HomeMy WebLinkAboutElectrical Permit 11.106 iPRfp
V ,� : . PERMIT ## 11- / 0(9
° M'.
'^'^ r., , I CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Date i Rough -In Inspection Required? C P_Yes i Inspection Other Than Rough -m: t8 Ready Now
Contractor /Employer Must Schedule Alt Rough -In Inspections Contractor /Employer Must Schedule Alt Final Inspections
1 1 ' 1 ® Will Schedule
Address of Insnectio(' 5t ,eet - ( Project Description:
Owner Name •° l lt �; /Ye e) �� Gt/i9! `
1 1 -1 lif�"1Yv'
Owner Phone
Home: Cell:
Contractor/Registered Employer Name Contractor /Registered Employer Mailing Address
/ /7 / ---2eCT,p' -�i..):,:.
9929' / y io.9i_i- 466,- J 4049 /,viv70 .v 4-
Contractor /Employer Telephone Number ' Contractor /Employer E -mail Address Electrical Utility
Work: Cell:
9 22 #' - 4rov NA) 149441-i 41- 4-- <=.-
Contract Employer Authorized Signature Contractor License Number lob/Project Contact Person:
C4 I H . c3 2 FEE CALCULATION
Service /Power Supply 0 -400 ampere @ 535 Technology Systems Devices ( ) @ $ .75 Each
Service /Power Supply 401 - 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
Equipotential Planes ( ) @ 535 Each
Service /Power Supply Above 800 ampere @ 5100 Center Pivot Irrigation Booms ( ) @ $35 Each
Plus ( ) Electrical Drive Units @ $5 Each
New /Extended Feeders /Circuits Up to 200 A ( ) @$6 Each Luminaire Retrofit Modifications ( ) @ $.25 Each
Feeders /Circuits Above 200A ( ) @ $15 Each Concrete - Encased Electrode Inspection ( ) @ 535 Each
Reconnected Feeders /Circuits ( ) @ $2 Each Investigative Fee $70 Or The Total Inspection Fee,
Whichever is Greater Up to 51,000 ,
Manufactured Horne Park Lot Supply ( ) @ 535 Each Special Inspection Fee ( ) Hours @ 580 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 ( ) @ 55 Each Over 600 Volts - Add the combined service /power supply and
feeder /circuit fee to result in double the regular fee (does not
appl to electric sign and outline lighting)
Transformers Up to 10 kva ( ) @ $15 Each (✓)New Multi- Family Dwellings @ $70 Each
( ) State Surcharge of 55.00
( ) 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 u
number of required inspection trips, whichever is greater) A <O
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 1 inspected the electrical installation herein on the
dates stated:
Rough -In Inspection (s) Date Walt Lusian, Electrical Inspector
952.934.0229
Final Inspection Date