HomeMy WebLinkAboutElectrical Permit 11.084 � OF _ .
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44NIVE.e> CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Dat Rough -In Inspection Required? Q Yes Inspection Other Than Rough -in: Ready Now
9 t /� I Contractor /Employer Must Schedule All Rough -In Inspections Contractor /Employer Must Schedule All Final Inspections
. ( 0 Will Schedule
A dress of s ion -Stree Project Description: ,
/ I 1 i t / a Aim / t/ 5' erN MOeV - I d yl
Owner Name i's" r I e
k 64 Ci w'r;
Owner Phone
Home: 4S Z 1 7 / •7 &Z LS t cell:
Contractor /Registered Employer Name 1 Contractor/Registered Employe9Mailing Address y�
s
e l�C.; � /✓ f 1Ci�r ( / (./1 �1 Z 7O /S3 `-a Gj 51 /�5/+sJ 111 .Y a�1j
Contractor /EmployerTelephone Number Contractor /Employer E -mail Address Electrical Utility
Work: 45/ Sg 7 Cell:
— 4'0 i I)
Contract /Employer Authoriz gnature Contractor License Number Job /Project Contact Person:
//1 + -� Ct o W O %rr ii'"
FEE CALCULATION
Service /Power Supply 0-400 ampere @ $35 Technology Systems Devices ( ) @ $ .75 Each
Service /Power Supply 401- 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
Equipotential Planes ( ) @ $35 Each
Service /Power Supply Above 800 ampere @ $100 Center Pivot Irrigation Booms ( ) @ $35 Each
Plus:( ) Electrical Drive Units @ $5 Each
New /Extended Feeders /Circuits Upto 200 A ( ) @$6 Each Luminaire Retrofit Modifications ( ) @ $.25 Each
Feeders /Circuits Above 200A ( ) @ $15 Each Concrete- Encased Electrode Inspection ( ) @ $35 Each
Reconnected Feeders /Circuits ( ) @ $2 Each Investigative Fee $70 Or The Total Inspection Fee,
Whichever is Greater Up to $1,000
Manufactured Home Park Lot Supply ( ) @ $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour
Plus ( ) Miles @ The IRS Mileage Rate of ( )
Recreational Vehicle Site Supply Equipment
( ) Circuits Originating in the Equipment @ $6 Each Other
Street, Parking Lot, Lighting Standard ( ) @ $5 Each Over 600 Volts - Add the combined service /power supply and
feeder /circuit fee to result in double the regular fee (does not
apply to electric sign and outline lighting)
Transformers Up to 10 kva ( ) @ $15 Each ( ) ew Multi- Family Dwellings @ $70 Each
( State Surcharge of $5.00
( ) Additional Circuits Above the 20 Allowed
Per unit @ $6 Each
Transformers Over 10 kva ( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by the
number of required inspection trips, whichever is greater)
Receipt # 6 1-/ 76
Requests for Electrical Inspection (REI) with a fee of $250 or less expire 12 months from the filing date. The owner
must have the work completed within the 12 month period or submit another REI that includes the inspection fee for
the uncompleted work. Inspection fees do not carry over from one REI to another. A service charge of $28 will be
added for all dishonored checks:
I hereby certify that I inspected the electrical installation herein on the
dates stated:
Rough - Inspection (s) Date Walt Lusian, Electrical Inspector
952.934.0229
Final Inspection Date
PERMIT # 11 - 008 3
PERMIT # 11-
.. ..
Inspection Other Than42
Rough-In Inspection .
tn: dy Now
Required? 0
Date e i - .9 0 , P f Yes Contractor/Employer Must Schedule All
Final Inspections
Contractor/Employer Must Schedule All
Rough-In Inspections
ONill Schedule
Address of Inspection - Street
/$13 fim
itee04-1 A t.I ' , N .4) . Project Description:
Owner Name ..
A l artze . 1%4 Ccs7771e I. L Wi kt et ra kij '1" / t
• Owner Phone
Halle14;7 A 4 142-8 - 11 '"'-'d, Cell: . . . .
Contractor/Registered Employer Mailing Address
Contractor/Registered Employer Name G & P Electric L.L.C.
1850 Hillside Dr
Contractor/Employer Telephone Numba P.O. Box 204 Electrical Utility
Work: Cell: Controgigo
Ph. 952-412-8282 LICit EA006312
Contras Cofltra5lqrlEmployer Authorized
Sign
'
,
' Contractor License Number
FEE CALCULATION Job/Project Contact Person:
' Service/Power Supply 0-400
ampere @ $35 . 61(1 Technology Systems Devices
( ) @ $ .75 Each
Separate Bonding Inspections
Service/Power Supply 401 -
for Swimming Pools and
800 ampere @ $60
' Equipotential Planes ( ) @
$35 Each
Center Pivot Irrigation Booms
Service/Power Supply
( ) @ $35 Each
Above 800 ampere @ $100 Plus ( ) Electrical Drive
. Units @ $5 Each
New/Extended Feeders/
Luminaire Retrofit
Circuits Up to 200 A ( ) @$6
Modifications ( ) @ $.25
, Each
Each
Feeders/Circuits Above 200A
, Concrete-Encased Electrode
( ) @ $15 Each
Inspection ( ) @ $35 Each
., „
Investigative Fee $70 Or The
Reconnected Feeders/Circuits :
Total Inspection Fee,
( ) @ $2 Each
Whichever is Greater Up to
$1,000
, Special Inspection Fee ( )
Manufactured Home Park Lot
Hours @ $80 Per Hour
Supply ( ) @ $35 Each • ' Plus ( ) Miles @ The IRS
Mileage Rate of ( )
Recreational Vehicle Site
,
Supply Equipment '
( ) Circuits Originating in
Other „r7
the Equipment @ $6 Each
Over 600 Volts - Add the
combined service/power
Street, Parking Lot, Lighting
supply and feeder/circuit fee
Standard ( ) @ $5 Each to result in double the regular
fee (does not apply to electric
sign and outline lighting)
( ) New Multi-Family
Dwellings @ $70 Each
Transformers Up to 10 kva
( ) State Surcharge of
( ) @ $15 Each
( ) Additional Circuits
Above the 20 Allowed
Per unit @ $6 Each 46 4F 6,4-t 17
- ,. rs
• •••••