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Permit p CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2014-00495 T t C;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2014 Parcel: 25111 DD02700 Jurisdiction: Tigard Site address: 8850 SW HAMLET ST Project: Kallevig Subdivision: STRATFORD Lot: 31 Project Description: Replace electrical panel Contractor: DOUBLE E ELECTRIC INC Owner. KALLEVIG, JEFF&KARIN 2626 SE SPRUCE ST 8850 SW HAMLET ST HILLSBORO, OR 97123 TIGARD, OR 97224 PHONE: 503-807-5156 PHONE: FAX: 503-430-5966 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 09/03/2014 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 09/03/2014 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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: • -eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010th •egh OAR 9 -r• -••=0. You may obtain a copy of the rules or direct questions to OUNC by callin• . .1987 or 1 800.3322344. Issued By: �;�T J Perm itteeSignattq'e: �f C1L fr 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' ( rZ_ Date: LICENSE NO. 44'26) 6 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. Sep. 03.2014 08:43 AM PAGE. 2/ 2 RECEIVED Electrical Permit Application City of Tigard Reeehvd ie Q� n' S E P 3 2 014 uAt�nly: 3/�1 Permit No.: ,gD/ �X> 13125 SW HuII Blvd.,Tigard,OR 97223 Phm Reviowr ' e ('hone: 503.718.2439 Fax: 503.598. Olha Permit t..I I I OF I iuAi'u _Ihue/Ity: 1 I r,t r.l, Inxpo ulicra Line: 5113.639.4175 (hue itvadyNy; Aids: Sea Page 3 for hnlernut: www,tIgurd-or.guv _.. 11L.DING DIVISION NnliliaUMdhal; Snpplemertal information' TYPE OF WORK PLAN REVIEW ❑New construction Addition/alteration/replaccmeni Please cheek all that apply(subunit 2 sets of Aim winema checked below); ❑Service or leader 400 amps or tome ❑Building over three s(urics, ❑Dem01ition 0 Other: where the available fault current ©Mariana and boatyards. ~� CATEGORY OF CONSTRUCTION exceeds 10,001 amps at 150 volts or ❑Floating buildings. fain to pound,or execeda 14,000 ❑Cornmereial-osc agrieullural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building naps for ell other insudlatinn%, buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑installation of 150 KVAor JOB SITE INFORMATION AND LOCATION 0 I marprncy system. larger separately derived sycicu, ©Addiii n of not'motor loud of ❑"A""F" "l-2" "l-3", Job no.: Job site address:8850 SW Hamlet St harm or more. ,xetpat,y. ❑Six or more residential units. ❑Recreational vehicle parka. City/State/ZIP:Tigard,OR 97224 ❑Health-cam facilities. 0 Supply voltage for more than ❑11 ,ardou locations. 600 volts nominal. Suite/bldg./apt.no.: Project name_Jef Kallevig ❑$e rviee or leveer Crl um p s or mwti. ---.__.......__._ . FEE SCHEDULE Cross street/directions tojob site: Deu,i,,oe ®0 "' New reuidenlirl single-or muhi-family dwelling unit. Includes attached garage. Subdivision: ---^ Lot no.:---- 1,0(x0 sq.11.or less 168.54 M® --- 1•:u.unki'l 500 st).11.or portion 33.92 I ax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK with above' .ft. II 75.x1 © Limited energy,multifamily ■ 75.0111 2 Panel Change Out residential with above s .11. �_. . .._.. RenewableEnc ❑ See_Pa 2 Serv'iccu or feeders installatb alteration,and/or relocation ❑ PROPERTY OWNER ❑ TENANT 2181 amps,r less 100,70 201 amps to 4(10 amps 133.56 Name: - ___.. . 401 analvs to 600 nunps 200.34 —© Address: Mn amps to%188)amps 301.04 —8 Over 1.000 amps a volts 552.26 —© City/State/ZIP: --------______._._...____. _...._.....__ -...._ — Temporary services or feeders installation,alteration,and/or relocations Phone:( ) Fax:( ) —........ - .. 200 amps+x'less 59.36 1 Owner installation:This installation is being made on properly Thal I own which is not 201 amps to 400 amps_ no 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670.and 701. 401 amps to 599 amps _ tG8.S4 z Owner signature: Date: Branch circuits-new,alteration nr extenslnn, er anet A. h ❑ APPLICANT ❑ Fee for brunch circuits xil CONTACT PERSON lllx+vc service or feeder(cc, _ 7.42 © Business name: each branch circuit — - B,Fes;for branch circuits without Contact name: aurvice nn'hr:der Ice,furl hnnnch circuit 56.18 Address: Each midi brunch circuit 7.42 e City/State/7..IP; - Mtaceltaneous service or feeder nut included _.__ 1-'.ach nmanufactured cr modular' ■ - dwcllin; service and/or fead,r Phone:( ) Fax::( ) keconnect only 67.84 —© E-mail: - _.... r err .. —© Pwnp or irriy�alion o:irde CONTRACTOR Sign Lr txtnine lighting 67.84 —© Si sal eircull s or limited-ener ■ See Business name:Double E Electric,Inc. � t 1 RY r,nsrl.alteration,an'extension. I n'e 2 _ _2 Address:2626 SE Spruce St Each addlliunal inspection over ailcm'abk In an of the shove — --- ----- htvenli�liuttspc�on(I hr min) 66,2.5/hr li City/Stale/ZIP:Hillsboro,OR 97123 -- -. - .... -- lI ( min) 66.25/hr Phone:(503)807-5156 Fax:(503)430-5966 InduLstr ial plarlt(I hr ttltn) 78.18/hr �...,_..__._ Inspection:for which rx'fee is 90,00/hr CCB Lic.: 1 52985 Electrical Lic- 4-627C Suprv.Lic,: 4620S spccilicany li.wed 0 iu min ELECTRICAL PERZMIT FEES Suprv.Electrician signahue,required:t�+Mgr — Subtotal: 1)11k7S eO.r v 1� I'lnn review(25%of permit fee): C ry Print name: Fredric Ekstrom Date 8/31/1014 .....• .. ..-__-___ Stale surelharge(12%ofpcnnit foe): -i'Tt19 • Authorized signature: _._ 'IO'I'AI,PERMITFIsl(: Lul "Ibis permit application cxpirca if a perudt la not obtained wit rn 1Nn Print names Date: - d■5.aarr k bar been accepted as coa+akte. 7 �% a Number of inspections allowed per p,:nna. I:'.IluiWing'R-rmu.th:I,r' PamilApp ELA kkF,k+e KevU3:1'2UI? -i-{U•+hl Tl(IUUS•COM,WF1i 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 8850 SW HAMLET ST, TIGARD, OR, 97224 Residential - Electrical 199 Electrical final PASS - No C of O ELC2014-00495 Jeff Grove Violation Summary: Inspector Contractor