Permit •
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013-00551
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2013
Parcel: 1 S 134AB03300
Jurisdiction: Tigard
Site address: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
• Project Description: (2)temporary feeders.
Contractor: HEIL ELECTRIC CO Owner: MUSLIM EDUCATIONAL TRUST INC
8425 SE STARK ST PO BOX 283
PORTLAND,OR 97216 PORTLAND,OR 97223
PHONE: 503-255-4074 PHONE:
FAX: 503-255-4139
• FEES
Quantity Description Date Amount
2 ea Temp Services or Feeders- 09/18/2013 $118.72
Specifics: 200 amps or less
1 ea 12%State Surcharge- 09/18/2013 $14.25
Type of Use: Electrical
Class of Work:
Type of Const:
Occupancy Grp:
•
•
Total $132.97
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You m- •• - •a copy oft - r direct questions to OUNC by calling 503:232.1987,dr 1.800:332.2344.
• Issued B _ 1 •:rmittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent. .
• OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO. •
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each Inspection.
_09/1_6/2013_11:27 5032554139 HEIL ELECTRIC CO PAGE 01
FOR tThF fCL l:5lt:-ONLY
Electricai Permit A llca Received �,� :.� permit No.: `f�; _ -d0 A City of Tigard DEuta . Ar,
1 Plan Review Other Permit
13125 SW Hall Blvd.,Tigard 03 97?r2,3-n Dmen3 , Sec Page Z for
Phone: 503,7182439 Fax: 503.598 16 2013 DateReady/$y: ii� 111 Seem Page Inspection Line: 503.639.4175 Notitied/Metbod: t�
i C;,,�:(� w,O and-or. o� C TY OF ..�� . . . :. :. ...
Internet: ww � -
Please check all thin apply(submit a sets of plans w/items checked below):
Cl New construction (]Addition/alteration/replacement
❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fiult current ❑Marinas and boatyards.
•❑Demolition ❑ � exceeds 10,000 amps at 150 volts or ❑ploariug buildings
Commercial-use agricultural
. :. ..,:. <. - :a TECOYt'�''0 '..;CONS>RUCTION - . . . less to ground.or exceeds 150 ooO CI buildings.
amps for ail other installations. p buildings,
of 75 KVA or
'1.•:;:';''❑ 1`.and 2-family dwelling �- Commercial/industrial ❑Accessory building pPi Dip• larger separately derived system-
builder ❑Other. ❑Emergmpy system.
❑ tnily JOB SiT IIMEOtRMtT O14 AND.LOCA Additionofnewmotorloadof d"A',..E„' 1-3 .
_ . . o,N
Multi-ill � l"
ocsupanoy,
, 100 P or more. ❑Recreational vehicle parks.
1b O4Or, Job site address:'lv J30 S W - ,s '�.. , ❑Six or more residential units- ❑Sip a ional v is more than
Job no.: ❑Hcalth•oare factitive.
7 2.a�j Cl Hazardous locations.
600 volts Honiara].
City/State/ZIP. ' � 4 � �f ❑Service or feeder 600 amps or more.
Suite/bldgJapt no.: Project name: I5EE re. LE!'" . '
Cross street/directions to job site:
New residential single-or multi-family dwelling unit.
Includes attached garage,
1,000 sq.ft.or less 168.54 MIIIIII
Lot no.; 33.92
Subdivision: Ea.add'►500 sq.ft,or portion
Limited cnerpS residential 75.00
Tax maplparccl no.: -- R) 7 El
with above 5
D>sSC)[ZIpTXON Limited energy,multi-family
O)6' _2___K 5 00
A n) residential with above •-f.
�, cJ-Q1�V ' Er.21=17111 ❑ See P•_e2
VOA �'�,�/ Services or feeders installation.alteration and/or ;�:�
1 ,V4/'"1 -Za0L1, 111 � u'r" 200 amps or less .r_��a`w���r�
-TENANT. 201 amps to 400 amps 133.56•
;;°°., �:,'.:p,PR¢I'�R�' 0.':`. '. 200.34
a 401 amps to 600 amps NER
Name: � 601 amps to 1,000 amps gm 301.04
~-
Address: Over 1,000 amps or volts Ism 552,26 lill Temporary services or feeders installation,alteration,and/or
City/State/ZIP: — ocation 59,36 7 1
---_, Fax:( ) rel rel amps or less
Pa 59.36
Phone:( ) - 201 amps to 400 amps 125.08
Owner installation:This installation is being made on property•that I own which is not 168 54 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps Branch circuits-new alteration or extension. . r ,:nel
Date:
Owner signature: Fee for branch circuit with r
�wri p ace w
`Q•Cf1iN1TA.cT PERSON about service or feeder fee. 7,42
..0,..A/400.117.:, each branch circuit
Business name: _ B.Fee for branch circuits without 2
-- ScrviCC or fecde[fee,fast 56.1 B
Contact name: branch circuit 7.42 r 2
Each add•I branch circuit MO
Address: Miscellaneous(service or feeder not included
Each manufactured or modular . 67.84 2
City/State/ZIP:( /ZIP: dwelling,service and/or feeder -
Phone:( ) Fax::( ) Reconnect only
67.84
Pump or irrigation circle 67,84
lrrnail: _ Sign or outline lighting
. 'CONTRACTOR- Signal circuit(s)or limited-energy �� -
'i : • C.� ••el.alteration.or extension.
Business name: C.� C� v CJ Each additional ins•ection over allowable in an of the above
Additional inspection(1 hr ruin) 66,251 hr
Address: �r 66.25/hr
. . ,., • ■ -2.4(45. Additi
Investigation in inspection
min)(1
y �7 �S /� Industrial plant(1 hr thin) 78.18/hr
P 1 4 Fax:( Gv a'"T �' Inspections for which no fee is 90.001 hr
�� Suprv.Lie.: -j .. +:M specifically listed 1'/.hr min
Electrical Lt•' ELECTRICAL.RED^IMEB .
CCB Lie.: � r � ��Cg7�
ip/f /i subtotal:°�-, ,i7
Suprv.Electrician signature,required: i . , �� ! ' o
Plan review(25%/o of permit fee): ,�
v�� - ,!D Date: r State surcharge(L2%of permit fee): �-R iy.)5
Print name: f C�
TOTAL PBRM1r FEE:
,�_T G qj
Authorised signature: i./, / This permit application expires iif a per permit us not obi reed Mullin-1R
v� Dale: dspe Lion it has ape permit. as complete
Print name: / • Number of inspections allowed per permit.
440.46 t5T(r 1105/COt�1>•'a'Fu
11BUI1dinglPerntite\F1.0 PannitAav_040913.dOC .
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10330 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2013-00551
Jeff Grove
Violation Summary:
Inspector Contractor