HomeMy WebLinkAboutElectrical Permit 12. 0128 O 4 PR10
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'v`ES °1 CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Date Rough -In Inspection Required? s Inspection Other Than Rough -in: 0 Ready Now
Contractor /Employer Must Schedule All Rough -In Inspe ions Contractor /Employer Must Schedule All Final Inspectio
PP Schedule
Add r� s of Inscti tr�#t Project Description:
Owner Name IV
1
Owner Phone
Home: Cell:
Contractor /Registered Employer Name 76airegisterid Emplo er ailing Address
Contra or /Employer Telephone Number Contractor/Employer E-mail Address L-
Electrical Utility
Contr. ctor /Emp .yer thorn ed ure Contractor License Number Job /Project Contact Person:
V FEE CALCU ATION
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 Up to 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 ( ) New 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 11/°'
number of required inspection trips, whichever is greater)
Receipt # 4if (—
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 -In Inspection (s) Date Walt Lusian, Electrical Inspector
952.934.0229
Final Inspection Date
PERMIT # I.Z, 09 ,,z1-
, &3
PERMIT # 11- , ____
Rough -In Inspection Inspection Other Than Rough-
Required? ( m: y Now
v Contractor /Employer Must Schedule All
Date 3- ^'j Yes Final Inspections
Contractor/Employer Must Schedule All
Rough -In Inspections ill Schedule
Address of Inspection — Street Project Description:
�! s4 /_0 LOOl< DR, £_,
Owner Name
Owner Phone WO-694.
Home: 17-`7.0.' .. ../... ,... . , .. Cell: ..(.1.6g 9 69. ,_ _ . .._ _ ...
Contractor/Registered istered Employer Mailing Address
Contractor /Registered Employer Name 6 & P Electric L.L.C.
1850 Hillside Dr- . _ _ ...._. _ ... . .. _ .
Contractor/Employer Telephone Number P.O. Box 204 Electrical Utility
Work: Cell: Contr pjoyikti- ggiAldress
Ph. 952- 412 -8282 LIC# EA006312
Contract r/Bmployer Authorized
Sign r Contractor License Number Job/Project Contact Person:
,-.
c,
FEE CALCULATION
Service/Power Supply 0400 Technology Systems Devices
@
ampere @ $35 gy y
( ) $ .75 Each
Service/Power Supply 401— Separate Bonding Inspections
ampere @ $60 for Swimming Pools and
800
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
Reconnected Feeders /Circuits Investigative Fee $70 Or The
( ) @ $2 Each Total Inspection Fee,
Whichever is Greater Up to
$1,000
Manufactured Home Park Lot Special Inspection Fee ( )
Hours @ $80 Per Hour
Supply ( ) @ $35 Each Plus ( ) Miles @ The IRS
Mileage Rate of ( )
Recreational Vehicle Site 3 5-: 6 0
Supply Equipment
( ) Circuits Originating in Other ,3 , 0
the Equipment @ $6 Each b D Q
Over 600 Volts — Add the
Street, Parking Lot, Lighting combined service/power
Standard ( ) @ $5 Each supply and feeder /circuit fee
to result in double the regular ,
fee (does not apply to electric •
sign and outline lighting)
( ) New Multi- Family
•
Transformers Up to 10 kva Dwellings @ $70 Each
( ) State Surcharge of 55.0 >
( ) @ $15 Each
( ) Additional Circuits
Above the 20 Allowed
Per unit @ $6 Each