f D , 9 Permittro.: ze A -ooh /, 14 i 13125 SW Ball Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.59 . ne: 503.639,4175 M p , Other Permit. I t ; ; u t� Inspection Li C g ,` S� `L�' pare Ready/By Ray- ® See Page 2 for Internet: www.tigard -or.gov f A, v l i @ Nod£Kd/Method er /0 Supplemental Information ' TYPE i)F WORK ' c` t tCa `�� °1� �\ PLAN REVIEW ❑ New construction I[,Addition/alter a # erlt Please check all that apply (submit / sets of plans whams checked below). /❑ Other: ® Cl service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition � 01' where the available th It current ❑ Marinas and boatyards, • • CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. 0 1 - and 2 family dwelling g_Cor mercial/indushial 0 Accessory building less to groans, other ens. ❑ c buildings. use agricultural amps for all other iaatallatioos. bm7dings 0 Multi family Master builder 0 Other: O Fee ptwrp. ❑ Installation of 75 RYA or DEmcrgency system larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A °, "E", "1.2 ". "1-3". ' IOOI•IP or more. ooaapanoy, Job no.: R, .) C, l job site address: / 0330 51). £ 4c1/5 / ," Dsu or or me rrsideaiial units 0 Recreational vehicle packs. City/State/ZIP: rt� • Dllealrh•eare faoiiti ❑ilasardaas locations. es. ❑ Supply voltage for more than 600 volts nominal. Suite/bldg./apt. no.: f Project rums: F,Pe A / rraka / �„ S a y .r i j di 'k k = servi« or feeder 600 amps or name, (` FEE SCREDULE . Cross street/directions to job site: - Dntxiptibo l Qty_ I' Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4 Ea add'l 500 sq. R or portion 33.40 1 Tax map/parcel no.: AS' / 3 '4 I? al 33 00 Limited energy, residential 7s.00 2 DESCRIPTION Dk WORK. (with above sq. ft ). • r ' Limited energy, multi .1 of / 1 the c,,,-.1-1-41,--• Alt 1 _ ie - „.( 11400 - 1 residential (with above sq. ft.) 75.00 2 Services or feeders installatiion and/or relocatio 200 amps or less 80.30 ; 2 201 amps to 400 amps 106.85 2 • Name: ALti1/ j i� f 4i f T S7 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: ( ) 1 Fax: ( ) ' 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own wh iell 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 Owner signature: Date: • Branch circuits- new, alteration, or extension, per panel A. Fee for branch circuits with •• ❑ APPLICANT 0 CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: ' B_ Fee for branch circuits Contact name: without service or feeder fee, j 46 L `g 2 first branch circuit Address: Each add'1 branch circuit 6.65 - 2 Miacelianeous (service or feeder not included) City /Statc/ZlP: Each manufactured or modular 90.90 2 Phone: ( ) l Fax: : ( ) dwelling. service and/or feeder Reconnect only • 66.85 2 E-mail: Pump or irrigation circle 53.40 2 • . ' CONTRACTOR Sign or outline lighting 53,40 2 Business name: .,/ �/ �( / Signal cirtn it(s) or limited - /� t eve' /` . /'r ( (/ ��Y' energy panel, alteration, or Address: /16,0 416/ /r'. ' f eteG-- �otii')e 1.? 20 extension. Describe: Page 2 2 City/State/ZIP: 4 R ' says '6)/ Each additional inspection over allowable in any of the above ' Per inspection 62.50 Pbone: f 3)L c - Z3 / j � Fax: (25 6 �Q Investigation per hour 0 hr min) 62.50 CCB Lie.: , f'3ie* E lectrical L � I Suprv. Li�f i�' 3 Lie.: LL $-?[/j Industrial plant per hour 73.75 Suprv. Electrician signature, r'equired:,��, I '' ELECTRICAL PERMIT FEES TC,, , to Print name; `1 t , , 1 , f ( Date: 44. - o Plan review (25% of pe fee): / �/ State surcharge (12% of perm it fee): 57 `,'"Z` Authorized signature: ,..7,„/ �, TOTAL PERMIT FEE: + l! This permit application expires if a permit is ear obtained thin 1 4 , days aaterit has been acc as complete L'tB,dldmglPer iis\m.C3ermitApp doc 05153/06 440.46151(1 l/o5/COM/Wts * Number of inspections allowed per pentdt • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008•002MM 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02AM PAGE: 21 SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MUSLIM EDUCATIONAL TRU DESCRIPTION: (1) branch circuit for power supply for fire alarm. Job No. 8176 OWNER: MUSLIM EDUCATIONAL. TRUST, PHONE #: CONTRACTOR. MILESTONE ELECTRIC PHONE #: 503 - 645 - 5323 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description C. -firm • Contact # Message 199 Electrical final 168394 -01 603 -€15 -5323 N Corrections /Comments/ Instructions: O Q rto a 1 fb 6 A 6 AWAWCID .6� -- 4� b C J i c.i cZcAA t p coal _ mi. 1 ` 0.3 A - 66)7 PiaiDtnt ` €-6©Oio ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 6 6 Date: 11 r 01 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: 1:W2003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/200:1 Phone: (503) 639 -4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 �' `'I I.. INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 10330 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MUSLIM EDUCATIONAL TRU DESCRIPTION: (1) branch circuit for power supply for fire alarm. Job No. 8176 OWNER: MUSLIM EDUCATIONAL TRUST, PHONE #: CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 - 645 - 5323 Inspection Request Scheduled For: Date: 4/1612008 Pour Time: Code # Inspection Description Confirm • Contact # Aessage )99 Electrical final ( 068446.01 503-645-5323 Y Corrections /Comments / Instructions: • ■ \ (7' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N68 Date: 1 41`4 � Phone #: (503) 718- witik,