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Permit - Y "2 / !� 0 . 8 fz espr i A.4-ecL_ PQ rm i ce; = ,c adt d._. L- rot,.)_ U o:l*c�- - - ELECTRICAL PERMIT 1, 4 CITY OF TIGARD PERMIT #: ELC2008-00653 °. COMMUNITY DEVELOPMENT D ATE ISSUED: 11/26/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134DC-02700 SITE ADDRESS: 11330 SW TIGARD ST ZONING: R - 4.5 SUBDIVISION: CHERRY HILL ACRE TRACTS LOT : 011 JURISDICTION: TIG PROJECT: JENSEN Project Description: New sub panel and garage remodel. Job No. 57935. 12/04/08 ADDED low voltage audio system. 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: `•5 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: 4 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: LARRY J JENSEN REDS ELECTRIC CO INC 11330 SW TIGARD ST 6336 SE 107TH AVE TIGARD, OR 97223 PORTLAND, OR 97266 Phone: Contact #: PRI 503 - 233 -6467 FAX 503 - 233 -1281 FEES Description Date Amount Reg #: ELE 26 -152C [ELPRMT] ELC Permit 11/26/2001 $106.90 LIC 4443 [TAX] 12% State Surchar 11/26/200t $12.83 SUP 5010S [ELPRMT] ELC Permit 12/4/2008 $75.00 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $203.73 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: Permittee Signature: � ®(l j IN C 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: 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. CITY OF TIGARD ELECTRICAL PERMIT PERMIT ED : E /26/20 - 00653 COMMUNITY DEVELOPMENT DATE ISSUED: 11/26/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134DC-02700 SITE ADDRESS: 11330 SW TIGARD ST ZONING: R - 4.5 SUBDIVISION: CHERRY HILL ACRE TRACTS LOT : 011 JURISDICTION: TIG PROJECT: JENSEN Project Description: New sub panel and garage remodel. Job No. 57935 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: 4 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: LARRY J JENSEN REDS ELECTRIC CO INC 11330 SW TIGARD ST 6336 SE 107TH AVE TIGARD, OR 97223 PORTLAND, OR 97266 Phone: Contact #: PRI 503 - 233 -6467 FAX 503 - 233 -1281 FEES Description Date Amount Reg #: ELE 26 -I52C [ELPRMT] ELC Permit 11/26/2001 $106.90 LIC 4443 [TAX] 12% State 11/26/2001 $12.83 SUP 5010S Total $119.73 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR Specialty Codes and all other applicable laws All work .- •o - '• accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe• •ed for more tha 1 :.. - s ATTENTION' Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Tho - rules are set forth ' OA; 2- 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. 2. Iss - d By: // „ • Permittee Signat re: 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: -ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: i . 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. Dec. 4. 2008 11:16AM Reds Electric No. 7754 P. 2 f r... Electrical Permit AppilcatNO�a FOR ' t7l OFF IC i USE 01 L • • 74 City of Tigard Received • e ,mt No.:G 6 3 13125 SW Hall Blvd,, Tigard, OR 97223 ® Date/B : 2, y ., , P i C Z �� • • 11 E g Plan Review Other Permit. Phone: 503 6394171 Pax. 503,59 u:ddD . _ Ti G A R D inspection Line: 503 639.4175 Date heady /By, lung w ® See Page 2 for - lnternel, www,tigard- or.gov t•. n NuuliieJ/Melhud Supplemental Information n ,, TY PE. ,. � " • P LAN REVIL . , • ❑ New construction ❑ Addition /alterazion /rephlr�ylilir� please check all that apply Out 2 ;.e4 ;.e4 of plans w /hems checked below) kW �� O 0 Service or feeder 400 amps or more ❑ Building ova three glories ❑ Demolition ❑ _ Other: �, J where the available fault contra ❑ Marinas and boatyards ' L;ATEGORY' OF CO „ rt. r ' ,:• ' . : 'i7+ ” ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings, et . • ' less to ground, urn exceeds 14,000 ❑ Commercial -use agncullurat ❑ I - and 2- family dwelling ❑ Commcrcia r. ial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder El Other: ❑ Fire pinup. ❑ Installation of75 KVA or ❑Emergency system. let separately derived system. - JOB, SITE ',.INFORMA'fiOJ' Aliln'� ,LOCATION -.,',. ,,, .:,7 - � , . �• �,,..- : ❑ Addition of new mninr load of ❑ "A" "E" "1 -2" "1 -3" Job no.: Job site address: 100HP or more occupancy � .f 4f _. f ' l ❑ Six pr more rc gnlentiT,l pmlg ❑ Rccrealiottal v C u c1C parks City /State /ZIP. ❑ Hcalth -cam facthucs 0 Supply voltage for utore than ❑ l l arardous Iocalrung, 600 vplit nominal Suite/bldg. /apt. no: Project name: ~� 0 Service or feeder 600 amps oho more •FFE S RFO,f,1L1 Cross street/directions to ob site: rt - J DeripGau I Qtr• I Fee. I Tnrcl New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision Lot Ito.: 1,000 sq. fu or less 145,15 4 Ei. add'I 500 sq ft. or portion 33 40 1 Tax map /parcel no.: _ s Limited energy, residential .,t:. ia:, -1`' ; .;DL GRIPTIC) /p TV , . , , , , , - i. t'* r 75.00 2 ...: >•: .`'�.�,;:�w �'• � •- =- . ;; . � K, , ; ,'; . .,- ; ,�;: i :ii:;',, ,,;,;, (with above sq, 4, ) - s y A KE ` i r r J�/►�� Limited energy, multifamily � 0.404 � - 00(e53 residential (with above so, fl ) 75.00 2 ' r\ 112.A. � r l Q Services or feeders installation, alteration, and /pr relocation 1 ...„;.„1',,,-,.` 200 amps or less 80 30 2 : - 4:' - , ;: i , _g: lZO1EAT & ..,.1".:, :', ,;6 M : ' - xY t -w /: t EEy `. : - - ,_.. �,, y x.,; ;, 2 • ,., , , ` o a , � 7 1A 1 , e g i 4,;_ 1 7, ,a G �t ;, 201 amps to 400 amps 106 85 Name: 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 /5lale/ZIP: Temporary services or feeders installation, alteration, and /or relocation • Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which 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. Fcc for branch circuits with ;:t i : i' :� k f•.'$ 0h+X' % ..i;:: � ,` ;'; �'- ".cI8l e ''NT ' t ° o rl}, •. ; i-f: above service or feeder fee, r,. ` "' ' , Q .,, di` : a'.; ._ C 6.65 2 each branch circuit Business name: B. Fec for branch circuits Contact name: without service or feeder fee, 46 85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: birch manufactured or modular dwelling, service and/or feeder 90.90 2 Phone. ( ) 1 -ax. • ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53 40 2 • { - }: ;A <�J.t .-„ ,r.,.. \i. >i•,c. . . ;,� , _ .. J ,, "�� -, .. ^ nr f •'i1 :, '..,,,,,.� , ; „c' ' r egig ' ,:. -; R'b•. ,ti<'. nyt,ti'p = , ;',7 Sign or outline lighting 53.40 2 L3usini Signal circuit(s) or limited - energy panel, alteration, or Addre RED'S ELECTRIC CO. INC. extension. Describe* Page 2 2 6336 SE 107TH AVE , City/5. PORTLAND, OR 87266 Each additional inseclion over allowable in any of the above 503 - 2334467 FAX 503 - 233 -1281 Per inspection 62.50 _ Phone CC8# 4443 ELECRICAL LIC 26 -152C SUPRV LIC 6010S Investigation per hour (I hr min) 62.50 CC13 .. industrial plant per hour 73 75 I Suprv. Electrician signature, required: 51.:::':...a...:7- 1 B CAL= 1 R ES ” S Print name: Date: Plan lcvicw (25% of permit fcc), State surcharge (12% of permit fee). Authorized signature: TOTAL PERMIT FEE. [l0 This permit application expires if it permit is not obtained within 180 Print name' Date: days after it has been accepted as complete- ' Nutribci of inspections allowed per permit 11 Duddinglfu Mild \ELG- Yormunpp.dnc OS /2d/U° 445 -0615 /Os /Cosuvorit t _ Nov. 26. 2008 2:43PM Red RECEIVED . . No, 7686 P. 2 Electrical Permit Application I OR OFFICE i.J 1 ONLY 1111 City of Tigard NOV 2 6 2008 Received 6.4.0,000.- a c'5 ° 13125 SW Hall Blvd., Tigard, OR 2,7223 Plan Review / g6, AD , permit No. 3 ' Phone. 503,639 4171 Fax so3. ' I9 oOF TIGARD Other Permit DateB . I G ARD Inspection Line - 503.639,1175 BUILDI DIVISION Poleilk ® See Page 2for Internet' www tigard- ur.gnv Norified/MUlwd Supplemental Information ;•, ,. • : ' - : TY1 E:OF WOR3C- -,`,l - .. • '•. PLAIN' REVIL1Y N ew construction Please check all Mar apply (submit 2 sear of ohms w /items checked below). ❑ 4 .ddilion/al(cration/rcplaccmcnt ) ❑ Demolition ❑ Other: ❑ Service or feeder 400 :Imo or more ❑ Building over three smiles. where rho available fault current ❑ Marinas and boatyards — - . CATEGORY OF c NS1'Rr,1:C71 oLV' � _ "; -`•.-. ' exceeds 10,000 amps )u 150 volts or El Floating buildtnge lets to ground, or exceeds 14,000 ❑ Commercial -use agricultural X I - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations buildings ❑ Multi - family ❑ Muster builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or ❑ Emergency ystem larger separately derived ty JOB; SITE` INFORMATION 'AND ` I:OC4.'I'1ON "; ; :,', • Y Oc. - _I r� "%` ❑Addiuon°fnewmorayloadof ❑'n' °]" °I 2' l a° o• 1 J ob site a ddress: C (../1/431--i I i. of or more occupancy Job n ❑ S pr more residential units. ❑ Rccrcational velm.le par Ci ty /S tate /ZIP: } n h, ,� e G ❑ Health -care facilities ❑ Supply voltage for mote than c \ ❑1)a.t,vdous locations 600 vubs nominal Suite /bldg. /tat. no„ Project namc. j ❑ Service or feeder 600 amps or more • Cross street/directions to ':''i ; ,FEE, F C Job site: . Derm . )lian ETIM® Twill New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision; -� Lot no.: 1,000 sq. fi or less 145.15 4 Ea add' 1 500 sq. ft or portion 33.40 1 fax map /parcel no.: -- :;;e'a;Y•? - ::,.. • - Limited energy, residential y ,, a : C,ItntTION WORTC ; , . . : :i:. ,, : i , -- -,•„ , (wi h ve a ) 75.00 2 .'.�'t �,: , %l:Y.i.. :;) ,,`'�..= i,:,' ; , . D - r..: rt'•�r I db0 4 ., , -_ • r Limited energy, th q . 0 ll�l 96UNCLUI- (�1 A �y n p C r""`" v � d residcntial (wit above sq. q,) 75,00 2 Services or feeders installation, alteration, and /or relocation s 200 amps or less I 80.30 /p tP 2 ` '20 „• PiR7:Ye c, : ":9a - " •"',41 r.,.;t - '-x r M : v: r`,h.•sY?,•' � t �,. 0OR.L.- , ;-Of1 `I! )lZ -,, �'i` S`\ f %c.,,., . •_ tc , :s . . arT��Y 1 u 13- . vt -, , a. 201 amps to 400 amps ] 06.85 2 Name: 401 amps to 600 amps 160 60 2 601 amps to 1,000 amps 240 60 2 Address: - Over 1,000 snips or volts 454 65 — _ 2 ' City/State/ZIP: Temporary ccrvicee or feeders installation, alteration, nnd/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66 85 1 Owner installation: This installation is being made on property that I own which 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 ti.; ? :,''n _do'�-,7 w a y,,.. , .• ,. , c , ;y);r , ,�. w '•.. ,,r., �y A. Fee for branch circuits with ie: J-, •. 47',,, I0AA11FI7Si�r•, ; :r :5' , :; r,:' .t ; Q ¢.,V , ` t4 '3f5 t above service or feeder fee, (` 6.65 n 2 Business name: each branch circuit y � B Fee for branch circuits Contact name: without service or feeder fcc 46.85 2 first branch circuit Address: Each add'! bra circuit 6.65 2 Miscellaneous (service or feeder not included) City /Stale /ZIP: Each manufactured or modular dwelltny, service and/or feeder 90 90 2 Phone: ( ) Fax: : ( ) Reconnect only 66 85 2 E -mail: Pump or irrigation circle 53.40 2 ' ':•=t..l` � � '.,f,. ''j � r r, .- �CG r r�^•rr• ' r4. k. 't',.�n.,.. J-. •WI:Y:.r...d.., yl sign Of outline lighting 53 40 2 -.11 '1.1- ., -r .. ,? . yr , , .. •'.75• � Yi!: ;'t . . _„ ,. , :.. +:�: :a n i.dAtivtQ a;aE. , . sini Signal circuit(s) or limited. RED'S ELECT CO. INC. energy De y pan alteration, or Addre ext Describe: Page c 2 2 6336 SE 107TH AVE City /. PORTLAND, OR 97266 Each additional inspection over allowable in antof the above 503 - 233 - 6467 FAX 5Q3- 233 -1281 Per inspecuon 62 50 Phone CCB# 4443 ELECRICAL LIC 26 - 152C SUPRV LIC 50105 investigation pet (tour (l hr min) 62.50 CCB .. industrial plant per hour 73.75 ' r P ::" „r; EC1'RfCAL.PER tit Fels - :; „ . ',. Suprv. Electrician signature, required: i . • v }� 1 Y Subtotal, /0/0-9° �� " "" Plan review (25% of permit fcc). Print name: I Date. State surcharge (12% of permit fee). t Authorized signature: TOTAL PERMIT FEE f r Print name: Date: This permit application expires if a permit is not obtained within 1RO days after it has been accepted as complete. • Number of inspections allowed per permit 1 :\BuddiapWermiu\F.t.C.PermiLApp dal 05/22/06 440- 1615T(I1 /05 /CUM/WEE CITY OF TIGARD BUILDING DIVISION PERMIT #: • ELC2008.00E53 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. 11/2600013 Phone: (503) 639 -4171 '� i �p.IJI'j Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/2/2009 TIME: 7:01AIvi PAGE: 1 SITE ADDRESS: 1 SW TIGARD ST CLASS OF WORK: SUBDIVISION: CHERRY HILL ACRE TRACTS LOT #: 01.1 TYPE OF USE: PROJECT NAME: JENSEI J DESCRIPTION: New sub panel and garage remodel. Job No. 67935. 12/04/0(3 ADDED low voltage audio system. OWNER: JENSEN, LARRY PHONE #: CONTRACTOR: RFDS ELECTRIC CO INC PHONE #: 603-233.0467 Inspection Request Scheduled For: Date: 1/212009 Pour Time: Code # Inspection Description Confirm # Contact # .Message 199 Electrical final 07934t3 -01 503 -233 -6467 Y Corrections /Comments /Instructions: 5 92:55 I J c _V IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr ---- 1 N' L_ Date: 1 '1.----' 9 Phone #: (503) 718- 1-1114) . . , , . CITY OF TIGARD BUILDING DIVISION _ • i.. PERMIT #: F100013.00653 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/26/2000 Phone: (503) 639-4171 rttil Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/30/2000 TIME: 7 PAGE: 10 SITE ADDRESS: 11330 SW TIGAI ST CLASS OF WORK: SUBDIVISION: CHERRY HILL ACRE TRACTS LOT #: oli TYPE OF USE: PROJECT NAME: jualsEN DESCRIPTION: New sub pan..I and garage [model. Job No. 57935. 12/(4/08 ADDED low voltage audio system. OWNER: JENSEN, LARRY PHONE #: CONTRACTOR: REDS ELECTRIC CO INC. PHONE #: 503733.6467 Inspection Request Scheduled For: Date: 12/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message .. 199 Electrical final 079261-01 503-619-9235 Y ST - f- - - Corrections/Comments/Instructions: 07/0 . . .. CI \f‘0 S'f igo LiYiN --4,A)Qida, Tik(ZA) Mkt' 1" o KAI --"Its i?l.ol k` • '• A 1--\,-WAA -----._ 11] PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 75?7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 3 1 \)()Q) LE Date: 1 Phone #: (503) 718- 1'4% CITY OF TIGARD P - '•=, BUIL-13INt DIVISION ,:.--: ': PERMIT #: ELC2008-00E63 13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: .11p6p2gg Phone: (503) 639-4171 .4ii,‘4,,,,V • Inspection Requests (24 Hrs.): (503) 639-4175 ....,.....„ --- INSPECTION WORKSHEET FOR DATE: 12./4/2008 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 11330 SW TIGARD ST CLASS OF WORK: SUBDIVISION: CHFP.RY HILL ACRE TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New sub panel and oarage remodel. Job No. 67935 OWNER: JENSEN, LARRY PHONE #: CONTRACTOR: REDS ELECTRIC CO INC PHONE #: 503.-233.6467 Inspection Request Scheduled For: Date: 12/412008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 tesIND Electrical rough•in '- 078790 01 503233-6467 Y (--- Corrections/Comments/Instructions: SILV E i 9 1 L I 4...t.--- 4 (a etLA. e Abb 6 • ,6IL 1 1 • ' El PARTIAL APPROVAL E CANCEL D NO ACCESS 0 FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: C' N ng ua Date: 1'2-- li -1 Phone #: (503) 718- 1- , • • .. : ' ''*4 i;',•',. -q•: :' ,,'' i !..,:Y.:it ; :,,. ,,...,,, ; -:. , ,, • ' :f,e'• _ , '' Dec. 4 2008 11:16 'R'eds Electric . No. 7754 P. 3 ... hiectrical ilermit Application - City of Tigard ,. ._ - r • , 'Page 2 - Supplemental Information LIMITED ENERGYPERMIT FEES: ,-. ,.., Fee for- residential systems' combined ... $75.00 Check Type of Work Involved; Audio and Stereo Systems* O Burglar Alarm n Garage Door Opener* 0 Heating, Ventilation and Air Conditioning Sysiem* [II Vacuum Systems* , .■.i 0 Other :.7 j " ''''' — . ,' s• '' '''''.`p,IPA,ft.-) ' - Gj7,9, :: t. ' 01 1 4RCIAL.V. StRit OIA ::::. : ').i7:4,i'Li,,,' Fee for each coinnaercial " r $75.00 .-.. system (SEE OAR 918-309-0000). Check Type of Work Involved: 0 Audio and Stereo Systems 0 Boiler Controls 0 Clock Systems • 0 Data TelecommunicationAnstallation , . . p Fire Alarm Installation 0 EIVAC . . • , .3 0 Instrumentation . . . 0 Intercom and Paging Systems . . 0 Landscape Irrigation COntrol* . 0 Medical O Nurse Calls fl Outdoor Landscape Lighting* E Protective Signaling 0 Other_ Total number of commercial systems; . . *No licenses are required. Licenses are required for all other installations .. , 1:1BuilOing\PernIMELc-PennitApp.duc 0323106 . .. • .. . • .